Browse publications by year: 2025

  1. Maluin SM, Juliana N, Aris S, Lokman N, Roslan AN, Yusof J, et al.
    Sci Rep, 2025 Mar 05;15(1):7719.
    PMID: 40044749 DOI: 10.1038/s41598-025-92628-y
    Subfertility affects about 10-15% of Malaysians, characterized by difficulty conceiving after 12 months of unprotected intercourse. Emerging research suggests that vitamin D deficiency, influenced by dietary intake and sleep patterns, may contribute to fertility. This study examines the relationship between chrononutrition patterns, sleep quality and vitamin D deficiency in subfertile patients. A cross-sectional study was conducted at two hospitals in Selangor, Malaysia, involving 140 subfertile individuals who fit the inclusion and exclusion criteria. Data were collected through self-administered questionnaires, including food frequency questionnaires (FFQ), the Chrononutrition Profile Questionnaire (CPQ), and the Pittsburgh Sleep Quality Index (PSQI). Serum vitamin D levels were measured through 25-hydroxyvitamin D blood test. Statistical analyses were performed using SPSS version 29. Results revealed a significant difference in mean serum vitamin D levels between male and female participants (p < 0.001), with 76.7% of the females being vitamin D deficient. Most parameters were not significant in males compared to females. Notably, a negative correlation was found between vitamin D levels and both energy and fat intake in females (p < 0.05). Female gender was identified as a significant determinant of vitamin D deficiency (OR 5.186, p < 0.001), while poor evening eating habits were strongly associated with deficiency (AOR 10.553, p < 0.05). These findings highlight the importance of gender and dietary patterns in vitamin D deficiency among subfertile patients. Hence, there is a need for targeted nutritional and lifestyle interventions.
    MeSH terms: Adult; Cross-Sectional Studies; Female; Humans; Infertility/blood; Malaysia/epidemiology; Male; Surveys and Questionnaires; Young Adult
  2. Haque MA, Nahin KH, Nirob JH, Ahmed MK, Sawaran Singh NS, Paul LC, et al.
    Sci Rep, 2025 Mar 05;15(1):7701.
    PMID: 40044756 DOI: 10.1038/s41598-025-89962-6
    The rapid evolution of Internet of Things (IoT) applications demands advancements in wireless communication technologies to handle increasing data rates and connectivity requirements. This article presents our novel research on utilizing machine learning techniques to enhance the efficiency of MIMO antennas for Wireless Communication and IoT applications in the Terahertz (THz) frequency band. Our research assesses antenna performance using various methodologies, including simulation and RLC equivalent circuit models. The proposed design operates at 6.51 THz, 7.48 THz, and 8.46 THz, with bandwidths of 0.7 THz, 0.69 THz, and 0.89 THz, respectively. It features a maximum gain of 13.53 dBi and compact dimensions of 160 × 75 μm2. Additionally, it demonstrates excellent isolation, exceeding -32 dB, -44 dB, and -45 dB across these bands, with over 96.5% efficiency in all operating bands. By designing a similar RLC circuit in ADS and simulating it, we validated the results obtained from CST. Both CST and ADS simulators produced comparable reflection coefficients. Furthermore, several machine learning algorithms were applied to test the design. Various metrics, including variance score, R-squared, mean squared error (MSE), mean absolute error (MAE), and root mean square error (RMSE), were used to evaluate the machine learning models. Among the five models analyzed, the Gradient Boosting Regression model exhibited the lowest error rates (4.94% MAE, 6.60% MSE, and 4.13% RMSE) and achieved the highest accuracy, exceeding 98% in predicting isolation. Considering all these factors, it is evident that this antenna is an excellent choice for the THz band in 6G wireless communication.
  3. Hossain MI, Chelvanathan P, Aissa B, Khandakar A, Rahman A, Mansour S
    Sci Rep, 2025 Mar 05;15(1):7709.
    PMID: 40044773 DOI: 10.1038/s41598-024-83600-3
    We report on the potential application of crystalline thin metal oxide films (TiOx, SnOx) with varying stoichiometries in perovskite solar cell devices. The oxides were deposited via reactive e-beam evaporation, involving the sublimation of pure metals under different pressures of pure oxygen, followed by thermal annealing at 200 °C. Variable angle spectroscopic ellipsometry, X-ray diffraction (XRD), contact angle measurements, scanning electron microscopy (SEM), and energy-dispersive X-ray spectroscopy (EDS) were used to characterize the films. XRD findings confirmed the crystalline phases of SnOx thin films treated at 200 °C for the most oxygen-rich films (deposited at 2e-4 Torr), while TiOx layers exhibited an amorphous phase. FESEM results confirmed that uniform and dense films were generated across the entire substrate surface. Using the measured refractive indices in a computational model, it was demonstrated that optimizing the device design with these films could result in power conversion efficiencies surpassing 25%.
  4. Noorpi NHBM, Bajuri MYB, Mazli NB, Idrus RBH, Hwei ANM, Law JX
    Sci Rep, 2025 Mar 05;15(1):7757.
    PMID: 40044793 DOI: 10.1038/s41598-025-91445-7
    Split-thickness skin grafts (SSG) for wound treatment has drawbacks, including trauma during skin harvesting, limited availability of healthy skin, pain, scarring, and suitability concerns for certain patients. However, "skin cell drop" presents a promising solution. This fully autologous therapy eliminates rejection and contamination risks, while promoting wound healing with platelet-rich plasma (PRP). Harvested from the patient's own skin biopsy in bedside ward setting, these cells seamlessly integrate into the skin, overcoming many limitations of SSG. This study was conducted to determine the adverse effect and wound healing rate of autologous skin cells with PRP (skin cell drop) in diabetic ulcer and trauma injuries. A prospective, single-centre clinical trial was conducted at Hospital Canselor Tuanku Muhriz from December 2021 to December 2022. The study enrolled total of 7 participants, 2 with traumatic wounds and 5 with diabetic ulcers, using random sampling. After obtaining informed consent, a 1 cm2 skin biopsy was harvested from a concealed area. The skin sample was suspended in PRP, and applied to the wound within 4-6 h. Follow-up assessments were conducted at specified intervals up to 12 weeks, evaluating demographics, medical history, wound size, vital signs, visual analog scale (VAS). 7 patients were included in this study with 5 patients were diabetic ulcers while another 2 patients were in trauma wound. No significant difference in the CRP and tWBC after treatment, but significant reduction in VAS pain score were noted as early as 5 days. No significant association between the type of wound (diabetic ulcers or Trauma) and wound healing rate. There is a significant reduction in ulcer size in diabetic ulcers post 21, 35, 49 and 77 days of treatment (p 
    MeSH terms: Adult; Aged; Female; Humans; Male; Middle Aged; Prospective Studies; Transplantation, Autologous; Wound Healing*; Skin Transplantation/methods; Diabetic Foot/therapy; Platelet-Rich Plasma*
  5. Bansal S, Kumar S, Jain A, Rohilla V, Prakash K, Gupta A, et al.
    Sci Rep, 2025 Mar 05;15(1):7762.
    PMID: 40044795 DOI: 10.1038/s41598-025-92596-3
    Graphene and zinc oxide (ZnO) nanowires (NWs)-based photodetectors demonstrate excellent photodetection performance in the ultraviolet (UV) spectrum regime. This paper presents the design and analysis of a heterostructure model of p+-few-layer graphene (p+-FLG)/n--ZnO NWs-based UV photodetector. The design utilizes the unique properties of few-layer graphene to enhance light absorption and improve photodetector performance. The analysis under both self-biasing and conductive modes of operation reveals that the integrated electric field and the photovoltaic effect at the p⁺-FLG/n⁻-ZnO NWs hetero-interface create a rectifying behavior. The photodetector achieves an external photocurrent responsivity, external quantum efficiency, detectivity, and noise equivalent power of 0.12 A/W, 44.1%, 1.9 × 109 Jones, and 5.6 × 10-14 W, respectively, under UV illumination at 350 nm, 0 V bias, and 300 K. Additionally, the photodetector exhibits ultrafast photoswitching rise and fall times of 0.26 ns and a 3-dB cut-off frequency of 1.31 GHz. The comparative analysis with existing photodetectors demonstrates that the proposed model surpasses many in sensitivity, speed, and efficiency. The enhancement of charge collection with the applied reverse-biased voltage results in a response time of 0.16 ns, a peak photocurrent responsivity of 0.2 A/W, a maximum external quantum efficiency of 61%, a peak detectivity of 2.4 × 109 Jones, and minimum noise equivalent power of 4.4 × 10-14 W at - 0.5 V. The findings inspire the development of next-generation self-driving, highly efficient, broadband photodetectors, and other economically viable and multifunctional optoelectronic devices.
  6. Kumar M, Paramaputra K, Mousa A, Kong SY, Garg A, Anggraini V
    Sci Rep, 2025 Mar 05;15(1):7702.
    PMID: 40044877 DOI: 10.1038/s41598-025-92031-7
    The presence of vegetation in urban soil is both visually appealing and environmentally beneficial. Vegetation contributes to changes in soil water content (SWC) and soil suction (SS) through transpiration. These changes ultimately affect slope stability, soil erosion, runoff generation, and water infiltration. This study closely examines the impact of tree canopy covers on SWC and SS dynamics in an urban slope site with a diverse mix of vegetation (trees and grass) in a tropical region. Field monitoring revealed that slope areas with higher tree canopy cover consistently exhibited lower SWC and higher SS at shallower depths, highlighting the stabilizing effects of vegetation. During wet periods, the difference in SWC between high and low canopy cover areas increased by 36% compared to dry periods, emphasizing the role of canopy cover in regulating soil moisture under varying climatic conditions. Furthermore, stations with lower canopy cover demonstrated a stronger correlation between SWC and relative humidity (R values of 0.64 in dry and 0.71 in wet periods) than those with higher canopy cover (R values of 0.57 in dry and 0.63 in wet periods), indicating distinct soil moisture retention patterns based on canopy density. These findings underscore the critical role of tree canopy cover in controlling SWC and SS dynamics, particularly for urban slope stability and sustainable landscape management.
    MeSH terms: Cities; Climate; Poaceae/growth & development; Poaceae/physiology; Water*; Ecosystem; Hydrology
  7. Nedoluzhko A, Vergasova E, Sharko F, Agapitova N, Kharitonov D, Sukhanova X, et al.
    BMC Genomics, 2025 Mar 05;26(1):220.
    PMID: 40045199 DOI: 10.1186/s12864-025-11361-y
    BACKGROUND: In the Ist millennium BC bearers of the Scythian-type nomadic cultures inhabited the steppes of Eurasia, from Northern China to the Carpathians. According to archaeological data, the origin of nomadic life style and economy can be traced to the eastern part of this steppe "corridor", primarily to the territory of the present-day Republic of Tuva in Russia. Here, in the Turan-Uyuk Basin, also known as the "Valley of the Kings", some of the earliest known Scythian-type archaeological sites called Arzhan-1, Arzhan-2, Chinge-Tey I, Tunnug 1 were studied. Each of them is a large-scale funerary commemorative complex with burials of tribal nomadic leaders, surrounded by graves of supposed members of their families or associates. All these people belonged to the societies which are associated with the earliest nomadic cultures in Asia. Representatives of similar cultures will later be known and described as the Scythians/the Saka in Assyrian, Achaemenid, and Greek sources. Arzhan 2 and Chinge-Tey I elite level sites as well as ordinary pastoralist burials of the early-Scythian period in Tuva are attributed to the Aldy-Bel archaeological culture of the Early Iron Age (8th- 6th century BC). Taking the first step to shed light on the genetic origin of Aldy-Bel elites, we carried out a comparative genome-wide analysis of an elite level person buried in grave 9 at Chinge-Tey I (7th- 6th centuries BC) and two published earlier genomes of individuals, whose burials (graves 14 and 22) accompanied the 'royal couple' (grave 5) at Arzhan-2. This study aims also at checking a hypothesis of genetic kinship between human individuals buried in the large-scale burial complexes of the "Valley of the Kings" and brings up the issue of possible dynastic connections of local elites, buried under different kurgans of the valley.

    RESULTS: First, ancient DNA analysis of an elite nomadic warrior from Chinge-Tey I has been carried out, thus a third wide-genome dataset for Aldy-Bel culture- one of the earliest nomadic cultures in Asia, is presented in this study. Second, we undertook a comparative analysis of genome-wide data of three mentioned Aldy-Bel culture representatives and individuals of the other Bronze and Early Iron Age population groups of Asia to estimate their possible genetic connections. Then, kinship analysis was undertaken for these three Aldy-Bel culture individuals. Finally, mitochondrial and Y-chromosome haplogroups of Chinge-Tey princely person were compared to those of other Aldy-Bel culture representatives and to individuals of subsequent Scythian-type Uyuk-Sagly culture in Tuva.

    CONCLUSION: (1) Generating the third wide-genome of the enabled us to undertake its comparison with two other genomes of Aldy-Bel culture representatives (Arzhan-2, graves 14 and 22) and with other Bronze and Early Iron Age population groups in Asia to trace the origin and genetic connection of Aldy-Bel population, representing one of the earliest Scythian-type nomadic group. (2) The results obtained show that the princely individual from Chinge-Tey I and two 'king's associates' from Arzhan-2 were genetically close to nomads of simultaneous Tasmola culture in Eastern and Central Kazakhstan and pastoralists buried in the Early Iron Age cemeteries of present-day Xinjiang (first of all, Abusanteer archaeological site). Aldy-Bel culture representatives appeared also close to individuals of the Middle Bronze Age Okunevo culture in the Minusinsk Basin. Besides, Aldy-Bel pastoralists turned out genetically close to nomads of the subsequent Uyuk-Sagly culture in Mongolia (5th - 3rd centuries BC). (3) Ancient DNA kinship analyses, undertaken for three Aldy-Bel culture individuals pointed out to the absence of their tribe kinship. (4) On the other hand, Chinge-Tey warrior's mitochondrial haplogroup G was previously described in two (graves 14 and 5) individuals from Arzhan-2, including a female individual from the "royal" tomb 5. This result provided a possibility of maternal kinship among this so called 'queen' from Arzhan-2 and the princely person from Chinge-Tey I. This possibility supported a hypothesis of their family ties suggested on archaeological materials. Y-chromosome haplogroup Q1b1, revealed for the princely person, was widely distributed among local people of Aldy-Bel and subsequent Uyuk-Sagly cultures.

    MeSH terms: Archaeology*; DNA, Mitochondrial/genetics; Humans; Russia; Transients and Migrants/history; History, Ancient
  8. Lim XJ, Ambigapathy S, Leong EL, Marmuji LZ, Phan AP, Hamdan FA, et al.
    BMC Pediatr, 2025 Mar 06;25(1):169.
    PMID: 40045227 DOI: 10.1186/s12887-025-05423-z
    BACKGROUND: In the Malaysian primary healthcare setting, neonatal jaundice (NNJ) screening uses either Kramer's Rule (KR), a visual assessment, or a combination with non-invasive transcutaneous bilirubin (TcB). However, data on the quantification of the need for total serum bilirubin (TSB) sampling between these approaches are limited. This study aimed to compare the frequency of blood draws required between the two cohorts, alongside investigating disparities in phototherapy initiation and severe hyperbilirubinemia occurrences.

    METHODS: This multicentre retrospective cohort study enrolled neonates from six primary healthcare clinics, with three using KR plus TcB and three using KR only for NNJ screening. Neonates with a gestational age of ≥ 35 weeks and without prior phototherapy or exchange transfusion for hyperbilirubinemia were included in the study until reaching either day 10 of life or hospitalization for any reason, defining the study endpoint. The minimum sample size required was 379 neonates in each cohort. Generalized Poisson regression was used to compare the number of blood draws required for TSB sampling between the two cohorts.

    RESULTS: Of 765 neonates included, the cohort using KR alongside TcB showed a 74% reduction in blood draw risk compared to KR alone cohort (IRR 0.26, 95% CI 0.23-0.39). There were no significant differences between cohorts in phototherapy initiation (25.5% vs. 24.4%), severe hyperbilirubinemia occurrence (0.0% vs. 0.0%) or rapid bilirubin level rise (0.3% vs. 0.8%).

    CONCLUSION: Incorporating TcB alongside KR for NNJ screening significantly reduces the need for TSB sampling without causing an escalation in phototherapy initiation or severe hyperbilirubinemia occurrences, suggesting the potential to optimize NNJ management in the local primary care setting.

    MeSH terms: Female; Humans; Infant, Newborn; Malaysia; Male; Phototherapy; Retrospective Studies; Hyperbilirubinemia, Neonatal/blood; Hyperbilirubinemia, Neonatal/diagnosis; Hyperbilirubinemia, Neonatal/therapy
  9. Morni MA, William-Dee J, Jinggong ER, Al-Shuhada Sabaruddin N, Azhar NAA, Iman MA, et al.
    Anim Microbiome, 2025 Mar 05;7(1):21.
    PMID: 40045431 DOI: 10.1186/s42523-025-00389-w
    Bats are extraordinary mammals. They have evolved to consume various dietary sources, such as insects, fruits, nectar, blood, and meat. This diversity has generated considerable interest in the scientific community, resulting in efforts to leverage bats as model organisms to study the correlation between diet and gut microbiome community. Although such studies now commonly use Next Generation Sequencing (NGS), similar studies are early in their development in Southeast Asia, especially in Malaysia, which harbours an incredibly diverse bat fauna. This study provides pioneering NGS metabarcoding information on Bornean bats. By using a high-throughput Nanopore-based 16S rRNA gene sequencing method, Bacillota, Pseudomonadota, and Campylobacterota were found in insectivorous bats and phytophagous bats. Both insectivorous and phytophagous groups harboured no dominant taxon (D = 0.076; D = 0.085). A comparative analysis of gut bacteria functional groups identified eight major groups in both phytophagous and insectivorous bats, with fermentation being the predominant group. The correlation network analysis revealed a negative correlation between the 'good bacteria' Lactobacillus and various pathogenic bacteria genera, such as Salmonella (-0.4124) and Yersinia (-0.4654), demonstrating its prebiotic characteristics. This study broadens our understanding of the bat gut microbiome from various diets, with emphasis on new data from Borneo.
  10. Nelson VK, Krishnan SKR, Dera AA, Ali SP, Begum MY, Burle GSR, et al.
    Luminescence, 2025 Mar;40(3):e70119.
    PMID: 40045745 DOI: 10.1002/bio.70119
    Arsenic is a highly menacing environmental pollutant that substantially affects the quality of life, even in traces. It develops various diseases through increasing intracellular ROS that interacts with vital organs. Chelation therapy is currently recommended for arsenic toxicity. However, these treatment options are not specific and only target symptoms. Besides, they also show toxic effects and irreversibly damage crucial organs. Hence, there is an urgent need for a potential and safer therapeutic strategy that can prevent arsenic toxicity. Therefore, in this study, we have investigated SA and EC individually and in combination against arsenic toxicity in HCT-116 cells. The results obtained from various experiments revealed that both plant materials comparably inhibited arsenic-induced cellular damage by increasing the antioxidant function. Conversely, combining both plants showed even better cytoprotection against arsenic toxicity. The FT-IR and HPLC analysis of the active fractions revealed the presence of polyphenol compounds (ferulic acid and gallic acid) responsible for the pharmacological effect. This finding is unique because no cytoprotective impact has been reported yet on this combination.
    MeSH terms: Antioxidants/pharmacology; Antioxidants/chemistry; Cell Survival/drug effects; Chromatography, High Pressure Liquid; Humans; Cytoprotection/drug effects; HCT116 Cells
  11. Raharjo Y, Ramadhan R, Nathanael J, Nugroho MI, Fetty AJT, Ismail AF
    RSC Adv, 2025 Feb 26;15(9):7149-7159.
    PMID: 40045956 DOI: 10.1039/d4ra09028d
    Cr(vi) is a heavy metal with a high toxicity level. Many levels of Cr(vi) in the environment are above the established quality standards. The membrane filtration method is a technique that can be used to reduce Cr(vi) levels because it is more effective and efficient compared to other methods. In this research, the ability of a PES membrane integrated with boehmite nanoparticles coated with polyphenolic compounds from Samanea saman bark extract (mixed matrix hollow fiber membrane PES/B-polyphenol) was studied in reducing Cr(vi) levels. The Cr(vi) removal carried out in this research used a membrane module, so test conditions were obtained that were similar to actual conditions. XRD, FTIR, PSA, tensile strength, and SEM-EDS characterization were carried out to study the characteristics of the membrane and nanofiller. The XRD diffractogram shows a specific peak for boehmite at 2θ = 14°. The results of FTIR characterization of B-polyphenols also identified the presence of Al-O functional groups at wave numbers 733, 603, 474 cm-1 for nanofillers and OH, C[double bond, length as m-dash]C, C-O, and C[double bond, length as m-dash]O functional groups for PES/B-polyphenol membranes. Based on SEM-EDS and tensile strength tests, it was observed that the Young's modulus value of the membrane was 56.67 MPa and had a porous surface that was evenly distributed. Mixed matrix hollow fiber membrane PES/B-polyphenols that have been fabricated can reduce Cr(vi) levels up to 92.12%. Mixed matrix hollow fiber membrane PES/B-polyphenols have a water flux 14.1 L m-2 h-1 with porosity is 85.3% and the contact angle formed between the membrane surface and water is 58-32°. Based on the results obtained, this mixed matrix hollow fiber membrane PES/B-polyphenol has potential to be applied on a larger scale regarding its application to reduce Cr(vi) levels.
  12. Lyu S, Zhang W
    Front Psychol, 2025;16:1511559.
    PMID: 40045973 DOI: 10.3389/fpsyg.2025.1511559
    BACKGROUND: The promotional effects of physical exercise on children's attention and social-emotional skills have been widely confirmed. However, the advantages of open physical games in intervention effects still need further exploration. Therefore, this study discusses the intervention effects of open physical games on children's attention and social-emotional skills.

    METHODS: This study adopted a quasi-experimental design. Two administrative classes were divided into the experimental group (15 boys and 16 girls) and the control group (16 boys and 15 girls) using the coin-toss method. The intervention intensity was moderate (60-69% of HRmax), lasting for 12 weeks, with 3 sessions per week, each lasting 40 min. Both groups focused on the teaching of fundamental motor skills (FMS). The experimental group was intervened with open physical games, while the control group was intervened with closed physical games. The Adolescent Attention Test was used to measure attention quality; the Children's Social and Emotional Skills Scale was used to measure social-emotional skills; the Test of Gross Motor Development-Third Edition was used to measure locomotors and manipulative skills; and the Fundamental Movement Skill Development Test for Children Aged 3 to 10 was used to measure stability skills. Based on SPSS 25.0 and GraphPad Prism 8 software, statistical analysis was conducted using independent samples t-tests, χ2 tests, MANOVA, and Pearson partial correlation analysis.

    RESULTS: After the intervention, open physical games had a more positive effect on children's attention distribution (F = 6.223, p = 0.022, η 2 = 0.090). Open physical games had a more positive effect on children's self-awareness (F = 11.027, p = 0.002, η 2 = 0.165), others' awareness (F = 10.315, p = 0.002, η2 = 0.156), collective awareness (F = 6.494, p = 0.014, η 2 = 0.104), collective management (F = 12.108, p = 0.001, η 2 = 0.178), and overall social-emotional skills (F = 38.453, p

  13. Ng BH, Low HJ, Abeed NNN, Sharil NS, Osman RA, Ban AY
    Respirol Case Rep, 2025 Mar;13(3):e70138.
    PMID: 40046169 DOI: 10.1002/rcr2.70138
    Organising pneumonia (OP) is a distinct pathological pattern characterised by the presence of granulation tissue buds composed of fibroblasts and myofibroblasts embedded in a loose connective tissue matrix within the distal pulmonary airspaces. When OP occurs without an identifiable cause or etiologic context, it is termed cryptogenic organising pneumonia (COP). The diagnosis of OP can be challenging due to its diverse clinical presentations, including the idiopathic form and various secondary forms associated with underlying diseases. We report a case of a middle-aged male presenting with intermittent cough and haemoptysis. Initial sputum analysis was unremarkable, and the patient showed no improvement with antibiotic therapy. Chest radiography showed left lower zone consolidation. Computed tomography (CT) thorax revealed a mass in the left lower lobe, while positron emission tomography-computed tomography (PET/CT) demonstrated a hypermetabolic lesion at the same site. Bronchoscopic bronchoalveolar lavage was negative for tuberculosis, respiratory pathogens, and malignancy. Autoimmune screening yielded negative results. A transthoracic tru-cut lung biopsy confirmed the diagnosis of OP. The patient was treated with prednisolone, leading to significant clinical improvement and complete resolution of the lesion on follow-up CT imaging.
  14. Cao S, Li Z, Wang Z, Geok SK, Liu J
    J Sports Sci Med, 2025 Mar;24(1):31-51.
    PMID: 40046212 DOI: 10.52082/jssm.2025.31
    This review aims to evaluate the effectiveness of HIIT on basketball players' physical fitness and skill-related performance. This study adhered to the PRISMA guidelines and included randomized controlled trials (RCTs) that investigated the effects of HIIT on basketball players. The databases searched included Web of Science, Scopus, PubMed, and SPORTDiscus (up to 4 March 2024). The meta-analysis used a random-effects model, with effect sizes (ES) calculated for various performance outcomes. A total of 15 studies, with a low risk of bias or some concerns of bias, including 369 players (130 females, 239 males) at the developmental level, national level, and international level, were included in the systematic review, with 7 of these included in the meta-analysis. The systematic review indicated that HIIT significantly improved cardiovascular endurance, power, change of direction (COD) ability, linear sprint, and basketball skill-related performance. However, the effects on certain physical aspects such as VO2max, the Yo-Yo intermittent recovery test level 1 (Yo-Yo IR 1), jump tests, ball throw test, 20-m COD sprint test, T-test, 20-m linear sprint, and basketball-specific skills such as shooting accuracy and passing were inconsistent. The meta-analysis revealed a very large effect on the Yo-Yo IR 1 (ES = 2.32; p = 0.000), a moderate effect on VO2max (ES = 0.90; p = 0.000), T-test performance (ES = 0.91; p = 0.000), and CMJ height (ES = 0.76; p = 0.000), and a small effect on the 20-m sprint test (ES = 0.59; p = 0.006). HIIT appears to be an effective training method for improving general physical fitness and certain basketball-specific skills, particularly endurance, power, and agility. However, its impact on more skill-specific aspects, such as shooting accuracy and passing, requires further investigation. Coaches should consider supplementing HIIT with targeted skill training and carefully plan its timing, ideally incorporating HIIT during pre-season or off-season periods for optimal effectiveness. Further research is needed to explore the differential effects of HIIT across various age groups and playing levels.
    MeSH terms: Female; Humans; Male; Oxygen Consumption/physiology; Physical Endurance/physiology; Randomized Controlled Trials as Topic
  15. Muhammad H, Chan WS, Jaafar J, Wan Hitam WH
    Cureus, 2025 Feb;17(2):e78410.
    PMID: 40046385 DOI: 10.7759/cureus.78410
    Senile scleral plaques are localized, calcified deposits typically occurring bilaterally in elderly patients and are often asymptomatic. They usually appear near the insertion of the rectus muscles and are associated with age-related changes in the sclera. In rare cases, a senile scleral plaque can occur unilaterally and may mimic the appearance of an intraocular foreign body (IOFB) especially in a post-traumatic case. We report a case of a unilateral senile scleral plaque. A 65-year-old gentleman presented with left eye pain and blurring of vision while hammering a nail into the wall at home. On examination, his visual acuity was 6/24 in the right eye and 6/60 in the left eye. On his left eye, there was a conjunctival laceration at eight o'clock. His left anterior chamber was shallow with the presence of cells 3+. His left pupil was irregular with an area of sphincter tear at eight o'clock. His left lens was posteriorly dislocated. Computed tomography (CT) of the orbit revealed a hyperdense opacity temporally, which was suspicious of an intraocular foreign body. He underwent examination under anesthesia with phacofragmentation and pars plana vitrectomy for his posteriorly dislocated crystalline lens. Intraoperatively, there was the presence of a senile scleral plaque at the temporal region, with no evidence of an intraocular foreign body. He underwent a scleral fixated intraocular lens implantation later on, and postoperatively, his visual acuity for his left eye was 6/6. He remains well with good vision throughout his follow-up. Although less common, the unilateral presentation of senile scleral plaques should be considered in the differential diagnosis of hyperdense orbital lesions in elderly patients. The potential for senile scleral plaques to mimic intraocular foreign bodies underscores the importance of thorough clinical evaluation and the careful interpretation of imaging studies in patients presenting with ocular trauma. A thorough clinical evaluation, coupled with a cautious interpretation of radiologic findings, is essential in guiding appropriate management and ensuring optimal visual outcomes.
  16. Edrees WH, Al-Shehari WA, Al-Haddad OS, Al-Halani AA, Alrahabi LM
    Int J Gen Med, 2025;18:1203-1214.
    PMID: 40046453 DOI: 10.2147/IJGM.S508189
    OBJECTIVE: The measles outbreak has recently recurred across the world despite the actions taken, and Yemen is among the worst-hit nations. There has been a lack of information regarding the status of the measles outbreak in Yemen. Therefore, this retrospective analysis aimed to determine the trend of the measles outbreak in Yemen from January 2020 to August 2024.

    METHODS: This retrospective analysis relied on the secondary data recorded between January 2020 and August 2024. The Ministry of Health and Population provided the necessary data in a soft copy format (Excel file), which was statistically analyzed.

    RESULTS:  A total of 41135 suspected measles cases were reported between January 2020 and August 2024. A higher proportion was observed among males (54.72%), age groups of 0-4 years (69.34%), in 2023 (50.5%), Aden governorate (20.54%), and in the spring (32.25%). The overall incidence rate was 18.82 per 10,000 population, with a higher rate among males (19.8 cases), age groups of 0-4 years (93.87 cases), in 2023 (9.5 cases), and Abyan governorate (89.06 cases). The overall fatality rate cases were 424 (4.92%), with the highest rate among females (1.06%), aged 0-4 years (1.26%), in 2023 (1.32%), and the Al Hudaydah governorate (2.97%). Furthermore, 82.4% of suspected cases were among unvaccinated individuals and 10.2% among individuals vaccinated with one dose.

    CONCLUSION: According to current findings, the alarming rise in measles cases in recent years poses a serious threat to Yemenis' lives if not addressed. Therefore, vaccination efforts should be strengthened, healthcare infrastructure needs to be improved, vaccine hesitancy must be addressed, and international collaboration must be cultivated to control and eliminate measles.

  17. Uwamahoro R, Sundaraj K, Feroz FS
    Front Rehabil Sci, 2025;6:1469797.
    PMID: 40046456 DOI: 10.3389/fresc.2025.1469797
    BACKGROUND: The assessment of limb joint torque is essential for understanding musculoskeletal system dynamics. Yet, the lack of direct muscle strength measurement techniques has prompted previous research to deploy joint torque estimation using machine learning models. These models often suffer from reduced estimation accuracies due to the presence of redundant and irrelevant information within the rapidly expanding complex biomedical datasets as well as suboptimal hyperparameters configurations.

    METHODS: This study utilized a random forest regression (RFR) model to estimate elbow flexion torque using mechanomyography (MMG) signals recorded during electrical stimulation of the biceps brachii (BB) muscle in 36 right-handed healthy subjects. Given the significance of both feature engineering and hyperparameter tuning in optimizing RFR performance, this study proposes a hybrid method leveraging the General Learning Equilibrium Optimizer (GLEO) to identify most informative MMG features and tune RFR hyperparameters. The performance of the GLEO-coupled with the RFR model was compared with the standard Equilibrium Optimizer (EO) and other state-of-the-art algorithms in physical and physiological function estimation using biological signals.

    RESULTS: Experimental results showed that selected features and tuned hyperparameters demonstrated a significant improvement in root mean square error (RMSE), coefficient of determination (R2) and slope with values improving from 0.1330 to 0.1174, 0.7228 to 0.7853 and 0.6946 to 0.7414, respectively for the test dataset. Convergence analysis further revealed that the GLEO algorithm exhibited a superior learning capability compared to EO.

    CONCLUSION: This study underscores the potential of the hybrid GLEO approach in selecting highly informative features and optimizing hyperparameters for machine learning models. These advancements are essential for evaluating muscle function and represent a significant advancement in musculoskeletal biomechanics research.

  18. Li P, Mageswary U, Ali A, Taib F, Koo TH, Yusof A, et al.
    Front Nutr, 2025;12:1537610.
    PMID: 40046755 DOI: 10.3389/fnut.2025.1537610
    OBJECTIVES: This study aimed to examine the effects of Bifidobacterium longum subsp. infantis YLGB-1496 (B. infantis YLGB-1496) on the frequency of respiratory illness symptoms and immunity profiles among toddlers.

    METHODS: In this double-blind, randomized, placebo-controlled, 12-week intervention study, toddlers with at least 2 respiratory illness symptoms were randomly assigned into the probiotic (YLGB-1496) or placebo group at a 1:1 ratio. Follow-up examinations were conducted at baseline (week 0) and at weeks 6 and 12 of the intervention. The frequency of respiratory illness symptoms was assessed at these time points using validated questionnaires. Oral swabs and fecal samples were collected from participants at weeks 0, 6, and 12 to examine inflammatory cytokines.

    RESULTS: Among the 120 toddlers initially included in the study, 115 completed the 12-week intervention (58 in the YLGB-1496 group and 57 in the placebo group). The risk of antibiotic use or clinical visits was significantly lower in the YLGB-1496 group than in the placebo group (antibiotic use odds ratio (OR) = 0.37 [0.369, 0.372]; clinical visit, OR = 0.743 [0.741, 0.744]), but these differences were nonsignificant after adjusting for other potential confounders (p > 0.05). The YLGB-1496 group presented a lower incidence of several respiratory symptoms than the placebo group, including fever (p 

  19. Yang Y, Fan L, Lin Y, Huang Y, Zhang J, Li S, et al.
    Front Nutr, 2025;12:1538848.
    PMID: 40046756 DOI: 10.3389/fnut.2025.1538848
    OBJECTIVE: This study aims to optimize the formulation of instant sweet osmanthus white tea (IOWT) and evaluate its antioxidant activities through in vitro assays.

    METHODS: Single-factor and orthogonal experiments were conducted to investigate the impacts of sweet osmanthus-to-white tea ratio and the concentrations of β-cyclodextrin, erythritol, and citric acid on sensory properties and total flavonoids content (TFC) of IOWT. Mixtures of the dried ingredients were spray-dried to produce IOWT.

    RESULTS AND DISCUSSION: The optimal formulation of IOWT was as follows: sweet osmanthus-towhite tea ratio of 1:5, 4% β-cyclodextrin, 6% erythritol, and 0.5% citric acid. This optimized IOWT formulation obtained the highest sensory score of 89.5 and a TFC of 25.76%. Using ascorbic acid as a positive control, the in vitro antioxidant activities of the optimized IOWT formulation were assessed by measuring its ability to scavenge DPPH radicals, hydroxyl radicals, superoxide anion radicals, and ABTS radicals. At a concentration of 1.0 mg/mL, the optimized IOWT formulation exhibited scavenging rates of 88.01, 94.99, 97.57, and 99.11% against DPPH, hydroxyl radicals, superoxide anion radicals, and ABTS radicals, respectively, indicating strong in vitro antioxidant activities of IOWT. This study demonstrated promising potential for the development of novel white tea-based products.

  20. Gulzar Y, Agarwal S, Soomro S, Kandpal M, Turaev S, Onn CW, et al.
    Front Big Data, 2025;8:1503883.
    PMID: 40046767 DOI: 10.3389/fdata.2025.1503883
    INTRODUCTION: Skin diseases significantly impact individuals' health and mental wellbeing. However, their classification remains challenging due to complex lesion characteristics, overlapping symptoms, and limited annotated datasets. Traditional convolutional neural networks (CNNs) often struggle with generalization, leading to suboptimal classification performance. To address these challenges, this study proposes a Hybrid Deep Transfer Learning Method (HDTLM) that integrates DenseNet121 and EfficientNetB0 for improved skin disease prediction.

    METHODS: The proposed hybrid model leverages DenseNet121's dense connectivity for capturing intricate patterns and EfficientNetB0's computational efficiency and scalability. A dataset comprising 19 skin conditions with 19,171 images was used for training and validation. The model was evaluated using multiple performance metrics, including accuracy, precision, recall, and F1-score. Additionally, a comparative analysis was conducted against state-of-the-art models such as DenseNet121, EfficientNetB0, VGG19, MobileNetV2, and AlexNet.

    RESULTS: The proposed HDTLM achieved a training accuracy of 98.18% and a validation accuracy of 97.57%. It consistently outperformed baseline models, achieving a precision of 0.95, recall of 0.96, F1-score of 0.95, and an overall accuracy of 98.18%. The results demonstrate the hybrid model's superior ability to generalize across diverse skin disease categories.

    DISCUSSION: The findings underscore the effectiveness of the HDTLM in enhancing skin disease classification, particularly in scenarios with significant domain shifts and limited labeled data. By integrating complementary strengths of DenseNet121 and EfficientNetB0, the proposed model provides a robust and scalable solution for automated dermatological diagnostics.

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