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Pareto optimization for electrodes placement: compromises between electrophysiological and practical aspects

Mulyadi IH, Fiedler P, Eichardt R, Haueisen J, Supriyanto E

Med Biol Eng Comput, 2021 Feb;59(2):431-447.
PMID: 33495984 DOI: 10.1007/s11517-021-02319-9

Wearable electronics and sensors are increasingly popular for personal health monitoring, including smart shirts containing electrocardiography (ECG) electrodes. Optimal electrode performance requires careful selection of the electrode position. On top of the electrophysiological aspects, practical aspects must be considered due to the dynamic recording environment. We propose a new method to obtain optimal electrode placement by considering multiple dimensions. The electrophysiological aspects were represented by P-, R-, and T-peak of ECG waveform, while the shirt-skin gap, shirt movement, and regional sweat rate represented the practical aspects. This study employed a secondary data set and simulations for the electrophysiological and practical aspects, respectively. Typically, there is no ideal solution that maximizes satisfaction degrees of multiple electrophysiological and practical aspects simultaneously; a compromise is the most appropriate approach. Instead of combining both aspects-which are independent of each other-into a single-objective optimization, we used multi-objective optimization to obtain a Pareto set, which contains predominant solutions. These solutions may facilitate the decision-makers to decide the preferred electrode locations based on application-specific criteria. Our proposed approach may aid manufacturers in making decisions regarding the placement of electrodes within smart shirts.
Determination of warfarin in volumetric absorptive microsampling by liquid chromatography-tandem mass spectrometry

Harahap Y, Mulyadi CA, Muliawan HS, Wahab HA

Heliyon, 2024 Jul 30;10(14):e34500.
PMID: 39130442 DOI: 10.1016/j.heliyon.2024.e34500

OBJECTIVE: This study aims to develop and validate bioanalytical method for quantifying warfarin in VAMS samples using liquid chromatography tandem mass spectrometry (LC-MS/MS), directly implementing the method to patients receiving warfarin therapy.
METHODS: The UPLC-MS/MS method was developed and optimized, with quercetin as the internal standard. Sample preparation was carried out using protein precipitation with methanol-acetonitrile (1:3 v/v).
RESULTS: Chromatographic separation was achieved using Acquity® UPLC BEH C18 column with 0.1 % formic acid-acetonitrile-methanol (30:69:1 v/v) as mobile phase, in isocratic elution. Multiple Reaction Monitoring (MRM) detection was done using m/z values of 307.10 → 161.06 for warfarin and 301.03 → 150.98 for quercetin as internal standard, using Electrospray Ionization (ESI) negative ion source. The clinical application of the bioanalytical method was carried out on 25 patients receiving warfarin therapy at Universitas Indonesia Hospital and warfarin levels were well within the calibration range from 6.05 to 431.39 ng/mL.
CONCLUSION: A novel method has been developed to analyze warfarin in VAMS samples. This method has been fully validated according to guideline from FDA 2022 and is linear in the range of 5-500 ng/mL and the value of r ≥ 0.9977, and successfully applied for the analysis of warfarin in VAMS samples of clinical patients.
Currents simulation in the Malacca Straits by using three-dimensional numerical model

Rizal S, Setiawan I, Ilhamsyah Y, Musman M, Iskandar T, Wahid MA

Sains Malaysiana, 2010;39.

The Malacca Straits is located between Peninsula Malaysia and Sumatra Island. This investigation used equation of motion (Navier-Stokes equation) with the following driving forces: tides, wind of National Centers for Environmental Prediction (NCEP) for year of 2007, salinity and temperature. The equation of motion was solved by means of Hamburg Shelf Ocean Model (HAMSOM). The results for both southwest and northeast monsoon were explained and discussed. The simulation results both for February and August 2007 were relatively similar. Current surface simulation in the Malacca Straits agrees well with the current pattern of previous works. The magnitude of current was between 10-70 cm/s to the northwest. While at the layer 30-50 m in the Malacca Straits, the currents have the magnitude of 10-30 cm/s towards northwest. For the bottom current, the current speed was 0-20 cm/s towards northwest. For the surface and 30-50 m layer, generally the current magnitudes were greater in February compared to those in August. While for the bottom layer, the current magnitudes between February and August were relatively the same.
Fulltext The role of women in maintaining health and preserving culinary in Malay Batubara society through the tradition of Menotou Banjo

Hasnidar, Sibarani R, Sinar S, Mulyadi

Gac Sanit, 2021;35 Suppl 2:S583-S587.
PMID: 34929906 DOI: 10.1016/j.gaceta.2021.10.088

OBJECTIVE: This study discusses the role of Batubara Malay women in maintaining health and preserving culinary through the Menotou Banjo tradition. The Menotou Banjo tradition is a tradition of growing rice in the Malay community in Batubara Regency, North Sumatra Province.
METHOD: The research method used, namely qualitative with interactive models. The interactive model uses four stages, namely data collection, data condensation, data display, and conclusions: drawing/verifying. The research approach used is a Anthropolinguistics.
RESULTS: The results showed the role of Batubara Malay women in maintaining the health of themselves and their families through healthy food during the rice planting season. The serving of food and cakes during the implementation of the Menotou Banjo tradition is a symbol of the ability and skills of the Batubara Malay woman in gathering almost the same food into various types of food. In addition, Batubara Malay women also have a high social and mutual cooperation in social life.
CONCLUSION: The conclusion of the research shows that the Batubara Malay woman has an important role in maintaining health and also helps her husband to earn a living for family survival. Thus the next generation of healthy, prosperous, and intelligent people will be created.
Transcatheter closure of muscular ventricular septal defect using the Amplatzer devices

Djer MM, Latiff HA, Alwi M, Samion H, Kandavello G

Heart Lung Circ, 2006 Feb;15(1):12-7.
PMID: 16473785

From November 1997 to June 2002, percutaneous transcatheter closure of muscular ventricular septal defects was attempted in seven patients. Four patients had single and three had multiple defects. Surgical closure was performed in two patients in an attempt to close a perimembranous defect, leaving behind a large apical muscular defect, which was successfully closed using a device in one patient, whilst the second patient succumbed to septicemia/endocarditis 3 weeks after failure of device implantation. One patient had previous pulmonary artery banding and in another intraoperative placement of two Clamshell devices followed by additional transcatheter closure using Gianturco coils in two different sessions was performed.
Fulltext Initial results and medium-term follow-up of stent implantation of patent ductus arteriosus in duct-dependent pulmonary circulation

Alwi M, Choo KK, Latiff HA, Kandavello G, Samion H, Mulyadi MD

J Am Coll Cardiol, 2004 Jul 21;44(2):438-45.
PMID: 15261945 DOI: 10.1016/j.jacc.2004.03.066

Objectives: This study was designed to assess the safety, efficacy, medium-term outcome, and complications of patent ductus arteriosus (PDA) stenting in duct-dependent pulmonary circulation.
Background: Patent ductus arteriosus stenting has been proposed as an alternative to surgical shunt on account of postoperative morbidity and complications of surgical shunting.
Methods: Between April 2000 and February 2003, 69 patients with duct-dependent pulmonary circulation underwent cardiac catheterization with the intent of PDA stenting as first palliative procedure. Patients with critical pulmonary stenosis and pulmonary atresia with intact ventricular septum post-radiofrequency valvotomy who had PDA stenting were excluded. Thirteen more patients were excluded because of branch pulmonary artery (PA) stenosis. The follow-up was by clinical examination, echocardiography, and repeat cardiac catheterization at six to nine months following the procedure.
Results: Patent ductus arteriosus stenting was successful in 51 patients (91.1%) and failed in 5 patients (8.9%). The mean narrowest PDA diameter was 1.9 +/- 0.6 mm. The mean procedure and fluoroscopy time were 95.7 min and 29.4 min, respectively. In one patient the stent dislodged and migrated to the left femoral artery and another patient developed transient intravascular hemolysis. There was no procedure-related mortality. Three patients (5.9%) died one day to two months after the procedure. At follow-up (3.2 months to 2.4 years), 8 patients developed significant stent stenosis requiring reintervention. Seven patients developed worsening of preexisting branch PA stenosis. The freedom from reintervention was 89% and 55% at 6 months and 1 year, respectively.
Conclusions: Patent ductus arteriosus stenting is an attractive alternative to surgical shunt in a majority of patients with duct-dependent circulation. An absolute contraindication to this technique is the presence of branch pulmonary stenosis.
Fulltext Transcatheter Closure of Atrial Septal Defects in a Center With Limited Resources: Outcomes and Short Term Follow-Up

Putra ST, Djer MM, Idris NS, Samion H, Sastroasmoro S

Iran J Pediatr, 2015 Dec;25(6):e3906.
PMID: 26635945 DOI: 10.5812/ijp.3906

Transcatheter closure of atrial septal defects (ASD) has been accepted world-wide as an alternative to surgical closure with excellent results. This interventional, non-surgical technique plays an important role in the treatment of ASD mostly in the developing world where resources are limited.
Two new flavonols from Macaranga inermis pax & K.Hoffm

Tanjung M, Tjahjandarie TS, Aldin MF, Mardhiyyah S, Saputri RD, Syah YM, et al.

Nat Prod Res, 2023 Oct 24.
PMID: 37874007 DOI: 10.1080/14786419.2023.2272783

Four isoprenylated flavonols, including two new compounds, macainermisins A-B (1-2), and two known compounds, sinoflavonoid P (3), broussoflavonol F (4), were isolated from the leaves of Macaranga inermis. A combination of HRESIMS, UV, 1D, and 2D NMR spectra elucidated the structures of 1-2. Flavonols (1-4) were evaluated against three cancer cells. Compound 1 showed high cytotoxicity against WiDR with an IC50 value of 0.93 µM, and compound 2 was active towards HeLa and WiDR (IC50 values of 0.90 and 0.94 µM), and compound 3 showed high activity towards 4T1 and HeLa (IC50 values of 0.83 and 0.98 µM).
Fulltext Expression of Endogenous Angiotensin-Converting Enzyme 2 in Human Induced Pluripotent Stem Cell-Derived Retinal Organoids

Ahmad Mulyadi Lai HI, Chou SJ, Chien Y, Tsai PH, Chien CS, Hsu CC, et al.

Int J Mol Sci, 2021 Jan 28;22(3).
PMID: 33525682 DOI: 10.3390/ijms22031320

Angiotensin-converting enzyme 2 (ACE2) was identified as the main host cell receptor for the entry of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its subsequent infection. In some coronavirus disease 2019 (COVID-19) patients, it has been reported that the nervous tissues and the eyes were also affected. However, evidence supporting that the retina is a target tissue for SARS-CoV-2 infection is still lacking. This present study aimed to investigate whether ACE2 expression plays a role in human retinal neurons during SARS-CoV-2 infection. Human induced pluripotent stem cell (hiPSC)-derived retinal organoids and monolayer cultures derived from dissociated retinal organoids were generated. To validate the potential entry of SARS-CoV-2 infection in the retina, we showed that hiPSC-derived retinal organoids and monolayer cultures endogenously express ACE2 and transmembrane serine protease 2 (TMPRSS2) on the mRNA level. Immunofluorescence staining confirmed the protein expression of ACE2 and TMPRSS2 in retinal organoids and monolayer cultures. Furthermore, using the SARS-CoV-2 pseudovirus spike protein with GFP expression system, we found that retinal organoids and monolayer cultures can potentially be infected by the SARS-CoV-2 pseudovirus. Collectively, our findings highlighted the potential of iPSC-derived retinal organoids as the models for ACE2 receptor-based SARS-CoV-2 infection.
Three new dihydrochalcones from the leaves of Artocarpus sericicarpus Jarrett and their activity against Plasmodium falciparum

Tumewu L, Ilmi H, Kartika Sari D, Permanasari AA, Khairun Nisa H, Saputri RD, et al.

Nat Prod Res, 2024 Feb 01.
PMID: 38300810 DOI: 10.1080/14786419.2024.2308726

Three new dihydrochalcones: artoserichalcone A-C (1-3), were isolated from the leaves of Artocarpus sericicarpus. The structures of compounds were determined based on NMR spectrum (1H, 13C, and 2D) and HRESIMS spectroscopic analysis. Compounds (1) and (3) showed active antimalarial activity with IC50 values of 16.90 and 13.56 µM, respectively. Meanwhile, compound (2) with an IC50 value of 63.01 µM was categorised as a moderate antimalarial substance. The cytotoxicity against Huh7, HepG2, BHK-21, and Vero cells showed that compounds (1-3) with CC50 values > 20 µg/mL could be considered non-cytotoxic. Compounds (1-3) exhibited antimalarial activity against Plasmodium falciparum and non-toxic as an antimalarial agent.
Fulltext Dual DNA Transfection Using 1,6-Hexanedithiol-Conjugated Maleimide-Functionalized PU-PEI600 For Gene Correction in a Patient iPSC-Derived Fabry Cardiomyopathy Model

Chien CS, Chien Y, Lin YY, Tsai PH, Chou SJ, Yarmishyn AA, et al.

Front Cell Dev Biol, 2021;9:634190.
PMID: 34422789 DOI: 10.3389/fcell.2021.634190

Non-viral gene delivery holds promises for treating inherited diseases. However, the limited cloning capacity of plasmids may hinder the co-delivery of distinct genes to the transfected cells. Previously, the conjugation of maleimide-functionalized polyurethane grafted with small molecular weight polyethylenimine (PU-PEI600-Mal) using 1,6-hexanedithiol (HDT) could promote the co-delivery and extensive co-expression of two different plasmids in target cells. Herein, we designed HDT-conjugated PU-PEI600-Mal for the simultaneous delivery of CRISPR/Cas9 components to achieve efficient gene correction in the induced pluripotent stem cell (iPSC)-derived model of Fabry cardiomyopathy (FC) harboring GLA IVS4 + 919 G > A mutation. This FC in vitro model recapitulated several clinical FC features, including cardiomyocyte hypertrophy and lysosomal globotriaosylceramide (Gb3) deposition. As evidenced by the expression of two reporter genes, GFP and mCherry, the addition of HDT conjugated two distinct PU-PEI600-Mal/DNA complexes and promoted the co-delivery of sgRNA/Cas9 and homology-directed repair DNA template into target cells to achieve an effective gene correction of IVS4 + 919 G > A mutation. PU-PEI600-Mal/DNA with or without HDT-mediated conjugation consistently showed neither the cytotoxicity nor an adverse effect on cardiac induction of transfected FC-iPSCs. After the gene correction and cardiac induction, disease features, including cardiomyocyte hypertrophy, the mis-regulated gene expressions, and Gb3 deposition, were remarkably rescued in the FC-iPSC-differentiated cardiomyocytes. Collectively, HDT-conjugated PU-PEI600-Mal-mediated dual DNA transfection system can be an ideal approach to improve the concurrent transfection of non-viral-based gene editing system in inherited diseases with specific mutations.