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Fulltext Mortality and Disease Severity Among COVID-19 Patients Receiving Renin-Angiotensin System Inhibitors: A Systematic Review and Meta-analysis

Hasan SS, Kow CS, Hadi MA, Zaidi STR, Merchant HA

Am J Cardiovasc Drugs, 2020 Dec;20(6):571-590.
PMID: 32918209 DOI: 10.1007/s40256-020-00439-5

INTRODUCTION: The use of renin-angiotensin system (RAS) inhibitors, including angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs), was alleged to cause a more severe course of novel coronavirus disease 2019 (COVID-19).
METHODS: We systematically reviewed the published studies to assess the association of RAS inhibitors with mortality as well as disease severity in COVID-19 patients. A systematic literature search was performed to retrieve relevant original studies investigating mortality and severity (severe/critical disease) in COVID-19 patients with and without exposure to RAS inhibitors.
RESULTS: A total of 59 original studies were included for qualitative synthesis. Twenty-four studies that reported adjusted effect sizes (24 studies reported mortality outcomes and 16 studies reported disease severity outcomes), conducted in RAS inhibitor-exposed and unexposed groups, were pooled in random-effects models to estimate overall risk. Quality assessment of studies revealed that most of the studies included were of fair quality. The use of an ACEI/ARB in COVID-19 patients was significantly associated with lower odds (odds ratio [OR] = 0.73, 95% confidence interval [CI] 0.56-0.95; n = 18,749) or hazard (hazard ratio [HR] = 0.75, 95% CI 0.60-0.95; n = 26,598) of mortality compared with non-use of ACEI/ARB. However, the use of an ACEI/ARB was non-significantly associated with lower odds (OR = 0.91, 95% CI 0.75-1.10; n = 7446) or hazard (HR = 0.73, 95% CI 0.33-1.66; n = 6325) of developing severe/critical disease compared with non-use of an ACEI/ARB.
DISCUSSION: Since there was no increased risk of harm, the use of RAS inhibitors for hypertension and other established clinical indications can be maintained in COVID-19 patients.
Fulltext Predicting Consumer Green Product Purchase Attitudes and Behavioral Intention During COVID-19 Pandemic

Chen X, Rahman MK, Rana MS, Gazi MAI, Rahaman MA, Nawi NC

Front Psychol, 2021;12:760051.
PMID: 35145450 DOI: 10.3389/fpsyg.2021.760051

This work has aimed to investigate the consumers' green product purchase attitudes and behavioral intention during COVID-19 pandemic. Data was collected through a survey method of 503 consumers in Malaysia. Data were analyzed using the partial least square method. The findings revealed that fear of COVID-19 pandemic has a significant impact on green product behavioral intention. Green product literacy, green product orientation, and social influence have a significant influence on green product purchase attitudes. The results also indicated that consumers' green product purchase attitudes mediate the effect of green product literacy, green product orientation, and social influence on behavioral intention. The findings of this work will provide strategically relevant references to green marketers and retail managers in the understanding of consumers' green product purchase attitudes and green product behavioral intention during the ongoing uncertainty of the COVID-19 pandemic.
Fulltext Optical soliton solutions of the coupled Radhakrishnan-Kundu-Lakshmanan equation by using the extended direct algebraic approach

Mahmood A, Srivastava HM, Abbas M, Abdullah FA, Othman Mohammed P, Baleanu D, et al.

Heliyon, 2023 Oct;9(10):e20852.
PMID: 37916109 DOI: 10.1016/j.heliyon.2023.e20852

The analytical soliton solutions place a lot of value on birefringent fibres. The major goal of this study is to generate novel forms of soliton solutions for the Radhakrishnan-Kundu-Lakshmanan equation, which depicts unstable optical solitons that arise from optical propagations using birefringent fibres. The (presumably new) extended direct algebraic (EDA) technique is used here to extract a large number of solutions for RKLE. It gives soliton solutions up to thirty-seven, which essentially correspond to all soliton families. This method's ability to determine many sorts of solutions through a single process is one of its key advantages. Additionally, it is simple to infer that the technique employed in this study is really straightforward yet one of the quite effective approaches to solving nonlinear partial differential equations so, this novel extended direct algebraic (EDA) technique may be regarded as a comprehensive procedure. The resulting solutions are found to be hyperbolic, periodic, trigonometric, bright and dark, combined bright-dark, and W-shaped soliton, and these solutions are visually represented by means of 2D, 3D, and density plots. The present study can be extended to investigate several other nonlinear systems to understand the physical insights of the optical propagations through birefringent fibre.
Fulltext Modulation of Epithelial to Mesenchymal Transition Signaling Pathways by Olea Europaea and Its Active Compounds

Razali RA, Lokanathan Y, Yazid MD, Ansari AS, Saim AB, Hj Idrus RB

Int J Mol Sci, 2019 Jul 16;20(14).
PMID: 31315241 DOI: 10.3390/ijms20143492

Epithelial-mesenchymal transition (EMT) is a significant dynamic process that causes changes in the phenotype of epithelial cells, changing them from their original phenotype to the mesenchymal cell phenotype. This event can be observed during wound healing process, fibrosis and cancer. EMT-related diseases are usually caused by inflammation that eventually leads to tissue remodeling in the damaged tissue. Prolonged inflammation causes long-term EMT activation that can lead to tissue fibrosis or cancer. Due to activation of EMT by its signaling pathway, therapeutic approaches that modulate that pathway should be explored. Olea europaea (OE) is well-known for its anti-inflammatory effects and abundant beneficial active compounds. These properties are presumed to modulate EMT events. This article reviews recent evidence of the effects of OE and its active compounds on EMT events and EMT-related diseases. Following evidence from the literature, it was shown that OE could modulate TGFβ/SMAD, AKT, ERK, and Wnt/β-catenin pathways in EMT due to a potent active compound that is present therein.
Fulltext What Makes Human Resource Professionals Effective? An Exploratory Lesson From Techno-Based Telco Firms of a Developing Country

Fareed M, Ahmad A, Salleh SSMM, Noor WSWM, Isa MFM

Front Psychol, 2022;13:774165.
PMID: 35664196 DOI: 10.3389/fpsyg.2022.774165

Extant research primarily focuses on the driving factors of human resource (HR) professionals' effectiveness in Telco firms of Pakistan. That is due to the need for HR professionals to be effective has risen in the 21st century for gaining sustainable competitive advantage. This research paper aims to examine the level of HR professionals' effectiveness in Telco firms of Pakistan and explores the strategic functions and their elements, owing to which HR professionals can be effective in fulfilling their tasks and duties. Ten HR executives from five Telco firms were interviewed. The study finds nine key strategic functions along with their forty elements, which indicate the effectiveness of HR professionals. Successful implementation of these strategic functions and their elements offers Telco firms to sustain competitive advantage. Hence, it extends the resource-based view (RBV) theory by accumulating the additional determinants in the context of Pakistan. The research provides the insights for policy makers and practitioners, which explain the key strategic functions and substantial variables through which HR professionals can augment their effectiveness in sustaining competitive advantage.
Fulltext Stem cell heterogeneity of mononucleated cells from murine peripheral blood: molecular analysis

Yazid MD, Zainal Ariffin SH, Senafi S, Zainal Ariffin Z, Megat Abdul Wahab R

ScientificWorldJournal, 2011;11:2150-9.
PMID: 22125464 DOI: 10.1100/2011/340278

The main purpose of this paper was to determine the heterogeneity of primary isolated mononucleated cells that originated from the peripheral blood system by observing molecular markers. The isolated cells were cultured in complete medium for 4 to 7 days prior to the separation of different cell types, that is, adherent and suspension. Following a total culture time of 14 days, adherent cells activated the Cd105 gene while suspension cells activated the Sca-1 gene. Both progenitor markers, Cbfa-1 and Ostf-1, were inactivated in both suspension and adherent cells after 14-day culture compared to cells cultured 3 days in designated differentiation medium. In conclusion, molecular analyses showed that primary mononucleated cells are heterogeneous, consisting of hematopoietic stem cells (suspension) and mesenchymal stem cells (adherent) while both cells contained no progenitor cells.
Fulltext Insights into the Effects of the Dental Stem Cell Secretome on Nerve Regeneration: Towards Cell-Free Treatment

Man RC, Sulaiman N, Idrus RBH, Ariffin SHZ, Wahab RMA, Yazid MD

Stem Cells Int, 2019;2019:4596150.
PMID: 31772587 DOI: 10.1155/2019/4596150

Cell-free treatment is emerging as an alternative to cell delivery to promote endogenous regeneration using cell-derived factors. The purpose of this article was to systematically review studies of the effects of the dental stem cell secretome on nerve regeneration. PubMed and Scopus databases were used where searched and related studies were selected. The primary search identified 36 articles with the utilized keywords; however, only 13 articles met the defined inclusion criteria. Eight out of thirteen articles included in vivo and in vitro studies. We classified the dental stem cell-derived secretome with its nerve regeneration potential. All studies demonstrated that dental stem cell-derived factors promote neurotrophic effects that can mechanistically stimulate nerve regeneration in neurodegenerative diseases and nerve injury. This data collection will enable researchers to gather information to create a precise formulation for future prescribed treatments.
Fulltext Exploring pineapple peel hydrolysate as a sustainable carbon source for xylitol production

Nasoha NZ, Luthfi AAI, Roslan MF, Hariz HB, Bukhari NA, Manaf SFA

Sci Rep, 2023 Nov 07;13(1):19284.
PMID: 37935748 DOI: 10.1038/s41598-023-46061-8

This study explores utilizing pineapple peel (PP) hydrolysate as a promising carbon source for xylitol production, covering scopes from the pre-treatment to the fermentation process. The highest xylose concentration achieved was around 20 g/L via mild acid hydrolysis (5% nitric acid, 105 °C, 20-min residence time) with a solid loading of 10%. Two sets fermentability experiments were carried out of varying pH levels in synthetic media that includes acetic acid as the main inhibitors and hydrolysate supplemented with diverse nitrogen source. The results revealed that pH 7 exhibited the highest xylitol production, yielding 0.35 g/g. Furthermore, urea was found to be a highly promising and cost-effective substitute for yeast extract, as it yielded a comparable xylitol production of 0.31 g/g with marginal difference of only 0.01 g/g compared to yeast extract further highlights the viability of urea as the preferred option for reducing xylitol production cost. The absence of a significant difference between the synthetic media and hydrolysate, with only a marginal variance of 0.35 to 0.32 g/g, implies that acetic acid is indeed the primary constraint in xylitol production using PP hydrolysate. The study sheds light on PP biomass's potential for xylitol production, aligning economic benefits with environmental sustainability and waste management.
Fabrication of amine-functionalized and multi-layered PAN-(TiO2)-gelatin nanofibrous wound dressing: In-vitro evaluation

Khan R, Haider S, Khan MUA, Haider A, Razak SIA, Hasan A, et al.

Int J Biol Macromol, 2023 Dec 31;253(Pt 5):127169.
PMID: 37783243 DOI: 10.1016/j.ijbiomac.2023.127169

The development of advanced multifunctional wound dressings remains a major challenge. Herein, a novel multilayer (ML) electrospun nanofibers (NFs) wound dressing based on diethylenetriamine (DETA) functionalized polyacrylonitrile (PAN), TiO2 nanoparticles (NPs) coating (Ct), and bioderived gelatin (Gel) was developed for potential applications in wound healing. The ML PAN-DETA-Ct-Gel membrane was developed by combining electrospinning, chemical functionalization, synthesis, and electrospray techniques, using a layer-by-layer method. The ML PAN-DETA-Ct-Gel membrane is comprised of an outer layer of PAN-DETA as a barrier to external microorganisms and structural support, an interlayer TiO2 NPs (Ct) as antibacterial function, and a contact layer (Gel) to improve biocompatibility and cell viability. The NFs membranes were characterized by scanning electron microscopy (SEM), surface profilometry, BET analysis, and water contact angle techniques to investigate their morphology, surface roughness, porosity, and wettability. The ML PAN-DETA-Ct-Gel wound dressing exhibited good surface roughness, porosity, and better wettability. Cell morphology, proliferation, and viability were determined using fibroblasts (3T3), and antibacterial assays were performed against six pathogens. The ML PAN-DETA-Ct-Gel NFs membrane showed good cell morphology, proliferation, viability, and antibacterial activity compared with other membranes. This new class of ML NFs membranes offers a multifunctional architecture with adequate biocompatibility, cell viability, and antibacterial activity.
Bibliometric analysis and literature review of occupant thermal comfort in naturally ventilated buildings (1995-2021)

Abuhussain MA, Alotaibi BS, Suru IB, Dodo YA, Alshenaifi MA, Aliero MS

Environ Sci Pollut Res Int, 2023 Nov 25.
PMID: 38001292 DOI: 10.1007/s11356-023-31053-y

This paper presents the global research landscape and scientific progress on occupant thermal comfort in naturally ventilated buildings (OTC-NVB). Despite the growing interest in the area, comprehensive papers on the current status and future developments on the topic are currently lacking. Hence, the publication trends, bibliometric analysis, and systematic literature review of the published documents on OTC-NVB were examined. The search query "Thermal Comfort" AND "Natural Ventilation" AND "Buildings" was designed and executed to recover related documents on the topic from the Elsevier Scopus database. Results showed that 976 documents (comprising articles, conference papers, reviews, etc.) were published on the topic from 1995 to 2021. Further analysis showed that 97.34% of the publications were published in the English language. Richard J.de Dear (University of Sydney, Australia) is the most prolific researcher on OTC-NVB research, while Energy and Buildings has the highest publications. Bibliometric analysis showed high publications, citations, keywords, and co-authorships among researchers, whereas the most occurrent keywords are ventilation, natural ventilation, thermal comfort, buildings, and air conditioning. Systematic literature review demonstrated that OTC-NVB research has progressed significantly from empirical to computer-based studies involving complex mathematical equations, programs, or software like artificial neural networks (ANN) and computational fluid dynamics (CFD). In general, OTC-NVB research findings indicate that physiological, social, and environmental factors considerably influence OTC in NVBs. Future studies will likely employ artificial intelligence or building performance simulation (BPS) tools to examine relationships between OTC and indoor air/environmental quality, human behavior, novel clothing, or building materials in NVBs.
An integrated investigation of hydrocarbon pollution in Ahoada area, Niger Delta Region, Nigeria

Umar HA, Khanan MFA, Shiru MS, Ahmad A, Rahman MZA, Din AHM

Environ Sci Pollut Res Int, 2023 Nov;30(55):116848-116859.
PMID: 36633746 DOI: 10.1007/s11356-023-25144-z

This study investigates hydrocarbon pollution in the Ahoada community of the Niger Delta region of Nigeria. The study uses a geographic information system (GIS) for mapping oil spill hotspots in the region. The resistivity method was used to delineate the extent of hydrocarbon pollution to a depth of 19.7 m in the Ahoada area of the region. Three categories of soil samples, impacted soil (IMS), remediated soil (RS), and control soil (CS), were collected and analyzed for the presence of BTEX, PAH, TPH, TOC, and TOG. The concentrations of the samples from the IMS and RS were compared to that of the CS to determine the extent of pollution. The GIS mapping shows that the most polluted areas in the Niger Delta Region are Rivers, Bayelsa, and Delta states. Results of the geophysical images revealed contaminants' presence to depths beyond 20 m at some locations in the study area. The highest depth of contaminant travel was at Ukperede. Soil samples' analysis showed that the range of concentrations of TPH in IMS at Oshie was 17.27-58.36 mg/kg; RS was 11.73-50.78 mg/kg which were higher than the concentrations of 0.68 mg/kg in the CS. PAHs are more prevalent in Ukperede, ranging from 54.56 to 77.54 mg/kg. BTEX concentrations ranged from 0.02 to 0.38 mg/kg for IMP and 0.01-2.7 mg/kg for RS against a CS value of 0.01 mg/kg. The study revealed that there are characteristically high resistivity values in the samples which were corroborated by the findings from the resistivity survey. TOC was found to be higher in the IMS and RS than in the CS, demonstrating that a significant quantity of the hydrocarbon has undergone appreciable decomposition.
Fulltext Social media reporting on agricultural adaptation to climate change in Pakistan: Measures and implications for sustainability

Javed MN, Adnan HM, Hanan MA, Sarmiti NZ, Adeeb H, Khan A, et al.

Heliyon, 2023 Nov;9(11):e21579.
PMID: 38027868 DOI: 10.1016/j.heliyon.2023.e21579

The agricultural sector is the backbone and single-largest sector of the Pakistani economy. Pakistan's agricultural productivity is suffering due to climate change. The study aimed at finding how social media reporting can change patterns of attitudes among farmers to cope with sudden weather changes. A correlation-experimental research design was used to find the relationships and effects of climate change on agriculture in Punjab (Pakistan) and the mediating effect of social media reporting. A purposive sampling technique was used to collect samples from 120 male farmers. Online surveys, with the help of Google Docs, were used to collect participants' responses about the type of behavior they used to adopt when getting information about climate change through social media. After determining their reliability and validity through piloting, two self-constructed questionnaires were used: (i) Measuring Farmers' Behavior Influenced by Social Media Reporting of Climate Change and (ii) Effects of Social Media Reporting of Climate Change on Agriculture. Data were analyzed using SPSS-21, and correlation analysis was done to find out the relationship between social media reporting and farmers' behavior. Linear regression was used to measure the functional relationship between social media reporting about climate change and farmers' attitudes towards adopting precautions to increase annual yield. The coefficient of social media reporting was positively and significantly related to farmers' attitudes towards the selection of crops, land management, and water storage. Based on the findings, the social media reports significantly predicted patterns of farmers' behavior towards the adaptation of advanced measures to select crops, reduce pest attacks, manage land, and store water.
Fulltext A comprehensive review of flexible cadmium telluride solar cells with back surface field layer

Ahmad NI, Kar YB, Doroody C, Kiong TS, Rahman KS, Harif MN, et al.

Heliyon, 2023 Nov;9(11):e21622.
PMID: 38027707 DOI: 10.1016/j.heliyon.2023.e21622

Recent advancements in CdTe solar cell technology have introduced the integration of flexible substrates, providing lightweight and adaptable energy solutions for various applications. Some of the notable applications of flexible solar photovoltaic technology include building integrated photovoltaic systems (BIPV), transportation, aerospace, satellites, etc. However, despite this advancement, certain issues regarding metal and p-CdTe remained unresolved. Besides, the fabrication of a full-working device on flexible glass is challenging and requires special consideration due to the unstable morphology and structural properties of deposited film on ultra-thin glass substrates. The existing gap in knowledge about the vast potential of flexible CdTe solar cells on UTG substrates and their possible applications blocks their full capacity utilization. Hence, this comprehensive review paper exclusively concentrates on the obstacles associated with the implementation of CdTe solar cells on UTG substrates with a potential back surface field (BSF) layer. The significance of this study lies in its meticulous identification and analysis of the substantial challenges associated with integrating flexible CdTe onto UTG substrates and leveraging Cu-doped ZnTe as a potential BSF layer to enhance the performance of flexible CdTe solar cells.
Solvent-Dependent Photoluminescence Emission and Colloidal Stability of Carbon Quantum dots from Watermelon Peels

Zaini MS, Liew JYC, Paiman S, Tee TS, Kamarudin MA

J Fluoresc, 2023 Dec 01.
PMID: 38038875 DOI: 10.1007/s10895-023-03528-1

Waste peels are considered an environmental burden and typically disposed in landfills. The aim of this study was to investigate the effects of various solvents on the luminescence properties of carbon quantum dots (CQDs). Watermelon peels were recycled and reuse as precursors for the synthesis of biomass CQDs via a green carbonization method. The colloidal stability, surface charge, and particle size were characterized using zeta potential and dynamic light scattering (DLS). DLS revealed that the size of the CQDs was approximately 5.80 ± 0.4 nm to 9.74 ± 0.8 nm. The high-resolution transmission electron microscopy (HRTEM) results demonstrated a correlation with the DLS results. The optical properties were characterized by photoluminescence (PL) and UV-Visible (UV-Vis) spectroscopy. PL measurements at different excitation wavelengths revealed that the CQDs emissions were influenced by the polarity of the solvents. Meanwhile, the Fourier transform infra-red (FTIR) results showed the presence of oxygen-containing groups on the surface of the CQDs. These results deepen our understanding of the solvent-dependent behavior and colloidal stability of the CQDs.
Fulltext Lattice mismatch alleviation in p-CdTe/n-Si heterostructure by surface engineering on Si substrate

Isah M, Doroody C, Rahman KS, Harif MN, Kiong TS, Zuhdi AWM

Heliyon, 2023 Nov;9(11):e21536.
PMID: 38027560 DOI: 10.1016/j.heliyon.2023.e21536

The study used magnetron sputtering to investigate the growth of cadmium telluride (CdTe) thin films on surface treated n-type silicon (n-Si) substrates. The n-Si substrates were textured using potassium hydroxide (KOH) before the sputter deposition of CdTe. This was followed by cadmium chloride treatment to reduce the strain at the interface of CdTe and Si, which is caused by the incompatible lattice and thermal expansion mismatch (CTE). X-ray diffraction (XRD) analysis showed that the lowest FWHM and dislocation densities were obtained for CdCl2/CdTe/txt-nSi, which aligns with the scanning electron microscopy (SEM) results. In the SEM images, the interface bonding between the CdTe and Si surfaces was visible in the cross-sections, and the top-view images revealed sputtered CdTe thin films conforming to the patterns of pyramidal textured Si as an engineered surface to capture more light to maximize absorption in the CdTe/Si tandem design. The Energy dispersive X-ray (EDX) results showed that all the CdTe deposited on textured n-Si exhibited more Te atoms than Cd atoms, irrespective of the CdCl2 treatment. The presented results suggest that the texturization and CdCl2 treatment improved the morphology and grain boundary passivation of the sputtered CdTe. The adhesiveness of CdTe on the n-Si substrate was also significantly enhanced. Our findings further demonstrate that proper surface treatment of the Si substrate can greatly improve the quality of CdTe grown on Si by reducing the strain that occurs during the growth process. This study demonstrates a valuable method for enhancing the integration of CdTe with Si for two-junction tandem solar cell applications.
Fabrication of electrospun gum Arabic-polyvinyl alcohol blend nanofibers for improved viability of the probiotic

Fareed F, Saeed F, Afzaal M, Imran A, Ahmad A, Mahmood K, et al.

J Food Sci Technol, 2022 Dec;59(12):4812-4821.
PMID: 36276519 DOI: 10.1007/s13197-022-05567-1

In the current study, the probiotic (Lactobacillus acidophilus) was encapsulated using Gum Arabic and polyvinyl alcohol blended nanofibers by electrospinning. Obtained nanofibers were characterized in terms of particle size, diameter, mechanical strength, and encapsulation efficiency. The molecular and internal structure characterization was carried out using Fourier transform infrared spectroscopy and X-ray diffraction respectively. Thermo Gravimetric (TGA) analysis was conducted to determine the thermal features of PVA/GA/probiotics nanofibers. Free and encapsulated probiotics were also subjected to in vitro assay under different detrimental conditions. Images obtained using SEM indicated that probiotics were successfully encapsulated in blends by a nano-spider. FTIR and XRD spectra showed bonding interactions between the wall and core materials. In-vitro assay indicated that probiotics with encapsulated showed significantly (P
A Limited Survey of Aflatoxins and Zearalenone in Feed and Feed Ingredients from Pakistan

Iqbal SZ, Asi MR, Nisar S, Zia KM, Jinap S, Malik N

J Food Prot, 2016 Oct;79(10):1798-1801.
PMID: 28221839 DOI: 10.4315/0362-028X.JFP-16-091

This work presents current information on the presence of aflatoxins (AFs) and zearalenone (ZEN) in feed and feed ingredients from Punjab, Pakistan. The 105 samples tested were concentrated feed, i.e., cotton seed meal (18 samples) and soybean meal (14), and feed ingredients, i.e., crushed corn (17), crushed wheat (15), barley (17). and poultry feed (24). Samples were analyzed using high-performance liquid chromatography equipped with a fluorescence detector. Analysis revealed that 69 of 105 samples were contaminated with AFs, and the highest mean concentrations of AFB1 (6.20 μg/kg) and total AFs (9.30 μg/kg) were found in poultry feed samples. The mean total AF concentrations ranged from the limit of quantification to 165.5 μg/kg. However, 75 of the 105 samples were positive for ZEN. The highest mean concentration (19.45 μg/kg) was found in poultry feed samples. The mean ZEN concentrations were 0.15 to 145.30 μg/kg. The prevalence of AFs and ZEN was high in feed and feed ingredients and needs urgent attention.
Perceptions of interprofessional education among Malaysian clinical healthcare students

Ahmad MS, Asban MA, Mohd Salleh NSA, Mohd Sarmin N', Abd Rahman ANA

Spec Care Dentist, 2023;43(6):815-823.
PMID: 36018716 DOI: 10.1111/scd.12770

INTRODUCTION: Interprofessional education (IPE), which is aimed at improving the quality of patient care and overall health outcome, has been advocated to prepare future healthcare professionals for collaborative practice OBJECTIVES: This study aimed to investigate the perceptions of IPE among clinical healthcare students at a Malaysian institution METHODS: A validated questionnaire, developed from previous studies, was distributed online to selected final year students of 10 clinical programs from medical, dental, pharmacy and health sciences faculties (n = 501). Quantitative data was analyzed via chi-square test (significance value p
Managing a Pseudo-Mobitz Type II Atrioventricular (AV) Block Intrapartum: A Case Report

Othman MK, Konok MZ, Engku Ismail EH, Yusof Z, W Isa WYH

Cureus, 2023 Dec;15(12):e50221.
PMID: 38084258 DOI: 10.7759/cureus.50221

Atrioventricular (AV) block in pregnancy is rare, but it is a serious arrhythmia that needs to be carefully managed in pregnancy. However, as of now, there are no clear guidelines or consensus for intrapartum management. Most of the time, an intrapartum AV block is secondary to hypervagatonic sinus node dysfunction and is treated conservatively. Hypervagatonic sinus node dysfunction has a heterogeneous presentation of AV block, and pseudo-Mobitz type II in labor is rarely reported. We report a case of pseudo-Mobitz type II AV block during pregnancy due to labor pain, which is successfully managed conservatively.
Fulltext Do domestic innovations promote trade openness? Empirical evidence from emerging economies

Khan MN, Jan AA, Asif M, Lai FW, Shad MK, Shadab S

Heliyon, 2023 Dec;9(12):e22848.
PMID: 38076083 DOI: 10.1016/j.heliyon.2023.e22848

PURPOSE: Innovation activities have gained much importance due to their pivotal role in achieving economic growth - directly by increasing productivity and - indirectly by increasing the degree of trade openness. This study aims to focus on the indirect channel, a rarely explored area of research, especially in the context of emerging economies.
METHODOLOGY: To achieve the aim of the study, four proxies of innovation (resident patent applications, nonresident patent applications, scientific and technical journal articles, and research and development expenditures) are used to establish a robust relationship between innovation activities and trade openness in BRICS economies. Panel data from 2000 to 2020 is obtained from World Development Indicators and Penn World Tables. Econometric techniques of panel data such as fixed effect and generalized least squares are employed to extract results from the specified models.
FINDINGS: The findings of the study revealed that three proxies of innovation (i.e., resident patent applications, nonresident patent applications, scientific and technical journal articles) have a significant positive role in improving trade openness in the BRICS economies. However, the fourth proxy of innovation i.e., research and development expenditures had a negative impact on the degree of trade openness. Besides, innovation activities such as inflation rate and foreign direct investment have also influenced the degree of trade openness positively and significantly. Conversely, GDP per capita had a negative relationship with trade openness. Moreover, domestic investments showed a positive influence on the degree of trade openness while employment had a negative and insignificant influence on the degree of trade openness. Finally, the causality analysis revealed a one-way relationship running from innovations to trade openness.
IMPLICATIONS: In view of the results obtained, the policymakers of the BRICS economies might focus on encouraging innovation activities to enhance the degree of trade openness. Increased trade openness will consequently contribute to economic growth enormously and thus the attainment of sustainable development goals (SDG-8). Policymakers are also suggested to encourage FDI inflows and further ensure a moderate inflation rate to improve the degree of trade openness and hence accelerate economic growth.
ORIGINALITY: This study focused on examining the nexus between innovation activities and trade openness in emerging economies, which is indeed an interesting but rarely explored area of research. The findings of the study might help the policymakers of the BRICS economies in formulating policies regarding trade openness and innovation activities.

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