Browse publications by year: 2024

  1. Mak LY, Liu K, Chirapongsathorn S, Yew KC, Tamaki N, Rajaram RB, et al.
    Nat Rev Gastroenterol Hepatol, 2024 Dec;21(12):834-851.
    PMID: 39147893 DOI: 10.1038/s41575-024-00967-4
    Globally, nearly half of deaths from cirrhosis and chronic liver diseases (CLD) and three-quarters of deaths from hepatocellular carcinoma (HCC) occur in the Asia-Pacific region. Chronic hepatitis B is responsible for the vast majority of liver-related deaths in the region. Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most common form of CLD, affecting an estimated 30% of the adult population. Compared with people of European descent, people from the Asia-Pacific region carry more genetic variants associated with MASLD and its progression. Alcohol is a fast-growing cause of CLD and HCC in Asia as a result of the rising per-capita consumption of alcohol. Drug-induced liver injury is under-recognized and probably has a high prevalence in this region. The epidemiological and outcome data of acute-on-chronic liver failure are heterogeneous, and non-unified definitions across regions contribute to this heterogeneity. CLDs are severely underdiagnosed, and effective treatments and vaccinations are underutilized. In this Review, we highlight trends in the burden of CLD and HCC in the Asia-Pacific region and discuss the rapidly changing aetiologies of liver disease. We examine the multiple gaps in the care cascade and propose mitigating strategies and future directions.
    MeSH terms: Asia/epidemiology; Humans; Prevalence
  2. Sariyati NH, Othman N, Abdullah-Fauzi NAF, Chan E, Md-Zain BM, Karuppannan KV, et al.
    J Med Primatol, 2024 Oct;53(5):e12730.
    PMID: 39148344 DOI: 10.1111/jmp.12730
    BACKGROUND: The gut morphology of Symphalangus syndactylus exhibits an intermediate structure that aligns with its consumption of fruit and ability to supplement its diet with leaves. The Siamang relies on its gut microbiome for energy extraction, immune system development, and the synthesis of micronutrients. Gut microbiome composition may be structured based on several factors such as age, sex, and habitat. No study has yet been carried out on the gut microbiota of the Hylobatidae members in Malaysia especially S. syndactylus.

    METHODS: This study aims to resolve the gut microbiome composition of S. syndactylus by using a fecal sample as DNA source, adapting high-throughput sequencing, and 16S rRNA as the targeted region.

    RESULTS: A total of 1 272 903 operational taxonomic units (OTUs) reads were assigned to 22 phyla, 139 families, and 210 genera of microbes. The {Unknown Phylum} Bacteria-2 is the dominant phyla found across all samples. Meanwhile, {Unknown Phylum} Bacteria-2 and Firmicutes are genera that have the highest relative abundance found in the Siamang gut.

    CONCLUSIONS: This study yields nonsignificance relationship between Siamang gut microbiome composition with these three factors: group, sex, and age.

    MeSH terms: Gastrointestinal Microbiome*; Age Factors; Animals; Bacteria/classification; Bacteria/genetics; Bacteria/isolation & purification; Feces/microbiology; Female; Malaysia; Male; RNA, Bacterial/analysis; RNA, Bacterial/genetics; RNA, Ribosomal, 16S/genetics; Sex Factors; Hylobatidae; Endangered Species
  3. Ruckwongpatr K, Ahorsu DK, Pimsen A, Paratthakonkun C, Tung SEH, Pramukti I, et al.
    Eval Health Prof, 2024 Aug 16.
    PMID: 39148374 DOI: 10.1177/01632787241271117
    Examining ways of reducing physical inactivity has been at the forefront of public health research. Moreover, valid and reliable scales are needed to objectively assess physical activity (PA) avoidance. Previous research has shown that experiencing weight stigma and physical appearance-related concerns are associated with physical inactivity. However, there is currently no Thai instrument that assesses physical inactivity in relation to weight stigma. Therefore, the present study examined the psychometric properties of the Thai version of the Tendency to Avoid Physical Activity and Sport Scale (TAPAS). Thai university students (N = 612) recruited via convenience sampling completed an online survey using SurveyMonkey between September 2022 and January 2023. Confirmatory factor analysis (CFA), multigroup CFA, and Pearson correlations (between TAPAS scores, age, body mass index, and time spent exercising) were used to analyze the data. The CFA showed robust psychometric properties for the Thai version of TAPAS regarding its unidimensional structure. The TAPAS was measurement invariant across sex, weight status, and daily hours of exercise. However, no significant Pearson correlations were found. In general, the results showed that the TAPAS is a good scale for assessing PA avoidance among Thai young adults across different sexes, weight status, and daily hours of exercise.
  4. Mills MB, Both S, Jotan P, Huaraca Huasco W, Cruz R, Pillco MM, et al.
    New Phytol, 2024 Aug 15.
    PMID: 39148398 DOI: 10.1111/nph.20043
    Stem respiration constitutes a substantial proportion of autotrophic respiration in forested ecosystems, but its drivers across different spatial scales and land-use gradients remain poorly understood. This study quantifies and examines the impact of logging disturbance on stem CO2 efflux (EA) in Malaysian Borneo. EA was quantified at tree- and stand-level in nine 1-ha plots over a logging gradient from heavily logged to old-growth using the static chamber method. Tree-level results showed higher EA per unit stem area in logged vs old-growth plots (37.0 ± 1.1 vs 26.92 ± 1.14 g C m-2 month-1). However, at stand-level, there was no difference in EA between logged and old-growth plots (6.7 ± 1.1 vs 6.0 ± 0.7 Mg C ha-1 yr-1) due to greater stem surface area in old-growth plots. Allocation to growth respiration and carbon use efficiency was significantly higher in logged plots. Variation in EA at both tree- and stand-level was driven by tree size, growth and differences in investment strategies between the forest types. These results reflect different resource allocation strategies and priorities, with a priority for growth in response to increased light availability in logged plots, while old-growth plots prioritise maintenance and cell structure.
  5. Febriza A, Usman F, Rasyid AUM, Idrus HH, Mokhtar MH
    PeerJ, 2024;12:e17890.
    PMID: 39148677 DOI: 10.7717/peerj.17890
    The increasing problem of antibiotic resistance in bacteria leads to an urgent need for new antimicrobial agents. Alternative treatments for bacterial infections need to be explored to tackle this issue. Plant-based substances are emerging as promising options. Manilkara zapota L. contains compounds with antibiotic activities, and anti-inflammatory, antitumor, antipyretic, and antioxidant properties. It has medicinal properties and contains bioactive compounds, like tannins, flavonoids, and triterpenoids. This review aimed to comprehensively evaluate the existing literature on the potential medicinal and therapeutic benefits of M. zapota in bacterial infections by utilizing data from in vivo and in vitro studies. M. zapota has the potential to be a nutritional source of antimicrobial food. Numerous preclinical studies have demonstrated the antibacterial activities of M. zapota and its components. The antibacterial mechanisms of this fruit could interact with bacterial cell structures such as cell walls or membranes.
    MeSH terms: Animals; Humans
  6. Hussain K, Mehmood K, Anees SA, Ding Z, Muhammad S, Badshah T, et al.
    Heliyon, 2024 Jul 30;10(14):e34710.
    PMID: 39148982 DOI: 10.1016/j.heliyon.2024.e34710
    The increasing pressures of urban development and agricultural expansion have significant implications for land use and land cover (LULC) dynamics, particularly in ecologically sensitive regions like the Murree and Kotli Sattian tehsils of the Rawalpindi district in Pakistan. This study's primary objective is to assess spatial variations within each LULC category over three decades (1992-2023) using cross-tabulation in ArcGIS to identify changes in LULC and investigates into forest fragmentation analysis using the Landscape Fragmentation Tool (LFTv2.0) to classify forest into several classes such as patch, edge, perforated, small core, medium core, and large core. Utilizing remote sensing data from Landsat 5 and Landsat 9 satellites, the research focuses on the temporal dynamics in various land classes including Coniferous Forest (CF), Evergreen Forest (EF), Arable Land (AR), Buildup Area (BU), Barren Land (BA), Water (WA), and Grassland (GL). The Support Vector Machine (SVM) classifier and ArcGIS software were employed for image processing and classification, ensuring accuracy in categorizing different land types. Our results indicate a notable reduction in forested areas, with Coniferous Forest (CF) decreasing from 363.9 km2, constituting 45.0 % of the area in 1992, to 291.5 km2 (36.0 %) in 2023, representing a total decrease of 72.4 km2. Similarly, Evergreen Forests have also seen a significant reduction, from 177.9 km2 (22.0 %) in 1992 to 99.8 km2 (12.3 %) in 2023, a decrease of 78.1 km2. The study investigates into forest fragmentation analysis using the Landscape Fragmentation Tool (LFTv2.0), revealing an increase in fragmentation and a decrease in large core forests from 20.3 % of the total area in 1992 to 7.2 % in 2023. Additionally, the patch forest area increased from 2.4 % in 1992 to 5.9 % in 2023, indicating significant fragmentation. Transition matrices and a Sankey diagram illustrate the transitions between different LULC classes, providing a comprehensive view of the dynamics of land-use changes and their implications for ecosystem services. These findings highlight the critical need for robust conservation strategies and effective land management practices. The study contributes to the understanding of LULC dynamics and forest fragmentation in the Himalayan region of Pakistan, offering insights essential for future land management and policymaking in the face of rapid environmental changes.
  7. Altharan YM, Shamsudin S, Al-Alimi S, Saif Y, Zhou W
    Heliyon, 2024 Jul 30;10(14):e34433.
    PMID: 39149043 DOI: 10.1016/j.heliyon.2024.e34433
    The increasing demand for sustainable manufacturing has revived the interest in solid-state recycling (SSR) as a promising alternative method for aluminum waste. In this context, chips generated during machining processes constitute a substantial portion of aluminum waste, offering significant potential for recycling and mitigating waste. However, the machining chip morphology significantly impacts the properties of chip-based recycled parts. This review paper examines the current state-of-the-art solid-state recycling methods, focusing on hot forging, extrusion, equal channel angular pressing, friction stir extrusion and field-assisted sintering. It investigates the impact of aluminum chip morphology on the properties of the directly recycled material, emphasizing the chip machining consequence on the final quality of the product. Several studies reported that the strain and operating temperature are the most influential factors in SSR processes, followed by chip size with an average length of less than 4 mm. Yet, the heating time up to 3 h also had a major impact on chip weld strength. The findings highlighted the significance of aluminum chip morphology in improving the quality of recycled material. The properties of direct recycled samples primarily depend on chip weld strength and microstructure. Overall, this study presented a comprehensive overview of the current state of solid-state recycling and emphasized the significance of chip morphology in advancing the recycling process. Consequently, it equips researchers with a valuable resource for developing effective strategies for sustainable recycling of aluminum chips with high quality.
  8. Sakhawat A, Awan SJ, Khan MU, Shahid S, Maqbool T, Zubair HM, et al.
    J Taibah Univ Med Sci, 2024 Aug;19(4):775-789.
    PMID: 39149519 DOI: 10.1016/j.jtumed.2024.06.008
    OBJECTIVES: This study was conducted to evaluate the effects of vitamin C on apoptotic and proliferative genes in injured HepG2 cells.

    METHODS: In silico analysis was performed using molecular docking of chemical compounds with vascular endothelial growth factor (VEGF). The different computational tools used were AutoDock Vina, BIOVIA DISCOVERY studio, and PyMOL. Drug likeness and toxicity were analyzed by SWISS ADMET. Cells that were 60-70% confluent were treated with different concentrations of hydrogen peroxide (H2O2) (100-2000 μM) and ascorbic acid (30, 60, 90 μg/mL). The MTT cell proliferation assay was performed to compare the proliferative potential of HepG2 cells treated with H2O2 or ascorbic acid with untreated HepG2 cells using 96-well plates.

    RESULTS: The lowest binding energy of VEGF with vitamin C -5.2 kcal/mol and L-ascorbic acid-2 glycoside -4.7 kcal/mol was observed by in silico analysis. Vitamin C was selected because it exhibited a high interaction with VEGF and fulfilled Lipinski's rule, and had better oral viability and pharmacokinetics compared to L-ascorbic acid-2 glycoside. Cell viability assays showed that vitamin C had significant apoptotic effects (P 

  9. Mat Lazin MA, Wan Zainon WN, Humayun A, Madawana AM, Hassan A, Zhang Y, et al.
    Cureus, 2024 Jul;16(7):e64641.
    PMID: 39149669 DOI: 10.7759/cureus.64641
    Introduction Tooth sensitivity, or dentin hypersensitivity (DH), is characterized by sharp, sudden pain in response to stimuli such as cold, heat, sweet, or acidic foods and drinks. In Malaysia, there is limited understanding of the epidemiological aspects of tooth sensitivity, necessitating focused research. The condition results from the exposure of dentinal tubules transmitting stimuli to nerves within the pulp, with contributing factors including gingival recession, enamel erosion, and periodontal disease. This study aims to investigate the factors associated with tooth sensitivity among patients at the Hospital Universiti Sains Malaysia (USM) using advanced statistical methods. Methods This study employed a computational research design to develop an ordinal regression and bootstrap methodology using the RStudio software (Posit PBC, Boston, MA) to analyze secondary data from the Hospital Universiti Sains Malaysia. Six variables were analyzed: tooth wear severity, patient's age, gender, smoking status, alcohol status, and type of toothbrush. The study was conducted in three phases: 1) the development of an ordinal regression model, 2) the development of algorithms for ordinal regression and bootstrap method, and 3) validation using tooth sensitivity data. Results The analysis revealed that the replication with 1000 samples provided the most precise estimates with small standard errors (SE) and consistently significant effects across variables. Tooth sensitivity was influenced by age, toothpaste type, toothbrush type, and brushing frequency. Conclusion The study highlights the importance of considering multiple variables such as age, toothpaste type, toothbrush type, and brushing frequency in understanding tooth sensitivity. The combined ordinal regression and bootstrap technique significantly improved the model's accuracy, providing valuable insights for dental health professionals. These findings underscore the need for specific guidelines on oral hygiene practices to manage and reduce the risk of tooth sensitivity.
  10. Esa U, Singh NG, Mohamad H, Zaini RHM
    Saudi J Anaesth, 2024;18(3):432-434.
    PMID: 39149737 DOI: 10.4103/sja.sja_978_23
    Acquired subglottic stenosis is a common complication of endotracheal intubation in infants. The risk increases in trisomy 21, patients undergoing bypass surgery, and having gastroesophageal reflux disease. Less invasive endoscopic balloon dilatation of subglottic stenosis has become a more common treatment modality compared to open surgical technique. Airway-related surgery needs meticulous preparation and good communication between the anesthetist, surgeon, and staff. More precaution and more effective preparation and communication are needed in neonatal airway surgery as it is physiologically easier to desaturate and develop hypoxemia compared to adults. We report a case of successful balloon dilation of Myer-Cotton class III subglottic stenosis with intermittent supraglottic jet ventilation and bag-mask ventilation in infants with trisomy 21.
  11. Ng ASL, Tan AH, Tan YJ, Lim JL, Lian MM, Dy Closas AM, et al.
    Mov Disord, 2024 Aug 16.
    PMID: 39149795 DOI: 10.1002/mds.29932
    BACKGROUND: Progressive supranuclear palsy (PSP) is largely a sporadic disease with few reported familial cases. Genome-wide association studies (GWAS) in sporadic PSP in Caucasian populations have identified MAPT as the most commonly associated genetic risk locus with the strongest effect size. At present there are limited data on genetic factors associated with PSP in Asian populations.

    OBJECTIVES: Our goal was to investigate the genetic factors associated with PSP in Southeast Asian PSP patients.

    METHODS: Next-generation sequencing (whole-exome, whole-genome and targeted sequencing) was performed in two Asian cohorts, comprising 177 PSP patients.

    RESULTS: We identified 17 pathogenic or likely pathogenic variants in 16 PSP patients (9%), eight of which were novel. The most common relevant genetic variants identified were in MAPT, GBA1, OPTN, SYNJ1, and SQSTM1. Other variants detected were in TBK1, PRNP, and ABCA7-genes that have been implicated in other neurodegenerative diseases. Eighteen patients had a positive family history, of whom two carried pathogenic MAPT variants, and one carried a likely pathogenic GBA1 variant. None of the patients had expanded repeats in C9orf72. Furthermore, we found 16 different variants of uncertain significance in 21 PSP patients in PSEN2, ABCA7, SMPD1, MAPT, ATP13A2, OPTN, SQSTM1, CYLD, and BSN.

    CONCLUSIONS: The genetic findings in our PSP cohorts appear to be somewhat distinct from those in Western populations, and also suggest an overlap of the genetic architecture between PSP and other neurodegenerative diseases. Further functional studies and validation in independent Asian cohorts will be useful for improving our understanding of PSP genetics and guiding genetic screening strategies in these populations. © 2024 International Parkinson and Movement Disorder Society.

  12. Han WH, Tshung En Wong T, Yusof RC, Choong RKJ, Yong SS, Faheem NAA, et al.
    Clin Exp Dermatol, 2024 Aug 16.
    PMID: 39149846 DOI: 10.1093/ced/llae332
    Inflammatory markers such as neutrophil-lymphocyte ratio (NLR) and eosinophil count are known prognostic indicators for SJS/TEN severity. This study explored the correlation of systemic immune-inflammatory index (SII), platelet-lymphocyte ratio (PLR) and NLR with SCORTEN and patient outcomes. A retrospective audit of 34 SJS/TEN patients (25 SJS, 3 SJS/TEN overlap, 6 TEN) was conducted from 2018 to 2022 revealed mean admission values of SII 1597 (standard deviation (SD) 1904.18), NLR 6.52 (SD 5.99) and PLR 201.74 (SD 135.01). Cut-off values for predicting mortality were SII 1238.25 (area under ROC (AUROC) 0.82), NLR 8.32 (AUROC 0.8) and PLR 284.66 (AUROC 0.78). Multiple logistic regression using a backward stepwise method identified SCORTEN as a significant factor associated with mortality (p=0.029) after adjusting for SII, NLR and PLR. None of the inflammatory markers significantly predicted mortality, although admission PLR may be a potential risk factor (p=0.053).
  13. Davis HR, Sanford HT, Das I, Nashriq I, Leaché AD
    Biol Lett, 2024 Aug;20(8):20240157.
    PMID: 39140204 DOI: 10.1098/rsbl.2024.0157
    Species delimitation using mitochondrial DNA (mtDNA) remains an important and accessible approach for discovering and delimiting species. However, delimiting species with a single locus (e.g. DNA barcoding) is biased towards overestimating species diversity. The highly diverse gecko genus Cyrtodactylus is one such group where delimitation using mtDNA remains the paradigm. In this study, we use genomic data to test putative species boundaries established using mtDNA within three recognized species of Cyrtodactylus on the island of Borneo. We predict that multi-locus genomic data will estimate fewer species than mtDNA, which could have important ramifications for the species diversity within the genus. We aim to (i) investigate the correspondence between species delimitations using mtDNA and genomic data, (ii) infer species trees for each target species, and (iii) quantify gene flow and identify migration patterns to assess population connectivity. We find that species diversity is overestimated and that species boundaries differ between mtDNA and nuclear data. This underscores the value of using genomic data to reassess mtDNA-based species delimitations for taxa lacking clear species boundaries. We expect the number of recognized species within Cyrtodactylus to continue increasing, but, when possible, genomic data should be included to inform more accurate species boundaries.
    MeSH terms: Animals; Borneo; Phylogeny; Species Specificity; Genetic Variation; Genetic Speciation; Gene Flow
  14. Aminatun, Sujak M K A, Izak R D, Hadi S, Sari YW, Gunawarman, et al.
    RSC Adv, 2024 Aug 05;14(34):24815-24827.
    PMID: 39135975 DOI: 10.1039/d4ra02485k
    One approach to addressing bone defects involves the field of bone tissue engineering, with scaffolds playing an important role. The properties of the scaffold must be similar to those of natural bone, including pore size, porosity, interconnectivity, mechanical attributes, degradation rate, non-toxicity, non-immunogenicity, and biocompatibility. The primary goals of this study are as follows: first, to evaluate hydroxyapatite (HA)/polycaprolactone (PCL)/gelatin nanofiber scaffolds based on functional groups, fibre diameter, porosity, and degradation rate; second, to investigate the interaction between HA/PCL/gelatin scaffolds and osteoblast cells (specifically, the ATCC 7F2 cell line) using in vitro assays, including cell viability and adhesion levels. The fibre samples were fabricated using an electrospinning technique with a 15 kV voltage, a spinneret-collector distance of 10 cm, and a flow rate of 0.3 mL hour-1. The process was applied to five different HA/PCL/gelatin concentration ratios: 50 : 40 : 10; 50 : 30 : 20; 50 : 25 : 25; 50 : 20 : 30; 50 : 35 : 15 (in %wt). Fourier Transform Infrared (FTIR) spectrum analysis and tests revealed no differences in functional groups across the five compositions. The identified functional groups include PO4 3-, OH-, CO3 2- and C[double bond, length as m-dash]O stretching. Notably, an increase in PCL concentrations resulted in larger fiber diameters, ranging from 369-1403 nm with an average value of 929 ± 175 nm. The highest porosity percentage was (77.27 ± 11.57) %, and a sufficient degradation rate of up to 3.5 months facilitated the proliferation process of osteoblast cells. Tensile strength assessments revealed a significant increase in tensile strength with the addition of PCL, reaching a peak of 1.93 MPa. The MTT assay demonstrated a discernible increase in cell proliferation, as evidenced by increased cell viability percentages on days 1, 3, and 5. Concurrently, the fluorescence microscopy examination indicated an increase in cell numbers, which was especially noticeable on days 1 and 5. The SEM analysis confirmed the biocompatibility of the HA/PCL/gelatin nanofiber scaffold, as osteoblast cells attached and dispersed successfully five days after seeding. Based on these findings, the HA/PCL/gelatin nanofiber scaffold emerges as a very promising candidate for treating bone damage.
  15. Harahap Y, Mulyadi CA, Muliawan HS, Wahab HA
    Heliyon, 2024 Jul 30;10(14):e34500.
    PMID: 39130442 DOI: 10.1016/j.heliyon.2024.e34500
    OBJECTIVE: This study aims to develop and validate bioanalytical method for quantifying warfarin in VAMS samples using liquid chromatography tandem mass spectrometry (LC-MS/MS), directly implementing the method to patients receiving warfarin therapy.

    METHODS: The UPLC-MS/MS method was developed and optimized, with quercetin as the internal standard. Sample preparation was carried out using protein precipitation with methanol-acetonitrile (1:3 v/v).

    RESULTS: Chromatographic separation was achieved using Acquity® UPLC BEH C18 column with 0.1 % formic acid-acetonitrile-methanol (30:69:1 v/v) as mobile phase, in isocratic elution. Multiple Reaction Monitoring (MRM) detection was done using m/z values of 307.10 → 161.06 for warfarin and 301.03 → 150.98 for quercetin as internal standard, using Electrospray Ionization (ESI) negative ion source. The clinical application of the bioanalytical method was carried out on 25 patients receiving warfarin therapy at Universitas Indonesia Hospital and warfarin levels were well within the calibration range from 6.05 to 431.39 ng/mL.

    CONCLUSION: A novel method has been developed to analyze warfarin in VAMS samples. This method has been fully validated according to guideline from FDA 2022 and is linear in the range of 5-500 ng/mL and the value of r ≥ 0.9977, and successfully applied for the analysis of warfarin in VAMS samples of clinical patients.

  16. Khan N, Ooi CA, Shreasth, Alturki A, Desa MKM, Amir M, et al.
    Sci Rep, 2024 Aug 10;14(1):18600.
    PMID: 39127831 DOI: 10.1038/s41598-024-68226-9
    In a Battery Management System (BMS), cell balancing plays an essential role in mitigating inconsistencies of state of charge (SoCs) in lithium-ion (Li-ion) cells in a battery stack. If the cells are not properly balanced, the weakest Li-ion cell will always be the one limiting the usable capacity of battery pack. Different cell balancing strategies have been proposed to balance the non-uniform SoC of cells in serially connected string. However, balancing efficiency and slow SoC convergence remain key issues in cell balancing methods. Aiming to alleviate these challenges, in this paper, a hybrid duty cycle balancing (H-DCB) technique is proposed, which combines the duty cycle balancing (DCB) and cell-to-pack (CTP) balancing methods. The integration of an H-bridge circuit is introduced to bypass the selected cells and enhance the controlling as well as monitoring of individual cell. Subsequently, a DC-DC converter is utilized to perform CTP balancing in the H-DCB topology, efficiently transferring energy from the selected cell to/from the battery pack, resulting in a reduction in balancing time. To verify the effectiveness of the proposed method, the battery pack of 96 series-connected cells evenly distributed in ten modules is designed in MATLAB/Simulink software for both charging and discharging operation, and the results show that the proposed H-DCB method has a faster equalization speed 6.0 h as compared to the conventional DCB method 9.2 h during charging phase. Additionally, a pack of four Li-ion cells connected in series is used in the experiment setup for the validation of the proposed H-DCB method during discharging operation. The results of the hardware experiment indicate that the SoC convergence is achieved at ~ 400 s.
  17. Das Gupta R, Kothadia RJ, Haider SS, Mazumder A, Akhter F, Siddika N, et al.
    Dent Med Probl, 2024;61(4):495-506.
    PMID: 39121238 DOI: 10.17219/dmp/185842
    BACKGROUND: Toothbrushing twice daily is essential for maintaining oral hygiene, which is a cornerstone of overall health. This is particularly important during childhood and adolescence, when lifelong habits are established. Nevertheless, many children and adolescents worldwide face challenges in maintaining good oral health due to limited access to resources and education.

    OBJECTIVES: This study used nationally representative samples from the Global School-based Student Health Survey (GSHS) (2010-2019) to determine the frequency of toothbrushing among school-going students (N = 266,113) in 72 countries.

    MATERIAL AND METHODS: The country-specific sample size ranged from 130 in Tokelau to 25,408 in Malaysia. The outcome variable was the frequency of brushing or cleaning teeth once daily within the past 30 days prior to the survey. Bivariate analysis was conducted following a descriptive study to determine the frequency of toothbrushing or cleaning across different age groups (≤12, 13, 14, 15, ≥16 years), sexes, World Health Organization (WHO) regions, and gross domestic product (GDP) per capita quintiles.

    RESULTS: The overall proportion of males to females in the sample was 50.9:49.1. In 45 countries or territories (62.5%), the proportion of participants who reported brushing their teeth at least once a day was above 90%. Participants from 10 countries or territories (13.9%) reported never or rarely brushing their teeth. In 69 countries or territories (95.8%), male students were more likely than female students to never or rarely brush their teeth. The highest rate of individuals who never or rarely brush their teeth (32.1%) was reported in the Eastern Mediterranean Region. In comparison, the Region of the Americas had the highest frequency of brushing twice or more daily (82.9%).

    CONCLUSIONS: Educational interventions focused on dental health implemented in schools and aimed at early adolescents have the potential to promote the formation of healthy habits, which may lead to improved well-being over both short and long terms.

    MeSH terms: Adolescent; Child; Female; Health Surveys; Humans; Male; Oral Health/statistics & numerical data; Oral Hygiene/statistics & numerical data; Schools/statistics & numerical data; Students/statistics & numerical data; Global Health/statistics & numerical data
  18. Pinheiro AM, Chettri B, Mehra A, Deepti I, Ravi R
    PMID: 39119692 DOI: 10.1080/17434440.2024.2390581
    INTRODUCTION: Refurbished medical devices are previously owned equipment that undergo a process of restoration to ensure they meet quality standards and function effectively. The utilization of refurbished medical devices, coupled with the integration of software, poses intricate challenges in terms of regulatory compliance, risk management, and patient safety.

    AREAS COVERED: This article explores the regulatory frameworks governing refurbished medical devices in the United States (US), the European Union (EU), Malaysia, and Ghana. Included information from a range of primary and secondary sources. Additionally, it aims to identify and analyze the risks associated with refurbished medical devices, with a specific focus on the implications of software integration, and recommend practical solutions for mitigating these risks.

    EXPERT OPINION: The landscape of refurbished medical devices presents challenges in terms of regulatory compliance, risk management, and patient safety. Addressing these challenges requires careful consideration and strategies to ensure that refurbished devices meet stringent quality standards. By focusing on these areas, policymakers and healthcare professionals can enhance the safe utilization of refurbished medical devices, thereby improving access to quality healthcare, particularly in underserved regions.

External Links