Browse publications by year: 2023

  1. Sam CP, Nathan JL, Aroksamy JA, Ramasamy N, Mamat NHB, Nadarajah VD
    Med Sci Educ, 2023 Oct;33(5):1127-1137.
    PMID: 37886265 DOI: 10.1007/s40670-023-01851-7
    INTRODUCTION: Simulation centres (SC) and its learning resources are now firmly established as part of medical education. In SC, medical students obtain both knowledge and skills based on a combination of theory and practice using provided resources. This study aims to explore medical students' use of SC learning resources to learn clinical and communication skills based on Kolb's experiential learning cycle. This is based on the research question 'How are the SC resources useful in supporting preclinical medical students' clinical and communication skills learning?' The findings of the study can make a case for further enhancement of SC design and resources for medical students in the preclinical phase.

    METHODS: A qualitative study involving 20 preclinical medical students with learning experiences in SC was conducted between December 2019 and 2020 at a medical school in Malaysia. Semi-structured interview questions were developed based on Kolb's learning cycle. The data were thematically analysed using the six phases of Braun and Clarke's thematic analysis.

    RESULTS: Three main themes were identified based on preclinical medical students' experiences in SC; they were 'preparation for authentic clinical experience', 'accessibility of multiple resources for learning and support' and 'opportunities to learn and improve'.

    CONCLUSIONS: The SC's resources have a significant and positive role in supporting preclinical medical students learn clinical and communication skills. The SC resources prepared them for authentic clinical experiences with a patient-centred care approach and self-directed learning opportunities. Social support from peers, peer tutors and academics emerged as a key finding and resource of the SC as they help preclinical students learn and improve.

  2. Yahaya SA, Ripin ZM, Ridzwan MIZ
    3D Print Addit Manuf, 2023 Oct 01;10(5):971-983.
    PMID: 37886404 DOI: 10.1089/3dp.2021.0014
    Fused deposition modeling has provided a cheap and effective method for the rapid production of prototypes and functional products in many spheres of life. In this study, three-dimensional (3D) printing techniques to produce and optimize a hip protector that will assure clinical efficacy are presented. The I-Optimal design was used to optimize the hip protector's significant parameters (infill density, shell thickness, and material shore hardness) to obtain maximum femoral neck force attenuation of the 3D-printed hip protector. A drop impact tower device simulates the impact force at the hip's parasagittal plane during a fall. The results show that the infill density has the most significant influence on attenuation properties, followed by the infill density combined with the material shore hardness. By maximizing all the parameters, it is demonstrated that using an additive manufacturing technique to print hip protectors could be an effective strategy in curbing hip fractures.
  3. Waheed T, Min P, Din SU, Ahmad P, Khandaker MU, Haq S, et al.
    Heliyon, 2023 Oct;9(10):e20976.
    PMID: 37886752 DOI: 10.1016/j.heliyon.2023.e20976
    A hydrothermal technique was employed to synthesize Ni/Mg/Al ternary L.D.H.s modified with montmorillonite (NMA-MMT-LDHs). Many characterization methods, including X-ray diffraction (XRD), scanning electron microscopy (S.E.M.), Fourier transform infrared (FTIR), and Brunauer, Emmett, and Teller (B.E.T.), were used to assess the physiochemical properties of the produced analytes. Congo red and methylene blue were utilized as model dyes to treat textile waste with the synthesized analytes. The batch adsorption model was utilized to conduct the adsorption experiments under varying contact time, adsorbent dosage, and solution pH conditions. A pseudo-second-order kinetics and the Langmuir adsorption model control the adsorption process. The maximum monolayer adsorption capacities of C.R. and M.B. were determined to be 344 and 200 mg/g, respectively. As the quantity of dosage increased from the 0.01-0.04 g, the percent removal efficiency (%) increased from 75 to 87 % for S2-LDH, 84-88 % for S2-MMT, 86-93 % for S3-MMT, and 95-97% for S4-MMT for C.R. dye and 82-85 % for S2-LDH, 83-89 % for S2-MMT, 83-91 % for S3-MMT, and 84-92 % for S4-MMT for M.B. dye. The removal percentage of C.R. dye for adsorbents S2-LDH, S2-MMT, S3-MMT, and S4-MMT were 75 %, 84 %, 86 %, and 95 %, respectively and 82 %, 83 %, 83 %, and 85 %, respectively for the M.B. dye removal. The presence of MMT significantly increases the affinity of Ni/Mg/Al-LDHs (NMA-LDHs), and the designed production technique can be used to produce a variety of compositionally distinct adsorbent materials.
  4. Karobari MI, Alam BF, Bashir R, Fahim MF, Mirza MB, Noorani TY
    Clin Exp Dent Res, 2023 Dec;9(6):1156-1168.
    PMID: 37877522 DOI: 10.1002/cre2.801
    OBJECTIVES: This bibliometric analysis aimed to evaluate the leading nations, authors, journals, institutes, highly cited publications, and most commonly used keywords concerning scientific publications based on root and root canal morphology using the CBCT.

    MATERIAL AND METHODS: For this bibliometric analysis, an extensive search was carried out on September 25, 2023 using the Scopus database. Pertinent articles in the field were scrutinized after applying inclusion and exclusion criteria. Data were evaluated using Vosviewer and Microsoft Excel.

    RESULTS: A literature search revealed the initiation of scientific publication in 2008. Significant contributions made by Saudi Arabia, India, and China concerning the number of publications were seen. Similarly, Jazan University from SA was recognized as the leading institute. The Journal of Endodontics was the leading journal, while authors JNR Martins and G Gambarini produced the highest number of papers.

    CONCLUSIONS: This bibliometric analysis demonstrated that scientific publications have increased tremendously since 2008. Significant contributions have been made by developing and developed nations. The Journal of Endodontics and Jazan University have been identified as the leading journal and institute.

    MeSH terms: Endodontics*; Humans; Bibliometrics; Databases, Factual; Cone-Beam Computed Tomography
  5. Calvert K, Symonds I
    Aust N Z J Obstet Gynaecol, 2023 Dec;63(6):735-736.
    PMID: 37877668 DOI: 10.1111/ajo.13763
    MeSH terms: Educational Status; Humans; Intention
  6. Eltrafi A, Shrestha S, Ahmed A, Mistry H, Paudyal V, Khanal S
    Health Econ Rev, 2023 Oct 25;13(1):49.
    PMID: 37878082 DOI: 10.1186/s13561-023-00461-8
  7. Ishaq A, Mohammad SJ, Bello AD, Wada SA, Adebayo A, Jagun ZT
    PMID: 37878175 DOI: 10.1007/s11356-023-30240-1
    Suboptimal management of healthcare waste poses a significant concern that can be effectively tackled by implementing Internet of Things (IoT) solutions to enhance trash monitoring and disposal processes. The potential utilisation of the Internet of Things (IoT) in addressing the requirements associated with biomedical waste management within the Kaduna area was examined. The study included a selection of ten hospitals, chosen based on the criterion of having access to wireless Internet connectivity. The issue of biomedical waste is significant within the healthcare sector since it accounts for a considerable amount of overall waste generation, with estimates ranging from 43.62 to 52.47% across various facilities. Utilisation of (IoT) sensors resulted in the activation of alarms and messages to facilitate the prompt collection of waste. Data collected from these sensors was subjected to analysis to discover patterns and enhance the overall efficiency of waste management practices. The study revealed a positive correlation between the quantity of hospital beds and the daily garbage generated. Notably, hospitals with a higher number of beds were observed to generate a much greater amount of waste per bed. Hazardous waste generated varies by hospital, with one hospital leading in sharps waste (10.98 kgd-1) and chemical waste (21.06 kgd-1). Other hospitals generate considerable amounts of radioactive waste (0.60 kgd-1 and 0.50 kgd-1), pharmaceuticals, and genotoxic waste (16.19 kgd-1), indicating the need for specialised waste management approaches. The study sheds light on the significance of IoT in efficient waste collection and the need for tailored management of hazardous waste.
  8. Li Z, Zhang F, Shi J, Chan NW, Tan ML, Kung HT, et al.
    Mar Pollut Bull, 2023 Nov;196:115653.
    PMID: 37879130 DOI: 10.1016/j.marpolbul.2023.115653
    Chromophoric dissolved organic matter (CDOM) occupies a critical part in biogeochemistry and energy flux of aquatic ecosystems. CDOM research spans in many fields, including chemistry, marine environment, biomass cycling, physics, hydrology, and climate change. In recent years, a series of remarkable research milestone have been achieved. On the basis of reviewing the research process of CDOM, combined with a bibliometric analysis, this study aims to provide a comprehensive review of the development and applications of remote sensing in monitoring CDOM from 2003 to 2022. The findings show that remote sensing data plays an important role in CDOM research as proven with the increasing number of publications since 2003, particularly in China and the United States. Primary research areas have gradually changed from studying absorption and fluorescence properties to optimization of remote sensing inversion models in recent years. Since the composition of oceanic and freshwater bodies differs significantly, it is important to choose the appropriate inversion method for different types of water body. At present, the monitoring of CDOM mainly relies on a single sensor, but the fusion of images from different sensors can be considered a major research direction due to the complex characteristics of CDOM. Therefore, in the future, the characteristics of CDOM will be studied in depth inn combination with multi-source data and other application models, where inversion algorithms will be optimized, inversion algorithms with low dependence on measured data will be developed, and a transportable inversion model will be built to break the regional limitations of the model and to promote the development of CDOM research in a deeper and more comprehensive direction.
    MeSH terms: China; Spectrometry, Fluorescence/methods; Bibliometrics; Ecosystem; Remote Sensing Technology
  9. Malik R, Paudel KR, Manandhar B, De Rubis G, Shen J, Mujwar S, et al.
    Pathol Res Pract, 2023 Nov;251:154895.
    PMID: 37879146 DOI: 10.1016/j.prp.2023.154895
    PURPOSE: Oxidative stress and inflammation are key pathophysiological features of chronic respiratory diseases, including asthma and chronic obstructive pulmonary disease (COPD). Agarwood oil obtained from Aquilaria trees has promising antioxidant and anti-inflammatory activities. However, its clinical application is hampered by poor solubility. A viable approach to overcome this involves formulation of oily constituents into emulsions. Here, we have investigated the antioxidant and anti-inflammatory potential of an agarwood oil-based nanoemulsion (DE'RAAQSIN) against lipopolysaccharide (LPS)-induced RAW264.7 mouse macrophages in vitro.

    METHODS: The antioxidant and anti-inflammatory activity of DE'RAAQSIN was assessed by measuring the levels of ROS and nitric oxide (NO) produced, using the DCF-DA assay and the Griess reagent assay, respectively. The molecular pathways activated by DE'RAAQSIN were investigated via qPCR.

    RESULTS: LPS stimulation of RAW264.7 cells increased the production of nitric oxide (NO) and ROS and resulted in the overexpression of the inducible nitric oxide synthase (iNOS) gene. Furthermore, LPS induced the upregulation of the expression of key proinflammatory genes (IL-6, TNF-α, IL-1β, and CXCL1) and of the antioxidant gene heme oxygenase-1 (HO-1). DE'RAAQSIN demonstrated potent antioxidant and anti-inflammatory activity by significantly reducing the levels of ROS and of secreted NO, simultaneously counteracting the LPS-induced overexpression of iNOS, IL-6, TNF-α, IL-1β, and HO-1. These findings were corroborated by in silico activity prediction and physicochemical analysis of the main agarwood oil components.

    CONCLUSIONS: We propose DE'RAAQSIN as a promising alternative managing inflammatory disorders, opening the platform for further studies aimed at understanding the effectiveness of DE'RAAQSIN.

    MeSH terms: Animals; Anti-Inflammatory Agents/pharmacology; Anti-Inflammatory Agents/therapeutic use; Antioxidants/therapeutic use; Inflammation/chemically induced; Inflammation/drug therapy; Inflammation/metabolism; Nitric Oxide/metabolism; Nitric Oxide/therapeutic use; Tumor Necrosis Factor-alpha/metabolism; Interleukin-6/metabolism; NF-kappa B/metabolism; Reactive Oxygen Species/metabolism; Oxidative Stress; Mice
  10. Liu F, Fan C, Li J, Tan Q
    J Environ Manage, 2023 Dec 15;348:119422.
    PMID: 37879176 DOI: 10.1016/j.jenvman.2023.119422
    International trade of plastic waste promotes the global plastic circular economy and improves resource efficiency, but exacerbates the ubiquitous plastic pollution. Understanding the drivers behind the evolution of the global plastic waste trade network (GPWTN) is pivotal for developing new international instruments to end plastic pollution and fostering clean solid-waste trade. Employing social network analysis (SNA) and quadratic assignment procedure (QAP) model, this study structures the GPWTN using bilateral trade data, revealing shifts from highly centralized to cross-layered networks and relevant drivers. It is suggested that Malaysia and Turkey has become the new key recipients of the GPWTN, replacing China, accompanied by the launch of new environmental regulations in some countries. Transportation cost is the most critical factor for the formation of the GPWTN, followed by gaps in resource demand, bio-based resource availability, and transportation accessibility. Trading partners in closer proximity, especially those with contiguous borders, are more likely to trade in waste plastics, while coastal countries play an important role in these partnerships. Economies with more abundant biomaterials, higher incomes, and greater environmental burdens are more likely to be exporters, while economies with scarcer resources and more compelling demands are more likely to import plastic waste. Countries involved in the trade in plastic waste, as either importers or exporters, receive varying degrees of economic benefits but bear potential environmental impacts. Therefore, global plastic pollution control and trade prosperity necessitates necessitate coordinated endeavors from nations and intergovernmental bodies for a mutually advantageous denouement.
    MeSH terms: Commerce; Environmental Pollution; Waste Management*; Internationality; Solid Waste
  11. Khan J, Mariatti M, Zubir SA, Rusli A, Manaf AA, Khirotdin RK
    Nanotechnology, 2023 Nov 15;35(5).
    PMID: 37879329 DOI: 10.1088/1361-6528/ad06d4
    Inkjet-printable ink formulated with graphene oxide (GO) offers several advantages, including aqueous dispersion, low cost, and environmentally friendly production. However, water-based GO ink encounters challenges such as high surface tension, low wetting properties, and reduced ink stability over prolonged storage time. Alkali lignin, a natural surfactant, is promising in improving GO ink's stability, wettability, and printing characteristics. The concentration of surfactant additives is a key factor in fine-tuning GO ink's stability and printing properties. The current study aims to explore the detailed effects of alkali lignin concentration and optimize the overall properties of graphene oxide (GO) ink for drop-on-demand thermal inkjet printing. A meander-shaped temperature sensor electrode was printed using the optimized GO ink to demonstrate its practical applicability for commercial purposes. The sensing properties are evaluated using a simple experimental setup across a range of temperatures. The findings demonstrate a significant increase in zeta potential by 25% and maximum absorption by 84.3%, indicating enhanced stability during prolonged storage with an optimized alkali lignin concentration compared to the pure GO dispersions. The temperature sensor exhibits a remarkable thermal coefficient of resistance of 1.21 within the temperature range of 25 °C-52 °C, indicative of excellent sensitivity, response, and recovery time. These results highlight the potential of alkali lignin as a natural surfactant for improving the performance and applicability of inkjet-printable GO inks in various technological applications.
  12. Abilaji S, Narenkumar J, Das B, S S, Rajakrishnan R, Sathishkumar K, et al.
    Chemosphere, 2023 Dec;345:140516.
    PMID: 37879370 DOI: 10.1016/j.chemosphere.2023.140516
    Azo dyes are the most varied class of synthetic chemicals with non-degradable characteristics. They are complex compounds made up of many different parts. It was primarily utilized for various application procedures in the dyeing industry. Therefore, it's crucial to develop an economical and environmentally friendly approach to treating azo dyes. Our present investigation is an integrated approach to the electrooxidation (EO) process of azo dyes using RuO2-IrO2-TiO2 (anode) and titanium mesh (cathode) electrodes, followed by the biodegradation process (BD) of the treated EO dyes. Chemical oxygen demand (COD) removal efficiency as follows MB (55%) ≥ MR (45%) ≥ TB (38%) ≥ CR (37%) correspondingly. The fragment generated during the degradation process which was identified with high-resolution mass spectrometry (HRMS) and its degradation mechanism pathway was proposed as demethylation reaction and N-N and C-N/C-S cleavage reaction occurs during EO. In biodegradation studies by Aeromonas hydrophila AR1, the EO treated dyes were completely mineralized aerobically which was evident by the COD removal efficiency as MB (98%) ≥ MR (92.9%) ≥ TB (88%) ≥ CR (87%) respectively. The EO process of dyes produced intermediate components with lower molecular weights, which was effectively utilized by the Aeromonas hydrophila AR1 and resulted in higher degradation efficiency 98%. We reported the significance of the enhanced approach of electrochemical oxidation with biodegradation studies in the effective removal of the pollutants in dye industrial effluent contaminated water environment.
    MeSH terms: Azo Compounds/chemistry; Coloring Agents/chemistry; Electrodes; Oxidation-Reduction; Titanium/chemistry; Aeromonas hydrophila*
  13. Mijwel AS, Ahmed AN, Afan HA, Alayan HM, Sherif M, Elshafie A
    Sci Rep, 2023 Oct 25;13(1):18260.
    PMID: 37880280 DOI: 10.1038/s41598-023-45032-3
    This study aims to assess the practicality of utilizing artificial intelligence (AI) to replicate the adsorption capability of functionalized carbon nanotubes (CNTs) in the context of methylene blue (MB) removal. The process of generating the carbon nanotubes involved the pyrolysis of acetylene under conditions that were determined to be optimal. These conditions included a reaction temperature of 550 °C, a reaction time of 37.3 min, and a gas ratio (H2/C2H2) of 1.0. The experimental data pertaining to MB adsorption on CNTs was found to be extremely well-suited to the Pseudo-second-order model, as evidenced by an R2 value of 0.998, an X2 value of 5.75, a qe value of 163.93 (mg/g), and a K2 value of 6.34 × 10-4 (g/mg min).The MB adsorption system exhibited the best agreement with the Langmuir model, yielding an R2 of 0.989, RL value of 0.031, qm value of 250.0 mg/g. The results of AI modelling demonstrated a remarkable performance using a recurrent neural network, achieving with the highest correlation coefficient of R2 = 0.9471. Additionally, the feed-forward neural network yielded a correlation coefficient of R2 = 0.9658. The modeling results hold promise for accurately predicting the adsorption capacity of CNTs, which can potentially enhance their efficiency in removing methylene blue from wastewater.
  14. Liew SC, Tan MP, Breen E, Krishnan K, Sivarajah I, Raviendran N, et al.
    BMC Med Educ, 2023 Oct 25;23(1):796.
    PMID: 37880711 DOI: 10.1186/s12909-023-04777-1
    BACKGROUND: Virtual consultation is a synchronous mode of telemedicine provided remotely via information and communication technology. The projected growth of digitalization in healthcare delivery, however, necessitates medical student training in virtual consultation (VC) to ensure safe and effective patient care. This study describes the implementation and preliminary evaluation of a competency-based VC training module for undergraduate medical students.

    METHODS: A newly developed six-week VC module was implemented online through asynchronous microlearning and synchronous simulation-based experiential learning modalities. Clinical students in years 4 and 5 and fresh graduates, who had not started pre-registration house officer or residency programmes, were invited to participate. Training outcomes using checklist-based video-recorded assessments of VC encounters between medical students and simulated patients were compared. Each video was independently assessed by two facilitators trained in VC teaching and assessment, using a direct observed virtual consultation skills checklist derived from established VC competencies. The participants completed course evaluations electronically as additional outcome measures.

    RESULTS: Fifty-two clinical phase medical students and alumni completed both the instructional and practical phases of this module. Altogether, 45 (95.7%) students found the module beneficial, and 46 (95.9%) reported increased self-efficacy for conducting VC. In total, 46 (95.9%) students would recommend the course to others. Post-test results showed a significant increase in the students' abilities to conduct a VC (t-test = 16.33, p 

    MeSH terms: Simulation Training*; Clinical Competence; Communication; Curriculum; Humans; Referral and Consultation; Students, Medical*
  15. Ye Z, Nguyen TL, Dite GS, MacInnis RJ, Schmidt DF, Makalic E, et al.
    Breast Cancer Res, 2023 Oct 25;25(1):127.
    PMID: 37880807 DOI: 10.1186/s13058-023-01733-1
    BACKGROUND: Mammogram risk scores based on texture and density defined by different brightness thresholds are associated with breast cancer risk differently and could reveal distinct information about breast cancer risk. We aimed to investigate causal relationships between these intercorrelated mammogram risk scores to determine their relevance to breast cancer aetiology.

    METHODS: We used digitised mammograms for 371 monozygotic twin pairs, aged 40-70 years without a prior diagnosis of breast cancer at the time of mammography, from the Australian Mammographic Density Twins and Sisters Study. We generated normalised, age-adjusted, and standardised risk scores based on textures using the Cirrus algorithm and on three spatially independent dense areas defined by increasing brightness threshold: light areas, bright areas, and brightest areas. Causal inference was made using the Inference about Causation from Examination of FAmilial CONfounding (ICE FALCON) method.

    RESULTS: The mammogram risk scores were correlated within twin pairs and with each other (r = 0.22-0.81; all P 

    MeSH terms: Adult; Aged; Australia/epidemiology; Female; Humans; Mammography/methods; Middle Aged; Risk Factors; Breast Density
  16. Abdullah SJ, Shaikh Mohammed J
    PMID: 37880957 DOI: 10.1080/17483107.2023.2272861
    PURPOSE: Steering a wheelchair while navigating through manual doors or against obstacles is challenging for some users. Previously, a low-cost, low-tech accessory made using off-the-shelf components, conventional manufacturing, and 3D-printed fasteners demonstrated the proof-of-concept for uncrossable positive obstacle pushing or gliding. Current work presents the fabrication and testing of an entirely 3D-printed prototype of the accessory.

    METHODS: The accessory was 3D-printed using ABS (10% fill density) in sections. A finite element stress analysis simulation was performed for the entire accessory. Prototype tests were done with the accessory installed on an unoccupied powered wheelchair against a door and an obstacle with ∼25 N and ∼50 N resistance forces, respectively.

    RESULTS: The maximum stresses in none of the crucial components exceeded the break strength of ABS. Test results demonstrate the ability and mechanical robustness of the fully 3D-printed accessory to push open manual doors, allowing easy navigation through doors, and to push or glide against obstacles. The current prototype improves over the previous prototype in terms of manufacturability, weight, design, and safety.

    CONCLUSIONS: To the best of our knowledge, this is the first demonstration of an entirely 3D-printed wheelchair accessory that pushes or glides against uncrossable positive obstacles. Future studies would involve end-user satisfaction assessment and functionality evaluation in different scenarios under clinical supervision. The pushing or gliding ability of the accessory could be beneficial to wheelchair users with neuromuscular disorders or paraplegia.

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