Displaying publications 1 - 20 of 28 in total

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  1. Kashif M, Bakar AA, Arsad N, Shaari S
    Sensors (Basel), 2014 Aug 28;14(9):15914-38.
    PMID: 25171117 DOI: 10.3390/s140915914
    Surface plasmon resonance (SPR) is a novel optical sensing technique with a unique ability to monitor molecular binding in real-time for biological and chemical sensor applications. Interferometry is an excellent tool for accurate measurement of SPR changes, the measurement and comparison is made for the sensitivity, dynamic range and resolution of the different analytes using interferometry techniques. SPR interferometry can also employ phase detection in addition to the amplitude of the reflected light wave, and the phase changes more rapidly compared with other approaches, i.e., intensity, angle and wavelength. Therefore, the SPR phase interferometer offers the advantages of spatial phase resolution and high sensitivity. This work discusses the advancements in interferometric SPR methods to measure the phase shifts due to refractive index changes. The main application areas of SPR sensors are demonstrated, i.e., the Fabry-Perot interferometer, Michelson interferometer and Mach-Zehnder interferometer, with different configurations. The three interferometers are discussed in detail, and solutions are suggested to enhance the performance parameters that will aid in future biological and chemical sensors.
  2. Abushagur AA, Arsad N, Reaz MI, Bakar AA
    Sensors (Basel), 2014;14(4):6633-65.
    PMID: 24721774 DOI: 10.3390/s140406633
    The large interest in utilising fibre Bragg grating (FBG) strain sensors for minimally invasive surgery (MIS) applications to replace conventional electrical tactile sensors has grown in the past few years. FBG strain sensors offer the advantages of optical fibre sensors, such as high sensitivity, immunity to electromagnetic noise, electrical passivity and chemical inertness, but are not limited by phase discontinuity or intensity fluctuations. FBG sensors feature a wavelength-encoding sensing signal that enables distributed sensing that utilises fewer connections. In addition, their flexibility and lightness allow easy insertion into needles and catheters, thus enabling localised measurements inside tissues and blood. Two types of FBG tactile sensors have been emphasised in the literature: single-point and array FBG tactile sensors. This paper describes the current design, development and research of the optical fibre tactile techniques that are based on FBGs to enhance the performance of MIS procedures in general. Providing MIS or microsurgery surgeons with accurate and precise measurements and control of the contact forces during tissues manipulation will benefit both surgeons and patients.
  3. Osman BA, Ng ML, Bakar AA, Khalid BA
    East Afr Med J, 1993 May;70(5):314-5.
    PMID: 8306912
    The effect of consuming large amounts of cassava leaves on thyroid function and urinary iodine was studied. Twenty volunteers were given 200 gm of boiled cassava leaves twice a day for 12 consecutive days. Thyroid hormones triiodothyronine and thyroxine were significantly lower by 9 days. Urinary iodine excretion was also significantly decreased. Cassava leaves, consumed in large amounts by aborigines, probably caused goitres by decreasing iodine absorption.
  4. Abu Bakar AA, Kadir AA, Idris N
    Korean J Fam Med, 2021 Sep;42(5):403-406.
    PMID: 32418398 DOI: 10.4082/kjfm.20.0063
    This case illustrates the medical complication of a child that arose as a consequence of parents with intellectual disabilities in a primary care setting. A 9-month-old girl presented with multiple admissions because of recurrent pneumonia and was later diagnosed with failure to thrive based on child neglect resulting from the parents' disabilities. This exemplifies a failure to thrive case with a complex and undiagnosed psychosocial background that required interdepartmental involvement to mitigate the health problem.
  5. Alweshah M, Alkhalaileh S, Al-Betar MA, Bakar AA
    Knowl Based Syst, 2022 Jan 10;235:107629.
    PMID: 34728909 DOI: 10.1016/j.knosys.2021.107629
    The importance of medical data and the crucial nature of the decisions that are based on such data, as well as the large increase in its volume, has encouraged researchers to develop feature selection (FS)-based approaches to identify the most relevant data for specific medical problems In this paper, two intelligent wrapper FS approaches based on a new metaheuristic algorithm named the coronavirus herd immunity optimizer (CHIO) were applied with and without the incorporation of a greedy crossover (GC) operator strategy to enhance exploration of the search space by CHIO. The two proposed approaches, CHIO and CHIO-GC, were evaluated using 23 medical benchmark datasets and a real-world COVID-19 dataset. The experimental results indicated that CHIO-GC outperformed CHIO in terms of search capability, as reflected in classification accuracy, selection size, F-measure, standard deviation and convergence speed. The GC operator was able to enhance the balance between exploration and exploitation of the CHIO in the search and correct suboptimal solutions for faster convergence. The proposed CHIO-GC was also compared with two previous wrapper FS approaches, namely, binary moth flame optimization with Lévy flight (LBMFO_V3) and the hyper learning binary dragonfly algorithm (HLBDA), as well as four filter methods namely, Chi-square, Relief, correlation-based feature selection and information gain. CHIO-GC surpassed LBMFO_V3 and the four filter methods with an accuracy rate of 0.79 on 23 medical benchmark datasets. CHIO-GC also surpassed HLBDA with an accuracy rate of 0.93 when applied to the COVID-19 dataset. These encouraging results were obtained by striking a sufficient balance between the two search phases of CHIO-GC during the hunt for correct solutions, which also increased the convergence rate. This was accomplished by integrating a greedy crossover technique into the CHIO algorithm to remedy the inferior solutions found during premature convergence and while locked into a local optimum search space.
  6. Abedini A, Bakar AA, Larki F, Menon PS, Islam MS, Shaari S
    Nanoscale Res Lett, 2016 Dec;11(1):287.
    PMID: 27283051 DOI: 10.1186/s11671-016-1500-z
    This paper focuses on the recent advances on radiolysis-assisted shape-controlled synthesis of noble metal nanostructures. The techniques and protocols for producing desirable shapes of noble metal nanoparticles are discussed through introducing the critical parameters which can influence the nucleation and growth mechanisms. Nucleation rate plays a vital role on the crystallinity of seeds while growth rate of different seeds' facets determines the final shape of resultant nanoparticles. Nucleation and growth rate both can be altered with factors such as absorbed dose, capping agents, and experimental environment condition to control the final shape. Remarkable physical and chemical properties of synthesized noble metal nanoparticles by controlled morphology have been systematically evaluated to fully explore their applications.
  7. Chowdhury RH, Reaz MB, Ali MA, Bakar AA, Chellappan K, Chang TG
    Sensors (Basel), 2013;13(9):12431-66.
    PMID: 24048337 DOI: 10.3390/s130912431
    Electromyography (EMG) signals are becoming increasingly important in many applications, including clinical/biomedical, prosthesis or rehabilitation devices, human machine interactions, and more. However, noisy EMG signals are the major hurdles to be overcome in order to achieve improved performance in the above applications. Detection, processing and classification analysis in electromyography (EMG) is very desirable because it allows a more standardized and precise evaluation of the neurophysiological, rehabitational and assistive technological findings. This paper reviews two prominent areas; first: the pre-processing method for eliminating possible artifacts via appropriate preparation at the time of recording EMG signals, and second: a brief explanation of the different methods for processing and classifying EMG signals. This study then compares the numerous methods of analyzing EMG signals, in terms of their performance. The crux of this paper is to review the most recent developments and research studies related to the issues mentioned above.
  8. Sarmani AR, Abu Bakar MH, Bakar AA, Adikan FR, Mahdi MA
    Opt Express, 2011 Jul 18;19(15):14152-9.
    PMID: 21934778 DOI: 10.1364/OE.19.014152
    We report an ultra-long Raman laser that implemented a variable pumping scheme in backward and forward configurations. Rayleigh backscattering effects were realized in the 51 km fiber length that functioned as a virtual mirror at one fiber end. With the employment of a fiber Bragg grating that has a peak reflection wavelength at 1553.3 nm, spectral broadening effects were observed. These occurred as the pump power level was diverted more to the forward direction. Owing to this fact, a maximum width of 0.9 nm was measured at 100% forward pumping. The obtained results show that the efficient exploitation of four-wave mixing interactions as well as strong Rayleigh backscattering are beneficial to influence the lasing performances. Both of these nonlinear responses can be adjusted by varying pumping distributions along the fiber longitudinal dimension.
  9. Bakar AA, Mahdi MA, Al-Mansoori MH, Shaari S, Zamzuri AK
    Appl Opt, 2009 Apr 20;48(12):2340-3.
    PMID: 19381186
    We demonstrate an opto-optical gain-clamped L-band erbium-doped fiber amplifier by manipulating the C-band lasing wavelength as the control signal. The L-band gain-clamped value is achieved by tuning the control laser in the C-band wavelength range that propagates in the opposite direction to the L-band signal. Within the wavelength range of 1538 nm and 1560 nm, the L-band gain decreases linearly with the increment of the C-band lasing wavelength. The L-band gain dynamic range decreases with the increment of the cavity loss. By combining two different levels of cavity loss, the gain dynamic range of 10 dB from 11 dB to 21 dB is achieved with an average noise figure of less than 5.9 dB. The whole gain spectrum of the L-band can be used for multiple-channel amplification because the laser is created outside its signal band.
  10. Tata MD, Singh R, Bakar AA, Selvindoss P, P K, Gurunathan R
    Asian J Surg, 2008 Apr;31(2):55-8.
    PMID: 18490215
    OBJECTIVE: Appendicectomy is a very common surgical procedure performed by registrars. It is mainly carried out by surgical registrars as an open procedure in many government hospitals. We aimed to evaluate laparoscopic appendicectomy as a laparoscopic training skill in a clinical setting for our registrars.

    METHODS: A retrospective analysis of all attempted laparoscopic appendicectomies over 12 months by experienced surgeons and registrars was done. Factors evaluated were operating time, conversion rate, postoperative hospital stay, morbidity and mortality.

    RESULTS: There was no statistically significant difference in operating time for surgeons and registrars (mean, 53 minutes vs. 60 minutes), conversion rate (10% vs. 11%). Mean hospital stay for patients operated on by surgeons was 3.1 days and 3.2 days for registrars. Morbidity was equal with both surgeons and registrars.

    CONCLUSION: We conclude that laparoscopic appendicectomy is a safe laparoscopic training tool for registrars with basic laparoscopic knowledge who have had a proper apprenticeship, and can be done in a clinical setting.

  11. Choi CS, Yin CS, Bakar AA, Sakewi Z, Naing NN, Jamal F, et al.
    J Microbiol Immunol Infect, 2006 Dec;39(6):458-64.
    PMID: 17164947
    Data on the carriage rate and antibiotic sensitivity pattern of Staphylococcus aureus strains prevalent in the community are not available for many developing countries including Malaysia. To estimate the extent of community S. aureus transmission, in particular methicillin-resistant S. aureus (MRSA), the prevalence of S. aureus nasal colonization in a population of healthy adults was determined. Factors associated with S. aureus nasal carriage and antibiotic sensitivity patterns of the isolates were also analyzed.
  12. Abu Bakar AA, Abdul Kadir A, Idris NS, Mohd Nawi SN
    PMID: 34444005 DOI: 10.3390/ijerph18168257
    Falls are prominent health issues among older adults. Among hypertensive older adults, falls may have a detrimental effect on their health and wellbeing. The purpose of this study is to determine the prevalence of falls among hypertensive older adults and to identify the associated factors that contribute to their falls. This was a cross-sectional study conducted among two hundred and sixty-nine hypertensive older adults who were selected via systematic random sampling in two primary health clinics in Kuala Terengganu, Malaysia. Data on their socio-demographic details, their history of falls, medication history and clinical characteristics were collected. Balance and gait were assessed using the Performance Oriented Mobility Assessment (POMA). It was found that 32.2% of participants reported falls within a year. Polypharmacy (adjusted OR 2.513, 95% CI 1.339, 4.718) and diuretics (adjusted OR 2.803, 95% CI 1.418, 5.544) were associated with an increased risk of falls. Meanwhile, a higher POMA score (adjusted OR 0.940, 95% CI 0.886, 0.996) and the number of antihypertensives (adjusted OR 0.473, 95% CI 0.319, 0.700) were associated with a low incidence of falling among hypertensive older adults. Falls are common among hypertensive older adults. Older adults who are taking diuretics and have a polypharmacy treatment plan have a higher incidence of falls. However, older adults taking a higher number of anti-hypertensive medications specifically were not associated with an increased prevalence of falls.
  13. Saiboon IM, Apoo FN, Jamal SM, Bakar AA, Yatim FM, Jaafar JM, et al.
    Medicine (Baltimore), 2019 Dec;98(49):e18201.
    PMID: 31804343 DOI: 10.1097/MD.0000000000018201
    BACKGROUND: Leadership and teamwork are important contributory factors in determining cardiac resuscitation performance and clinical outcome. We aimed to determine whether fixed positioning of the resuscitation team leader (RTL) relative to the patient influences leadership qualities during cardiac resuscitation using simulation.

    METHODS: A cross-sectional randomized intervention study over 12 months' duration was conducted in university hospital simulation lab. ACLS-certified medical doctors were assigned to run 2 standardized simulated resuscitation code as RTL from a head-end position (HEP) and leg-end position (LEP). They were evaluated on leadership qualities including situational attentiveness (SA), errors detection (ED), and decision making (DM) using a standardized validated resuscitation-code-checklist (RCC). Performance was assessed live by 2 independent raters and was simultaneously recorded. RTL self-perceived performance was compared to measured performance.

    RESULTS: Thirty-four participants completed the study. Mean marks for SA were 3.74 (SD ± 0.96) at HEP and 3.54 (SD ± 0.92) at LEP, P = .48. Mean marks for ED were 2.43 (SD ± 1.24) at HEP and 2.21 (SD ± 1.14) at LEP, P = .40. Mean marks for DM were 4.53 (SD ± 0.98) at HEP and 4.47 (SD ± 0.73) at LEP, P = .70. The mean total marks were 10.69 (SD ± 1.82) versus 10.22 (SD ± 1.93) at HEP and LEP respectively, P = .29 which shows no significance difference in all parameters. Twenty-four participants (71%) preferred LEP for the following reasons, better visualization (75% of participants); more room for movement (12.5% of participants); and better communication (12.5% of participants). RTL's perceived performance did not correlate with actual performance CONCLUSION:: The physical position either HEP or LEP appears to have no influence on performance of RTL in simulated cardiac resuscitation. RTL should be aware of the advantages and limitations of each position.

  14. Palaniandy K, Kamarudin Z, Wong YP, Mohamed Mukari SA, Jiau WXH, Bakar AA
    Front Oncol, 2022;12:1012395.
    PMID: 36452494 DOI: 10.3389/fonc.2022.1012395
    Secondary malignancies following radiotherapy are well documented, with an estimated incidence of 5%. These may manifest as carcinomas, gliomas, or sarcomas within the previous radiation field. Glioblastoma multiforme following radiotherapy for nasopharyngeal carcinoma is an uncommon occurrence and carries a poor prognosis, whereas papillary thyroid carcinoma following radiotherapy is well documented, though the exact incidence is not well documented. The occurrence of synchronous radiotherapy-induced malignancy over both sites has not been described in the literature before. We describe a middle-aged gentleman diagnosed with glioblastoma multiforme and papillary thyroid carcinoma 6 years after radiotherapy for nasopharyngeal carcinoma. Though our case is the first reported case of a synchronous tumour of its nature, it is likely that such cases are under-reported. Long-term vigilance for loco-regional radiotherapy-induced secondary malignancies is a must, and the presence of a second distinct secondary malignancy must be entertained.
  15. Saiboon IM, Qamruddin RM, Jaafar JM, Bakar AA, Hamzah FA, Eng HS, et al.
    Saudi Med J, 2016 Apr;37(4):429-35.
    PMID: 27052286 DOI: 10.15537/smj.2016.4.14833
    To evaluate the effectiveness and retention of learning automated external defibrillator (AED) usage taught through a traditional classroom instruction (TCI) method versus a novel self instructed video (SIV) technique in non-critical care nurses (NCCN).
  16. Sulaiman RNR, Bakar AA, Ngadi N, Kahar INS, Nordin AH, Ikram M, et al.
    Glob Chall, 2023 Aug;7(8):2300047.
    PMID: 37635702 DOI: 10.1002/gch2.202300047
    Microplastic pollution has adversely affected the aquatic ecosystem, living creatures, and human health. Several studies in Malaysia have provided baseline information on the existence of microplastics in surface water, ingestion by marine life and sediment. Also, humans are exposed to microplastic due to consumption of contaminated abiotic and biotic products, such as processed seafood. Nonetheless, knowledge is still scarce among Malaysian on the potential remediation and pollution management of microplastics, which poses a significant challenge to preserve a good environmental status. Green technologies also other alternative to mitigate the contamination of microplastics for sustainable future. Hence, this review aims to provide an overview of microplastic's occurrence, fate, and implications in Malaysia's aquatic environment. Detection of microplastics from the water surface, ingestion by aquatics, and sediment samples are highlighted. Available different treatment processes toward microplastic remediation are also discussed. Additionally, the potential challenges, current perspective for plastic management in Malaysia, as well as green strategies for reducing microplastic contamination are also put forward. The goal of this work is to improve the understanding of the seriousness of microplastic contamination in aquatic environments, thus encouraging key concerns that need to be investigated further.
  17. Abu Bakar MH, Azeman NH, Mobarak NN, Mokhtar MHH, A Bakar AA
    Polymers (Basel), 2020 Sep 08;12(9).
    PMID: 32911662 DOI: 10.3390/polym12092040
    This research demonstrates a one-step modification process of biopolymer carrageenan active sites through functional group substitution in κ-carrageenan structures. The modification process improves the electronegative properties of κ-carrageenan derivatives, leading to enhancement of the material's performance. Synthesized succinyl κ-carrageenan with a high degree of substitution provides more active sites for interaction with analytes. The FTIR analysis of succinyl κ-carrageenan showed the presence of new peaks at 1068 cm-1, 1218 cm-1, and 1626 cm-1 that corresponded to the vibrations of C-O and C=O from the carbonyl group. A new peak at 2.86 ppm in 1H NMR represented the methyl proton neighboring with C=O. The appearance of new peaks at 177.05 and 177.15 ppm in 13C NMR proves the substitution of the succinyl group in the κ-carrageenan structure. The elemental analysis was carried out to calculate the degree of substitution with the highest value of 1.78 at 24 h of reaction. The XRD diffractogram of derivatives exhibited a higher degree of crystallinity compared to pristine κ-carrageenan at 23.8% and 9.2%, respectively. Modification of κ-carrageenan with a succinyl group improved its interaction with ions and the conductivity of the salt solution compared to its pristine form. This work has a high potential to be applied in various applications such as sensors, drug delivery, and polymer electrolytes.
  18. Zakaria ZF, Bakar AA, Hasmoni HM, Rani FA, Kadir SA
    Asia Pac Fam Med, 2009 Dec 31;8(1):10.
    PMID: 20084190 DOI: 10.1186/1447-056X-8-10
    BACKGROUND: Measurement of health-related quality of life (HRQOL) among patients with osteoarthritis (OA) helps the health care provider to understand the impact of the disease in the patients' own perspective and make health services more patient-centered. The main aim of this study was to measure the quality of life among patients with symptomatic knee OA attending primary care clinic. We also aimed to ascertain the association between socio-demographic and medical status of patients with knee OA and their quality of life.

    METHODS: A clinic based, cross sectional study using the Short Form-36 (SF-36) questionnaire was conducted in two primary care health clinics in Hulu Langat, Selangor, Malaysia over a period of 8 months. The nurses and medical assistants were involved in recruiting the patients while the family physicians conducted the interview.

    RESULTS: A total 151 respondents were recruited. The mean age was 65.6 +/- 10.8 years with females constituted 119 (78.8%) of the patients. The mean duration of knee pain was 4.07 +/- 2.96 years. Half of the patients were overweight and majority, 138 (91.4%), had at least one co-morbidity, the commonest being hypertension. The physical health status showed lower score as compared to mental health component. The domain concerning mental health components showed positive correlation with age. There was a significant negative correlation between age and physical functioning (p < 0.0005) which indicated the deterioration of this domain as patients became older. Male respondents had better scores in most of the QOL dimensions especially in the physical functioning domain (p = 0.03). There was no significant association between QOL with different education levels, employment status and marital status. Patients with higher body mass index (BMI) and existence co-morbidities scored lower in most of the QOL domains.

    CONCLUSIONS: This study has shown that patients with knee OA attending primary care clinics have relatively poor quality of life pertaining to the physical health components but less impact was seen on the patients' mental health.

  19. Chau EYW, Bakar AA, Zamhot AB, Zaini IZ, Binti Adanan SN, Sabardin DMB
    BMC Emerg Med, 2024 Apr 12;24(1):58.
    PMID: 38609924 DOI: 10.1186/s12873-024-00973-4
    BACKGROUND: The latest Surviving Sepsis Campaign 2021 recommends early antibiotics administration. However, Emergency Department (ED) overcrowding can delay sepsis management. This study aimed to determine the effect of ED overcrowding towards the management and outcome of sepsis patients presented to ED.

    METHODS: This was an observational study conducted among sepsis patients presented to ED of a tertiary university hospital from 18th January 2021 until 28th February 2021. ED overcrowding status was determined using the National Emergency Department Overcrowding Score (NEDOCS) scoring system. Sepsis patients were identified using Sequential Organ Failure Assessment (SOFA) scores and their door-to-antibiotic time (DTA) were recorded. Patient outcomes were hospital length of stay (LOS) and in-hospital mortality. Statistical analysis was done using Statistical Package for Social Sciences (SPSS) version 26. P-value of less than 0.05 for a two-sided test was considered statistically significant.

    RESULTS: Total of 170 patients were recruited. Among them, 33 patients presented with septic shock and only 15% (n = 5) received antibiotics within one hour. Of 137 sepsis patients without shock, 58.4% (n = 80) received antibiotics within three hours. We found no significant association between ED overcrowding with DTA time (p = 0.989) and LOS (p = 0.403). However, in-hospital mortality increased two times during overcrowded ED (95% CI 1-4; p = 0.041).

    CONCLUSION: ED overcrowding has no significant impact on DTA and LOS which are crucial indicators of sepsis care quality but it increases overall mortality outcome. Further research is needed to explore other factors such as lack of resources, delay in initiating fluid resuscitation or vasopressor so as to improve sepsis patient care during ED overcrowding.

  20. Muda AS, Ralib AR, Yaacob Y, Zakaria R, Bakar AA
    Malays J Med Sci, 2011 Oct;18(4):91-7.
    PMID: 22589679
    Endovascular treatment of wide-necked aneurysms poses a challenge for the endovascular therapist. The Y-stent-assisted technique has been used for stent-assisted coil embolisation for wide-necked bifurcation aneurysms. This technique has been described for basilar tip aneurysms and middle cerebral artery bifurcation aneurysms using Neuroform and Enterprise stents. We report 2 cases of wide-necked bifurcation aneurysms that were treated with Y-stent-assisted coil embolisation using a new, fully retrievable and detachable intracranial stent (Solitaire AB™). We describe the advantages of a fully retrievable and detachable stent and its feasibility of forming a Y configuration.
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