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  1. Saad MA, Jan JM, Wahid R
    PMID: 34250713 DOI: 10.1111/1460-6984.12646
    BACKGROUND: Cleft lip and/or palate (CL/P) presents a rather complex challenge that requires understanding beyond biological or clinical perspective. Even though inaccuracies in speech articulation are the common consequences of CL/P, individuals with repaired CL/P are likely to experience other language-associated issues. Studies on social interaction have generally reported the children to be passive interlocutors, despite having their surgical treatment at the early stages of life.

    AIMS: This study aims to describe the linguistic strategies that parents employ when interacting with their repaired CL/P child. How parents allocate the next turn of speaking to their repaired CL/P child will be specifically examined.

    METHODS & PROCEDURES: Three parent-child pairs with each child having repaired CL/P were selected to participate in the study. Guided by the principles of Conversation Analysis, their everyday interactions in their homes were video-recorded and transcribed according to the Jefferson System of Transcription Notation (2004). The transcriptions were subsequently analysed in order to highlight the linguistic strategies.

    OUTCOMES & RESULTS: Three main linguistic strategies are identified in the parents' turns when they allocate the next turn of speaking to their repaired CL/P child. Specifically, parents' turns are constructed through interrogative sentences in addition to using emphasis words and repeated elicitation of responses from their child.

    CONCLUSION & IMPLICATIONS: Parents' linguistic strategies are found to be restrictive as they limit children's active participation. Consequently, the interaction becomes asynchronous rather than synchronous, which could otherwise benefit children's language development. Findings provide information on how parents can be supported in order to foster a positive growth of the children's language development through everyday interactions.

    WHAT THIS PAPER ADDS: What is already known on the subject Even after repair surgery, children with CL/P may experience poor language performance that is not limited to inaccuracies in speech articulation. Studies within the area of pragmatics have consistently shown the CL/P children to be passive interlocutors. What this paper adds to existing knowledge This study describes the linguistic strategies employed by parents when they allocate the next turn of speaking to their repaired CL/P child. Parents are found to employ three main strategies: framing the turn into an interrogative sentence, deploying emphasis words and repeatedly eliciting responses. The findings suggest that such strategies limit the interactions, making them asynchronous and potentially unconducive to the positive growth of the child's language development. What are the potential or actual clinical implications of this work? In addition to providing speech treatment to children affected with CL/P, parents, especially those belonging to collectivist groups that are sympathetic to authoritarian parenting styles, can also be informed or trained on other ways to communicate with such individuals.

  2. Saad MA, Jaafar R, Chellappan K
    Sensors (Basel), 2023 Jun 12;23(12).
    PMID: 37420692 DOI: 10.3390/s23125526
    Data gathering in wireless sensor networks (WSNs) is vital for deploying and enabling WSNs with the Internet of Things (IoTs). In various applications, the network is deployed in a large-scale area, which affects the efficiency of the data collection, and the network is subject to multiple attacks that impact the reliability of the collected data. Hence, data collection should consider trust in sources and routing nodes. This makes trust an additional optimization objective of the data gathering in addition to energy consumption, traveling time, and cost. Joint optimization of the goals requires conducting multiobjective optimization. This article proposes a modified social class multiobjective particle swarm optimization (SC-MOPSO) method. The modified SC-MOPSO method is featured by application-dependent operators named interclass operators. In addition, it includes solution generation, adding and deleting rendezvous points, and moving to the upper and lower class. Considering that SC-MOPSO provides a set of nondominated solutions as a Pareto front, we employed one of the multicriteria decision-making (MCDM) methods, i.e., simple additive sum (SAW), for selecting one of the solutions from the Pareto front. The results show that both SC-MOPSO and SAW are superior in terms of domination. The set coverage of SC-MOPSO is 0.06 dominant over NSGA-II compared with only a mastery of 0.04 of NSGA-II over SC-MOPSO. At the same time, it showed competitive performance with NSGA-III.
  3. Muna KA, Mokhtar A, Saad MA, Ahmed AA, Akbar JB
    MyJurnal
    Introduction: Leptin is an adipokine that has strong correlation with the body mass index (BMI). Gestational diabetes mellitus (GDM) is a common medical complication associated with pregnancy. Leptin may lose its correlation with the body mass index (BMI) during diabetes due to hormonal rearrangement. Diet control is the first line management in GDM. Leptin reported to increase in pregnancy and further increases in diabetic patients during GDM screening. There is paucity in the reports concerning Leptin levels in GDM patients on diet control. The present study was aimed to evaluate the changes in maternal leptin in pregnancy complicated by GDM on diet control compared to the normal pregnancy in the 3rd trimesters by comparing the means and to find the correlation of Leptin with the body mass index in both groups.
    Methods: The study included 2 groups: normal pregnancy (n = 40) and pregnancy with GDM under diet control (n = 60) both groups are at 38-40 weeks of gestation. Leptin concentration in serum was measured in both groups and statistically tested using student t test. The BMI were measured and correlated with the Leptin level in test groups.
    Results: the results indicated that Leptin will nearly triple in the third trimester (38±30 ng/ml) of pregnancy compared to the standard normal non-pregnant. Leptin level was significantly lower in diabetic women on diet control (28±16 ng/ ml) when compared with the non-diabetics (38±30 ng/ml). The hormone has no correlation with the age of the patients but have a positive correlation with the body mass index before and during pregnancy in both groups.
    Conclusion: Leptin is increasing in pregnancy as part of the physiological changes. Dieting can decrease Leptin level in diabetics’ pregnant women. Diet can restore the hormonal dysregulation of Leptin. Assessment of Leptin level might be used as an indicator for good diet control during pregnancy.
    Study site: Hospital Tengku Ampuan Afzan (HTAA), Kuantan, Pahang, Malaysia
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