Displaying publications 61 - 80 of 340 in total

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  1. Shyam S, Greenwood D, Mai CW, Tan SS, Mohd Yusof BN, Moy FM, et al.
    Cancers (Basel), 2021 Mar 02;13(5).
    PMID: 33801191 DOI: 10.3390/cancers13051036
    (1) Background: We studied the association of both conventional (BMI, waist and hip circumference and waist-hip ratio) and novel (UK clothing sizes) obesity indices with pancreatic cancer risk in the UK women's cohort study (UKWCS). (2) Methods: The UKWCS recruited 35,792 women from England, Wales and Scotland from 1995 to 1998. Cancer diagnosis and death information were obtained from the National Health Service (NHS) Central Register. Cox's proportional hazards regression was used to evaluate the association between baseline obesity indicators and pancreatic cancer risk. (3) Results: This analysis included 35,364 participants with a median follow-up of 19.3 years. During the 654,566 person-years follow up, there were 136 incident pancreatic cancer cases. After adjustments for age, smoking, education and physical activity, each centimetre increase in hip circumference (HR: 1.03, 95% CI: 1.01-1.05, p = 0.009) and each size increase in skirt size (HR: 1.12, 95% CI: 1.02-1.23, p = 0.041) at baseline increased pancreatic cancer risk. Baseline BMI became a significant predictor of pancreatic cancer risk (HR: 1.04, 95% CI: 1.00-1.08, p = 0.050) when latent pancreatic cancer cases were removed. Only baseline hip circumference was associated with pancreatic cancer risk (HR: 1.03, 95% CI: 1.00-1.05, p = 0.017) when participants with diabetes at baseline were excluded to control for reverse causality. (4) Conclusion: Hip circumference and skirt size were significant predictors of pancreatic cancer risk in the primary analysis. Thus, hip circumference is useful to assess body shape relationships. Additionally, standard skirt sizes offer an economical and objective alternative to conventional obesity indices for evaluating pancreatic cancer risk in women.
    Matched MeSH terms: Reference Standards
  2. Shudipta Choudhury
    MyJurnal
    Background: Technological diversity management in the manufacturing of advanced medical devices is
    essential. The manufacturing industries of medical devices should act in accordance with the technical
    guidelines and regulations in order to ensure best practices with the use of devices in hospitals
    Aim: To explore safety hazards, cost implications, and social and ethical standards to be considered during
    the manufacturing of advanced medical devices
    Subject and Methods: Aqualitative descriptive study was used. There was no targeted sample in the current
    study whereby secondary data were used to explore the research topic. Secondary sources were obtained
    from databases including EBSCOHOST, PubMed, ProQuest, Science Direct, and Google Scholar. Peerreviewed
    articles, journals, books, conference proceedings, and other web publications were used to gather
    relevant data.
    Results: The current study indicated that the technological diversity management of advanced medical
    devices is associated with safety hazards like security threats, integrity problems, and medical errors. The
    study also showed that high cost of standardizations, supply, and purchase of advanced medical devices is a
    huge burden faced by the manufacturers andusers. The study showed that the regulation of the medical
    devices, certification, and post-market surveillanceare essential social and ethical considerations during the
    manufacturing process of the new medical devices.
    Conclusion: The current study explored the technological diversity of advanced medical devices. It is
    evident in the current study that technology diversity of medical devices is associated with safety hazards
    and cost implications. The study disclosed that taking into account social and ethical issues aid in
    manufacturing safe and high quality medical devices.
    Matched MeSH terms: Reference Standards
  3. Shiming Z, Mak KK, Balijepalli MK, Chakravarthi S, Pichika MR
    Biomed Pharmacother, 2021 Jul;139:111576.
    PMID: 33862494 DOI: 10.1016/j.biopha.2021.111576
    Diabetes mellitus or type-2 diabetes, commonly referred as diabetes, is a metabolic disorder that results in high blood sugar level. Despite the availability of several antidiabetic drugs in the market, they still do not adequately regulate blood sugar levels. Thus, in general people prefer to use herbal supplements/medicines along with antidiabetic drugs to control blood sugar levels. One of such herbal medicine is Swietenia macrophylla seeds. It is widely used in Asia for controlling blood sugar levels. One of the major bioactive compounds, Swietenine, is reported to be responsible for controlling blood glucose levels. However, there were no studies on its efficacy in controlling the blood glucose in diabetic rats. In this study, we evaluated the antihyperglycemic activity of Swietenine and its pharmacodynamic interaction with Metformin in Streptozotocin induced diabetes in rats. The activity of Swietenine was investigated at three different doses: 10, 20 and 40 mg/kg body weight (bw). Metformin (50 mg/kg bw) was used as a standard drug. Swietenine (20 and 40 mg/kg bw) and Metformin (50 mg/kg bw) showed significant effect in reducing the glucose, cholesterol, triglycerides, low-density lipoprotein, urea, creatinine, alanine transaminase, alkaline phosphatase, aspartate transaminase, alanine transaminase, and malondialdehyde level in serum while it had increased the high-density lipoprotein, glutathione, and total antioxidant capacity level. In addition, Swietenine (20 and 40 mg/kg) had shown significant synergistic effect with Metformin. Administration of Swietenine at 10 mg/kg bw neither showed activity nor influenced Metformin's activity. The results from this study confirmed the beneficial effects of Swietenine and its synergistic action with Metformin in controlling the dysregulated serum parameters in Streptozotocin induced diabetes in rats.
    Matched MeSH terms: Reference Standards
  4. Shehzadi N, Hussain K, Khan MT, Salman M, Islam M
    Pak J Pharm Sci, 2017 Sep;30(5):1767-1777.
    PMID: 29084700
    The absence of chromophore and/or conjugated system, prerequisite for UV and florescent light detection, or absorbance at very low wavelength necessitates the development of simple and reliable methods for the determination of amikacin sulphate. Therefore, the present study describes for the first time dynamics of the drug derivatization using ninhydrin reagent and development and validation of a simple RP-HPLC method, using diode array detector (DAD). The variables such as heating time, heating type, drug-reagent ratio, reagent composition and storage temperature of the derivative were optimized. The analyte and aqueous ninhydrin solution upon heating for 2.00-5.00 min produced the colored drug-derivative which was stable for one month at refrigeration. The derivatized drug (20.00μL) was eluted through a column - Eclipse DB-C18 (5.00 µm, 4.60×150.00 mm), maintained at 25°C- using isocratic mobile phase comprising water and acetonitrile (70:30, v/v) at a flow rate of 1.00 mL/min, and detected at 400 nm. The method was found to be reliable (98.08-100.72% recovery), repeatable (98.02-100.72% intraday accuracy) and reproducible (98.47-101.27% inter day accuracy) with relative standard deviation less than 5%. The results of the present study indicate that the method is easy to perform, specific and sensitive, and suitable to be used for the determination of amikacin sulphate in bulk and pharmaceutical preparations using less expensive/laborious derivatization.
    Matched MeSH terms: Reference Standards
  5. Sharip NS, Ariffin H, Yasim-Anuar TAT, Andou Y, Shirosaki Y, Jawaid M, et al.
    Polymers (Basel), 2021 Jan 27;13(3).
    PMID: 33513876 DOI: 10.3390/polym13030404
    The major hurdle in melt-processing of ultra-high molecular weight polyethylene (UHMWPE) nanocomposite lies on the high melt viscosity of the UHMWPE, which may contribute to poor dispersion and distribution of the nanofiller. In this study, UHMWPE/cellulose nanofiber (UHMWPE/CNF) bionanocomposites were prepared by two different blending methods: (i) melt blending at 150 °C in a triple screw kneading extruder, and (ii) non-melt blending by ethanol mixing at room temperature. Results showed that melt-processing of UHMWPE without CNF (MB-UHMWPE/0) exhibited an increment in yield strength and Young's modulus by 15% and 25%, respectively, compared to the Neat-UHMWPE. Tensile strength was however reduced by almost half. Ethanol mixed sample without CNF (EM-UHMWPE/0) on the other hand showed slight decrement in all mechanical properties tested. At 0.5% CNF inclusion, the mechanical properties of melt-blended bionanocomposites (MB-UHMWPE/0.5) were improved as compared to Neat-UHMWPE. It was also found that the yield strength, elongation at break, Young's modulus, toughness and crystallinity of MB-UHMWPE/0.5 were higher by 28%, 61%, 47%, 45% and 11%, respectively, as compared to the ethanol mixing sample (EM-UHMWPE/0.5). Despite the reduction in tensile strength of MB-UHMWPE/0.5, the value i.e., 28.4 ± 1.0 MPa surpassed the minimum requirement of standard specification for fabricated UHMWPE in surgical implant application. Overall, melt-blending processing is more suitable for the preparation of UHMWPE/CNF bionanocomposites as exhibited by their characteristics presented herein. A better mechanical interlocking between UHMWPE and CNF at high temperature mixing with kneading was evident through FE-SEM observation, explains the higher mechanical properties of MB-UHMWPE/0.5 as compared to EM-UHMWPE/0.5.
    Matched MeSH terms: Reference Standards
  6. Shanti A/P Gobalakrishnan, Abdul Said Ambotang
    MyJurnal
    Malaysia merupakan sebuah negara yang berkembang pesat seiring dengan ledakan globalisasi pada masa kini. Dalam menuju ke arah pendidikan bertaraf dunia, Malaysia perlu membawa suatu perubahan yang akan memberi kesan kepada dunia pendidikan. Dalam era globalisasi yang mencabar, kebanyakan negara semakin memandang berat terhadap bidang pendidikan kerana pendidikan telah memainkan peranan yang penting. Kementerian Pendidikan Malaysia (KPM) telah melaksanakan kajian semula terhadap sistem pendidikan negara dalam konteks standard pendidikan antarabangsa. Hasil daripada kajian tersebut, Pelan Pembangunan Pendidikan Malaysia (PPPM) 2013-2025 telah dilancarkan (KPM,2013). Melalui PPPM 2013-2025 salah satu perancangan adalah kemahiran abad ke21 dalam kalangan pelajar. Oleh hal yang demikian, kajian ini bertujuan untuk mengenal pasti pengaruh tahap akauntabiliti guru, peranan pentadbir dan efikasi kendiri guru terhadap pelaksanaan pengajaran abad ke-21 sekolah rendah di Negeri Sabah. Kajian ini juga bertujuan untuk melihat serta menganalisis pengaruh yang wujud antara tahap akauntabiliti guru, peranan pentadbir dan efikasi kendiri guru dalam isu ini. Seterusnya kajian ini juga menganalisis efikasi kendiri guru sebagai pengantara dalam hubungan tahap akauntabiliti guru dan peranan pentadbir terhadap pelaksanaan pengajaran abad ke-21. Implikasi daripada kajian ini juga diharapkan agar guru dan pihak pentadbir dapat menjalin kerjasama yang erat terhadap pelaksanaan pengajaran abad ke-21 di sekolah agar mampu menyediakan generasi muda untuk menghadapi sebarang kemungkinan.
    Matched MeSH terms: Reference Standards
  7. Shaharudin S, Rahim MFA, Muhamad AS
    Int J Prev Med, 2018;9:90.
    PMID: 30450173 DOI: 10.4103/ijpvm.IJPVM_42_17
    Background: The study investigated the effects of isokinetic versus isotonic training among adolescent state-level weightlifters in terms of total leukocytes, total lymphocytes, and its subsets following 24 sessions of training program and a month following training program cessation.

    Methods: Nineteen adolescent state-level weightlifters were assigned into isokinetic or isotonic groups. All participants were recruited from a pool of weightlifters with standardized training program provided by their coach. Series of immunological tests were carried out before the commencement, immediately upon the completion, and a month after the cessation of the additional training program to evaluate total leukocytes and lymphocytes count.

    Results: The results revealed a significant time and group interaction and main effects of time on mean total leukocytes (P < 0.05). Mean total leukocytes count at posttest decreased in both groups. In isotonic group, it was further decreased following 1 month of training cessation (P < 0.05) but not in the isokinetic group. However, the decrement was not high and the values were in the normal range. No significant time and group interaction was observed in total lymphocytes and its subsets count.

    Conclusions: Eight weeks of isokinetic and isotonic additional training with emphasis on shoulder joint only affect mean total leukocytes count in state-level adolescent weightlifters.

    Matched MeSH terms: Reference Standards
  8. Sgamma T, Masiero E, Mali P, Mahat M, Slater A
    Front Plant Sci, 2018;9:1828.
    PMID: 30619401 DOI: 10.3389/fpls.2018.01828
    Herbal medicines are used globally for their health benefits as an alternative therapy method to modern medicines. The market for herbal products has increased rapidly over the last few decades, but this has in turn increased the opportunities for malpractices such as contamination or substitution of products with alternative plant species. In the 1990s, a series of severe renal disease cases were reported in Belgium associated with weight loss treatment, in which the active species Stephania tetrandra was found to be substituted with Aristolochia fangchi. A. fangchi contains toxic aristolochic acids, which have been linked to kidney failure, as well as cancers of the urinary tract. Because of these known toxicities, herbal medicines containing these compounds, or potentially contaminated by these plants, have been restricted or banned in some countries, but they are still available via the internet and in alternate formulations. In this study, a DNA based method based on quantitative real-time PCR (qPCR) was tested to detect and distinguish Aristolochia subg. Siphisia (Duch.) O.C.Schmidt species from a range of medicinal plants that could potentially be contaminated with Aristolochia material. Specific primers were designed to confirm that Aristolochia subg. Siphisia can be detected, even in small amounts, if it is present in the products, fulfilling the aim of offering a simple, cheaper and faster solution than the chemical methods. A synthetic gBlock template containing the primer sequences was used as a reference standard to calibrate the qPCR assay and to estimate the copy number of a target gene per sample. Generic primers covering the conserved 5.8S rRNA coding region were used as internal control to verify DNA quality and also as a reference gene for relative quantitation. To cope with potentially degraded DNA, all qPCR primer sets were designed to generate PCR products of under 100 bp allowing detection and quantification of A. fangchi gBlock even when mixed with S. tetrandra gBlock in different ratios. All proportions of Aristolochia, from 100 to 2%, were detected. Using standards, associating the copy number to each start quantity, the detection limit was calculated and set to about 50 copies.
    Matched MeSH terms: Reference Standards
  9. Serirama Ebbi, Roslee Bin Talip, Dayang Norizah Ag Kiflee@Dzulkifli
    MyJurnal
    Kajian ini bertujuan untuk menentukan kekuatan pengaruh kepimpinan pengajaran guru besar, kompetensi profesionalisme guru dan kompetensi peribadi guru terhadap efikasi pengajaran guru bagi guru-guru sekolah rendah di zon Pedalaman, Sabah. Kajian ini melibatkan 361 responden yang terdiri daripada guru-guru sekolah rendah di zon Pedalaman, Sabah. Pemboleh ubah kajian telah diuji dengan menggunakan statistik deskriptif dan inferensi yang melibatkan skor min, sisihan piawai dan regresi berganda. Instrumen yang digunakan dalam kajian adalah soal selidik yang diadaptasi daripada Principal Instructional Management Rating Scale (PIMRS), Standard Guru Malaysia (SGM) dan Teacher Efficacy Scale (TES) bagi mengumpul data daripada 361 responden yang telah melengkapkan borang soal selidik, daripada 54 buah sekolah rendah yang melibatkan tujuh daerah di zon Pedalaman, Sabah. Persampelan secara rawak digunakan dalam pemilihan responden dalam kalangan guru manakala persampelan bertujuan digunakan bagi menentukan bilangan sekolah yang mewakili setiap daerah seperti yang telah ditetapkan. Statistik deskriptif dan inferensi telah digunakan bagi menghuraikan dapatan kajian. Dapatan kajian menunjukkan bahawa tahap kepimpinan pengajaran guru besar (Min = 4.52; SP = 0.313) pada tahap sangat tinggi, kompetensi profesionalisme guru (Min = 4.41; SP = 0.295) juga pada tahap sangat tinggi dan kompetensi peribadi guru (Min = 4.47; SP = 0.366) juga berada pada tahap sangat tinggi manakala efikasi pengajaran guru (Min = 3.96; SP = 0.358) berada pada tahap tinggi. Data inferensi dianalisis menggunakan regresi berganda. Analisis regrasi menunjukkan pengaruh kepimpinan pengajaran guru besar menyumbang 65 peratus, kompetensi profesionalisme guru menyumbang 65.9 peratus dan kompetensi peribadi guru menyumbang 66.5 peratus terhadap efikasi pengajaran guru dan merupakan peramal yang signifikan kepada tahap efikasi pengajaran guru.
    Matched MeSH terms: Reference Standards
  10. Semail NF, Noordin SS, Keyon ASA, Waras MN, Saad B, Kamaruzaman S, et al.
    Biomed Chromatogr, 2021 May;35(5):e5050.
    PMID: 33314228 DOI: 10.1002/bmc.5050
    A simple and sensitive preconcentration strategy using sequential electrokinetic and hydrodynamic injection modes in micellar electrokinetic chromatography with diode array detection was developed and applied for the separation and determination of anticancer agent, 5-fluorouracil and its metabolite, 5-fluoro-2'-deoxyuridine, in human plasma. Sequential injection modes with increased analyte loading capacity using the anionic pseudo-stationary phase facilitated collection of the dispersed neutral and charged analytes into narrow zones and improved sensitivity. Several important parameters affecting sample enrichment performance were evaluated and optimized in this study. Under the optimized experimental conditions, 614- and 643-fold and 782- and 803-fold sensitivity improvement were obtained for 5-fluorouracil and its metabolite when compared with normal hydrodynamic and electrokinetic injection, respectively. The method has good linearity (1-1,000 ng/ml) with acceptable coefficient of determination (r2  > 0.993), low limits of detection (0.11-0.14 ng/ml) and satisfactory analyte relative recovery (97.4-99.7%) with relative standard deviations of 4.6-9.3% (n = 6). Validation results as well as the application to analysis of human plasma samples from cancer patients demonstrate the applicability of the proposed method to clinical studies.
    Matched MeSH terms: Reference Standards
  11. Selvam K, Khalid MF, Mustaffa KMF, Harun A, Aziah I
    Microorganisms, 2021 Mar 30;9(4).
    PMID: 33808203 DOI: 10.3390/microorganisms9040711
    Melioidosis is a severe disease caused by Burkholderia pseudomallei (B. pseudomallei), a Gram-negative environmental bacterium. It is endemic in Southeast Asia and Northern Australia, but it is underreported in many other countries. The principal routes of entry for B. pseudomallei are skin penetration, inhalation, and ingestion. It mainly affects immunocompromised populations, especially patients with type 2 diabetes mellitus. The laboratory diagnosis of melioidosis is challenging due to its non-specific clinical manifestations, which mimic other severe infections. The culture method is considered an imperfect gold standard for the diagnosis of melioidosis due to its low sensitivity. Antibody detection has low sensitivity and specificity due to the high seropositivity among healthy people in endemic regions. Antigen detection using various proteins has been tested for the rapid determination of B. pseudomallei; however, it presents certain limitations in terms of its sensitivity and specificity. Therefore, this review aims to frame the present knowledge of a potential target known as the Burkholderia invasion protein D (BipD), including future directions for its detection using an aptamer-based sensor (aptasensor).
    Matched MeSH terms: Reference Standards
  12. See KL, Elbashir AA, Saad B, Ali AS, Aboul-Enein HY
    Biomed Chromatogr, 2009 Dec;23(12):1283-90.
    PMID: 19488980 DOI: 10.1002/bmc.1251
    A simple, rapid and validated capillary electrophoretic method has been developed for the separation and determination of ofloxacin and ornidazole in pharmaceutical formulations with detection at 230 nm. Optimal conditions for the quantitative separations were investigated. Analysis times shorter than 4 min were obtained using a background electrolyte solution consisting of 25 mmol/L phosphoric acid adjusted with 1 M Tris buffer to pH 8.5, with hydrodynamic injection of 5 s and 20 kV separation voltage. The validation criteria for accuracy, precision, linearity and limits of detection and quantitation were examined and discussed. An excellent linearity was obtained in concentration range 25-250 microg/mL. The detection limits for ofloxacin and ornidazole were 1.03 +/- 0.11 and 1.80 +/- 0.06 microg/mL, respectively. The proposed method has been applied for the analysis of ofloxacin and ornidazole both individually and in a combined dosage tablet formulation. The proposed validated method showed recoveries between 96.16 and 105.23% of the nominal contents.
    Matched MeSH terms: Reference Standards
  13. Sazali NH, Alshishani A, Saad B, Chew KY, Chong MM, Miskam M
    R Soc Open Sci, 2019 Aug;6(8):190952.
    PMID: 31598260 DOI: 10.1098/rsos.190952
    In this study, salting-out assisted liquid-liquid extraction (SALLE) as a simple and efficient extraction technique followed by high-performance liquid chromatography (HPLC) was employed for the determination of vitamin D3 in milk samples. The sample treatment is based on the use of water-miscible acetonitrile as the extractant and acetonitrile phase separation under high-salt conditions. Under the optimum conditions, acetonitrile and ammonium sulfate were used as the extraction solvent and salting-out agent, respectively. The vitamin D3 extract was separated using Hypersil ODS (250x i.d 4.6 mm, 5 µm) HPLC column that was coupled with diode array detector. Vitamin D2 was used as internal standard (IS) to offset any variations in chromatographic conditions. The vitamin D3 and the IS were eluted in 18 min. Good linearity (r2 > 0.99) was obtained within the range of 25-600 ng g-1 with the limit of detection of 15 ng g-1 and limit of quantification of 25 ng g-1. The validated method was applied for the determination of vitamin D3 in milk samples. The recoveries for spiked samples were from 94.4 to 113.5%.
    Matched MeSH terms: Reference Standards
  14. Sathasivam, Saratha, Mustafa Mamat, Mohd Shareduwan Mohd Kasihmuddin, Mohd. Asyraf Mansor
    MyJurnal
    Clonal selection algorithm and discrete Hopfield neural network are extensively employed for solving higher-order optimization problems ranging from the constraint satisfaction problem to complex pattern recognition. The modified clonal selection algorithm is a comprehensive and less iterative immune-inspired searching algorithm, utilized to search for the correct combination of instances for Very large-scale integrated (VLSI) circuit structure. In this research, the VLSI circuit framework consists of Boolean 3-Satisfiability instances with the different complexities and number of transistors are considered. Hence, a hybrid modified clonal selection algorithm with discrete Hopfield neural network is well developed to optimize the configuration of VLSI circuits with different number of electronic components such as transistors as the instances. Therefore, the performance of the developed hybrid model was assessed experimentally with the standard models, HNNVLSI-3SATES and HNNVLSI-3SATGA in term of circuit accuracy, sensitivity, robustness and runtime to complete the verification process. The results have demonstrated the developed model, HNNVLSI-3SATCSA produced a minimum error (consistently approaching 0), better accuracy (more than 80%) and faster computational time (less than 125 seconds) against changes in the complexity in term of the number of transistors. Furthermore, the developed hybrid model is able to minimize the computational burden and configurational noises for the variant of VLSI circuits.
    Matched MeSH terms: Reference Standards
  15. Sasidharan S, Darah I, Jain K
    The effect of season on yield and quality of organic solvent extracts from Gracilaria changii was determined. The sustainability of the bioactive compound of G. changii from Malaysia was investigated by using the TLC and FTIR standards methods. Studies was carried out to examine the sustainability of the bioactive compound in the various extract obtained from G. changii collected from Pantai Morib, Beach Selangor Malaysia on bimonthly for a period of one year in 2003. This study revealed that the bioactive compounds was present all over the year but with different quantities. In general the variation in yield or quantities of bioactive compound was related to environment. G. changii can be considered a candidate for drug development since it retained the number of bioactive compound.
    Matched MeSH terms: Reference Standards
  16. Sarmani SB, Kiprawi AZ, Ismail RB
    Biol Trace Elem Res, 1994;43-45:435-41.
    PMID: 7710858
    Fish has been known as a source of nonoccupational mercury exposure to fish-consuming population groups. In this study, hair samples collected from fishermen and their families residing in an industrialized area in Penang and a nonindustrialized area in Terengganu were analyzed for mercury by neutron activation. The range, arithmetic mean, geometric mean, and median of the mercury concentrations for the groups in Penang and in Terengganu were 0.45-16.68, 3.61, 3.49, and 2.96 and 6.79-18.31, 12.08, 11.69, and 12.05 mg/kg, respectively. Somewhat lower values than from the Penang group were found in a group from Selangor consisting mainly of office workers. The group in Penang took about 40-100 g of fish/d, whereas the group in Terengganu consumed twice as much. This shows that hair mercury levels depend on a fish consumption pattern, and not on the location of the population. The levels of mercury found in this study were similar to those reported by other workers for fish-consuming population groups worldwide.
    Matched MeSH terms: Reference Standards
  17. Sang C, Yan H, Chan WK, Zhu X, Sun T, Chang X, et al.
    Front Med (Lausanne), 2021;8:637652.
    PMID: 33708783 DOI: 10.3389/fmed.2021.637652
    Non-alcoholic fatty liver disease (NAFLD) is one of the main causes of fibrosis. Liver biopsy remains the gold standard for the confirmation of fibrosis in NAFLD patients. Effective and non-invasive diagnosis of advanced fibrosis is essential to disease surveillance and treatment decisions. Herein we used routine medical test markers and logistic regression to differentiate early and advanced fibrosis in NAFLD patients from China, Malaysia, and India (n1 = 540, n2 = 147, and n3 = 97) who were confirmed by liver biopsy. Nine parameters, including age, body mass index, fasting blood glucose, presence of diabetes or impaired fasting glycemia, alanine aminotransferase, γ-glutamyl transferase, triglyceride, and aspartate transaminase/platelet count ratio, were selected by stepwise logistic regression, receiver operating characteristic curve (ROC), and hypothesis testing and were used for model construction. The area under the ROC curve (auROC) of the model was 0.82 for differentiating early and advanced fibrosis (sensitivity = 0.69, when specificity = 0.80) in the discovery set. Its diagnostic ability remained good in the two independent validation sets (auROC = 0.89 and 0.71) and was consistently superior to existing panels such as the FIB-4 and NAFLD fibrosis score. A web-based tool, LiveFbr, was developed for fast access to our model. The new model may serve as an attractive tool for fibrosis classification in NAFLD patients.
    Matched MeSH terms: Reference Standards
  18. Sanagi MM, Ling SL, Nasir Z, Hermawan D, Ibrahim WA, Abu Naim A
    J AOAC Int, 2010 2 20;92(6):1833-8.
    PMID: 20166602
    LOD and LOQ are two important performance characteristics in method validation. This work compares three methods based on the International Conference on Harmonization and EURACHEM guidelines, namely, signal-to-noise, blank determination, and linear regression, to estimate the LOD and LOQ for volatile organic compounds (VOCs) by experimental methodology using GC. Five VOCs, toluene, ethylbenzene, isopropylbenzene, n-propylbenzene, and styrene, were chosen for the experimental study. The results indicated that the estimated LODs and LOQs were not equivalent and could vary by a factor of 5 to 6 for the different methods. It is, therefore, essential to have a clearly described procedure for estimating the LOD and LOQ during method validation to allow interlaboratory comparisons.
    Matched MeSH terms: Reference Standards
  19. Samsudin I, Page MM, Hoad K, Chubb P, Gillett M, Glendenning P, et al.
    Ann. Clin. Biochem., 2018 Nov;55(6):679-684.
    PMID: 29660998 DOI: 10.1177/0004563218774590
    Background Plasma-free metanephrines (PFM) or urinary fractionated metanephrines (UFM) are the preferred biochemical tests for the diagnosis of phaeochromocytoma and paraganglioma (PPGL). Borderline increased results should be followed up to either exclude or confirm diagnosis. Methods We extracted all PFM and UFM results reported by our laboratory over a six-month period from the laboratory information system. We categorized patients with borderline increased results according to whether follow-up testing had been performed as suggested in the initial laboratory report. Questionnaires were then sent to all requesting doctors and medical notes reviewed where available. Results Two hundred and four patients with borderline increased PFM or UFM were identified. Sixty-five (38.5%) of 169 patients with borderline increased PFM had a repeat test out of which 36 were normal and 29 did not normalize. Of 35 patients with borderline increased UFM, 17 (48.6%) had subsequent PFM measurement, out of which 15 were normal. Questionnaires were returned to 106 (52%) patients. Of these, the most frequent indication for testing was hypertension ( n = 50); 15 patients had an incidental adrenal mass and two of these patients were diagnosed with a phaeochromocytoma. Conclusion Only 38% of patients with borderline increased PFM had a repeat PFM measurement. This was not significantly higher when compared with the 28% in a previous audit that we reported in 2010 ( P = 0.10). Forty-nine per cent of patients with a borderline increased UFM had a repeat UFM or PFM measurement. There remains a substantial possibility of missed detection of PPGL.
    Matched MeSH terms: Reference Standards
  20. Samat SB, Evans CJ, Kadni T, Dolah MT
    Radiat Prot Dosimetry, 2009 Feb;133(3):186-91.
    PMID: 19299478 DOI: 10.1093/rpd/ncp035
    During the years 1985-2008, the Secondary Standards Dosimetry Laboratory of Malaysia (SSDL Malaysia) has participated 37 times in the IAEA/WHO intercomparison programmes. This paper reports an analysis of the intercomparison data and demonstrates that the quality of the SSDL calibration service is well within the limits required by IAEA.
    Matched MeSH terms: Reference Standards
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