Displaying publications 2301 - 2320 of 7301 in total

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  1. Mohd Nor NS, Anuar Zaini A, Jalaludin MY
    J Child Health Care, 2024 Dec;28(4):804-814.
    PMID: 37029637 DOI: 10.1177/13674935231168911
    The study aimed to evaluate diabetes self-care among diabetic children and adolescents and compare with glycaemic control. Summary of Diabetes Self-Care Activities (SDSCA) questionnaire was distributed to patients aged 10-18 years with types 1 and 2 diabetes mellitus (DM) at paediatric diabetes clinics in Malaysia. Haemoglobin A1c levels were measured after questionnaire completion. A total of 106 patients completed the questionnaire with a mean age of 13.91 (± SD 2.48) years. Mean haemoglobin A1c and SDSCA score were 9.78 (± SD 2.43)% and 19.09 (± SD 5.81), respectively. Type 1 DM patients had significantly higher haemoglobin A1c (10.11 95% CI [9.62, 10.59] vs 8.38 95% CI [7.13, 9.62]). Total score was higher in type 1 DM although not statistically significant (19.32 95% CI [18.21, 20.43] vs 18.08 95% CI [14.28, 21.87]). Blood glucose testing score was significantly higher in type 1 DM (5.24 95% CI [4.82, 5.66] vs 3.50 95% CI [2.23, 4.77]). There was statistically significant negative correlation between score in diet subcategory and haemoglobin A1c. In conclusion, self-care activities among diabetic children and adolescents are still suboptimal. Self-care activities on blood glucose testing are significantly better in type 1 DM. Diet section correlated well with glycaemic control necessitating further research.
  2. Anwer Z, Khan A, Naeem MA, Tiwari AK
    Ann Oper Res, 2022 Aug 09.
    PMID: 35967840 DOI: 10.1007/s10479-022-04879-x
    COVID-19 led restrictions make it imperative to study how pandemic affects the systemic risk profile of global commodities network. Therefore, we investigate the systemic risk profile of global commodities network as represented by energy and nonenergy commodity markets (precious metals, industrial metals, and agriculture) in pre- and post-crisis period. We use neural network quantile regression approach of Keilbar and Wang (Empir Econ 62:1-26, 2021) using daily data for the period 01 January 2018-27 October 2021. The findings suggest that at the onset of COVID-19, the two firm-specific risk measures namely value at risk and conditional value of risk explode pointing to increasing systemic risk in COVID-19 period. The risk spillover network analysis reveals moderate to high lower tail connectedness of commodities within each sector and low tail connectedness of energy commodities with the other sectors for both pre- and post-COVID-19 periods. The Systemic Network Risk Index reveals an abrupt increase in systemic risk at the start of pandemic, followed by gradual stabilization. We rank commodities in terms of systemic fragility index and observe that in post COVID-19 period, gold, silver, copper, and zinc are the most fragile commodities while wheat and sugar are the least fragile commodities. We use Systemic Hazard Index to rank commodities with respect to their risk contribution to global commodities network. During post COVID-19 period, the energy commodities (except natural gas) contribute most to the systemic risk. Our study has important implications for policymakers and the investment industry.
  3. Samsuddin MJ, Yaacob SS, Razi AABM
    J Surg Case Rep, 2024 Feb;2024(2):rjae025.
    PMID: 38344137 DOI: 10.1093/jscr/rjae025
    Syndrome of inappropriate anti-diuretic hormone (SIADH) can be presented as a paraneoplastic syndrome in primary malignancies involving the lung and brain. However, the development of SIADH in primary thymic carcinoma is poorly documented. We report a case of an elderly, with an initial presentation of symptomatic persistent hyponatremia as a paraneoplastic syndrome of SIADH with an incidental finding of anterior mediastinal mass confirmed on imaging. Further investigations are consistent with the diagnosis of poorly differentiated locally advanced thymic carcinoma with lung infiltration (T3N1Mx). The patient underwent an En-bloc total thymectomy and subsequently completed adjuvant chemotherapy and further follow-up showed a complete resolution of hyponatraemic SIADH. In conclusion, SIADH may be presented as a paraneoplastic syndrome in primary thymic carcinoma and early detection of thymic malignancy is paramount to ensure early diagnosis and prognostication.
  4. Hatta FF, Mohammad Haniff MAS, Ambri Mohamed M
    ACS Omega, 2024 Feb 06;9(5):5608-5615.
    PMID: 38343971 DOI: 10.1021/acsomega.3c07952
    Triboelectric nanogenerators (TENGs) have been developed as promising energy-harvesting devices to effectively convert mechanical energy into electricity. TENGs use either organic or inorganic materials to initiate the triboelectrification process, followed by charge separation. In this study, a high-performance composite-based triboelectric nanogenerator (CTENG) device was fabricated, comprising polydimethylsiloxane (PDMS) as a polymeric matrix, barium titanite (BTO) nanopowders as dielectric fillers, and graphene quantum dots (GQDs) as conductive media. The PDMS/BTO/GQD composite film was prepared with GQDs doped into the mixture of PDMS/BTO and mechanically stirred. The composition of the GQD varied from 0 to 40 wt %. The composite was spin-coated onto flexible ITO on a PET sheet and dried in an oven at 80 °C for 24 h. The output performance of TENGs is enhanced by the increased concentration of 30 wt % GQD, which is 2 times higher than nanocomposite films without GQD. The PDMS/BTO/G30 TENG film depicted an increase in open-circuit voltage output (VOC), short-circuit current output (ISC), and power density reaching ∼310.0 V, ∼23.0 μA, and 1.6 W/m2, respectively. The simple and scalable process for the PDMS/BTO/GQD TENGs would benefit as a sustainable energy-harvesting system in small electronic devices.
  5. Gan YK, Birapadian SM, Abdul Jalal MI, Din NM
    Int J Ophthalmol, 2024;17(2):265-271.
    PMID: 38371250 DOI: 10.18240/ijo.2024.02.06
    AIM: To report the outcome of Baerveldt glaucoma implant (BGI) with Supramid© ripcord use in neovascular glaucoma (NVG).

    METHODS: We retrospectively evaluated the surgical outcome of the BGI with Supramid© 3/0 ripcord stent in patients with NVG. No tube ligation or venting slits were performed. Supramid was removed after 3mo if the target intraocular pressure (IOP) was not achieved. Surgical success was defined as IOP≤21 mm Hg with (qualified success) or without IOP-lowering medications (complete success).

    RESULTS: Twenty-six eyes from 24 patients were included in the study. The median duration of follow-up was 4 [interquartile range (IQR)=1-5]y, ranging from 0.5 to 5y. IOP decreased by a mean of 24.2 mm Hg (59.7%); from a mean of 40.5±12.6 mm Hg at baseline to 16.3±11.9 mm Hg, P≤0.001. The number of glaucoma medications reduced from a median of 5 (IQR=5-6) to 1 (IQR=0-2, P≤0.001) at the final follow-up. Overall success rates were 88.0% at 1y, 34.8% at 3y, 66.7% at 4y, and 50% at 5y. Hypertensive phase (HP) in the first 3mo occurred in 15/26 eyes (57.7%) with a mean IOP of 31.1 mm Hg.

    CONCLUSION: BGI with Supramid© ripcord stent gives close to 90% of the overall survival rate at the final follow-up without significant early hypotony. However, early HP is still a challenge.

  6. Ramli Z, Farizan A, Tamchek N, Haron Z, Abdul Karim MK
    Cureus, 2024 Jan;16(1):e52132.
    PMID: 38347995 DOI: 10.7759/cureus.52132
    The diffusion-weighted imaging (DWI) technique is known for its capability to differentiate the diffusion of water molecules between cancerous and non-cancerous cervix tissues, which enhances the accuracy of detection. Despite the potential of DWI-MRI, its accuracy is limited by technical factors influencing in vivo data acquisition, thus impacting the quantification of radiomics features. This study aimed to measure the radiomics stability of manual and semi-automated segmentation on contrast limited adaptive histogram equalization (CLAHE)-enhanced DWI-MRI cervical images. Eighty diffusion-weighted MRI images were obtained from patients diagnosed with cervical cancer, and an active contour model was used to analyze the data. Radiomics analysis was conducted to extract the first statistical order, shape, and textural features with intraclass correlation coefficient (ICC) measurement. The results of the CLAHE segmentation approach showed a marked improvement when compared to the manual and semi-automated segmentation methods, with an ICC value of 0.990 ± 0.005 (p<0.05), compared to 0.864 ± 0.033 (p<0.05) and 0.554 ± 0.185 (p>0.05), respectively. The CLAHE segmentation displayed a higher level of robustness than the manual groups in terms of the features present in both categories. Thus, CLAHE segmentation is owing to its potential to generate radiomics features that are more durable and consistent.
  7. Yusof MS, Ibrahim H, Bressmann T, Hasbi AM
    Clin Linguist Phon, 2025 Jan;39(1):79-97.
    PMID: 38637977 DOI: 10.1080/02699206.2024.2341304
    This study explores the perceptions of facilitators, barriers to communication and strategies in Malaysian school-aged children with non-syndromic cleft lip and palate (CL/P), parents, and teachers. Fourteen children with non-syndromic CL/P aged 7 to 12 years, their parents (n = 16), and their teachers (n = 10) were recruited via purposive sampling. Participants were selected based on resilience scores (RS-10; (Wagnild, 2015) distinguishing low (<34) from high resilience (35-40) (Wagnild, 2015). Individual in-depth interviews were conducted online and evaluated qualitatively. The analyses were conducted utilising the guidelines by Braun and Clarke (2006). Inductive thematic analysis was performed. Facilitators for communication identified by children, parents and teachers were the child's personal attributes, common interests, and helping others. Barriers that were identified were unfamiliar conversation partners, and insensitive comments or questions. Children used passive (e.g. ignored) and active (e.g. retorted, explained the condition) strategies to address social communication issues. Children with high resilience responded more actively than children with low resilience. Strategies that were described by the parents included accepting the child, empowering themselves, following the cleft management plan, and empowering the child. Teachers adopted general approaches such as giving encouragement, increasing confidence, and teaching empathy. The presence of face masks was perceived as both a facilitator and a barrier to communication. The study provides information on challenges encountered and coping mechanisms used by children with non-syndromic CL/P, their parents and their teachers. This knowledge may help the development of targeted interventions to support the communication of children with non-syndromic CL/P in school.
  8. Mohyedin MZ, Zin HM, Abubakar A, Rahman ATA
    Phys Eng Sci Med, 2024 Apr 18.
    PMID: 38634981 DOI: 10.1007/s13246-024-01418-9
    Modern radiotherapy techniques have advanced and become more sophisticated. End-to-end 3D verification of the complex radiotherapy dose distribution in an anthropomorphic phantom can ensure the accuracy of the treatment delivery. The phantoms commonly used for dosimetry are homogeneous solid water phantom which lacks the capability to measure the 3D dose distribution for heterogeneous tissues necessary for advanced radiotherapy techniques. Therefore, we developed an end-to-end 3D radiotherapy dose verification system based on MAX-HD anthropomorphic phantom (Integrated Medical Technologies Inc., Troy, New York) with bespoke intracranial insert for PRESAGE® dosimeter. In this study, several advanced radiotherapy treatment techniques of various levels of complexity; 3D-CRT, IMRT and VMAT treatment, were planned for a 20 mm diameter of a spherical target in the brain region and delivered to the phantom. The dosimeters were read out using an in-house developed optical computed tomography (OCT) imaging system known as 3DmicroHD-OCT. It was found that the measured dose distribution of the PRESAGE® when compared with the measured dose distribution of EBT film and Monaco TPS has a maximum difference of less than 3% for 3D-CRT, IMRT and VMAT treatment plans. The gamma analysis results of PRESAGE® in comparison to EBT film and Monaco TPS show pass rates of more than 95% for the criteria of 3% dose difference and 3 mm distance-to-agreement. This study proves the capability of PRESAGE® and bespoke MAX-HD phantom in conjunction with the 3DmicroHD-OCT system to measure 3D dose distribution for end-to-end dosimetry verification.
  9. Hatta FF, Mohammad Haniff MAS, Ambri Mohamed M
    ACS Omega, 2024 Apr 09;9(14):16876.
    PMID: 38617648 DOI: 10.1021/acsomega.4c01247
    [This corrects the article DOI: 10.1021/acsomega.3c07952.].
  10. Daniyal M, Qureshi M, Marzo RR, Aljuaid M, Shahid D
    BMC Health Serv Res, 2024 May 09;24(1):587.
    PMID: 38725039 DOI: 10.1186/s12913-024-10928-x
    BACKGROUND OF STUDY: Over the past few decades, the utilization of Artificial Intelligence (AI) has surged in popularity, and its application in the medical field is witnessing a global increase. Nevertheless, the implementation of AI-based healthcare solutions has been slow in developing nations like Pakistan. This unique study aims to assess the opinion of clinical specialists on the future replacement of AI, its associated benefits, and its drawbacks in form southern region of Pakistan.

    MATERIAL AND METHODS: A cross-sectional selective study was conducted from 140 clinical specialists (Surgery = 24, Pathology = 31, Radiology = 35, Gynecology = 35, Pediatric = 17) from the neglected southern Punjab region of Pakistan. The study was analyzed using χ2 - the test of association and the nexus between different factors was examined by multinomial logistic regression.

    RESULTS: Out of 140 respondents, 34 (24.3%) believed hospitals were ready for AI, while 81 (57.9%) disagreed. Additionally, 42(30.0%) were concerned about privacy violations, and 70(50%) feared AI could lead to unemployment. Specialists with less than 6 years of experience are more likely to embrace AI (p = 0.0327, OR = 3.184, 95% C.I; 0.262, 3.556) and those who firmly believe that AI knowledge will not replace their future tasks exhibit a lower likelihood of accepting AI (p = 0.015, OR = 0.235, 95% C.I: (0.073, 0.758). Clinical specialists who perceive AI as a technology that encompasses both drawbacks and benefits demonstrated a higher likelihood of accepting its adoption (p = 0.084, OR = 2.969, 95% C.I; 0.865, 5.187).

    CONCLUSION: Clinical specialists have embraced AI as the future of the medical field while acknowledging concerns about privacy and unemployment.

  11. Zaini MSI, Hasan M, Almuaythir S, Hyodo M
    Sci Rep, 2024 May 14;14(1):10995.
    PMID: 38745097 DOI: 10.1038/s41598-024-61854-1
    This investigation examines the effect of clamshell ash (CSA) and lime additives on the physico-mechanical characteristics of kaolinite clay soil stabilized at the optimum silica fume content. Laboratory tests were performed to assess plasticity, shrink-swell characteristics, compaction characteristics, unconfined compressive strength (UCS), shear strength characteristics, mineralogical and morphological microstructure characteristics of stabilized soil specimens. The kaolinite clay soil was stabilized at its optimum silica fume content (6%) to produce the highest strength and was altered with three non-identical proportions of clamshell ash and lime (3%-9%). Cylindrical soil specimens, 76 mm in height and 38 mm in diameter, were moulded and treated for curing periods of 1, 7, 14, and 30 days to examine the strength of the altered soil. The findings revealed that, adding clamshell ash and lime significantly alters the plasticity, shrink-swell, maximum dry unit weights, and optimum moisture contents of the silica fume-stabilized soil. In terms of strength, the beneficial effects of CSA and lime additives were found to be more significant with more extended curing periods. Incremental increases in curing periods resulted in further enhancements in UCS, cohesion, and internal friction angle, indicating continued strength development over time. Microstructural analysis using field emission scanning electron microscopy and X-ray diffraction provided insights into the interparticle bonding mechanisms and microstructural changes induced by the addition of CSA and lime. The emergence of cementitious phases and pozzolanic responses between soil particles and stabilizers contributed to the densification and strengthening of the stabilized soil matrix. The findings of this study provide valuable insights into the potential of clamshell ash and lime additives to enhance the engineering properties of kaolinite clay soil stabilized with silica fume. These results have implications for sustainable soil stabilization practices, offering a promising approach to improve the performance of soils for various engineering applications, including construction and geotechnical projects.
  12. Karim N, Hod R, Wahab MIA, Ahmad N
    BMJ Open, 2024 May 07;14(5):e079826.
    PMID: 38719294 DOI: 10.1136/bmjopen-2023-079826
    OBJECTIVES: Climate change is a major global issue with significant consequences, including effects on air quality and human well-being. This review investigated the projection of non-communicable diseases (NCDs) attributable to air pollution under different climate change scenarios.

    DESIGN: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 flow checklist. A population-exposure-outcome framework was established. Population referred to the general global population of all ages, the exposure of interest was air pollution and its projection, and the outcome was the occurrence of NCDs attributable to air pollution and burden of disease (BoD) based on the health indices of mortality, morbidity, disability-adjusted life years, years of life lost and years lived with disability.

    DATA SOURCES: The Web of Science, Ovid MEDLINE and EBSCOhost databases were searched for articles published from 2005 to 2023.

    ELIGIBILITY CRITERIA FOR SELECTING STUDIES: The eligible articles were evaluated using the modified scale of a checklist for assessing the quality of ecological studies.

    DATA EXTRACTION AND SYNTHESIS: Two reviewers searched, screened and selected the included studies independently using standardised methods. The risk of bias was assessed using the modified scale of a checklist for ecological studies. The results were summarised based on the projection of the BoD of NCDs attributable to air pollution.

    RESULTS: This review included 11 studies from various countries. Most studies specifically investigated various air pollutants, specifically particulate matter <2.5 µm (PM2.5), nitrogen oxides and ozone. The studies used coupled-air quality and climate modelling approaches, and mainly projected health effects using the concentration-response function model. The NCDs attributable to air pollution included cardiovascular disease (CVD), respiratory disease, stroke, ischaemic heart disease, coronary heart disease and lower respiratory infections. Notably, the BoD of NCDs attributable to air pollution was projected to decrease in a scenario that promotes reduced air pollution, carbon emissions and land use and sustainable socioeconomics. Contrastingly, the BoD of NCDs was projected to increase in a scenario involving increasing population numbers, social deprivation and an ageing population.

    CONCLUSION: The included studies widely reported increased premature mortality, CVD and respiratory disease attributable to PM2.5. Future NCD projection studies should consider emission and population changes in projecting the BoD of NCDs attributable to air pollution in the climate change era.

    PROSPERO REGISTRATION NUMBER: CRD42023435288.

  13. Hunjra AI, Azam M, Verhoeven P, Taskin D, Dai J
    J Environ Manage, 2024 May 06;359:120927.
    PMID: 38714030 DOI: 10.1016/j.jenvman.2024.120927
    This research investigates the impact of geopolitical risk, institutional governance and green finance on environmental outcomes, specifically focusing on carbon emissions and ecological footprint. Utilizing the dynamic CS-ARDL method and aggregated mean group analysis on a panel dataset covering 21 nations from 2000 to 2021, our findings reveal that heightened geopolitical risk leads to both short and long run increases in carbon emissions and the ecological footprint. Our study finds both a direct as well as indirect connection between governance, green finance and environmental outcomes in both the short and long run, highlighting the nuanced impact of governance on the formulation of environmental policies and regulatory frameworks. The results emphasize the need for targeted strategies, including focused investments and incentives for sustainable finance, particularly in conflict-affected regions. Furthermore, our research underscores the enduring impact of historical events, such as wars, on contemporary environmental indicators, emphasizing the importance of proactive conflict prevention measures. Our research suggests that policymakers should adopt comprehensive strategies that prioritize emission reduction during short-run spikes in geopolitical risk while maintaining a steadfast commitment to long-run sustainability.
  14. Anas MA, Aprianto MA, Akit H, Muhlisin, Kurniawati A, Hanim C
    Poult Sci, 2024 Apr 27;103(7):103777.
    PMID: 38713986 DOI: 10.1016/j.psj.2024.103777
    This study aimed to determine the influence of black soldier fly larvae oil calcium salt (BSFLO-SCa) supplementation on performance, jejunal histomorphology and gene expression of tight junctions and inflammatory cytokines in laying hens. A total of 60 ISA Brown laying hens (40 wk of age) were divided into 3 treatment groups, including a control group fed a basal diet (T0) and basal diets supplemented with 1% (T1) and 2% (T2) of BSFLO-SCa. Each treatment group consisted of 5 replicates with 4 laying hens each. Results showed that 1% and 2% BSFLO-SCa supplementation significantly reduced (P < 0.05) feed conversion ratio (FCR), while egg weight (EW) increased (P < 0.05). The inclusion with 2% increased (P < 0.05) both egg production (HDA) and mass (EM). The addition of 1% and 2% BSFLO-SCa significantly increased (P < 0.05) villus height (VH) and villus width (VW), while crypt depth (CD) significantly increased (P < 0.05) with 2% BSFLO-SCa. The tight junction and gene expression of claudin-1 (CLDN-1), junctional adhesion molecules-2 (JAM-2), and occludin (OCLN) were significantly upregulated (P < 0.05) with 2% BSFLO-SCa. The pro-inflammatory cytokines and gene expression of interleukin-6 (IL-6) was significantly downregulated (P < 0.05) with the addition of BSFLO-SCa, while gene expression of interleukin-18 (IL-18), toll-like receptor 4 (TLR-4), and tumor necrosis factor-α (TNF-α) were downregulated with 2% BSFLO-SCa. On the other hand, the anti-inflammatory cytokines and gene expression of interleukin-13 (IL-13) and interleukin-10 (IL-10) were significantly upregulated (P < 0.05) at 2% BSFLO-SCa. In conclusion, dietary supplementation with 2% BSFLO-SCa improved productivity, intestinal morphology and integrity by upregulating tight junction-related protein of gene expression of laying hens. In addition, supplementation with BSFLO-SCa enhanced intestinal immune responses by upregulating anti-inflammatory and downregulating pro-inflammatory cytokine gene expression.
  15. Bhatti SM, Zia Ul Haq M, Kanwal S, Makhbul ZKM
    Data Brief, 2024 Jun;54:110419.
    PMID: 38690320 DOI: 10.1016/j.dib.2024.110419
    This dataset integrates and helps examine the impact of green intellectual capital (GIC) which comprises of green human capital (GHC), green structural capital (GSC), and green relational capital (GRC) on green organizational culture (GOC). Secondly, it enables the investigation of GOC as a mediation phenomenon between GIC and sustainable business model innovation (SBMI). Moreover, it highlights the moderation of frugal innovation (FGL) on GOC and SBMI relationship. An online survey was designed using Google forms to collect data from 345 middle/ senior management employees working in medium and large manufacturing firms in Pakistan. Unit of analysis is the organization; thus, each response represents one firm. SPSS and Smart PLS 4 were used for data analysis. Dataset demonstrates that GHC, GSC, and GRC positively impact GOC, which subsequently enhances SBMI. Moreover, effective implementation of FGL can bolster the effect of GOC on SBMI. The dataset is valuable as it can be reproduced and reanalyzed. It offers insights for professionals to revolutionize their innovation for environmental initiatives particularly in the manufacturing sector and train their staff to use modern eco-friendly ingenuities leading to enhanced business performance as well as sustainable development goals. Furthermore, the dataset holds significance for policymakers involved in implementing green economic revitalization programs, enabling them to offer incentives or penalties to encourage compliance.
  16. Azka MA, Adam A, Ridzuan SM, Sapuan SM, Habib A
    Int J Biol Macromol, 2024 May 02.
    PMID: 38704068 DOI: 10.1016/j.ijbiomac.2024.132052
    Researchers are now focusing on using the circular economy model to manufacture nanocellulose composites due to growing environmental issues related to waste management. The circular economy model offers a sustainable solution to the problem by optimizing resource efficiency and waste management by reducing waste, maintaining value over time, minimizing the use of primary resources, and creating closed loops for goods, components, and materials. With the use of the circular economy model, waste, such as industrial, agricultural, and textile waste, is used again to produce new products, which can solve waste management issues and improve resource efficiency. In order to encourage the use of circular economy ideas with a specific focus on nanocellulose composites, this review examines the concept of using circular economy, and explores ways to make nanocellulose composites from different types of waste, such as industrial, agricultural, and textile waste. Furthermore, this review investigates the application of nanocellulose composites across multiple industries. In addition, this review provides researchers useful insights of how circular economics can be applied to the development of nanocellulose composites, which have the goal of creating a flexible and environmentally friendly material that can address waste management issues and optimize resource efficiency.
  17. Asghar R, Javed MF, Ali M, Najeh T, Gamil Y
    Sci Rep, 2024 May 02;14(1):10135.
    PMID: 38697995 DOI: 10.1038/s41598-024-59345-4
    This article presents a numerical and artificial intelligence (AI) based investigation on the web crippling performance of pultruded glass fiber reinforced polymers' (GFRP) rectangular hollow section (RHS) profiles subjected to interior-one-flange (IOF) loading conditions. To achieve the desired research objectives, a finite element based computational model was developed using one of the popular simulating software ABAQUS CAE. This model was then validated by utilizing the results reported in experimental investigation-based article of Chen and Wang. Once the finite element model was validated, an extensive parametric study was conducted to investigate the aforementioned phenomenon on the basis of which a comprehensive, universal, and coherent database was assembled. This database was then used to formulate the design guidelines for the web crippling design of pultruded GFRP RHS profiles by employing AI based gene expression programming (GEP). Based on the findings of numerical investigation, the web crippling capacity of abovementioned structural profiles subjected to IOF loading conditions was found to be directly related to that of section thickness and bearing length whereas inversely related to that of section width, section height, section's corner radii, and profile length. On the basis of the findings of AI based investigation, the modified design rules proposed by this research were found to be accurately predicting the web crippling capacity of aforesaid structural profiles. This research is a significant contribution to the literature on the development of design guidelines for pultruded GFRP RHS profiles subjected to web crippling, however, there is still a lot to be done in this regard before getting to the ultimate conclusions.
  18. Moshikur RM, Carrier RL, Moniruzzaman M, Goto M
    Pharmaceutics, 2023 Apr 07;15(4).
    PMID: 37111664 DOI: 10.3390/pharmaceutics15041179
    The development of effective drug formulations and delivery systems for newly developed or marketed drug molecules remains a significant challenge. These drugs can exhibit polymorphic conversion, poor bioavailability, and systemic toxicity, and can be difficult to formulate with traditional organic solvents due to acute toxicity. Ionic liquids (ILs) are recognized as solvents that can improve the pharmacokinetic and pharmacodynamic properties of drugs. ILs can address the operational/functional challenges associated with traditional organic solvents. However, many ILs are non-biodegradable and inherently toxic, which is the most significant challenge in developing IL-based drug formulations and delivery systems. Biocompatible ILs comprising biocompatible cations and anions mainly derived from bio-renewable sources are considered a green alternative to both conventional ILs and organic/inorganic solvents. This review covers the technologies and strategies developed to design biocompatible ILs, focusing on the design of biocompatible IL-based drug formulations and delivery systems, and discusses the advantages of these ILs in pharmaceutical and biomedical applications. Furthermore, this review will provide guidance on transitioning to biocompatible ILs rather than commonly used toxic ILs and organic solvents in fields ranging from chemical synthesis to pharmaceutics.
  19. Sivakumar S, Venkiteswaran A, Roslan MA, Musa S
    J Clin Pediatr Dent, 2024 May;48(3):15-23.
    PMID: 38755977 DOI: 10.22514/jocpd.2024.054
    Postoperative pain is generally a novel experience among paediatric patients. Topical anaesthetics, distraction procedures, and buffering of anaesthetic solutions have been used in reducing the postoperative pain. In this review, the authors assessed various modalities used to alleviate postoperative pain in children's dental treatment under general anaesthesia. Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol were strictly adhered to in this systematic review. Specific keywords including postoperative pain, general anaesthesia, children, and dental extraction were used in the search for relevant randomized control trial studies in Web of Science, Scopus and PubMed, and included articles published until June 2021. From a total of 191 abstracts, 21 were reviewed. From the six studies with the usage of non-steroidal anti-inflammatory drugs (NSAIDs) alone or in combination with paracetamol, four observed that the preoperative use of NSAIDs alone or in combination was better than paracetamol alone, one discovered preoperative intravenous paracetamol was better than postoperative intravenous paracetamol, and the remaining study found no difference among various groups. Of two studies comparing the usage of non-steroidal anti-inflammatory drugs with opioid analgesics, one stated intravenous fentanyl in combination was better, while the other study found no difference among groups. The results obtained in this review can be utilized by physicians to control postoperative pain in children undergoing dental treatment under general anaesthesia.
  20. Senin MH, Sopian MM, Shaharuddin B, Nasir MJM
    Asian J Transfus Sci, 2024;18(1):35-44.
    PMID: 39036701 DOI: 10.4103/ajts.ajts_176_21
    INTRODUCTION: Blood transfusion warrants written informed consent from the patient. However, patients have poor knowledge regarding blood transfusions as evidenced by nonstandardized information retained by patients from the informed consent discussion. The problem stems from suboptimal patient knowledge on the elements of informed consent. This study describes the development and validation of a new questionnaire to assess the knowledge on informed consent for blood transfusion from the patients' perspective.

    SUBJECTS AND METHODS: The development phase consisted of literature review, small group discussion, expert review meeting, content, and face validity. We evaluated the psychometric properties of Informed Consent for Blood Transfusion Questionnaire (ICBTQ) using reliability test and item response theory among a sample of 95 patients in Hospital Universiti Sains Malaysia.

    RESULTS: ICBTQ was formulated to include sociodemographic and knowledge sections. ICBTQ possessed excellent content validity. The face validity index (FVI) of clarity and comprehension were both 0.97. Thus, the universal FVI was 0.96. One item was added following the advice given by one of the content experts. ICBTQ had excellent face validity. For the validation phase, ICBTQ demonstrated an acceptable Cronbach's Alpha value. One item was omitted in view of low corrected item-total correlation. In the item response theory (IRT) analysis, ICBTQ exhibited good difficulty and discriminatory indexes. Assessments of item-fit indicated that all items of the model were well-fitted.

    CONCLUSIONS: Based on the IRT and reliability analysis, the knowledge section of the ICBTQ was psychometrically valid to be used among patients.

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