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Fulltext Assessment of thermoluminescence glow curves and kinetic parameters of fabricated Ge-doped flat fiber for radiotherapy application

Fadzil, M.S.A., Mohd Noor, N., Tamchek, N., Ung, N.M., Alawiah, A., Abdullah, N., et al.

Jurnal Sains Nuklear Malaysia, 2018;30(2):1-14.
MyJurnal

The thermoluminescence kinetic parameters of Ge-doped flat fibre have been investigated comprehensively using the computerized glow curve deconvolution analysis. The Ge-doped flat fibre was irradiated to 6 MV and 10 MV photon beam with dose ranging from 100 cGy to 300 cGy. Analysis was done using WinGCF software on the dependence of the glow curve intensity on dose delivered and the determination of the trap parameters. Ge-doped flat fibre was found to be linear over the entire dose range explored for both 6 MV and 10 MV irradiations with r2 value of 0.9955 and 0.9933 respectively. The glow curve consists of five individual glow peaks. The peak height increases with increasing irradiation dose. The first peak (P1) is a dominant individual peak for low temperature peak (LTP) with the maximum temperature ranging from 167.4°C to 179.0°C for both beams studied. Meanwhile, peak (P4) is a dominant individual glow curve for high temperature peak (HTP) with maximum temperature for 6 MV and 10 MV and is observed between 264.5°C to 279.4°C. Peak 1 has the lowest activation energy which is less than 0.72 eV while peak 2 shows the highest activation energy (1.3 eV < Ea < 2.1 eV) which indicates the deepest electrons trap. The results showed that the peak integral will increases as the dose increases. The Ge-doped flat fibre demonstrated the second-order kinetic peak behavior by exhibiting the symmetric shape of the glow curve with high temperature half of the curve slightly broader than the low temperature half, which suggests the possibility of electron retrapping.
Fulltext The influence of two solvent extraction ratios in GC-MS-based metabolomics of different Garcinia mangostana Linn. fruit tissues

Mamat, S. F., Azizan, K. A., Baharum, S. N., Mohd Noor, N., Aizat, W. M.

International Food Research Journal, 2019;26(5):1447-1457.
MyJurnal

Mangosteen (Garcinia mangostana Linn.) is a highly beneficial fruit, containing potent bioactive compounds such as xanthones. However, the metabolite comparisons of mangosteen pericarp, aril and seed have not been described in detail previously. A comparative approach was undertaken in the present work to evaluate the effects of different ratios of solvent combination in the metabolite extraction of mangosteen. Gas chromatography-based metabolomics approach was performed to evaluate the efficiency of two metabolite extraction methods utilising different solvent extraction ratios (3/1/1 v/v or 2/1/2 v/v of methanol/chloroform/water) in determining the primary metabolite composition of mangosteen fruit tissues (pericarp, aril and seed). Cumulatively, 43 known metabolites were putatively identified from the mangosteen fruit tissues. Due to the higher ratio of polar solvent (methanol and water) used in method 2 as compared to method 1, the former method preferentially extracted a higher number of polar metabolites. Conversely, the higher ratio of methanol solvent in method 1 also contributed to the identification of more alcohol metabolites. Additionally, the multivariate analysis revealed that mangosteen pericarp was mainly localised by ribonic acid, arabinopyranose, β-hydroxypyruvic acid, L-(+)-tartaric acid and galacturonic acid. Meanwhile, thymol-α-D- glucopyranoside and D-ribofuranose contributed to the separation of mangosteen aril, whereas mangosteen seed contained high levels of β-D-galactofuranose, L-threonic acid, butanoic acid, glycoside, malic acid and myo-inositol. Results suggested that the differing solvent ratios can highly influence the types and levels of the extracted metabolites. This finding highlights the influence of metabolite solvent extraction methods towards the end results of the extraction as well as the localisation of primary metabolites in different mangosteen fruit tissues. Hence, the present work is vital in revealing important spatial information of various metabolites toward a better understanding of the mangosteen fruit ripening process.
Early mobilization of critically ill ICU patients: A survey of knowledge, perceptions, and practices of Malaysian physiotherapists

Mirza FT, Saaudi N, Noor N

Med J Malaysia, 2024 Mar;79(Suppl 1):40-46.
PMID: 38555884

INTRODUCTION: Early mobilization and rehabilitation of critically ill patients in the Intensive care unit (ICU) is a topic of growing interest. Current evidence suggests that early mobilization is safe, feasible, and effective at reducing the incidence of ICU-acquired weakness. However, early mobilization is still not the standard of care in most ICUs worldwide. The aim of the study was to determine the level of knowledge, perceptions, and practice among ICU physiotherapists of early mobilization in critically ill ICU patients in Malaysia.
MATERIALS AND METHODS: A cross-sectional study was undertaken in 45 public, teaching, and private hospitals in Malaysia that provide ≥ 10 beds in their ICUs. Knowledge, perceived barriers, facilitators, and practice of early mobilization were assessed using a previously validated mobility survey questionnaire.
RESULTS: Only 35% of ICU physiotherapists reported receiving training/courses on early mobilization in the ICU. 100 (86%) physiotherapists underestimated the incidence of ICU-acquired weakness, and 88 (75%) were unfamiliar with the current literature on early mobilization in the ICU. The need for physician orders before mobilization, medical instability, excessive sedation, and risk of dislodgement of devices or lines were the most common barriers to early mobilization. Nearly half (49 [42%]) of the respondents reported physiotherapist as early mobilization clinical champion in their setting, but the most common physiotherapy treatment techniques in the ICU reported by the respondents' were still chest physiotherapy, range of motion exercises, and bed mobility.
CONCLUSION: We observed strong enthusiasm for early mobilization among Malaysian physiotherapists. Most respondents believed that early mobilization is important and beneficial to ICU patients. However, there is still a big gap in knowledge and training of early mobilization in ICU patients among Malaysian physiotherapists.
Fulltext The use of hemodialysis in refractory hypercalcemia secondary to parathyroid carcinoma

Loh HH, Mohd Noor N

Case Rep Crit Care, 2014;2014:140906.
PMID: 24829837 DOI: 10.1155/2014/140906

Parathyroid carcinoma is a rare cause of hypercalcemia. Hypercalcemic crisis is a medical emergency. Hemodialysis is rarely needed to treat hypercalcaemia. We report a case of refractory hypercalcaemia secondary to parathyroid carcinoma requiring haemodialysis.
Transepidermal water loss in erythrodermic patients of various aetiologies

Mohd Noor N, Hussein SH

Skin Res Technol, 2013 Aug;19(3):320-3.
PMID: 23530728 DOI: 10.1111/srt.12048

Despite its severity not much work has been done to explore the barrier function in patients with erythroderma. This study compares TEWL between skin of healthy subjects and erythrodermic patients of various aetiologies and at different sites. We also assess TEWL between patients with acute and chronic erythroderma.
Fulltext Effects of water-based contrast media on experimentally induced established atherosclerotic plaques in rabbits.

Isa MR, Mohd Noor N, Nawawi H, Kaur M., Rahman T, Mohd Kornain NK, et al.

IIUM Medical Journal Malaysia, 2020;19(2):21-28.
MyJurnal

Imaging techniques involving optical coherence tomography, computed tomography (CT) and high-resolution magnetic resonance imaging (MRI) are used as tools to identify atherosclerotic plaques. However, the effects of water-based contrast media used in Post Mortem Computed Tomography Angiography (PMCTA) on the histopathology of atherosclerotic plaques have not been widely explored. The objective of this study is to determine the effects of water-based contrast media used in PMCTA on the histopathology of atherosclerotic plaques and biomarkers of atherosclerosis in experimentally induced established atherosclerotic rabbits. MATERIALS AND METHODS: Twenty male New Zealand white rabbits were divided into 2 groups. One group was given a high cholesterol diet (HCD) for 12 weeks to establish atherosclerosis and the control group normal diet (ND). Five rabbits from each group were then given intravenous water-based contrast media before being sacrificed. The entire length of aorta was dissected and submitted for histopathological examination and determination of tissue biomarkers α-SMA and MMP-9. RESULTS:Histopathological examination of the aorta including percentage of area covered by plaque and foam cell formation showed no significant difference in atheromatous plaque formation in both groups of HCD rabbits with or without intravenous contrast media injection (plaque: 55±41 vs. 63±15, p=0.731; foam cells: 124±83 vs. 171±55, p=0.325). Similarly, α-SMA and MMP-9 protein expression also showed no significant difference in both groups (α-SMA: 70±20 vs. 67±26, p=0.807; MMP-9: 60±12 vs. 57±17, p=0.785). CONCLUSION:Water-based contrast media used in PMCTA does not affect the morphology or the immunohistochemistry staining of SMA and MMP-9 in atherosclerotic plaques.
A rare case of a mother with gestational diabetes complicated with fulminant type 1 diabetes mellitus post-delivery

Ting Tai Y, Mohd Noor N

J R Coll Physicians Edinb, 2022 Jun;52(2):120-123.
PMID: 36147001 DOI: 10.1177/14782715221103668

Fulminant type 1 diabetes mellitus (FT1DM) is recognised as a novel subtype of type 1 diabetes mellitus characterised by the abrupt onset of insulin-deficient hyperglycaemia and ketoacidosis. Fulminant type 1 diabetes mellitus is known to be associated with pregnancy and had been associated with high fetal mortality. We report a case of a gestational diabetes mellitus (GDM) mother complicated with FT1DM immediately post-delivery. A 29-year-old Malay lady who was diagnosed with GDM at 19 weeks of pregnancy, underwent emergency lower segment caesarean section (EMLSCS) due to fetal distress at 36 weeks of gestation; 18 h post-EMLSCS, she developed abrupt onset Diabetic ketoacidosis (DKA) (blood glucose 33.5 mmol/L, pH 6.99, bicarbonate 3.6 mmol/L, ketone 4.4 mmol/L and HbA1c 6.1%). She received standard DKA treatment and discharged well. Her plasma C-peptide level 3 weeks later showed that she has no insulin reserve (C-peptide <33 pmol/L, fasting blood glucose (FBS) 28 mmol/L). Her pancreatic autoantibodies were negative. This case highlights that FT1DM not only can occur in pregnancy with normal glucose tolerance but can also complicate mother with GDM.
Fulltext Metabolic profiling of Lactococcus lactis under different culture conditions

Azizan KA, Baharum SN, Mohd Noor N

Molecules, 2012 Jul 03;17(7):8022-36.
PMID: 22759915 DOI: 10.3390/molecules17078022

Gas chromatography mass spectrometry (GC-MS) and headspace gas chromatography mass spectrometry (HS/GC-MS) were used to study metabolites produced by Lactococcus lactis subsp. cremoris MG1363 grown at a temperature of 30 °C with and without agitation at 150 rpm, and at 37 °C without agitation. It was observed that L. lactis produced more organic acids under agitation. Primary alcohols, aldehydes, ketones and polyols were identified as the corresponding trimethylsilyl (TMS) derivatives, whereas amino acids and organic acids, including fatty acids, were detected through methyl chloroformate derivatization. HS analysis indicated that branched-chain methyl aldehydes, including 2-methylbutanal, 3-methylbutanal, and 2-methylpropanal are degdradation products of isoleucine, leucine or valine. Multivariate analysis (MVA) using partial least squares discriminant analysis (PLS-DA) revealed the major differences between treatments were due to changes of amino acids and fermentation products.
Blood pressure variability in patients with diabetes mellitus

Mokhtar RH, Ayob A, Mohd Noor N

Asian Cardiovasc Thorac Ann, 2010 Aug;18(4):344-8.
PMID: 20719784 DOI: 10.1177/0218492310375723

Reduced arterial compliance in patients with diabetes mellitus has been shown in several studies, but it has not been significantly associated with either atherosclerosis or vessel wall thickness. Blood pressure variability is still poorly explored in diabetic patients. The aim of this study was to compare blood pressure variability and arterial compliance in patients with type 2 diabetes mellitus and controls matched for sex, age, and weight. Arterial compliance was measured and noninvasive 24-h ambulatory blood pressure monitoring was performed in 18 diabetic patients and 18 controls. There was significantly higher 24-h systolic blood pressure variability (17.7 +/- 6.8 vs. 14.6 +/- 2.6 mm Hg), diastolic blood pressure variability (15.6 +/- 7.1 vs. 11.4 +/- 3.1 mm Hg), and mean arterial blood pressure variability (14.8 +/- 7.0 vs. 11.1 +/- 2.9) in diabetic patients. Systolic, diastolic, and mean arterial blood pressure variability was significantly higher during daytime but not night time in diabetic patients compared to controls. Diabetic patients also had significantly reduced small artery compliance, but no differences in large artery compliance, cardiac output, or systemic vascular resistance. The findings suggest that hyperglycemia may affect the compliance of the vascular system, resulting in high blood pressure fluctuations.
Thermophysical effects of water driven copper nanoparticles on MHD axisymmetric permeable shrinking sheet: Dual-nature study

Ul Haq R, Rajotia D, Noor NF

Eur Phys J E Soft Matter, 2016 Mar;39(3):33.
PMID: 27006069 DOI: 10.1140/epje/i2016-16033-6

The present study is dedicated to analyze the dual-nature solutions of the axisymmetric flow of a magneto-hydrodynamics (MHD) nanofluid over a permeable shrinking sheet. In those phenomena where the fluid flow is due to the shrinking surface, some reverse behaviors of the flow arise because of vorticity effects. Despite of heat transfer analysis, the main purpose of the present study is to attain the solutions of the complex nature problem that appear in reverse flow phenomena. Thermophysical properties of both base fluid (water) and nanoparticles (copper) are also taken into account. By means of similarity transformation, partial differential equations are converted into a system of coupled nonlinear ordinary differential equations and then solved via the Runge-Kutta method. These results are divided separately into two cases: the first one is the unidirectional shrinking along the surface (m = 1) and the other one is for axisymmetric shrinking phenomena (m = 2) . To enhance the thermal conductivity of base fluid, nanoparticle volume fractions ([Formula: see text]) are incorporated within the base fluid. The numerical investigation explores the condition of existence, non-existence and the duality of similarity solution depends upon the range of suction parameter (S) and Hartmann number (M). The reduced skin friction coefficient and local Nusselt number are plotted to analyze the fluid flow and heat transfer at the surface of the shrinking sheet. Streamlines and isotherms are also plotted against the engineering control parameters to analyze the flow behavior and heat transfer within the whole domain. Throughout this analysis it is found that both nanoparticle volume fraction and Hartmann number are increasing functions of both skin friction coefficient and Nusselt number.
Fulltext Pectoralis major myocutaneous flap in head and neck surgery

Gurbachan I, Gomez AC, Noor N

Med J Malaysia, 1985 Jun;40(2):107-14.
PMID: 3834280

The experiences gained through the use of pectoralis major myocutaneous flap in reconstructive head and neck cancer surgery in 15 cases is presented. It is our method choice for a one-stage reconstruction in head and neck The flap has survived in 14 out of 15 cases. It has definite advantages over other flaps used in head and neck reconstruction.
Fulltext Time, love and tenderness: Doctors' online volunteering in Health Virtual Community searching for work-family balance

Mohd Yusof SA, Mohd Noor N, Othman N

J Infect Public Health, 2021 Jan;14(1):1-5.
PMID: 33341478 DOI: 10.1016/j.jiph.2020.11.004

BACKGROUND: This study will explore and understand the experience of doctors volunteering online in managing the boundaries between work and family in health virtual communities (HVC).
METHODOLOGY: A qualitative case study approach was used to explore and understand how doctors volunteering online balances between work and family in a Health Virtual Community called DoktorBudak.com (DB). A total of seventeen (17) doctors were interviewed using either face-to-face, Skype, phone interview or through email.
RESULTS: The results of this study suggested that doctors perceived the physical border at their workplace as less permeable though the ICT has freed them from the restriction to perform other non-related work (such as online volunteering (OV) works) during working hours. In addition, doctors OV use ICTs to perform work at home or during working hours, they perceive their work and family borders as flexible. Furthermore, the doctors used different strategies when it came to blending, whether to segment or integrate their work and family domains.
CONCLUSION: This study has defined issues on work-family balance and OV. Most importantly this study had discussed the conceptual framework of work-family balance focusing on doctors volunteering online and how they have incorporated ICTs such as Internet technology to negotiate the work-family boundaries, which are permeable, flexible and blending.
Fulltext Genome-wide transcriptome profiling ofCarica papayaL. embryogenic callus

Jamaluddin ND, Mohd Noor N, Goh HH

Physiol Mol Biol Plants, 2017 Apr;23(2):357-368.
PMID: 28461724 DOI: 10.1007/s12298-017-0429-8

Genome-wide transcriptome profiling is a powerful tool to study global gene expression patterns in plant development. We report the first transcriptome profile analysis of papaya embryogenic callus to improve our understanding on genes associated with somatic embryogenesis. By using 3' mRNA-sequencing, we generated 6,190,687 processed reads and 47.0% were aligned to papaya genome reference, in which 21,170 (75.4%) of 27,082 annotated genes were found to be expressed but only 41% was expressed at functionally high levels. The top 10% of genes with high transcript abundance were significantly enriched in biological processes related to cell proliferation, stress response, and metabolism. Genes functioning in somatic embryogenesis such as SERK and LEA, hormone-related genes, stress-related genes, and genes involved in secondary metabolite biosynthesis pathways were highly expressed. Transcription factors such as NAC, WRKY, MYB, WUSCHEL, Agamous-like MADS-box protein and bHLH important in somatic embryos of other plants species were found to be expressed in papaya embryogenic callus. Abundant expression of enolase and ADH is consistent with proteome study of papaya somatic embryo. Our study highlights that some genes related to secondary metabolite biosynthesis, especially phenylpropanoid biosynthesis, were highly expressed in papaya embryogenic callus, which might have implication for cell factory applications. The discovery of all genes expressed in papaya embryogenic callus provides an important information into early biological processes during the induction of embryogenesis and useful for future research in other plant species.
Fulltext Transcriptome analysis of Carica papaya embryogenic callus upon De-etiolated 1 (DET1) gene suppression

Jamaluddin D, Mohd Noor N, Goh HH

Genom Data, 2017 Jun;12:120-121.
PMID: 28516036 DOI: 10.1016/j.gdata.2017.05.004

Papaya is considered to be one of the most nutritional fruits. It is rich in vitamins, carotenoids, flavonoids and other phytonutrient which function as antioxidant in our body [1]. Previous studies revealed that the suppression of a negative regulator gene in photomorphogenesis, De-etiolated 1 (DET1) can improve the phytonutrient in tomato and canola without affecting the fruit quality [2], [3]. This report contains the experimental data on high-throughput 3' mRNA sequencing of transformed papaya callus upon DET1 gene suppression.
Fulltext Induction of epoxide hydrolase, glucuronosyl transferase, and sulfotransferase by phenethyl isothiocyanate in male Wistar albino rats

Abdull Razis AF, Mohd Noor N, Konsue N

Biomed Res Int, 2014;2014:391528.
PMID: 24592387 DOI: 10.1155/2014/391528

Phenethyl isothiocyanate (PEITC) is an isothiocyanate found in watercress as the glucosinolate (gluconasturtiin). The isothiocyanate is converted from the glucosinolate by intestinal microflora or when contacted with myrosinase during the chopping and mastication of the vegetable. PEITC manifested protection against chemically-induced cancers in various tissues. A potential mechanism of chemoprevention is by modulating the metabolism of carcinogens so as to promote deactivation. The principal objective of this study was to investigate in rats the effect of PEITC on carcinogen-metabolising enzyme systems such as sulfotransferase (SULT), N-acetyltransferase (NAT), glucuronosyl transferase (UDP), and epoxide hydrolase (EH) following exposure to low doses that simulate human dietary intake. Rats were fed for 2 weeks diets supplemented with PEITC at 0.06 µmol/g (low dose, i.e., dietary intake), 0.6 µmol/g (medium dose), and 6.0 µmol/g (high dose), and the enzymes were monitored in rat liver. At the Low dose, no induction of the SULT, NAT, and EH was noted, whereas UDP level was elevated. At the Medium dose, only SULT level was increased, whereas at the High dose marked increase in EH level was observed. It is concluded that PEITC modulates carcinogen-metabolising enzyme systems at doses reflecting human intake thus elucidating the mechanism of its chemoprevention.
Use of denosumab in parathyroid carcinoma with refractory hypercalcemia

Tong CV, Hussein Z, Noor NM, Mohamad M, Ng WF

QJM, 2015 Jan;108(1):49-50.
PMID: 25099611 DOI: 10.1093/qjmed/hcu166
Discrimination between two lung diseases using chest radiographs

Mohd Noor N, Mohd Rijal O, Shaban H, Ee Ling O

Conf Proc IEEE Eng Med Biol Soc, 2007 2 7;2005:3320-3.
PMID: 17282956

Economic considerations make the conventional chest radiograph (X-ray) film an important ingredient in the diagnostic process. An initial clinical investigation for patients with suspected lung ailments is the study of the chest X-rays. The problem of detection for diseases in their early stages are well known using X-ray. A technique involving wavelets coefficient as the feature vector and Andrew's Curve has been proposed for detection of Mycobacterium Tuberculosis (MTB). This paper presents new and important results whereby lung cancer (LC) may be detected and differentiated from MTB. A method to calculate misclassification probabilities is given.
A statistical comparison of digital X-Ray images for MTB patients

Mohd Rijal O, Mohd Noor N, Shaban H, Lee Teng S

Conf Proc IEEE Eng Med Biol Soc, 2007 2 7;2005:6418-21.
PMID: 17281737

A common practice in medical diagnosis and patient management is the comparison of two chest radiographs images. The difference between two digital images at two time points is a measure of the effect of treatment on the patient. Two measures of similarity, the ordinary regression coefficients, R(s)(2) and coefficients of determination for the Unreplicated linear functional relationship model (ULFR), R(f) (2), are used to compare images for the particular case of Mycobacterium Tuberculosis (MTB). Our results suggest that a series of R2 values indicates gradual declining trends with values falling within a band. New patients with a series of R2 values falling within this band may be consider as making a good or acceptable recovery.
Transcriptome-wide effect of DE-ETIOLATED1 (DET1) suppression in embryogenic callus of Carica papaya

Jamaluddin ND, Rohani ER, Mohd Noor N, Goh HH

J Plant Res, 2019 Mar;132(2):181-195.
PMID: 30649676 DOI: 10.1007/s10265-019-01086-x

Papaya is one of the most nutritional fruits, rich in vitamins, carotenoids, flavonoids and other antioxidants. Previous studies showed phytonutrient improvement without affecting quality in tomato fruit and rapeseed through the suppression of DE-ETIOLATED-1 (DET1), a negative regulator in photomorphogenesis. This study is conducted to study the effects of DET1 gene suppression in papaya embryogenic callus. Immature zygotic embryos were transformed with constitutive expression of a hairpin DET1 construct (hpDET1). PCR screening of transformed calli and reverse transcription quantitative PCR (RT-qPCR) verified that DET1 gene downregulation in two of the positive transformants. High-throughput cDNA 3' ends sequencing on DET1-suppressed and control calli for transcriptomic analysis of global gene expression identified a total of 452 significant (FDR
Efficacy of Montelukast in Allergic Rhinitis Treatment: A Systematic Review and Meta-Analysis

Krishnamoorthy M, Mohd Noor N, Mat Lazim N, Abdullah B

Drugs, 2020 Nov;80(17):1831-1851.
PMID: 32915441 DOI: 10.1007/s40265-020-01406-9

BACKGROUND: In treating allergic rhinitis, montelukast has the potential to be used as an alternative or addition to an oral antihistamine or intranasal corticosteroid.
OBJECTIVE: The objective of this systematic review was to assess the effectiveness of montelukast in treating allergic rhinitis.
METHODS: An electronic literature search was performed using the Cochrane Central Register of Controlled Trials, EMBASE, and MEDLINE from 1966 to 21 January 2019. The eligibility criteria were randomized controlled trials comparing montelukast with placebo or other standard treatments. The primary outcomes assessed were daytime nasal symptom score (DNS) and night-time nasal symptom score (NNS). The secondary outcomes assessed were composite nasal symptom score (CSS), daytime eyes symptom score (DES), and rhinoconjunctivitis quality-of-life questionnaires (RQLQ). The meta-analysis was conducted using Review Manager 5.3 software based on the random-effects model.
RESULTS: Fifteen studies of 10387 participants met the inclusion criteria. Montelukast was more effective than placebo in improving DNS (mean difference [MD] - 0.12, 95% confidence interval [CI] - 0.15 to - 0.08; p

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