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1.
Heliyon ; 10(10): e31073, 2024 May 30.
Article in English | MEDLINE | ID: mdl-38779002

ABSTRACT

Seaweeds are a valuable component of marine biodiversity that play multiple essential roles in Indonesia's coastal ecology and economy. This systematic review (1993-2023) aimed to provide an updated overview of seaweed distribution, biodiversity, cultivation, and industry in Indonesia. The literature search derived from major databases, Scopus, Web of Science (WoS) and ResearchGate (RG), and Google Scholar (GS) retrieved 794 studies, after removing 80 duplicates, identified 646 studies passed title and abstract screening that satisfied all criteria: Indonesia, seaweed, seaweed biodiversity and composition, which consisted of 80 exclusion studies. Full text screening decided 194 studies were selected based on the specific inclusion criteria (at least two criteria passed: seaweed distribution site, species, cultivation, and habitat). After additional filtering, 137 studies were included for extraction and analysis. We found that Indonesia is rich in seaweed biodiversity, with at least 325 identified species consisting of 103 Chlorophyceae (green algae), 167 Rhodophyceae (red algae), and 55 Phaeophyceae (brown algae), respectively. Seaweed distribution and abundance in Indonesia are influenced by environmental factors, including nutrients, grazing, competition, physical tolerance, light intensity, and degree of water circulation. Seaweed species are predominantly found in mangrove forests and coral reefs on the islands of Sumatra, Java, Kalimantan, and Sulawesi. This review provides an up-to-date and comprehensive overview of the distribution and biodiversity of seaweeds in Indonesia, highlighting the ecological, economic, and cultivation of marine resources. In addition, we identify knowledge gaps and areas for further research, which can inform sustainable seaweed management and utilization in Indonesia. This review also emphasizes the significance of this marine resource to Indonesia's environment and economy.

2.
Curr Probl Diagn Radiol ; 53(1): 102-110, 2024.
Article in English | MEDLINE | ID: mdl-37263804

ABSTRACT

The amount of acquired radiology imaging studies grows worldwide at a rapid pace. Novel information technology tools for radiologists promise an increase of reporting quality and as well quantity at the same time. Automated text report drafting is one branch of this development. We defined for the present study in total 9 cases of distal radius fracture. Command files structured according to a template of the Radiological Society of North America (RSNA) and to Arbeitsgemeinschaft Osteosynthese (AO) classifiers were given as input to the natural language processing tool ChatGPT. ChatGPT was tasked with drafting an appropriate radiology report. A parameter study (n = 5 iterations) was performed. An overall high appraisal of ChatGPT radiology report quality was obtained in a score card based assessment. ChatGPT demonstrates the capability to adjust output files in response to minor changes in input command files. Existing shortcomings were found in technical terminology and medical interpretation of findings. Text drafting tools might well support work of radiologists in the future. They would allow a radiologist to focus time on the observation of image details and patient pathology. ChatGPT can be considered a substantial step forward towards that aim.


Subject(s)
Radiology , Wrist Fractures , Humans , Radiography , Diagnostic Imaging , North America
3.
Malays Orthop J ; 16(3): 50-54, 2022 Nov.
Article in English | MEDLINE | ID: mdl-36589379

ABSTRACT

Introduction: Rotator cuff pathology is commonly attributed to acromion morphology that is demonstrable in standard AP shoulder radiographs by measuring the critical shoulder angle (CSA), the lateral acromial angle (LAA), and the acromial index (AI). However, these parameters vary among races and countries. Therefore, our study aimed to get the local data on acromion morphology in patients with rotator cuff disease. Materials and methods: MRI shoulder reports between January 2012 and June 2018 were reviewed. The study group consisted of 47 patients with rotator cuff injury with a partial or complete tear, and a control group of 37 patients with tendinitis or osteoarthritis and intact rotator cuffs. The CSA, LAA, and AI of both groups were measured on the anteroposterior shoulder radiograph. The risk factors for both groups and the acromion morphology were recorded. Results: The CSA for the rotator cuff tear and the control group was 39.08° and 38.28°, LAA was 72.57 ° and 73.51°, and AI was 0.79 and 0.75. The acromion morphology differed in terms of gender, and only LAA was different among the different ethnic groups. There was a negative correlation between age and CSA, age and AI, LAA and CSA, LAA and AI, but a positive correlation between AI and CSA. Conclusion: The CSA for rotator cuff tear patients in our population was 39.08°, LAA was 72.57°, and AI was 0.79. The acromion morphology was significantly influenced by age and gender.

4.
ChemMedChem ; 16(21): 3342-3359, 2021 11 05.
Article in English | MEDLINE | ID: mdl-34331400

ABSTRACT

Metallohydrolases form a large group of enzymes that have fundamental importance in a broad range of biological functions. Among them, the purple acid phosphatases (PAPs) have gained attention due to their crucial role in the acquisition and use of phosphate by plants and also as a promising target for novel treatments of bone-related disorders and cancer. To date, no crystal structure of a mammalian PAP with drug-like molecules bound near the active site is available. Herein, we used a fragment-based design approach using structures of a mammalian PAP in complex with the MaybridgeTM fragment CC063346, the amino acid L-glutamine and the buffer molecule HEPES, as well as various solvent molecules to guide the design of highly potent and efficient mammalian PAP inhibitors. These inhibitors have improved aqueous solubility when compared to the clinically most promising PAP inhibitors available to date. Furthermore, drug-like fragments bound in newly discovered binding sites mapped out additional scaffolds for further inhibitor discovery, as well as scaffolds for the design of inhibitors with novel modes of action.


Subject(s)
Acid Phosphatase/antagonists & inhibitors , Drug Design , Enzyme Inhibitors/pharmacology , Glutamine/pharmacology , Acid Phosphatase/metabolism , Animals , Dose-Response Relationship, Drug , Enzyme Inhibitors/chemical synthesis , Enzyme Inhibitors/chemistry , Glutamine/chemical synthesis , Glutamine/chemistry , Ligands , Models, Molecular , Molecular Structure , Structure-Activity Relationship , Swine
5.
ACS Appl Mater Interfaces ; 13(15): 18255-18263, 2021 Apr 21.
Article in English | MEDLINE | ID: mdl-33797212

ABSTRACT

Investigation of highly oxidized graphene oxide (GO) by solid-state nuclear magnetic resonance (NMR) spectroscopy has revealed an exceptional level of hitherto undiscovered structural complexity. A number of chemical moieties were observed for the first time, such as terminal esters, furanic carbons, phenolic carbons, and three distinct aromatic and two distinct alkoxy carbon moieties. Quantitative one-dimensional (1D) and two-dimensional (2D) 13C{1H} NMR spectroscopy established the relative populations and connectivity of these different moieties to provide a consistent "local" chemical structure model. An inferred 2 nm GO sheet size from a very large (∼20%) edge carbon fraction by NMR analysis is at odds with the >20 nm sheet size determined from microscopy and dynamic light scattering. A proposed kirigami model where extensive internal cuts/tears in the basal plane provide the necessary edge sites is presented as a resolution to these divergent results. We expect this work to expand the fundamental understanding of this complex material and enable greater control of the GO structure.

7.
RSC Adv ; 9(65): 38017-38031, 2019 11 19.
Article in English | MEDLINE | ID: mdl-35541791

ABSTRACT

Deep-eutectic solvents and room temperature ionic liquids are increasingly recognised as appropriate materials for use as active pharmaceutical ingredients and formulation additives. Aqueous mixtures of choline and geranate (CAGE), in particular, have been shown to offer promising biomedical properties but understanding the thermophysical behaviour of these mixtures remains limited. Here, we develop interaction potentials for use in the SAFT-γ Mie group-contribution approach, to study the thermodynamic properties and phase behaviour of aqueous mixtures of choline geranate and geranic acid. The determination of the interaction parameters between chemical functional groups is carried out in a sequential fashion, characterising each group based on those previously developed. The parameters of the groups relevant to geranic acid are estimated using experimental fluid phase-equilibrium data such as vapour pressure and saturated-liquid density of simple pure components (n-alkenes, branched alkenes and carboxylic acids) and the phase equilibrium data of mixtures (aqueous solutions of branched alkenes and of carboxylic acids). Geranate is represented by further incorporating the anionic carboxylate group, COO-, which is characterised using aqueous solution data of sodium carboxylate salts, assuming full dissociation of the salt in water. Choline is described by incorporating the cationic quaternary ammonium group, N+, using data for choline chloride solutions. The osmotic pressure of aqueous mixtures of CAGE at several concentrations is predicted and compared to experimental data obtained as part of our work to assess the accuracy of the modelling platform. The SAFT-γ Mie approach is shown to be predictive, providing a good description of the measured data for a wide range of mixtures and properties. Furthermore, the new group-interaction parameters needed to represent CAGE extend the set of functional groups of the group-contribution approach, and can be used in a transferable way to predict the properties of systems beyond those studied in the current work.

9.
J Pharm Bioallied Sci ; 10(4): 173-180, 2018.
Article in English | MEDLINE | ID: mdl-30568374

ABSTRACT

Saffron, Crocus sativus (Iridaceae), is a perennial herb, which earned its popularity as both medicine and spice. It is an inhabitant of different mountainous regions of Asia Minor to Greece, Western Asia, Egypt, and India. The benefits of saffron as an antidepressant are well-documented. Almost 150 volatile and nonvolatile compounds are obtained from the chemical analysis of this plant. Fewer than 50 constituents elucidated and identified so far showed phytochemical characteristics. The major bioactive compounds identified are safranal, crocin, and picrocrocin, which are responsible for its aroma as well as its bitter taste. This review is an attempt to encompass the methods of analysis and pharmacodynamic and pharmacokinetic properties of saffron followed by its efficacious and safe potential.

10.
Surg J (N Y) ; 4(1): e43-e45, 2018 Jan.
Article in English | MEDLINE | ID: mdl-29588914

ABSTRACT

An anterior cruciate ligament (ACL) injury may be diagnosed by clinical examination and radiological investigation using magnetic resonance imaging or by arthroscopy. 1,2 Based on our experience, the ACL tear in concomitant chronic ACL and posterior cruciate ligament (PCL) deficient knees may produce knee laxity, which is more difficult to assess on clinical examination, which in turn may affect the management algorithm of the patient. Our hypothesis is that, in a concomitant chronic ACL and PCL injury, posterior capsular contracture and abnormal reattachment of torn ACL will result in less clinical and subjective laxity, preoperatively. The aim of this study is to review a cohort of patients who had undergone PCL reconstructive surgery and compare the preoperative clinical assessments with and without anesthesia with arthroscopic finding of ACL. This is to assess the accuracy and reliability of clinical ACL laxity tests in detecting ACL tear in chronic ACL and PCL injury.

12.
Front Microbiol ; 8: 1433, 2017.
Article in English | MEDLINE | ID: mdl-28824567

ABSTRACT

Given the remarkable increase of public interest in organic food products, it is indeed critical to evaluate the microbiological risk associated with consumption of fresh organic produce. Organic farming practices including the use of animal manures may increase the risk of microbiological contamination as manure can act as a vehicle for transmission of foodborne pathogens. This study aimed to determine and compare the microbiological status between organic and conventional fresh produce at the retail level in Malaysia. A total of 152 organic and conventional vegetables were purchased at retail markets in Malaysia. Samples were analyzed for mesophilic aerobic bacteria, yeasts and molds, and total coliforms using conventional microbiological methods. Combination methods of most probable number-multiplex polymerase chain reaction (MPN-mPCR) were used to detect and quantify foodborne pathogens, including Escherichia coli O157:H7, Shiga toxin-producing E. coli (STEC), Listeria monocytogenes, Salmonella Typhimurium, and Salmonella Enteritidis. Results indicated that most types of organic and conventional vegetables possessed similar microbial count (P > 0.05) of mesophilic aerobic bacteria, yeasts and molds, and total coliforms. E. coli O157:H7 and S. Typhimurium were not detected in any sample analyzed in this study. Among the 152 samples tested, only the conventional lettuce and organic carrot were tested positive for STEC and S. Enteritidis, respectively. L. monocytogenes were more frequently detected in both organic (9.1%) and conventional vegetables (2.7%) as compared to E. coli O157:H7, S. Typhimurium, and S. Enteritidis. Overall, no trend was shown that either organically or conventionally grown vegetables have posed greater microbiological risks. These findings indicated that one particular type of farming practices would not affect the microbiological profiles of fresh produce. Therefore, regardless of farming methods, all vegetables should be subjected to appropriate post-harvest handling practices from farm to fork to ensure the quality and safety of the fresh produce.

13.
Mol Vis ; 21: 1191-200, 2015.
Article in English | MEDLINE | ID: mdl-26539031

ABSTRACT

PURPOSE: Inhibiting exaggerated wound healing responses, which are primarily mediated by human Tenon's fibroblast (HTF) migration and proliferation, has become the major determining factor for a successful trabeculectomy. Antivascular endothelial growth factor (anti-VEGF) has showed promising results as a potential antifibrotic candidate for use concurrently in trabeculectomy. Preliminary cohort studies have revealed improved bleb morphology following trabeculectomy augmented with ranibizumab. However, the effects on HTFs remain unclear. This study was conducted to understand the effects of ranibizumab on transforming growth factor (TGF)-ß1 and transforming growth factor (TGF)-ß2 expression by HTFs. METHODS: The effect of ranibizumab on HTF proliferation and cell viability was determined using 3-(4,5-dimethylthiazone-2-yl)-2,5-diphenyl tetrazolium (MTT) assay. Ranibizumab at concentrations ranging from 0.01 to 0.5 mg/ml were administered for 24, 48, and 72 h in serum and serum-free conditions. Supernatants and cell lysates from samples were assessed for TGF-ß1 and TGF-ß2 mRNA and protein levels using quantitative real-time polymerase chain reaction (qRT-PCR) and enzyme-linked immunosorbent assay (ELISA). RESULTS: At 48 h, 0.5 mg/ml of ranibizumab significantly induced cell death under serum-free culture conditions (p<0.05). Ranibizumab caused a significant reduction in TGF-ß1 mRNA, but not for TGF-ß2. However, the total protein production of TGF-ß1 and TGF-ß2 was unaffected by this anti-VEGF treatment. CONCLUSIONS: Exposure of HTFs to an intravitreal dose of ranibizumab significantly suppresses cell viability in vitro; however, the application seemed unable to affect the ultimate production of TGF-ß. Therefore, we highlighted ranibizumab as a potential antiscarring agent that acts via a different mechanism when used synergistically with another antifibrotic agent. Understanding the mechanism of actions of ranibizumab offers an additional view of a possible new rational therapeutic strategy.


Subject(s)
Angiogenesis Inhibitors/pharmacology , Fibroblasts/drug effects , RNA, Messenger/antagonists & inhibitors , Ranibizumab/pharmacology , Transforming Growth Factor beta1/antagonists & inhibitors , Cell Movement/drug effects , Cell Proliferation/drug effects , Cell Survival/drug effects , Cicatrix/etiology , Cicatrix/pathology , Cicatrix/prevention & control , Fibroblasts/cytology , Fibroblasts/metabolism , Gene Expression Regulation , Humans , Primary Cell Culture , RNA, Messenger/genetics , RNA, Messenger/metabolism , Signal Transduction , Tenon Capsule/cytology , Tenon Capsule/drug effects , Tenon Capsule/metabolism , Trabeculectomy/adverse effects , Transforming Growth Factor beta1/biosynthesis , Transforming Growth Factor beta1/genetics , Transforming Growth Factor beta2/biosynthesis , Transforming Growth Factor beta2/genetics , Vascular Endothelial Growth Factor A/genetics , Vascular Endothelial Growth Factor A/metabolism
14.
Exp Eye Res ; 127: 236-42, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25139730

ABSTRACT

Anti-Vascular Endothelial Growth Factors (Anti-VEGF) agents have received recent interest as potential anti-fibrotic agents for their concurrent use with trabeculectomy. Preliminary cohort studies have revealed improved bleb morphology following trabeculectomy augmented with ranibizumab. The effects of this humanized monoclonal antibody on human Tenon's fibroblast (HTF), the key player of post trabeculectomy scar formation, are not fully understood. This study was conducted to understand the effects of ranibizumab on extracellular matrix production by HTF. The effect of ranibizumab on HTF proliferation and cell viability was determined using MTT assay (3-(4,5-dimethylthiazone-2-yl)-2,5-diphenyl tetrazolium). Ranibizumab at concentrations ranging from 0.01 to 0.5 mg/mL were administered for 24, 48 and 72 h in serum and serum free conditions. Supernatants and cell lysates from samples were assessed for collagen type 1 alpha 1 and fibronectin mRNA and protein level using quantitative real time polymerase chain reaction (qRT-PCR) and enzyme-linked immunosorbent assay (ELISA). After 48-h, ranibizumab at 0.5 mg/mL, significantly induced cell death under serum-free culture conditions (p < 0.05). Ranibizumab caused significant reduction of collagen type 1 alpha 1 (COL1A1) mRNA, but not for fibronectin (FN). Meanwhile, COL1A1 and FN protein levels were found upregulated in treated monolayers compared to control monolayers. Ranibizumab at 0.5 mg/mL significantly reduced cell viability in cultured HTF. From this study, we found that single application of ranibizumab is inadequate to induce the anti-fibrotic effects on HTF, suggesting the importance of adjunctive therapy. Further studies are underway to understand mechanism of actions of ranibizumab on HTF.


Subject(s)
Angiogenesis Inhibitors/pharmacology , Antibodies, Monoclonal, Humanized/pharmacology , Collagen Type I/genetics , Fibroblasts/drug effects , Fibronectins/genetics , Gene Expression Regulation/physiology , Tenon Capsule/cytology , Cell Culture Techniques , Cell Proliferation/drug effects , Cell Survival/drug effects , Collagen Type I/metabolism , Collagen Type I, alpha 1 Chain , Enzyme-Linked Immunosorbent Assay , Fibroblasts/metabolism , Fibronectins/metabolism , Fluorescent Antibody Technique, Indirect , Glaucoma, Open-Angle/surgery , Humans , RNA, Messenger/genetics , Ranibizumab , Real-Time Polymerase Chain Reaction , Trabeculectomy , Vascular Endothelial Growth Factor A/antagonists & inhibitors , Vimentin/metabolism
15.
Clin Ter ; 165(1): e28-34, 2014.
Article in English | MEDLINE | ID: mdl-24589957

ABSTRACT

AIMS: To evaluate the functional outcomes of a delayed (>6 months post-injury) and combined reconstruction of grade III posterior cruciate ligament (PCL) and grade III posterolateral corner (PLC) deficiencies. PATIENTS AND METHODS: Between March 2006 and October 2009, a delayed surgery consisting of arthroscopically-assisted PCL reconstruction and open reconstruction of the PLC was performed on 19 men and 2 women (average age, 29 years). The mean time-to-surgery was 18 months (range, 7-51 months) and duration of follow-up was 22 months (range, 12-48 months). Postoperatively, patients were evaluated using Lysholm score, Tegner activity score, and International Knee Documentation Committee (IKDC) subjective and objective scores. RESULTS: At the final follow-up, majority of the knees (61.9%) achieved either normal or nearly normal rating objective IKDC score. The means of IKDC subjective score, Lysholm score and Tegner activity level were 62.09, 74.35 and 5.14 respectively. One patient was able to participate in competitive sport, 5 patients were able to be involved in recreational sports for at least 5 times per week, 10 patients were able to perform heavy labour and recreational sports for at least twice weekly, 4 patients were able to engage in moderately heavy labour work and one patient was only able to perform light labour work. There was no significant statistical association found between the time-to-surgery and the final patients' outcomes. CONCLUSIONS: A delayed simultaneous reconstruction of chronic grade III PCL and PLC deficiencies can restore sufficient function for standard daily and recreational sports activities to the patients.


Subject(s)
Knee Injuries/surgery , Plastic Surgery Procedures , Posterior Cruciate Ligament/surgery , Adult , Female , Humans , Male , Middle Aged , Postoperative Period , Retrospective Studies , Time Factors , Treatment Outcome
16.
Int J Mol Sci ; 13(6): 7328-7342, 2012.
Article in English | MEDLINE | ID: mdl-22837696

ABSTRACT

Herbicides, namely 4-(2,4-dichlorophenoxy) butyrate (DPBA) and 2-(3-chlorophenoxy) propionate (CPPA), were intercalated simultaneously into the interlayers of zinc layered hydroxide (ZLH) by direct reaction of zinc oxide with both anions under aqueous environment to form a new nanohybrid containing both herbicides labeled as ZCDX. Successful intercalation of both anions simultaneously into the interlayer gallery space of ZLH was studied by PXRD, with basal spacing of 28.7 Å and supported by FTIR, TGA/DTG and UV-visible studies. Simultaneous release of both CPPA and DPBA anions into the release media was found to be governed by a pseudo second-order equation. The loading and percentage release of the DPBA is higher than the CPPA anion, which indicates that the DPBA anion was preferentially intercalated into and released from the ZLH interlayer galleries. This work shows that layered single metal hydroxide, particularly ZLH, is a suitable host for the controlled release formulation of two herbicides simultaneously.


Subject(s)
Herbicides/chemistry , Hydroxides/chemistry , Nanostructures/chemistry , Zinc Compounds/chemistry , Delayed-Action Preparations/chemistry , Zinc/chemistry
17.
Hepatology ; 54(4): 1282-92, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21809354

ABSTRACT

UNLABELLED: Intrahepatic cholestasis of pregnancy may be complicated by fetal arrhythmia, fetal hypoxia, preterm labor, and, in severe cases, intrauterine death. The precise etiology of fetal death is not known. However, taurocholate has been demonstrated to cause arrhythmia and abnormal calcium dynamics in cardiomyocytes. To identify the underlying reason for increased susceptibility of fetal cardiomyocytes to arrhythmia, we studied myofibroblasts (MFBs), which appear during structural remodeling of the adult diseased heart. In vitro, they depolarize rat cardiomyocytes via heterocellular gap junctional coupling. Recently, it has been hypothesized that ventricular MFBs might appear in the developing human heart, triggered by physiological fetal hypoxia. However, their presence in the fetal heart (FH) and their proarrhythmogenic effects have not been systematically characterized. Immunohistochemistry demonstrated that ventricular MFBs transiently appear in the human FH during gestation. We established two in vitro models of the maternal heart (MH) and FH, both exposed to increasing doses of taurocholate. The MH model consisted of confluent strands of rat cardiomyocytes, whereas for the FH model, we added cardiac MFBs on top of cardiomyocytes. Taurocholate in the FH model, but not in the MH model, slowed conduction velocity from 19 to 9 cm/s, induced early after depolarizations, and resulted in sustained re-entrant arrhythmias. These arrhythmic events were prevented by ursodeoxycholic acid, which hyperpolarized MFB membrane potential by modulating potassium conductance. CONCLUSION: These results illustrate that the appearance of MFBs in the FH may contribute to arrhythmias. The above-described mechanism represents a new therapeutic approach for cardiac arrhythmias at the level of MFB.


Subject(s)
Arrhythmias, Cardiac/prevention & control , Cholestasis, Intrahepatic/complications , Fetal Heart/drug effects , Ursodeoxycholic Acid/pharmacology , Adult , Animals , Anti-Arrhythmia Agents/administration & dosage , Anti-Arrhythmia Agents/pharmacology , Arrhythmias, Cardiac/etiology , Cells, Cultured/cytology , Cells, Cultured/drug effects , Cholestasis, Intrahepatic/drug therapy , Disease Models, Animal , Female , Heart Ventricles/cytology , Heart Ventricles/pathology , Humans , In Vitro Techniques , Muscle Cells/cytology , Muscle Cells/physiology , Pregnancy , Pregnancy Complications/diagnosis , Pregnancy Complications/drug therapy , Rats , Rats, Wistar , Treatment Outcome , Ursodeoxycholic Acid/administration & dosage
18.
Clin Ter ; 162(3): 209-15, 2011.
Article in English | MEDLINE | ID: mdl-21717044

ABSTRACT

OBJECTIVE: There is paucity of literature on the measurement of the quality of life in post stroke patients in the developing countries. The main objective of this study was to determine the quality of life (QOL) of post stroke patients. MATERIALS AND METHODS: A cross-sectional study was conducted on 107 post stroke patients in two centers. The data was obtained during the period of January 2009 till May 2009 using purposive sampling method. A total of 68 males and 39 females participated in this study. Stroke Specific Quality Of Life (SS-QOL) version 2.0 was used. Cronbach's alpha values for SS-QOL ranged between 0.73 and 0.89. RESULTS: The mean ± SD of the QOL score was 141.79 ± 40.32. The mean ± SD of the age was 65.47 ± 11.79 years. Result showed significant negative association between age and QOL of post stroke patients (r = - 0.199, p= 0.040). Domains mostly affected by stroke compared to pre-stroke were mobility (69%) and energy (64%). There were two domains in SS-QOL significantly predicted the QOL of post stroke patients. These domains were work and productivity (ß= 2.277, t= 2.145, p= 0.035) and thinking (ß= 1.927, t= 2.567, p= 0.012). CONCLUSION: Few items from this measurement tool may not be appropriate in a developing country because of the different cultural background. There is a need to develop appropriate post stroke patient measurement tool based on local practice.


Subject(s)
Quality of Life , Stroke , Adult , Aged , Aged, 80 and over , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Surveys and Questionnaires , Urban Health
19.
PLoS One ; 5(3): e9689, 2010 Mar 15.
Article in English | MEDLINE | ID: mdl-20300620

ABSTRACT

BACKGROUND: Intrahepatic cholestasis of pregnancy (ICP) is a common disease affecting up to 5% of pregnancies and which can cause fetal arrhythmia and sudden intrauterine death. We previously demonstrated that bile acid taurocholate (TC), which is raised in the bloodstream of ICP, can acutely alter the rate and rhythm of contraction and induce abnormal calcium destabilization in cultured neonatal rat cardiomyocytes (NRCM). Apart from their hepatic functions bile acids are ubiquitous signalling molecules with diverse systemic effects mediated by either the nuclear receptor FXR or by a recently discovered G-protein coupled receptor TGR5. We aim to investigate the mechanism of bile-acid induced arrhythmogenic effects in an in-vitro model of the fetal heart. METHODS AND RESULTS: Levels of bile acid transporters and nuclear receptor FXR were studied by quantitative real time PCR, western blot and immunostaining, which showed low levels of expression. We did not observe functional involvement of the canonical receptors FXR and TGR5. Instead, we found that TC binds to the muscarinic M(2) receptor in NRCM and serves as a partial agonist of this receptor in terms of inhibitory effect on intracellular cAMP and negative chronotropic response. Pharmacological inhibition and siRNA-knockdown of the M(2) receptor completely abolished the negative effect of TC on contraction, calcium transient amplitude and synchronisation in NRCM clusters. CONCLUSION: We conclude that in NRCM the TC-induced arrhythmia is mediated by the partial agonism at the M(2) receptor. This mechanism might serve as a promising new therapeutic target for fetal arrhythmia.


Subject(s)
Arrhythmias, Cardiac/chemically induced , Bile Acids and Salts/metabolism , Myocytes, Cardiac/drug effects , Receptor, Muscarinic M2/metabolism , Animals , Animals, Newborn , Cell Nucleus/metabolism , Cholestasis/chemically induced , Gene Silencing , Polymerase Chain Reaction , Rats , Rats, Wistar , Receptor, Muscarinic M2/genetics , Receptors, G-Protein-Coupled/metabolism , Signal Transduction
20.
J Biol Chem ; 285(22): 16504-12, 2010 May 28.
Article in English | MEDLINE | ID: mdl-20177056

ABSTRACT

Sulfated progesterone metabolite (P4-S) levels are raised in normal pregnancy and elevated further in intrahepatic cholestasis of pregnancy (ICP), a bile acid-liver disorder of pregnancy. ICP can be complicated by preterm labor and intrauterine death. The impact of P4-S on bile acid uptake was studied using two experimental models of hepatic uptake of bile acids, namely cultured primary human hepatocytes (PHH) and Na(+)-taurocholate co-transporting polypeptide (NTCP)-expressing Xenopus laevis oocytes. Two P4-S compounds, allopregnanolone-sulfate (PM4-S) and epiallopregnanolone-sulfate (PM5-S), reduced [(3)H]taurocholate (TC) uptake in a dose-dependent manner in PHH, with both Na(+)-dependent and -independent bile acid uptake systems significantly inhibited. PM5-S-mediated inhibition of TC uptake could be reversed by increasing the TC concentration against a fixed PM5-S dose indicating competitive inhibition. Experiments using NTCP-expressing Xenopus oocytes confirmed that PM4-S/PM5-S are capable of competitively inhibiting NTCP-mediated uptake of [(3)H]TC. Total serum PM4-S + PM5-S levels were measured in non-pregnant and third trimester pregnant women using liquid chromatography-electrospray tandem mass spectrometry and were increased in pregnant women, at levels capable of inhibiting TC uptake. In conclusion, pregnancy levels of P4-S can inhibit Na(+)-dependent and -independent influx of taurocholate in PHH and cause competitive inhibition of NTCP-mediated uptake of taurocholate in Xenopus oocytes.


Subject(s)
Cobalt/chemistry , Progesterone/chemistry , Sodium/pharmacology , Taurocholic Acid/chemistry , Animals , Bile Acids and Salts/chemistry , Bile Acids and Salts/metabolism , Binding, Competitive , Cell Line, Tumor , Cholestasis , Dose-Response Relationship, Drug , Female , Hepatocytes/metabolism , Humans , Models, Biological , Oocytes/metabolism , Peptides/chemistry , Pregnancy , Sodium/chemistry , Steroids/metabolism , Xenopus laevis
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