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  1. Knowledge and practice of burn first aid among parents of under-age children
    Halil MF, Ibrahim NM, Ahmad ZNBS, Che Hasan MK
    Enferm Clin, 2021 04;31 Suppl 2:S100-S104.
    PMID: 33849139 DOI: 10.1016/j.enfcli.2020.09.008
    The objective of this study is to assess the level of knowledge and practice of burn first aid management among parents. A cross-sectional study was conducted among parents of under-age children in the Taman Desa Darul Naim area of Pasir Tumbuh, in Kelantan, Malaysia, using an adapted survey from Davies et al. Out of 80 respondents, 46.3% showed minimal knowledge of burn first aid, 47.5% had moderate knowledge, and 6.3% extensive knowledge. There was a significant relationship between the demographic data and the knowledge of burn first aid for gender (p=0.02), but no significant relationship between the level of knowledge and level of education (p=0.29) or age (p=0.09). The findings indicate that the level of knowledge of burn first aid is limited. Education for parents of under-age children, including demonstrations of burn first aid, is needed to promote safe action and prevent further injury in the community.
  2. A review on advances in green treatment of glycerol waste with a focus on electro-oxidation pathway
    Ahmad MS, Ab Rahim MH, Alqahtani TM, Witoon T, Lim JW, Cheng CK
    Chemosphere, 2021 Aug;276:130128.
    PMID: 33714877 DOI: 10.1016/j.chemosphere.2021.130128
    Over the past decades, research efforts are being devoted into utilizing the biomass waste as a major source of green energy to maintain the economic, environmental, and social sustainability. Specifically, there is an emerging consensus on the significance of glycerol (an underutilised waste from biodiesel industry) as a cheap, non-toxic, and renewable source for valuable chemicals synthesis. There are numerous methods enacted to convert this glycerol waste to tartronic acid, mesoxalic acid, glyceraldehyde, dihydroxyacetone, oxalic acid and so on. Among these, the green electro-oxidation technique is one of the techniques that possesses potential for industrial application due to advantages such as non-toxicity process, fast response, and lower energy consumption. The current review covers the general understanding on commonly used techniques for alcohol (C1 & C2) conversion, with a specific insight on glycerol (C3) electro-oxidation (GOR). Since catalysts are the backbone of chemical reaction, they are responsible for the overall economy prospect of any processes. To this end, a comprehensive review on catalysts, which include noble metals, non-noble metals, and non-metals anchored over various supports are incorporated in this review. Moreover, a fundamental insight into the development of future electrocatalysts for glycerol oxidation along with products analysis is also presented.
  3. Fulltext Review on Medical Implantable Antenna Technology and Imminent Research Challenges
    Soliman MM, Chowdhury MEH, Khandakar A, Islam MT, Qiblawey Y, Musharavati F, et al.
    Sensors (Basel), 2021 May 02;21(9).
    PMID: 34063296 DOI: 10.3390/s21093163
    Implantable antennas are mandatory to transfer data from implants to the external world wirelessly. Smart implants can be used to monitor and diagnose the medical conditions of the patient. The dispersion of the dielectric constant of the tissues and variability of organ structures of the human body absorb most of the antenna radiation. Consequently, implanting an antenna inside the human body is a very challenging task. The design of the antenna is required to fulfill several conditions, such as miniaturization of the antenna dimension, biocompatibility, the satisfaction of the Specific Absorption Rate (SAR), and efficient radiation characteristics. The asymmetric hostile human body environment makes implant antenna technology even more challenging. This paper aims to summarize the recent implantable antenna technologies for medical applications and highlight the major research challenges. Also, it highlights the required technology and the frequency band, and the factors that can affect the radio frequency propagation through human body tissue. It includes a demonstration of a parametric literature investigation of the implantable antennas developed. Furthermore, fabrication and implantation methods of the antenna inside the human body are summarized elaborately. This extensive summary of the medical implantable antenna technology will help in understanding the prospects and challenges of this technology.
  4. Fulltext Pre-schoolers' tooth brushing behaviour and association with their oral health: a cross sectional study
    Khan IM, Mani SA, Doss JG, Danaee M, Kong LYL
    BMC Oral Health, 2021 Jun 02;21(1):283.
    PMID: 34078349 DOI: 10.1186/s12903-021-01643-8
    BACKGROUND: Toothbrushing is an important yet neglected behaviour that affects the oral health of preschool children. Little is reported on parental supervision, an essential aspect of routine effective toothbrushing in this age group. The aim of this study was to evaluate pre-schoolers' toothbrushing behaviour including parental involvement and its association with their oral health.

    METHODS: This was a cross-sectional study. A total of 92 preschool children (4-6 years) were invited to participate with their parents/guardians. Nine parameters of toothbrushing behaviour were assessed from parental responses (questionnaire) and observation of child and parents/guardians (video recording). Oral examination included recording plaque, gingival and dental caries indices. BORIS software was used to assess toothbrushing parameters and Smart PLS was used to perform association with a second-generation multivariate analysis to create models with and without confounding factors.

    RESULTS: Girls were slightly more (53%) than boys (47%). Children aged 4 years were slightly more in number (38%), followed by 6-year-olds and 5-year-olds. Nearly, 90% parents had tertiary education and 46% had more than 2 children. Differences were recorded in the reported and observed behaviour. Thirty-five percent parents/guardians reported using pea-size toothpaste amount but only 28% were observed. Forty percent reported to brush for 30 s-1 min, however 51% were observed to brush for 1-2 min. Half the children were observed to use fluoridated toothpaste (F 

  5. Mobile-assisted and gamification-based language learning: a systematic literature review
    Ishaq K, Mat Zin NA, Rosdi F, Jehanghir M, Ishaq S, Abid A
    PeerJ Comput Sci, 2021;7:e496.
    PMID: 34084920 DOI: 10.7717/peerj-cs.496
    Learning a new language is a challenging task. In many countries, students are encouraged to learn an international language at school level. In particular, English is the most widely used international language and is being taught at the school level in many countries. The ubiquity and accessibility of smartphones combined with the recent developments in mobile application and gamification in teaching and training have paved the way for experimenting with language learning using mobile phones. This article presents a systematic literature review of the published research work in mobile-assisted language learning. To this end, more than 60 relevant primary studies which have been published in well-reputed venues have been selected for further analysis. The detailed analysis reveals that researchers developed many different simple and gamified mobile applications for learning languages based on various theories, frameworks, and advanced tools. Furthermore, the study also analyses how different applications have been evaluated and tested at different educational levels using different experimental settings while incorporating a variety of evaluation measures. Lastly, a taxonomy has been proposed for the research work in mobile-assisted language learning, which is followed by promising future research challenges in this domain.
  6. Does physical activity and body weight status determine musculoskeletal health among adolescents in Malaysia?
    Che Hasan MK, Abdullah F, Firdaus MKZH, Jamaludin FIC
    Enferm Clin, 2021 04;31 Suppl 2:S247-S251.
    PMID: 33849174 DOI: 10.1016/j.enfcli.2020.09.010
    This study was conducted to examine the association between physical activity (PA) and body weight status among adolescents in rural and urban areas. This cross-sectional study involved 257 adolescents aged 13-19 years, randomly selected from secondary schools around Kelantan, Malaysia. Body weight and height were measured and body mass index (BMI) was calculated. The students completed the International Physical Activity Questionnaire - Short Form, to assess their physical activity. Ethical clearance was obtained from respected bodies. Adolescents in the urban area had significantly higher BMI (p-value<0.001) and lower physical activity (p-value<0.001) than adolescents in the rural area. A significant association also found between BMI and PA in both urban and rural areas. In conclusion, more physically active adolescents had lower BMI than who are less physically active. Being physically active could lower the body weight and BMI, hence improve musculoskeletal health, and could reduce co-morbidity.
  7. Fulltext Bimodal Data Fusion of Simultaneous Measurements of EEG and fNIRS during Lower Limb Movements
    Al-Quraishi MS, Elamvazuthi I, Tang TB, Al-Qurishi M, Adil SH, Ebrahim M
    Brain Sci, 2021 May 27;11(6).
    PMID: 34071982 DOI: 10.3390/brainsci11060713
    Electroencephalography (EEG) and functional near-infrared spectroscopy (fNIRS) have temporal and spatial characteristics that may complement each other and, therefore, pose an intriguing approach for brain-computer interaction (BCI). In this work, the relationship between the hemodynamic response and brain oscillation activity was investigated using the concurrent recording of fNIRS and EEG during ankle joint movements. Twenty subjects participated in this experiment. The EEG was recorded using 20 electrodes and hemodynamic responses were recorded using 32 optodes positioned over the motor cortex areas. The event-related desynchronization (ERD) feature was extracted from the EEG signal in the alpha band (8-11) Hz, and the concentration change of the oxy-hemoglobin (oxyHb) was evaluated from the hemodynamics response. During the motor execution of the ankle joint movements, a decrease in the alpha (8-11) Hz amplitude (desynchronization) was found to be correlated with an increase of the oxyHb (r = -0.64061, p < 0.00001) observed on the Cz electrode and the average of the fNIRS channels (ch28, ch25, ch32, ch35) close to the foot area representation. Then, the correlated channels in both modalities were used for ankle joint movement classification. The result demonstrates that the integrated modality based on the correlated channels provides a substantial enhancement in ankle joint classification accuracy of 93.01 ± 5.60% (p < 0.01) compared with single modality. These results highlight the potential of the bimodal fNIR-EEG approach for the development of future BCI for lower limb rehabilitation.
  8. Fulltext Antimicrobial consumption among hospitalized patients with COVID-19 in Pakistan
    Ul Mustafa Z, Salman M, Aldeyab M, Kow CS, Hasan SS
    SN Compr Clin Med, 2021 May 28.
    PMID: 34095752 DOI: 10.1007/s42399-021-00966-5
    The discovery of different antimicrobial agents has revolutionized the treatment against a variety of infections for many decades, but the emergence of antimicrobial resistance require rigorous measures, even amid the coronavirus disease 2019 (COVID-19) pandemic. This retrospective study aimed to examine the consumption of antibiotics in patients with COVID-19 admitted into the five hospitals in the province of Punjab, Pakistan. We collected data on the consumption of antibiotics, classified using the World Health Organization (WHO) AWaRe (Access, Watch, and Reserve), within two months-August and September, 2020, and the corresponding months in 2019. Consumption of antibiotics was presented as daily define dose (DDD) per 100 occupied bed-days. Eight different classes of antibiotics were prescribed to patients with COVID-19 without culture tests being performed, with the prescribing of antibiotics of the Watch category was especially prevalent. The consumption of antibiotics was higher during the COVID-19 pandemic compared to the pre-pandemic period: the consumption of azithromycin increased from 11.5 DDDs per 100 occupied bed-days in 2019 to 17.0 DDDs per 100 occupied bed-days in 2020, while the consumption of ceftriaxone increased from 20.2 DDDs per 100 occupied bed-days in 2019 to 25.1 DDDs per 100 occupied bed-days in 2020. The current study revealed non-evidence-based utilization of antibiotics among patients with COVID-19 admitted into the hospitals in Pakistan. Evidently, the current COVID-19 pandemic is a public health threat of notable dimensions which has compromised the ongoing antimicrobial stewardship program, potentially leading to the emergence of antimicrobial resistance among pathogens.
  9. Fulltext Assessment of lower urinary tract symptoms among calcium channel blocker-users and its impact on quality of life
    Salman M, Khan AH, Syed Sulaiman SA, Hughes JD, Khan JH, Shehzadi N, et al.
    J Pak Med Assoc, 2021 May;71(5):1384-1387.
    PMID: 34091619 DOI: 10.47391/JPMA.1162
    Objective: To investigate the prevalence and severity of lower urinary tract symptoms among calcium channel blocker users, and the impact on patients' quality of life.

    METHODS: The cross-sectional study was conducted at one hospital and 2 community pharmacies in Lahore, Pakistan, from November 2017 to July 2018, and comprised patients using calcium channel blockers. Data was collected using standardised scales to assess lower urinary tract symptoms and quality of life. Data was analysed using SPSS 22.

    RESULTS: Of the 410 subjects, 315 (76.8%) were males. The overall median age was 50.84 years, IQR 19 with 126 (30.7%) aged 41-50 years. Of the total, 108 (26.3%) patients were on calcium channel blockers alone, while the rest were taking it in combination with other drugs. Prevalence of lower urinary tract symptoms was 307 (74.9%); mild 103 (25.1%), moderate 201 (49.1%) and severe 106 (25.9%). The symptoms were significantly associated with reduced quality of life (p<0.05).

    Conclusion: Majority calcium channel blockers users had clinically significant lower urinary tract symptoms which significantly reduced patients' quality of life.

  10. Fulltext Molecular Action of Hydroxytyrosol in Attenuation of Intimal Hyperplasia: A Scoping Review
    Vijakumaran U, Yazid MD, Hj Idrus RB, Abdul Rahman MR, Sulaiman N
    Front Pharmacol, 2021;12:663266.
    PMID: 34093194 DOI: 10.3389/fphar.2021.663266
    Objective: Hydroxytyrosol (HT), a polyphenol of olive plant is well known for its antioxidant, anti-inflammatory and anti-atherogenic properties. The aim of this systematic search is to highlight the scientific evidence evaluating molecular efficiency of HT in halting the progression of intimal hyperplasia (IH), which is a clinical condition arises from endothelial inflammation. Methods: A systematic search was performed through PubMed, Web of Science and Scopus, based on pre-set keywords which are Hydroxytyrosol OR 3,4-dihydroxyphenylethanol, AND Intimal hyperplasia OR Neointimal hyperplasia OR Endothelial OR Smooth muscles. Eighteen in vitro and three in vitro and in vivo studies were selected based on a pre-set inclusion and exclusion criteria. Results: Based on evidence gathered, HT was found to upregulate PI3K/AKT/mTOR pathways and supresses inflammatory factors and mediators such as IL-1β, IL-6, E-selectin, P-selectin, VCAM-1, and ICAM-1 in endothelial vascularization and functioning. Two studies revealed HT disrupted vascular smooth muscle cells (SMC) cell cycle by dephosphorylating ERK1/2 and AKT pathways. Therefore, HT was proven to promote endothelization and inhibit vascular SMCs migration thus hampering IH development. However, none of these studies described the effect of HT collectively in both vascular endothelial cells (EC) and SMCs in IH ex vivo model. Conclusions: Evidence from this concise review provides an insight on HT regulation of molecular pathways in reendothelization and inhibition of VSMCs migration. Henceforth, we propose effect of HT on IH prevention could be further elucidated through in vivo and ex vivo model.
  11. Cellulose acetate-based membranes by interfacial engineering and integration of ZIF-62 glass nanoparticles for CO2 separation
    Mubashir M, Dumée LF, Fong YY, Jusoh N, Lukose J, Chai WS, et al.
    J Hazard Mater, 2021 08 05;415:125639.
    PMID: 33740720 DOI: 10.1016/j.jhazmat.2021.125639
    Composite membranes typically used for gas separation are susceptible to interfacial voids and CO2 plasticization which adversely affects the gas permeation performance. This paper evaluates routes towards the enhancement of CO2 permeation performance and CO2 plasticization resistance of composite membranes using non-stoichiometric ZIF-62 MOF glass and cellulose acetate (CA). Single and mixed gas permeation results, obtained with CO2 and CH4, demonstrate that the presence of ZIF-62 glass in CA polymer enhanced the CO2 permeability and CO2/CH4 ideal selectivity from 15.8 to 84.8 Barrer and 12.2-35.3, respectively. The composite membrane loaded with 8 wt% of ZIF-62 glass showed the highest CO2 permeability and CO2/CH4 ideal selectivity of 84.8 Barrer and 35.3, which were 436.7% and 189.3% higher compared to the pristine CA membrane, respectively. A CO2 plasticization pressure of 26 bar was achieved for the composite membranes, which is 160% higher compared to the pristine CA membranes, at about 10 bar. The mechanisms for the materials stabilization and greater separation performance were attributed to higher pore size (7.3 Å) and significant CO2 adsorption on the unsaturated metal nodes followed by metal cites electrostatic interaction with CO2. These findings confirm the potential of ZIF-62 glass materials as promising materials solutions towards the design of composite membranes for CO2 separation at industrial scale.
  12. Fulltext Design and Evaluation of a Flexible Dual-Band Meander Line Monopole Antenna for On- and Off-Body Healthcare Applications
    Ali SM, Sovuthy C, Noghanian S, Ali Z, Abbasi QH, Imran MA, et al.
    Micromachines (Basel), 2021 Apr 22;12(5).
    PMID: 33922053 DOI: 10.3390/mi12050475
    The human body is an extremely challenging environment for wearable antennas due to the complex antenna-body coupling effects. In this article, a compact flexible dual-band planar meander line monopole antenna (MMA) with a truncated ground plane made of multiple layers of standard off-the-shelf materials is evaluated to validate its performance when worn by different subjects to help the designers who are shaping future complex on-/off-body wireless devices. The antenna was fabricated, and the measured results agreed well with those from the simulations. As a reference, in free-space, the antenna provided omnidirectional radiation patterns (ORP), with a wide impedance bandwidth of 1282.4 (450.5) MHz with a maximum gain of 3.03 dBi (4.85 dBi) in the lower (upper) bands. The impedance bandwidth could reach up to 688.9 MHz (500.9 MHz) and 1261.7 MHz (524.2 MHz) with the gain of 3.80 dBi (4.67 dBi) and 3.00 dBi (4.55 dBi), respectively, on the human chest and arm. The stability in results shows that this flexible antenna is sufficiently robust against the variations introduced by the human body. A maximum measured shift of 0.5 and 100 MHz in the wide impedance matching and resonance frequency was observed in both bands, respectively, while an optimal gap between the antenna and human body was maintained. This stability of the working frequency provides robustness against various conditions including bending, movement, and relatively large fabrication tolerances.
  13. Asp-376-Glu substitution endows target-site resistance to AHAS inhibitors in Limnocharis flava, an invasive weed in tropical rice fields
    Zakaria N, Ruzmi R, Moosa S, Asib N, Zulperi D, Ismail SI, et al.
    Physiol Mol Biol Plants, 2021 May;27(5):969-983.
    PMID: 34108823 DOI: 10.1007/s12298-021-00987-3
    Limnocharis flava (L.) Buchenau is a problematic weed in rice fields and water canals of Southeast Asia, and in Malaysia this invasive aquatic weed species has evolved multiple resistance to synthetic auxin herbicide and acetohydroxyacid synthase (AHAS) inhibitors. In this study, it was revealed that, a single nucleotide polymorphism (SNP) at amino acid position 376, where C was substituted to G at the third base of the same codon (GAC to GAG), resulting in Aspartate (Asp) substitution by Glutamate (Glu) was the contributing resistance mechanism in the L. flava population to AHAS inhibitors. In vitro assay further proved that, all the L. flava individuals carrying AHAS resistance mutation exhibited decreased-sensitivity to AHAS inhibitors at the enzyme level. In the bensulfuron-methyl whole-plant bioassay, high resistance indices (RI) of 328- and 437-fold were recorded in the absence and presence of malathion (the P450 inhibitor), respectively. Similarly, translocation and absorption of bensulfuron-methyl in both resistant and susceptible L. flava populations showed no remarkable differences, hence eliminated the possible co-existence of non-target-site resistance mechanism in the resistant L. flava. This study has confirmed another new case of a target-site resistant weed species to AHAS-inhibitors.
  14. Morphology and magnetic characterisation of aluminium substituted yttrium-iron garnet nanoparticles prepared using sol gel technique
    Yahya N, Al Habashi RM, Koziol K, Borkowski RD, Akhtar MN, Kashif M, et al.
    J Nanosci Nanotechnol, 2011 Mar;11(3):2652-6.
    PMID: 21449447
    Aluminum substituted yttrium iron garnet nano particles with compositional variation of Y(3.0-x) A1(x)Fe5O12, where x = 0.0, 0.5, 1.0, 1.5, 2.0, 2.5 and 3.0 were prepared using sol gel technique. The X-ray diffraction results showed that the best garnet phase appeared when the sintering temperature was 800 degrees C. Nano-crystalline particles with high purity and sizes ranging from 20 to 100 nm were obtained. It was found that the aluminum substitution had resulted in a sharp fall of the d-spacing when x = 2, which we speculated is due to the preference of the aluminum atoms to the smaller tetrahedron and octahedron sites instead of the much larger dodecahedron site. High resolution transmission electron microscope (HRTEM) and electron diffraction (ED) patterns showed single crystal nanoparticles were obtained from this method. The magnetic measurement gave moderate values of initial permeability; the highest value of 5.3 was shown by sample Y3Fe5O12 at more than 100 MHz which was attributed to the morphology of the microstructure which appeared to be homogeneous. This had resulted in an easy movement of domain walls. The substitution of aluminum for yttrium is speculated to cause a cubic to rhombodedral structural change and had weakened the super-exchange interactions thus a fall of real permeability was observed. This might have created a strain in the sub-lattices and had subsequently caused a shift of resonance frequencies to more than 1.8 GHz when x > 0.5.
  15. Observation of a cubical-like microstructure of strontium iron garnet and yttrium iron garnet prepared via sol-gel technique
    Nasir N, Yahya N, Kashif M, Daud H, Akhtar MN, Zaid HM, et al.
    J Nanosci Nanotechnol, 2011 Mar;11(3):2551-4.
    PMID: 21449424
    This is our initial response towards preparation of nano-inductors garnet for high operating frequencies strontium iron garnet (Sr3Fe5O12) denoted as SrIG and yttrium iron garnet (Y3Fe5O12) denoted as YIG. The garnet nano crystals were prepared by novel sol-gel technique. The phase and crystal structure of the prepared samples were identified by using X-ray diffraction analysis. SEM images were done to reveal the surface morphology of the samples. Raman spectra was taken for yttrium iron garnet (Y3Fe5O12). The magnetic properties of the samples namely initial permeability (micro), relative loss factor (RLF) and quality factor (Q-Factor) were done by using LCR meter. From the XRD profile, both of the Y3Fe5O12 and Sr3Fe5O12 samples showed single phase garnet and crystallization had completely occurred at 900 degrees C for the SrIG and 950 degrees C for the YIG samples. The YIG sample showed extremely low RLF value (0.0082) and high density 4.623 g/cm3. Interesting however is the high Q factor (20-60) shown by the Sr3Fe5O12 sample from 20-100 MHz. This high performance magnetic property is attributed to the homogenous and cubical-like microstructure. The YIG particles were used as magnetic feeder for EM transmitter. It was observed that YIG magnetic feeder with the EM transmitter gave 39% higher magnetic field than without YIG magnetic feeder.
  16. Fulltext Effect of multi-pronged interventions in reducing low birth weight and maternal anaemia among pregnant women. A community-based interventions research in non-agrarian resource constrained setting of rural Pakistan
    Thaver I, Ahmad AM, Ashraf M, Asghar SK, Mirza MS
    J Pak Med Assoc, 2020 Dec;70(12(A)):2092-2101.
    PMID: 33475578 DOI: 10.47391/JPMA.1218
    OBJECTIVE: To investigate the effect on maternal and infant health of iron plus folate and multiple micronutrient supplements, along with deworming and health education session provided to pregnant women in rural, nonagrarian and food-insecure areas.

    METHODS: The quasi-experimental study was conducted in Tharparker and Umerkot districts, Sindh, Pakistan, in 2013-14, and comprised pregnant women in their earlier weeks of pregnancy. The enrolment and follow-up phase entailed 3 visits to each subject. Areas covered by lady health workers were designated as intervention areas, and those with non-LHW population were labelled as non-intervention areas.

    RESULTS: Of the 1204 subjects, 600(49.8%) were in the intervention group and 604(50.2%) were in the nonintervention group. By the end of the follow-up phase, significantly more women had increased number of meals in the intervention group compared to the non-intervention group (p<0.001). There was a significantly higher increase in mean haemoglobin levels and body mass index of women in the intervention arm after 3 and 6 months of interventions (p<0.05). Significantly higher mean birth weight was recorded in intervention areas compared to nonintervention areas (p<0.05).

    CONCLUSIONS: Community-based provision of multiple micronutrients to women along with deworming, health education and dietary counselling significantly reduced the prevalence of anaemia and reduced the incidence of low birth weight.

  17. Fulltext Clustering and Tracking the Stability of Biological CVD Risk Factors in Adolescents: The Malaysian Health and Adolescents Longitudinal Research Team Study (MyHeARTs)
    Thangiah N, Chinna K, Su TT, Jalaludin MY, Al-Sadat N, Majid HA
    Front Public Health, 2020;8:69.
    PMID: 32257989 DOI: 10.3389/fpubh.2020.00069
    Background: Cardiovascular disease (CVD) risk factors tend to cluster and progress from adolescence to young adulthood. Reliable and meaningful clustering of CVD risk factors is essential to circumvent loss of information. Tracking adverse and high-risk profiles of adolescents is hoped to curb CVD progression later in life. The study aims to investigate the clustering of biological CVD risk factor among adolescents in Malaysia and the transitions between clusters over time. Method: The Malaysian Health and Adolescents Longitudinal Research Team study (MyHeARTs) examined school students aged 13 in 2012 and re-examined them in 2014 and 2016. In a two-stage stratified cluster sampling, 1,361 students were recruited, of which, 1,320 had complete data. In the follow-up, there were 881 and 637 students in 2014 and in 2016, respectively. Pearson's correlation coefficients were used to identify and remove highly correlated CVD risk factors. All risk factors were standardized into z-scores. The hierarchical and non-hierarchical (k-means) cluster analyses were used to classify students into high, medium and low risk clusters in each screening year. The tracking and stability of cluster transitions through cross-classification were enumerated with Pearson's inter-age correlations and percentages. Results: Three significant clusters of high, medium and low risk groups were derived from the clustering of eight biological CVD risk factors. The transitions between risk clusters from one screening year to the other were categorized as either stagnant, improved or adverse. The number of students who had adverse transitions increased from 15.5% (13-15 year) to 19.5% (15-17 year), 13.8 to 18.2% among the girls and 19.9 to 22.8% among the boys. For girls, the number of them who remained at high risk over the two transition periods were about the same (13.6 vs. 13.8%) whereas for boys, the percentage reduced from 14.6 to 12.3%. Conclusion: Over time, more than 12% of adolescents remained in the high risk cluster. There were sizable adverse transitions over time as more adolescents appear to be shifting toward an increased risk of having CVD. Collaborative and constant measures should be taken by parents, school, health promotion boards and policy makers to curb the multiplicative effect of clustering CVD risk factors among adolescents.
  18. Stress Distributions and Micromovement of Fragment Bone of Pilon Fracture Treated With External Fixator: A Finite Element Analysis
    Ramlee MH, Gan HS, Daud SA, Abdul Wahab A, Abdul Kadir MR
    J Foot Ankle Surg, 2020 7 1;59(4):664-672.
    PMID: 32600559 DOI: 10.1053/j.jfas.2019.09.006
    Osteoporosis and osteoarthritis are common pathological problems of the human bone tissue. There are some cases of pilon fractures associated with these 2 pathological conditions. In terms of treatment, for a normal and healthy bone with pilon fracture, the use of the Delta external fixator is a favorable option because it can allow early mobilization for patients and provide stability for the healing process. However, the stability of the external fixator differs when there is low bone stiffness, which has not been previously investigated. Therefore, this study was conducted to determine the stability of the external fixator to treat pilon fracture associated with osteoporosis and osteoarthritis, particularly to differentiate the stress distribution and micromovement of fracture fragment. Three-dimensional finite element models of the ankle and foot bones were reconstructed based on the computed tomography datasets. The bones consisted of 5 metatarsal, 3 cuneiform, and 1 each of cuboid, navicular, calcaneus, talus, fibula, and tibia bones. They were assigned with linear isotropic behavior. The ankle joint consisted of ligament and cartilage, and they were assigned with the use of linear links and the Mooney-Rivlin model, respectively. During simulation of the gait cycle, 70 N and 350 N were applied axially to the tibia bone to represent the swing and stance phases, respectively. The metatarsal and calcaneus bones were fixed to prevent any movement of the rigid body. The study found that the greatest von Mises stress value was observed at the pin-bone interface for the osteoporosis (108 MPa) model, followed by the osteoarthritis (87 MPa) and normal (44 MPa) models, during the stance phase. For micromovement, the osteoporosis model had the largest value at 0.26 mm, followed by the osteoarthritis (0.09 mm) and normal (0.03 mm) models. In conclusion, the greatest magnitudes of stress and micromovement were observed for the osteoporosis bone and extra care should be taken to treat pilon fracture associated with this pathological condition.
  19. Fulltext Inhibitory evaluation of Curculigo latifolia on α-glucosidase, DPP (IV) and in vitro studies in antidiabetic with molecular docking relevance to type 2 diabetes mellitus
    Zabidi NA, Ishak NA, Hamid M, Ashari SE, Mohammad Latif MA
    J Enzyme Inhib Med Chem, 2021 Dec;36(1):109-121.
    PMID: 33249946 DOI: 10.1080/14756366.2020.1844680
    The inhibition of α-glucosidase and DPP enzymes capable of effectively reducing blood glucose level in the management of type 2 diabetes. The purpose of the present study is to evaluate the inhibitory potential of α-glucosidase and DPP (IV) activity including with the 2-NBDG uptake assay and insulin secretion activities through in vitro studies. The selected of active compounds obtained from the screening of compounds by LC-MS were docked with the targeted enzyme that involved in the mechanism of T2DM. From the results, root extracts displayed a better promising outcome in α-glucosidase (IC50 2.72 ± 0.32) as compared with the fruit extracts (IC50 3.87 ± 0.32). Besides, root extracts also displayed a better activity in the inhibition of DPP (IV), enhance insulin secretion and glucose uptake activity. Molecular docking results revealing that phlorizin binds strongly with α-glucosidase, DPP (IV) and Insulin receptor (IR) enzymes with achieving the lowest binding energy value. The present work suggests several of the compounds have the potential that contribute towards inhibiting α-glucosidase and DPP (IV) and thus effective in lowering post-prandial hyperglycaemia.
  20. Understanding the effects of Moringa oleifera in chronic unpredictable stressed zebrafish using metabolomics analysis
    Rosdy MS, Rofiee MS, Samsulrizal N, Salleh MZ, Teh LK
    J Ethnopharmacol, 2021 Oct 05;278:114290.
    PMID: 34090909 DOI: 10.1016/j.jep.2021.114290
    ETHNOPHARMACOLOGICAL RELEVANCE: Moringa leaves have been used for thousands of years to maintain skin health and mental fitness. People also use it to relieves pain and stress.

    AIM OF THE STUDY: To determine the effects of Moringa oleifera leaves ethanol-aqueous (ratio 7:3) extract (MOLE) on the chronically stressed zebrafish.

    METHOD: The changes in the stress-related behaviour and the metabolic pathways in response to MOLE treatment in zebrafish were studied. A chronic unpredictable stress model was adopted in which zebrafish were induced with different stressors for 14 days. Stress-related behaviour was assessed using a depth-preference test and a light and dark test. Three doses of MOLE (500, 1000, and 2000 mg/L) were administered to the zebrafish. Upon sacrifice, the brains were harvested and processed for LC-MS QTOF based, global metabolomics analysis.

    RESULTS: We observed significant changes in the behavioural parameters, where the swimming time at the light phase and upper phase of the tank were increased in the chronically stressed zebrafish treated with MOLE compared to those zebrafish which were not treated. Further, distinctive metabolite profiles were observed in zebrafish with different treatments. Several pathways that shed light on effects of MOLE were identified. MOLE is believed to relieve stress by regulating pathways that are involved in the metabolism of purine, glutathione, arginine and proline, D-glutamine, and D-glutamate.

    CONCLUSION: MOLE is potentially an effective stress reliever. However, its effects in human needs to be confirmed with a systematic randomised control trial.

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