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Fulltext Optimization of nucleic acid extraction and amplification of a thiamine biosynthesis gene fragment from selected Malaysian seaweeds

Md Ahaik FA, Mohd Taufik SH, Faiqah Johari NA, Zainal Abidin AA, Balia Yusof ZN

Genes Genet Syst, 2023 Feb 22;97(5):247-256.
PMID: 36631109 DOI: 10.1266/ggs.22-00088

Obtaining high-quality nucleic acid extracted from seaweeds is notoriously difficult due to contamination with polysaccharides and polyphenolic compounds after cell disruption. Specific methods need to be employed for RNA isolation in different seaweed species, and therefore studies of the thiamine biosynthesis pathway have been limited. Two selected Malaysian species which are highly abundant and underutilized, namely Gracilaria sp. and Padina sp., representing the red and brown seaweeds, respectively, were collected to develop optimized total RNA extraction methods. Prior to that, DNA was extracted, and amplification of the 18S rRNA gene and the THIC gene (encoding the first enzyme in the pyrimidine branch of the thiamine biosynthesis pathway) from the DNA template was successful in Gracilaria sp. only. RNA was then extracted from both seaweeds using three different existing methods, with some modifications, using cetyltrimethylammonium bromide, guanidine thiocyanate and sodium dodecyl sulphate. Methods I and III proved to be efficient for Padina sp. and Gracilaria sp., respectively, for the extraction of highly purified RNA, with A260/A280 values of 2.0 and 1.8. However, amplification of the housekeeping gene glyceraldehyde-3-phosphate dehydrogenase and the THIC gene was successful in only Gracilaria sp. cDNA derived from extracted RNA. Further modifications are required to improve the exploitation of nucleic acids from brown seaweeds, which has been proven to be difficult. This work should pave the way for molecular studies of seaweeds generally and for the elucidation, specifically, of the thiamine biosynthesis pathway.
Fulltext Correlation between MRI characteristics of medulloblastoma with histopathological subtypes and 2-year survival

Hussain IZ, Mohd Zaki F, Mukari SA, Md Pauzi SH, Loh CK, Alias H

Indian J Radiol Imaging, 2020 03 30;30(1):46-51.
PMID: 32476749 DOI: 10.4103/ijri.IJRI_209_19

Objectives: The objective of this study is to describe the imaging features of medulloblastoma (MB) and correlate the MR characteristics with the different histological subtype of MB with 2-year survival.
Materials and Methods: This is a retrospective descriptive study. A total of 29 patients diagnosed with MB from January 2005 to December 2015 were included in this study. The MRI brain and spine studies of these patients were retrieved and reviewed by a pediatric radiologist and a neuroradiologist independently, both blinded from the histological type of the MB. The HPE slides were also retrieved and reviewed by a pathologist.
Results: 80% of desmoplastic MB showed the presence of intracranial leptomeningeal seeding and 57.1% of anaplastic MB showed the presence of necrosis. The presence of intracranial leptomeningeal seeding (P = 0.002) and necrosis (P = 0.019) was predictive of the histological subtypes. There is a significant correlation between the enhancement pattern and the 2-year outcome (P = 0.03) with 6 out of 8 patients whose tumors showed minimal enhancement having disease progression within 2 years. A significant correlation was also seen between the presence of necrosis with a poorer outcome (P = 0.03) and between the HPE subtype and 2-year outcome (P = 0.03) with anaplastic MB having the poorest prognosis.
Conclusion: MR imaging features of intracranial leptomeningeal seeding and the presence of necrosis were correlated with a specific histologic subtype of MB. The enhancement pattern as well as necrosis correlated with 2-year poorer outcome of the disease.
Fulltext Machine-Learning-Based Diabetes Mellitus Risk Prediction Using Multi-Layer Neural Network No-Prop Algorithm

Sonia JJ, Jayachandran P, Md AQ, Mohan S, Sivaraman AK, Tee KF

Diagnostics (Basel), 2023 Feb 14;13(4).
PMID: 36832207 DOI: 10.3390/diagnostics13040723

Over the past few decades, the prevalence of chronic illnesses in humans associated with high blood sugar has dramatically increased. Such a disease is referred to medically as diabetes mellitus. Diabetes mellitus can be categorized into three types, namely types 1, 2, and 3. When beta cells do not secrete enough insulin, type 1 diabetes develops. When beta cells create insulin, but the body is unable to use it, type 2 diabetes results. The last category is called gestational diabetes or type 3. This happens during the trimesters of pregnancy in women. Gestational diabetes, however, disappears automatically after childbirth or may continue to develop into type 2 diabetes. To improve their treatment strategies and facilitate healthcare, an automated information system to diagnose diabetes mellitus is required. In this context, this paper presents a novel system of classification of the three types of diabetes mellitus using a multi-layer neural network no-prop algorithm. The algorithm uses two major phases in the information system: the training phase and the testing phase. In each phase, the relevant attributes are identified using the attribute-selection process, and the neural network is trained individually in a multi-layer manner, starting with normal and type 1 diabetes, then normal and type 2 diabetes, and finally healthy and gestational diabetes. Classification is made more effective by the architecture of the multi-layer neural network. To provide experimental analysis and performances of diabetes diagnoses in terms of sensitivity, specificity, and accuracy, a confusion matrix is developed. The maximum specificity and sensitivity values of 0.95 and 0.97 are attained by this suggested multi-layer neural network. With an accuracy score of 97% for the categorization of diabetes mellitus, this proposed model outperforms other models, demonstrating that it is a workable and efficient approach.
Fulltext Formulation and Characterization of Fe3O4@PEG Nanoparticles Loaded Sorafenib; Molecular Studies and Evaluation of Cytotoxicity in Liver Cancer Cell Lines

Ebadi M, Rifqi Md Zain A, Tengku Abdul Aziz TH, Mohammadi H, Tee CAT, Rahimi Yusop M

Polymers (Basel), 2023 Feb 16;15(4).
PMID: 36850253 DOI: 10.3390/polym15040971

Iron oxide nanoparticles are one of the nanocarriers that are suitable for novel drug delivery systems due to low toxicity, biocompatibility, loading capacity, and controlled drug delivery to cancer cells. The purpose of the present study is the synthesis of coated iron oxide nanoparticles for the delivery of sorafenib (SFB) and its effects on cancer cells. In this study, Fe3O4 nanoparticles were synthesized by the co-precipitation method, and then sorafenib was loaded onto PEG@Fe3O4 nanoparticles. FTIR was used to ensure polyethylene glycol (PEG) binding to nanoparticles and loading the drug onto the nanoshells. A comparison of the mean size and the crystalline structure of nanoparticles was performed by TEM, DLS, and X-ray diffraction patterns. Then, cell viability was obtained by the MTT assay for 3T3 and HepG2 cell lines. According to FT-IR results, the presence of O-H and C-H bands at 3427 cm-1 and 1420 cm-1 peak correlate with PEG binding to nanoparticles. XRD pattern showed the cubic spinel structure of trapped magnetite nanoparticles carrying medium. The magnetic properties of nanoparticles were examined by a vibrating-sample magnetometer (VSM). IC50 values at 72 h for treatment with carriers of Fe3O4@PEG nanoparticle for the HepG2 cell line was 15.78 μg/mL (p < 0.05). This study showed that Fe3O4 nanoparticles coated by polyethylene glycol and using them in the drug delivery process could be beneficial for increasing the effect of sorafenib on cancer cells.
Fulltext Coupling of Mn2O3 with Heteroatom-Doped Reduced Graphene Oxide Aerogels with Improved Electrochemical Performances for Sodium-Ion Batteries

Mahamad Yusoff NF, Idris NH, Md Din MF, Majid SR, Harun NA, Noerochim L

Nanomaterials (Basel), 2023 Feb 15;13(4).
PMID: 36839100 DOI: 10.3390/nano13040732

Currently, efforts to address the energy needs of large-scale power applications have expedited the development of sodium-ion (Na-ion) batteries. Transition-metal oxides, including Mn2O3, are promising for low-cost, eco-friendly energy storage/conversion. Due to its high theoretical capacity, Mn2O3 is worth exploring as an anode material for Na-ion batteries; however, its actual application is constrained by low electrical conductivity and capacity fading. Herein, we attempt to overcome the problems related to Mn2O3 with heteroatom-doped reduced graphene oxide (rGO) aerogels synthesised via the hydrothermal method with a subsequent freeze-drying process. The cubic Mn2O3 particles with an average size of 0.5-1.5 µm are distributed to both sides of heteroatom-doped rGO aerogels layers. Results indicate that heteroatom-doped rGO aerogels may serve as an efficient ion transport channel for electrolyte ion transport in Mn2O3. After 100 cycles, the electrodes retained their capacities of 242, 325, and 277 mAh g-1, for Mn2O3/rGO, Mn2O3/nitrogen-rGO, and Mn2O3/nitrogen, sulphur-rGO aerogels, respectively. Doping Mn2O3 with heteroatom-doped rGO aerogels increased its electrical conductivity and buffered volume change during charge/discharge, resulting in high capacity and stable cycling performance. The synergistic effects of heteroatom doping and the three-dimensional porous structure network of rGO aerogels are responsible for their excellent electrochemical performances.
Fulltext Nodular Lymphoid Hyperplasia in Children: Recurrent Hematemesis

Che Husin N, Mohd Shah MS, Hassan MR, Wan Mohamad Noor WMR, Md Nor MT

Cureus, 2023 Jan;15(1):e34363.
PMID: 36874652 DOI: 10.7759/cureus.34363

Nodular lymphoid hyperplasia (NLH) is a pathology of the gastrointestinal tract that is commonly found in children. Most of its etiology is benign and associated with some underlying causes such as food hypersensitivity, viral or bacterial infection, giardiasis, Helicobacter pylori (H. pylori) infection, immunodeficiency, celiac disease, and inflammatory bowel disease. It is characterized by the growth of submucosal lymphoid tissue and a mucosal response to different types of noxious stimuli. In this report, we present the case of a child with recurrent hematemesis.
Fulltext Family Influences on the Dental Caries Status of Children with Special Health Care Needs: A Systematic Review

Anwar DS, Mohd Yusof MYP, Ahmad MS, Md Sabri BA

Children (Basel), 2022 Nov 29;9(12).
PMID: 36553300 DOI: 10.3390/children9121855

Oral health is a likely source of health inequalities in children with special health care needs (CSHCN), according to multiple studies. This systematic review aimed to explore the evidence of family influence—as well as family features, such as societal variables and parents’ perspectives—on these children’s dental caries status. Embase, Ebsco, Scopus, PubMed, and Web of Science databases were all searched. All cross-sectional research published on the variables of family impact ranging from 2010 to 2021 were considered. The DMFT and dmft index was utilised for the report data of dental caries, whereas the National Heart, Lung, and Blood Institute (NHLBI) was used for the purposes of assessing quality. Of the 3861 records identified, 14 were eligible. Further, most of the studies had a caries prevalence of over 50%, (p-value < 0.005). Family influences imparted a significant relationship and association towards the dental caries status of the demographic being studied. The influences on the children included tooth brushing behaviour, parents’ education level, parents’ occupation level, diet pattern, dental visit, snacking frequency, parents’ psychological status, family size, and parents’ knowledge towards oral health. Future research should further explore the family functioning domains, specifically among the CSHCN population. This study was registered on PROSPERO, number CRD42021274923.
Effects of Postbiotics and Paraprobiotics as Replacements for Antibiotics on Growth Performance, Carcass Characteristics, Small Intestine Histomorphology, Immune Status and Hepatic Growth Gene Expression in Broiler Chickens

Danladi Y, Loh TC, Foo HL, Akit H, Md Tamrin NA, Naeem Azizi M

Animals (Basel), 2022 Apr 03;12(7).
PMID: 35405905 DOI: 10.3390/ani12070917

Background: This experiment was designed to investigate how replacing antibiotics with postbiotics and paraprobiotics could affect growth performance, small intestine morphology, immune status, and hepatic growth gene expression in broiler chickens. Methods: The experiment followed a completely randomized design (CRD) in which eight treatments were replicated six times with seven birds per replicate. A total of 336, one-day-old (COBB 500) chicks were fed with the eight treatment diets, which include T1 = negative control (Basal diet), T2 = positive control (Basal diet + 0.01% (w/w) Oxytetracycline), T3 = Basal diet + 0.2% (v/w) postbiotic TL1, T4 = Basal diet + 0.2% (v/w) postbiotic RS5, T5 = Basal diet + 0.2% (v/w) paraprobiotic RG11, T6 = Basal diet + 0.2% (v/w) postbiotic RI11, T7 = Basal diet + 0.2% (v/w) paraprobiotic RG14, T8 = Basal diet + 0.2% (v/w) paraprobiotic RI11, for 35 days in a closed house system. Results: The growth performance indicators (final body weight, cumulative weight gain, and feed conversion ratio) were not significantly (p > 0.05) affected by the dietary treatments. However, feed intake recorded a significant (p < 0.05) change in the starter and finisher phases across the dietary treatments. Paraprobiotic RG14 had significantly (p < 0.05) lower abdominal fat and intestines. Villi heights were significantly (p < 0.05) increased, while the crypt depth decreased significantly due to dietary treatments. The dietary treatments significantly influenced colon mucosa sIgA (p < 0.05). Similarly, plasma immunoglobulin IgM level recorded significant (p < 0.05) changes at the finisher phase. In this current study, the hepatic GHR and IGF-1 expressions were significantly (p < 0.05) increased by postbiotics and paraprobiotics supplementation. Conclusions: Therefore, it was concluded that postbiotics and paraprobiotics differ in their effect on broiler chickens. However, they can replace antibiotics without compromising the growth performance, carcass yield, and immune status of broiler chickens.
Fulltext Developing a knowledge, attitude, and practice questionnaire on nutrition, physical activity, and body image for 13-14-year-old female adolescents

A Bahathig A, Abu Saad H, Md Yusop NB, Mohd Sukri NH

J Taibah Univ Med Sci, 2023 Oct;18(5):976-987.
PMID: 36890796 DOI: 10.1016/j.jtumed.2023.02.008

OBJECTIVES: The objective of this study was to develop and validate a Knowledge, Attitude, and Practice Questionnaire (KAPQ) on nutrition, physical activity, and body image for 13-14-year-old female adolescents.
METHOD: The KAPQ initially consisted of 73 items, covering knowledge (30), attitude (22), and practice (21) related to nutrition, physical activity (PA), and body image (BI). The content and face validity were tested to identify the relevance of the questionnaire items to the content and their relevance to nutrition, PA, and BI. Construct validity was assessed using an exploratory factor analysis (EFA). Internal consistency was determined by Cronbach's α value, and stability was determined based on test-retest reliability.
RESULTS: Based on the EFA, each scale had several dimensions. The Cronbach's α ranged between 0.977 and 0.888 for knowledge, 0.902 and 0.977 for attitude, and 0.949 and 0.950 for practice. The test-retest reliability revealed that the kappa of knowledge was 0.773-1.000, while the intraclass correlation (ICC) values for attitude and practice were 0.682-1.000 and 0.778-1.000, respectively.
CONCLUSION: The final KAPQ, which included 72 items, was valid and reliable for assessing the KAP levels for nutrition, PA, and BI of 13-14-year-old female students in KSA.
Fulltext Biological age for chronic kidney disease patients using index model

Abu Bakar SA, Syed Mohamed Shahruddin SNS, Ismail N, Wan Md Adnan WAH

PeerJ, 2022;10:e13694.
PMID: 35935256 DOI: 10.7717/peerj.13694

The estimation of biological age (BA) is an important asymptomatic measure that can be used to understand the physical changes and the aging process of a living being. Factors that contribute towards profiling the human biological age can be diverse. Therefore, this study focuses on developing a BA model for patients with Chronic Kidney Disease (CKD). The procedure commences with the selection of significant biomarkers using a correlation test. Appropriate weighting is then assigned to each selected biomarker using the indexing method to produce a BA index. The BA index is matched to the age variation within the sample to acquire additional terms for the chronological age leading ultimately to the estimated BA. From a sample of 190 patients (133 trained data and 57 testing data) obtained from the University of Malaya Medical Centre (UMMC), Malaysia, the intensity of the BA is found to be between three to nine years from the chronological age. Visual observations further validate the high similarities between the training and testing data sets.
Fulltext The Efficacy of Positive Education Intervention for Academic Boredom and Intrinsic Motivation among College Students: A Quasi-Experimental Study

Jie Z, Roslan S, Muhamad MM, Md Khambari MN, Zaremohzzabieh Z

Int J Environ Res Public Health, 2022 Oct 15;19(20).
PMID: 36293911 DOI: 10.3390/ijerph192013323

(1) Background: The influence of academic boredom and intrinsic motivation on students' learning and achievements is receiving more attention from scholars. Nevertheless, studies on how intervention decreases academic boredom and promotes intrinsic motivation during study remain unexplored. (2) Purpose: The purpose of this study is to investigate whether positive education intervention based on the PERMA model would help Chinese college students with learning-related academic boredom, class-related academic boredom, and intrinsic motivation. (3) Methods: This study is quasi-experimental research with a control group including pre-test and post-test. The study was conducted with 173 students, including 86 (n1 = 86) experimental and 87 (n2 = 87) control group students. (4) Results: Results revealed that students in the intervention condition reported significant reductions in learning-related academic boredom and class-related academic boredom, and significant increases in intrinsic motivation in comparison to their counterparts in the control group. (5) Conclusions: These findings indicate that positive education intervention for college students is a promising approach to reducing academic boredom and increasing intrinsic motivation among Chinese college students.
Fulltext Comparison of vision disorders between children in mainstream and special education classes in government primary schools in Malaysia

Abu Bakar NF, Chen AH, Md Noor AR, Goh PP

Singapore Med J, 2012 Aug;53(8):541-4.
PMID: 22941133

The visual status of children with learning disabilities has not been extensively studied. This study aimed to compare vision disorders between children in mainstream classes and those with learning disabilities attending special education classes in government primary schools in Malaysia.
Metabarcoding data analysis revealed the plant dietary variation of long-tailed macaque Macacafascicularis (Cercopithecidae, Cercopithecinae) living in disturbed habitats in Peninsular Malaysia

Osman NA, Abdul-Latiff MAB, Mohd-Ridwan AR, Yaakop S, Karuppannan KV, Md-Zain BM

Biodivers Data J, 2022;10:e89617.
PMID: 36761533 DOI: 10.3897/BDJ.10.e89617

The long-tailed macaque (Macacafascicularis) has a wide range in both Peninsular Malaysia and Borneo. Although the primates are especially vulnerable to habitat alterations, this primate lives in disturbed habitats due to human-induced land-use. Thus, this study presents a faecal metabarcoding approach to clarify the plant diet of long-tailed macaques from five locations in Peninsular Malaysia to represent fragmented forest, forest edge, island and recreational park habitats. We extracted genomic DNA from 53 long-tailed macaque faecal samples. We found 47 orders, 126 families, 609 genera and 818 species across these five localities. A total of 113 plant families were consumed by long-tailed macaques in Universiti Kebangsaan Malaysia, 61 in the Malaysia Genome and Vaccine Institute, 33 in Langkawi Island, 53 in Redang Island and 44 in the Cenderawasih Cave. Moraceae (33.24%) and Fabaceae (13.63%) were the most common families consumed by long-tailed macaques from the study localities. We found that habitat type impacted diet composition, indicating the flexibility of foraging activities. This research findings provide an understanding of plant dietary diversity and the adaptability of this macaque with the current alteration level that applies to long-tailed macaque conservation management interest in the future.
Effects of processing and gamma radiation on mechanical properties and organic composition of frozen, freeze-dried and demineralised human cortical bone allograft

Mansor A, Ariffin AF, Yusof N, Mohd S, Ramalingam S, Md Saad AP, et al.

Cell Tissue Bank, 2023 Mar;24(1):25-35.
PMID: 35610332 DOI: 10.1007/s10561-022-10013-9

Bone processing and radiation were reported to influence mechanical properties of cortical bones due in part to structural changes and denaturation of collagen composition. This comparative study was to determine effects of bone processing on mechanical properties and organic composition, and to what extent the radiation damaging after each processing. Human femur cortical bones were processed by freezing, freeze-drying and demineralisation and then gamma irradiated at 5, 15, 20, 25 and 50 kGy. In the compression test, freeze drying significantly decreased the Young's Modulus by 15%, while demineralisation reduced further by 90% (P
Fulltext Model predicting social acceptance behavior to implement ELV policy: Exploring the role of knowledge toward ELV policy on social acceptance in Malaysia

Ali HM, Sitinjak C, Md Said MH, Hassim JZ, Ismail R, Simic V

Front Public Health, 2022;10:1093732.
PMID: 36743182 DOI: 10.3389/fpubh.2022.1093732

Effective management of end-of-life vehicles (ELVs) represents a sound strategy to mitigate global climate change. ELVs are contaminants that pollute water, air, soil, and landscape. This waste flow must be adequately treated, but no proper rule oversees the disposal of ELV waste in Malaysia. This study aims to determine the extent of implementing the ELV policy and the social readiness in implementing environmentally friendly ELV disposal in Malaysia. The questionnaire seeks public input on critical ELV concerns such as public perception of the phenomena, environmental and safety standards, and recycling and treatment facilities. This research uses a cross-sectional design with 448 respondents in the survey. Fit models in structural equation modeling are evaluated using a variety of goodness-of-fit indicators to ensure an actual hypothesis. This study's advantages include the availability of representative samples and allowing for comparable and generalizable conclusions to larger communities throughout Malaysia. It is found that personal experience is significantly correlated with social readiness. The cause of ELV vehicles knowledge was the vital mediator, along with recycling costs knowledge. Thus, knowledge regarding ELV management costs is the most decisive mediation variable to predict public acceptance. The recommended strategy to reduce resentment and rejection of ELV policy is to disseminate information about the negative ELV impact on environmental and social sustainability.
Exploring adolescents' practice and perspective on the use and misuse of kratom in northwest Malaysia

Khalid K, Ku Md Saad S, Soelar SA, Mohamed Yusof Z, Warijo O

J Ethn Subst Abuse, 2023;22(1):121-132.
PMID: 33784945 DOI: 10.1080/15332640.2021.1906816

Kratom is a plant homogenous to Southeast Asia with a long history of traditional use as medicinal herbs. However, recent years have witnessed its pervasive infiltration into international audience with growing public health concern. This cross-sectional study was conducted from 1 August 2017 till 31 August 2018 aiming to explore the practice and perspectives of kratom use and misuse among adolescents in northwest Malaysia. The study involved a self-administered questionnaire that was designed for the purpose of the study. The instrument had undergone prior validation process with a good overall internal reliability for the knowledge domain (Cronbach's alpha = 0.728) and attitude domain (Cronbach's alpha = 0.700). The questionnaire was distributed to 135 respondents involving adolescents aged 13 to 19 years old via convenience (non-kratom user) and snowball sampling (kratom users). There were 65 (47.8%) kratom users, while 70 (51.5%) were kratom-naïve. Among the kratom users, peer influence was the most common reason for them to be first involved with kratom, 26 (41.3%) whereas the reasons for kratom use quoted were to improve physical stamina, 10 (16.4%), as painkiller, 9 (14.8%), and to be accepted by peers, 7 (11.5%). Multiple logistic regression found that older age (95% CI: 0.13, 0.58; p = 0.001) and being active smokers (95% CI: 39.33, 980.63; p
Fulltext Impact of COVID-19 pandemic on STEMI thrombolysis and Emergency Department's performance in a non-PCI capable tertiary hospital

Koh HP, Md Redzuan A, Mohd Saffian S, R Nagarajah J, Ross NT, Hassan H

Am J Emerg Med, 2022 Oct;60:9-14.
PMID: 35872375 DOI: 10.1016/j.ajem.2022.07.021

INTRODUCTION: Some guidelines had recommended "thrombolysis first" in ST-elevated myocardial infarction (STEMI) during the Coronavirus Disease 2019 (COVID-19) outbreak. The impact of COVID-19 solely on STEMI thrombolysis is lacking as most studies reported outcomes related to percutaneous coronary intervention (PCI) setting. Thus, this study aimed to assess the impact of the COVID-19 pandemic on STEMI thrombolysis outcomes and the Emergency Department's performance in a non-PCI capable centre.
METHODS: This single-centre retrospective study analysed data on consecutive STEMI patients who received thrombolytic therapy from May 2019 to December 2020 (20 months) in a non-PCI capable tertiary hospital. Total population sampling was used in this study. We compared all patients' characteristics and outcomes ten months before and during the pandemic. Regression models were used to assess the impact of COVID-19 pandemic on door-to-needle time (DNT), mortality, bleeding events, and the number of overnight stays.
RESULTS AND DISCUSSION: We analysed 323 patients with a mean age of 52.9 ± 12.9 years and were predominantly male (n = 280, 88.9%). There was a 12.5% reduction in thrombolysis performed during the pandemic. No significant difference in timing from symptoms onset to thrombolysis and DNT was observed. In-hospital mortality was significantly higher during the pandemic (OR 2.02, 95% CI 1.02-4.00, p = 0.044). Bleeding events post thrombolysis remained stable and there was no significant difference in the number of overnight stays during the pandemic.
CONCLUSION: STEMI thrombolysis cases were reduced during the COVID-19 pandemic, with an inverse increase in mortality despite the preserved Emergency Department performance in timely thrombolysis.
An Update on Parkinson's Disease and its Neurodegenerative Counterparts

Adam H, Gopinath SCB, Md Arshad MK, Tijjani A, Subramaniam S, Hashim U

Curr Med Chem, 2023 Apr 03.
PMID: 37016529 DOI: 10.2174/0929867330666230403085733

INTRODUCTION: Neurodegenerative disorders are a group of diseases that cause nerve cell degeneration in the brain, resulting in a variety of symptoms and are not treatable with drugs. Parkinson's disease (PD), prion disease, motor neuron disease (MND), Huntington's disease (HD), spinal cerebral dyskinesia (SCA), spinal muscle atrophy (SMA), multiple system atrophy, Alzheimer's disease (AD), spinocerebellar ataxia (SCA) (ALS), pantothenate kinase-related neurodegeneration, and TDP-43 protein disorder are examples of neurodegenerative diseases. Dementia is caused by the loss of brain and spinal cord nerve cells in neurodegenerative diseases.
BACKGROUND: Even though environmental and genetic predispositions have also been involved in the process, redox metal abuse plays a crucial role in neurodegeneration since the preponderance of symptoms originates from abnormal metal metabolism.
METHOD: Hence, this review investigates several neurodegenerative diseases that may occur symptoms similar to Parkinson's disease to understand the differences and similarities between Parkinson's disease and other neurodegenerative disorders based on reviewing previously published papers.
RESULTS: Based on the findings, the aggregation of alpha-synuclein occurs in Parkinson's disease, multiple system atrophy, and dementia with Lewy bodies. Other neurodegenerative diseases occur with different protein aggregation or mutations.
CONCLUSION: We can conclude that Parkinson's disease, Multiple system atrophy, and Dementia with Lewy bodies are closely related. Therefore, researchers must distinguish among the three diseases to avoid misdiagnosis of Multiple System Atrophy and Dementia with Lewy bodies with Parkinson's disease symptoms.
Microplastics in facial cleanser: extraction, identification, potential toxicity, and continuous-flow removal using agricultural waste-based biochar

Hanif MA, Ibrahim N, Dahalan FA, Md Ali UF, Hasan M, Azhari AW, et al.

Environ Sci Pollut Res Int, 2023 Apr 05.
PMID: 37017846 DOI: 10.1007/s11356-023-26741-8

Microplastic (MP) is an emerging contaminant of concern due to its ubiquitous quantity in the environment, small size, and potential toxicity due to strong affinity towards other contaminants. In this work, MP particles (5-300 μm) were extracted from a commercial facial cleanser and determined to be irregular polyethylene (PE) microbeads based on characterization with field emission scanning electron microscopy (FESEM) and Raman spectroscopy. The potential of extracted MP acting as toxic pollutants' vector was analyzed via adsorption of methylene blue and methyl orange dye where significant dye uptake was observed. Synthetic wastewater containing the extracted MP was subjected to a continuous-flow column study using palm kernel shell and coconut shell biochar as the filter/adsorbent media. The prepared biochar was characterized via proximate and ultimate analysis, FESEM, contact angle measurement, atomic force microscopy (AFM), and Fourier transform infrared (FTIR) spectroscopy to investigate the role of the biochar properties in MP removal. MP removal performance was determined by measuring the turbidity and weighing the dry mass of particles remaining in the effluent following treatment. Promising results were obtained from the study with highest removal of MP (96.65%) attained through palm kernel shell biochar with particle size of 0.6-1.18 mm and continuous-flow column size of 20 mm.
Enhancing Trichomonas vaginalis Identification in Cytology Students through Gamification

Wan Yusoff WSY, Abdul Zuki FA, Abu MN, Md Saad WM

J Cytol, 2024;41(2):75-83.
PMID: 38779605 DOI: 10.4103/joc.joc_110_23

BACKGROUND AND OBJECTIVE: Trichomonas vaginalis is a causative agent of trichomoniasis, a sexually transmitted disease. In the cytology course context, students are taught to identify the cytomorphological characteristics of this organism. However, the limited learning period hinders their ability to recognize this infection effectively. This study intended to evaluate the efficacy of gamification by utilizing a web-based online game to enhance students' capacity to recognize Trichomonas vaginalis infection in cytology.
MATERIALS AND METHODS: The study involved 50 Medical Laboratory Technology students who were randomly assigned to three groups. Group 1 (G1) participants received an interactive web-based online game called CytoUniverse, which comprised three components: a story-based game, a cytomorphology game, and a quiz focusing on Trichomonas vaginalis infection in cytology. Group 2 (G2) participants received the same information from a video lecture. Group 3 (G3) received both the web-based online game and the video lecture. The participants were assessed before the intervention (T1) and after the intervention (T2) to measure the effectiveness of the respective learning methods. IBM SPSS version 28 and GraphPad Prism version 9.0 were used to collect, tabulate, and analyze the data. By using descriptive analysis, the normality of the data was checked. Knowledge score and age were described as mean and standard deviation (SD) for numerical data. On the contrary, the categorical data, such as gender and group categories, were reported as frequencies and percentages. Fisher's exact test, paired t-test, and one-way ANOVA test were used in this study to determine the significance between groups.
RESULTS: The study's results indicated a statistically significant improvement (P < 0.05) in knowledge scores at T2 compared to T1 for both G1 and G2 when compared to G3. However, there were no significant differences in knowledge scores between all groups for T1 or T2.
CONCLUSIONS: In conclusion, gamification through a web-based online game may improve understanding of Trichomonas vaginalis infection. It looks to be a promising strategy for boosting students' knowledge and awareness to recognize Trichomonas vaginalis infection in cytology.

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