Browse publications by year: 2024

  1. Lim MC, Nair G, Chua EW, Tuan Mahmood TM, Imran FH, Shamsuddin AF, et al.
    PLoS One, 2024;19(12):e0314716.
    PMID: 39636881 DOI: 10.1371/journal.pone.0314716
    Athlete support personnel (ASP) work closely with, treat, or assist an athlete participating in or preparing for sports competition. Their involvement in preventing and eliminating doping is crucial. This study investigated the knowledge, attitudes, and practices related to doping in sports among ASP from Southeast Asian countries. An anonymized self-administered questionnaire assessing knowledge, attitudes, and practices related to doping in sports issues was administered to ASP from Southeast Asian countries. Overall, 596 respondents from eleven countries participated in the study. The majority were male (67.1%), non-healthcare professionals (89.4%), and retired elite athletes (57.7%). Their knowledge was found to be poor, reflected in a mean score of 16.1±5.4 out of 30. Attitudes towards doping, as measured by the Performance Enhancement Attitude Scale (PEAS), scored 18.1±9.4, indicating a negative attitude. While some respondents provided information on medication and supplements use in sports to athletes, only 11.8% reported regular updates on doping in sports topics. Meanwhile, the knowledge and PEAS scores were significantly different between the genders (p = 0.04; p = 0.02). The knowledge score was also negatively correlated with the PEAS (p<0.01). This study highlights significant knowledge gaps among ASP in Southeast Asia regarding anti-doping practices. Enhancing their knowledge and fostering positive attitudes toward anti-doping efforts can promote a culture of doping-free sports, particularly among the emerging generation of young athletes they support.
    MeSH terms: Adult; Asia, Southeastern; Female; Humans; Health Knowledge, Attitudes, Practice*; Male; Middle Aged; Surveys and Questionnaires; Sports; Young Adult
  2. Liu C, Jiang M, Muhammad ZA
    PLoS One, 2024;19(12):e0315140.
    PMID: 39637011 DOI: 10.1371/journal.pone.0315140
    Tourism advertising and tourism promotion have over the years been the core functions of tourism departments and major tourist sites. In relation to the progressing development of new media, the mobile short-form videos, which are short, focused, and have an engaging content, appear to be a useful means of advertising tourist destinations. In the digital era, short videos have become a new communication tool between destinations and consumers. This current study, based on the S-O-R model and flow experience, investigated the psychological processes through which TikTok attributes and technology evoke flow and lead to tourists' behavioral intention. Moreover, the TAM, i.e., PU and PEOU, as two technology factors, as well as three content attributes (entertainment, informativeness, and interactivity) were examined. The study utilized a quantitative approach and collected data from 412 respondents in China. The authors adopted the PLS-SEM method to confirm the directions hypothesized in this model. There are significant effects of PU, PEOU, and entertainment on flow experience (telepresence, time distortion, and focused attention). Interactivity impacts telepresence and time distortion, while informativeness impacts focused attention. Moreover, time distortion and focused attention impact tourists' behavioral intention. The results highlight several limitations and offer implications for future research as well.
    MeSH terms: Adult; Advertising as Topic/methods; China; Female; Humans; Male; Surveys and Questionnaires; Video Recording; Intention*; Young Adult
  3. Ramos-Madrigal J, Fritz GJ, Schroeder B, Smith B, Sánchez-Barreiro F, Carøe C, et al.
    Cell, 2024 Nov 26.
    PMID: 39637852 DOI: 10.1016/j.cell.2024.11.003
    Indigenous maize varieties from eastern North America have played an outsized role in breeding programs, yet their early origins are not fully understood. We generated paleogenomic data to reconstruct how maize first reached this region and how it was selected during the process. Genomic ancestry analyses reveal recurrent movements northward from different parts of Mexico, likely culminating in at least two dispersals from the US Southwest across the Great Plains to the Ozarks and beyond. We find that 1,000-year-old Ozark specimens carry a highly differentiated wx1 gene, which is involved in the synthesis of amylose, highlighting repeated selective pressures on the starch metabolic pathway throughout maize's domestication. This population shows a close affinity with the lineage that ultimately became the Northern Flints, a major contributor to modern commercial maize.
  4. Zhang Y, Cao W, Liu X, Ma Z, Li P, Chen H, et al.
    Chem Biodivers, 2024 Dec 05.
    PMID: 39638771 DOI: 10.1002/cbdv.202402399
    A new methylbutyric acid derivative penianoic acid A (1), along with fifteen known compounds (2-16), was isolated and identified from the culture extract of Penicillium polonicum M-3 sourced from Malaysian mangrove root soil. Their structures were determined by detailed spectroscopic analysis of NMR and MS data and quantum chemical calculations of ECD and NMR (with DP4+ probability analysis). The isolated compounds were evaluated for pro-angiogenesis activity using zebrafish in vivo model. Compounds 1, 3, 4, 6-10, and 12-15 showed potent in pro-angiogenic activity in transgenic zebrafish.
  5. Dhanasekaran S, Selvadoss PP, Manoharan SS, Jeyabalan S, Muthu Laxmi V, Choudhury AA, et al.
    Cell Biochem Biophys, 2024 Dec 05.
    PMID: 39638981 DOI: 10.1007/s12013-024-01609-x
    Breast cancer (BC) is the most prevalent malignancy among women globally and the leading cause of cancer-related mortality. Consequently, there is an urgent need for new, effective treatment strategies for breast cancer. Research has shown that the enzyme nudix hydrolase 5 (NUDT5) plays a critical role in promoting breast cancer aggressiveness and serves as a key regulator of oncogenic pathways. The development of NUDT5 inhibitors presents a viable strategy for enhancing treatment results in managing BC. The ability of the flavonoids to modulate key biochemical pathways and improve therapeutic outcomes highlights their promise in developing novel breast cancer treatments. Hence, the main objective of the present investigation is to identify the potential interaction of structurally diverse bioactive flavonoids with the active site of the target NUDT5. Our docking analysis revealed that the flavonoids such as naringin and genistein have shown a significant binding association with residues Arg51, Asp60, Gln82, Arg84, Ala96, Leu98, Glu112, Glu116, Met132, Cys139, Ile141, and Glu166 of NUDT5, suggesting its potential as a potent inhibitor. The stabilizing effects of these leads (naringin and genistein) were further validated using molecular dynamics investigations, including RMSD, RMRF, Rg, SASA, PCA, and FEL. The results of the MD simulation studies evidenced a more significant interaction between genistein and NUDT5, indicating a steady and robust affinity, making genistein a more promising inhibitor. In conclusion, the flavonoid genistein has a strong potential as a therapeutic agent for targeting NUDT5 in breast cancer treatment making it viable candidates for further preclinical and clinical investigations.
  6. Ling A, Teo EW, Chin NS
    BMC Public Health, 2024 Dec 05;24(1):3386.
    PMID: 39639249 DOI: 10.1186/s12889-024-20843-9
    BACKGROUND: Presently, where inactivity is an overarching problem globally, participation in recreational sports activities has become an important outlet for promoting healthy lifestyles. However, there is a lack of instruments to evaluate the commitment of recreational and leisure sports users. This study aimed to adapt, develop and provide preliminary validation of the Recreational Sport Commitment Questionnaire (RESQ).

    METHODS: The development and validation process in this study consisted of four stages: Stage One involved item pool generation, Stage Two focused on content and face validation, Stage Three encompassed data collection, and Stage Four included the assessment of the psychometric properties of the RESQ. This final stage was conducted through Exploratory Factor Analysis (EFA; n = 275) and Confirmatory Factor Analysis (CFA; n = 313) to evaluate convergent validity, discriminant validity, and composite reliability.

    RESULTS: The initial item pool generated 60 items, whereby 42 items were retained after the content validity evaluation process by the panel of experts. Next, EFA analysis suggested 31 items distributed across seven factors. Lastly, psychometric properties of RESQ with 26 items were established through CFA (GFI = 0.91, CFI = 0.97, RMSEA = 0.04, TLI = 0.96, X²/df = 1.52) and other psychometrics evidence.

    CONCLUSION: Based on the collected psychometrics evidence, RESQ is a valid questionnaire to evaluate the commitment of recreational sports users. The newly developed questionnaire allows sports organizations to assess the factors influencing sport commitment among recreational sports users. Based on the results of RESQ, sport programmes can be tailored made to optimize sports engagement and promote continued commitment.

    MeSH terms: Adolescent; Adult; Factor Analysis, Statistical; Female; Humans; Male; Middle Aged; Psychometrics*; Surveys and Questionnaires/standards; Recreation; Reproducibility of Results; Young Adult
  7. Mehmood K, Ullah U, Usman M, Abbas A, Han S
    BMC Psychol, 2024 Dec 05;12(1):728.
    PMID: 39639366 DOI: 10.1186/s40359-024-02242-2
    This research investigates how despotic leadership influences follower creativity within the hospitality context. Grounded in social exchange theory (SET), the research delves into the mediating role of psychological safety in the link between despotic leadership and follower creativity. Additionally, it explores how power distance moderates this relationship, potentially alleviating the adverse implications of despotic leadership. By analyzing data collected from 447 employees in China, our findings reveal that despotic leadership behaviors diminish follower creativity. The results emphasize the crucial role of psychological safety as a mediating factor in this relationship. Furthermore, the study uses moderated path analysis to reveal that high power distance intensifies the negative impact of despotic leadership on psychological safety, further reducing employees' creativity. The research concludes with a discussion of the implications of these findings for both theoretical and practical applications.
    MeSH terms: Adult; China; Creativity*; Employment/psychology; Female; Humans; Leadership*; Male; Middle Aged; Social Distance
  8. Medeiros ID, Ibáñez A, Arnold AE, Hedderson TA, Miadlikowska J, Flakus A, et al.
    Am J Bot, 2024 Dec;111(12):e16441.
    PMID: 39639425 DOI: 10.1002/ajb2.16441
    PREMISE: Southern Africa is a biodiversity hotspot rich in endemic plants and lichen-forming fungi. However, species-level data about lichen photobionts in this region are minimal. We focused on Trebouxia (Chlorophyta), the most common lichen photobiont, to understand how southern African species fit into the global biodiversity of this genus and are distributed across biomes and mycobiont partners.

    METHODS: We sequenced Trebouxia nuclear ribosomal ITS and rbcL of 139 lichen thalli from diverse biomes in South Africa and Namibia. Global Trebouxia phylogenies incorporating these new data were inferred with a maximum likelihood approach. Trebouxia biodiversity, biogeography, and mycobiont-photobiont associations were assessed in phylogenetic and ecological network frameworks.

    RESULTS: An estimated 43 putative Trebouxia species were found across the region, including seven potentially endemic species. Only five clades represent formally described species: T. arboricola s.l. (A13), T. cf. cretacea (A01), T. incrustata (A06), T. lynniae (A39), and T. maresiae (A46). Potential endemic species were not significantly associated with the Greater Cape Floristic Region or desert. Trebouxia species occurred frequently across multiple biomes. Annual precipitation, but not precipitation seasonality, was significant in explaining variation in Trebouxia communities. Consistent with other studies of lichen photobionts, the Trebouxia-mycobiont network had an anti-nested structure.

    CONCLUSIONS: Depending on the metric used, ca. 20-30% of global Trebouxia biodiversity occurs in southern Africa, including many species yet to be described. With a classification scheme for Trebouxia now well established, tree-based approaches are preferable over "barcode gap" methods for delimiting new species.

    MeSH terms: Africa, Southern; Chlorophyta/genetics; Chlorophyta/microbiology; Namibia; Phylogeny*; South Africa; Symbiosis; Biodiversity
  9. Yang G, Zhang J, Abdullah R, Cheah WY, Zhao D, Ling TC
    J Microbiol Biotechnol, 2024 Oct 31;35:e2407038.
    PMID: 39639489 DOI: 10.4014/jmb.2407.07038
    Microalgae are recognized as a sustainable resource to produce biofertilizers, biofuels, and pigments, with the added benefits of environmental sustainability, such as carbon sequestration and pollutant removal. However, traditional cultivation methods face challenges like low biomass productivity and high operational costs. This review focuses on the innovative use of hydrogels as a medium for microalgae cultivation, which addresses these challenges by enhancing nutrient permeability, light distribution, and overall growth efficiency. Hydrogels provide a three-dimensional matrix that not only supports higher biomass yields but also facilitates the removal of pollutants from wastewater, contributing to circular economy goals. The review also explores the environmental benefits, challenges, and prospects of integrating hydrogel technology into microalgae cultivation systems. By highlighting influencing factors through which hydrogels improve microalgal productivity and environmental outcomes, this work aims to provide insights into the potential of hydrogel-based systems for sustainable development.
    MeSH terms: Culture Media/chemistry; Biomass*; Biofuels
  10. Hisham SHA, Hadie SNH, Kasim F, Shamsuddin SA
    Korean J Med Educ, 2024 Dec;36(4):435-443.
    PMID: 39639637 DOI: 10.3946/kjme.2024.315
    The coronavirus disease 2019 pandemic has fundamentally reshaped anatomy education, offering invaluable insights to guide the future of anatomy pedagogy. As we transition into a post-pandemic era, it is crucial to integrate the lessons learned to create a more resilient, flexible, and effective educational environment. This paper examines the transformative strategies implemented at Universiti Sains Malaysia during the pandemic, focusing on the empowerment of blended learning, technology-enhanced tools, student-centered learning practical sessions, and enhancement of formative assessment. These strategies include integrating digital learning resources, such as the Virtual Anatomy Museum and online histology quizzes, with in-person instruction, fostering a supportive and interactive learning environment. Additionally, practical sessions were redesigned to emphasize collaborative learning, peer teaching, and developing critical thinking and communication skills. Formative assessments were integrated to provide continuous feedback and support ongoing learning. This comprehensive approach not only enhanced students' understanding of anatomical concepts but also improved their emotional well-being and overall learning experience. The lessons learned from the pandemic have paved the way for a more innovative and adaptive anatomy education that is well-prepared for future challenges.
    MeSH terms: Curriculum; Education, Medical, Undergraduate/methods; Educational Measurement; Humans; Learning; Malaysia; Students, Medical; Universities; Education, Distance*; Pandemics
  11. Triatmaja NT, Mahmudiono T, Indriani D
    Afr J Reprod Health, 2024 Oct 31;28(10s):282-292.
    PMID: 39639806 DOI: 10.29063/ajrh2024/v28i10s.32
    The current child feeding practice is still suboptimal. There are several factors that affect child feeding practices. This review aimed to synthesize the available evidence on factors related to child feeding practices based on social-cognitive theory construct. The study was conducted based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) checklist and used five databases, including Scopus, ScienceDirect, Web of Science, PubMed and ProQuest. There were no restrictions in the year of publication. Based on the search strategy, 1179 articles were extracted resulting in 23 articles that were suitable for inclusion in the study. Factors related to child feeding practices included knowledge, self-efficacy and social support. Social support from health workers plays an important role in increasing maternal self-efficacy in feeding practices. Education interventions for mothers and husbands or other family members need to be carried out to increase knowledge, self-efficacy and social support in feeding practices.
    MeSH terms: Female; Growth Disorders/prevention & control; Growth Disorders/psychology; Humans; Infant; Health Knowledge, Attitudes, Practice*; Social Support*; Self Efficacy
  12. Brar M, Sah S, Pokhrel P, Mehta R, Bushi G, Balaraman AK, et al.
    New Microbes New Infect, 2024 Dec;62:101537.
    PMID: 39639968 DOI: 10.1016/j.nmni.2024.101537
  13. Wang J, Ye Q, Shuai Z, Wang P, Wang Y, Lin C
    Front Psychol, 2024;15:1377898.
    PMID: 39640035 DOI: 10.3389/fpsyg.2024.1377898
    BACKGROUND: The globalization of the media market is forcing decision-makers to understand the psychological processes behind local audiences' enjoyment of foreign TV dramas. Transportation is a well-established psychological theory and framework utilized to elucidate and anticipate audience engagement and enjoyment in the cognitive process of experiencing a narrative text. Although there is a substantial body of literature on transportation and media enjoyment, there is a noticeable absence of studies on the relationship between audiences being "transported" into the narrative world of TV dramas and, particularly, the pleasure audiences derive from interacting with media content within a cross-cultural acceptance context.

    METHOD: The research employs a quantitative design, with responses collected from 353 students enrolled at a Malaysian public university. It aims to validate the influence of social norms, cultural identity, and affective disposition on narrative immersion while watching foreign TV dramas, as well as the subsequent enjoyment of media among local audiences.

    RESULTS: The results indicate that social norms, cultural identity, and affective disposition significantly influence transportation and enjoyment. Furthermore, the influence of cultural identity on social norms has a positive moderating effect on transportation.

    DISCUSSION: Storytelling that complies with social norms while offering new perspectives can maximally engage audiences, potentially altering their narrative cognition and deepening their immersion in fictional narratives. Cultural identity can shape audience perceptions and reactions to cross-cultural media consumption, ultimately influencing the degree to which audiences are drawn into the narrative. Furthermore, the audience's emotional connection to characters in the narrative or to situations in the drama significantly influences the overall cognitive and immersion levels.

  14. Saffian N, Ngoo QZ, Muhammed J
    Cureus, 2024 Nov;16(11):e73025.
    PMID: 39640124 DOI: 10.7759/cureus.73025
    Streptococcus pneumoniae is a more prevalent cause of corneal ulcers in developing countries than in developed countries. We report five cases of corneal ulcers attributed to this organism with a literature review on bacterial cornea ulcers. Among the patients, four had underlying systemic illnesses while one was otherwise healthy. Four patients were presented with visual acuity worse than 6/60, and one patient had a visual acuity of 6/18. Two of the patients developed corneal perforation, which required tectonic penetrating keratoplasty. For visual outcome, two patients improved to visual acuities of 6/24 and 6/12, while three others had hand movement (HM) vision. All patients received broad-spectrum antibiotics, which were later adjusted based on culture sensitivity results. Notably, S. pneumoniae keratitis lacks specific ulcerative characteristics and can progress rapidly, frequently resulting in a guarded visual prognosis.
  15. Jairoun AA, Al-Hemyari SS, Shahwan M, Alkhoujah S, El-Dahiyat F, Jaber AAS, et al.
    Explor Res Clin Soc Pharm, 2024 Dec;16:100540.
    PMID: 39640299 DOI: 10.1016/j.rcsop.2024.100540
    BACKGROUND: The study of over the counter (OTC) vending machines is crucial given their growing popularity and potential impact on the pharmaceutical industry and consumer behaviour.

    OBJECTIVES: This study involves a bibliometric quantitative analysis of academic literature to evaluate OTC vending machines in terms of their evolution, current trends, and potential areas for future research.

    METHODS AND MATERIALS: The Scopus database was searched using its advanced search tool, focusing on papers that included the search query in their titles, abstracts, and keywords. Data analysis included bibliometric indicators such as publication counts, citation trends, and co-authorship networks, which were visualized using VOSviewer software (version 1.6.20) to highlight key research themes and collaboration patterns.

    RESULTS: A total of 399 publications on OTC vending machines were found between 1833 and 2024. Over the last 20 years, there has been an annual increase in the number of publications related to OTC vending machines, rising from 1 in 2001 to 31 in 2023. The United States (n = 118; 29.57 %) led in productivity, followed by the United Kingdom (45; 11.27 %), India (30; 7.51 %), Australia (27; 6.76 %), Canada (16; 4 %), Italy (15; 3.75 %), and China (15; 3.75 %). A total of 35 institutions have been involved in research on OTC vending machines. The Dubai Municipality contributed the highest percentage of articles (n = 3, 0.75 %), followed by the Emirates Health Services (n = 3, 0.75 %), Al Ain University (n = 2, 0.5 %), and Baystate Medical Center (n = 2, 0.5 %). Before 2016, much of the research on OTC vending machines focused on terms related to healthcare policy and health promotion, indicating the early exploration of this field. Present trends highlight terms associated with pharmacy practice, such as pharmacists, pharmacy, and prescription-related subjects.

    CONCLUSIONS: This study emphasises the practical necessity for enhanced regulatory structures to mitigate risks such as medication abuse, unfavourable drug interactions, and incorrect dispensing practices. Additionally, the study highlights the need for interdisciplinary collaboration among technologists, policymakers, and healthcare professionals to maximize the benefits of OTC vending machines while addressing consumer behaviour and safety issues.

  16. Ibrahim M, Alqunaee M, Najibullah M, Shabbir Z, Azab WA
    Surg Neurol Int, 2024;15:444.
    PMID: 39640329 DOI: 10.25259/SNI_849_2024
    BACKGROUND: Isolated sphenoid sinus fungal mucoceles are extremely rare and potentially associated with visual disturbances, cranial nerve (CN) deficits, or pituitary dysfunction. Their initial symptoms are often absent or nonspecific, and routine examination offers little information, resulting in diagnostic and therapeutic delays. A high index of suspicion and a thorough understanding of their clinical presentation, neuroradiological features, microbiological implications, and complication profile are crucial for early diagnosis and prompt management. We, herein, analyze a series of consecutive cases of isolated sphenoid sinus fungal mucoceles whom we treated, add to the currently existing published cases, and review the pertinent literature.

    METHODS: From the databases of endoscopic endonasal skull base and rhinological surgical procedures maintained by our groups, all cases with isolated sphenoid sinus fungal mucoceles were retrieved and included in the study. Clinical and radiological findings, histopathologic evidence of fungal rhinosinusitis, culture results, clinicopathological designation, treatment details, and outcome of CN neuropathies were analyzed.

    RESULTS: Headache was the most common symptom (seven cases). Oculomotor (three cases) and abducens (two cases) nerve palsies were encountered in five out of eight patients. Visual loss was seen in two cases. Hypopituitarism was seen in one case. All patients underwent endoscopic endonasal wide bilateral sphenoidectomy. CN palsies improved in four out of five cases.

    CONCLUSION: Endoscopic endonasal wide sphenoidectomy is the surgical treatment of choice and should be performed in a timely manner to prevent permanent sequelae. Histopathological and microbiological examination findings should both be obtained as they dictate the next steps of therapeutic intervention.

  17. Lim ZY, Pang YH, Kamarudin KZB, Ooi SY, Hiew FS
    MethodsX, 2024 Dec;13:103055.
    PMID: 39640389 DOI: 10.1016/j.mex.2024.103055
    Credit card usage has surged, heightening concerns about fraud. To address this, advanced credit card fraud detection (CCFD) technology employs machine learning algorithms to analyze transaction behavior. Credit card data's complexity and imbalance can cause overfitting in conventional models. We propose a Bayesian-optimized Extremely Randomized Trees via Tree-structured Parzen Estimator (TP-ERT) to detect fraudulent transactions. TP-ERT uses higher randomness in split points and feature selection to capture diverse transaction patterns, improving model generalization. The performance of the model is assessed using real-world credit card transaction data. Experimental results demonstrate the superiority of TP-ERT over the other CCFD systems. Furthermore, our validation exhibits the effectiveness of TPE compared to other optimization techniques with higher F1 score.•The optimized Extremely Randomized Trees model is a viable artificial intelligence tool for detecting credit card fraud.•Model hyperparameter tuning is conducted using Tree-structured Parzen Estimator, a Bayesian optimization strategy, to efficiently explore the hyperparameter space and identify the best combination of hyperparameters. This facilitates the model to capture intricate patterns in the transactions, resulting in enhanced model performance.•The empirical findings exhibit that the proposed approach is superior to the other machine learning models on a real-world credit card transaction dataset.
  18. Lee KC, Aris MNM, Hashim I, Senu N
    MethodsX, 2024 Dec;13:103045.
    PMID: 39640393 DOI: 10.1016/j.mex.2024.103045
    An efficient trigonometrical-fitted two-derivative multistep collocation (TF-TDMC) method using Legendre polynomials up to order five as the basis functions, has been developed for solving second-order ordinary differential equations with oscillatory solution effectively. Interpolation method of approximated power series and collocation technique of its second and third derivative are implemented in the construction of the methods. Two-derivative multistep collocation methods are developed in predictor and corrector form with varying collocation and interpolation points. Later, trigonometrically-fitting technique is implemented into TF-TDMC method, using the linear combination of trigonometrical functions, to produce frequency-dependent coefficients in TF-TDMC method. The stability of the TF-TDMC method, with fitted parameters, is thoroughly analyzed and has been proven to achieve zero stability. Stability polynomials and regions for predictor and corrector of TF-TDMC method are developed and plotted. In the operation of the TF-TDMC method, initial conditions and the frequency for each problem (based on the exact solutions) are identified. The frequency-dependent coefficients are then adjusted according to the identified frequency. Predictor and corrector steps are implemented to estimate and refine the values of the dependent variable and its derivative, ensuring that convergence is achieved. A numerical experiment demonstrates that the proposed method significantly outperforms other existing methods in the literature, achieving the lowest maximum global error with moderate computational time across all step sizes for solving second-order ordinary differential equations with oscillatory solutions. Additionally, it effectively addresses real-world perturbed Kepler problems. The results include a detailed discussion and analysis of the numerical performance.•An efficient two-derivative multistep collocation method in predictor-corrector mode with trigonometrically-fitting technique (TF-TDMC) is developed for direct solving second-order ordinary differential equations with oscillatory solution.•TF-TDMC method has been proved to acquire zero-stability and its stability region is analyzed.•TF-TDMC method is the best among all selected methods in solving second-order ordinary differential equations with oscillatory solution, including perturbed Kepler problem.
  19. Butt MD, Ong SC, Rafiq A, Batool N, Saifi R, Yaseen S, et al.
    J Pharm Policy Pract, 2024;17(1):2432462.
    PMID: 39640418 DOI: 10.1080/20523211.2024.2432462
    BACKGROUND: Liraglutide, a glucagon-like peptide-1 (GLP-1) receptor agonist, has demonstrated efficacy in improving glycemic control and promoting weight loss in clinical trials. However, real-world data from diverse populations, particularly from South Asia, are limited. The study aims to evaluate the long-term efficacy and safety of liraglutide in a real-world setting among Pakistani patients with type 2 diabetes mellitus (T2DM).

    METHODOLOGY: A retrospective cohort study of 624 patients initiated on liraglutide was conducted. Data were collected at baseline and 6, 12, 18, and 24 months. Primary outcomes were HbA1c and weight changes. Secondary outcomes included fasting plasma glucose, lipid profile, and blood pressure. Statistical analyses were performed using appropriate methods.

    RESULTS: In study population the mean HbA1c reduction of -1.45 ± 0.67% was observed at 24 months, with 30.6% achieving HbA1c ≤ 7.5%. A rapid and sustained weight loss of -7.51 kg was achieved, with 27.2% experiencing ≥5% weight loss. Additionally, liraglutide led to a significant reduction in LDL cholesterol, with 46.7% of patients achieving a ≥ 10% reduction at 24 months. Liraglutide was well-tolerated, with a low discontinuation rate of 4.6%.

    CONCLUSION: Liraglutide demonstrated sustained efficacy and safety in a diverse Pakistani population with T2DM, regardless of baseline characteristics. These findings support the use of liraglutide as an effective treatment option for T2DM in real-world clinical practice.

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