5,475 research outputs found

    Cancer-Related Direct-To-Consumer Advertising - A Study of its Antecedents, Influence on Patient Information Seeking Behaviors, and Contingent Effects

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    Direct-to-consumer advertising (DTCA) of prescription medications and healthcare facilities has generated much debate over the potential benefits and adverse consequences for the public at large, patients, clinician-patient relationships, and the overall healthcare system. This dissertation is aimed at contributing to this debate through studying the impact of DTCA in the context of cancer treatment. Study 1 assessed the reliability and validity of three candidate measures of patient-reported exposure to cancer-related DTCA across seven criteria. The study found that all three measures performed well in terms of convergent, nomological, discriminant, and face validity. Findings from this study offer support for utilizing these survey measures in future studies targeting cancer patients. Next, Study 2 examined the prevalence and correlates of cancer-related DTCA exposure in a sample of patients in Pennsylvania diagnosed with breast, prostate, or colorectal cancers. On average, patients reported modest exposure to such DTCA (median exposure was once per week). Significant correlates of exposure included cancer type, age, stage of disease, and ethnicity. Study 3 investigated the relationships between DTCA exposure and subsequent information seeking behaviors. The analyses detected a significant association between DTCA exposure and cancer patients\u27 subsequent information engagement with their clinicians at one-year follow-up. Exposure to DTCA was marginally significant in predicting information seeking from non-clinician (lay media and interpersonal) sources. Based on the Integrative Model of Behavioral Prediction, a focused analysis showed a significant indirect path between DTCA exposure and subsequent information seeking from non-clinician sources, mediated through attitudes and intention to seek from these sources. Study 4 was guided by the Structural Influence Model of Communication to explore disparities in health information seeking behaviors arising from DTCA exposure. The study found that the associations between DTCA exposure and active information seeking behaviors were not moderated by patients\u27 age, educational level, race/ethnicity, or cancer type. To conclude, these studies would likely inform the ongoing debate and future research regarding the impact of cancer-related DTCA exposure on communication outcomes and disparities

    Placenta praevia: Preach and perception

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    Placenta praevia is a known obstetric condition that causes complications to mother and fetus. This study was done to evaluate the knowledge of placenta praevia amongst the obstetric patients. A cross sectional study was carried out in Hospital Ipoh, Perak among 323 antenatal and postnatal patients. Socio-demographic parameters (ie age, race, parity, occupation, educational level) and history of placenta praevia were studied in relation to level of knowledge and attitude towards placenta praevia. Twenty (6.2%) from 323 women had current or past history of placenta praevia. Three had history of placenta praevia while 17 had current placenta praevia with prevalence of 5.3%. The mean score of knowledge achieved by patients was 11.8 which indicated overall poor knowledge. Occupation, level of education and history of placenta praevia were found to have a relationship with level of knowledge regarding placenta praevia in all obstetric patients. There was a significant relationship between attitude of patients with current and history of placenta praevia to level of knowledge regarding placenta praevia. (p=0.037, <0.05). In conclusion, the knowledge and attitude towards placenta praevia among obstetric patients in Hospital Ipoh was better in those who had higher education status, white-collar occupation and currently pregnant with placenta praevi

    Evaluation of Bioactivities and Phenolic Content of Selected Edible Mushrooms in Malaysia

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    Purpose: To determine the radical scavenging, metal chelating, antibacterial and cytotoxic activities of five edible mushrooms in Malaysia.Methods: Mushrooms (H. tessulatus, P. eryngii, P. florida, A. polytricha and F. velutipes) were ovendried and extracted with 90 % ethanol. Radical scavenging and metal chelating assays were based on the measurement of 1,1-diphenyl-2-picrylhydrazyl (DPPH) and ferrozine absorbance at 517 and 562 nm, respectively. Mushrooms total phenolic and flavonoid contents were determined by spectrophotometric methods. Antimicrobial activity was measured using Kirby-Bauer Susceptibility Test. Cytotoxicity was assessed using brine shrimp toxicity assay.Results: Total phenolic and flavonoid contents ranged from 0.90 - 6.03 mg GAE per g of dry sample and 0.17 - 6.95 mg QE per g of dry sample, respectively. A. polytricha demonstrated the strongest radical scavenging and metal chelating activities. Moderate antimicrobial activity was found for extracts of both P. florida and A. polytricha. Cytotoxicity LD50 ranged from 46.9 - 115.8 Îźg/ml.Conclusion: The results suggest that A. polytricha is a suitable candidate for chemoprevention and would safe for use in large doses.Keywords: Cytotoxicity, Flavonoid, Free radical scavenging, Metal chelating, Mushroom, Phenoli

    Performance analysis of brushless DC motors including features of the control loop in the finite element modeling

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    Author name used in this publication: S. L. HoAuthor name used in this publication: H. C. WongAuthor name used in this publication: W. N. Fu2001-2002 > Academic research: refereed > Publication in refereed journalVersion of RecordPublishe

    Insufficient activity of MAPK pathway is a key monitor of Kidney-Yang Deficiency Syndrome.

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    OBJECTIVE: To explore the genetic characteristics and molecular regulator of Kidney-Yang Deficiency Syndrome (KDS). DESIGN: A typical KDS family was collected using a questionnaire of cold feeling and a 40-item scoring table of KDS based on Traditional Chinese Medicine (TCM), by single-blind method repeated annually over three years. Their transcriptomes were assayed by microarray and validated by RT-PCR and ELISA. Simultaneously, 10 healthy volunteers were recruited as controls and the same protocols were performed. RESULTS: This typical KDS family has 35 members, of whom 11 were evaluated as having severe KDS and 6 as having common KDS. Results of the cDNA microarray revealed that there were 420 genes/expressed sequence tags differentially expressed in KDS transcriptomes, indicating a global functional impairment in the mass-energy-information carrying network of KDS patients, involving energy metabolism, signal transduction, development, cell cycle, and immunity. Pathway analysis by gene set enrichment assay (GSEA) and other tools demonstrated that mitogenic activated protein kinase (MAPK) is among the most insufficiently activated pathways, while the oxidative phosphorylation and glycolysis/gluconeogenesis pathways, the two main pathways relevant to ATP synthesis, were among the most excessively activated pathways in KDS patients. Results of RT-PCR and ELISA confirmed the status of insufficient activity of the MAPK pathway. CONCLUSION: KDS patients undergo overall attenuated functions in the mass-energy-information carrying network. The marked low level of energy output in KDS may be primarily attributed to the insufficient activity of the MAPK pathway, which may be a key monitor for the abnormal energy metabolism and other impaired activities in KDS.published_or_final_versio

    The Association between Cardiorespiratory Fitness and Gut Microbiota Composition in Premenopausal Women

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    The aim of this study was to investigate the association between cardiorespiratory fitness and gut microbiota composition in premenopausal women. The participants consisted of 71 premenopausal Finnish women ( aged 19-49 years). Gut microbiota were analyzed using flow cytometry, 16S rRNA gene hybridization and DNA-staining. Maximum oxygen uptake (VO2max) was assessed by respiratory gas analyzer and body composition by Bioimpdance. We found that participants with low VO2max had lower Bacteroides, but higher Eubacterium rectale-Clostridium coccoides than the high VO2max group (p < 0.05 for all). VO2max was inversely associated with EreC (r = 0.309, p = 0.01) but not with other bacteria. VO2max also negatively correlated with fat% (r = 0.755, p < 0.001), triglycerides (r = -0.274, p = 0.021) and leptin (r = -0.574, p < 0.001). By contrast, EreC was positively associated with fat% (r = 0.382, p = 0.002), dietary fat intake (r = 0.258, p = 0.034), triglycerides (r = 0.390, p = 0.002) and leptin (r = 0.424, p = 0.001), but negatively with carbohydrate intake (r = -0.252, p = 0.034) and HDL (r = -0.26, p = 0.028). After adjusting for age and dietary intake, all the significant associations remained. However, after adjusting for fat%, the associations between VO2max and EreC disappeared. Our results suggest that cardiorespiratory fitness is associated with gut microbiota composition, independent of age and carbohydrate or fat intake. The association between VO2max and EreC, however, appears to be mediated by body fatness

    Generative Artificial Intelligence Through ChatGPT and Other Large Language Models in Ophthalmology: Clinical Applications and Challenges

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    The rapid progress of large language models (LLMs) driving generative artificial intelligence applications heralds the potential of opportunities in health care. We conducted a review up to April 2023 on Google Scholar, Embase, MEDLINE, and Scopus using the following terms: “large language models,” “generative artificial intelligence,” “ophthalmology,” “ChatGPT,” and “eye,” based on relevance to this review. From a clinical viewpoint specific to ophthalmologists, we explore from the different stakeholders’ perspectives—including patients, physicians, and policymakers—the potential LLM applications in education, research, and clinical domains specific to ophthalmology. We also highlight the foreseeable challenges of LLM implementation into clinical practice, including the concerns of accuracy, interpretability, perpetuating bias, and data security. As LLMs continue to mature, it is essential for stakeholders to jointly establish standards for best practices to safeguard patient safety. Financial Disclosure(s): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article

    Immersive learning of biomolecules

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    This paper reports a new international initiative on the use of virtual and augmented reality (VAR) technology to assist student learning of biomolecules. Researchers, developers and educators from Nanyang Technological University, National Institute of Education, Hwa Chong Institution and River Valley High School in Singapore, Utrecht University and Windesheim University of Applied Science in The Netherlands, will work together for two years on this project. The objective of this research is to investigate the benefits of applying the latest VAR technology to enhance students’ learning of molecular biology. In particular, the project is keen to design new immersive and interactive contents for selected topics such as enzymes, proteins, DNAs etc., in molecular biology. This interdisciplinary collaboration has a potential to grow globally
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