Displaying publications 401 - 420 of 1094 in total

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  1. Rahman T, Deb N, Alam MZ, Moniruzzaman M, Miah MS, Horaira MA, et al.
    Heliyon, 2024 Jun 30;10(12):e33218.
    PMID: 39022034 DOI: 10.1016/j.heliyon.2024.e33218
    This study employs a comparative analysis method to examine variations in food waste (FW) generation between developed and developing nations, focusing on income levels, population growth rates, and community engagement in waste management. Quantitative data from Taiwan, Malaysia, and Bangladesh are comprehensively analyzed using regression analysis and descriptive statistics. Results indicate that Taiwan, with its stringent regulatory frameworks and advanced recycling technologies, generates significantly less FW per capita compared to Malaysia and Bangladesh. Malaysia shows moderate levels of FW reduction efforts, supported by varying degrees of community participation, whereas Bangladesh faces challenges with both regulatory enforcement and technological adoption. The study proposes an integrative waste management model emphasizing regulatory compliance rates, community participation metrics, and technology diffusion indices to effectively address FW challenges. These findings underscore the importance of tailored waste management strategies aligned with economic and demographic contexts of developing nations. Policymakers and waste management practitioners can leverage these insights to establish targeted FW reduction goals and enhance recycling initiatives. The research highlights the urgency of integrated waste management approaches to mitigate environmental and public health risks associated with FW mismanagement, advocating for evidence-based policies supported by robust quantitative analysis.
  2. Ng SW, Selvarajah GT, Cheah YK, Mustaffa Kamal F, Omar AR
    Pathogens, 2020 May 25;9(5).
    PMID: 32466289 DOI: 10.3390/pathogens9050412
    Feline infectious peritonitis (FIP) is a fatal feline immune-mediated disease caused by feline infectious peritonitis virus (FIPV). Little is known about the biological pathways associated in FIP pathogenesis. This is the first study aiming to determine the phenotypic characteristics on the cellular level in relation to specific metabolic pathways of importance to FIP pathogenesis.

    METHODS: The internalization of type II FIPV WSU 79-1146 in Crandell-Rees Feline Kidney (CrFK) cells was visualized using a fluorescence microscope, and optimization prior to phenotype microarray (PM) study was performed. Then, four types of Biolog Phenotype MicroArray™ plates (PM-M1 to PM-M4) precoated with different carbon and nitrogen sources were used to determine the metabolic profiles in FIPV-infected cells.

    RESULTS: The utilization of palatinose was significantly low in FIPV-infected cells; however, there were significant increases in utilizing melibionic acid, L-glutamine, L-glutamic acid and alanyl-glutamine (Ala-Gln) compared to non-infected cells.

    CONCLUSION: This study has provided the first insights into the metabolic profiling of a feline coronavirus infection in vitro using PMs and deduced that glutamine metabolism is one of the essential metabolic pathways for FIPV infection and replication. Further studies are necessary to develop strategies to target the glutamine metabolic pathway in FIPV infection.

  3. Mohamad Yusof L, Ahmad H, Hassim HA, Mustaffa-Kamal F, Omar S, Zainundin NK, et al.
    Vet Res Commun, 2024 Jul 25.
    PMID: 39052189 DOI: 10.1007/s11259-024-10479-w
    One of the key goals the feed industry emphasizes when exploring the incorporation of novel substances into animal diets is to enhance feed utilization efficiency, to bolster animal health and well-being. Fermented seaweed powder holds promise as a valuable and sustainable component of animal feed, owing to its rich nutrient profile and purported benefits for livestock and aquaculture species. This study provides some interesting and original preliminary data regarding the benefits of supplementing cats' diets with fermented dried seaweed. Using a broad investigative approach to measure and analyse multiple health benefits of feeding fermented dried macroalgae to cats as a nutritional supplement, the results of this 8-week study identified several positive health attributes related to body coat quality, nutrient digestibility, behavioural changes, a healthy gut microbiota ratio, and enhanced immunity. There were no adverse effects observed in the cats after supplementation with the fermented seaweed powder. The sample size in this study with cats should be increased, but this preliminary work showed that the seaweed-supplemented cats exhibited improvements in the measured health parameters over the control cats. As a result of this 8-week trial, key information has been provided regarding future research direction focusing on skin health application which is essential to the overall animal wellbeing.
  4. Latuconsina H, Butet NA, Affandi R, Kamal MM, Bachry S, Hakim AA
    Trop Life Sci Res, 2024 Mar;35(1):277-295.
    PMID: 39262864 DOI: 10.21315/tlsr2024.35.1.15
    This study aims to analyse the genetic diversity of Siganus canaliculatus in the Inner Ambon Bay (IAB) waters. DNA of S. canaliculatus specimens collected from IAB was extracted from tissues using a Tissue Genomic DNA Mini Kit, and partial CO1 genes were amplified using pair of universal primers. Genetic distances were determined by Kimura 2-parameter, and phylogenetic trees were constructed using the neighbour-joining method in MEGA 10.2.2 software. Arlequin software was used to analyse Fixation Index (Fst) and Analysis of Molecular Variance (AMOVA). There are three SNPs of S. canaliculatus from IAB that distinguish GenBank sequence data from S. canaliculatus. In Tanjung Tiram population group, contained three specific 677 (A), 679 (G), 703 (T) sites and two 693 (G), 714 (A) sites for the Nania population. Haplotype and nucleotide diversity of each population range from 0.000 to 1,000 and 0.000 to 0.004. Intra- and inter-population genetic differentiation were 21.19% dan 78.81%, respectively. Intra- and inter-population genetic distances were in range of 0.40-1.13 and 0.00-0.37, respectively. The pattern and direction of tidal currents as a link or barrier to spatial distribution and connectivity of S. canaliculatus larvae between seagrass habitats, as well as the presence of different anthropogenic pressures in each seagrass habitat, are thought to influence the genetic characteristics (genetic diversity, genetic variation, genetic differentiation and genetic distance) of S. canaliculatus populations in IAB waters. The results of this study provide information about the urgency of habitat-based fisheries management to support sustainable utiliation.s.
  5. Jayson T, Bakibillah ASM, Tan CP, Kamal MAS, Monn V, Imura JI
    J Environ Manage, 2024 Sep;368:122245.
    PMID: 39173300 DOI: 10.1016/j.jenvman.2024.122245
    Electric vehicles (EVs), which are a great substitute for gasoline-powered vehicles, have the potential to achieve the goal of reducing energy consumption and emissions. However, the energy consumption of an EV is highly dependent on road contexts and driving behavior, especially at urban intersections. This paper proposes a novel ecological (eco) driving strategy (EDS) for EVs based on optimal energy consumption at an urban signalized intersection under moderate and dense traffic conditions. Firstly, we develop an energy consumption model for EVs considering several crucial factors such as road grade, curvature, rolling resistance, friction in bearing, aerodynamics resistance, motor ohmic loss, and regenerative braking. For better energy recovery at varying traffic speeds, we employ a sigmoid function to calculate the regenerative braking efficiency rather than a simple constant or linear function considered by many other studies. Secondly, we formulate an eco-driving optimal control problem subject to state constraints that minimize the energy consumption of EVs by finding a closed-form solution for acceleration/deceleration of vehicles over a time and distance horizon using Pontryagin's minimum principle (PMP). Finally, we evaluate the efficacy of the proposed EDS using microscopic traffic simulations considering real traffic flow behavior at an urban signalized intersection and compare its performance to the (human-based) traditional driving strategy (TDS). The results demonstrate significant performance improvement in energy efficiency and waiting time for various traffic demands while ensuring driving safety and riding comfort. Our proposed strategy has a low computing cost and can be used as an advanced driver-assistance system (ADAS) in real-time.
  6. Mohd Kamal K, Mahamad Maifiah MH, Zhu Y, Abdul Rahim N, Hashim YZH, Abdullah Sani MS
    Metabolites, 2022 Nov 09;12(11).
    PMID: 36355168 DOI: 10.3390/metabo12111085
    The pentose phosphate pathway (PPP) plays a key role in many metabolic functions, including the generation of NADPH, biosynthesis of nucleotides, and carbon homeostasis. In particular, the intermediates of PPP have been found to be significantly perturbed in bacterial metabolomic studies. Nonetheless, detailed analysis to gain mechanistic information of PPP metabolism remains limited as most studies are unable to report on the absolute levels of the metabolites. Absolute quantification of metabolites is a prerequisite to study the details of fluxes and its regulations. Isotope tracer or labeling studies are conducted in vivo and in vitro and have significantly improved the analysis and understanding of PPP. Due to the laborious procedure and limitations in the in vivo method, an in vitro approach known as Group Specific Internal Standard Technology (GSIST) has been successfully developed to measure the absolute levels of central carbon metabolism, including PPP. The technique adopts derivatization of an experimental sample and a corresponding internal standard with isotope-coded reagents to provide better precision for accurate identification and absolute quantification. In this review, we highlight bacterial studies that employed isotopic tracers as the tagging agents used for the absolute quantification analysis of PPP metabolites.
  7. Mohd Haniff NS, Ng KH, Kamal I, Mohd Zain N, Abdul Karim MK
    Heliyon, 2024 Aug 30;10(16):e36313.
    PMID: 39253167 DOI: 10.1016/j.heliyon.2024.e36313
    The aim of this systematic review and meta-analysis is to evaluate the performance of classification metrics of machine learning-driven radiomics in diagnosing hepatocellular carcinoma (HCC). Following the PRISMA guidelines, a comprehensive search was conducted across three major scientific databases-PubMed, ScienceDirect, and Scopus-from 2018 to 2022. The search yielded a total of 436 articles pertinent to the application of machine learning and deep learning for HCC prediction. These studies collectively reflect the burgeoning interest and rapid advancements in employing artificial intelligence (AI)-driven radiomics for enhanced HCC diagnostic capabilities. After the screening process, 34 of these articles were chosen for the study. The area under curve (AUC), accuracy, specificity, and sensitivity of the proposed and basic models were assessed in each of the studies. Jamovi (version 1.1.9.0) was utilised to carry out a meta-analysis of 12 cohort studies to evaluate the classification accuracy rate. The risk of bias was estimated, and Logistic Regression was found to be the most suitable classifier for binary problems, with least absolute shrinkage and selection operator (LASSO) as the feature selector. The pooled proportion for HCC prediction classification was high for all performance metrics, with an AUC value of 0.86 (95 % CI: 0.83-0.88), accuracy of 0.83 (95 % CI: 0.78-0.88), sensitivity of 0.80 (95 % CI: 0.75-0.84) and specificity of 0.84 (95 % CI: 0.80-0.88). The performance of feature selectors, classifiers, and input features in detecting HCC and related factors was evaluated and it was observed that radiomics features extracted from medical images were adequate for AI to accurately distinguish the condition. HCC based radiomics has favourable predictive performance especially with addition of clinical features that may serve as tool that support clinical decision-making.
  8. Alibekov RS, Mustapa Kamal SM, Taip FS, Sulaiman A, Azimov AM, Urazbayeva KA
    Foods, 2023 Sep 02;12(17).
    PMID: 37685228 DOI: 10.3390/foods12173296
    Jackfruit is one of the major fruits cultivated in many Asian countries. Jackfruit seeds are generally disposed of into the environment, which causes an environmental concern that leads to biowaste accumulation. The seeds have excellent nutritional value, such as carbohydrates, protein, fats, minerals, and bioactive compounds. Bioactive compounds, such as phenolic, can be recovered from jackfruit seeds that could add value to the food and pharmaceutical industry. Thus, this study focused on utilizing subcritical water to extract the phenolic compounds from jackfruit seeds and correlate them with antioxidant activity (AA). The extraction of phenolic compounds was studied at different temperatures and extraction times. The highest total phenolic compounds (TPC) and AA were obtained by treating the jackfruit seed powder at 210 °C, 30 min, and 15% solid loading under subcritical water extraction (SWE) with 1.84 mg GAE/100 g (TPC) and 86% (AA). High correlation between the extracted TPC and AA of the jackfruit seed extracts was obtained (R2 = 0.96), indicating a significant positive relationship between TPC and AA. A higher amount of TPC was obtained via SWE as compared to Soxhlet extraction (1 h:0.53 mg GAE/100 g and 4 h:1.20 mg GAE/100 g). More pores were detected on the surface of the sample treated by SWE than using Soxhlet extraction. Thus, jackfruit seed extracts can be potentially beneficial in the fortification of fermented dairy or meat products.
  9. Alam S, Kamal TB, Sarker MMR, Zhou JR, Rahman SMA, Mohamed IN
    Front Pharmacol, 2021;12:659577.
    PMID: 34220503 DOI: 10.3389/fphar.2021.659577
    COVID-19, transmitted by SARS-CoV-2, is one of the most serious pandemic situations in the history of mankind, and has already infected a huge population across the globe. This horrendously contagious viral outbreak was first identified in China and within a very short time it affected the world's health, transport, economic, and academic sectors. Despite the recent approval of a few anti-COVID-19 vaccines, their unavailability and insufficiency along with the lack of other potential therapeutic options are continuing to worsen the situation, with valuable lives continuing to be lost. In this situation, researchers across the globe are focusing on repurposing prospective drugs and prophylaxis such as favipiravir, remdesivir, chloroquine, hydroxychloroquine, ivermectin, lopinavir-ritonavir, azithromycin, doxycycline, ACEIs/ARBs, rivaroxaban, and protease inhibitors, which were preliminarily based on in vitro and in vivo pharmacological and toxicological study reports followed by clinical applications. Based on available preliminary data derived from limited clinical trials, the US National Institute of Health (NIH) and USFDA also recommended a few drugs to be repurposed i.e., hydroxychloroquine, remdesivir, and favipiravir. However, World Health Organization later recommended against the use of chloroquine, hydroxychloroquine, remdesivir, and lopinavir/ritonavir in the treatment of COVID-19 infections. Combining basic knowledge of viral pathogenesis and pharmacodynamics of drug molecules as well as in silico approaches, many drug candidates have been investigated in clinical trials, some of which have been proven to be partially effective against COVID-19, and many of the other drugs are currently under extensive screening. The repurposing of prospective drug candidates from different stages of evaluation can be a handy wellspring in COVID-19 management and treatment along with approved anti-COVID-19 vaccines. This review article combined the information from completed clinical trials, case series, cohort studies, meta-analyses, and retrospective studies to focus on the current status of repurposing drugs in 2021.
  10. Abdul Rahim A, Idris MH, Kamal AH, Wong SK, Arshad A
    Pak J Biol Sci, 2012 Jul 01;15(13):629-34.
    PMID: 24218932
    The Condition Index (CI) is a method to measure overall health of fish and that has been applied to estimate the effect that different environmental factors have on clam meat quality. The CI of local mangrove clam Polymesoda expansa in Kelulit, Miri Sarawak was determined from October 2010 to November 2011. Condition index that is generally used to characterize the physiological activity of organisms, varied from 1.8% in December 2010 to 3.4% in October 2011, with low values observed during the spawning period. The clam attained their best condition in quality of flesh weight during July-October. In present study, the CI showed a clear relationship with the reproductive cycle of P. expansa. However, no significant correlation (p > 0.05) was found between CI and the different physicochemical parameter of seawater. The data presented is necessary for developing sustainable management strategies and broodstock selection for the species which is crucial in aquaculture development.
  11. Ishak SA, Murshed MF, Zainol MRRMA, Kamal NHM
    Water Sci Technol, 2023 Dec;88(12):3057-3083.
    PMID: 38154794 DOI: 10.2166/wst.2023.404
    This study involved synthesising new hybrid polymers called ZOPAT, made up of zinc oxide, acrylamide, and tannin, using a blended technique. The effectiveness of ZOPAT in treating textile wastewater was then tested by measuring floc growth rate, flocculation index, strength factor, and recovery factor under optimised conditions. The study also identified the zeta potential, morphology, elemental composition, and functional groups of the polymers. Response surface methodology determines the optimal pH and ZOPAT dose, resulting in 93% colour, 80% chemical oxygen demand (COD), 100% turbidity, and suspended solids (SS) removal at pH 9.22 and 737 mg/L ZOPAT. The study found that ZOPAT was more effective than commercial Polyaluminium chloride in reducing colour and COD, producing larger and stronger flocs, and requiring a shorter coagulation time of 17.5 min. ZOPAT was also easy to homogenise and operate due to its one-unit dosing system. The study attributes the success of ZOPAT to the presence of Zn, N, and K, which create electrostatic attraction with opposite charged particles, and the formation of dye-particle-dye with amide, hydroxyl, and carboxyl groups in ZOPAT, which remove colour, turbidity, COD, and SS. Overall, the study concludes that ZOPAT has significant potential for textile wastewater treatment.
  12. Bakibillah ASM, Kamal MAS, Tan CP, Hayakawa T, Imura JI
    Heliyon, 2024 Jan 15;10(1):e23586.
    PMID: 38173479 DOI: 10.1016/j.heliyon.2023.e23586
    Energy consumption and emissions of a vehicle are highly influenced by road contexts and driving behavior. Especially, driving on horizontal curves often necessitates a driver to brake and accelerate, which causes additional fuel consumption and emissions. This paper proposes a novel optimal ecological (eco) driving scheme (EDS) using nonlinear model predictive control (MPC) considering various road contexts, i.e., curvatures and surface conditions. Firstly, a nonlinear optimization problem is formulated considering a suitable prediction horizon and an objective function based on factors affecting fuel consumption, emissions, and driving safety. Secondly, the EDS dynamically computes the optimal velocity trajectory for the host vehicle considering its dynamics model, the state of the preceding vehicle, and information of road contexts that reduces fuel consumption and carbon emissions. Finally, we analyze the effect of different penetration rates of the EDS on overall traffic performance. The effectiveness of the proposed scheme is demonstrated using microscopic traffic simulations under dense and mixed traffic environment, and it is found that the proposed EDS substantially reduces the fuel consumption and carbon emissions of the host vehicle compared to the traditional (human-based) driving system (TDS), while ensuring driving safety. The proposed scheme can be employed as an advanced driver assistance system (ADAS) for semi-autonomous vehicles.
  13. Sharan J, Bajoria A, Jena AK, Sinha P, Shivakumar A, Kamal VK, et al.
    Turk J Orthod, 2024 Jun 30;37(2):104-111.
    PMID: 38952284 DOI: 10.4274/TurkJOrthod.2023.2023.14
    OBJECTIVE: To evaluate the infrazygomatic crest (IZC) bone and develop guidelines for the optimum placement of orthodontic miniscrew implants (OMSIs) along the distobuccal root of the permanent maxillary first molar.

    METHODS: Bone thickness of the IZC region of 50 young adults (25 males and 25 females) aged 18-30 years were evaluated using cone-beam computed tomography images. The infrazygomatic bone thickness along the distobuccal root of the permanent maxillary first molar was assessed at various insertion angles (40° to 75° i.r.t the maxillary occlusal plane) with an increment of 5°. Student's t-test was used to compare the IZC bone thickness and height at the orthodontic miniscrew insertion site for males and females on the right and left sides.

    RESULTS: The bone thickness of the IZC region above the distobuccal root of the permanent maxillary first molar was estimated between 4.39±0.25 mm and 9.03±0.45 mm for insertion angles from 40° to 75° to the maxillary occlusal plane. The corresponding OMSI insertion heights were 17.71±0.61 mm to 13.69±0.75 mm, respectively, above the maxillary occlusal plane. There were statistically significant gender and side-wise variations in bone thickness at the IZC area and insertion height.

    CONCLUSION: The safe position for OMSI placement at the IZC was 13.69-16 mm from the maxillary occlusal plane with an insertion angle between 55° and 75°. These parameters provide the optimum placement of OMSIs along the distobuccal root of the permanent maxillary first molar.

  14. Muhammad SNH, Ramli RR, Nik Mohamed Kamal NNS, Fauzi AN
    Phytother Res, 2024 Dec;38(12):5626-5640.
    PMID: 39300823 DOI: 10.1002/ptr.8346
    Cancer incidence has increased globally and has become the leading cause of death in the majority of countries. Many cancers have altered energy metabolism pathways, such as increased glucose uptake and glycolysis, as well as decreased oxidative phosphorylation. This is known as the Warburg effect, where cancer cells become more reliant on glucose to generate energy and produce lactate as an end product, even when oxygen is present. These are attributed to the overexpression of key glycolytic enzymes, glucose transporters, and related signaling pathways that occur in cancer cells. Therefore, overcoming metabolic alterations in cancer cells has recently become a target for therapeutic approaches. Natural products have played a key role in drug discovery, especially for cancer and infectious diseases. In this review, we are going to focus on terpenoids, which are gradually gaining popularity among drug researchers due to their reported anti-cancer effects via cell cycle arrest, induction of apoptosis, reduction of proliferation, and metastasis. This review summarizes the potential of 13 terpenoid compounds as anti-glycolytic inhibitors in different cancer models, primarily by inhibiting the glucose uptake and the generation of lactate, as well as by downregulating enzymes associated to glycolysis. As a conclusion, disruption of cancer cell glycolysis may be responsible for the anti-cancer activity of terpenoids.
  15. Nik Jaafar NR, Tuti Iryani MD, Wan Salwina WI, Fairuz Nazri AR, Kamal NA, Prakash RJ, et al.
    Asia Pac Psychiatry, 2013 Apr;5 Suppl 1:27-34.
    PMID: 23857834 DOI: 10.1111/appy.12072
    To examine the relationship between externalizing/internalizing syndromes and school truancy among Form Four (10th grade) students attending "high-risk" schools in Kuala Lumpur.
  16. Yaacob NS, Hamzah N, Nik Mohamed Kamal NN, Zainal Abidin SA, Lai CS, Navaratnam V, et al.
    PMID: 20684795 DOI: 10.1186/1472-6882-10-42
    The leaves of Strobilanthes crispus (S. crispus) which is native to the regions of Madagascar to the Malay Archipelago, are used in folk medicine for their antidiabetic, diuretic, anticancer and blood pressure lowering properties. Crude extracts of this plant have been found to be cytotoxic to human cancer cell lines and protective against chemically-induced hepatocarcinogenesis in rats. In this study, the cytotoxicity of various sub-fractions of dichloromethane extract isolated from the leaves of S. crispus was determined and the anticancer activity of one of the bioactive sub-fractions, SC/D-F9, was further analysed in breast and prostate cancer cell lines.
  17. Amom Z, Zakaria Z, Mohamed J, Azlan A, Bahari H, Taufik Hidayat Baharuldin M, et al.
    J Clin Biochem Nutr, 2008 Sep;43(2):88-94.
    PMID: 18818758 DOI: 10.3164/jcbn.2008051
    Accumulating data demonstrated that hypercholesterolemia and oxidative stress play an important role in the development of atherosclerosis. In the present study, a protective activity of alpha-lipoic acid; a metabolic antioxidant in hypercholesterolemic-induced animals was investigated. Eighteen adult male New Zealand White (NZW) rabbit were segregated into three groups labelled as group N, HCD and ALA (n = 6). Group N (normal control) was fed with normal chow, the rest (HCD and ALA) were fed with 100 g/head/day of 1% cholesterol rich diet to induce hypercholesterolemia. Four point two mg/body weight of alpha lipoic acid was concomintantly supplemented to the ALA group. Drinking water was given ad-libitum. The study was designed for 10 weeks. Blood sampling was taken from the ear lobe vein at the beginning, week 5 and week 10. Plasma was prepared for lipid profile estimation and microsomal lipid peroxidation index indicated with malondialdehyde (MDA) formation. At the end of the experiment, the animals were sacrificed and the aorta were excised for intimal lesion analysis. The plasma total cholesterol (TC) and low density lipoprotein (LDL) levels were found to be significantly low in ALA group compared to that of the HCD group (p<0.05). Similarly, low level of MDA (p<0.05) in ALA group was observed compared to that of the HCD group showing a significant reduction of lipid peroxidation activity. Histomorphometric intimal lesion analysis of the aorta showing less of atheromatous plaque formation in alpha lipoic acid supplemented group (p<0.05) compared to HCD group. These findings suggested that alpha lipoic acid posses a dual lipid lowering and anti-atherosclerotic properties indicated with low plasma TC and LDL levels and reduction of athero-lesion formation in hypercholesterolemic-induced rabbits.
  18. Rezal RS, Hassali MA, Alrasheedy AA, Saleem F, Yusof FA, Kamal M, et al.
    Expert Rev Anti Infect Ther, 2015;13(12):1547-56.
    PMID: 26358203 DOI: 10.1586/14787210.2015.1085303
    INTRODUCTION AND AIMS: It is necessary to ascertain current prescribing of antibiotics for upper respiratory tract infections (URTIs) to address potential overuse. A retrospective analysis was conducted of all prescriptions for URTIs among 10 public primary healthcare centers in Kedah, Malaysia, from 1 January to 31 March 2014.
    RESULTS: A total of 123,524 prescriptions were screened and analyzed. Of these, 7129 prescriptions were for URTI, with 31.8% (n = 2269) containing antibiotics. Macrolides were the most commonly prescribed antibiotic, constituting 61% (n = 1403) of total antibiotics prescribed. There was a statistically significant association between different prescribers and diagnoses (p = 0.001) and a weak positive trend suggesting family medicine specialists are more competent in antibiotic prescribing, followed by medical officers and assistant medical officers (τ = 0.122).
    CONCLUSIONS: Prescribing practices of some prescribers were inconsistent with current guidelines encouraging resistance development. National antimicrobial stewardship programs and further educational initiatives are ongoing in Malaysia to improve antibiotic use.
    KEYWORDS: Malaysia; antibiotics stewardship programs; guidelines; inappropriate use of antibiotics; primary healthcare centres; upper respiratory tract infections
    Study site: Klinik kesihatan, Kedah, Malaysia
  19. Ong TA, Khong SY, Ng KL, Ting JR, Kamal N, Yeoh WS, et al.
    Urology, 2015 Sep;86(3):487-91.
    PMID: 26142713 DOI: 10.1016/j.urology.2015.06.022
    OBJECTIVE: To evaluate the effectiveness of pelvic floor muscle exercises (PFMEs) performed with the new biofeedback Vibrance Kegel Device (VKD), compared to PFMEs alone, in treating stress urinary incontinence (SUI).

    MATERIALS AND METHODS: This was a pilot prospective, randomized trial of women aged ≥18 years with SUI symptoms who underwent PFMEs at University Malaya Medical Centre from October 2011 to October 2013. The patients were randomly divided into two groups: control (PFMEs alone) and VKD (PFMEs with VKD biofeedback). The patients underwent 16 weeks of pelvic floor training, during which they were assessed using Australian pelvic floor questionnaires and modified Oxford scales for pelvic floor muscle strength at week 0, 4, and 16.

    RESULTS: Forty patients were recruited (control 19, VKD 21). Three patients in the control group dropped out during week 16 training, whereas the VKD group had no dropouts. The VKD group reported significantly earlier improvement in SUI scores, as assessed by the Australian pelvic floor questionnaires (P = .035) at week 4. However, there was no significant difference between the groups' SUI scores at week 16. Pelvic floor muscle strength was significantly better in the VKD group at week 4 (P = .025) and week 16 (P = 0.001). The subjective cure rate was similar in both groups at week 16 (62.5% for control and 61.9% for VKD) (P = 0.742).

    CONCLUSION: Using the VKD resulted in significant early improvement in SUI scores, and pelvic muscle strength had improved significantly by the end of the study. The VKD proved useful as an adjunct for pelvic floor training.

  20. Kamal H, Tan GC, Ibrahim SF, Shaikh MF, Mohamed IN, Mohamed RMP, et al.
    Front Cell Neurosci, 2020;14:282.
    PMID: 33061892 DOI: 10.3389/fncel.2020.00282
    Alcohol use disorder (AUD) has been associated with neurodegenerative diseases such as Alzheimer's and Parkinson's disease. Prolonged excessive alcohol intake contributes to increased production of reactive oxygen species that triggers neuroimmune response and cellular apoptosis and necrosis via lipid peroxidation, mitochondrial, protein or DNA damage. Long term binge alcohol consumption also upregulates glutamate receptors, glucocorticoids and reduces reuptake of glutamate in the central nervous system, resulting in glutamate excitotoxicity, and eventually mitochondrial injury and cell death. In this review, we delineate the following principles in alcohol-induced neurodegeneration: (1) alcohol-induced oxidative stress, (2) neuroimmune response toward increased oxidants and lipopolysaccharide, (3) glutamate excitotoxicity and cell injury, and (4) interplay between oxidative stress, neuroimmune response and excitotoxicity leading to neurodegeneration and (5) potential chronic alcohol intake-induced development of neurodegenerative diseases, including Alzheimer's and Parkinson's disease.
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