17,009 results match your criteria: "University Of Malaya[Affiliation]"

Using nominal group technique to identify perceived barriers and facilitators to improving uptake of the Prison Needle Exchange Program in Canadian federal prisons by correctional officers and healthcare workers.

Int J Drug Policy

August 2024

Department of Internal Medicine, Section of Infectious Diseases, AIDS Program, Yale School of Medicine. 135 College St., Suite 323, New Haven, CT 06510, USA; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT 06510, USA; Centre of Excellence for Research in AIDS (CERiA), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Background: Elimination of bloodborne viruses including HIV and hepatitis C virus from prisons requires high coverage of evidence-based interventions that prevent bloodborne virus transmission, including needle and syringe programs. Canada launched a Prison Needle Exchange Program (PNEP) in nine federal prisons in 2018; however, uptake among people who inject drugs in prison remains low. We aimed to explore barriers and facilitators to improving PNEP uptake identified by correctional officers and healthcare workers.

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Background And Aims: Medical nutrition therapy is important for diabetes management. This randomized controlled trial investigated the effects of a diabetes-specific formula (DSF) on glycemic control and cardiometabolic risk factors in adults with type 2 diabetes (T2D).

Methods: Participants ( = 235) were randomized to either DSF with standard of care (SOC) (DSF group;  = 117) or SOC only (control group;  = 118).

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Background: Until recently, about three-quarters of all monogenic Parkinson's disease (PD) studies were performed in European/White ancestry, thereby severely limiting our insights into genotype-phenotype relationships at a global scale.

Objective: To identify the multi-ancestry spectrum of monogenic PD.

Methods: The first systematic approach to embrace monogenic PD worldwide, The Michael J.

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Exploring the thermoluminescence characteristics of smartphone screen safety glasses for retrospective dosimetry applications.

Appl Radiat Isot

October 2024

Applied Physics and Radiation Technologies Group, CCDCU, School of Engineering and Technology, Sunway University, 47500, Bandar Sunway, Selangor, Malaysia; School of Mathematics and Physics, University of Surrey, Guildford, GU2 7XH, United Kingdom.

In clinical settings, standard dosimeters might miss radiation mishaps. Retrospective dosimeters could help to track personnel (such as patients and other staff who don't wear dosimeters) exceeding safe limits and assess long-term exposure trends. This study has investigated key thermoluminescence (TL) dosimetric characteristics, including the glow curve structure, dose-response, energy dependence, sensitivity and fading of various safety glasses that are used as screen protectors of smartphones subjected to photon irradiation.

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The negative impact of refinery wastewater is of great concern to the aquatic, terrestrial, and aerial environment. In this study, N-hexadecylchitosan (NHDC) was successfully synthesized to deal with low mechanical strength, poor adsorption capacity, and limited selectivity of native chitosan. The NHDC was characterized by fourier-transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM) and X-Ray diffraction analysis (XRD) to study its composition, morphology, and structural attributes.

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This study aimed to explore the views of healthcare professionals regarding the barriers and facilitators for a Fracture Liaison Service (FLS) in Malaysia. The qualitative study was conducted from February to December 2021 at a tertiary hospital in Malaysia. Doctors, nurses, pharmacists, and policymakers were recruited via purposive sampling.

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Article Synopsis
  • The COVID-19 pandemic significantly impacted general practitioners (GPs) in Malaysia, requiring them to adapt quickly to new care protocols for managing mild cases in the community.
  • An online survey conducted from May to October 2022 assessed the knowledge and preparedness of 178 Malaysian GPs regarding COVID-19 management, finding that while most had a good level of knowledge (69.7%), only a third were adequately prepared.
  • The study concluded that having a good understanding of COVID-19 significantly increased GPs' preparedness levels, indicating a need for targeted educational measures to enhance readiness for future pandemics.
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Artificial intelligence for diabetes care: current and future prospects.

Lancet Diabetes Endocrinol

August 2024

Centre of Innovation and Precision Eye Health, Department of Ophthalmology, National University of Singapore, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Ophthalmology and Visual Sciences Academic Clinical Program, Duke-National University of Singapore Medical School, Singapore; Singapore Eye Research Institute, Singapore National Eye Centre, Singapore. Electronic address:

Artificial intelligence (AI) use in diabetes care is increasingly being explored to personalise care for people with diabetes and adapt treatments for complex presentations. However, the rapid advancement of AI also introduces challenges such as potential biases, ethical considerations, and implementation challenges in ensuring that its deployment is equitable. Ensuring inclusive and ethical developments of AI technology can empower both health-care providers and people with diabetes in managing the condition.

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Early protein delivery in critically ill patients with acute kidney injury: analysis of a multicenter cluster-randomized controlled trial.

Burns Trauma

July 2024

Department of Critical Care Medicine, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, 22 Hankou Road, Gulou District, Nanjing 210093, China.

Background: There is controversy over the optimal early protein delivery in critically ill patients with acute kidney injury (AKI). This study aims to evaluate whether the association between early protein delivery and 28-day mortality was impacted by the presence of AKI in critically ill patients.

Methods: This is a analysis of data from a multicenter cluster-randomised controlled trial enrolling newly admitted critically ill patients (n = 2772).

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Background: Emergence delirium remains a major postoperative concern for children undergoing surgery. Nalbuphine is a synthetic mixed agonist-antagonist opioid, which is believed to reduce the incidence of emergence delirium in children. The primary objective was to examine the effect of nalbuphine on emergence delirium in children undergoing surgery.

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Bio-inspired magnetic chitosan/Iron oxide macromolecules for multiple anionic dyes adsorption from aqueous media.

Int J Biol Macromol

October 2024

Department of Chemistry, Faculty of Science, Universiti Malaya, 50603 Kuala Lumpur, Malaysia; University of Malaya Center for Ionic Liquids, Universiti Malaya, 50603 Kuala Lumpur, Malaysia. Electronic address:

Organic anionic dyes are major water pollutants due to their low degradability caused by complex aromatic structures. Not only do they exert toxic, mutagenic, teratogenic, tumorigenic, and genotoxic effects, but they also decrease fertility and cause irritation to the skin and respiratory system in humans. This long-term toxicity has detrimental effects on aquatic organisms and their surroundings, resulting in an imbalanced ecosystem.

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Purpose: Down syndrome (DS) is a common abnormality associated with anorectal malformation (ARM) and Hirschsprung's disease (HD). However, quality of life (QOL) in ARM and HD patients with DS is under-researched. This study compares parent-reported QOL and bowel function in ARM and HD patients with DS to those without.

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Waste electrical and electronic equipment (WEEE) has become a critical environmental problem. Catalytic pyrolysis is an ideal technique to treat and convert the plastic fraction of WEEE into chemicals and fuels. Unfortunately, research using real WEEE remains relatively limited.

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The formation of advanced glycation end product (AGE) is a risk factor for diabetic retinopathy. Since the current treatment for diabetic retinopathy is accompanied by side effects, preliminary findings have suggested Peperomia pellucida (L.) Kunth as a potential alternative therapeutic option for diabetic retinopathy.

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Purpose: To date, there is no region-specific guideline for pediatric endoscopy training. This study aimed to illustrate the current status of pediatric endoscopy training in Asia-Pacific region and identify opportunities for improvement.

Methods: A cross-sectional survey, using a standardized electronic questionnaire, was conducted among medical schools in the Asia-Pacific region in January 2024.

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Stretchable, Self-Healing, and Bioactive Hydrogel with High-Functionality N,N'-bis(acryloyl)cystamine Dynamically Bonded Ag@polydopamine Crosslinkers for Wearable Sensors.

Adv Sci (Weinh)

September 2024

Key Laboratory of Human-Machine-Intelligence Synergic System, Research Center for Neural Engineering, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, 1068 Xueyuan Road, Shenzhen, Guangdong, 518055, China.

Article Synopsis
  • Hydrogels are advantageous for creating flexible sensors due to their soft texture and adjustable chemical properties, although challenges remain in achieving the right combination of mechanical and conductive traits for practical use.
  • A new type of hydrogel sensor, named PAM/BA-Ag@PDA, is developed by polymerizing acrylamide with dynamic crosslinked silver-modified polydopamine nanoparticles, enhancing its strength, conductivity, and self-healing capabilities.
  • This hydrogel functions effectively as a strain sensor, showing good sensitivity, rapid response time, and stability while being able to adhere to skin to monitor various movements, making it suitable for wearable healthcare applications.*
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Article Synopsis
  • Primary diabetes care and diabetic retinopathy (DR) screening face challenges due to a lack of trained primary care physicians, especially in low-resource areas.
  • The integrated image-language system, DeepDR-LLM, combines a language model and deep learning to help PCPs provide tailored diabetes management recommendations, showing comparable or better accuracy than PCPs in diagnosing DR.
  • In a study, patients assisted by DeepDR-LLM demonstrated improved self-management and adherence to referral recommendations, indicating that the system enhances both care quality and patient outcomes.
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Background: HIV incidence and mortality are increasing in Ukraine despite their reductions globally, in part due to suboptimal antiretroviral therapy (ART) coverage in key populations of people with HIV (PWH) where the epidemic is concentrated. As physicians are gatekeepers to ART prescription, stigma and discrimination barriers are understudied as a key to meeting HIV treatment targets in key populations.

Methods: A national sample (N = 204) of ART-prescribing physicians in Ukraine were surveyed between August and November 2019.

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Background: Mental health is an overlooked aspect of inflammatory bowel disease (IBD) patient care with limited data from the developing world. The primary caregiver burden is expected to be high, but has not been evaluated.

Methods: We conducted a questionnaire-based survey of consecutive out-patients with no diagnosed mental health illness (n = 289) and their primary caregivers (n = 247) from 10 centers across eight countries (Bangladesh, India, Iran, Malaysia, Myanmar, Nepal, Pakistan, Thailand) of IBD-Emerging Nations' Consortium (ENC).

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Irrespective of medical technology improvements, cancer ranks among the leading causes of mortality worldwide. Although numerous cures and treatments exist, creating alternative cancer therapies with fewer adverse side effects is vital. Since ancient times, plant bioactive compounds have already been used as a remedy to heal cancer.

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Background & Aims: Patients with nonalcoholic fatty liver disease (NAFLD)/metabolic dysfunction-associated steatotic liver disease (MASLD) face a multifaceted disease burden which includes impaired health-related quality of life (HRQL) and potential stigmatization. We aimed to assess the burden of liver disease in patients with NAFLD and the relationship between experience of stigma and HRQL.

Methods: Members of the Global NASH Council created a survey about disease burden in NAFLD.

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Sine oculis homeoprotein 1 (SIX1), a prominent representative of the homeodomain transcription factors within the SIX family, has attracted significant interest owing to its role in tumorigenesis, cancer progression, and prognostic assessments. Initially recognized for its pivotal role in embryonic development, SIX1 has emerged as a resurgent factor across a diverse set of mammalian cancers. Over the past two decades, numerous investigations have emphasized SIX1's dual significance as a developmental regulator and central player in oncogenic processes.

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Article Synopsis
  • The systematic review investigates the effectiveness and ethical implications of artificial intelligence art therapies (AIATs) in enhancing mental health care, combining technology with creative arts.
  • The researchers analyzed 15 selected studies by following PRISMA guidelines and assessing quality using the Joanna Briggs Institute criteria, focusing on randomized controlled trials.
  • Findings indicate that AIATs can improve therapeutic experiences while highlighting the importance of ethical considerations in their use as the field of mental health evolves.
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Background: Assessing breast cancer risks from lifestyle and reproductive factors is critical for developing population-specific risk prediction tools. However, limited studies have evaluated these risks in recent Asian birth cohorts.

Methods: We systematically reviewed articles published from January 2010 to December 2023, examining breast cancer risk factors in Asian women.

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