Browse publications by year: 2025

  1. Owen CM, Bacardit J, Tan MP, Saedon NI, Goh CH, Newton JL, et al.
    Exp Physiol, 2025 Feb;110(2):230-247.
    PMID: 39526963 DOI: 10.1113/EP091876
    Gravity, an invisible but constant force , challenges the regulation of blood pressure when transitioning between postures. As physiological reserve diminishes with age, individuals grow more susceptible to such stressors over time, risking inadequate haemodynamic control observed in orthostatic hypotension. This prevalent condition is characterized by drops in blood pressure upon standing; however, the contrary phenomenon of blood pressure rises has recently piqued interest. Expanding on the currently undefined orthostatic hypertension, our study uses continuous non-invasive cardiovascular data to explore the full spectrum of blood pressure profiles and their associated frailty outcomes in community-dwelling older adults. Given the richness of non-invasive beat-to-beat data, artificial intelligence (AI) offers a solution to detect the subtle patterns within it. Applying machine learning to an existing dataset of community-based adults undergoing postural assessment, we identified three distinct clusters (iOHYPO, OHYPO and OHYPER) akin to initial and classic orthostatic hypotension and orthostatic hypertension, respectively. Notably, individuals in our OHYPER cluster exhibited indicators of frailty and sarcopenia, including slower gait speed and impaired balance. In contrast, the iOHYPO cluster, despite transient drops in blood pressure, reported fewer fallers and superior cognitive performance. Surprisingly, those with sustained blood pressure deficits outperformed those with sustained rises, showing greater independence and higher Fried frailty scores. Working towards more refined definitions, our research indicates that AI approaches can yield meaningful blood pressure morphologies from beat-to-beat data. Furthermore, our findings support orthostatic hypertension as a distinct clinical entity, with frailty implications suggesting that it is worthy of further investigation.
    MeSH terms: Machine Learning; Aged; Aged, 80 and over; Artificial Intelligence*; Female; Humans; Male; Posture/physiology; Cluster Analysis
  2. Liow CH, Mohd Esa N, Yaacob A, Abu Saad H
    Clin Nutr ESPEN, 2025 Feb;65:36-42.
    PMID: 39527982 DOI: 10.1016/j.clnesp.2024.11.001
    BACKGROUND & AIMS: Testosterone, vital for reproductive health and muscle development, declines with age, increasing susceptibility to conditions like diabetes, obesity and sarcopenia. Conventional hormone therapy carries risks, including elevated prostate-specific antigens and prostate cancer risk, prompting exploration of safer options like intermittent fasting (IF) and physical training (PT) which potentially boost androgen in certain cases. However, their combined impacts on testosterone remain underexplored. This study aimed to assess the individual and combined effects of IF and PT on androgen and androgen receptor (AR) levels.

    METHODS: Forty male Wistar rats were divided into five groups (n = 8 each): negative control (NC) receiving food ad libitum without orchiectomized, positive control (PC) receiving daily testosterone enanthate injections, IF with 16/8 time-restricted feeding, PT with 1-h forced swimming sessions, and combined IF + PT. After 8 weeks, DHEA and testosterone levels, AR expression, gastrocnemius muscle histology, and body weight were assessed.

    RESULTS: In comparison to the NC group (429.40 ± 26.86 g), body weight in the IF (348.90 ± 15.94 g, PT (391.40 ± 16.35 g), and IF + PT groups, (360.90 ± 29.90 g) was significantly lowered (p 

    MeSH terms: Androgens; Animals; Body Weight; Dehydroepiandrosterone; Fasting; Male; Orchiectomy*; Physical Conditioning, Animal; Swimming*; Rats, Wistar*; Rats
  3. Agarwal S, Prasad S, Agarwal A, Raja Ali RA, Leffler DA, Green PHR, et al.
    J Gastroenterol Hepatol, 2025 Jan;40(1):142-152.
    PMID: 39528309 DOI: 10.1111/jgh.16793
    BACKGROUND AND AIM: Celiac disease (CeD) is increasingly diagnosed but significant disparities exist in awareness, practices, resources, and legislation worldwide. We conducted a global online survey with CeD experts to assess this disparity internationally.

    METHODS: A 55 questions survey encompassing nine domains relevant to CeD care (awareness, gluten-free [GF] foods availability/cost/quality, GF labeling, CeD dietician availability, insurance for CeD patients, medical training, research funding, patient support groups, and unmet needs) was generated and sent to CeD experts worldwide electronically. Countries were stratified based on per capita income as high-income (HIC) and lower-income countries (LIC) (including upper-middle-, lower-middle-, and low-income countries). Survey responses were summarized as a single score using principal component analysis.

    RESULTS: Valid responses were obtained from 131(37.4%) [HIC: 71; LIC: 60] of contacted CeD experts from 63 countries. Compared with HIC, LIC experts perceived worse availability (HIC:80% vs LIC: 47%; P 

    MeSH terms: Developing Countries*; Humans; Income; Surveys and Questionnaires; Global Health; Developed Countries*; Healthcare Disparities/economics; Diet, Gluten-Free/economics
  4. Eguchi A, Hassan N, Numata S
    Int J Biometeorol, 2025 Feb;69(2):403-409.
    PMID: 39531205 DOI: 10.1007/s00484-024-02819-x
    The flowering period of durian is influenced by weather conditions such as prolonged drought and low temperatures. However, the specific criteria and durations of these conditions remain unclear. This study aimed to identify weather conditions that trigger durian flowering by monitoring its phenology and analyzing the relationship between minimum temperature and rainfall using two types of durian- grafting type and seed-grown type. Three flowering events were observed in 2022 and two in 2023. Considering there were no differences in the number or timing of flowering events among the two types, it suggests that genetic background differences do not influence flowering phenology. All flowering events were best explained using the 15-day moving average of rainfall, with the peak of the first flowering occurring approximately 50 days after the 15-day moving average of rainfall fell below 1 mm. These results suggest that drought accumulation over approximately 15 days may trigger the induction of durian flower buds. However, no correlation was determined between the minimum temperature and the first flowering date. These findings indicate that durian flowering is induced by milder drought conditions than those previously proposed. Differences in variety and climate may have led to results different from those reported in earlier studies. Long-term monitoring across multiple sites and varieties is required to discuss these differences further.
    MeSH terms: Rain*; Temperature*; Tropical Climate*; Droughts*
  5. Murdiyarso LS, Rajahram GS, Tan AF, Piera KA, William T, Oyong DA, et al.
    Am J Trop Med Hyg, 2025 Jan 08;112(1):85-88.
    PMID: 39531730 DOI: 10.4269/ajtmh.24-0264
    Zoonotic malaria presents a major public health challenge in Southeast Asia. Plasmodium cynomolgi coinfects the same macaque hosts and mosquito vectors as the most common cause of zoonotic malaria, Plasmodium knowlesi. Plasmodium cynomolgi appears morphologically similar to Plasmodium vivax on microscopy and can amplify P. vivax polymerase chain reaction (PCR) assays, confounding transmission estimates. We screened 2,103 samples for P. cynomolgi across all 26 districts in Sabah, Malaysia, from 2010 to 2021. Samples comprised 1,425 P. knowlesi, 256 P. vivax, 293 P. falciparum, and 31 Plasmodium malariae PCR-confirmed malaria cases and 100 malaria microscopy-positive and species-specific PCR-negative samples. A nested PCR assay targeting P. cynomolgi-specific 18S small subunit ribosomal ribonucleic acid with a detection limit of ∼2 parasites/µL was conducted on whole blood samples. No P. cynomolgi infections were detected. Symptomatic P. cynomolgi co-infections appear rare in Malaysia, although prevalence may be underestimated owing to the absence of routine molecular screening and the sensitivity of available assays.
    MeSH terms: Animals; Humans; Malaysia/epidemiology; Microscopy*; RNA, Ribosomal, 18S/genetics; Zoonoses/diagnosis; Zoonoses/epidemiology; Zoonoses/parasitology; Prevalence; Polymerase Chain Reaction; Plasmodium knowlesi/genetics; Plasmodium knowlesi/isolation & purification; Coinfection/diagnosis; Coinfection/epidemiology; Coinfection/parasitology
  6. Tin Ern N, Komarasamy TV, Adnan NAA, Balasubramaniam VRMT
    Am J Trop Med Hyg, 2025 Jan 08;112(1):37-44.
    PMID: 39531732 DOI: 10.4269/ajtmh.23-0545
    Flavivirus infection, especially dengue virus infection caused by DENV, is known to be a significant health concern globally owing to the high incidence and mortality rate. The expanding and increasing disease burden calls for the need to develop an effective treatment and prevent the event of fatal complications, including dengue hemorrhagic fever/dengue shock syndrome. The DENV-induced immune response has been described as paradoxical because it has a protective role in viral clearance but, at the same time, causes more severe infection through viral-specific immunity. This is further complicated by high homology and cross-reactivity between different serotypes of DENV, causing a more severe disease presentation during secondary infection by a heterologous serotype. This serotype complexity poses a challenge for the development of a universal flavivirus vaccine. This review highlights the significance of high motility group box 1 (HMGB1) and nucleotide-binding oligomerization domain, leucine rich repeat and pyrin domain containing 3 (NLRP3) inflammasome activation pathways in initiating an inflammatory response through the downstream activation of nuclear factor κB and proinflammatory cytokine Interleukin (IL)-1B, IL-18 release in DENV infection. It also discusses the role of NLRP3 in activating cellular apoptosis and pyroptosis leading to systemic failure, especially in peripheral tissues. Over the decades, there has been much progress in understanding the immunopathogenesis of DENV infection. Researchers have been studying key pathogenic molecules for potential therapeutic targets including HMGB1 and NLRP3 inflammasome inhibitors, which is explored in this review. Ultimately, although there is not yet an effective antiviral or vaccine for DENV, immunomodulators continue to pave the way to decrease disease severity in infected individuals.
    MeSH terms: Animals; Antiviral Agents/therapeutic use; Humans; HMGB1 Protein/immunology
  7. Wong YP, Tan GC, Khong TY
    APMIS, 2025 Jan;133(1):e13496.
    PMID: 39509086 DOI: 10.1111/apm.13496
    The 2016 Amsterdam Placental Workshop Group Consensus Statement recommends sampling a block of the placenta close to the umbilical cord insertion site (UCIB) for histopathological evaluation. This piece of placenta at the umbilical cord insertion is presumed to give a better yield of inflammation (if present). We aimed to investigate the utility of the UCIB in the detection of maternal and/or fetal inflammatory responses (MIR and/or FIR), in comparison with the other sections of the placental parenchyma. This is a retrospective cross-sectional study including all placentas with histologic chorioamnionitis. The histopathological slides of placentas were reviewed as per Amsterdam consensus guidelines. Diagnostic performance of UCIB in identifying MIR and/or FIR, relative to the other placental sections, was assessed. UCIB revealed diagnostic sensitivity, specificity, and diagnostic accuracy of 79.2% (95% CI: 74.2-83.6%), 100.0% (95% CI: 95.6-100.0%), and 83.6% (95% CI: 79.5-87.2%), respectively, in the detection of FIR, while showing a low sensitivity of 52.6% (95% CI: 47.5-57.6%) in detecting MIR. In 59 (24.6%) cases, FIR was not seen in the corresponding placental parenchymal sections but was detected in the UCIBs. This study is the first study to confirm that a section from the UCIB is essential for the detection of FIR, which affirms the Amsterdam consensus sampling recommendations.
    MeSH terms: Adult; Cross-Sectional Studies; Female; Humans; Inflammation/diagnosis; Inflammation/pathology; Pregnancy; Retrospective Studies; Sensitivity and Specificity; Young Adult
  8. Salleh NS, Abdullah KL, Chow HY
    J Pediatr (Rio J), 2025;101(2):133-149.
    PMID: 39510130 DOI: 10.1016/j.jped.2024.07.012
    OBJECTIVE: There is a pressing need for public health practitioners to understand cultural values influencing parents on the uptake of human papillomavirus (HPV) vaccination for their daughters, which is presenting a growing challenge to close the immunization gap worldwide. Parental decisions were predominantly shaped by cultural norms and values. This systematic review encompasses parental perspectives on the influence of cultural values on the uptake of HPV vaccination by their daughters.

    METHOD: This systematic review was registered on PROSPERO CRD42020211324. Eligible articles were selected from CINAHL, PsycINFO, EMBASE, PubMed and Science Direct. Original qualitative studies exploring parental perspectives on the influence of cultural values on the uptake of HPV vaccination by their daughters under the age of 18, published in the English language with no restriction dates were reviewed. Two authors independently screened abstracts, conducted the fill-text review, extracted information using a standardized form, and assessed study quality. A third author is needed to resolve the disagreements if necessary.

    RESULTS: Of the 1552 citations, 22 were included, with information on 639 parents. Five themes emerged from the data: sexuality-related concerns; upbringing and moral values; obligation to protect; external influences; and vaccine-related concerns.

    CONCLUSION: This systematic review is beneficial to identify and understand the culturally related facilitators and barriers to HPV vaccination among young women for the development of strategies to optimize HPV vaccine coverage among this population group by the policymakers.

    MeSH terms: Adolescent; Child; Cultural Characteristics; Female; Humans; Health Knowledge, Attitudes, Practice; Nuclear Family; Patient Acceptance of Health Care/psychology; Vaccination/psychology
  9. Bellato A, Parlatini V, Groom MJ, Hall CL, Hollis C, Simonoff E, et al.
    J Child Psychol Psychiatry, 2025 Feb;66(2):266-270.
    PMID: 39513414 DOI: 10.1111/jcpp.14071
    Individuals with attention-deficit/hyperactivity disorder (ADHD) exhibit varied responses to pharmacological treatments (e.g. stimulants and non-stimulants). Accurately and promptly detecting treatment-related improvements, response failure, or deterioration poses significant challenges, as current monitoring primarily relies on subjective ratings. In this commentary, we critically evaluate the evidence supporting the use of QbTest for objectively monitoring ADHD treatment response in clinical practice. We also offer recommendations for future research, advocating for rigorous clinical trials and longitudinal studies to further explore the potential utilisation of QbTest and other tools for monitoring treatment responses in individuals with ADHD.
    MeSH terms: Central Nervous System Stimulants/pharmacology; Central Nervous System Stimulants/therapeutic use; Child; Humans; Outcome Assessment (Health Care)/standards
  10. Kong ST, Lim SH, Ching J, Ho PC
    J Pharm Biomed Anal, 2025 Jan 15;253:116561.
    PMID: 39514984 DOI: 10.1016/j.jpba.2024.116561
    This study compared the effectiveness of capillary dried blood spots (DBS) versus venous DBS in detecting metabolic changes related to drug-resistant epilepsy (DRE). DBS samples were collected from 142 epilepsy patients (58 drug-resistant, 84 drug-responsive) via venipuncture or fingerstick capillary sampling. Metabolomic analysis using gas chromatography-mass spectrometry compared DBS metabolite profiles between the two groups. While venous DBS profiles showed no distinct patterns, capillary DBS profiles revealed clustering patterns in principal components analysis, with the first two principal components explaining 14.5 %, and 13.5 % of the total variance, respectively. Orthogonal PLS-DA confirmed group discrimination (R2Y=0.989, Q2=0.742). Drug-resistant patients exhibited elevated capillary DBS levels of glutamine, pyruvic acid, and serine, and decreased palmitic acid compared to drug-responsive patients. Pathway analysis revealed disruptions in amino acid metabolism, neurotransmission, and cellular energy regulation. Elevated glutamine levels may contribute to an imbalance between excitatory glutamate and inhibitory GABA neurotransmission, key factors in epileptogenesis and drug resistance. Capillary DBS, likely enriched with arterial blood supply to the brain, appears to better capture central nervous system metabolic disturbances compared to venous DBS containing systemic contributions. This minimally invasive capillary DBS approach offers effective metabolic profiling of brain conditions like DRE, for monitoring disease progression and treatment response, enhancing personalized patient management in epilepsy.
    MeSH terms: Adolescent; Adult; Capillaries/metabolism; Child; Female; Humans; Male; Middle Aged; Veins/metabolism; Young Adult
  11. Chua KY, Chua KY, Chinna K, Lim CL, Seneviwickrama M
    Clin Exp Pediatr, 2025 Feb;68(2):115-126.
    PMID: 39533723 DOI: 10.3345/cep.2024.00899
    The incidence of childhood obesity is increasing worldwide. National surveys in Malaysia have shown similar trends. This review aimed to increase our understanding of the prevalence and associated factors of childhood overweight, obesity, and excess weight in Malaysia. A systematic review and meta-analysis were conducted of studies reporting the prevalence of overweight and obesity in Malaysian children aged <18 years. Systematic searches were conducted in October 2023 and repeated in March 2024 of the PubMed, Scopus, and Web of Science databases. The grey literature was also included. Study selection, data extraction, and quality assessments were conducted by paired independent researchers. A metaanalysis of prevalence and 95% confidence interval (CI) using a random-effects model and heterogeneity (I2) was calculated. Publication bias was investigated using Egger's test. This review included 33 studies (N=273,710) conducted between 1996 and 2022. Overall, the childhood overweight, obesity and excess weight prevalence was 13.9% (95% CI, 13.0%-14.8%), 11.8% (95% CI, 10.9%-12.8%), and 24.0% (95% CI, 22.3%-25.7%), respectively. Boys had a significantly higher proportion of obesity (12.5% [95% CI, 11.1%-14.1%] vs. 9.1% [95% CI, 8.1%-10.1%]) and excess weight (25.7% [95% CI, 23.5%-28.1%] vs. 20.7% [95% CI, 18.8%-22.8%]) than girls. Sarawak natives had a higher prevalence of obesity (17.7% [95% CI, 16.0%-19.5%]). Annually, the obesity prevalence increased by 0.3% (95% CI, 0.1%-0.6%; P=0.006) and excess weight prevalence increased by 0.6% (95% CI, 0.3%-1.0%; P=0.002). Heterogeneity was high (I2>90%), and publication bias was possible (P<0.001). Variability was not significantly affected by the critical appraisal score or sample size. In conclusion, the prevalence of childhood overweight, obesity, and excess weight in Malaysia doubled over 26 years. Future studies of the prevalence of childhood excess weight should follow a standardized reference for body mass index by age to ease interstudy comparisons.
  12. Rosli NFH, Mohd Nor NS, Adnan RA, Sheikh Abdul Kadir SH
    Clin Exp Pediatr, 2025 Jan;68(1):30-52.
    PMID: 39533737 DOI: 10.3345/cep.2024.00227
    The endocrine system is a complex network of glands that produce and release hormones that regulate various physiological processes. In the past few decades, the human skin has been identified as an important peripheral endocrine organ that is the main site for the synthesis of vitamin D through exposure to sunlight. Mutations in downstream vitamin D-related gene pathways are associated with disease development. The vitamin D receptor (VDR) gene, which regulates the pleiotropic effects of vitamin D, has been extensively studied in adult populations. Several studies have reported the prevalence of vitamin D deficiency in children and adolescents. With changes in socioeconomic status and lifestyle, vitamin D-deficient individuals are prone to developing the disease at a young age. However, geographical and racial differences affect the association between VDR gene polymorphisms and vitamin D endocrine disorders, explaining the nonconsensus effects of polymorphisms and their association with disease development across populations. In this review, we discuss the connection between the vitamin D endocrine system and polymorphisms in the gene encoding VDR in children and adolescents, focusing on its effects on growth, puberty, insulin resistance, and the immune system.
  13. Abdulhakeem Mansour Alhasbary A, Hashimah Ahamed Hassain Malim N, Zuraidah Mohamad Zobir S
    Comput Biol Med, 2025 Jan;184:109351.
    PMID: 39536385 DOI: 10.1016/j.compbiomed.2024.109351
    Natural products are invaluable resources in drug discovery due to their substantial structural diversity. However, predicting their interactions with druggable protein targets remains a challenge, primarily due to the limited availability of bioactivity data. This study introduces CTAPred (Compound-Target Activity Prediction), an open-source command-line tool designed to predict potential protein targets for natural products. CTAPred employs a two-stage approach, combining fingerprinting and similarity-based search techniques to identify likely drug targets for these bioactive compounds. Despite its simplicity, the tool's performance is comparable to that of more complex methods, demonstrating proficiency in target retrieval for natural product compounds. Furthermore, this study explores the optimal number of reference compounds most similar to the query compound, aiming to refine target prediction accuracy. The findings demonstrated the superior performance of considering only the most similar reference compounds for target prediction. CTAPred is freely available at https://github.com/Alhasbary/CTAPred, offering a valuable resource for deciphering natural product-target associations and advancing drug discovery.
    MeSH terms: Proteins/metabolism; Proteins/chemistry; Software*; Computational Biology/methods
  14. Nasir MS, Yahya ARM, Noh NAM
    Bioprocess Biosyst Eng, 2025 Feb;48(2):221-232.
    PMID: 39538032 DOI: 10.1007/s00449-024-03103-3
    The study focused on rhamnolipid production by batch fermentation of Pseudomonas aeruginosa USM-AR2 in a 3-L stirred-tank reactor (STR) using palm sludge oil (PSO) as the sole carbon source. The impact of various agitation rates towards the dispersion of PSO in the medium was evaluated to improve biomass growth and rhamnolipid production. A mechanical foam collection and recycling system was designed and retrofitted to the STR to overcome severe foam formation during fermentation. The maximum biomass produced was 11.29 ± 0.20 g/L obtained at 400 rpm, while the maximum rhamnolipid production was 5.06 ± 1.17 g/L at 600 rpm, giving a rhamnolipid productivity of 0.023 g/L/h. High agitation enhances substrate availability by breaking the hydrophobic semi-solid PSO into smaller substrate particles, increasing surface contact area, thus facilitating the PSO utilisation by P. aeruginosa USM-AR2, thereby inducing rhamnolipid production. This study further demonstrates the ability of rhamnolipid to solubilize and disperse sludge oil, which typically remains a solid at room temperature, in the liquid medium. GCMS analysis showed that five fatty acids, namely palmitic acid, myristic acid, stearic acid, methyl ester and linoleic acid, have been utilised. The rhamnolipid showed an oil spreading test result of 160 mm of waste engine oil displacement compared to control using distilled water that remained non-displaced, and a critical micelle concentration (CMC) of 17 mg/L. In emulsification index (E24) assay, the rhamnolipid was shown to emulsify toluene (66.7% ± 7.2), waste engine oil (58.3% ± 7.2), kerosene (41.8% ± 4.8) and n-hexane (33.1% ± 5.7). UPLC analysis on rhamnolipid revealed a congener mixture of rhamnolipid, namely di-rhamnolipid and mono-rhamnolipid mixture. This is the first report on the employment of an integrated foam control reactor system with PSO as the carbon source for rhamnolipid production by P. aeruginosa USM-AR2 culture.
    MeSH terms: Sewage/microbiology; Biomass; Bioreactors*
  15. Ashkir Z, Samat AHA, Ariga R, Finnigan LEM, Jermy S, Akhtar MA, et al.
    Eur Heart J Cardiovasc Imaging, 2025 Jan 31;26(2):218-228.
    PMID: 39417278 DOI: 10.1093/ehjci/jeae260
    AIMS: Myocardial disarray, an early feature of hypertrophic cardiomyopathy (HCM) and a substrate for ventricular arrhythmia, is poorly characterized in pre-hypertrophic sarcomeric variant carriers (SARC+LVH-). Using diffusion tensor cardiac magnetic resonance (DT-CMR) we assessed myocardial disarray and fibrosis in both SARC+LVH- and HCM patients and evaluated the relationship between microstructural alterations and electrocardiographic (ECG) parameters associated with arrhythmic risk.

    METHODS AND RESULTS: Sixty-two individuals (24 SARC+LVH-, 24 HCM, and 14 matched controls) were evaluated with multi-parametric CMR including stimulated echo acquisition mode DT-CMR, and blinded quantitative 12-lead ECG analysis. Mean diastolic fractional anisotropy (FA) was reduced in HCM compared with SARC+LVH- and controls (0.49 ± 0.05 vs. 0.52 ± 0.04 vs. 0.53 ± 0.04, P = 0.009), even after adjustment for differences in extracellular volume (ECV) (P = 0.038). Both HCM and SARC+LVH- had segments with significantly reduced diastolic FA relative to controls (54 vs. 25 vs. 0%, P = 0.002). Multiple repolarization parameters were prolonged in HCM and SARC+LVH-, with corrected JT interval (JTc) being most significant (354 ± 42 vs. 356 ± 26 vs. 314 ± 26 ms, P = 0.002). Among SARC+LVH-, JTc duration correlated negatively with mean diastolic FA (r = -0.6, P = 0.002). In HCM, the JTc interval showed a stronger association with ECV (r = 0.6 P = 0.019) than with mean diastolic FA (r = -0.1 P = 0.72). JTc discriminated SARC+LVH- from controls [area under the receiver operator curve 0.88, confidence interval 0.76-1.00, P < 0.001], and in HCM correlated with the European Society of Cardiology HCM sudden cardiac death risk score (r = 0.5, P = 0.014).

    CONCLUSION: Low diastolic FA, suggestive of myocardial disarray, is present in both SARC+LVH- and HCM. Low FA and raised ECV were associated with repolarization prolongation. Myocardial disarray assessment using DT-CMR and repolarization parameters such as the JTc interval demonstrate significant potential as markers of disease activity in HCM.

    MeSH terms: Adult; Arrhythmias, Cardiac/physiopathology; Electrocardiography*; Female; Fibrosis*; Humans; Male; Middle Aged; Myocardium/pathology; Case-Control Studies; Risk Assessment; Diffusion Tensor Imaging/methods
  16. Marinone Lares SG, Mackay G, Clark ST, Saniasiaya J, McCaffer C
    Clin Otolaryngol, 2025 Jan;50(1):82-87.
    PMID: 39344669 DOI: 10.1111/coa.14237
    OBJECTIVE: Vocal fold immobility (VFI) is a cause of significant morbidity and mortality in the paediatric population. Laryngoscopy is the current first-line investigation for patients with suspected VFI. Laryngeal ultrasound (LUS) has recently emerged as an alternative method of identifying VFI. Compared to laryngoscopy, LUS is less invasive, does not require anaesthesia, and can be performed by non-otolaryngologists. The objectives of this study are to evaluate LUS as a diagnostic method for the identification of VFI in a cohort of paediatric patients in Aotearoa New Zealand (NZ) and to estimate the frequency of use of LUS in the paediatric population by clinicians around the world.

    METHODS: A retrospective, single-centre cohort study was performed on all paediatric patients who had undergone laryngoscopy and LUS at Starship Children's Health in Auckland, NZ, between 2020 and 2023. An eight-question survey was also developed and distributed to better understand clinicians' use of LUS in their clinical practice to diagnose paediatric VFI globally.

    RESULTS: Twenty-nine paediatric patients met the inclusion criteria. LUS demonstrated good sensitivity (80.95%) for detecting VFI and increased to 93.33% for the detection of unilateral VFI. Of the 87 respondents to the survey, 41.38% utilise LUS in their clinical practice in the paediatric population. The main barriers to implementation of LUS as identified by non-users were lack of equipment, expertise, and training.

    CONCLUSIONS: These findings support the use of LUS as an accurate diagnostic tool for the detection of unilateral VFI. Further studies in non-surgical populations and in patients with bilateral VFI, as well as standardised guidelines for LUS technique and reporting, are required.

    MeSH terms: Adolescent; Child; Child, Preschool; Female; Humans; Infant; Laryngoscopy*; Male; New Zealand; Surveys and Questionnaires; Retrospective Studies; Ultrasonography*
  17. Mok SL, Chuah JY, Lee KJ, Lim YD, Appalasamy JR, Saw PS, et al.
    Community Ment Health J, 2025 Jan;61(1):158-166.
    PMID: 39133358 DOI: 10.1007/s10597-024-01337-9
    Community pharmacists (CPs) are vital as primary healthcare providers, particularly in the screening and management of mental health issues. This study aimed to explore CPs' views on mental health support for patients and the potential challenges in delivering mental health services. Malaysian CPs were recruited through purposive and snowballing sampling. Semi-structured interviews were recorded and transcribed verbatim. Data was thematically analyzed using NVivo 12 management software. Twenty CPs from Peninsular Malaysia were interviewed. Participants emphasized the importance of high-quality resources, comprehensive training and standardized tools to effectively provide mental healthcare services. Challenges identified were lack of knowledge and skills, absence of screening tools and social stigma and conservatism, particularly among older individuals. This study underscores the willingness of CPs taking a primary role in mental health services. However, collaboration with relevant stakeholders is crucial, aligning with national strategic plans for the program to be successful.
    MeSH terms: Adult; Attitude of Health Personnel; Mental Disorders/psychology; Mental Disorders/therapy; Female; Humans; Interviews as Topic*; Malaysia; Male; Mass Screening/methods; Mental Health; Mental Health Services; Middle Aged; Professional Role*; Qualitative Research
  18. Ong P, Jian J, Li X, Zou C, Yin J, Ma G
    PMID: 39180971 DOI: 10.1016/j.saa.2024.125001
    Utilizing visible and near-infrared (Vis-NIR) spectroscopy in conjunction with chemometrics methods has been widespread for identifying plant diseases. However, a key obstacle involves the extraction of relevant spectral characteristics. This study aimed to enhance sugarcane disease recognition by combining convolutional neural network (CNN) with continuous wavelet transform (CWT) spectrograms for spectral features extraction within the Vis-NIR spectra (380-1400 nm) to improve the accuracy of sugarcane diseases recognition. Using 130 sugarcane leaf samples, the obtained one-dimensional CWT coefficients from Vis-NIR spectra were transformed into two-dimensional spectrograms. Employing CNN, spectrogram features were extracted and incorporated into decision tree, K-nearest neighbour, partial least squares discriminant analysis, and random forest (RF) calibration models. The RF model, integrating spectrogram-derived features, demonstrated the best performance with an average precision of 0.9111, sensitivity of 0.9733, specificity of 0.9791, and accuracy of 0.9487. This study may offer a non-destructive, rapid, and accurate means to detect sugarcane diseases, enabling farmers to receive timely and actionable insights on the crops' health, thus minimizing crop loss and optimizing yields.
    MeSH terms: Plant Diseases*; Discriminant Analysis; Least-Squares Analysis; Plant Leaves/chemistry; Wavelet Analysis*
  19. Booi HN, Pang LY, Lee MK, Fung SY, Ng CL, Ng ST, et al.
    J Ethnopharmacol, 2025 Jan 10;336:118727.
    PMID: 39182700 DOI: 10.1016/j.jep.2024.118727
    ETHNOPHARMACOLOGICAL RELEVANCE: Ophiocordyceps sinensis (O. sinensis) is a genus of Ascomycete fungus that is endemic to the alpine meadows of the Tibetan Plateau and adjoining Himalayas. It has been used traditionally as a tonic to improve respiratory health in ancient China as well as to promote vitality and longevity. Bioactive components found in O. sinensis such as adenosine, cordycepin, 3-deoxyadenosine, L-arginine and polysaccharides have gained increasing interest in recent years due to their antioxidative and other properties, which include anti-asthmatic, antiviral, immunomodulation and improvement of general health.

    AIM OF THE STUDY: This study's primary aim was to investigate the effect of a cultivated fruiting body of O. sinensis strain (OCS02®) on airways patency and the secondary focus was to investigate its effect on the lifespan of Caenorhabditis elegans.

    MATERIALS AND METHODS: A cultivated strain, OCS02®, was employed and the metabolic profile of its cold-water extract (CWE) was analysed through liquid chromatography-mass spectrometry (LC-MS). Organ bath approach was used to investigate the pharmacological properties of OCS02® CWE when applied on airway tissues obtained from adult male Sprague-Dawley rats. The airway relaxation mechanisms of OCS02® CWE were explored using pharmacological tools, where the key regulators in airway relaxation and constriction were investigated. For the longevity study, age-synchronised, pos-1 RNAi-treated wild-type type Caenorhabditis elegans at the L4 stage were utilised for a lifespan assay.

    RESULTS: Various glycopeptides and amino acids, particularly a high concentration of L-arginine, were identified from the LC-MS analysis. In airway tissues, OCS02® CWE induced a significantly greater concentration-dependent relaxation when compared to salbutamol. The relaxation response was significantly attenuated in the presence of NG-Nitro-L-arginine methyl ester (L-NAME), 1H-[1,2,4]oxadiazolo [4,3-a]quinoxalin-1-one (ODQ) and several K+ channel blockers. The longevity effect induced by OCS02® CWE (5 mg/mL and above) was observed in C. elegans by at least 17%.

    CONCLUSIONS: These findings suggest that the airway relaxation mechanisms of OCS02® CWE involved cGMP-dependent and cGMP-independent nitric oxide signalling pathways. This study provides evidence that the cultivated strain of OCS02® exhibits airway relaxation effects which supports the traditional use of its wild O. sinensis in strengthening respiratory health.

    MeSH terms: Animals; Hypocreales; Longevity/drug effects; Male; Muscle Relaxation/drug effects; Trachea/drug effects; Trachea/metabolism; Rats, Sprague-Dawley*; Rats
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