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  1. Elkalmi RM, Alkoudmani RM, Elsayed TM, Ahmad A, Khan MU
    J Relig Health, 2016 Dec;55(6):1869-75.
    PMID: 26429730 DOI: 10.1007/s10943-015-0136-0
    The Malaysian official Islamic authorities have issued a "fatwa" (Islamic ruling) regarding smoking practice which prohibits Muslims from smoking because of its potential harm to health. Since the prevalence of smoking among Malaysian students is high, this study was designed to explore the perceptions and opinions of Malaysian Muslim students towards smoking in International Islamic University of Malaysia. A prospective, cross-sectional study was conducted among School of Science students in International Islamic University Malaysia. Convenience sampling approach was used to recruit 323 students based on sample size calculation. A content- and face-validated questionnaire was used to collect the data from the participants. Non-smokers highly supported the fatwa on smoking forbiddance than smokers (94 vs 64.3 %, p = 0.001). A significant proportion of non-smokers believed that Islam prohibits smoking because of its potential harm (94.9 vs 71.4 %, p = 0.001). Majority of smokers agreed that addiction is the main barrier towards smoking cessation (78.6 vs 61.5 %, p = 0.019). The results showed positive influences of Islamic beliefs on the non-smokers. Further studies are required to validate these findings by surveying other universities of Malaysia.
  2. Fata Nahas ARM, Elkalmi RM, Al-Shami AM, Elsayed TM
    J Pharm Bioallied Sci, 2019 6 1;11(2):170-175.
    PMID: 31148894 DOI: 10.4103/jpbs.JPBS_263_18
    Background: High rates of psychological problems including depression among university students have been reported in various studies around the world. The objectives of this study were to explore the prevalence of depressive disorder, as well as the associated sociodemographic factors (gender, origin, school, and year of study) among health sciences students.
    Materials and Methods: This cross-sectional study was conducted among 425 students from 5 different schools of health sciences at International Islamic University Malaysia, using the Patient Health Questionaire-9 (PHQ-9).
    Results: With a response rate of 85.9% (n = 365), the results showed a depressive disorder prevalence of 36.4%. The mean PHQ-9 score of the respondents was 8.10 (SD = 4.9), indicating mild depression severity. A statistically significant association was revealed between gender and severity of depression (P = 0.03), as well as between students' origin and severity of depression (P = 0.02).
    Conclusion: The findings indicated high prevalence of depression among undergraduate health sciences students. While providing significant information to students' affairs department, the study findings suggest the necessity to address depressive disorder in health sciences university students in Malaysia. Future research is needed to confirm these results in larger samples.
    Study site: International Islamic University Malaysia (IIUM), Kuantan health campus, Pahang, Malaysia
  3. Elkalmi RM, Bhagavathul AS, Ya'u A, Al-Dubai SA, Elsayed TM, Ahmad A, et al.
    J Pharm Bioallied Sci, 2016 Jul-Sep;8(3):240-7.
    PMID: 27413354 DOI: 10.4103/0975-7406.180768
    OBJECTIVES: The objectives of this study were to assess the general public views and familiarity toward electronic cigarette (e-cigarette) in Kuantan, Malaysia.
    METHODOLOGY: A total of 277 Kuantan people were involved in this study. The questionnaire was distributed at random in shops, businesses, and public places in Kuantan. Statistical analysis was performed using SPSS (version 17.0).
    RESULTS: From 400 participants, a total number of 277 (160, 57.7% men and 117, 42.4% women) respondents completed the questionnaire. The mean age was 26.89 ± 9.8 years old. The majority of the study participants were male (57.7%), Malay (83.8%), Muslims (83.8%), singles (69%), and employed (75.8%), with about 83 (29.9%) of the respondents were smokers. The prevalence of e-cigarettes smokers was found to be only 1.4% (n = 4). About one-third of the respondents (n = 72, 26%) have tried e-cigarette before. Job status was significantly associated with smoking e-cigarette among the population (P = 0.02). Main factors for a person to start e-cigarette smoking were curiosity (37.5%) and cheaper price (40.8%). Majority of respondents agreed that e-cigarette would not affect health as normal cigarette, and that variety of flavors contribute to better enjoyment (51.6% and 66.7%, respectively).
    CONCLUSION: The results of the current study demonstrate that the prevalence of e-cigarettes smoking and its popularity, familiarity, and knowledge are still insufficient among Kuantan population. Further studies should be done to tackle this problem before it getting worse.
    KEYWORDS: Electronic-cigarette; Malaysia; experimentation; perception; prevalence
    Comment in: Farsalinos KE, Le Houezec J. Electronic cigarette experimentation in the Malaysian city of Kuantan: Was there an association with the smoking status? J Pharm Bioallied Sci. 2016 Oct-Dec;8(4):347-348
  4. Bayat M, Alarifi IM, Khalili AA, El-Bagory TMAA, Nguyen HM, Asadi A
    Sci Rep, 2019 Oct 25;9(1):15317.
    PMID: 31653877 DOI: 10.1038/s41598-019-51450-z
    A thermo-elastic contact problem of functionally graded materials (FGMs) rotating brake disk with different pure brake pad areas under temperature dependent material properties is solved by Finite Element Method (FEM). The properties of brake disk change gradually from metal to ceramic by power-law distribution along the radial direction from the inner to the outer surface. Areas of the pure pad are changing while the vertical force is constant. The ratio of brake pad thickness to FGMs brake disk thickness is assumed 0.66. Two sources of thermal loads are considered: (1) Heat generation between the pad and brake disk due to contact friction, and (2) External thermal load due to a constant temperature at inner and outer surfaces. Mechanical responses of FGMs disk are compared with several pad contact areas. The results for temperature-dependent and temperature-independent material properties are investigated and presented. The results show that the absolute value of the shear stress in temperature-dependent material can be greater than that for temperature-independent material. The radial stress for some specific grading index (n = 1.5) is compressive near the inner surface for double contact while it is tensile for a single contact. It is concluded that the radial strain for some specific value of grading index (n = 1) is lower than other FGMs and pure double side contact brake disks.
  5. Gouda W, Alsaqabi F, Moshrif A, Abbas AS, Abdel-Aziz TM, Islam MA
    J Med Case Rep, 2021 Oct 07;15(1):497.
    PMID: 34620236 DOI: 10.1186/s13256-021-03072-1
    BACKGROUND: Macrophage activation syndrome is classified as a secondary form of hemophagocytic lymphohistiocytosis. It is a hyperinflammatory complication observed to be comorbid with a variety of autoimmune diseases, including adult-onset Still's disease and systemic juvenile idiopathic arthritis. Macrophage activation syndrome is less commonly detected in adult patients with systemic lupus erythematosus, which, if untreated, can be fatal, though determining the optimum treatment strategy is still a challenge.

    CASE PRESENTATION: Herein, we report a case of macrophage activation syndrome in a 33-year-old Egyptian female as an unusual complication of a systemic lupus erythematosus flare in adult patients. Our patient was initially treated with a combination of intravenous methylprednisolone pulse therapy and intravenous immunoglobulin therapy, which was followed by a course of oral prednisolone and oral cyclosporine with little response. Switching from oral prednisone to intravenous dexamethasone sodium phosphate showed a more favorable clinical and biochemical response.

    CONCLUSION: Macrophage activation syndrome is less commonly detected in adult patients with systemic lupus erythematosus. Our case demonstrates that dexamethasone sodium phosphate can be a successful alternative treatment for patients with systemic lupus erythematosus complicated by macrophage activation syndrome in whom the response to pulse methylprednisolone was inadequate to manage their illness, proving to be remarkably effective in a relatively short time frame.

  6. Nawaz A, Latif MS, Shah MKA, Elsayed TM, Ahmad S, Khan HA
    Gels, 2023 Mar 06;9(3).
    PMID: 36975650 DOI: 10.3390/gels9030201
    Curcumin, a natural phenolic compound, exhibits poor absorption and extensive first pass metabolism after oral administration. In the present study, curcumin-chitosan nanoparticles (cur-cs-np) were prepared and incorporated into ethyl cellulose patches for the management of inflammation via skin delivery. Ionic gelation method was used for the preparation of nanoparticles. The prepared nanoparticles were evaluated for size, zetapotential, surface morphology, drug content, and % encapsulation efficiency. The nanoparticles were then incorporated into ethyl cellulose-based patches using solvent evaporation technique. ATR-FTIR was used to study/assess incompatibility between drug and excipients. The prepared patches were evaluated physiochemically. The in vitro release, ex vivo permeation, and skin drug retention studies were carried out using Franz diffusion cells and rat skin as permeable membrane. The prepared nanoparticles were spherical, with particle size in the range of 203-229 nm, zetapotential 25-36 mV, and PDI 0.27-0.29 Mw/Mn. The drug content and %EE were 53% and 59%. Nanoparticles incorporated patches are smooth, flexible, and homogenous. The in vitro release and ex vivo permeation of curcumin from nanoparticles were higher than the patches, whereas the skin retention of curcumin was significantly higher in case of patches. The developed patches deliver cur-cs-np into the skin, where nanoparticles interact with skin negative charges and hence result in higher and prolonged retention in the skin. The higher concentration of drug in the skin helps in better management of inflammation. This was shown by anti-inflammatory activity. The inflammation (volume of paw) was significantly reduced when using patches as compared to nanoparticles. It was concluded that the incorporation of cur-cs-np into ethyl cellulose-based patches results in controlled release and hence enhanced anti-inflammatory activity.
  7. Burki FA, Shah KU, Razaque G, Shah SU, Nawaz A, Saeed MD, et al.
    ACS Omega, 2023 Jun 06;8(22):19302-19310.
    PMID: 37305303 DOI: 10.1021/acsomega.2c08135
    Transdermal delivery is a potential alternative route to oral administration for drugs associated with stomach discomfort, such as flurbiprofen, a widely nonsteroidal anti-inflammatory drug (NSAID). This study aimed to design solid lipid nanoparticle (SLN) transdermal formulations of flurbiprofen. Chitosan-coated SLNs were prepared by the solvent emulsification method, and their properties and permeation profiles across the excised rat skin were characterized. The particle size of uncoated SLNs was at 695 ± 4.65 nm, which increased to 714 ± 6.13, 847 ± 5.38, and 900 ± 8.65 nm upon coating with 0.05, 0.10, and 0.20% of chitosan, respectively. The drug association efficiency was improved when a higher concentration of chitosan was employed over SLN droplets that endowed a higher affinity of flurbiprofen with chitosan. The drug release was significantly retarded as compared to the uncoated entities and followed non-Fickian anomalous diffusion that was depicted by "n" values of >0.5 and <1. Also, the total permeation of chitosan-coated SLNs (F7-F9) was significantly higher than that of the noncoated formulation (F5). Overall, this study has successfully designed a suitable carrier system of chitosan-coated SLNs that provide insight into the current conventional therapeutic approaches and suggest new directions for the advancements in transdermal drug delivery systems for improved permeation of flurbiprofen.
  8. Lalarukh I, Al-Dhumri SA, Al-Ani LKT, Hussain R, Al Mutairi KA, Mansoora N, et al.
    Front Microbiol, 2022;13:813415.
    PMID: 35801109 DOI: 10.3389/fmicb.2022.813415
    Less nutrient availability and drought stress are some serious concerns of agriculture. Both biotic and abiotic stress factors have the potential to limit crop productivity. However, several organic extracts obtained from moringa leaves may induce immunity in plants under nutritional and drought stress for increasing their survival. Additionally, some rhizobacterial strains have the ability to enhance root growth for better nutrient and water uptake in stress conditions. To cover the knowledge gap on the interactive effects of beneficial rhizobacteria and moringa leaf extracts (MLEs), this study was conducted. The aim of this experimental study was to investigate the effectiveness of sole and combined use of rhizobacteria and MLEs against nutritional and drought stress in wheat. Nitrogen-fixing bacteria Pseudomonas aeruginosa (Pa) (108 CFU ml-1) was inoculated to wheat plants with and without foliar-applied MLEs at two different concentrations (MLE 1 = 1:15 v/v and MLE 2 = 1:30 v/v) twice at 25 and 35 days after seed sowing (50 ml per plant) after the establishment of drought stress. Results revealed that Pa + MLE 2 significantly increased fresh weight (FW), dry weight (DW), lengths of roots and shoot and photosynthetic contents of wheat. A significant enhancement in total soluble sugars, total soluble proteins, calcium, potassium, phosphate, and nitrate contents validated the efficacious effect of Pa + MLE 2 over control-treated plants. Significant decrease in sodium, proline, glycine betaine, electrolyte leakage, malondialdehyde, hydrogen peroxide, superoxide dismutase (SOD), and peroxide (POD) concentrations in wheat cultivated under drought stress conditions also represents the imperative role of Pa + MLE 2 over control. In conclusion, Pa + MLE 2 can alleviate nutritional stress and drought effects in wheat. More research in this field is required to proclaim Pa + MLE 2 as the most effective amendment against drought stress in distinct agroecological zones, different soil types, and contrasting wheat cultivars worldwide.
  9. Sarmin S, Tarek M, Cheng CK, Roopan SM, Khan MMR
    J Hazard Mater, 2021 08 05;415:125587.
    PMID: 33721778 DOI: 10.1016/j.jhazmat.2021.125587
    In the present paper, the potentiality of integrating microbial fuel cells (MFCs) with a photocatalytic reactor to maximize the wastewater treatment efficiency with concurrent power generation was explored. Dimethyl phthalate (DMP) and acetic acid (AA) were the employed substrate and the co-substrate, respectively, using Pseudomonas aeruginosa as a biocatalyst. MFCs operated by single substrate showed the maximum power generation of 0.75-3.84 W m-3 whereas an addition of AA as the co-substrate yielded 3-12 fold higher power generation. Pseudomonas aeruginosa produced phenazine-1-carboxylic acid in DMP-fed MFC as the metabolite whereas AA along with DMP yielded pyocyanin which reduced the charge transfer resistance. Chemical oxygen demand (COD) removal efficiency in the MFCs was circa 62% after 11 days of operation. Thereafter, it further increased albeit with a drastic reduction in power generation. Subsequently, the MFC anolyte was treated in a photocatalytic reactor under visible light irradiation and catalyzed by CuO-gC3N4. The performance of photocatalytic reactor was evaluated, with COD and total organic carbon (TOC) removal efficiency of 88% and 86% after 200 min of light irradiation. The present work suggests that the MFC can be integrated with photocatalysis as a sustainable wastewater treatment method with concurrent power generation.
  10. Hossain SS, Tarek M, Munusamy TD, Rezaul Karim KM, Roopan SM, Sarkar SM, et al.
    Environ Res, 2020 09;188:109803.
    PMID: 32590149 DOI: 10.1016/j.envres.2020.109803
    In this work, the photocatalytic property of p-type CuO was tailored by creating a heterojunction with n-type CdS. The CuO/CdS nanocomposite photocatalyst was synthesized by the ultrasound-assisted-wet-impregnation method and the physicochemical and optical properties of the catalysts were evaluated by using N2 physisorption, X-Ray Diffraction (XRD),X-Ray Photoelectron Spectroscopy (XPS), Raman spectroscopy, Transmission electron microscopy (TEM), Energy dispersive X-Ray (EDX) mapping, Field Emission Scanning Electron Microscope (FE-SEM), UV-Vis and photoluminescence spectroscopy experiments. Detailed characterization revealed the formation of a nanocomposite with a remarkable improvement in the charge carrier (electron/hole) separation. The photocatalytic degradation efficiencies of CuO and CuO/CdS were investigated for different dyes, for instance, rhodamine B (RhB), methylene blue (MLB), methyl blue (MB) and methyl orange (MO) under visible light irradiation. The obtained dye degradation efficiencies were ~93%, ~75%, ~83% and ~80%, respectively. The quantum yield for RhB degradation under visible light was 6.5 × 10-5. Reusability tests revealed that the CuO/CdS photocatalyst was recyclable up to four times. The possible mechanisms for the photocatalytic dye degradation over CuO/CdS nanocomposite were elucidated by utilizing various scavengers. Through these studies, it can be confirmed that the conduction band edges of CuO and CdS play a significant role in producing O2-. The produced O2- degraded the dye molecules in the bulk solution whereas the valence band position of CuO acted as the water oxidation site. In conclusion, the incorporation of CuO with CdS was demonstrated to be a viable strategy for the efficient photocatalytic degradation of dyes in aqueous solutions.
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