Displaying publications 1 - 20 of 192 in total

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  1. Ching SM, Cheong AT, Yee A, Thurasamy R, Lim PY, Zarina II, et al.
    Ir J Med Sci, 2024 Apr;193(2):851-863.
    PMID: 37556104 DOI: 10.1007/s11845-023-03483-7
    BACKGROUND: This study aimed to assess the determinants of burnout among healthcare providers in the primary care setting.

    METHODS: A web-based cross-sectional study was conducted among 1280 healthcare providers aged 18 years and older from 30 primary care clinics in Selangor, Malaysia. In this study, the Copenhagen Burnout Inventory was used to assess burnout. The results were analyzed using multiple logistic regression.

    RESULTS: The prevalence of personal burnout was 41.7%, followed by work-related burnout (32.2%) and client-related burnout (14.5%). The determinants for personal burnout in this study were younger age, being a doctor, higher COVID-19 exposure risk, do not know where to seek help, inability to handle stress, poorer sleep quality score, higher total COVID-19 fear score, higher total stress score, and lower total BRS score. The determinants of work-related burnout were younger age, being a doctor, longer years of working, higher COVID-19 exposure risk, do not know where to seek help, lower altruistic score, poorer sleep quality score, higher total stress score, and lower total brief resilience score (BRS) score. The determinants of client-related burnout were doctor, single/divorced, more than one attachment site, and higher satisfaction toward the infection control, inability to handle stress, higher total depression score, and lower total BRS score.

    CONCLUSION: Every fourth out of ten suffered from personal burnout, one-third from work-related burnout, and one-seventh from client-related burnout among healthcare providers during the COVID-19 pandemic. Healthcare systems must take care of healthcare workers' physical and emotional depletion, reducing the risk of burnout.

    Matched MeSH terms: Sleep Initiation and Maintenance Disorders*
  2. Chong CS, Tan JK, Ng BH, Lin ABY, Khoo CS, Rajah R, et al.
    J Clin Neurosci, 2023 Dec;118:132-142.
    PMID: 37935067 DOI: 10.1016/j.jocn.2023.10.012
    BACKGROUND AND OBJECTIVE: People with epilepsy frequently encounter sleep disruptions that can stem from a variety of complex factors. Epilepsy-related sleep disturbance can lead to reduced quality of life and excessive daytime hypersomnolence. Identification of sleep disturbances may help in the overall management of epilepsy patients. This study was conducted to determine the prevalence and predictors of poor sleep quality and daytime sleepiness in epilepsy.

    METHODS: A cross-sectional study on 284 epilepsy patients was performed in a local tertiary centre. The demographic and clinical epilepsy data were collected. The Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) questionnaires were utilised to determine the quality of life and daytime hypersomnolence of epilepsy patients, respectively.

    RESULTS: Poor sleep quality was reported in 78 (27.5%) patients while daytime hypersomnolence was present in 17 (6%) patients. The predictors of poor sleep quality include structural causes (OR = 2.749; 95% CI: 1.436, 5.264, p = 0.002), generalised seizures (OR = 1.959, 95% CI: 1.04, 3.689, p = 0.037), and antiseizure medications such as Carbamazepine (OR = 2.34; 95% CI: 1.095, 5.001, p = 0.028) and Topiramate (OR 2.487; 95% CI: 1.028, 6.014, p = 0.043). Females are 3.797 times more likely score higher in ESS assessment (OR 3.797; 95% CI: 1.064, 13.555 p = 0.04).

    DISCUSSION: Sleep disturbances frequently coexist with epilepsy. Patients should be actively evaluated using the PSQI and ESS questionnaires. It is imperative to identify the key factors that lead to reduced sleep quality and heightened daytime sleepiness in patients with epilepsy, as this is essential to properly manage their condition.

    Matched MeSH terms: Sleep Initiation and Maintenance Disorders*
  3. Mat Zain NS, Lee LK
    Int J Environ Res Public Health, 2022 Dec 06;19(23).
    PMID: 36498443 DOI: 10.3390/ijerph192316371
    Aquaculture is seen as an essential food-producing sector for improving global food security and nutrition indices. This cross-sectional study examined the health complaints and mental health status of aquaculture workers, as well as their relationship with quality of life, with respect to the brackish water and freshwater aquaculture cultivation system in Penang, Malaysia. The workers’ health complaints were collected, and mental health status was evaluated as means of depression, anxiety, stress and self-esteem. Self-perceived quality of life was assessed using a structured questionnaire. This study involved the participation of 88 brackish water (84.6%) and 16 freshwater (15.4%) aquaculture workers. A total of 72.7% of the brackish water aquaculture workers were aged beyond 50 years old and had worked within five years (77.3%) in the aquaculture industry. Both brackish water and freshwater cultivation workers were confronted with fatigue, pain and insomnia. Up to 48%, 40.4%, 26% and 24% of them were facing depression, anxiety, stress and low self-esteem, respectively. A total of 3.4% of the brackish water aquaculture workers were having bad quality of life. The complaints of neck/shoulder/arm pain (F = 13.963; p < 0.001), back pain (F = 10.974; p < 0.01), hand/wrist pain (F = 8.041; p < 0.01), knee/hip pain (F = 12.910; p < 0.01) and insomnia (F = 10.936; p < 0.01) were correlated with bad quality of life among the workers. For mental health status, self-esteem (F = 4.157; p < 0.05) was found to be negatively correlated with quality of life scores. The results outlined the concerning level of health complaints and psychological distress among the aquaculture workers. The study emphasized the importance of developing an appropriate occupational health strategy in the aquaculture industry. Longitudinal investigations aimed to explore the effects of psychological distress on employment productivity among the high-risk workers are warranted.
    Matched MeSH terms: Sleep Initiation and Maintenance Disorders*
  4. Taquet M, Sillett R, Zhu L, Mendel J, Camplisson I, Dercon Q, et al.
    Lancet Psychiatry, 2022 Oct;9(10):815-827.
    PMID: 35987197 DOI: 10.1016/S2215-0366(22)00260-7
    BACKGROUND: COVID-19 is associated with increased risks of neurological and psychiatric sequelae in the weeks and months thereafter. How long these risks remain, whether they affect children and adults similarly, and whether SARS-CoV-2 variants differ in their risk profiles remains unclear.

    METHODS: In this analysis of 2-year retrospective cohort studies, we extracted data from the TriNetX electronic health records network, an international network of de-identified data from health-care records of approximately 89 million patients collected from hospital, primary care, and specialist providers (mostly from the USA, but also from Australia, the UK, Spain, Bulgaria, India, Malaysia, and Taiwan). A cohort of patients of any age with COVID-19 diagnosed between Jan 20, 2020, and April 13, 2022, was identified and propensity-score matched (1:1) to a contemporaneous cohort of patients with any other respiratory infection. Matching was done on the basis of demographic factors, risk factors for COVID-19 and severe COVID-19 illness, and vaccination status. Analyses were stratified by age group (age <18 years [children], 18-64 years [adults], and ≥65 years [older adults]) and date of diagnosis. We assessed the risks of 14 neurological and psychiatric diagnoses after SARS-CoV-2 infection and compared these risks with the matched comparator cohort. The 2-year risk trajectories were represented by time-varying hazard ratios (HRs) and summarised using the 6-month constant HRs (representing the risks in the earlier phase of follow-up, which have not yet been well characterised in children), the risk horizon for each outcome (ie, the time at which the HR returns to 1), and the time to equal incidence in the two cohorts. We also estimated how many people died after a neurological or psychiatric diagnosis during follow-up in each age group. Finally, we compared matched cohorts of patients diagnosed with COVID-19 directly before and after the emergence of the alpha (B.1.1.7), delta (B.1.617.2), and omicron (B.1.1.529) variants.

    FINDINGS: We identified 1 487 712 patients with a recorded diagnosis of COVID-19 during the study period, of whom 1 284 437 (185 748 children, 856 588 adults, and 242 101 older adults; overall mean age 42·5 years [SD 21·9]; 741 806 [57·8%] were female and 542 192 [42·2%] were male) were adequately matched with an equal number of patients with another respiratory infection. The risk trajectories of outcomes after SARS-CoV-2 infection in the whole cohort differed substantially. While most outcomes had HRs significantly greater than 1 after 6 months (with the exception of encephalitis; Guillain-Barré syndrome; nerve, nerve root, and plexus disorder; and parkinsonism), their risk horizons and time to equal incidence varied greatly. Risks of the common psychiatric disorders returned to baseline after 1-2 months (mood disorders at 43 days, anxiety disorders at 58 days) and subsequently reached an equal overall incidence to the matched comparison group (mood disorders at 457 days, anxiety disorders at 417 days). By contrast, risks of cognitive deficit (known as brain fog), dementia, psychotic disorders, and epilepsy or seizures were still increased at the end of the 2-year follow-up period. Post-COVID-19 risk trajectories differed in children compared with adults: in the 6 months after SARS-CoV-2 infection, children were not at an increased risk of mood (HR 1·02 [95% CI 0·94-1·10) or anxiety (1·00 [0·94-1·06]) disorders, but did have an increased risk of cognitive deficit, insomnia, intracranial haemorrhage, ischaemic stroke, nerve, nerve root, and plexus disorders, psychotic disorders, and epilepsy or seizures (HRs ranging from 1·20 [1·09-1·33] to 2·16 [1·46-3·19]). Unlike adults, cognitive deficit in children had a finite risk horizon (75 days) and a finite time to equal incidence (491 days). A sizeable proportion of older adults who received a neurological or psychiatric diagnosis, in either cohort, subsequently died, especially those diagnosed with dementia or epilepsy or seizures. Risk profiles were similar just before versus just after the emergence of the alpha variant (n=47 675 in each cohort). Just after (vs just before) the emergence of the delta variant (n=44 835 in each cohort), increased risks of ischaemic stroke, epilepsy or seizures, cognitive deficit, insomnia, and anxiety disorders were observed, compounded by an increased death rate. With omicron (n=39 845 in each cohort), there was a lower death rate than just before emergence of the variant, but the risks of neurological and psychiatric outcomes remained similar.

    INTERPRETATION: This analysis of 2-year retrospective cohort studies of individuals diagnosed with COVID-19 showed that the increased incidence of mood and anxiety disorders was transient, with no overall excess of these diagnoses compared with other respiratory infections. In contrast, the increased risk of psychotic disorder, cognitive deficit, dementia, and epilepsy or seizures persisted throughout. The differing trajectories suggest a different pathogenesis for these outcomes. Children have a more benign overall profile of psychiatric risk than do adults and older adults, but their sustained higher risk of some diagnoses is of concern. The fact that neurological and psychiatric outcomes were similar during the delta and omicron waves indicates that the burden on the health-care system might continue even with variants that are less severe in other respects. Our findings are relevant to understanding individual-level and population-level risks of neurological and psychiatric disorders after SARS-CoV-2 infection and can help inform our responses to them.

    FUNDING: National Institute for Health and Care Research Oxford Health Biomedical Research Centre, The Wolfson Foundation, and MQ Mental Health Research.

    Matched MeSH terms: Sleep Initiation and Maintenance Disorders*
  5. Alahmar AT, Calogero AE, Singh R, Cannarella R, Sengupta P, Dutta S
    Clin Exp Reprod Med, 2021 Jun;48(2):97-104.
    PMID: 34078005 DOI: 10.5653/cerm.2020.04175
    Male infertility has a complex etiopathology, which mostly remains elusive. Although research has claimed that oxidative stress (OS) is the most likely underlying mechanism of idiopathic male infertility, the specific treatment of OS-mediated male infertility requires further investigation. Coenzyme Q10 (CoQ10), a vitamin-like substance, has been found in measurable levels in human semen. It exhibits essential metabolic and antioxidant functions, as well as playing a vital role in mitochondrial bioenergetics. Thus, CoQ10 may be a key player in the maintenance of biological redox balance. CoQ10 concentrations in seminal plasma directly correlate with semen parameters, especially sperm count and sperm motility. Seminal CoQ10 concentrations have been shown to be altered in various male infertility states, such as varicocele, asthenozoospermia, and medical or surgical regimens used to treat male infertility. These observations imply that CoQ10 plays an important physiological role in the maintenance and amelioration of semen quality. The present article thereby aimed to review the possible mechanisms through which CoQ10 plays a role in the regulation of male reproductive function, and to concisely discuss its efficacy as an ameliorative agent in restoring semen parameters in male infertility, as well as its impact on OS markers, sperm DNA fragmentation, pregnancy, and assisted reproductive technology outcomes.
    Matched MeSH terms: Maintenance
  6. Tse LA, Wang C, Rangarajan S, Liu Z, Teo K, Yusufali A, et al.
    JAMA Netw Open, 2021 06 01;4(6):e2113775.
    PMID: 34190997 DOI: 10.1001/jamanetworkopen.2021.13775
    Importance: Obesity is a growing public health threat leading to serious health consequences. Late bedtime and sleep loss are common in modern society, but their associations with specific obesity types are not well characterized.

    Objective: To assess whether sleep timing and napping behavior are associated with increased obesity, independent of nocturnal sleep length.

    Design, Setting, and Participants: This large, multinational, population-based cross-sectional study used data of participants from 60 study centers in 26 countries with varying income levels as part of the Prospective Urban Rural Epidemiology study. Participants were aged 35 to 70 years and were mainly recruited during 2005 and 2009. Data analysis occurred from October 2020 through March 2021.

    Exposures: Sleep timing (ie, bedtime and wake-up time), nocturnal sleep duration, daytime napping.

    Main Outcomes and Measures: The primary outcomes were prevalence of obesity, specified as general obesity, defined as body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) of 30 or greater, and abdominal obesity, defined as waist circumference greater than 102 cm for men or greater than 88 cm for women. Multilevel logistic regression models with random effects for study centers were performed to calculate adjusted odds ratios (AORs) and 95% CIs.

    Results: Overall, 136 652 participants (81 652 [59.8%] women; mean [SD] age, 51.0 [9.8] years) were included in analysis. A total of 27 195 participants (19.9%) had general obesity, and 37 024 participants (27.1%) had abdominal obesity. The mean (SD) nocturnal sleep duration was 7.8 (1.4) hours, and the median (interquartile range) midsleep time was 2:15 am (1:30 am-3:00 am). A total of 19 660 participants (14.4%) had late bedtime behavior (ie, midnight or later). Compared with bedtime between 8 pm and 10 pm, late bedtime was associated with general obesity (AOR, 1.20; 95% CI, 1.12-1.29) and abdominal obesity (AOR, 1.20; 95% CI, 1.12-1.28), particularly among participants who went to bed between 2 am and 6 am (general obesity: AOR, 1.35; 95% CI, 1.18-1.54; abdominal obesity: AOR, 1.38; 95% CI, 1.21-1.58). Short nocturnal sleep of less than 6 hours was associated with general obesity (eg, <5 hours: AOR, 1.27; 95% CI, 1.13-1.43), but longer napping was associated with higher abdominal obesity prevalence (eg, ≥1 hours: AOR, 1.39; 95% CI, 1.31-1.47). Neither going to bed during the day (ie, before 8pm) nor wake-up time was associated with obesity.

    Conclusions and Relevance: This cross-sectional study found that late nocturnal bedtime and short nocturnal sleep were associated with increased risk of obesity prevalence, while longer daytime napping did not reduce the risk but was associated with higher risk of abdominal obesity. Strategic weight control programs should also encourage earlier bedtime and avoid short nocturnal sleep to mitigate obesity epidemic.

    Matched MeSH terms: Sleep Initiation and Maintenance Disorders/etiology*; Sleep Initiation and Maintenance Disorders/epidemiology
  7. Rehman IU, Ahmed R, Rahman AU, Wu DBC, Munib S, Shah Y, et al.
    Medicine (Baltimore), 2021 May 28;100(21):e25995.
    PMID: 34032717 DOI: 10.1097/MD.0000000000025995
    BACKGROUND: Chronic kidney disease (CKD)-associated pruritus (CKD-aP) contributes to poor quality of life, including reduced sleep quality and poor sleep quality is a source of patient stress and is linked to lower health-related quality of life. This study aimed to investigate the effectiveness of zolpidem 10 mg and acupressure therapy on foot acupoints to improve the sleep quality and overall quality of life among hemodialysis patients suffering from CKD-aP.

    METHOD: A multicenter, prospective, randomized, parallel-design, open label interventional study to estimate the effectiveness of zolpidem (10 mg) oral tablets versus acupressure on sleep quality and quality of life in patients with CKD-aP on hemodialysis. A total of 58 hemodialysis patients having sleep disturbance due to CKD-aP completed the entire 8-week follow-up. The patients were divided into a control (acupressure) group of 28 patients and an intervention (zolpidem) group of 30 patients.

    RESULTS: A total of 58 patients having CKD-aP and sleep disturbance were recruited. In the control group there was a reduction in the PSQI score with a mean ± SD from 12.28 ± 3.59 to 9.25 ± 3.99, while in the intervention group the reduction in PSQI score with a mean ± SD was from 14.73 ± 4.14 to 10.03 ± 4.04 from baseline to endpoint. However, the EQ5D index score and EQ-visual analogue scale (VAS) at baseline for the control group with a mean ± SD was 0.49 ± 0.30 and 50.17 ± 8.65, respectively, while for the intervention group the values were 0.62 ± 0.26 and 47.17 ± 5.82, respectively. The mean EQ5D index score in the control group improved from 0.49 ± 0.30 to 0.53 ± 0.30, but in the intervention group there was no statistical improvement in mean EQ5D index score from 0.62 ± 0.26 to 0.62 ± 0.27 from baseline to week 8. The EQ 5D improved in both groups and the EQ-VAS score was 2.67 points higher at week 8 as compared to baseline in the control group, while in the intervention group the score was 3.33 points higher at week 8 as compared to baseline. Comparing with baseline, the PSQI scores were significantly reduced after week 4 and week 8 (P =  

    Matched MeSH terms: Sleep Initiation and Maintenance Disorders/etiology; Sleep Initiation and Maintenance Disorders/psychology; Sleep Initiation and Maintenance Disorders/therapy*
  8. Chan LC, Kalyanasundram J, Leong SW, Masarudin MJ, Veerakumarasivam A, Yusoff K, et al.
    BMC Cancer, 2021 May 27;21(1):625.
    PMID: 34044804 DOI: 10.1186/s12885-021-08345-y
    BACKGROUND: Newcastle disease virus (NDV) is an oncolytic virus with excellent selectivity against cancer cells, both in vitro and in vivo. Unfortunately, prolonged in vitro NDV infection results in the development of persistent infection in the cancer cells which are then able to resist NDV-mediated oncolysis. However, the mechanism of persistency of infection remains poorly understood.

    METHODS: In this study, we established persistently NDV-infected EJ28 bladder cancer cells, designated as EJ28P. Global transcriptomic analysis was subsequently carried out by microarray analysis. Differentially expressed genes (DEGs) between EJ28 and EJ28P cells identified by the edgeR program were further analysed by Gene Set Enrichment Analysis (GSEA) and Ingenuity Pathway Analysis (IPA) analyses. In addition, the microarray data were validated by RT-qPCR.

    RESULTS: Persistently NDV-infected EJ28 bladder cancer cells were successfully established and confirmed by flow cytometry. Microarray analysis identified a total of 368 genes as differentially expressed in EJ28P cells when compared to the non-infected EJ28 cells. GSEA revealed that the Wnt/β-catenin and KRAS signalling pathways were upregulated while the TGF-β signalling pathway was downregulated. Findings from this study suggest that the upregulation of genes that are associated with cell growth, pro-survival, and anti-apoptosis may explain the survivability of EJ28P cells and the development of persistent infection of NDV.

    CONCLUSIONS: This study provides insights into the transcriptomic changes that occur and the specific signalling pathways that are potentially involved in the development and maintenance of NDV persistency of infection in bladder cancer cells. These findings warrant further investigation and is crucial towards the development of effective NDV oncolytic therapy against cancer.

    Matched MeSH terms: Maintenance
  9. Umar H, Mast FW, Cacchione T, Martarelli CS
    Cogn Process, 2021 May;22(2):227-237.
    PMID: 33404898 DOI: 10.1007/s10339-020-01010-5
    While previous research has shown that during mental imagery participants look back to areas visited during encoding it is unclear what happens when information presented during encoding is incongruent. To investigate this research question, we presented 30 participants with incongruent audio-visual associations (e.g. the image of a car paired with the sound of a cat) and later asked them to create a congruent mental representation based on the auditory cue (e.g. to create a mental representation of a cat while hearing the sound of a cat). The results revealed that participants spent more time in the areas where they previously saw the object and that incongruent audio-visual information during encoding did not appear to interfere with the generation and maintenance of mental images. This finding suggests that eye movements can be flexibly employed during mental imagery depending on the demands of the task.
    Matched MeSH terms: Maintenance
  10. Fayaz H, Afzal A, Samee ADM, Soudagar MEM, Akram N, Mujtaba MA, et al.
    PMID: 33935484 DOI: 10.1007/s11831-021-09571-0
    Covid-19 has given one positive perspective to look at our planet earth in terms of reducing the air and noise pollution thus improving the environmental conditions globally. This positive outcome of pandemic has given the indication that the future of energy belong to green energy and one of the emerging source of green energy is Lithium-ion batteries (LIBs). LIBs are the backbone of the electric vehicles but there are some major issues faced by the them like poor thermal performance, thermal runaway, fire hazards and faster rate of discharge under low and high temperature environment,. Therefore to overcome these problems most of the researchers have come up with new methods of controlling and maintaining the overall thermal performance of the LIBs. The present review paper mainly is focused on optimization of thermal and structural design parameters of the LIBs under different BTMSs. The optimized BTMS generally demonstrated in this paper are maximum temperature of battery cell, battery pack or battery module, temperature uniformity, maximum or average temperature difference, inlet temperature of coolant, flow velocity, and pressure drop. Whereas the major structural design optimization parameters highlighted in this paper are type of flow channel, number of channels, length of channel, diameter of channel, cell to cell spacing, inlet and outlet plenum angle and arrangement of channels. These optimized parameters investigated under different BTMS heads such as air, PCM (phase change material), mini-channel, heat pipe, and water cooling are reported profoundly in this review article. The data are categorized and the results of the recent studies are summarized for each method. Critical review on use of various optimization algorithms (like ant colony, genetic, particle swarm, response surface, NSGA-II, etc.) for design parameter optimization are presented and categorized for different BTMS to boost their objectives. The single objective optimization techniques helps in obtaining the optimal value of important design parameters related to the thermal performance of battery cooling systems. Finally, multi-objective optimization technique is also discussed to get an idea of how to get the trade-off between the various conflicting parameters of interest such as energy, cost, pressure drop, size, arrangement, etc. which is related to minimization and thermal efficiency/performance of the battery system related to maximization. This review will be very helpful for researchers working with an objective of improving the thermal performance and life span of the LIBs.
    Matched MeSH terms: Maintenance
  11. Masroor K, Jeoti V, Drieberg M, Cheab S, Rajbhandari S
    Sensors (Basel), 2021 Apr 22;21(9).
    PMID: 33922288 DOI: 10.3390/s21092943
    The bi-directional information transfer in optical body area networks (OBANs) is crucial at all the three tiers of communication, i.e., intra-, inter-, and beyond-BAN communication, which correspond to tier-I, tier-II, and tier-III, respectively. However, the provision of uninterrupted uplink (UL) and downlink (DL) connections at tier II (inter-BAN) are extremely critical, since these links serve as a bridge between tier-I (intra-BAN) and tier-III (beyond-BAN) communication. Any negligence at this level could be life-threatening; therefore, enabling quality-of-service (QoS) remains a fundamental design issue at tier-II. Consequently, to provide QoS, a key parameter is to ensure link reliability and communication quality by maintaining a nearly uniform signal-to-noise ratio (SNR) within the coverage area. Several studies have reported the effects of transceiver related parameters on OBAN link performance, nevertheless the implications of changing transmitter locations on the SNR uniformity and communication quality have not been addressed. In this work, we undertake a DL scenario and analyze how the placement of light-emitting diode (LED) lamps can improve the SNR uniformity, regardless of the receiver position. Subsequently, we show that using the principle of reciprocity (POR) and with transmitter-receiver positions switched, the analysis is also applicable to UL, provided that the optical channel remains linear. Moreover, we propose a generalized optimal placement scheme along with a heuristic design formula to achieve uniform SNR and illuminance for DL using a fixed number of transmitters and compare it with an existing technique. The study reveals that the proposed placement technique reduces the fluctuations in SNR by 54% and improves the illuminance uniformity up to 102% as compared to the traditional approach. Finally, we show that, for very low luminous intensity, the SNR values remain sufficient to maintain a minimum bit error rate (BER) of 10-9 with on-off keying non-return-to-zero (OOK-NRZ) modulation format.
    Matched MeSH terms: Maintenance
  12. Amir AL, Ishak MR, Yidris N, Zuhri MYM, Asyraf MRM
    Polymers (Basel), 2021 Apr 20;13(8).
    PMID: 33923921 DOI: 10.3390/polym13081341
    Nowadays, pultruded glass fiber-reinforced polymer composite (PGFRPC) structures have been used widely for cross-arms in high transmission towers. These composite structures have replaced cross-arms of conventional materials like wood due to several factors, such as better strength, superior resistance to environmental degradation, reduced weight, and comparatively cheaper maintenance. However, lately, several performance failures have been found on existing cross-arm members, caused by moisture, temperature changes in the atmosphere, and other environmental factors, which may lead to a complete failure or reduced service life. As a potential solution for this problem, enhancing PGFRPC with honeycomb-filled composite structures will become a possible alternative that can sustain a longer service life compared to that of existing cross-arms. This is due to the new composite structures' superior performance under mechanical duress in providing better stiffness, excellence in flexural characteristics, good energy absorption, and increased load-carrying capacity. Although there has been a lack of previous research done on the enhancement of existing composite cross-arms in applications for high transmission towers, several studies on the enhancement of hollow beams and tubes have been done. This paper provides a state-of-the-art review study on the mechanical efficiency of both PGFRPC structures and honeycomb-filled composite sandwich structures in experimental and analytical terms.
    Matched MeSH terms: Maintenance
  13. Tarusan SAA, Jidin A, Jamil MLM
    ISA Trans, 2021 Apr 16.
    PMID: 33931170 DOI: 10.1016/j.isatra.2021.04.005
    Direct Torque Control (DTC) scheme introduces a robust and simple control of electrical drive. However, its shortcomings such as broad torque ripple and variable switching frequency have offered several improvements like Space Vector Modulation (SVM) strategy, multilevel inverter (MLI) topology, etc. The conventional DTC which is fed by the two-level inverter has limited voltage vector, results in some difficulties to optimize the operation, especially at low operating speed. In contrast to MLI, the abundant of voltage vector has provided various amplitudes and angles that can overcome the problem of conventional DTC. Thus, this paper introduces the selected optimal voltage vector obtained from five-level Cascaded H-Bridge (CHB) inverter that employs in DTC hysteresis-based to achieve better optimization that similar to the DTC-SVM. Initially, the research work begins with an investigation on the performance comparison between a DTC hysteresis-based between two-level inverter (conventional method) and a five-level CHB inverter (proposed method). Here, a DC generator acted as a load is employed to control the operating speed instead of the speed controller (speed controller is negligible). Hence, the DTC method is optimized by minimizing the torque ripple as well as retaining the torque control capability at constant torque region on several operating speed. The selected optimal vector from the look-up table DTC of five-level CHB inverter must be dynamically appropriate to any change of torque (increased or decreased torque). For simplicity, this paper will only discuss the experimental results for both topologies of drive system. From the experimental results, it is verified that the torque ripples by the proposed method have achieved 10% and 50% reduction at high and low operating speed respectively. It is found that the DTC hysteresis-based result simpler control method than DTC-SVM while maintaining similar output performance.
    Matched MeSH terms: Maintenance
  14. Malik AS, Malik RH
    Med Teach, 2021 Apr 09.
    PMID: 33836640 DOI: 10.1080/0142159X.2021.1910642
    INTRODUCTION: COVID-19 pandemic has challenged the educators to creatively develop teaching and assessment methods that can work effectively and efficiently while maintaining the social distancing and avoiding the gatherings of the classrooms and examination halls. Online approach has emerged as an effective alternate for classroom teaching.

    AIM: To equip faculty with tools to conduct TBL session online, synchronously, effectively and efficiently.

    METHODS: We examined the published literature in the area of online teaching and combined it with our own experience of conducting TBL sessions online.

    RESULTS: We created 12 tips to assist faculty to facilitate an effective and engaging TBL session online.

    CONCLUSIONS: Applying these 12 tips while facilitating a TBL-online session will ensure the full engagement of students in the process of active learning.

    Matched MeSH terms: Maintenance
  15. Ho LL, Chan YM, Daud Z'M
    J Ren Nutr, 2021 Apr 07.
    PMID: 33838975 DOI: 10.1053/j.jrn.2021.02.003
    OBJECTIVES: Poor sleep quality is a commonly seen problem in hemodialysis patients. This study investigated the associations between dietary factors and sleep quality among hemodialysis patients.

    DESIGN AND METHODS: This is a cross-sectional study conducted among 184 eligible hemodialysis patients at four dialysis units in Malaysia. Three days dietary recall were used in the analysis of dietary intake and behavior. Sleep quality was assessed through Pittsburgh Sleep Quality Index.

    RESULTS: More than half of the patients were poor sleepers. Among the sleep components, sleep latency affected patients the most, with the use of sleep medications was relatively low. A majority of the patients had inadequate dietary intake of energy (88%) and protein (75%). Dietary protein, potassium adjusted for body weight, and sodium intake were significantly increased in poor sleepers. Lower percentage of energy from carbohydrates; higher percentage of energy from fats; higher intakes of dietary protein, fat, phosphorus, and sodium were correlated with poorer sleep quality and its components. Skipping dinner on non-dialysis days and having supper on dialysis days were associated with poor sleep quality.

    CONCLUSION: Poor sleep is prevalent among hemodialysis patients. Sleep quality of hemodialysis patients was highly associated with certain dietary factors. Periodical assessment of sleep quality and dietary intake is necessary to identify poor sleepers with inappropriate dietary intake to allow effective clinical and nutritional interventions to improve the sleep quality and nutritional status of these patients.

    Matched MeSH terms: Sleep Initiation and Maintenance Disorders
  16. Ahmed Tharbe IH, Kamaruddin MKA, Sumari M, Chong IM
    Data Brief, 2021 Apr;35:106804.
    PMID: 33604426 DOI: 10.1016/j.dib.2021.106804
    The data presented in this article examine the relationship between the subcomponents of emotional intelligence (emotional perception and expression, emotional facilitation of thinking, emotional understanding and emotional management) and the stages of change (pre-contemplation, contemplation, action and maintenance). The final data were obtained from 429 Malaysian inmates (374 male and 55 female) recruited from eight Malaysian prisons in four different zones. The two instruments used were the Self-Rated Malaysian Emotional Intelligence Scale (SRMEIS) and the University Rhodes Island Change Assessment Scale (URICA). Both instruments underwent expert validation through construct and test-retest validity. The researcher randomly distributed a total of 550 questionnaires, of which 429 were accepted and 121 were rejected due to missing data and outliers, resulting in 78% of participants providing data that could be used in the analyses. All participants were informed of the confidentiality of their data, and their participation was voluntary. SPSS and Excel files are provided as supplementary material.
    Matched MeSH terms: Maintenance
  17. Tan ML, Hamid SBS
    J Cancer Prev, 2021 Mar 30;26(1):1-17.
    PMID: 33842401 DOI: 10.15430/JCP.2021.26.1.1
    Patients with cancer are prone to several debilitating side effects including fatigue, insomnia, depression and cognitive disturbances. Beetroot (Beta vulgaris L.) as a health promoting functional food may be potentially beneficial in cancer. As a source of polyphenols, flavonoids, dietary nitrates and other useful nutrients, beetroot supplementation may provide a holistic means to prevent cancer and manage undesired effects associated with chemotherapy. The main aim of this narrative review is to discuss beetroot's nutrient composition, current studies on its potential utility in chemoprevention and cancer-related fatigue or treatment-related side effects such as cardiotoxicity. This review aims to provide the current status of knowledge and to identify the related research gaps in this area. The flavonoids and polyphenolic components present in abundance in beetroot support its significant antioxidant and anti-inflammatory capacities. Most in vitro and in vivo studies have shown promising results; however, the molecular mechanisms underlying chemopreventive and chemoprotective effects of beetroot have not been completely elucidated. Although recent clinical trials have shown that beetroot supplementation improves human performance, translational studies on beetroot and its functional benefits in managing fatigue or other symptoms in patients with cancer are still lacking.
    Matched MeSH terms: Sleep Initiation and Maintenance Disorders
  18. Cely-Gómez MA, Castillo-Figueroa D, Pérez-Torres J
    Trop Life Sci Res, 2021 Mar;32(1):47-61.
    PMID: 33936550 DOI: 10.21315/tlsr2021.32.1.3
    The surge of oil palm production in the Neotropics has become a major concern about the potential impacts on biodiversity. In the Colombian Orinoquia, which has shown a massive landscape transformation due to the growth of oil palm plantations, the effects of oil palm agriculture on bats in this region have not been studied up to date. To understand the impact of habitat conversion on bat diversity, we characterised bat assemblages in secondary forest and palm plantations in the Colombian Llanos foothills (Meta, Colombia). We captured 393 individuals (forest = 81, plantation = 312) of 18 species and 3 families. The forest cover presented three exclusive species while the plantation had five. Species diversity (q1) and evenness (J') were higher in the forest compared to the plantation. These differences derived from the increase in abundances of generalist species (Artibeus sp., Carollia spp.) in the plantation. Despite the habitat simplification caused by oil palm plantations, this monoculture provides a cover that is used by some bats, decreasing their risk of predation and allowing movement between patches of forest habitat as steppingstones. Maintaining forest cover in agricultural landscapes favours diversity by generating a "spillover effect" of the forest towards plantations, which in the case of some bats contributes to the reduction of species isolation and the maintenance of ecosystem services provided by them. It is important to improve management practices of oil palm plantations to minimise negative impacts on biodiversity, considering the expansion of this productive system and the scarcity of protected areas in this region.
    Matched MeSH terms: Maintenance
  19. Asyraf MRM, Ishak MR, Sapuan SM, Yidris N
    Polymers (Basel), 2021 Feb 19;13(4).
    PMID: 33669491 DOI: 10.3390/polym13040620
    The application of pultruded glass fiber-reinforced polymer composites (PGFRPCs) as a replacement for conventional wooden cross-arms in transmission towers is relatively new. Although numerous studies have conducted creep tests on coupon-scale PGFRPC cross-arms, none had performed creep analyses on full-scale PGFRPC cross-arms under actual working load conditions. Thus, this work proposed to study the influence of an additional bracing system on the creep responses of PGFRPC cross-arms in a 132 kV transmission tower. The creep behaviors and responses of the main members in current and braced PGFRPC cross-arm designs were compared and evaluated in a transmission tower under actual working conditions. These PGFRPC cross-arms were subjected to actual working loads mimicking the actual weight of electrical cables and insulators for a duration of 1000 h. The cross-arms were installed on a custom test rig in an open area to simulate the actual environment of tropical climate conditions. Further creep analysis was performed by using Findley and Burger models on the basis of experimental data to link instantaneous and extended (transient and viscoelastic) creep strains. The addition of braced arms to the structure reduced the total strain of a cross-arm's main member beams and improved elastic and viscous moduli. The addition of bracing arms improved the structural integrity and stiffness of the cross-arm structure. The findings of this study suggested that the use of a bracing system in cross-arm structures could prolong the structures' service life and subsequently reduce maintenance effort and cost for long-term applications in transmission towers.
    Matched MeSH terms: Maintenance
  20. Luk D, Hon KLE, Dizon MVC, Leong KF, Tay YK, Koh MJ, et al.
    Dermatol Ther (Heidelb), 2021 Feb;11(1):275-291.
    PMID: 33313998 DOI: 10.1007/s13555-020-00467-8
    INTRODUCTION: There is some evidence to suggest that the prevalence of atopic dermatitis (AD) in Asia is rising. We have therefore developed an algorithm for the topical treatment of AD throughout South and East Asia for use by primary care physicians, pediatricians and dermatologists.

    METHODS: Nine AD experts from South and East Asia and one from Europe developed the algorithm based upon treatment guidelines, relevant literature and local treatment practices. The algorithm outlines current best practice for the use of emollients, topical corticosteroids (TCS) and topical calcineurin inhibitors (TCI), with the intention of simplifying the treatment regimen of mild-to-moderate AD in South and East Asia.

    RESULTS: Patients with AD should bathe and cleanse affected skin to remove crusts and scales daily. Emollients should also be applied daily as a maintenance treatment. When selecting appropriate topical anti-inflammatory treatment for AD flares, several factors should be taken into consideration, including the patient's age, attitude to treatment options and site of AD lesions. Given the concerns regarding the risk of skin atrophy with use of TCS, a TCI should be used to treat AD lesions in sensitive skin areas: pimecrolimus is recommended for mild-to-moderate AD in these locations, while tacrolimus should be considered for moderate and severe cases. Either pimecrolimus or tacrolimus is recommended for flares in other, non-sensitive body locations. A proactive or intermittent maintenance treatment strategy involving regular emollient use and twice-weekly application of a TCI to previously affected areas is encouraged to reduce the risk of flares.

    CONCLUSIONS: The algorithm proposed here is intended to simplify the topical treatment of mild-to-moderate AD in daily practice in South and East Asian countries.

    Matched MeSH terms: Maintenance
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