Displaying publications 201 - 220 of 298 in total

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  1. Peperomia pellucida (L.) Kunth and eye diseases: A review on phytochemistry, pharmacology and toxicology
    Ho KL, Yong PH, Wang CW, Kuppusamy UR, Ngo CT, Massawe F, et al.
    J Integr Med, 2022 Feb 02.
    PMID: 35153134 DOI: 10.1016/j.joim.2022.02.002
    Peperomia pellucida (L.) Kunth is a medicinal plant used to manage inflammatory illnesses such as conjunctivitis, and gastrointestinal and respiratory tract disorders in tropical and subtropical regions. However, little is known about its pharmacological mechanism of action against eye diseases. This review aims to critically discuss the phytochemistry, pharmacology and toxicology of P. pellucida as well as its roles in the treatment of cataract, glaucoma and diabetic retinopathy. Recent developments in the uses of P. pellucida for healthcare and nutraceutical products by the pharmaceutical industry are also covered in this review. For this review, a literature search was performed with PubMed, ScienceDirect, SciFinder Scholar and Scopus databases, using relevant keywords. Among the various phytochemicals identified from P. pellucida, β-caryophyllene, carotol, dillapiole, ellagic acid, pellucidin A, phytol and vitexin exhibit strong pharmacological activities within the mitogen-activated protein kinase and nuclear factor-κB signalling pathways in inflammatory eye diseases. The antihypertensive, anti-inflammatory, antioxidant, antihyperglycemic and anti-angiogenic activities displayed by P. pellucida extracts in many in vitro, in vivo and clinical studies suggest its potential role in the management of inflammatory eye diseases. P. pellucida extract was non-toxic against normal cell lines but displayed mild toxicity in animal models. The growing public interest in P. pellucida has inspired the nutraceutical and pharmaceutical industries to process the plant into health products. Although the potential pharmacological mechanisms against eye diseases have been summarized, further studies of the interactions among constituent phytochemicals from P. pellucida within various signalling pathways shall support the use of the plant as an alternative therapeutic source.
  2. Fulltext In vitro antioxidant and in vivo hepatoprotective effect on ethanol-mediated liver damage of spray dried Vernonia amygdalina water extract
    Ho WY, Yeap S, Liang WS, Beh BK, Mohamad N, Alitheen NB
    Pak J Pharm Sci, 2015 Jan;28(1):15-22.
    PMID: 25553678
    Vernonia amygdalina is a strong natural antioxidant that possessed various medicinal properties. In this study, the spray-dried water extract of V. amygdalina was evaluated for its in vitro antioxidant capacity and in vivo hepatoprotective effect against alcoholic-mediated liver damage. Total phenolic and flavonoid content of spray-dried V. amygdalina water extract were determined. Liver enzyme profiles, liver antioxidant level and nitric oxide level were evaluated in alcohol-induced liver injured mice or co-supplement with spray-dried V. amydalina. Water extract of spray-dried V. amygalina that contained phenolic content of 24.8±1.5 mg/g gallic acid equivalent and total flavonoid content of 25.7±1.3 mg/g catechin equivalent was able to inhibit 50% of xanthine and tyrosinase oxidation at 170 μg/ml and 2 mg/mL, respectively. On the other hand, extracts at both 10 and 50 mg/kg body weight were able to reduce the levels of Alanine transaminase (ALT), Alkaline phosphatase (ALP), Aspartate transaminase (AST), triglyceride and total bilirubin content inthe alcohol-mediated liver injury in mice. Furthermore, it also helped to increase levels of Superoxide dismutase (SOD), Ferric reducing ability of plasma (FRAP) and reduce the levels of Nitric oxide (NO) and Malondialdehyde (MDA) in the liver of the treated mice. These resultssuggestedthat water extract of spray-dried V. amygdalina exhibited liver protective effect, which could be contributed by its antioxidant properties.
  3. Recent development of magnetic biochar crosslinked chitosan on heavy metal removal from wastewater - Modification, application and mechanism
    Chin JF, Heng ZW, Teoh HC, Chong WC, Pang YL
    Chemosphere, 2022 Mar;291(Pt 3):133035.
    PMID: 34848231 DOI: 10.1016/j.chemosphere.2021.133035
    Heavy metal contamination in water bodies is currently in an area of greater concern due to the adverse effects on human health. Despite the good adsorption performance of biochar, various modifications have been performed on the pristine biochar to further enhance its adsorption capability, at the same time overcome the difficulty of particles separation and mitigate the secondary pollution issues. In this review, the feasibility of chitosan-modified magnetic biochar for heavy metal removal from aqueous solution is evaluated by critically analysing existing research. The effective strategies that applied to introduce chitosan and magnetic substances into the biochar matrix are systematically reviewed. The physicochemical changes of the modified-biochar composite are expounded in terms of surface morphology, pore properties, specific surface area, surface functional groups and electromagnetism. The detailed information regarding the adsorption performances of various modified biochar towards different heavy metals and their respective underlying mechanisms are studied in-depth. The current review also analyses the kinetic and isotherm models that dominated the adsorption process and summarizes the common models that fitted well to most of the experimental adsorption data. Moreover, the operating parameters that affect the adsorption process which include solution pH, temperature, initial metal concentration, adsorbent dosage, contact time and the effect of interfering ions are explored. This review also outlines the stability of modified biochar and their regeneration rate after cycles of heavy metal removal process. Lastly, constructive suggestions on the future trends and directions are provided for better research and development of chitosan-modified magnetic biochar.
  4. Risk factors for sebaceous gland diseases and their relationship to gastrointestinal dysfunction in Han adolescents
    Zhang H, Liao W, Chao W, Chen Q, Zeng H, Wu C, et al.
    J Dermatol, 2008 Sep;35(9):555-61.
    PMID: 18837699 DOI: 10.1111/j.1346-8138.2008.00523.x
    Sebaceous gland diseases are a group of common dermatological diseases with multiple causes. To date, a systematic report of the risk factors for sebaceous gland diseases in adolescents has not been published. The aim of this study was to assess the prevalence and risk factors for certain sebaceous gland diseases (seborrhea, seborrheic dermatitis, acne, androgenetic alopecia and rosacea) and their relationship to gastrointestinal dysfunction in adolescents. From August-October, 2002-2005, a questionnaire survey was carried out to obtain epidemiological data about sebaceous gland diseases. Using random cluster sampling, 13 215 Han adolescents aged 12-20 years were recruited from four countries or districts (Macau; Guangzhou, China; Malaysia; and Indonesia). The statistical software SPSS ver. 13.0 was used to analyze the data. The prevalence of seborrhea, seborrheic dermatitis, acne, androgenetic alopecia and rosacea was 28.27%, 10.17%, 51.03%, 1.65% and 0.97%, respectively. Based on multivariate logistic regression analysis, the risk factors for sebaceous gland diseases included: age; duration of local residency; halitosis; gastric reflux; abdominal bloating; constipation; sweet food; spicy food; family history of acne; late night sleeping on a daily basis; excessive axillary, body and facial hair; excessive periareolar hair; and anxiety. There was a statistically significant difference in the prevalence of gastrointestinal symptoms (halitosis; gastric reflux; abdominal bloating; constipation) between patients with and without sebaceous gland diseases (chi(2) = 150.743; P = 0.000). Gastrointestinal dysfunction is an important risk factor for diseases of the sebaceous glands and is correlated with their occurrence and development.
  5. Paeonol Attenuates LPS-Induced Endothelial Dysfunction and Apoptosis by Inhibiting BMP4 and TLR4 Signaling Simultaneously but Independently
    Choy KW, Lau YS, Murugan D, Vanhoutte PM, Mustafa MR
    J. Pharmacol. Exp. Ther., 2018 03;364(3):420-432.
    PMID: 29259041 DOI: 10.1124/jpet.117.245217
    Inflammatory injury of the endothelium leads to apoptosis and endothelial dysfunction. The current study explored the effect and mechanisms of paeonol in inflammation-induced apoptosis and endothelial dysfunction induced by lipopolysaccharides (LPSs). The effects of paeonol on LPS-induced inflammatory injury were assessed by Western blotting, flow cytometry and reactive oxygen species (ROS) measurement in human umbilical vein endothelial cells (HUVECs) and C57BL/6J mice. Vascular reactivity of isolated mouse aortae was examined using wire myographs. The exposure of HUVECs to LPS increased the protein presence of Toll-like receptor 4 (TLR4), bone morphogenic protein 4 (BMP4), BMP receptor type 1A, nicotinamide adenine dinucleotide phosphate oxidase subunit 2, mitogen-activated protein kinase (MAPK), inducible nitric oxide synthase (iNOS), and cleaved caspase 3, as well as decreased it in phosphorylated endothelial nitric oxide synthase; these effects were prevented by treatment with paeonol. Similarly, cotreatment with paeonol reversed BMP4-induced apoptosis in HUVECs. Relaxation in response to the endothelium-dependent vasodilator acetylcholine were impaired in mouse aortae after exposure to LPSs; this endothelial dysfunction was reversed by cotreatment with paeonol, noggin (a BMP4 inhibitor), TAK242 (TLR4 antagonist), apocynin (an ROS scavenger), MAPK inhibitors, and AG (an iNOS inhibitor). BMP4 small interfering RNAs (siRNAs) abolished LPS-induced upregulation of BMP4 and cleaved caspase 3 protein, but not in cells treated with TLR4 siRNA and vice versa. The silencing of TLR4 and BMP4 abolished the inhibitory effects of paeonol on LPS-induced activation of cleaved caspase 3. The present results demonstrate that paeonol reduces LPS-induced endothelial dysfunction and apoptosis by inhibiting TLR4 and BMP4 signaling independently.
  6. Fulltext 3',4'-dihydroxyflavonol ameliorates endoplasmic reticulum stress-induced apoptosis and endothelial dysfunction in mice
    Lau YS, Mustafa MR, Choy KW, Chan SMH, Potocnik S, Herbert TP, et al.
    Sci Rep, 2018 01 29;8(1):1818.
    PMID: 29379034 DOI: 10.1038/s41598-018-19584-8
    Endoplasmic reticulum (ER) stress has been implicated in the development of hypertension 3 through the induction of endothelial impairment. As 3',4'-dihydroxyflavonol (DiOHF) 4 reduces vascular injury caused by ischaemia/reperfusion or diabetes, and flavonols have been demonstrated to attenuate ER stress, we investigated whether DiOHF can protect mice from ER stress-induced endothelial dysfunction. Male C57BLK/6 J mice were injected with tunicamycin to induce ER stress in the presence or absence of either DiOHF or tauroursodeoxycholic acid (TUDCA), an inhibitor of ER stress. Tunicamycin elevated blood pressure and impaired endothelium-dependent relaxation. Moreover, in aortae there was evidence of ER stress, oxidative stress and reduced NO production. This was coincident with increased NOX2 expression and reduced phosphorylation of endothelial nitric oxide synthase (eNOS) on Ser1176. Importantly, the effects of tunicamycin were significantly ameliorated by DiOHF or TUDCA. DiOHF also inhibited tunicamycin-induced ER stress and apoptosis in cultured human endothelial cells (HUVEC). These results provide evidence that ER stress is likely an important initiator of endothelial dysfunction through the induction of oxidative stress and a reduction in NO synthesis and that DiOHF directly protects against ER stress- induced injury. DiOHF may be useful to prevent ER and oxidative stress to preserve endothelial function, for example in hypertension.
  7. Benefits of PECS Block as Part of the Enhanced Recovery After Surgery (ERAS) Protocol for Breast Cancer Surgery in an Asian Institution: A Retrospective Cohort Study
    Diana K, Teh MS, Islam T, Lim WL, Beh ZY, Taib NAM
    World J Surg, 2023 Mar;47(3):564-572.
    PMID: 36599951 DOI: 10.1007/s00268-022-06881-7
    INTRODUCTION: Regional analgesia techniques have been increasingly used for post-operative pain management following mastectomy. We aim to evaluate analgesic benefits of pectoral nerve (PECS2) block incorporated as part of the enhanced recovery after surgery (ERAS) protocol in patients undergoing mastectomy in University Malaya Medical Centre, Malaysia.

    MATERIAL AND METHODS: A single centre, cohort study evaluating 335 women who have undergone unilateral mastectomy between January 2017 and March 2020 in Malaysia. Regional anaesthesia were given pre-operatively via ultrasound guided pectoral and intercostal nerves block (PECSII).

    RESULTS: Utilization of regional anaesthesia increased from 11% in 2017 to 43% in 2020. Types and duration of surgeries were comparable. Opiod consumption was 3 mg lower in those who had PECS2 block ((27 [24-30] mg), in comparison with those who received general anaesthesia only (30 [26-34] mg), p 

  8. Enhanced photocatalytic degradation of methyl orange by coconut shell-derived biochar composites under visible LED light irradiation
    Pang YL, Law ZX, Lim S, Chan YY, Shuit SH, Chong WC, et al.
    Environ Sci Pollut Res Int, 2021 Jun;28(21):27457-27473.
    PMID: 33507503 DOI: 10.1007/s11356-020-12251-4
    The conversion of carbon-rich biomass into valuable material is an environmental-friendly approach for its reutilization. In this study, coconut shell-derived biochar, graphitic carbon nitride (g-C3N4), g-C3N4/biochar, titanium dioxide (TiO2)/biochar, zinc oxide (ZnO)/biochar, and ferric oxide (Fe2O3)/biochar were synthesized and characterized by using scanning electron microscopy coupled with energy-dispersive X-ray spectroscopy (SEM-EDX), X-ray diffraction (XRD), Fourier-transform infrared spectroscopy (FTIR), thermogravimetric analysis (TGA), surface area analysis, UV-Vis diffuse reflectance spectroscopy (DRS), and zeta potential analysis. The g-C3N4 or metal oxide particles were found to be well-distributed on the coconut shell-derived biochar with the improvement in thermal stability and enlargement of specific surface area. A great reduction in band gap energy was observed in the composite materials after incorporating with the biochar. Among different biochar composites, g-C3N4/biochar was found to have the highest photocatalytic activity. The interactive effect of parameters such as catalyst dosage, peroxymonosulfate (PMS) oxidant dosage, and solution pH on the photocatalytic degradation of methyl orange was investigated using the response surface methodology (RSM). The highest photocatalytic degradation efficiency (96.63%) was achieved at catalyst dosage of 0.75 g/L, oxidant dosage of 0.6 mM, and solution pH 3 after 30 min.
  9. An overview of photocatalytic degradation: photocatalysts, mechanisms, and development of photocatalytic membrane
    Koe WS, Lee JW, Chong WC, Pang YL, Sim LC
    Environ Sci Pollut Res Int, 2020 Jan;27(3):2522-2565.
    PMID: 31865580 DOI: 10.1007/s11356-019-07193-5
    Photocatalysis is an ecofriendly technique that emerged as a promising alternative for the degradation of many organic pollutants. The weaknesses of the present photocatalytic system which limit their industrial applications include low-usage of visible light, fast charge recombination, and low migration ability of the photo-generated electrons and holes. Therefore, various elements such as noble metals and transition metals as well as non-metals and metalloids (i.e., graphene, carbon nanotube, and carbon quantum dots) are doped into the photocatalyst as co-catalysts to enhance the photodegradation performance. The incorporation of the co-catalyst which alters the photocatalytic mechanism was discussed in detail. The application of photocatalysts in treating persistent organic pollutants such as pesticide, pharmaceutical compounds, oil and grease and textile in real wastewater was also discussed. Besides, a few photocatalytic reactors in pilot scale had been designed for the effort of commercializing the system. In addition, hybrid photocatalytic system integrating with membrane filtration together with their membrane fabrication methods had also been reviewed. This review outlined various types of heterogeneous photocatalysts, mechanism, synthesis methods of biomass supported photocatalyst, photocatalytic degradation of organic substances in real wastewater, and photocatalytic reactor designs and their operating parameters as well as the latest development of photocatalyst incorporated membrane.
  10. Biosynthesized Fe- and Ag-doped ZnO nanoparticles using aqueous extract of Clitoria ternatea Linn for enhancement of sonocatalytic degradation of Congo red
    Chan YY, Pang YL, Lim S, Lai CW, Abdullah AZ, Chong WC
    Environ Sci Pollut Res Int, 2020 Oct;27(28):34675-34691.
    PMID: 31628641 DOI: 10.1007/s11356-019-06583-z
    Nowadays, the current synthesis techniques used in industrial production of nanoparticles have been generally regarded as nonenvironmentally friendly. Consequently, the biosynthesis approach has been proposed as an alternative to reduce the usage of hazardous chemical compounds and harsh reaction conditions in the production of nanoparticles. In this work, pure, iron (Fe)-doped and silver (Ag)-doped zinc oxide (ZnO) nanoparticles were successfully synthesized through the green route using Clitoria ternatea Linn. The optical, chemical, and physical properties of the biosynthesized ZnO nanoparticles were then analyzed by X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM), energy-dispersive X-ray spectroscopy (EDX), UV-Vis diffuse reflectance spectroscopy (DRS), zeta potential measurement, Fourier transform infrared spectroscopy (FTIR), thermogravimetric analysis (TGA), and surface analysis. The biosynthesized ZnO nanoparticles were crystallized with a hexagonal wurtzite structure and possessed smaller particle sizes than those of commercially or chemically produced samples. The existence of biomolecules to act as reducing and stabilizing agents from C. ternatea Linn aqueous extract was confirmed using FTIR analysis. The biosynthesized ZnO nanoparticles mainly comprised of negatively charged groups and responsible for moderately stable dispersion of the nanoparticles. All these properties were favorable for the sonocatalytic degradation of Congo red. Sonocatalytic activity of ZnO nanoparticles was studied through the degradation of 10 mg/L Congo red using ultrasonic irradiation at 45 kHz and 80 W. The results showed that the sonocatalytic degradation efficiency of Congo red in the presence of biosynthesized ZnO nanoparticles prepared at 50 °C for 1 h could achieve 88.76% after 1 h. The sonocatalytic degradation efficiency of Congo red in the presence of Ag-doped ZnO was accelerated to 94.42% after 10 min which might be related to the smallest band gap energy (3.02 eV) and the highest specific surface area (10.31 m2/g) as well as pore volume (0.0781 cm3/g). Lastly, the biosynthesized ZnO nanoparticles especially Ag-doped ZnO offered significant antibacterial potential against Escherichia coli which indicated its ability to inhibit the normal growth and replication of bacterial cells. These results affirmed that the biosynthesized ZnO nanoparticles could be used as an alternative to the current chemical compounds and showed a superior sonocatalytic activity toward degradation of Congo red.
  11. Does quality institutions promote environmental quality?
    Ali HS, Zeqiraj V, Lin WL, Law SH, Yusop Z, Bare UAA, et al.
    Environ Sci Pollut Res Int, 2019 04;26(11):10446-10456.
    PMID: 30891699 DOI: 10.1007/s11356-019-04670-9
  12. A walk of corporate sustainability towards sustainable development: a bibliometric analysis of literature from 2005 to 2021
    Jan AA, Lai FW, Siddique J, Zahid M, Ali SEA
    Environ Sci Pollut Res Int, 2023 Mar;30(13):36521-36532.
    PMID: 36547839 DOI: 10.1007/s11356-022-24842-4
    Recent years have seen a burgeoning interest in the involvement of corporate sustainability (CS) in sustainable development (SD), yet both concepts are fewer and newer in the academic field. This study aims to present a thorough bibliometric analysis that provides fresh new insights on the subject. Using VOSviewer software, this study analyzed and visualized 1214 documents for the period 2005-2021 in the Web of Science (WoS) database. The findings of the study indicate that the co-theme CS and SD are lasting but thriving research subjects. The findings also revealed that authors from the USA published the highest number of articles followed by the UK, Spain, Italy, and Germany. The co-authorship network showed strong links between these countries. Three main clusters are identified based on research titles frequently co-cited and have significant co-citation connections. In general, this study provides valuable insight into the current status and future trends for research on SDGs. The outcome of the study could be useful to policymakers, regulators, sustainability practitioners, and researchers in understanding the key research areas, influential authors, institutions, and countries actively involved in the field. Considering the involvement of corporate sustainability in sustainable development is a useful and informative endeavor for all community actors. To the best of the authors' knowledge, this is the first comprehensive study that presents the holistic picture of CS and SD-related research to identify the knowledge map between the two subjects.
  13. Fulltext Knowledge, attitude, and practice toward pre-diabetes among the public, patients with pre-diabetes and healthcare professionals: a systematic review
    Teoh KW, Ng CM, Chong CW, Bell JS, Cheong WL, Lee SWH
    BMJ Open Diabetes Res Care, 2023 Feb;11(1).
    PMID: 36792169 DOI: 10.1136/bmjdrc-2022-003203
    The prevalence of pre-diabetes is increasing globally, affecting an estimated 552 million people by 2030. While lifestyle interventions are the first line of defense against progression toward diabetes, information on barriers toward pre-diabetes management and how to overcome these barriers are scarce. This systematic review describes the publics' and healthcare professionals' knowledge, attitude and practice (KAP) toward pre-diabetes and determines the barriers toward pre-diabetes management. A systematic search for studies examining KAP towards pre-diabetes was conducted in six databases from inception to September 2022. Studies that quantitatively assessed at least two KAP elements using questionnaires were included. The quality of studies was assessed using the NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Barriers and enablers were identified and mapped onto the Capability, Motivation, and Behaviour model to identify factors that influence behavior change. Twenty-one articles that surveyed 8876 participants were included in this review. Most of the reviews (n=13) were directed to healthcare professionals. Overall, positive attitudes toward diabetes prevention efforts were observed, although there were still knowledge deficits and poor behavior toward pre-diabetes management. Barriers and enablers were detected at patients (eg, goals and intention), healthcare professionals (eg, clinical judgement) and system (eg, access and resources) levels. The use of different survey instruments to assess KAP prevented a head-to-head comparison between studies. Most studies conducted among patients were from middle-income countries, while among healthcare professionals (HCPs) were from high-income countries, which may produce some biasness. Nevertheless, the development of pre-diabetes intervention should focus on: (1) increasing knowledge on pre-diabetes and its management; (2) imparting practical skills to manage pre-diabetes; (3) providing resources for lifestyle management; (4) improving the accessibility of lifestyle management programs; and (5) other HCPs and human support to pre-diabetes management.
  14. Fulltext Sexual functioning and marital satisfaction among endometriosis patients in Malaysia: a cross-sectional study
    Rao SR, Sy-Cherng LW, Hafizz AMHA, Mamat Yusof MN, Shafiee MN
    Front Psychol, 2023;14:1224995.
    PMID: 37546442 DOI: 10.3389/fpsyg.2023.1224995
    Endometriosis affects the sexual functioning and marital satisfaction of couples in a complex manner due to its clinical presentation of the disease. This study aimed to evaluate the prevalence of sexual dysfunction and marital disharmony among women with endometriosis beyond their diagnosis and treatment. A cross-sectional online survey was conducted among women with endometriosis in an endometriosis society at a Malaysian university hospital. Sociodemographic and clinical data were collected. Sexual function was measured using the Malay Version Female Sexual Function Index (MVFSFI), while marital satisfaction was evaluated with the Malay Version Golombok Rust Inventory for Marital Satisfaction (MVGRIMS). A total of 166 patients participated in this survey. The median age was 35 years (Interquartile range, IQR:32.00-39.25 years); 91.6% of participants were Malay. The median score of MVFSFI was 56.00 (IQR: 34.75-68.00). Most of the study subjects (n = 96) reported poor to very severe marital satisfaction problems, equivalent to MVGRIMS transformed score of more than 5. High levels of MVGRIMS scores have a moderately strong negative correlation with lower scores for most domains of the MVFSFI. In the stepwise multiple logistic regression, only MVFSFI total scores (p = 0.029), MVFSFI lubrication scores (p = 0.009), and MVFSFI satisfaction (p = 0.010) scores were significantly associated with poor marital satisfaction. Both sexual dysfunction and marital satisfactions commonly affect women with endometriosis and are closely interlinked. Targeted efforts should be made in multiple aspects to improve the quality of sexual functioning and marital satisfaction among endometriosis patients.
  15. Knee measurements among children with normal alignment, physiologic and pathologic bowing aged 0-3 years old: a systematic review
    Jamil K, Chew WY, Bohari NE, George S, Isahak NH, Boopalachandran B, et al.
    J Pediatr Orthop B, 2022 Mar 01;31(2):105-113.
    PMID: 34406160 DOI: 10.1097/BPB.0000000000000908
    Distinguishing physiologic and pathologic genu varus is challenging among children below age 3. They can be assessed by measuring intercondylar distance (ICD), clinical tibiofemoral angle (cTFA) or radiologic TFA (rTFA). We aim to determine the knee measurement values among three groups of children. Medline (1946-) and EMBase (1947-) were searched until 31 July 2020 using a search strategy. Studies with original data which reported knee measurements among children with normal alignment, physiologic and pathologic bowing between the ages of 0-3 years were included. In total 1897 studies were identified, and 16 studies included after title and abstract screening. These studies involved 1335 patients with normal alignment, 286 with physiologic and 184 with pathologic bowing. Five studies provided data on ICD, seven on cTFA and eight on rTFA which were pooled for meta-analyses. Normal children had neither measurable ICD nor demonstrable varus on cTFA after 19 months old. The mean (95% confidence interval) ICD for children with pathologic genu varus at 18 months was 4.41 (4.19-4.63). The rTFA for children with pathologic compared to the physiologic bowing by age groups was; 11-20 months: 24.74°(23.22°-26.26°) vs. 19.44°(17.05°-21.84°), 21-30 months: 20.35°(18.13°-22.56°) vs. 14.72°(12.32°-17.12°) and 12-36 months: 32.60°(26.40°-38.80°) vs. 19.14°(17.78°-20.50°). Children above the age of 18 months with genu varus should be closely monitored clinically using ICD or cTFA. An ICD of more than 4 cm may warrant further investigation for pathologic cause. rTFA has limited use in the detection of pathologic varus.
  16. Fulltext A systemic review and recommendation for an autopsy approach to death followed the COVID 19 vaccination
    Tan LJ, Koh CP, Lai SK, Poh WC, Othman MS, Hussin H
    Forensic Sci Int, 2022 Nov;340:111469.
    PMID: 36162300 DOI: 10.1016/j.forsciint.2022.111469
    The outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) started in December 2019. An immediate prevention approach for the outbreak is the development of a vaccination program. Despite a growing number of publications showing the effectiveness of vaccination in preventing SARS-CoV-2 outbreak and reducing the mortality rate, substantial fatal adverse effects were reported after vaccination. Confirmation of the causal relationship of death is required to reimburse under the national vaccination program and could provide a reference for the selection of vaccination. However, a lack of guidelines in the laboratory study and autopsy approach hampered the investigation of post-vaccination death. In this paper, we performed a systematic electronic search on scientific articles related to severe Covid-19 vaccination adverse effects and approaches in identifying the severe side effects using PubMed and Cochrane libraries. A summary on the onset, biochemistry changes and histopathological analyzes of major lethally side effects post-vaccination were discussed. Ultimately, a checklist is suggested to improve the quality of investigation.
  17. Fulltext OSC47: Efficacy of Four Different Types of Bleaching Agents on Stained Natural Teeth using Spectrophotometer
    Kohli S, Yin ASY, Nam WL, Hamdan HD, Roslan QA
    J Indian Prosthodont Soc, 2018 Oct;18(Suppl 1):S28.
    PMID: 30532438 DOI: 10.4103/0972-4052.244640
  18. Fulltext Recent Advances in Molecular Diagnosis of Pseudomonasaeruginosa Infection by State-of-the-Art Genotyping Techniques
    Chen JW, Lau YY, Krishnan T, Chan KG, Chang CY
    Front Microbiol, 2018;9:1104.
    PMID: 29892277 DOI: 10.3389/fmicb.2018.01104
    Pseudomonas aeruginosa is a rod-shaped Gram-negative bacterium which is notably known as a pathogen in humans, animals, and plants. Infections caused by P. aeruginosa especially in hospitalized patients are often life-threatening and rapidly increasing worldwide throughout the years. Recently, multidrug-resistant P. aeruginosa has taken a toll on humans' health due to the inefficiency of antimicrobial agents. Therefore, the rapid and advanced diagnostic techniques to accurately detect this bacterium particularly in clinical samples are indeed necessary to ensure timely and effective treatments and to prevent outbreaks. This review aims to discuss most recent of state-of-the-art molecular diagnostic techniques enabling fast and accurate detection and identification of P. aeruginosa based on well-developed genotyping techniques, e.g., polymerase chain reaction, pulse-field gel electrophoresis, and next generation sequencing. The advantages and limitations of each of the methods are also reviewed.
  19. Fulltext Quorum sensing activity of Enterobacter asburiae isolated from lettuce leaves
    Lau YY, Sulaiman J, Chen JW, Yin WF, Chan KG
    Sensors (Basel), 2013 Oct 22;13(10):14189-99.
    PMID: 24152877 DOI: 10.3390/s131014189
    Bacterial communication or quorum sensing (QS) is achieved via sensing of QS signaling molecules consisting of oligopeptides in Gram-positive bacteria and N-acyl homoserine lactones (AHL) in most Gram-negative bacteria. In this study, Enterobacteriaceae isolates from Batavia lettuce were screened for AHL production. Enterobacter asburiae, identified by matrix-assisted laser desorption ionization time of flight mass spectrometry (MALDI-TOF-MS) was found to produce short chain AHLs. High resolution triple quadrupole liquid chromatography mass spectrometry (LC/MS) analysis of the E. asburiae spent supernatant confirmed the production of N-butanoyl homoserine lactone (C4-HSL) and N-hexanoyl homoserine lactone (C6-HSL). To the best of our knowledge, this is the first report of AHL production by E. asburiae.
  20. Fulltext Do domestic innovations promote trade openness? Empirical evidence from emerging economies
    Khan MN, Jan AA, Asif M, Lai FW, Shad MK, Shadab S
    Heliyon, 2023 Dec;9(12):e22848.
    PMID: 38076083 DOI: 10.1016/j.heliyon.2023.e22848
    PURPOSE: Innovation activities have gained much importance due to their pivotal role in achieving economic growth - directly by increasing productivity and - indirectly by increasing the degree of trade openness. This study aims to focus on the indirect channel, a rarely explored area of research, especially in the context of emerging economies.

    METHODOLOGY: To achieve the aim of the study, four proxies of innovation (resident patent applications, nonresident patent applications, scientific and technical journal articles, and research and development expenditures) are used to establish a robust relationship between innovation activities and trade openness in BRICS economies. Panel data from 2000 to 2020 is obtained from World Development Indicators and Penn World Tables. Econometric techniques of panel data such as fixed effect and generalized least squares are employed to extract results from the specified models.

    FINDINGS: The findings of the study revealed that three proxies of innovation (i.e., resident patent applications, nonresident patent applications, scientific and technical journal articles) have a significant positive role in improving trade openness in the BRICS economies. However, the fourth proxy of innovation i.e., research and development expenditures had a negative impact on the degree of trade openness. Besides, innovation activities such as inflation rate and foreign direct investment have also influenced the degree of trade openness positively and significantly. Conversely, GDP per capita had a negative relationship with trade openness. Moreover, domestic investments showed a positive influence on the degree of trade openness while employment had a negative and insignificant influence on the degree of trade openness. Finally, the causality analysis revealed a one-way relationship running from innovations to trade openness.

    IMPLICATIONS: In view of the results obtained, the policymakers of the BRICS economies might focus on encouraging innovation activities to enhance the degree of trade openness. Increased trade openness will consequently contribute to economic growth enormously and thus the attainment of sustainable development goals (SDG-8). Policymakers are also suggested to encourage FDI inflows and further ensure a moderate inflation rate to improve the degree of trade openness and hence accelerate economic growth.

    ORIGINALITY: This study focused on examining the nexus between innovation activities and trade openness in emerging economies, which is indeed an interesting but rarely explored area of research. The findings of the study might help the policymakers of the BRICS economies in formulating policies regarding trade openness and innovation activities.

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