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Hidden bugs in a newly opened hospital: the distribution of skin microbiota among healthcare workers in a newly opened teaching hospital

Kamala Nathan M, Jasni AS, Zakariah SZ, Tengku Jamaluddin TZM, Mohd Isa M, Ibrahim R

J Med Microbiol, 2023 Jul;72(7).
PMID: 37432079 DOI: 10.1099/jmm.0.001732

Background. Skin is a reservoir for millions of micro-organisms, all of which make up the skin microbiota. Hospitals have been identified as a favourable environment for transmitting micro-organisms and thus, it is important to know the distribution of skin microbiota among healthcare workers (HCWs), as such findings may provide baseline information for the distribution of skin microbiota in hospitals.Hypothesis. There is no significant association between the factors (age, gender, type of skin microenvironment, hand hygiene practices, usage of skin care products, current healthcare practices and previous workplace) and the distribution of the skin microbiota among HCWs.Aim. The study aims to identify type of skin microbiota and associated factors (age, gender, type of skin microenvironment, hand hygiene practices, use of skincare products, current healthcare practice, and previous workplace) that influence the growth of skin microbiota.Method. About 102 bacterial isolates were obtained from the skin of 63 healthcare workers in a newly opened teaching hospital, namely Hospital Pengajar Universiti Putra Malaysia (HPUPM). All isolated bacteria were subjected to phenotypic identification according to standard microbiological procedures.Results. The most common isolated skin microbiota were Gram-positive bacteria (84.3%), followed by Gram-negative bacteria (15.7%). A Chi-square test of independence was used to analyse the above factors and there was a significant association between the type of skin microenvironment and the distribution of skin microbiota (P=0.03) (type of skin microenvironment influences the distribution of skin microbiota).Conclusion. Coagulase-negative Staphylococcus spp. was the most common bacteria isolated from the skin of the healthcare workers. Even though coagulase-negative staphylococci (CoNS) are low pathogenic bacteria, but it may cause serious infection in high risk group of patients. Therefore, it is important to emphasize on the good hand hygiene practices and implement strict infection control measures to minimize the risk of HAI in newly opened hospitals.
Low-cost novel nano-constructed granite composites for removal of hazardous Terasil dye from wastewater

Khalil M, Hanif MA, Rashid U, Ahmad J, Alsalme A, Tsubota T

Environ Sci Pollut Res Int, 2023 Jul;30(34):81333-81351.
PMID: 35710971 DOI: 10.1007/s11356-022-21367-8

The hazardous dyes on mixing with water resources are affecting many life forms. Granite stone is popular worldwide for decorating floors, making other forms of decorative materials and items. Granite stone powder waste can be obtained free of cost from marble factories as factories spend on the disposal of this waste. In the present study, novel granite stone powder waste composite has been prepared and utilized for the effective removal of Terasil dye. Two types of granite including gray granite and white granite were used in pure, calcinized, and chemically modified forms. Freundlich adsorption isotherm model best explained the adsorption mechanism of dye removal using granite composites as compared to other adsorption isothermal models. Characterization techniques like scanning electron microscopy (SEM) and Fourier transform infrared (FTIR) spectroscopy were used for the determination of morphological features and functional groups of granite composites. The obtained results were statistically analyzed using analysis of variance (ANOVA) along with the post hoc Tukey test. An extraordinarily high Terasil dye uptake capacity (more than 400 mg/g) was exhibited by granite composites prepared using sodium metasilicate. The synthesized novel nano-constructed composites provided a viable strategy as compared to the pure granite stone for dye removal from wastewater water.
Fulltext Multi Frequency Controllable In-Band Suppressions in a Broad Bandwidth Microstrip Filter Design for 5G Wi-Fi and Satellite Communication Systems Utilizing a Quad-Mode Stub-Loaded Resonator

Zhang G, Basit A, Khan MI, Daraz A, Saqib N, Zubir F

Micromachines (Basel), 2023 Apr 17;14(4).
PMID: 37421099 DOI: 10.3390/mi14040866

The key elements used for receiving and processing signals in communication systems are the bandpass filters. Initially, a common operating mechanism was applied for the design of broadband filters, i.e., by cascading low-pass filters or high-pass filters using multiple line resonators with length quarter-half- or full-wavelength with central frequency, but using these approaches, the design topology becomes expensive and complex. The above mechanisms can be possibly overcome using a planar microstrip transmission line structure due to its simple design fabrication procedure and low cost. So, pointing out the above problems in bandpass filters such as low-cost, low insertion loss, and good out-of-band performance, this article presents a broadband filter with multifrequency suppression capability at 4.9 GHz, 8.3 GHz, and 11.5 GHz using a T-shaped shorted stub-loaded resonator with a central square ring coupled to the basic broadband filter. Initially, the C-shaped resonator is utilized for the formation of a stopband at 8.3 GHz for a satellite communication system, and then a shorted square ring resonator is added to the existing C-shaped structure for the realization of two more stopbands at 4.9 GHz and 11.5 GHz for 5G (WLAN 802.11j) communication, respectively. The overall circuit area covered with the proposed filter is 0.52 λg × 0.32 λg (λg is the wavelength of the feed lines at frequency 4.9 GHz). All the loaded stubs are folded in order to save the circuit area, which is an important requirement of next-generation wireless communication systems. The proposed filter has been analyzed using a well-known transmission line theory, even-odd-mode, and simulated with the 3D software HFSS. After the parametric analysis, some attractive features were obtained, i.e., compact structure, simple planar topology, low insertion losses of 0.4 dB over the entire band, good return loss greater than 10 dB, and independently controlled mutli stopbands, which make the proposed design unique and can be used in various wireless communication system applications. Finally, a Rogers RO-4350 substrate is selected for the fabrication of the prototype using an LPKF S63 ProtoLaser machine and then measured using a ZNB20 vector network analyzer for matching the simulated and measured results. After testing the prototype, a good agreement was found between the results.
Fulltext A bibliometric analysis of emerging adulthood in the context of higher education institutions: A psychological perspectives

Wider W, Fauzi MA, Gan SW, Yap CC, Akmal Bin Ahmad Khadri MW, Maidin SS

Heliyon, 2023 Jun;9(6):e16988.
PMID: 37484333 DOI: 10.1016/j.heliyon.2023.e16988

In recent years, there has been a rise in studies aimed at better understanding the needs and traits of emerging adults and the role that higher education institutions play in their development and success. Despite the relevance of higher education institutions to the emerging adulthood development, there has been scant work done to synthesise the literature on this topic. A bibliometric method was utilised to retrieve 2484 journal articles from Web of Science (WoS). Utilizing co-citation analysis and co-word analysis, we determined the most influential publications, mapped the knowledge structure, and predicted future trends. The results of the co-citation analysis indicate five clusters, while the co-word analysis indicates four. The results could be used as a roadmap for the future of research on emerging adults by a variety of interested parties, including policymakers, university administrators, funders, and academics.
Comparative Study on Biological Activities and Chemical Profiling of Mushroom (Pleurotus pulmonarius (Fr.) Quel.) Cultured on Lignocellulosic Agro Wastes

Hisam Zamakshshari N, Adewale Ahmed I, Nazil Afiq Nasharuddin M, Syahira Zaharudin N, Mohd Hashim N, Othman R

Chem Biodivers, 2023 Jun;20(6):e202300111.
PMID: 37236908 DOI: 10.1002/cbdv.202300111

The relevance of the lignocellulosic substrate in the cultivation of mushrooms has lent support to the exploration of several lignocellulosic agro wastes. This study was, thus, aimed at the evaluation of durian peel as an alternative substrate for more sustainable mushroom cultivation and climate change mitigation. The secondary metabolites and biological activities of both aqueous and organic mushroom (Pleurotus pulmonarius (Fr.) Quel.) extract cultured on durian peel and rubberwood sawdust substrate were compared using GCMS, LCMS as well as various biological assays (cytotoxicity, antimicrobial and antioxidant activities). Mushroom extracts from durian peel substrates possess remarkable biological activities. The results showed that the aqueous extracts had poor antimicrobial activities. The organic extracts were more active against cancer cells than the aqueous extracts, while the aqueous extracts were more potent as antioxidants than the organic extracts. Overall, the mushroom extract from the durian substrate was the most effective except against A549 and SW948, while the aqueous extract from the durian substrate was the most effective against the A549 cancer cell lines with 29.53±2.39 % inhibition. On the other hand, the organic mushroom extract from the sawdust substrate was the most effective against SW948 with 60.24±2.45 % inhibition. Further studies, however, are needed to elucidate the molecular mechanism of action of P. pulmonarius extracts against cancer cell proliferation and the effect of the substrates on the nutritional composition, secondary metabolites, and other biological activities of P. pulmonarius extracts.
Fulltext Retraction Note: Human blood type influences the host-seeking behavior and fecundity of the Asian malaria vector Anopheles stephensi

Khan SA, Kassim NFA, Webb CE, Aqueel MA, Ahmad S, Malik S, et al.

Sci Rep, 2022 Jun 17;12(1):10202.
PMID: 35715579 DOI: 10.1038/s41598-022-14546-7
In silico toxicity studies of traditional Chinese herbal medicine: A mini review

Zulkifli MH, Abdullah ZL, Mohamed Yusof NIS, Mohd Fauzi F

Curr Opin Struct Biol, 2023 Jun;80:102588.
PMID: 37028096 DOI: 10.1016/j.sbi.2023.102588

With the availability of public databases that store compound-target/compound-toxicity information, and Traditional Chinese medicine (TCM) databases, in silico approaches are used in toxicity studies of TCM herbal medicine. Here, three in silico approaches for toxicity studies were reviewed, which include machine learning, network toxicology and molecular docking. For each method, its application and implementation e.g., single classifier vs. multiple classifier, single compound vs. multiple compounds, validation vs. screening, were explored. While these methods provide data-driven toxicity prediction that is validated in vitro and/or in vivo, it is still limited to single compound analysis. In addition, these methods are limited to several types of toxicity, with hepatotoxicity being the most dominant. Future studies involving the testing of combination of compounds on the front end i.e., to generate data for in silico modeling, and back end i.e., validate findings from prediction models will advance the in silico toxicity modeling of TCM compounds.
Evaluation of quality and hydrogeochemistry of rock aquifers in Jurong Formation at Southern Johor Bahru, Malaysia

Rathinasamy V, Mohamad ET, Komoo I, Legiman MKA, Romanah NA, Hanapi MNB

Environ Monit Assess, 2023 Jun 16;195(7):850.
PMID: 37326879 DOI: 10.1007/s10661-023-11453-w

Jurong Formation underlies part of Southern Johor Bahru which comprises well cemented and consolidated volcanic-sedimentary rocks. The study aims to assess quality and hydrogeochemistry of rock aquifer in Jurong Formation at Southern Johor Bahru which is mainly overlain by rhyolitic tuff. It also evaluates the differences in quality and hydrogeochemistry of rhyolitic tuff aquifer found in source and floodplain zones of South-West Johor Rivers Basin. In this study, a total of nine samples from four wells, namely TW1-TW4, were collected at foothills of Gunung Pulai (TW1) and Iskandar Puteri (TW2-TW4) in Southern Johor Bahru. The samples were examined for physiochemical parameters. The groundwater in the study area is fresh and non-saline with hardness of soft to hard. The pH of groundwater in source zone is significantly higher than in floodplain zone. Meanwhile, the hardness of groundwater in source zone is significantly lower than in other deep wells in floodplain zone as more calcite mineral is present. The concentration of manganese, iron and zinc is lower at source zone than floodplain zone. Three facies of water types were encountered during the study such as CaNaHCO3 in TW2, CaHCO3 in TW1 and TW3 and CaCl2 in TW4. The deep wells in floodplain zone are susceptible to saline intrusion. Finally, the groundwater quality in the study area is found to control by rock weathering especially silicates and carbonates, rainfall and proximity to seawater. This suggests the major control on groundwater chemistry is due to leaching of volcanic rocks and dissolution on calcite infillings. In conclusion, the groundwater is clean and safe in general although pH value is slightly acidic closer to straits and magnesium's presence in higher concentration at TW2.
Fulltext Parvimonas micra infection enhances proliferation, wound healing, and inflammation of a colorectal cancer cell line

Hatta MNA, Mohamad Hanif EA, Chin SF, Low TY, Neoh HM

Biosci Rep, 2023 Jun 28;43(6).
PMID: 37218575 DOI: 10.1042/BSR20230609

The gut microbiota Parvimonas micra has been found to be enriched in gut mucosal tissues and fecal samples of colorectal cancer (CRC) patients compared with non-CRC controls. In the present study, we investigated the tumorigenic potential of P. micra and its regulatory pathways in CRC using HT-29, a low-grade CRC intestinal epithelial cell. For every P. micra-HT-29 interaction assay, HT-29 was co-cultured anaerobically with P. micra at an MOI of 100:1 (bacteria: cells) for 2 h. We found that P. micra increased HT-29 cell proliferation by 38.45% (P=0.008), with the highest wound healing rate at 24 h post-infection (P=0.02). In addition, inflammatory marker expression (IL-5, IL-8, CCL20, and CSF2) was also significantly induced. Shotgun proteomics profiling analysis revealed that P. micra affects the protein expression of HT-29 (157 up-regulated and 214 down-regulated proteins). Up-regulation of PSMB4 protein and its neighbouring subunits revealed association of the ubiquitin-proteasome pathway (UPP) in CRC carcinogenesis; whereas down-regulation of CUL1, YWHAH, and MCM3 signified cell cycle dysregulation. Moreover, 22 clinically relevant epithelial-mesenchymal transition (EMT)-markers were expressed in HT-29 infected with P. micra. Overall, the present study elucidated exacerbated oncogenic properties of P. micra in HT-29 via aberrant cell proliferation, enhanced wound healing, inflammation, up-regulation of UPPs, and activation of EMT pathways.
Fulltext Fogging to combat dengue: factors influencing stakeholders' attitudes in Malaysia

Arham AF, Amin L, Mustapa MAC, Mahadi Z, Yaacob M, Wasli MMP, et al.

BMC Public Health, 2023 Jun 14;23(1):1140.
PMID: 37312081 DOI: 10.1186/s12889-023-16054-3

BACKGROUND: Fogging is a conventional technique used to combat Aedes mosquitoes and prevent dengue disease. It is often implemented in outbreak areas or areas harbouring a high density of Aedes mosquitoes. Currently, studies on stakeholders' attitudes towards fogging are still limited in number. Therefore, this study aims to assess Malaysian attitudes, and identify the predicting factors influencing such attitudes.
METHODS: A validated instrument was used to interview 399 randomly selected respondents from the public (n = 202, 50.6%) and scientists (n = 197, 49.4%) in the Klang Valley region of Malaysia. The data were analysed using PLS-SEM involving Smart-PLS software.
RESULTS: The results confirmed that stakeholder attitudes toward fogging should be viewed in terms of a multi-dimensional association. The stakeholders surveyed were highly positive with regard to the application of fogging to control dengue but professed moderate concerns as to associated risks. The PLS-SEM analyses demonstrated that the perceived benefit was the most important factor influencing attitudes, followed by trust in key players.
CONCLUSIONS: This result provides a good insight from the perspective of education and unravels the underlying fundamentals of stakeholders' attitudes toward the fogging technique. The findings also provide a positive indicator to the responsible parties involved to continue the usage of this technique in conjunction with improvements with regard to its safety aspects, and possibly in combination with other environmental-friendly alternatives in order to achieve a healthy environment without dengue in Malaysia.
Fulltext An analysis of the effect of syringe barrel volume on performance and user perception

Krisdiyanto, Bin Raja Ghazilla RA, Azuddin M, Bin Ahmad Hairuddin MKF, Risdiana N

Medicine (Baltimore), 2023 Jun 09;102(23):e33983.
PMID: 37335669 DOI: 10.1097/MD.0000000000033983

In the market, there are many types and shapes of syringes. One of the groupings of syringe types is based on barrel volume. The shape of the product design affects performance and user perception. The aim of this study is to investigate the effect of barrel volume on its performance and user perception. We performed analysis following international organization for standardization 7886 procedures on syringe with 1 mL, 3 mL, 5 mL, and 10 mL volume. In addition, a user perception test was conducted on 29 respondents using a questionnaire with the Likert chart method. This study indicates that the bigger the syringe volume, the larger the dead space and the force to operate the piston are. A larger syringe volume also raises the volume that changes due to the plunger position increase. Meanwhile, the barrel volume does not affect water and water leakage, as we did not observe any leak during the syringe tests in our experiment. In addition, the user perception test shows that the barrel's length influences the ease of device control during the injection. The volume of the barrel negatively correlated with its effect to the environment. The safety features of all syringes are similar except for the 3 mL syringe, which has a value of 0.1 points difference to other syringes.
Utilization and performance evaluation of mixed matrix membranes for the treatment of produced water: A review

Razak NA, Nasir R, Azmi N, Mukhtar H, Mohsim DF, Mustafa MRU

Water Environ Res, 2023 Jun;95(6):e10900.
PMID: 37264766 DOI: 10.1002/wer.10900

Produced water (PW) has been generated in a huge amount representing the largest volume waste stream. Membrane technology has found a leading ability in treating PW due to its significant advantages, such as lower cost, easy installation, and being environmentally friendly. Mixed matrix membranes (MMMs) have received significant research interest due to their flexibility, multifunctionality enhances the membrane performance with increasing selectivity, permeability, robustness, mechanical strength, and resistance to fouling. This mini-review paper identifies the utilization of different membranes for treating PW. It also gives a review of different types of MMMs with specific fillers for the application of PW treatment. Lastly, some methods to enhance the performance of mixed matrix membranes have been highlighted. The issues and challenges in membranes are also discussed. PRACTITIONER POINTS: Mixed matrix membranes (MMMs) are a potential membrane type for PW treatment. This mini-review paper identifies the use of several membranes to treat PW. It also examined various types of MMMs containing specific fillers for the application of PW treatment. Methods for improving the performance of mixed matrix membranes have been highlighted, including the use of novel materials, surface modification, and cross-linking. The issues and challenges in membranes are also discussed.
Fulltext Transcriptomics-driven drug repositioning for the treatment of diabetic foot ulcer

Adikusuma W, Zakaria ZA, Irham LM, Nopitasari BL, Pradiningsih A, Firdayani F, et al.

Sci Rep, 2023 Jun 20;13(1):10032.
PMID: 37340026 DOI: 10.1038/s41598-023-37120-1

Diabetic foot ulcers (DFUs) are a common complication of diabetes and can lead to severe disability and even amputation. Despite advances in treatment, there is currently no cure for DFUs and available drugs for treatment are limited. This study aimed to identify new candidate drugs and repurpose existing drugs to treat DFUs based on transcriptomics analysis. A total of 31 differentially expressed genes (DEGs) were identified and used to prioritize the biological risk genes for DFUs. Further investigation using the database DGIdb revealed 12 druggable target genes among 50 biological DFU risk genes, corresponding to 31 drugs. Interestingly, we highlighted that two drugs (urokinase and lidocaine) are under clinical investigation for DFU and 29 drugs are potential candidates to be repurposed for DFU therapy. The top 5 potential biomarkers for DFU from our findings are IL6ST, CXCL9, IL1R1, CXCR2, and IL10. This study highlights IL1R1 as a highly promising biomarker for DFU due to its high systemic score in functional annotations, that can be targeted with an existing drug, Anakinra. Our study proposed that the integration of transcriptomic and bioinformatic-based approaches has the potential to drive drug repurposing for DFUs. Further research will further examine the mechanisms by which targeting IL1R1 can be used to treat DFU.
Fulltext Promising roles of Zingiber officinale roscoe, Curcuma longa L., and Momordica charantia L. as immunity modulators against COVID-19: A bibliometric analysis

Sheikh HI, Zakaria NH, Abdul Majid FA, Zamzuri F, Fadhlina A, Hairani MAS

J Agric Food Res, 2023 Dec;14:100680.
PMID: 37346755 DOI: 10.1016/j.jafr.2023.100680

Zingiber officinale, Curcuma longa, and Momordica charantia are medicinal plants that are commonly used in the form of herbal tea, which is formulated to strengthen the immune system, especially against COVID-19 infection. Excellent antioxidant, anti-inflammatory, and immunostimulatory properties have been reported for their bioactive compounds, which have been shown to aid in stimulating immune systems as well as lowering the risk of severe COVID-19 such as lung injury. Yet, no bibliometric study on the subject is available. Hence, the purpose of this study is to quantitatively examine the existing articles related to the therapeutic potential of these three herbs, as well as their mechanisms of action in combating the SARS-CoV-2 virus. A total of 121 papers were retrieved from Scopus database up to 14th March 2023. The bibliometric analysis was conducted using VOSviewer software. Based on the literature search, Z. officinale was the most researched plant. India appeared as the most prolific country, with the highest number of articles contributed by two authors from India (Rathi, R. and Gayatri Devi, R.). In terms of keywords, the plants were associated with immune modulation, management of symptoms, antioxidant, anti-inflammatory and antiviral activities. Several important bioactive compounds were responsible for these effects such as gingerol, paradol, shogaol, curcumin, calebin A, momordicoside, karaviloside and cucurbitadienol. These compounds were hypothesized to prevent and cure COVID-19 by regulating inflammatory response, downregulating oxidative stress and modulating immunostimulatory activity. This review paper therefore supports the potential of Z. officinale, C. longa, and M. charantia to be formulated as a herbal blend for treating and preventing COVID-19 infection.
Fulltext Shockproof Deformable Infrared Radiation Sensors Based on a Polymeric Rubber and Organic Semiconductor H2Pc-CNT Composite

Chani MTS, Karimov KS, Kamal T, Fatima N, Rahman MM, Asiri AM

Polymers (Basel), 2023 Jun 15;15(12).
PMID: 37376337 DOI: 10.3390/polym15122691

Polymeric rubber and organic semiconductor H2Pc-CNT-composite-based surface- and sandwich-type shockproof deformable infrared radiation (IR) sensors were fabricated using a rubbing-in technique. CNT and CNT-H2Pc (30:70 wt.%) composite layers were deposited on a polymeric rubber substrate as electrodes and active layers, respectively. Under the effect of IR irradiation (0 to 3700 W/m2), the resistance and the impedance of the surface-type sensors decreased up to 1.49 and 1.36 times, respectively. In the same conditions, the resistance and the impedance of the sandwich-type sensors decreased up to 1.46 and 1.35 times, respectively. The temperature coefficients of resistance (TCR) of the surface- and sandwich-type sensors are 1.2 and 1.1, respectively. The novel ratio of the H2Pc-CNT composite ingredients and comparably high value of the TCR make the devices attractive for bolometric applications meant to measure the intensity of infrared radiation. Moreover, given their easy fabrication and low-cost materials, the fabricated devices have great potential for commercialization.
Fulltext Milled Crown on Post Crack Tooth Syndrome as the Denture Abutment Tooth: A Case Report

Mahalil Amin SS, Keat Hon JC, Sabarudin MA, Wan Ali WNS, Mohamed N

Cureus, 2023 May;15(5):e39380.
PMID: 37362455 DOI: 10.7759/cureus.39380

This clinical case describes using a milled crown on a cracked tooth as the abutment for a removable partial denture. A 63-year-old male patient diagnosed with lipoma undergoing chemotherapy and radiotherapy presented with symptomatic crack tooth syndrome on tooth 36 and partial edentulism. Conservative treatment using a molar band to extracoronally splint the tooth was conducted to determine the prognosis of the crack line. A lower partial cobalt-chromium denture was constructed by incorporating the milled crown of tooth 36 as the abutment. After six months of follow-up, there were no crack tooth symptoms, and regular review was adopted to monitor the tooth. The construction of a milled crown of a cracked tooth presented good and promising clinical outcomes in preserving tooth vitality and preventing crack propagation in partially dentate dentition for the long term.
Fulltext Control of morphology and crystallinity of CNTs in flame synthesis with one-dimensional reaction zone

Ibrahim MH, Hamzah N, Mohd Yusop MZ, Septiani NLW, Mohd Yasin MF

Beilstein J Nanotechnol, 2023;14:741-750.
PMID: 37377745 DOI: 10.3762/bjnano.14.61

The growth of carbon nanotubes (CNTs) in a flame requires conditions that are difficult to achieve in a highly heterogeneous environment. Therefore, the analysis of the properties of the reaction zone within the flame is critical for the optimal growth of CNTs. In the present study, a comprehensive comparison between the CNT synthesis using a methane diffusion flame and a premixed flame is conducted regarding the morphology and crystallinity of the as-grown nanotubes. The premixed burner configuration created a flame that is stabilized through axisymmetric stagnation flow through sintered metal with one-dimensional geometry, different from a conventional co-flow flame. The significant difference in temperature distribution between the two flames causes a difference in the characteristics of the growth products. In the diffusion flame, the growth is limited to specific regions at certain height-above-burner (HAB) values with a temperature range of 750 to 950 °C at varying radial locations. The identified growth regions at different HAB values showed similar temperature distributions that yield CNTs of similar characteristics. Interestingly, the growth of CNTs in the premixed flame is dictated by only the HAB because the temperature distribution is relatively uniform along the radial directions but significantly different in the vertical direction. 17.3% variation in temperature in the axial direction successfully led to 44% and 66% variation in CNT diameter and crystallinity, respectively. The morphology control capability demonstrated in the present study is important for CNT functionalization for energy storage, nanosensor, and nanocomposite applications, where diameter and crystallinity are influential properties that govern the overall performance of the components.
Fulltext Depressive, Anxiety, and Stress Symptoms in Parents of Children Being Admitted for Febrile Seizures in a Tertiary Hospital in the East Coast of Malaysia

Othman A, Razak SA, Nasir A, Ghazali AK, Mohd Radzi MAR

Eur J Investig Health Psychol Educ, 2023 Jun 09;13(6):1015-1025.
PMID: 37366781 DOI: 10.3390/ejihpe13060077

Febrile seizures in children are an alarming experience for parents. This study aimed to assess the psychological functioning of parents of children when they were being admitted for treatment of febrile seizures in the hospital, the importance of which is clear, since parents are the primary custodian of their children. This is a cross-sectional study conducted on 110 participants whose child had been admitted for a febrile seizure to Hospital Universiti Sains Malaysia from September 2020 until June 2021. The depression, anxiety, and stress levels were determined based on a validated Bahasa Melayu questionnaire of the Depression Anxiety Stress Scale (DASS-21). In addition, multiple logistic regression was used to determine the associated factors related to the participants' psychological functioning. The mean age of children with febrile seizures were 21 months old, and most children showed features of simple febrile seizures (71.8%). The prevalence of anxiety, stress, and depression were 58.2%, 29%, and 23.6%, respectively. Using multiple logistic regression, child age, family history of febrile seizures, family history of epilepsy, and length of stay in the ward were found to be significantly associated with anxiety when adjusted for other variables. Otherwise, for depression and stress, no significant associated variables were found when adjusted for other variables. Anxiety was highly reported by participants when their children were admitted for febrile seizures. Several factors impacted their anxiety, including the lower the child's age was, participants with no family history of febrile seizures before, and the longer duration of hospital stay. Therefore, further study and intervention on reducing the parent's anxiety could be emphasized in the future.
Fulltext Re-irradiation Using Stereotactic Radiotherapy: A Bibliometric Analysis of Research Trends

Mohamed Yoosuf AB, Ajmal Khan M, Abdul Aziz MZ, Mansor S, Appalanaido GK, Alshehri S, et al.

Cureus, 2023 May;15(5):e39600.
PMID: 37384098 DOI: 10.7759/cureus.39600

The objective of this research is to conduct a comprehensive bibliometric analysis using the Web of Science Core Collection (WoSCC) to examine the current research topics and trends pertaining to stereotactic-based re-irradiation. A bibliometric search was conducted for re-irradiation-related literature published in English from the WoSCC database from 1991 to 2022, using VOSviewer to visualize the results. The extracted information comprises the publication year, overall citation count, average citation rate, keywords, and research domains. We conducted a literature review to identify trends in research on re-irradiation. A total of 19,891 citations were found in 924 qualifying papers that came from 48 different nations. The number of publications and citations has grown steadily since 2008 with the highest number of publications in the year 2018. Similarly, a substantial increase in the number of citations has increased since 2004 and the citation growth rate has been positive between 2004 and 2019 with a peak in 2013. The top authorship patterns were six authors (111 publications and 2498 citations), whereas the highest number of citations per publication was attained with an authorship pattern of 17 authors (C/P = 41.1). The collaboration patterns analysis showed that the largest proportion of publications emanated from the United States with 363 publications (30.9%), followed by Germany with 102 publications (8.7%), and France with 92 publications (7.8%). The majority of the analyzed studies were focused on the brain (30%), head and neck (13%), lung (12%), and spine (10%) and there have been emerging studies on the use of re-irradiation for lung, prostate, pelvic and liver utilizing stereotactic radiotherapy. The main areas of interest have changed over time and are now based on a multidisciplinary approach that integrates advanced imaging techniques, stereotactic treatment delivery, the toxicity of organs at risk, quality of life, and treatment outcomes.
Fulltext Analysis of the relations between allergen specific LgG antibody and allergic dermatosis of 14 kinds foods

Yin'e H, Shufang D, Bin W, Wei Q, Junling G, Ashraf MA

Open Med (Wars), 2015;10(1):405-409.
PMID: 28352727 DOI: 10.1515/med-2015-0070

To use food-specific IgG antibody detection to explore its application in the allergy dermatoses. 181 patients were included from January 2014 to September 2014. Fourteen food-specific IgG antibodies were detected by ELISA. The positive rates of IgG antibody of the patient group and the healthy group were significantly different. The positive rates of IgG antibody of egg, milk, shrimp and crab took a large proportion in three groups of patients with three kinds of allergy dermatoses of urticaria, eczema and allergic dermatitis, the proportion of which was respectively 70.2%, 77.8% and 71.7%. There was mild and moderate intolerance of food in the allergic dermatitis group while there was no distribution difference of food intolerance in urticaria group and eczema group. Among urticaria and allergic dermatitis patients with positive antibody, the positive rate of children was significantly higher than that of adults while there was no significant difference between children and adults among eczema patients with positive antibody. Allergy dermatoses are closely related to food-specific IgG antibody and the allergy dermatoses patients have a high incidence rate of food intolerance; detecting IgG antibody in patients is of great significance for the diagnosis and treatment of allergy dermatoses.

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