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Chemical Profiling of Trace Odours for Forensic Identification: A Review 用于法医鉴定的微量气味的化学分析:综述
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.45
Muhammad Hafizuddin Mohd Kamal, M. H. Omar, K. Chang, Yusmazura Zakaria, Nik Fakhuruddin Nik Hassan
Trace odour is one of the trace material evidence that has significant value in forensic analysis. The recovery of relevant trace odour components from clothing has the potential to be a form of trace evidence that can be used to assess the likelihood of a contact between individuals in sexual and violent cases. They have the same potential as other trace evidence and can narrow down the suspect in the investigation. Studies conducted previously related to trace odour have succeeded in proving that this trace odour is unique, has its signature profile and can distinguish it from other sources such as fingerprints and DNA. This review highlights these trace odours and their persistence after being transferred, which contribute to a complete picture of the dynamics and potential application in the forensic reconstruction process. The literature was sourced from electronic databases such as Scopus, PubMed, Springer Link, Wiley On¬line Library and Science Direct. Keywords such “odour”, “trace odour”, “scent”, “volatile organic compound”, “forensic identification” were utilised. Further studies on various forms of trace odour are needed to strengthen their evidential values and be admissible to the court.
微量气味是一种在法医学分析中具有重要价值的微量物证。从衣服中回收相关的微量气味成分有可能成为一种微量证据,可用于评估性案件和暴力案件中个人之间接触的可能性。它们与其他痕迹证据具有相同的潜力,可以在调查中缩小嫌疑人的范围。先前进行的与微量气味有关的研究已经成功地证明了这种微量气味是独特的,具有其特征性,并且可以将其与指纹和DNA等其他来源区分开来。这篇综述强调了这些痕迹气味及其在转移后的持久性,这有助于全面了解法医重建过程中的动态和潜在应用。文献来源于Scopus、PubMed、Springer Link、Wiley在线图书馆和Science Direct等电子数据库。使用了“气味”、“微量气味”、《气味》、“挥发性有机化合物”、“法医鉴定”等关键词。需要对各种形式的微量气味进行进一步研究,以加强其证据价值,并为法院所接受。
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引用次数: 0
Caspase 3 Expressions in Children with Acute Lymphoblastic Leukemia During Induction Phase Chemotherapy Caspase 3在儿童急性淋巴细胞白血病诱导期化疗中的表达
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.12
Lukman Oktadianto, Mia Ratwita Andarsini, I. Dewa, Gede Ugrasena, Y. Hernaningsih, Andi Cahyadi, M. Christina, Shanty Larasati
Introduction: Caspase-3 is a crucial mediator of the extrinsic apoptosis pathway. The role of caspase-3 for extrinsic apoptosis signalling is still a challenge and should be exploited in childhood ALL. This study aimed to compare the caspase-3 expression in the patient’s bone marrow before and after the induction phase of chemotherapy in childhood ALL. It will also to correlate the mean difference in caspase-3 expression between ALL standard-risk and ALL high-risk patients. Methods: Seventeen newly diagnosed ALL subjects were enrolled in this study. Caspase-3 expression in bone marrow was assessed using flow cytometry and monoclonal antibodies. A T-test and a paired T-test were used to compare between groups. The correlation coefficient between ALL groups was evaluated using Spearman’s test and linear regression with a significant p-value of 0.05. Results: The caspase-3 expression is higher after induction therapy. However, it showed an insignificant difference (16.56+12.91% vs 27.71+12.33%; p = 0.08, p > 0.05). The mean difference of caspase-3 in ALL high-risk groups was significantly higher than in ALL standard-risk groups with a positive correlation (p = 0.007, r = 0.756). Conclusion: The caspase-3 expression after induction phase chemotherapy was increased in all standard-risk and high-risk patients; other lymphoblast apoptosis markers need to be confirmed alongside caspase-3.
引言:半胱氨酸天冬氨酸蛋白酶-3是外源性细胞凋亡途径的重要介质。胱天蛋白酶-3在外源性细胞凋亡信号传导中的作用仍然是一个挑战,应该在儿童ALL中加以利用。本研究旨在比较儿童ALL化疗诱导期前后患者骨髓中胱天蛋白酶-3的表达。它还将关联ALL标准风险和ALL高危患者之间胱天蛋白酶-3表达的平均差异。方法:17名新诊断的ALL受试者被纳入本研究。使用流式细胞术和单克隆抗体评估骨髓中半胱氨酸蛋白酶-3的表达。使用T检验和配对T检验在各组之间进行比较。使用Spearman检验和线性回归评估ALL组之间的相关系数,显著p值为0.05。结果:诱导治疗后半胱氨酸天冬氨酸蛋白酶-3表达增高。但差异不显著(16.56+12.91%vs 27.71+12.33%;p=0.08,p>0.05)。ALL高危组的胱天蛋白酶-3平均差异显著高于ALL标准高危组,且呈正相关(p=0.007,r=0.756);其他淋巴母细胞凋亡标志物需要与胱天蛋白酶-3一起得到确认。
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引用次数: 0
Identification of Planned Stroke Awareness Behavior: A Structural Equation Modeling 计划性脑卒中意识行为的识别:一个结构方程模型
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.13
Rahmania Ambarika, M. S. Mohamed Said, N. Umar, Novian Mahayu Adiutama, Sandeep Poddar
Introduction: Stroke is one of the most common neurological diseases, often causing death or gross physical impairment or disability. The associated risk factors such as hypertension, high cholesterol, diabetes, heart disease, and smoking should serve as warnings. However, most people are still not aware of these risks. The main aim of this study is to identify stroke awareness behavior using the construct variable from the Theory of Planned Behavior as the predictor (attitude factor, subjective norm factor, perceived behavioral factor, and intention to perform behavior). Methods: A cross-sectional study was conducted on 256 people who have a high risk of stroke at the Poncokusumo Health Center, Malang, Indonesia. The sampling technique used was purposive sampling. The authors used all the construct variables in the Theory of Planned Behavior. The stroke awareness behavior was measured using a questionnaire developed from the National Stroke Awareness Guide, while the attitude factor, subjective norm factor, perceived behavioral factor, and intention were measured using the instruments developed from standard instruments from the Theory of Planned Behavior. Structural Equation Modeling (SEM-PLS) was used to analyse the data. Result: This study found that 68.4% of respondent with high or low intention of preventing a stroke can be predicted by attitude factors, subjective norm factors, and perceived behavioral factors. While 96.1% of good or bad stroke awareness behavior can be predicted by the model used in this study, the rest (3.9%) is explained by other variables outside this research model. Conclusion: The hypothesis testing results showed that all construct variables in the Theory of Planned Behavior can be strong predictors of stroke awareness behavior. All variables in the Theory of Planned Behavior can be powerful predictors of stroke awareness behavior.
中风是最常见的神经系统疾病之一,常导致死亡或严重的身体损伤或残疾。高血压、高胆固醇、糖尿病、心脏病和吸烟等相关危险因素应作为警告。然而,大多数人仍然没有意识到这些风险。本研究的主要目的是利用计划行为理论中的构念变量(态度因素、主观规范因素、感知行为因素和行为意图)作为预测因子来识别卒中意识行为。方法:对印度尼西亚玛琅Poncokusumo健康中心256名卒中高危人群进行横断面研究。使用的抽样技术是有目的的抽样。作者使用了计划行为理论中的所有构念变量。卒中意识行为采用《国家卒中意识指南》编制的问卷进行测量,态度因素、主观规范因素、感知行为因素和意向因素采用《计划行为理论》编制的标准工具进行测量。采用结构方程模型(SEM-PLS)对数据进行分析。结果:本研究发现68.4%的被调查者可以通过态度因素、主观规范因素和感知行为因素来预测卒中预防意向的高低。虽然96.1%的卒中意识行为的好坏可以通过本研究使用的模型预测,其余的(3.9%)可以通过本研究模型之外的其他变量解释。结论:假设检验结果表明,计划行为理论中的所有构式变量都能较好地预测卒中意识行为。计划行为理论中的所有变量都可以作为中风意识行为的有力预测因子。
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引用次数: 0
GFAT1: A Potential Prognostic Biomarker in Colorectal Cancer GFAT1:一种潜在的癌症预后生物标志物
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.3
Habibah Faroque, A. Azmahani, Muhammad Afiq Izzuddin Othman, Nor Hidayah Abu Bakar, Nadiah Wan- Arfah, S. Omar, Yasuhiro Nakamura, H. Sasano
Introduction: There is an increasing demand for additional techniques to diagnose and treat cancer including CRC or colorectal cancer effectively. Utilizing antibodies as biomarker could contribute to accurate diagnosis of cancer due to its high specificity and sensitivity. One of the etiologies of CRC progression was proposed as the alterations of hexosamine biosynthetic pathway which could subsequently influence the rate-limiting enzyme, glutamine-fructose-6-phosphate aminotransferase (GFAT1). These increased enzymatic activities resulted in an elevation of glucose uptake that provides nutrients facilitating the progression of cancer cells. Therefore, we attempted to determine the potential of GFAT1 as the biomarker for CRC by correlating its expression with clinicopathological features of the patients. Methods: A total of 132 10% formalin-fixed paraffin embedded tissue were retrieved. Immunohistochemistry (IHC) was performed on the tissue sections and digital images were subsequently acquired. All the images were automatedly analyzed using IHC Profiler. GFAT1 immunoreactivity in colorectal tissues was calculated using an adapted H-score formula. Clinicopathological features of the patients were statistically correlated with the status of GFAT1. Results: Colorectal adenocarcinoma tissues had the significantly highest GFAT1 H-scores with the mean of 103.18 compared to adenoma and non-tumor tissues. There have been no significant associations between clinicopathological characteristics of the patients and the status of GFAT1 except for tumor size. Conclusion: Immunoreactivity of GFAT1 was significantly different between non-tumorous tissues and adenocarcinoma as well as between adenoma and adenocarcinoma tissues. GFAT1 could serve as one of the prognostic biomarkers or useful targets.
简介:对有效诊断和治疗癌症(包括结直肠癌或癌症)的附加技术的需求越来越大。利用抗体作为生物标志物,由于其高特异性和敏感性,有助于癌症的准确诊断。CRC进展的病因之一被认为是己糖胺生物合成途径的改变,这可能随后影响限速酶谷氨酰胺-果糖-6-磷酸氨基转移酶(GFAT1)。这些酶活性的增加导致葡萄糖摄取的增加,从而提供促进癌症细胞进展的营养物质。因此,我们试图通过将GFAT1的表达与患者的临床病理特征相关联来确定其作为CRC生物标志物的潜力。方法:取132例10%福尔马林固定石蜡包埋组织。对组织切片进行免疫组织化学(IHC),随后获取数字图像。使用IHC Profiler对所有图像进行自动分析。结肠直肠组织中GFAT1的免疫反应性是用一个适用的H-核心公式计算的。患者的临床病理特征与GFAT1的状态具有统计学相关性。结果:与腺瘤和非肿瘤组织相比,结直肠腺癌组织的GFAT1 H核显著最高,平均为103.18。除肿瘤大小外,患者的临床病理特征与GFAT1状态之间没有显著关联。结论:非肿瘤组织与腺癌、腺瘤与腺癌组织GFAT1的免疫反应性存在显著差异。GFAT1可以作为预后的生物标志物或有用的靶点之一。
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引用次数: 0
A Qualitative Study Exploring the Impact of Covid-19 Pandemic on Teaching and Learning of Family Medicine Course among Undergraduates in a Local University in Malaysia 新冠肺炎疫情对马来西亚一所地方大学本科家庭医学课程教学影响的定性研究
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs18.5.15
Fathima Begum Syed Mohideen, M. R. A Rashid, Nur Faraheen Abdul Rahman, Muhammad Tauffik Mohd Noor, Sharifah Najwa SYED MOHAMAD
Introduction: The COVID-19 pandemic significantly impacted the global teaching and learning process (TnL). Unfortunately, to date, not many qualitative studies have been published specifically on the impact of COVID-19 on the Family Medicine course, particularly in Malaysia. Hence, this study aimed to explore the impact of COVID-19 pandemic on the teaching and learning experience of undergraduate students undergoing their Family Medicine course at a local university. Methods: A qualitative study using focused group discussion (FGD), was conducted among undergraduate students during the lockdown period. A semi-structured interview guide was used to interview 20 students, in their fifth undergraduate year, undertaking their fourth to fifth week of a total six-week course. They were selected using purposive snowball sampling method. There were four focus group discussions (FGD) with five students in a group. All interviews were audio-taped, transcribed verbatim, and the contents were analysed using the standard content analysis framework. Subsequently, thematic content analysis was conducted, and three major themes were produced. Results: The three major themes were (1) facilitators to learning, (2) barriers to learning, and (3) rooms for improvement. Conclusion: Although COVID-19 pandemic had significant impact on TnL of Family Medicine course among undergraduates, the students remained optimistic and proposed some improvement from their point of view. However, a creative, realistic, effective, and impactful way of TnL, particularly in clinical aspects should be developed and experimented. Technological progress and advancement should permit this idea to be achievable and implemented in near future.
简介:新冠肺炎大流行对全球教学过程(TnL)产生了重大影响。不幸的是,到目前为止,没有发表太多关于新冠肺炎对家庭医学课程影响的定性研究,尤其是在马来西亚。因此,本研究旨在探讨新冠肺炎大流行对在当地大学接受家庭医学课程的本科生的教学体验的影响。方法:采用焦点小组讨论(FGD)对封锁期间的本科生进行定性研究。采用半结构化面试指南对20名本科生进行了面试,他们在大学五年级进行了为期六周的第四至第五周的课程。他们是用有目的的雪球抽样法选出的。共有四次焦点小组讨论(FGD),每组五名学生。所有采访都进行了录音,逐字逐句转录,并使用标准内容分析框架对内容进行了分析。随后,对主题内容进行了分析,并提出了三个主要主题。结果:三个主要主题是(1)促进学习,(2)学习障碍,(3)改进空间。结论:尽管新冠肺炎疫情对大学生家庭医学课程学习成绩有显著影响,但学生仍持乐观态度,并提出了一些改进意见。然而,应该开发和实验一种创造性的、现实的、有效的、有影响力的TnL方法,特别是在临床方面。技术进步和进步应该使这一想法能够在不久的将来实现和实施。
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引用次数: 0
Validity Of Mobile Application Scoscreen for Early Screening of Adolescent Idiopathic Scoliosis 移动应用Scoscreen早期筛查青少年特发性脊柱侧弯的有效性
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.20
Rachel Thomas, Asfarina Zanudin, Yasmin Adlena Hazrin
Introduction: Scoliosis is characterized by an abnormal lateral curvature that may occur during a child’s growth period. Early detection and intervention are needed to prevent the progression of abnormal curvatures. While the gold standard for diagnosing idiopathic scoliosis is x-ray imaging, there is a quick and easy way to perform screening, i.e., using a smartphone. A mobile application with a built-in inclinometer and simple scoliosis tests may help detect scoliosis. Therefore, this study aimed to assess the ScoScreen mobile application’s content for early screening of AIS.Methods: We recruited five physiotherapists with more than five years of experience in paediatric and musculoskeletal and one spinal surgeon. The validity of this study was assessed using a content validity form. Content validity was assessed by calculating the Item-level Content Validity Index (I-CVI), Scale-level Content Validity Index (S-CVI), and modified kappa. Results: The results show that the content validity of ScoScreen has an excellent level of content validity (I-CVI=0.83 – 1.00). The average approach’s overall content validity index was high (S-CVI/Ave=0.94). All items in this study were excellent, with the kappa scores greater than 0.74 (kappa= 0.816 – 1). Conclusion: The development of ScoScreen for early screening of AIS was proven to have excellent content validity in this study. As a result, the Scoscreen mobile application is appropriate for early detection of AIS in terms of its content.
简介:脊柱侧弯是一种异常的侧弯,可能发生在儿童的成长期。需要早期检测和干预,以防止异常曲率的发展。虽然诊断特发性脊柱侧弯的金标准是x射线成像,但有一种快速简便的筛查方法,即使用智能手机。一个内置倾斜仪和简单脊柱侧弯测试的移动应用程序可能有助于检测脊柱侧弯。因此,本研究旨在评估ScoScreen移动应用程序用于AIS早期筛查的内容。方法:我们招募了五名在儿科和肌肉骨骼领域拥有五年以上经验的理疗师和一名脊柱外科医生。本研究的有效性采用内容有效性表进行评估。内容有效性通过计算项目水平内容有效性指数(I-CVI)、量表水平内容有效度指数(S-CVI)和修正kappa进行评估。结果:结果显示,ScoScreen的内容有效性具有良好的内容有效度水平(I-CVI=0.83-1.00)。平均方法的总体内容有效性指数较高(s-CVI/Ave=0.94)。本研究中的所有项目都很优秀,kappa得分大于0.74(kappa=0.816-1)。结论:本研究证明了ScoScreen用于AIS早期筛查的开发具有良好的内容有效性。因此,就内容而言,Scoscreen移动应用程序适用于AIS的早期检测。
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引用次数: 0
Psychological Impact of Covid-19 Pandemic on Mental Health Practitioners in Selangor, Malaysia 2019冠状病毒病大流行对马来西亚雪兰莪州精神卫生从业人员的心理影响
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.5
Lee Yi Mun Vivian, Zhooriyati Sehu Mohamad
Introduction: The Coronavirus disease pandemic of 2019 (COVID-19) has had psychological implications and altered the public’s well-being. In response to the pandemic, mental health practitioners play an essential role in mitigating the adverse psychological effects among the public. However, as the demand for mental health services increases, the responsibilities of mental health professionals are far stretched from what they can handle. Therefore, this research is aimed to explore the psychological impact of the pandemic on the mental health practitioners in Selangor and their coping strategies. Method: A total of 10 mental health practitioners who are clinical psychologists and counselors participated in the one-to-one interview. The collected data were analysed using thematic analysis. Result: The higher client loads, the transition to virtual therapy, burnout, and anxiety were found to have an impact on the mental health practitioners’ well-being. Despite the challenging psychological impact, the mental health practitioners expressed a high level of satisfaction with their jobs, which they attributed to the supportive organisational culture and their intrinsic drive for selecting this profession. The mental health practitioners have reported that perceived organisational support, social support, and self-care approaches are effective coping mechanisms. Mindfulness skills such as breathing techniques and meditation are often practiced by the participants to calm the mind and body from a long day of work. Conclusion: The implication of the study contributes to breaking the stigmatisation of help seeking behaviour among the helping professions, as well as urging the policy makers, governments, and foundations to play a part in providing accessible and quality mental healthcare to the society.
2019年冠状病毒病大流行(COVID-19)产生了心理影响,并改变了公众的福祉。为应对这一流行病,精神卫生从业人员在减轻公众的不良心理影响方面发挥着至关重要的作用。然而,随着对精神卫生服务需求的增加,精神卫生专业人员的责任远远超出了他们的能力范围。因此,本研究旨在探讨大流行对雪兰莪州精神卫生从业人员的心理影响及其应对策略。方法:对10名临床心理咨询师、心理健康从业人员进行一对一访谈。对收集的数据进行专题分析。结果:较高的客户负荷、向虚拟治疗的过渡、倦怠和焦虑对心理健康从业人员的幸福感有影响。尽管具有挑战性的心理影响,心理健康从业人员对他们的工作表达了高度的满意度,他们将其归因于支持性的组织文化和他们选择这一职业的内在动力。心理健康从业者报告说,感知组织支持、社会支持和自我保健方法是有效的应对机制。参与者经常练习呼吸技巧和冥想等正念技能,以便在漫长的一天工作后平静身心。结论:本研究的启示有助于打破帮助行业对求助行为的污名化,并敦促政策制定者、政府和基金会发挥作用,为社会提供可获得和高质量的精神卫生保健。
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引用次数: 0
Periosteum: Functional Anatomy and Clinical Application 骨膜:功能解剖与临床应用
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.46
A. Adeoye, Siti Nurma Hanim Hadie, I. Munajat, Nur Izni Mohd Zaharri, M. Zawawi, S. E. Tuan Sharif, A. R. Sulaiman
Periosteum is a connective tissue that envelopes the outer surface of bones and is tightly bound to the underlying bone by Sharpey’s fibers. It is composed of two layers, the outer fibrous layer and the inner cambium layer. The periosteum is densely vascularised and contains an osteoprogenitor niche that serves as a repository for bone-forming cells, which makes it an essential bone-regenerating tissue and has immensely contributed to fracture healing. Due to the high vascularity of inner cambium layer of the periosteum, periosteal transplantation has been widely used in the management of bone defects and fracture by orthopedic surgeons. Nevertheless, the use of periosteal graft in the management of bone defect is limited due to its contracted nature after being harvested. This review summarizes the current state of knowledge about the structure of periosteum, and how periosteal transplantation have been used in clinical practices, with special reference on its expansion.
骨膜是一种结缔组织,包裹在骨骼的外表面,并通过Sharpey纤维与下方的骨骼紧密结合。它由两层组成,外层纤维层和内层形成层。骨膜血管密集,包含一个骨原生态位,作为骨形成细胞的储存库,这使其成为重要的骨再生组织,并对骨折愈合做出了巨大贡献。由于骨膜内形成层的高血管性,骨膜移植已被骨科医生广泛用于骨缺损和骨折的治疗。然而,骨膜移植物在骨缺损治疗中的应用受到限制,因为其在收获后具有收缩性质。本文综述了骨膜结构的知识现状,以及骨膜移植在临床实践中的应用,并对其扩展提供了特别的参考。
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引用次数: 0
Metformin HCl Oral Preparation Exhibits Anticancer Activity In-vitro in a Human Non-small Cell Lung Tumour Cell Line 盐酸二甲双胍口服制剂在人非小细胞肺癌细胞系中的体外抗癌活性
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.9
C. Karim, Mohammod Jahidul Islam, Shamima Abdul Rahman
Introduction: The most common variety of lung cancer is non–small cell lung cancer (NSCLC) accounting for 84% of new cases. Surgery, chemotherapy and radiation are the primary treatment option. Metformin has recently been demonstrated to have an anti-tumour impact on various cancer cells. The goal of this investigation was to determine the growth inhibitory, antiproliferative, cytotoxic, apoptotic and cell cycle arrest properties of metformin HCl oral tablets on the A549 lung carcinoma cell line. Methods: The cells were treated with different dosages of an oral preparation of metformin, with untreated cells used as a control. The Trypan Blue Exclusion Assay was used to determine metformin’s inhibitory and cytotoxic effects. Flow cytometry was used to evaluate apoptosis and cell cycle arrest. Results: In a dose-dependent manner, metformin HCl was able to reduce the viability of treated cells compared to the untreated control. Cell proliferation was considerably inhibited in the treated group with the IC50 dose than in the untreated control group and the IC50 dose showed no cytotoxic effect on L929 cells. Induction of apoptosis and cell cycle arrest was observed in the IC50 dose-treated group by Flow cytometry analysis and data showed metformin oral drug causes early apoptosis and a considerable cell increase in the S phase of the cell cycle. Conclusion: Metformin inhibits cell growth and induces apoptosis and cell cycle arrest in the cell line. A comprehensive proteome examination is required to understand more about the mechanism of action of the oral metformin HCl on cancer cells.
最常见的肺癌类型是非小细胞肺癌(NSCLC),占新发病例的84%。手术、化疗和放疗是主要的治疗选择。二甲双胍最近被证明对各种癌细胞具有抗肿瘤作用。研究盐酸二甲双胍口服片对A549肺癌细胞株的生长抑制、抗增殖、细胞毒、细胞凋亡和细胞周期阻滞等作用。方法:用不同剂量的二甲双胍口服制剂处理细胞,以未处理的细胞作为对照。台盼蓝排除法测定二甲双胍的抑制作用和细胞毒作用。流式细胞术检测细胞凋亡和细胞周期阻滞。结果:与未处理的对照组相比,盐酸二甲双胍能够以剂量依赖的方式降低处理过的细胞的活力。与未处理对照组相比,IC50剂量处理组细胞增殖明显受到抑制,且IC50剂量对L929细胞无细胞毒作用。流式细胞术观察到IC50剂量组诱导细胞凋亡和细胞周期阻滞,数据显示二甲双胍口服药物导致细胞早期凋亡和细胞周期S期大量细胞增加。结论:二甲双胍能抑制细胞生长,诱导细胞凋亡和细胞周期阻滞。为了进一步了解口服二甲双胍HCl对癌细胞的作用机制,需要进行全面的蛋白质组学检查。
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引用次数: 0
Knowledge, Attitudes and Self-reported practices Questionnaire on Pureed Diet Preparation (KAP DYS Puree) among Food Handlers in Malaysian Hospitals for Dysphagia Management: Development, Validity, and Reliability Testing 知识,态度和自我报告的做法调查问卷在马来西亚医院的食品处理人员中,用于吞咽困难的管理:发展,效度和信度测试
Pub Date : 2023-05-15 DOI: 10.47836/mjmhs.19.3.24
Aizul Azri Azizan, Hanif Farhan Mohd Rasdi, S. Shahar, Z. Abdul Manaf, H. Haron, N. Razalli
Introduction: This methodological research study aimed to measure content validity and reliability of a newly developed questionnaire of knowledge, attitudes, and self-reported practices towards pureed diet preparation (KAP DYS Puree) among hospital food handlers for dysphagia management. Methods: The study was conducted through face validation, content validation, content reliability and construct validation. A cross-sectional design with convenience sampling was carried out involving 4 panels for face validation, 10 raters for content validity and 161 food handlers participated for Exploratory Factor Analysis (EFA), while 30 food handlers were involved for test-retest reliability. The questionnaire which consisted of 40 items distributed into 3 domains and was assessed and analyzed using modified kappa (k*) for reliability. Results: Content Validity Index revealed the following I-CVI values: knowledge = 0.915, attitudes = 0.922 and self-reported practices = 0.900 and modified kappa values (k*) knowledge = 0.983, attitudes = 0.9214 and self-reported practices = 0.899. The EFA was employed for two dimensions which were self-reported practices and attitudes based on principal axis of factoring with varimax rotation. The factor analysis yielded two factors with a total of 10 items in the attitudes domain and two factors with a total of 9 items in the self-reported practices domain that had satisfactory factor loading (> 0.3). The Kaiser-Meyer-Olkin (KMO) values for attitudes = 0.816 and self-reported practices = 0.776. Bartlett’s test of sphericity was significant at p < 0.0001 for attitudes and self-reported practices indicating the suitability of this data for factor analysis. Interclass Correlation Index (ICC) values for attitudes = 0.739 and self-reported practices = 0.789. Conclusion: This instrument can be used as a need assessment tool in the development of a comprehensive training module for pureed diet preparations in dysphagia management.
引言:这项方法学研究旨在测量一份新开发的问卷的内容有效性和可靠性,该问卷涉及医院食品处理人员对纯净饮食准备(KAP DYS Puree)的知识、态度和自我报告实践,用于吞咽困难管理。方法:通过人脸验证、内容验证、内容可靠性和结构验证进行研究。进行了一项方便抽样的横断面设计,涉及4个人脸验证小组,10名内容有效性评分员,161名食品处理人员参与了探索性因素分析(EFA),30名食品处理人参与了重新测试的可靠性。该问卷由分布在3个领域的40个项目组成,并使用改良的kappa(k*)进行可靠性评估和分析。结果:内容有效性指数显示以下I-CVI值:知识=0.915,态度=0.922,自我报告的实践=0.900,修正的kappa值(k*)知识=0.983,态度=0.9214,自我报告实践=0.899。EFA用于两个维度,即基于方差最大旋转因子分解主轴的自我报告实践和态度。因子分析得出两个因素,态度领域共有10个项目,自我报告实践领域共有9个项目,具有令人满意的因子负荷(>0.3)。态度的Kaiser-Meyer-Olkin(KMO)值=0.816,自我报告的实践值=0.776。Bartlett的球形度检验在态度和自我报告的实践中具有显著性,p<0.0001,表明该数据适用于因素分析。态度的类间相关指数(ICC)值=0.739,自我报告的实践=0.789。结论:该仪器可作为一种需求评估工具,用于开发吞咽困难管理中纯饮食制剂的综合训练模块。
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Malaysian Journal of Medicine and Health Sciences
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