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The influence of consumers' preferences and perceptions of oral solid dosage forms on their treatment

Ibrahim IR, Ibrahim MI, Al-Haddad MS

Int J Clin Pharm, 2012 Oct;34(5):728-32.
PMID: 22744843 DOI: 10.1007/s11096-012-9667-6

BACKGROUND: Beyond the direct pharmacological effect of medicines, preferences and perceptions toward a particular oral solid dosage form (OSDF) play a crucial role in recovery and may reduce adherence to the prescribed treatment.
OBJECTIVES: This study conducted to investigate the most preferred OSDF and the degree to which swallowing solid medication is an issue, to assess perceptions of the therapeutic benefits of the OSDF, and to find predictors of the most preferred OSDF.
METHOD: A cross-sectional study, through convenience sample method, was conducted to survey consumers visiting community pharmacies in Baghdad, Iraq. Data was collected by self-administered and pre-piloted questionnaires, and analyzed using Statistical Package for Social Science. Multiple logistic regression analysis and Chi-square tests were used at alpha level = 0.05.
RESULTS: A total of 1,000 questionnaire were included in the analysis. Of all respondents, 52.9 % preferred capsule among other OSDF and this preference varied significantly with a number of socio-demographic factors. Ease of swallowing solid medication was the main issue which resulted in preferences for a particular form. A negative perception of the therapeutic benefits of the OSDF was found among 89.1 % of the consumers. Multiple logistic regression analysis indicated that gender, ease of swallowing, and perceptions of the therapeutic benefits of the OSDF were significant predictors of capsule preferences.
CONCLUSIONS: Given the fact that consumers are the end users of medicines and their preferences may influence response to the treatment, efforts are worthwhile by the prescribers and medicines' manufactures to understand consumers' preferences of a particular dosage form in order to achieve successful therapy outcomes.
Fulltext A qualitative insight on complementary and alternative medicines used by hypertensive patients

Ibrahim IR, Hassali MA, Saleem F, Al Tukmagi HF

J Pharm Bioallied Sci, 2016 Oct-Dec;8(4):284-288.
PMID: 28216951 DOI: 10.4103/0975-7406.199349

BACKGROUND: The self-treatment with complementary and alternative medicines (CAMs) in chronic diseases is portraying an expanding trend worldwide. Yet, little is known concerning patients' motives to use CAM in the control of blood pressure.
OBJECTIVE: This study aims to explore the self-use of CAM in the management of hypertension and explore patients' attitudes, perceived benefits, and disclosure to the physician.
MATERIALS AND METHODS: A qualitative technique was adopted and face-to-face interviews, using a validated interview guide, were carried out among twenty hypertensive patients. A purposive sampling method was used to recruit patients at Al-Karama Teaching Hospital in Baghdad; the capital of Iraq; from January to April 2015. All the interviews were audio-recorded, then transcribed verbatim and examined for thematic relationships.
RESULTS: Three major themes were identified through thematic content analysis of the interviews. These encompassed patients' understanding of CAM; experience and perceived benefits; and communication with the doctors. The use of CAM was prevalent among the majority of the respondents. The most commonly used therapies were biological-based practices (herbal remedies, special diet, vitamins, and dietary supplements); traditional therapies (Al-Hijama or cupping); and to a less extent of manipulative body-based therapies (reflexology). Factors influencing the use of CAM were traditions, social relationships, religious beliefs, low-cost therapy, and safety of natural products.
CONCLUSION: The use of CAM was common as a practice of self-treatment among hypertensive patients in Iraq. This was underpinned by the cultural effects, social relationships, religious beliefs, and the perception that natural products are effective and safe. Understanding patients' usage of CAM is of great importance as long as patient's safety and interaction with the standard prescribed treatment are major concerns.
Fulltext Assessment of self-reporting reading of medicine's labels and the resources of information about medicines in general public in Malaysia

Dawood OT, Hassali MA, Saleem F, Ibrahim IR

Pharmacol Res Perspect, 2018 04;6(2):e00387.
PMID: 29511566 DOI: 10.1002/prp2.387

This study was undertaken to assess the people's self-reported reading of medicine labels and its associated factors and to assess the sources of information about medicines among general public. A cross-sectional study was carried out among general public in the State of Penang, Malaysia. A total of 888 participants were conveniently selected and completed the survey. A self-administered questionnaire was used to obtain the data from all the participants. Most of the participants (74.2%) reported that they have adequate information about medicines provided on their medicine labels. In addition, 86.9% of them reported that they read their medicine's label for the directions of usage and 84.3% for the dosage instruction. However, 42.1% of the participants do not read their medicine's label for the active ingredients, and 33% of them do not read their medicine's label for the safety information. In addition, 36.5% of the respondents did not read the label of medicine for the symptoms which can be used for. However, females, Malay respondents, and higher education level (college/university) were more likely to self-reported the reading medicine's label. Females were more likely to read the labels of medicines compared with males (OR = 1.6, 95% CI 1.20-2.13, P = .001). The reading of medicine labels was predicted by females, Malay respondents, and higher educated people. Health educational programs are needed to clarify label's information that can help in concept of patient safety.
Fulltext An investigation of microstructural, magnetic and microwave absorption properties of multi-walled carbon nanotubes/Ni0.5Zn0.5Fe2O4

Mustaffa MS, Azis RS, Abdullah NH, Ismail I, Ibrahim IR

Sci Rep, 2019 Oct 29;9(1):15523.
PMID: 31664142 DOI: 10.1038/s41598-019-52233-2

The enhancement of microwave absorbing properties in nickel zinc ferrite (Ni0.5Zn0.5Fe2O4) via multiwall carbon nanotubes (MWCNT) growth is studied in this research work. Ni0.5Zn0.5Fe2O4 was initially synthesized by mechanical alloying followed by sintering at 1200 °C and the microstructural, electromagnetic and microwave characteristics have been scrutinized thoroughly. The sintered powder was then used as a catalyst to grow MWCNT derived from chemical vapor deposition (CVD) method. The sample was mixed with epoxy resin and a hardener for preparation of composites. The composite of multi-walled carbon nanotubes/Ni0.5Zn0.5Fe2O4 shown a maximum reflection loss (RL) of -19.34 dB at the frequency and bandwidth of 8.46 GHz and 1.24 GHz for an absorber thickness of 3 mm for losses less than -10 dB. This acquired result indicates that multi-walled carbon nanotubes/Ni0.5Zn0.5Fe2O4 could be used as a microwave absorber application in X-band.
Assessment of health seeking behaviour and self-medication among general public in the state of Penang, Malaysia

Dawood OT, Hassali MA, Saleem F, Ibrahim IR, Abdulameer AH, Jasim HH

Pharm Pract (Granada), 2017 Jul-Sep;15(3):991.
PMID: 28943981 DOI: 10.18549/PharmPract.2017.03.991

BACKGROUND: Patients' behaviour in making decisions regarding health is currently changing from passive recipients to recipients who play an active role in taking action to control their health and taking self-care initiatives.
OBJECTIVES: This study was conducted to evaluate the health seeking behaviour among general public and its associated factors; and to evaluate the medicine taking behaviour in public and the practice of self-medication.
METHODS: A cross-sectional study was undertaken among general public in Penang Island, Malaysia. A convenience sampling of 888 participants successfully completed the survey. Self-administered questionnaires were distributed among the residents in the north east of Penang Island.
RESULTS: This study showed that most of the participants chose to consult the physician when they experience any health problems (66.7%), followed by self-medication (20.9%). The first action for consulting the physician was significantly predicted by Malay respondents and retired people (OR 3.05, 95% CI 1.04-8.89). The prevalence of self-medication was 54%. The practice of self-medication was significantly associated with Chinese participants, educated people, people with alone living status and people with more self-care orientation.
CONCLUSION: Increasing the awareness of the public about the rational choice of getting medical assistance is a very important issue to control their health. A health education program is needed to increase the awareness about the use of medicines among the general public and to enable them to make the right decisions relating to health problems.
Fulltext Isochronal recovery behaviour on electromagnetic properties of polycrystalline nickel zinc ferrite (Ni0.5Zn0.5Fe2O4) prepared via mechanical alloying

Abdullah NH, Mustaffa MS, Hamidon MN, Shafie FN, Ismail I, Ibrahim IR

Sci Rep, 2021 Oct 04;11(1):19642.
PMID: 34608254 DOI: 10.1038/s41598-021-99236-6

A new approach through heat treatment has been attempted by establishing defects by the process of quenching towards electrical and magnetic properties in the nickel zinc ferrite (Ni0.5Zn0.5Fe2O4) sample. The measured property values in permeability and hysteresis characteristic gave their recovery behaviour in which the values, after quenching were recovered after undergoing the annealing. Interestingly, a different trend observed in the permittivity value whereas the value was increased after quenching and subsequently recovered after annealing. The mechanisms which produced the changes is believed to be involved by defects in the form of vacancies, interstitials, microcracks and dislocations created during quenching which gave rise to changes in the values of the complex permeability and permittivity components and hysteresis behaviour.
Fulltext Effect of Ratio in Ammonium Nitrate on the Structural, Microstructural, Magnetic, and AC Conductivity Properties of BaFe12O19

Azis RS, Che Muda NN, Hassan J, Shaari AH, Ibrahim IR, Mustaffa MS, et al.

Materials (Basel), 2018 Nov 06;11(11).
PMID: 30404131 DOI: 10.3390/ma11112190

This paper investigates the effect of the ratio of ammonium nitrate (AN) on the structural, microstructural, magnetic, and alternating current (AC) conductivity properties of barium hexaferrite (BaFe12O19). The BaFe12O19 were prepared by using the salt melt method. The samples were synthesized using different powder-to-salt weight ratio variations (1:3, 1:4, 1:5, 1:6 and 1:7) of BaCO₃ + Fe₂O₃ and ammonium nitrate salt. The NH₄NO₃ was melted on a hot plate at 170 °C. A mixture of BaCO₃ and Fe₂O₃ were added into the NH₄NO₃ melt solution and stirred for several hours using a magnetic stirrer under a controlled temperature of 170 °C. The heating temperature was then increased up to 260 °C for 24 hr to produce an ash powder. The x-ray diffraction (XRD) results show the intense peak of BaFe12O19 for all the samples and the presence of a small amount of the impurity Fe₂O₃ in the samples, at a ratio of 1:5 and 1:6. From the Fourier transform infra-red (FTIR) spectra, the band appears at 542.71 cm - 1 and 432.48 cm - 1 , which corresponding to metal⁻oxygen bending and the vibration of the octahedral sites of BaFe12O19. The field emission scanning electron microscope (FESEM) images show that the grains of the samples appear to stick each other and agglomerate at different masses throughout the image with the grain size 5.26, 5.88, 6.14, 6.22, and 6.18 µm for the ratios 1:3, 1:4, 1:5, 1:6, and 1:7 respectively. From the vibrating sample magnetometer (VSM) analysis, the magnetic properties of the sample ratio at 1:3 show the highest value of coercivity Hc of 1317 Oe, a saturation magnetization Ms of 91 emu/g, and a remnant Mr of 44 emu/g, respectively. As the temperature rises, the AC conductivity is increases with an increase in frequency.
Influence of pH Adjustment Parameter for Sol-Gel Modification on Structural, Microstructure, and Magnetic Properties of Nanocrystalline Strontium Ferrite

Azis RS, Sulaiman S, Ibrahim IR, Zakaria A, Hassan J, Muda NNC, et al.

Nanoscale Res Lett, 2018 May 23;13(1):160.
PMID: 29796949 DOI: 10.1186/s11671-018-2562-x

Synthesis of nanocrystalline strontium ferrite (SrFe12O19) via sol-gel is sensitive to its modification parameters. Therefore, in this study, an attempt of regulating the pH as a sol-gel modification parameter during preparation of SrFe12O19 nanoparticles sintered at a low sintering temperature of 900 °C has been presented. The relationship of varying pH (pH 0 to 8) on structural, microstructures, and magnetic behaviors of SrFe12O19 nanoparticles were characterized by X-ray diffraction (XRD), field emission scanning microscope (FESEM), and vibrating sample magnetometer (VSM). Varying the pH of precursor exhibited a strong effect on the sintered density, crystal structure and magnetic properties of the SrFe12O19 nanoparticles. As the pH is 0, the SrFe12O19 produced relatively largest density, saturation magnetization, Ms, and coercivity, Hc, at a low sintering temperature of 900 °C. The grain size of SrFe12O19 is obtained in the range of 73.6 to 133.3 nm. The porosity of the sample affected the density and the magnetic properties of the SrFe12O19 ferrite. It is suggested that the low-temperature sintered SrFe12O19 at pH 0 displayed Ms of 44.19 emu/g and Hc of 6403.6 Oe, possessing a significant potential for applying in low-temperature co-fired ceramic permanent magnet.
Fulltext A Study on Microwave Absorption Properties of Carbon Black and Ni0.6Zn0.4Fe2O4 Nanocomposites by Tuning the Matching-Absorbing Layer Structures

Ibrahim IR, Matori KA, Ismail I, Awang Z, Rusly SNA, Nazlan R, et al.

Sci Rep, 2020 Feb 21;10(1):3135.
PMID: 32081972 DOI: 10.1038/s41598-020-60107-1

Microwave absorption properties were systematically studied for double-layer carbon black/epoxy resin (CB) and Ni0.6Zn0.4Fe2O4/epoxy resin (F) nanocomposites in the frequency range of 8 to 18 GHz. The Ni0.6Zn0.4Fe2O4 nanoparticles were synthesized via high energy ball milling with subsequent sintering while carbon black was commercially purchased. The materials were later incorporated into epoxy resin to fabricate double-layer composite structures with total thicknesses of 2 and 3 mm. The CB1/F1, in which carbon black as matching and ferrite as absorbing layer with each thickness of 1 mm, showed the highest microwave absorption of more than 99.9%, with minimum reflection loss of -33.8 dB but with an absorption bandwidth of only 2.7 GHz. Double layer absorbers with F1/CB1(ferrite as matching and carbon black as absorbing layer with each thickness of 1 mm) structure showed the best microwave absorption performance in which more than 99% microwave energy were absorbed, with promising minimum reflection loss of -24.0 dB, along with a wider bandwidth of 4.8 GHz and yet with a reduced thickness of only 2 mm.
Fulltext Structural, Electromagnetic and Microwave Properties of Magnetite Extracted from Mill Scale Waste via Conventional Ball Milling and Mechanical Alloying Techniques

Elmahaishi MF, Azis RS, Ismail I, Mustaffa MS, Abbas Z, Matori KA, et al.

Materials (Basel), 2021 Nov 22;14(22).
PMID: 34832475 DOI: 10.3390/ma14227075

This study presents the utilization of mill scale waste, which has attracted much attention due to its high content of magnetite (Fe3O4). This work focuses on the extraction of Fe3O4 from mill scale waste via magnetic separation, and ball milling was used to fabricate a microwave absorber. The extracted magnetic powder was ground-milled using two different techniques: (i) a conventional milling technique (CM) and (ii) mechanical alloying (MM) process. The Fe3O4/CM samples were prepared by a conventional milling process using steel pot ball milling, while the Fe3O4/MM samples were prepared using a high-energy ball milling (HEBM) method. The effect of milling time on the structural, phase composition, and electromagnetic properties were examined using X-ray diffraction (XRD) and a vector network analyzer (VNA). XRD confirmed the formation of magnetite after both the magnetic separation and milling processes. The results revealed that Fe3O4 exhibited excellent microwave absorption properties because of the synergistic characteristics of its dielectric and magnetic loss. The results showed that the Fe3O4/CM particle powder had a greater absorption power (reflection loss:

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