Comorbidities and Monitoring in Patients with Chronic Hepatitis B on Nucleos(t)ide Analogues Attending a Tertiary Hospital in Malaysia, Southeast Asia: A Critical Perspective.

Background: Chronic hepatitis B (CHB) is a significant global public health concern in Malaysia. It is a potentially life-threatening liver disease caused by the hepatitis B virus (HBV), which can lead to long-term complications such as cirrhosis, liver failure and hepatocellular carcinoma. In managing CHB, nucleos(t)ide analogues (NAs) have become the preferred treatment due to their ability to suppress viral replication and prevent disease progression.

Distribution of surface-active substances in the sea surface microlayers off the Malaysian peninsula.

The sea surface microlayer (SML), particularly in monsoon-influenced regions, remains largely unexplored. This study aims to determine the concentrations, enrichment, and factors controlling the enrichment processes of surface-active substances (SASs), which include surfactants, dissolved monosaccharides (MCHOs), polysaccharides (PCHOs), total dissolved carbohydrates (TDCHOs), and transparent exopolymer particles (TEPs) around the coastal area of Malaysian Peninsula. The SML samples and underlying water (ULW) from a depth of 1 m were collected during the southwest (August and September 2023) and northeast (November 2023) monsoons.

Assessing informal caregiver burden as well as knowledge on positioning and feeding of stroke patients in a tertiary hospital in Kelantan, Malaysia.

A significant proportion of stroke patients in Malaysia are supported by informal caregivers who often lack sufficient training. This lack of preparation contributes to an escalation in caregiver burden. A cross-sectional study was conducted using Caregiving Knowledge Questionnaire (CKQ-my) and Zarit Burden Interview (ZBI) with convenient sampling.

Dataset of taxonomic identification from surface water in the coastal area of Peninsular Malaysia.

This article describes the abundance of phytoplankton community structures in Port Dickson, Negeri Sembilan and Pulau Tinggi, Johor during the Southwest and Northeast Monsoons and includes data from 48 selected sampling sites collected between July and December 2023. The seawater samples from 1-meter depth were obtained by using a Niskin water sampler, concentrated in a 50 ml centrifuge tube and immediately preserved with Lugol's iodine solution. The data include phytoplankton density (cell L), the total density of phytoplankton in each station, and the total number of genera obtained in every station.

Ten missteps in the management of inflammatory bowel disease in Asia: An expert report by the Asian Pacific Association of Gastroenterology Working Group on Inflammatory Bowel Disease.

Inflammatory bowel disease (IBD) is rapidly emerging in the Asia Pacific region. However, there are many challenges in the diagnosis and management of this condition. The Asian Pacific Association of Gastroenterology (APAGE) Working Group on IBD conducted a round table meeting to identify 10 common mistakes in the management of IBD in Asia.

A solution towards a viable compensation mechanism for injury from COVID-19 vaccines in Malaysia: A qualitative study.

Background: It has been established that the existing compensation mechanism is not the favoured platform for vaccine recipients with Adverse Effects Following Immunisation (AEFI). With the mass production of vaccines during the COVID-19 pandemic, intensified by the mandatory National COVID-19 Immunisation Programme in Malaysia, an alternative resolution mechanism for compensation is long overdue. This qualitative study aims to propose a viable alternative dispute resolution (ADR) mechanism for those who suffer AEFI from COVID-19 vaccination, particularly the economically disadvantaged, older people, and disabled individuals in Malaysia.

The Garlic Tree of Borneo, (Baill.) Becc. (Olacaceae): Potential Utilization in Pharmaceutical, Nutraceutical, and Functional Cosmetic Industries.

(Baill.) Becc. is attracting increased attention as a potential commercial medicinal plant product in Southeast Asia.

A Recent Prevalence of Hepatitis B Virus (HBV) Genotypes and Subtypes in Asia: A Systematic Review and Meta-Analysis.

Background And Aim: Despite introducing the hepatitis B virus (HBV) vaccine, the incidence of the Hepatitis B virus globally is still a major health concern. This systematic review and meta-analysis were conducted to provide detailed information on the prevalence of HBV genotypes and subtypes in circulation in Asia.

Methods: A systematic search for articles describing the prevalence of HBV genotypes and subtypes in Asia was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines.

Prevalence of Spontaneous Bacterial Peritonitis (SBP) in Hepatitis B (HBV), and Hepatitis C (HCV) Liver Cirrhosis: A Systematic Review and Meta-Analysis.

Background and Aim: Spontaneous bacterial peritonitis (SBP) is a common infection in liver cirrhosis. This systematic review and meta-analysis provide detailed information on the prevalence of SBP among hepatitis B virus (HBV) and hepatitis C virus (HCV)-related liver cirrhosis globally. Methods: A systematic search for articles describing the prevalence of SBP in HBV and HCV-related cirrhosis was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines.

Enhancing Photoluminescence Intensity and Spectral Bandwidth of Hybrid Nanofiber/Thin-Film Multilayer Tm-Doped SiO-HfO.

Multilayering of optical thin films is widely used for a range of purposes in photonic technology, but the development of nanofiber structures that can outperform thin films and nanoparticles in optical applications cannot simply be disregarded. Hybrid structures composed of Tm-doped SiO-HfO in the form of nanofibers (NFs) and thin films (TFs) are deposited on a single substrate using the electrospinning and dip-coating methods, respectively. Ultrafine nanofiber strands with a diameter of 10-60 nm were fabricated in both single and multilayer samples.

Volatile organic compounds and their contribution to ground-level ozone formation in a tropical urban environment.

This study aims to determine the trends of volatile organic compound (VOC) concentrations and their potential contribution to O formation. The hourly data (August 2017 to July 2018) for 29 VOCs were obtained from three Malaysian Department of Environment continuous air quality monitoring stations with different urban backgrounds (Shah Alam, Cheras, Seremban). The Ozone Formation Potential (OFP) was calculated based on the individual Maximum Incremental Reactivity (MIR) and VOC concentrations.

Antivirals against HCV infection: the story thus far.

Remarkable scientific breakthroughs have been made in the stride towards the development of potent and tolerable hepatitis C regimens within the last three decades. Earlier approaches involved the use of pegylated interferon alfa and ribavirin as standard-of-care treatment. Treating genotype 1a infection with this regimen which was at that time considered the gold standard for hepatitis C virus therapy was rife with challenges; safety and toxicity issues necessitated a rigorous quest for alternative regimens.

Probiotics Reduce Vaginal Candidiasis in Pregnant Women via Modulating Abundance of and in Vaginal and Cervicovaginal Regions.

We previously reported on the effects of a lactobacilli probiotic (SynForU-HerCare; two capsules/day of 9.5 log CFU/capsule) in improving symptoms of vaginal irritation, discharge and burning in pregnant women with vaginal candidiasis upon administration for 8 weeks, accompanied by improved emotional and social quality of life parameters. Thus, the present study aimed to analyse vaginal microbiota and inflammatory changes in hope to better understand the improved clinical symptoms as observed previously.

Chronic Kidney Disease-Associated Pruritus: A Glance at Novel and Lesser-Known Treatments.

Chronic kidney disease-associated pruritus (CKD-aP), also known as uremic pruritus, has been associated with increased mortality and lower quality of life among patients with chronic kidney disease (CKD). The relentless nature of the condition is mainly due to its diverse and complex etiologies, which are still being studied. Despite the introduction of many agents to treat it, the resolution rates of CKD-aP still remain unsatisfactory.

Is Gut Involvement a Cause or Effect of COVID-19?

Digestive disorder symptoms in COVID-19 may be similar in form to post-infectious functional gastrointestinal disorder (PI-FGID). To cause clinical effects, SARS-CoV-2 must reach the bowels and gastric hypochlorhydria may facilitate such transit. Asian elderly are predisposed to greater infection rate and severity of COVID-19, and the high prevalence of gastric atrophy and intake of proton-pump inhibitor in this aged group might explain the risk.

Assessment on the distributions and exchange of anionic surfactants in the coastal environment of Peninsular Malaysia: A review.

Terrestrial anionic surfactants (AS) enter the marine environment through coastal region. Despite that, in general limited knowledge is available on the coastal AS transfer pathway. This paper aims to assess the distributions and exchange of AS in the Peninsular Malaysia coastal environments, adjacent to the southern waters of South China Sea and Strait of Malacca.

The Role of Extracellular Carbonic Anhydrase in Biogeochemical Cycling: Recent Advances and Climate Change Responses.

Climate change has been predicted to influence the marine phytoplankton community and its carbon acquisition strategy. Extracellular carbonic anhydrase (eCA) is a zinc metalloenzyme that catalyses the relatively slow interconversion between HCO and CO. Early results indicated that sub-nanomolar levels of eCA at the sea surface were sufficient to enhance the oceanic uptake rate of CO on a global scale by 15%, an addition of 0.

A 5-year clinicopathological study on microscopic colitis at a Malaysian tertiary hospital.

Introduction: Microscopic colitis (MC) is a well-recognised cause of chronic diarrhoea in Western countries. It is classically associated with normal endoscopic findings and a higher prevalence among patients with autoimmune disease. Local information regarding this disease remains scarce.

Prevalence of HCV genotypes and subtypes in Southeast Asia: A systematic review and meta-analysis.

Known for its high genetic diversity and variation in genotypic presence in different regions of the world, hepatitis C virus (HCV) is estimated to infect about 71 million people globally. Selection of an appropriate therapeutic regimen largely depends on the identification of the genotype responsible for the infection. This systematic review and meta-analysis was conducted to provide a comprehensive view of HCV genotype and subtype distribution in Southeast Asia (SEA).

A rare and unusual cause of Vibrio cholerae non-O1, non-O139 causing spontaneous peritonitis in a patient with cirrhosis.

Spontaneous bacterial peritonitis caused by Vibrio cholerae non-O1/ non-O139 is a rare phenomenon. V. cholerae is known as a common aetiology of epidemic diarrheal disease and rarely causes extra-gastrointestinal infections.

Sea foams are ephemeral hotspots for distinctive bacterial communities contrasting sea-surface microlayer and underlying surface water.

The occurrence of foams at oceans' surfaces is patchy and generally short-lived, but a detailed understanding of bacterial communities inhabiting sea foams is lacking. Here, we investigated how marine foams differ from the sea-surface microlayer (SML), a <1-mm-thick layer at the air-sea interface, and underlying water from 1 m depth. Samples of sea foams, SML and underlying water collected from the North Sea and Timor Sea indicated that foams were often characterized by a high abundance of small eukaryotic phototrophic and prokaryotic cells as well as a high concentration of surface-active substances (SAS).