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Fulltext Effects of Tocotrienol-Rich Fraction Supplementation in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Phang SCW, Ahmad B, Abdul Kadir K, M Palanisamy UD

Adv Nutr, 2023 Sep;14(5):1159-1169.
PMID: 37321474 DOI: 10.1016/j.advnut.2023.06.006

There are a large number of studies that have reported benefits of tocotrienol-rich fraction (TRF) in various populations with different health status. To date, no systematic reviews have examined randomized controlled trials (RCTs) on the effect of TRF supplementations specifically in patients with type 2 diabetes mellitus (T2DM). This systematic review and meta-analysis aim to examine the changes in HbA1c (glycated hemoglobin), blood pressure, and serum Hs-CRP (C-reactive protein high sensitivity) levels at post-TRF supplementation. Online databases including PubMed, Scopus, OVID Medline, and Cochrane Central Register of Controlled Trials were searched from inception until March 2023 for RCTs supplementing TRF in patients with T2DM. A total of 10 studies were included in the meta-analysis to estimate the pooled effect size. The Cochrane Risk-of-Bias (RoB) Assessment Tool was utilized to evaluate the RoB in individual studies. The meta-analysis revealed that TRF supplementation at a dosage of 250-400 mg significantly decreased HbA1c (-0.23, 95% CI: -0.44, -0.02, P < 0.05, n = 754), particularly where the intervention duration is less than 6 mo (-0.47%, 95% CI: -0.90, -0.05, P < 0.05, n = 126) and where duration of diabetes is less than 10 y (-0.37, 95% CI: -0.68, -0.07, P < 0.05, n = 83). There was no significant reduction in systolic and diastolic blood pressure and serum Hs-CRP (P > 0.05). The present meta-analysis demonstrated that supplementing with TRF in patients with T2DM decreased HbA1c but does not decrease systolic and diastolic blood pressure and serum Hs-CRP.
The Association Between Economic Status and Religious Identity With Oral Health Disparities and Inequalities Around the World

Chaudhary FA, Ahmad B, Arjumand B, Alharkan HM

Cureus, 2024 Jan;16(1):e51917.
PMID: 38333499 DOI: 10.7759/cureus.51917

INTRODUCTION: The inequalities in oral health remain one of the current issues in the global public health agenda. The number of studies investigating health disparity by religious identity is limited and there is currently no such report relating to oral health. Similarly, there is compelling evidence for oral health disparities between socioeconomic statuses, education levels, and ethnic groups. This ecological study aimed to explore the disparity in oral health-related outcomes between Muslim and non-Muslim countries and country income status.
METHODS: Publicly available data related to oral health measures, country income status, and membership in the Organization of Islamic countries were used. Five oral health-related measures were examined: caries experience (decayed, missing, and filled teeth (DMFT)), percentage of the population with no periodontal disease, and disability-adjusted life years (DALY) attributed to oral conditions, and mouth and oropharynx cancer. One-way analysis of variance (ANOVA) and Kruskal-Wallis tests were used to compare the oral health parameters by country income status and simple linear regression was used to compare the parameters between the non-member countries (n-MC) and member countries (MC). For the significant parameters, adjusted coefficients were obtained using multiple linear regression.
RESULTS: From 170 countries included, 53 (31%) were MC and 117 (69%) were n-MC. Analysis showed that the mean DMFT in adults aged 35-44 years was significantly higher in the n-MC compared to MC after adjusting for country income status (p<0.05) but the latter was the stronger explanatory predictor of the outcome. The strength of the effect of country membership classification (standardized coefficient β: DMFT35-44-year-old = -0.16) was smaller than country income status (β = -0.60) in the multiple regression.
CONCLUSION: There is significant but weak evidence from the available data to support the claim that economic status and religion contribute to oral health disparity.
A societal transition of MSW management in Xiamen (China) toward a circular economy through integrated waste recycling and technological digitization

Kurniawan TA, Lo W, Singh D, Othman MHD, Avtar R, Hwang GH, et al.

Environ Pollut, 2021 May 15;277:116741.
PMID: 33652179 DOI: 10.1016/j.envpol.2021.116741

Recently Xiamen (China) has encountered various challenges of municipal solid waste management (MSWM) such as lack of a complete garbage sorting and recycling system, the absence of waste segregation between organic and dry waste at source, and a shortage of complete and clear information about the MSW generated. This article critically analyzes the existing bottlenecks in its waste management system and discusses the way forward for the city to enhance its MSWM by drawing lessons from Hong Kong's effectiveness in dealing with the same problems over the past decades. Solutions to the MSWM problem are not only limited to technological options, but also integrate environmental, legal, and institutional perspectives. The solutions include (1) enhancing source separation and improving recycling system; (2) improving the legislation system of the MSWM; (3) improvement of terminal disposal facilities in the city; (4) incorporating digitization into MSWM; and (5) establishing standards and definitions for recycled products and/or recyclable materials. We also evaluate and compare different aspects of MSWM in Xiamen and Hong Kong SAR (special administrative region) under the framework of 'One Country, Two Systems' concerning environmental policies, generation, composition, characteristics, treatment, and disposal of their MSW. The nexus of society, economics of the MSW, and the environment in the sustainability sphere are established by promoting local recycling industries and the standardization of recycled products and/or recyclable materials. The roles of digitization technologies in the 4th Industrial Revolution for waste reduction in the framework of circular economy (CE) are also elaborated. This technological solution may improve the city's MSWM in terms of public participation in MSW separation through reduction, recycle, reuse, recovery, and repair (5Rs) schemes. To meet top-down policy goals such as a 35% recycling rate for the generated waste by 2030, incorporating digitization into the MSWM provides the city with technology-driven waste solutions.
Resource recovery toward sustainability through nutrient removal from landfill leachate

Kurniawan TA, Singh D, Xue W, Avtar R, Othman MHD, Hwang GH, et al.

J Environ Manage, 2021 Jun 01;287:112265.
PMID: 33730674 DOI: 10.1016/j.jenvman.2021.112265

This study investigated the feasibility of integrated ammonium stripping and/or coconut shell waste-based activated carbon (CSWAC) adsorption in treating leachate samples. To valorize unused biomass for water treatment application, the adsorbent originated from coconut shell waste. To enhance its performance for target pollutants, the adsorbent was pretreated with ozone and NaOH. The effects of pH, temperature, and airflow rate on the removal of ammoniacal nitrogen (NH3-N) and refractory pollutants were studied during stripping alone. The removal performances of refractory compounds in this study were compared to those of other treatments previously reported. To contribute new knowledge to the field of study, perspectives on nutrients removal and recovery like phosphorus and nitrogen are presented. It was found that the ammonium stripping and adsorption treatment using the ozonated CSWAC attained an almost complete removal (99%) of NH3-N and 90% of COD with initial NH3-N and COD concentrations of 2500 mg/L and 20,000 mg/L, respectively, at optimized conditions. With the COD of treated effluents higher than 200 mg/L, the combined treatments were not satisfactory enough to remove target refractory compounds. Therefore, further biological processes are required to complete their biodegradation to meet the effluent limit set by environmental legislation. As this work has contributed to resource recovery as the driving force of landfill management, it is important to note the investment and operational expenses, engineering applicability of the technologies, and their environmental concerns and benefits. If properly managed, nutrient recovery from waste streams offers environmental and socio-economic benefits that would improve public health and create jobs for the local community.
Resource recovery from landfill leachate: An experimental investigation and perspectives

Kurniawan TA, Singh D, Avtar R, Othman MHD, Hwang GH, Albadarin AB, et al.

Chemosphere, 2021 Jul;274:129986.
PMID: 33979934 DOI: 10.1016/j.chemosphere.2021.129986

This work investigates the performances of coconut shell waste-based activated carbon (CSWAC) adsorption in batch studies for removal of ammoniacal nitrogen (NH3-N) and refractory pollutants (as indicated by decreasing COD concentration) from landfill leachate. To valorize unused resources, coconut shell, recovered and recycled from agricultural waste, was converted into activated carbon, which can be used for leachate treatment. The ozonation of the CSWAC was conducted to enhance its removal performance for target pollutants. The adsorption mechanisms of refractory pollutants by the adsorbent are proposed. Perspectives on nutrient recovery technologies from landfill leachate from the view-points of downstream processing are presented. Their removal efficiencies for both recalcitrant compounds and ammoniacal nitrogen were compared to those of other techniques reported in previous work. It is found that the ozonated CSWAC substantially removed COD (i.e. 76%) as well as NH3-N (i.e. 75%), as compared to the CSWAC without pretreatment (i.e. COD: 44%; NH3-N: 51%) with NH3-N and COD concentrations of 2750 and 8500 mg/L, respectively. This reveals the need of ozonation for the adsorbent to improve its performance for the removal of COD and NH3-N at optimized reactions: 30 g/L of CSWAC, pH 8, 200 rpm of shaking speed and 20 min of reaction time. Nevertheless, treatment of the leachate samples using the ozonated CSWAC alone was still unable to result in treated effluents that could meet the COD and NH3-N discharge standards below 200 and 5 mg/L, respectively, set by legislative requirements. This reveals that another treatment is necessary to be undertaken to comply with the requirement of their effluent limit.
Removal of acetaminophen from synthetic wastewater in a fixed-bed column adsorption using low-cost coconut shell waste pretreated with NaOH, HNO3, ozone, and/or chitosan

Yanyan L, Kurniawan TA, Zhu M, Ouyang T, Avtar R, Dzarfan Othman MH, et al.

J Environ Manage, 2018 Nov 15;226:365-376.
PMID: 30138836 DOI: 10.1016/j.jenvman.2018.08.032

Acetaminophen (Ace) is a trace pollutant widely found in sewage treatment plant (STP) wastewater. We test the feasibility of coconut shell waste, a low cost adsorbent from coconut industry, for removing Ace from synthetic solution in a fixed-bed column adsorption. To enhance its performance, the surface of granular activated carbon (GAC) was pre-treated with NaOH, HNO3, ozone, and/or chitosan respectively. The results show that the chemical modification of the GAC's surface with various chemicals has enhanced its Ace removal during the column operations. Among the modified adsorbents, the ozone-treated GAC stands out for the highest Ace adsorption capacity (38.2 mg/g) under the following conditions: 40 mg/L of Ace concentration, 2 mL/min of flow rate, 45 cm of bed depth. Both the Thomas and the Yoon-Nelson models are applicable to simulate the experimental results of the column operations with their adsorption capacities: ozone-treated GAC (20.88 mg/g) > chitosan-coated GAC (16.67 mg/g) > HNO3-treated GAC (11.09 mg/g) > NaOH-treated GAC (7.57 mg/g) > as-received GAC (2.84 mg/g). This suggests that the ozone-treated GAC is promising and suitable for Ace removal in a fixed-bed reactor.
Modified TiO₂ nanotubes-zeolite composite photocatalyst: Characteristics, microstructure and applicability for degrading triclocarban

Arifin SNH, Radin Mohamed RMS, Al-Gheethi AA, Wei LC, Yashni G, Fitriani N, et al.

Chemosphere, 2022 Jan;287(Pt 3):132278.
PMID: 34826939 DOI: 10.1016/j.chemosphere.2021.132278

The study explored the characteristics and effectiveness of modified TiO2 nanotubes with zeolite as a composite photocatalyst (MTNZC) for the degradation of triclocarban (TCC) from the aqueous solution. MTNZC samples have been produced via electrochemical anodisation (ECA) followed by electrophoretic deposition (EPD). Three independent factors selected include MTNZC size (0.5-1 cm2), pH (3-10), and irradiation time (10-60 min). The observation revealed that the surface of Ti substrate by the 40 V of anodisation and 3 h of calcination was covered with the array ordered, smooth and optimum elongated nanotubes with average tube length was approximately 5.1 μm. EDS analysis proved the presence of Si, Mg, Al, and Na on MTNZC due to the chemical composition present in the zeolite. The average crystallite size of TiO₂ nanotubes increased from 2.07 to 3.95 nm by increasing anodisation voltage (10, 40, and 60 V) followed by 450 °C of calcination for 1, 3, and 6 h, respectively. The optimisation by RSM shows the F-value (36.12), the p-value of all responses were less than 0.0001, and the 95% confidence level of the model by all the responses indicated the model was significant. The R2 in the range of 0.9433-0.9906 showed the suitability of the model to represent the actual relationship among the parameters. The photocatalytic degradation rate of TCC from the first and the fifth cycles were 94.2 and 77.4%, indicating the applicability of MTNZC to be used for several cycles.
Fulltext Reforming MSWM in Sukunan (Yogjakarta, Indonesia): A case-study of applying a zero-waste approach based on circular economy paradigm

Kurniawan TA, Avtar R, Singh D, Xue W, Dzarfan Othman MH, Hwang GH, et al.

J Clean Prod, 2021 Feb 15;284:124775.
PMID: 33106733 DOI: 10.1016/j.jclepro.2020.124775

Over the past years, Indonesia, the world's fourth most populous country, has confronted environmental problems due to uncontrolled generation of municipal solid waste (MSW). While the integrated solid waste management (ISWM) represents a critical strategy for Indonesia to control its production, it is also recognized that economic approaches also need to be promoted to address the waste problem concertedly. In this case study, empirical approaches are developed to understand how a volume-based waste fee could be incorporated into MSW collection services and how to apply a zero-waste approach in Indonesia by adapting resource recovery initiatives, adapted from Germany's mature experiences in integrating the CE paradigm into the latter's MSWM practices. Currently, Sukunan village (Yogyakarta, Indonesia) promotes waste reduction at sources in the framework of community-based solid waste management (CBSWM) by mobilizing the local community for waste separation (organic and non-organic) and waste recycling. As a result, about 0.2 million Mt of CO2-eq emissions was avoided annually from local landfills. The economic benefits of recycling activities by the village's community also resulted in 30% reduction of the waste generated. This CBSWM scheme not only saves the government budget on waste collection, transport and disposal, but also extends the lifetime of local landfills as the final disposal sites. By integrating the CE paradigm into its MSWM practices through the implementation of economic instruments and adherence to the rule of law in the same way as Germany does, Indonesia could make positive changes to its environmental policy and regulation of MSW. A sound MSWM in Indonesia could play important roles in promoting the effectiveness of urban development with resource recovery approaches to facilitate its transition towards a CE nationwide in the long-term.
Fulltext Effect of physical activity on severity of primary angle closure glaucoma

Chong Seong NT, Yaakub A, Jalil RA, Tirmandas Vn K, A/P Sandragasu T, Noor JBM, et al.

Ther Adv Ophthalmol, 2019 07 29;11:2515841419864855.
PMID: 31384724 DOI: 10.1177/2515841419864855

Objective: To determine the association between physical activity and severity of primary angle closure glaucoma in Malay patients.
Methods: A cross-sectional study was conducted involving 150 primary angle closure glaucoma patients between April 2014 and August 2016. Using the International Physical Activity Questionnaire, the physical activity status was assessed and divided into three categories: mild, moderate and heavy physical activity. The duration of physical activity and corresponding minimum energy requirements were calculated. Ocular examination was performed including Humphrey visual field 24-2 analysis assessment. Based on two consecutive reliable Humphrey visual fields, the severity of glaucoma was scored according to modified Advanced Glaucoma Intervention Study and classified as mild (0-5), moderate (6-11) and severe (12-20). Association between physical activity and Advanced Glaucoma Intervention Study score was determined with multiple linear regression analysis.
Results: A total of 150 Malay patients with primary angle closure glaucoma were included (50 patients with mild, 50 with moderate and 50 with severe glaucoma). Physical activity showed inverse association with the severity of primary angle closure glaucoma. After calculating adjustments for age, sex, duration of glaucoma, body mass index, systemic co-morbidities, family history of glaucoma, myopia and educational status [adjusted b -3.41, 95% confidence interval (-5.23, -1.59), p
Review: probiotics and their beneficial effects against various diseases

Iqbal MZ, Qadir MI, Hussain T, Janbaz KH, Khan YH, Ahmad B

Pak J Pharm Sci, 2014 Mar;27(2):405-15.
PMID: 24577933

Joint FAO/WHO expert's consultation report defines probiotics as: Live microorganisms which when administered in adequate amounts confer a health benefit on the host. Most commonly used probiotics are Lactic acid bacteria (LAB) and bifidobacteria. There are other examples of species used as probiotics (certain yeasts and bacilli). Probiotic supplements are popular now a days. From the beginning of 2000, research on probiotics has increased remarkably. Probiotics are now day's widely studied for their beneficial effects in treatment of many prevailing diseases. Here we reviewed the beneficiary effects of probiotics in some diseases.
Review: Ajwa date (Phoenix dactylifera)- an emerging plant in pharmacological research

Mallhi TH, Qadir MI, Ali M, Ahmad B, Khan YH, Rehman A

Pak J Pharm Sci, 2014 May;27(3):607-16.
PMID: 24811825

Date Fruits are consumed in Arab areas for a long time as a part of essential diet. Phoenix dactylifera belongs to family Arecaceae and its leaves, barks, pits, fruits and pollens have anticancer, antioxidant, hepatoprotective, antidiabetic, antihypertensive, antiulcertavie, anti-inflammatory, antiproliferative, antimutagenic, antidiarheal, antibacterial, antifungal and antiviral potential. Besides these, Dates also increase level of estrogen, testosterone, RBCs, Hb, PCV, reticulocytes and platelet counts. It can also cure lead induced heamotoxicity, side effects of methylprednisolon, male and female infertility. It has also cerebroprotective, neuroprotective and haemopoietic activity. Phoenix dactylifera can be used for number of complications if further evaluated and isolated. The present paper is an overview of pharmacological properties of Phoenix dactylifera reported in literature.
Surface electromyographic analysis of the biceps brachii muscle of cricket bowlers during bowling

Ahamed NU, Sundaraj K, Ahmad B, Rahman M, Ali MA, Islam MA

Australas Phys Eng Sci Med, 2014 Mar;37(1):83-95.
PMID: 24477560 DOI: 10.1007/s13246-014-0245-1

Cricket bowling generates forces with torques on the upper limb muscles and makes the biceps brachii (BB) muscle vulnerable to overuse injury. The aim of this study was to investigate whether there are differences in the amplitude of the EMG signal of the BB muscle during fast and spin delivery, during the seven phases of both types of bowling and the kinesiological interpretation of the bowling arm for muscle contraction mechanisms during bowling. A group of 16 male amateur bowlers participated in this study, among them 8 fast bowlers (FB) and 8 spin bowlers (SB). The root mean square (EMGRMS), the average sEMG (EMGAVG), the maximum peak amplitude (EMGpeak), and the variability of the signal were calculated using the coefficient of variance (EMGCV) from the BB muscle of each bowler (FB and SB) during each bowling phase. The results demonstrate that, (i) the BB muscle is more active during FB than during SB, (ii) the point of ball release and follow-through generated higher signals than the other five movements during both bowling categories, (iii) the BB muscle variability is higher during SB compared with FB, (iv) four statistically significant differences (p<0.05) found between the bowling phases in fast bowling and three in spin bowling, and (v) several arm mechanics occurred for muscle contraction. There are possible clinical significances from the outcomes; like, recurring dynamic contractions on BB muscle can facilitate to clarify the maximum occurrence of shoulder pain as well as biceps tendonitis those are medically observed in professional cricket bowlers, and treatment methods with specific injury prevention programmes should focus on the different bowling phases with the maximum muscle effect. Finally, these considerations will be of particular importance in assessing different physical therapy on bowler's muscle which can improve the ball delivery performance and stability of cricket bowlers.
Fulltext Knowledge of diabetes and lifestyle behaviour amongst indigenous population in Peninsular Malaysia

Ahmad B, Khalid BA, Quek KF, Anuar Z, Phipps ME

Med J Malaysia, 2013 Aug;68(4):309-14.
PMID: 24145258 MyJurnal

A cross-sectional study involving seven Orang Asli
settlements located in three different states in Peninsular
Malaysia; Johor, Selangor and Perak.
The variability of lower third molar development in Northeast Malaysian population with application to age estimation

Johan NA, Khamis MF, Abdul Jamal NS, Ahmad B, Mahanani ES

J Forensic Odontostomatol, 2012 Jul;30(1):45-54.
PMID: 23000811

This study aimed to assess the variability of the lower third molar (tooth 38 and 48) development in Northeast Malaysian population with respect to the side of dentition, to generate age prediction models and to compare the outcome with other studies. A total of 1080 orthopantomograms of Northeast Malaysian population aged between 14 and 25 years (540 males and 540 females) from the Hospital Universiti Sains Malaysia's archive which met the inclusion and exclusion criteria were selected and the maturity stages of tooth 38 and 48 were scored using Demirjian's stages (A-H). The findings showed a wide variation of the development of lower third molars in the Northeast Malaysian population. The roots developed earlier in males than in females. The development of the dentition on opposite sides of the mandible was synchronously in females and males. A multiple regression analysis shows that 71.1% of variance in age was explained by sex and developmental stage of tooth 48. An age prediction model was generated from the regression analysis: [Age = 7.117 + 1.907*(stage of tooth 48) - 0.432*(sex)] with mean prediction errors between -0.17 to 3.14 years. The obtained data in the current study are useful for references and determining age of unidentified human remains for identification investigation.
Changes in balance function with chronic antiepileptic drug therapy: A twin and sibling study

Shiek Ahmad B, Wark JD, Petty SJ, O'Brien TJ, Gorelik A, Sambrook PN, et al.

Epilepsia, 2015 Nov;56(11):1714-22.
PMID: 26513212 DOI: 10.1111/epi.13136

To investigate cross-sectional and longitudinal differences in static and dynamic standing balance measures and lower limb muscle strength in patients who are treated chronically with antiepileptic drugs (AEDs).
Mechanisms of action for the anti-obesogenic activities of phytochemicals

Ahmad B, Friar EP, Vohra MS, Garrett MD, Serpell CJ, Fong IL, et al.

Phytochemistry, 2020 Dec;180:112513.
PMID: 33010536 DOI: 10.1016/j.phytochem.2020.112513

The prevalence of obesity is increasing rapidly globally and has recently reached pandemic proportions. It is a multifactorial disorder linked to a number of non-communicable diseases such as type-2 diabetes, cardiovascular disease, and cancer. Over-nutrition and a sedentary lifestyle are considered the most significant causes of obesity; a healthy lifestyle and behavioural interventions are the most powerful ways to achieve successful weight loss, but to maintain this in the long term can prove difficult for many individuals, without medical intervention. Various pharmacological anti-obesogenic drugs have been tested and marketed in the past and have been moderately successful in the management of obesity, but their adverse effects on human health often outweigh the benefits. Natural products from plants, either in the form of crude extracts or purified phytochemicals, have been shown to have anti-obesogenic properties and are generally considered as nontoxic and cost-effective compared to synthetic alternatives. These plant products combat obesity by targeting the various pathways and/or regulatory functions intricately linked to obesity. Their mechanisms of action include inhibition of pancreatic lipase activities, an increase in energy expenditure, appetite regulation, lipolytic effects, and inhibition of white adipose tissue development. In this review, we discuss the distinct anti-obesogenic properties of recently reported plant extracts and specific bioactive compounds, along with their molecular mechanisms of action. This review will provide a common platform for understanding the different causes of obesity and the possible approaches to using plant products in tackling this worldwide health issue.
Fulltext Concerns, perceived impact, and preparedness of oral healthcare workers in their working environment during COVID-19 pandemic

Chaudhary FA, Ahmad B, Ahmad P, Khalid MD, Butt DQ, Khan SQ

J Occup Health, 2020 Jan;62(1):e12168.
PMID: 32951286 DOI: 10.1002/1348-9585.12168

OBJECTIVE: The aim of the study was to evaluate the oral healthcare workers' concerns, perceived impact, and preparedness in COVID-19 pandemic.
METHODS: This cross-sectional study was carried out at 10 different dental hospitals in Pakistan from March to June 2020. A 35 items valid and reliable questionnaire was used to assess the concerns, perceived impact, and preparedness of oral healthcare workers (OHCW) in COVID-19 pandemic. Chi-squared test and logistic regression were used for analysis.
RESULTS: A total of 583 OHCW participated in this study. The odds of having the awareness about the risk of exposure and fear of getting infected, were greater in the clinical than non-clinical OHCW (OR: 52.6; OR: 15.9). For social network concerns, the clinical OHCW were more likely to be concerned about their colleagues (OR: 6.0). The clinical OHCW have greater odds of worrying about telling the family/friends about the risk exposed to (OR: 2.55), being avoided because of the job (OR: 3.20) and more likely to be feeling stressed (OR: 4.31). Less than 50% of the participants felt that their institutions are well prepared and only 12.6% had attended an infection control training session. Most participants practiced self-preparation such as buying masks and disinfection (94.3%, 98.3%).
CONCLUSION: The majority of OHCW felt concerned about their risk of exposure to infection and falling ill from exposure and infecting friends/family. There is a need for training of infection control and PPE and minimizing fear and psychological impact on OHCW should be the priority in any preparedness and planning for combating COVID-19.
Murine in vitro cellular models to better understand adipogenesis and its potential applications

Vohra MS, Ahmad B, Serpell CJ, Parhar IS, Wong EH

Differentiation, 2020 08 23;115:62-84.
PMID: 32891960 DOI: 10.1016/j.diff.2020.08.003

Adipogenesis has been extensively studied using in vitro models of cellular differentiation, enabling long-term regulation of fat cell metabolism in human adipose tissue (AT) material. Many studies promote the idea that manipulation of this process could potentially reduce the prevalence of obesity and its related diseases. It has now become essential to understand the molecular basis of fat cell development to tackle this pandemic disease, by identifying therapeutic targets and new biomarkers. This review explores murine cell models and their applications for study of the adipogenic differentiation process in vitro. We focus on the benefits and limitations of different cell line models to aid in interpreting data and selecting a good cell line model for successful understanding of adipose biology.
Fulltext The Relationship of Orofacial Pain and Dental Health Status and Oral Health Behaviours in Facial Burn Patients

Chaudhary FA, Ahmad B, Javed MQ, Yakub SS, Arjumand B, Khan AM, et al.

Pain Res Manag, 2021;2021:5512755.
PMID: 34055118 DOI: 10.1155/2021/5512755

This study aims to examine the association of orofacial pain and oral health status and oral health behaviours in facial burn patients. The participants in this cross-sectional study were randomly recruited from the Burn Care Center, Institute of Medical Sciences, Islamabad, Pakistan. An intraoral evaluation was carried out to record the DMFT and OHI-S. A self-administered questionnaire was used to collect information on sociodemographic status, brushing frequency, and dental visits. Orofacial pain during mandibular movement was assessed using the Visual Analogue Scale (VAS). Psychological status was assessed using the Generalized Anxiety Disorder Scale and Impact of Events Scale. ANOVA and simple and multiple linear regression tests were used to analyse the data. From the 90 facial burn patients included, the majority were below 34 years of age, female, single or divorced, and unemployed. The mean DMFT was 10.7, and 71% had poor oral hygiene. 56% of the participants had moderate-to-severe anxiety, and 68% had posttraumatic stress disorder. 53% of the participants had moderate-to-severe pain during mouth opening or moving the mandible with a mean score of 41.5. Analyses showed that orofacial pain was associated with less frequent brushing, irregular dental visits, greater DMFT score, and more plaque accumulation (OHI-S). It was also associated with employment status, the severity of a burn, anxiety, and stress. The treatment and management of dental and oral conditions in burn patients need judicious balance in controlling and accurate assessment of the pain and improving psychological problems in burn patients.
Brown/Beige adipose tissues and the emerging role of their secretory factors in improving metabolic health: The batokines

Ahmad B, Vohra MS, Saleemi MA, Serpell CJ, Fong IL, Wong EH

Biochimie, 2021 May;184:26-39.
PMID: 33548390 DOI: 10.1016/j.biochi.2021.01.015

Brown and beige adipose tissues are the primary sites for adaptive non-shivering thermogenesis. Although they have been known principally for their thermogenic effects, in recent years, it has emerged that, just like white adipose tissue (WAT), brown and beige adipose tissues also play an important role in the regulation of metabolic health through secretion of various brown adipokines (batokines) in response to various physiological cues. These secreted batokines target distant organs and tissues such as the liver, heart, skeletal muscles, brain, WAT, and perform various local and systemic functions in an autocrine, paracrine, or endocrine manner. Brown and beige adipose tissues are therefore now receiving increasing levels of attention with respect to their effects on various other organs and tissues. Identification of novel secreted factors by these tissues may help in the discovery of drug candidates for the treatment of various metabolic disorders such as obesity, type-2 diabetes, skeletal deformities, cardiovascular diseases, dyslipidemia. In this review, we comprehensively describe the emerging secretory role of brown/beige adipose tissues and the metabolic effects of various brown/beige adipose tissues secreted factors on other organs and tissues in endocrine/paracrine manners, and as well as on brown/beige adipose tissue itself in an autocrine manner. This will provide insights into understanding the potential secretory role of brown/beige adipose tissues in improving metabolic health.

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