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Mental emotional disorder is a predictor of stroke incidence in adults:Ten year results of the Bogor Cohort Study on Non-Communicable Disease Risk Factors in Indonesia

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Asian Pacific Journal of Tropical Medicine 2024年第8期17卷 351-357页

作者： Woro Riyadina Alifa Syamantha Putri Sulistyowati Tuminah ika Suswanti Yuda Turana Research Center for Public Health and Nutrition Organization Research for HealthNational Research and Innovation AgencyCenter JakartaIndonesia StiKes Widya Dharma Husada Tangerang South TangerangIndonesia School of Medicine and Health Sciences Atma Jaya Catholic University of IndonesiaNorth JakartaIndonesia

Objective:To determine the stroke predictors for the 10-year of follow-up in Bogor City,***:The prospective study analyzed the data of 4445 stroke-free subjects aged 25 years and above that was part of"the Bogor Cohort Study on Non-Communicable Disease Risk Factors".Data were collected by interview method with structured questionnaires,physical measurements three times a year,and laboratory examination every two years during a 10-year follow-up(2011-2021,without examination in 2020).The incidence of stroke is based on anamnesis results and examination by a *** stroke predictor variables include characteristics,biological conditions,and risk *** analysed 4445 stroke-free samples with Cox proportional hazard regression ***:During the 10-year observation,stroke incidence was 440 person-years per 100000 population(95%CI 370-530).During the follow-up of ten years,the main predictor of stroke was mental-emotional disorders with HR 4.2(95%CI 2.8-6.3)after adjustment by age,hypertension,obesity,abdominal obesity,and high LDL-cholesterol ***:Mental-emotional disorders are the strongest predictor of stroke ***,psychological factors must be controlled in a stroke prevention program.

关键词： Adult Cohort Mental-emotional disorder Stroke predictor

Unique Clinical Features of Curaderm when Treating Skin Cancers

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Journal of Cancer Therapy 2024年第1期15卷 13-27页

作者： Tania Robyn Chase Kai Elliot cham Bill Elliot cham Australasian Medical Research Port Vila Republic of Vanuatu

Basal cell carcinoma is the most common form of skin cancer and the most frequently occurring form of all cancers. Conventional treatments to remove or destroy basal cell carcinoma are indiscriminate and also remove or destroy normal skin cells resulting in compromised cosmetic outcomes. Consequences of these treatments include body-image issues, anxiety, post-traumatic stress disorder, depression, and poorer quality of social and family life. A progressive topical cream formulation, Curaderm, containing the natural BEC glycoalkaloids, have shown to have advantages over conventional treatments. However, comprehensive clinical features of the skin cancer lesions during treatment with Curaderm have to date not been reported. This report shows that using unpublished data from a large number of patients with varying sizes, types and locations of basal cell carcinomas when treated with Curaderm in a phase 3 trial, an initial increase in size of the lesions occur, followed by a reverse course, leading to complete removal of the skin cancer. The specificity and mode of action of Curaderm explains the superior cosmetic outcomes when compared with conventional therapies.

关键词： Curaderm Skin Cancer Basal Cell Carcinoma BEC Glycoalkaloids Conventional Treatments

The Value of Excipients and the Required Understanding of the Biological System in Product Development: An Impactful Example of Curaderm, a Topical Skin Cancer Treatment

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International Journal of Clinical Medicine 2024年第2期15卷 68-87页

作者： Tania Robyn Chase Kai Elliot cham Bill Elliot cham Australasian Medical Research Port Vila Republic of Vanuatu

The incidences of nonmelanoma skin cancer are increasing worldwide, and the ongoing war on its treatment necessitates the development of effective and non-invasive methods. Through basic and clinical research, non-invasive treatments like Curaderm have been developed, leading to improved quality of life for patients. Excipients, previously considered inactive ingredients, play a crucial role in enhancing the performance of topical formulations. The development of Curaderm emphasizes the importance of understanding the interactions between active ingredients, excipients, and the biological system to create effective and affordable pharmaceutical formulations. The systematic approach taken in the development of Curaderm, starting from the observation of the anticancer activity of natural solasodine glycosides and progressing through toxicological and efficacy studies in cell culture, animals, and humans, has provided insights into the pharmacokinetics and pharmacodynamics of solasodine glycosides. It is crucial to determine these pharmacological parameters within the skin’s biological system for maximal effectiveness and cost-effectiveness of a skin cancer treatment. Curaderm, as a topical treatment for nonmelanoma skin cancer, offers benefits beyond those obtained from other topical treatments, providing hope for improved quality of life for patients.

关键词： Curaderm BEC Solasodine Glycosides Solamargine Apoptosis Skin Cancer Actinic Keratosis Keratoacanthoma Basal Cell Carcinoma Squamous Cell Carcinoma

Gold Standard for Skin Cancer Treatment: Surgery (Mohs) or Microscopic Molecular-Cellular Therapy (Curaderm)?

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Journal of Cancer Therapy 2024年第2期15卷 33-47页

作者： Bill Elliot cham Australasian Medical Research Port Vila Republic of Vanuatu

Non-melanoma skin cancers or keratinocyte cancers such as basal cell carcinoma and squamous cell carcinoma make up approximately 80% and 20% respectively, of skin cancers with the 6 million people that are treated annually in the United States. 1 in 5 Americans and 2 in 3 Australians develop skin cancer by the age of 70 years and in Australia it is the most expensive, amassing $1.5 billion, to treat cancers. Non-melanoma skin cancers are often self-detected and are usually removed by various means in doctors’ surgeries. Mohs micrographic surgery is acclaimed to be the gold standard for the treatment of skin cancer. However, a novel microscopic molecular-cellular non-invasive topical therapy described in this article, challenges the status of Mohs procedure for being the acclaimed gold standard.

关键词： Skin Cancer Basal Cell Carcinoma Squamous Cell Carcinoma Mohs Surgery Microscopic Molecular-Cellular Curaderm Actinic Keratosis Cosmesis

Sociodemographic Background and Psychosocial Behaviors of Perpetrators of Intimate Partner Violence: A Hospital-based Retrospective Study

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Journal of Forensic Science and Medicine 2024年第3期10卷 176-183页

作者： Amal Nishantha Vadysinghe Tharanga bandara Nayakarathne Y.M.G.Ilangarathna Banda Kasun bandara Ekanayake Isuru Perera Yomal Wijesiriwardena Department of Forensic Medicine Faculty of MedicineUniversity of PeradeniyaPeradeniyaSri Lanka Teaching Hospital Kurunegala KurunegalaSri Lanka

Background:Intimate partner violence(IPV)is a worldwide issue with a high prevalence rate seen *** and Objectives:To plan and implement preventive measures,it is important to understand the characteristics,background,and medico-legal significance,especially from the perspective of *** and Methods:This study is a questionnaire-based retrospective study conducted among perpetrators of IPV who presented to a tertiary care hospital in Sri ***:Out of 325 subjects,97.2%were males and 64.0%were aged 26–45 ***(80.9%)perpetrators were older than the victimized partner,with a mean age gap of 4.3 *** 2.8%had achieved higher education and 78.5%had been married to the victim for more than5 *** and/or other substances were abused by 75.4%and 11.1%of them were diagnosed with a psychiatric *** have been exposed to child abuse(CA)as minors(50.1%),with physical CA being the most common,whereas 42.5%had witnessed IPV during their ***-treatment by the spouse(odds ratio[OR]=24[95%confidence interval(CI):5.6,99.9])and substance use(OR=22[95%CI:5.1,91.5])were significantly associated with perpetrating emotional violence.A victim having an extramarital affair was 5.1 times more likely to be subjected to sexual IPV,whereas previous IPV,parental deprivation,and affairs of perpetrator were proved to be protective *** had negatively affected the economy of 71.3%of *** procedures were expected by 22.4%,whereas 60%wanted to negotiate with their ***:Families having low income and alcohol/substance abuse should be targeted to plan preventive programs at the community *** counseling and follow-up of victims of CA can be used as a primary preventive measure of IPV.

关键词： Domestic violence intimate partner violence physical abuse sexual harassment

Old-growth mixed dipterocarp forests show variable losses and gains in aboveground biomass and standing carbon over forty years

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Forest Ecosystems 2024年第1期11卷 14-23页

作者： Sisira Ediriweera cham.ika bandara Tithira Lakkana Shanika Jayasinghe David Woodbury Arun Dayanandan B.M.P.Singhakumara Xiangcheng Mi I.A.U.N.Gunatilleke C.V.S.Gunatilleke Mark SAshton Department of Science and Technology Uva Wellassa UniversityBadullaSri Lanka The Forest School Yale School of the EnvironmentYale UniversityNew HavenCT06511USA Department of Forestry and Environmental Science University of Sri JayewardenepuraNugegodaSri Lanka State Key Laboratory of Vegetation and Environmental Change Institute of BotanyChinese Academy of SciencesBeijing100093China Botany Department University of PeradeniyaPeradeniyaSri Lanka

Background:No studies have documented long-term trends in aboveground biomass(AGB)for mixed-dipterocarp forests(MDF),the dominant rain forest type in tropical wet equatorial *** our study,we sought to document such trends over forty years across three sites representing lowland to lower montane ***:To do this,we established fifty 100 m×25 m plots in 1978 across three sites sampled along an elevation gradient,identified as mature old-growth *** measured trees for diameter at breast height that we identified to species and *** took wood samples to calculate species wood-specific *** re-measured plots in 1998 and again in ***:We show standing AGB for all sites combined to be 517.52 Mg·ha^(-1)in 1978,but this declined by 17%over 40 years to 430.11 Mg·ha^(-1).No differences exist among sites in AGB primarily because of considerable within site variation;but interactions of time with site show declines across sites were not uniform,one remained about the *** few species represented a high proportion of the AGB with the top five species comprising between 34%and 65%,depending upon site and year *** species,Mesua nagassarium,represented a disproportionately large amount of AGB and decline over time,particularly at the low elevation ***:Our results are directly relevant to estimating AGB and standing carbon sequestered in *** study is the first to demonstrate varying but overall,declining trends in amounts of AGB among forests making predictions of biomass and standing carbon in MDF difficult over wide regions.

关键词： Western ghats Shorea spp. Southeast Asia Sri Lanka Tropical rain forest Wood specific gravity

An oxygenating colloidal bioink for the engineering of biomimetic tissue constructs

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Bio-Design and Manufacturing 2024年第3期7卷 240-261页

作者： Seol-Ha Jeong Jarno Hiemstra Patrick V.Blokzijl Rebeca Damian-Ferrara Danilo Martins dos Santos Jéssica H.L.da Fonseca Min-Ho Kang Jihyun Kim Dilara Yilmaz-Aykut Mei L.L.cham-Pérez Jeroen Leijten Su Ryon Shin Division of Engineering in Medicine Department of MedicineBrigham and Women’s HospitalHarvard Medical SchoolBostonMA 02139USA Leijten Lab Department of Developmental BioEngineeringFaculty of Science and TechnologyTechnical Medical CentreUniversity of TwenteDrienerlolaan 57522 NB EnschedeThe Netherlands Nanotechnology National Laboratory for Agriculture(LNNA) Embrapa InstrumentaçãoSao CarlosSao Paulo 13560-970Brazil Department of Biomedical-Chemical Engineering The Catholic University of Korea43 Jibong-roBucheon-siGyeonggi-do 14662Republic of Korea Department of Biotechnology The Catholic University of Korea43 Jibong-roBucheon-siGyeonggi-do 14662Republic of Korea

Ensuring a sufficient oxygen supply is pivotal for the success of bioprinting applications since it fosters tissue integration and natural *** in oxygen concentration among diverse tissues necessitates the precise recreation of tissue-specific oxygen levels in imprinted constructs to support the survival of targeted *** oxygen-releasing biomaterials,such as oxygen-generating microparticles(OMPs),have shown promise for enhancing the oxygen supply of microenvironments in injured tissues,whether this approach is scalable for large tissues and whether tissue-specific bioinks with varying OMP concentrations remain printable remain *** study addresses this critical gap by introducing an innovative class of engineered oxygenated bioinks that combine colloidal-based microgels with *** report that incorporating nanosized calcium peroxide(nCaO_(2))and manganese oxide nanosheets(nMnO_(2))into hydrophobic polymeric microparticles enables precise modulation of oxygen release while controlling hydrogen peroxide ***,the fabrication of oxygenating and cytocompatible colloidal gels is achieved using an aqueous two-phase *** study thoroughly evaluates the fundamental characteristics of the resulting bioink,including its rheological behaviors,printability,shape fidelity,mechanical properties,and oxygen release ***,this study demonstrates the macroscopic scalability and cytocompatibility of printed constructs produced via cell-laden oxygenating colloidal *** showcasing the effectiveness of extrusion-based bioprinting,this study underscores how it can be used to fabricate biomimetic tissues,indicating its potential for new *** findings presented here advance the bioprinting field by achieving scalability with both high cell viability and the possibility of mimicking specifically oxygenated *** work thereby offers a promising avenue for the development of functional tissues with e

关键词： 3D bioprinting Bioink Colloidal gels Extrusion printing Oxygen-generating microparticle

Geogenic Pollution of Groundwater Quality in Gampaha District, Sri Lanka: A Case Study of Groundwater Acidification from Rathupaswala

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International Journal of Geosciences 2024年第8期15卷 590-604页

作者： Ishara Pathirage Anushka Upamali Rajapaksha S. P. Sucharitha bandara G. W. A. Rohan Fernando Postgraduate Institute of Science University of Peradeniya Peradeniya Sri Lanka Instrument Centre Faculty of Applied Sciences University of Sri Jayewardenepura Colombo Sri Lanka Ecosphere Resilience Research Centre Faculty of Applied Sciences University of Sri Jayewardenepura Colombo Sri Lanka Central Environmental Authority Battaramulla Sri Lanka Department of Physics The Open University of Sri Lanka Colombo Sri Lanka

Over recent decades, Gampaha district, Sri Lanka, has experienced significant urbanisation and industrial growth, increasing groundwater demand due to limited and polluted surface water resources. In 2013, a community uprising in Rathupaswala, a village in Gampaha district, accused a latex glove manufacturing factory of causing groundwater acidity (pH < 4). This study evaluates the spatial and temporal changes in geochemical parameters across three transects in the southern part of Gampaha district to 1) assess the impact of geological formations on groundwater;2) compare temporal variations in groundwater;and 3) explain acidification via a geochemical model. Seventy-two sample locations were tested for pH, electrical conductivity (EC), and anion concentrations (sulphate, nitrate, chloride and fluoride). Depth to the water table and distance from the sea were measured to study variations across sandy, peaty, lateritic, and crystalline aquifers. Results showed pH readings around 7 for sandy and crystalline aquifers, below 7 for peaty aquifers, and below 5 for lateritic aquifers, with significant water table fluctuations near Rathupaswala area. Principal component analysis revealed three principal components (PCs) explaining 86.0% of the variance. PC1 (40.6%) correlated with pH, EC, and sulphate (saltwater intrusion), while PC2 (32.0%) correlated with nitrates and depth to the water table (anthropogenic nutrient pollution). A geochemical transport model indicated a cone of depression recharged by acidic groundwater from peat-soil aquifers, leading to acidic groundwater in Rathupaswala area. Previous attributions of acidic pH to the over-exploitation of groundwater by the latex factory have been reevaluated;the results suggest natural acidification from prolonged water-rock interactions with iron-rich lateritic aquifers. Groundwater pH is influenced by local climate, geology, topography, and drainage systems. It is recommended that similar water-rock interaction condit

关键词： Groundwater Acidification Acid Sulphate Soils (AAS) Ion Chromatography Groundwater Quality

Unique Clinical Features of Curaderm when Treating Skin Cancers

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