Displaying publications 361 - 380 of 396 in total

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  1. Zheng K, Liu Z, Jiang Y, Guo P, Li H, Zeng C, et al.
    Dalton Trans, 2018 Nov 29.
    PMID: 30488066 DOI: 10.1039/c8dt03832e
    The investigation and development of advanced multifunctional and sensitive sensors with high luminescent quantum yield and the capability of detecting different analytes, such as metal ions, is imperative. Due to its inherent properties the lanthanide coordination complex is one candidate for sensing applications, particularly for multifunctional sensors. Herein, we present two series of alkali ion decorated lanthanide coordination polymers (Ln-CPs), which show ultrahigh luminescence quantum yields (QYs) of 77% (1a) and 92% (2a). To the best of our knowledge, 1a represents the first trifunctional lanthanide complex sensor that can simultaneous detect and discriminate three different analytes, namely H+/Cd2+/Cr3+ through a multimode optical response. Furthermore, the limit of detection (LOD) for Cr3+ is an ultralow value of 2.0 × 10-9 M with a sensing time of 2 h, which is comparable to the most sensitive Cr3+ chemosensor. More interestingly, 92% (2a) is an unprecedented luminescence QY among the reported lanthanide coordination complexes.
  2. Liu R, Zhang W, Wei D, Chen JH, Ng SW, Yang G
    Dalton Trans, 2019 Nov 21;48(43):16162-16166.
    PMID: 31651001 DOI: 10.1039/c9dt03344k
    π-Acidic triangular silver(i) 3,5-bis(trifluoromethyl)pyrazolate (Ag3pz3) can form 1 : 1 adducts with dibenzothiophene (DBT), 4,6-dimethyldibenzothiophene (DMDBT), benzothiophene (BT), and 2,5-dimethylthiophene (DMT), which are stabilized by weak AgS and AgC contacts and sometimes by π-π stacking and, therefore, may represent a weak interaction model for some adsorptive desulfurization processes.
  3. Zhu LN, Deng ZP, Ng SW, Huo LH, Gao S
    Dalton Trans, 2019 May 08.
    PMID: 31066429 DOI: 10.1039/c9dt00840c
    Self-assembly of diverse Cd(ii) metal salts, four organic dicarboxylic acids, and two flexible bis(pyridyl) ligands leads to the formation of thirteen complexes, namely, [Cd(L1)(C4H4O4)]n (1), [Cd(L2)(C4H4O4)0.5]n·nOH·8nH2O (2), [Cd(L1)(C4H2O4)]n (3), [Cd(L1)(C4H2O4)]n (4), [Cd2(L2)(C4H2O4)2(H2O)2]n·nH2O (5), [Cd2(L1)(m-BDC)2(H2O)2]n (6), [Cd2(L2)(m-BDC)2(H2O)2]n (7), [Cd3(L1)2(p-BDC)3(H2O)4]n·2nH2O (8), [Cd(L2)(p-BDC)0.5Cl]n (9), [Cd(L2)(p-BDC)0.5(H2O)]n·n(ClO4)·nH2O (10), [Cd3(L2)2(p-BDC)(SO4)2(H2O)6]n·4nH2O (11), [Cd(L2)(p-BDC)]n·nH2O (12) and [Cd(L2)(p-BDC)]n·nMeOH (13) (L1 = N,N'-bis(pyridin-4-ylmethyl)propane-1,2-diamine, L2 = N,N'-bis(pyridin-3-ylmethyl)propane-1,2-diamine, m-BDC2- = m-benzene dicarboxylate dianion, p-BDC2- = p-benzene dicarboxylate dianion), which have been characterized by elemental analysis, IR, TG, PL, and powder and single-crystal X-ray diffraction. The influence of different Cd(ii) salts on the structure variations and properties has also been investigated. Complexes 1 and 3 present a (4,4) layer motif accomplished by the interconnection of adjacent Cd(ii) cations through L1 molecules and trans-conformational succinates or fumarates. In contrast, the cis-conformational succinates in complex 2 only afford the formation of a chain structure. The L1 and L2 molecules in complexes 4 and 5 adopt the same coordination and join adjacent Cd(ii) cations together with fumarates, giving rise to different 3D networks with vma and irl topologies. The same coordination mode of L1 and L2 in complexes 6-8 joins adjacent Cd(ii) cations together with aromatic dicarboxylates, leading to different (63)(65·8), 2-periodic (6·3) and (4·4) layer motifs. The L2 molecules in complexes 9-13 present different coordination modes and join adjacent Cd(ii) cations together with p-BDC2- dianions to form diverse (6·3) layer motifs, and different 3D networks with cds and eca topologies. Therefore, the diverse coordination modes of the bis(pyridyl) ligand and the feature of different organic dicarboxylate anions can effectively influence the topological structures of these complexes. Luminescence investigation reveals that the emission maximum of these complexes varies from 403 to 433 nm in the solid state at room temperature.
  4. Han WB, Dou H, Yuan WH, Gong W, Hou YY, Ng SW, et al.
    Planta Med, 2015 Jan;81(2):145-51.
    PMID: 25519918 DOI: 10.1055/s-0034-1383392
    The endophytic fungus Guignardia mangiferae isolated from Ilex cornuta leaves was shown to produce a family of meroterpenes with toll-like receptor 3 regulating activity (1-9), of which 1-3 possessed new structures. The absolute stereochemistry of 1-3 was assigned through a combination of nuclear magnetic resonance experiments, chemical derivation, CD spectra, and single-crystal X-ray diffraction analyses (CuK α ). The precursor labeled cultivation suggests that these meroterpenes are most likely assembled through terpenoid-shikimate pathways. Moreover, meroterpenes 1-3, 5-7, and 9 selectively upregulate, but 4 and 8 downregulate the toll-like receptor 3 expression in mouse dendritic cells at 10.0 µM.
  5. Zhan SZ, Li M, Zheng J, Wang QJ, Ng SW, Li D
    Inorg Chem, 2017 Nov 06;56(21):13446-13455.
    PMID: 29023107 DOI: 10.1021/acs.inorgchem.7b02144
    Six daughter complexes based on two-dimensional (2-D) luminescent Cu4I4-Cu3Pz3(Pz = pyrazolate) coordination networks, which exhibit an uncommon Cu4I4L3L' (L = pyridine; L' = acetonitrile, pyridine, pyrazine, 1,4-diazabicyclo[2.2.2]octane, triphenylphosphine, none) local configuration, were prepared through a postsynthetic modification method starting from a parent complex (L' = NH3). This work has successfully implemented the single-site substitution of Cu4I4-based coordination frameworks, which have rarely been reported for isolated Cu4I4-type compounds, by taking advantage of the solvent-assisted ligand substitution strategy recently developed in metal-organic framework (MOF) chemistry. Such a procedure not only resulted in the variation of local geometry in the Cu4I4units but also led to interlayer network displacement and entanglement. Particularly, an interesting topological transformation (from 2-D to 2-D → 3-D interpenetration) occurred when linear bidentate linkers (e.g., pyrazine and 1,4-diazabicyclo[2.2.2]octane) are inserted between the 2-D layers. Moreover, the variation in the L' sites can effectively tune the emission colors, ranging from green to orange (λemmax540-605 nm at room temperature). The photoluminescence origins are tentatively assigned to be a mixture of3MLCT and3XLCT, different from that of the well-studied isolated Cu4I4-type complexes.
  6. Wan Saffiee WA, Idris A, Aiyub Z, Abdullah Z, Ng SW
    PMID: 21581731 DOI: 10.1107/S1600536808041160
    The aromatic and the aromatic fused-rings in the title compound, C(15)H(13)N(3), open the angle at the planar N atom to 130.07 (13) and 129.98 (13)° in the two independent mol-ecules in the asymmetric unit. The amino N atom of one mol-ecule forms a hydrogen bond to the 4-N atom of an adjacent quinoxalinyl ring, generating a supra-molecular chain.
  7. Soo YT, Ng SW, Tang TK, Ab Karim NA, Phuah ET, Lee YY
    J Sci Food Agric, 2021 Aug 15;101(10):4161-4172.
    PMID: 33428211 DOI: 10.1002/jsfa.11054
    BACKGROUND: Palm pressed fibre (PPF) is a cellulose-rich biomass residue produced during palm oil extraction. Its high cellulose content allows the isolation of cellulose nanocrystal (CNC). CNC has attracted scientific interest due to its biodegradability, biocompatibility and low cost. The present study isolated CNC from PPF using a cation exchange resin, which is an environmentally friendly and less harsh hydrolysis method than conventional mineral acid hydrolysis. Isolated CNC was used to stabilise an oil-in-water emulsion and the emulsion stability was evaluated in terms of droplet size, morphology and physical stability.

    RESULTS: PPF was subjected to alkali and bleach treatment prior to hydrolysis, which successfully removed 54% and 75% of non-cellulosic components (hemicellulose and lignin, respectively). Hydrolysis conditions of 5 h, 15:1 (w/w) resin-to-pulp ratio and 50 °C produced CNC particles of 50-100 nm in length. CNC had a crystallinity index of 42% and appeared rod-like morphologically. CNC-stabilised emulsion had better stability when used in combination with soy lecithin (SL), a well-established, commonly used food stabiliser. Emulsion stabilised by the binary mixture of CNC and SL had droplet size, morphology and physical stability comparable to those of emulsion stabilised using SL.

    CONCLUSIONS: CNC was successfully isolated from PPF through a cation exchange resin. This offers an alternative usage for the underutilised PPF to be converted into value-added products. Isolated CNC was also found to have promising potential in the stabilisation of Pickering emulsions. These results provide useful information indicating CNC as a natural and sustainable stabiliser for food, cosmeceutical and pharmaceutical applications. © 2021 Society of Chemical Industry.

  8. Chen X, Feng X, Zhang Z, Deng X, Dai F, Zhang L, et al.
    Inorg Chem, 2023 Oct 02;62(39):16170-16181.
    PMID: 37722103 DOI: 10.1021/acs.inorgchem.3c02448
    In response to the growing concern for environmental pollution, two lanthanide compounds {[Ln(L)(H2O)]·4H2O}n (where Ln = Tb and Gd, H3L = 1-amino-2,4,6-benzene tricarboxylic acid) were synthesized using a -NH2 modified ligand and systematically characterized. Both compounds exhibit remarkable fluorescence response, adsorption of CrO42- ions, and photocatalytic degradation properties, as well as exceptional acid-base and thermal stability. Remarkably, the pH-dependent 1-Tb exhibits exceptional performance as a fluorescent probe for detecting Fe3+ and CrO42-/Cr2O72- ions in aqueous solutions, while also serving as a ratiometric fluorescent probe for the detection of Cr3+, offering rapid response, high sensitivity, selectivity, and recoverability advantages in application. Moreover, 1-Tb exhibits excellent detection capabilities and displays effective adsorption of CrO42- ions, with a maximum adsorption capacity of 230.71 mg/g. On the other hand, 1-Gd exhibits superior performance compared to 1-Tb in the photocatalytic degradation of antibiotics. The degradation mechanism is further elucidated by conducting experiments with DFT theoretical calculations.
  9. Chan Y, Ng SW, Mehta M, Anand K, Kumar Singh S, Gupta G, et al.
    Med Hypotheses, 2020 Nov;144:110298.
    PMID: 33254489 DOI: 10.1016/j.mehy.2020.110298
    Outbreaks of influenza infections in the past have severely impacted global health and socioeconomic growth. Antivirals and vaccines are remarkable medical innovations that have been successful in reducing the rates of morbidity and mortality from this disease. However, the relentless emergence of drug resistance has led to a worrisome increase in the trend of influenza outbreaks, characterized by worsened clinical outcomes as well as increased economic burden. This has prompted the need for breakthrough innovations that can effectively manage influenza outbreaks. This article provides an insight into a novel hypothesis that describes how the integration of nanomedicine, with the development of drugs and vaccines can potentially enhance body immune response and the efficacies of anti-viral therapeutics to combat influenza infections.
  10. Ng SW, Selvarajah GT, Cheah YK, Mustaffa Kamal F, Omar AR
    Pathogens, 2020 May 25;9(5).
    PMID: 32466289 DOI: 10.3390/pathogens9050412
    Feline infectious peritonitis (FIP) is a fatal feline immune-mediated disease caused by feline infectious peritonitis virus (FIPV). Little is known about the biological pathways associated in FIP pathogenesis. This is the first study aiming to determine the phenotypic characteristics on the cellular level in relation to specific metabolic pathways of importance to FIP pathogenesis.

    METHODS: The internalization of type II FIPV WSU 79-1146 in Crandell-Rees Feline Kidney (CrFK) cells was visualized using a fluorescence microscope, and optimization prior to phenotype microarray (PM) study was performed. Then, four types of Biolog Phenotype MicroArray™ plates (PM-M1 to PM-M4) precoated with different carbon and nitrogen sources were used to determine the metabolic profiles in FIPV-infected cells.

    RESULTS: The utilization of palatinose was significantly low in FIPV-infected cells; however, there were significant increases in utilizing melibionic acid, L-glutamine, L-glutamic acid and alanyl-glutamine (Ala-Gln) compared to non-infected cells.

    CONCLUSION: This study has provided the first insights into the metabolic profiling of a feline coronavirus infection in vitro using PMs and deduced that glutamine metabolism is one of the essential metabolic pathways for FIPV infection and replication. Further studies are necessary to develop strategies to target the glutamine metabolic pathway in FIPV infection.

  11. Yeo CI, Halim SN, Ng SW, Tan SL, Zukerman-Schpector J, Ferreira MA, et al.
    Chem Commun (Camb), 2014 Jun 7;50(45):5984-6.
    PMID: 24763907 DOI: 10.1039/c4cc02040e
    Evidence for C-H···π(CuCl···HNCS) interactions, i.e. C-H···π(quasi-chelate ring) where a six-membered quasi-chelate ring is closed by an N-H···Cl hydrogen bond, is presented based on crystal structure analyses of (Ph3P)2Cu[ROC(=S)N(H)Ph]Cl. Similar intramolecular interactions are identified in related literature structures. Calculations suggest that the energy of attraction provided by such interactions approximates 3.5 kcal mol(-1).
  12. Zukerman-Schpector J, Madureira LS, Wulf GD, Stefani HA, Vasconcelos SN, Ng SW, et al.
    Molecules, 2014;19(2):1990-2003.
    PMID: 24531216 DOI: 10.3390/molecules19021990
    Two independent molecules that differ in terms of rotation about the central S-N bond comprise the asymmetric unit of the title compound 1. The molecules have a V-shape with the dihedral angles between the fused ring system and benzene ring being 79.08(6)° and 72.83(5)°, respectively. The packing is mostly driven by p···p interactions occurring between the tolyl ring of one molecule and the C6 ring of the indole fused ring system of the other. DFT and IRC calculations for these and related 1-(arylsulfonyl)indole molecules showed that the rotational barrier about the S-N bond between conformers is within the 2.5-5.5 kcal/mol range. Crystal data for C16H13NO3S (1): Mr = 299.33, space group Pna21, a = 19.6152(4) Å, b = 11.2736(4) Å, c = 12.6334(3) Å, V = 2793.67(13) Å3, Z = 8, Z' = 2, R = 0.034.
  13. Wei W, Jiang N, Mei YN, Chu YL, Ge HM, Song YC, et al.
    Phytochemistry, 2014 Apr;100:103-9.
    PMID: 24529576 DOI: 10.1016/j.phytochem.2014.01.003
    In searching for symbionts derived from bioactive natural products, six sulfureous diketopiperazines designated as lasiodiplines A-F (1-6) were characterized from the culture of Lasiodiplodia pseudotheobromae F2, previously residing in the apparently normal flower of Illigera rhodantha (Hernandiaceae). Identification of structures was accomplished by a combination of spectroscopic and computational approaches, in conjunction with the low-temperature (100K) single-crystal X-ray diffraction with Cu Kα radiation. Lasiodipline E (5) was demonstrated to be antibacterial against the clinical strains Streptococcus sp., Bacteroides vulgates, Peptostreptococcus sp. and Veillonella parvula, respectively, with an minimum inhibitory concentration (MIC) range of 0.12-0.25 μg/mL. In addition, compounds 4 and 6 exemplify two unusual architectures of natural cyclodipeptides, signifying the unique biochemical characteristics of the producing fungus.
  14. Seng HL, Von ST, Tan KW, Maah MJ, Ng SW, Rahman RN, et al.
    Biometals, 2010 Feb;23(1):99-118.
    PMID: 19787298 DOI: 10.1007/s10534-009-9271-y
    Crystal structure analysis of the zinc complex establishes it as a distorted octahedral complex, bis(3-methylpicolinato-kappa(2) N,O)(2)(1,10-phenanthroline-kappa(2) N,N)-zinc(II) pentahydrate, [Zn(3-Me-pic)(2)(phen)]x5H(2)O. The trans-configuration of carbonyl oxygen atoms of the carboxylate moieties and orientation of the two planar picolinate ligands above and before the phen ligand plane seems to confer DNA sequence recognition to the complex. It cannot cleave DNA under hydrolytic condition but can slightly be activated by hydrogen peroxide or sodium ascorbate. Circular Dichroism and Fluorescence spectroscopic analysis of its interaction with various duplex polynucleotides reveals its binding mode as mainly intercalation. It shows distinct DNA sequence binding selectivity and the order of decreasing selectivity is ATAT > AATT > CGCG. Docking studies lead to the same conclusion on this sequence selectivity. It binds strongly with G-quadruplex with human tolemeric sequence 5'-AG(3)(T(2)AG(3))(3)-3', can inhibit topoisomerase I efficiently and is cytotoxic against MCF-7 cell line.
  15. Sun RW, Zhang M, Li D, Zhang ZF, Cai H, Li M, et al.
    Chemistry, 2015 Dec 14;21(51):18534-8.
    PMID: 26459298 DOI: 10.1002/chem.201503656
    A dinuclear gold(I) pyrrolidinedithiocarbamato complex (1) with a bidentate carbene ligand has been constructed and shows potent in vitro cytotoxic activities towards cisplatin-resistant ovarian cancer cells A2780cis. Its rigid scaffold enables a zinc(II)-based metal-organic framework (Zn-MOF) to be used as a carrier in facilitating the uptake and release of 1 in solutions. Instead of using a conventional dialysis approach for the drug-release testing, in this study, a set of transwell assay-based experiments have been designed and employed to examine the cytotoxic and antimigratory activities of 1@Zn-MOF towards A2780cis.
  16. Muhammad A, Tel-Çayan G, Öztürk M, Duru ME, Nadeem S, Anis I, et al.
    Pharm Biol, 2016 Sep;54(9):1649-55.
    PMID: 26866457 DOI: 10.3109/13880209.2015.1113992
    Context Dodonaea viscosa (L.) Jacq (Sapindaceae) has been used in traditional medicine as antimalarial, antidiabetic and antibacterial agent, but further investigations are needed. Objective This study determines the antioxidant and anticholinesterase activities of six compounds (1-6) and two crystals (1A and 3A) isolated from D. viscosa, and discusses their structure-activity relationships. Materials and methods Antioxidant activity was evaluated using six complementary tests, i.e., β-carotene-linoleic acid; DPPH(•), ABTS(•+), superoxide scavenging, CUPRAC and metal chelating assays. Anticholinesterase activity was performed using the Elman method. Results Clerodane diterpenoids (1 and 2) and phenolics (3-6) - together with three crystals (1A, 3A and 7A) - were isolated from the aerial parts of D. viscosa. Compound 3A exhibited good antioxidant activity in DPPH (IC50: 27.44 ± 1.06 μM), superoxide (28.18 ± 1.35% inhibition at 100 μM) and CUPRAC (A0.5: 35.89 ± 0.09 μM) assays. Compound 5 (IC50: 11.02 ± 0.02 μM) indicated best activity in ABTS assay, and 6 (IC50: 14.30 ± 0.18 μM) in β-carotene-linoleic acid assay. Compounds 1 and 3 were also obtained in the crystal (1A and 3A) form. Both crystals showed antioxidant activity. Furthermore, crystal 3A was more active than 3 in all activity tests. Phenol 6 possessed moderate anticholinesterase activity against acetylcholinesterase and butyrylcholinesterase enzymes (IC50 values: 158.14 ± 1.65 and 111.60 ± 1.28 μM, respectively). Discussion and conclusion This is the first report on antioxidant and anticholinesterase activities of compounds 1, 2, 5, 6, 1A and 3A, and characterisation of 7A using XRD. Furthermore, the structure-activity relationships are also discussed in detail for the first time.
  17. Zhan SZ, Zhang GH, Li JH, Liu JL, Zhu SH, Lu W, et al.
    J Am Chem Soc, 2020 Apr 01;142(13):5943-5947.
    PMID: 32187495 DOI: 10.1021/jacs.0c00090
    Exohedral cuprofullerenes with 6-, 12-, or 24-nuclearity were obtained by utilizing fluorocarboxylic/dicarboxylic acid under solvothermal conditions. The 24-nuclear molecule presents a C60@Cu24 core-shell structure with a rhombicuboctahedron Cu24 coated on the C60 core, representing the highest nuclearity in metallofullerene. The resultant complexes show an efficient absorption of visible light as opposed to the pristine C60. TD-DFT calculations revealed the charge transfer from Cu(I) and O atoms to the fullerene moiety dominates the photophysical process.
  18. Wang J, Jiang Y, Liu JY, Xu HB, Zhang YX, Peng X, et al.
    Angew Chem Int Ed Engl, 2021 Oct 04;60(41):22368-22375.
    PMID: 34383376 DOI: 10.1002/anie.202107637
    The salts {[Ln2 Ln*(Hhmq)3 (OAc)3 (hfac)2 ]+ [Ln*(hfac)3 (OAc)(MeOH)]- } (Hhmq=2-methanolquinolin-8-oxide, hfac=hexafluoroacetylacetonate; Ln, Ln*=Er, Gd, Yb) feature a discrete heteronuclear cation consisting of two types of lanthanide atoms. The quinolinoxy O-atom serves as a μ2 -bridge to two Ln atoms and as a μ3 -bridge to all three atoms, with metal⋅⋅⋅metal distances being around 3.7 Å. For 1 ([Yb2 Er]+ ), near-infrared downshifted luminescence is switched to competitive upconversion luminescence upon irradiation by a 980 nm laser under an extremely low excitation power (0.288 W cm-2 ) through introduction of fluoride ions. The stability of 1 after addition of fluoride was confirmed by powder X-ray diffraction and multistage mass spectrometry, associated with the 1 H NMR of 6 ([La2 Eu]+ ). More importantly, the at least 20-fold enhancement of the quantum yield in non-deuterated solvents at room temperature under low power densities (2 W cm-2 ) is the highest among the few molecular examples reported.
  19. Feng X, Guo N, Chen H, Wang H, Yue L, Chen X, et al.
    Dalton Trans, 2017 Oct 24;46(41):14192-14200.
    PMID: 28990615 DOI: 10.1039/c7dt02974h
    A series of coordination polymers {[Ln(aobtc)(H2O)4]·Hbipy·H2O}n (H4aobtc = azoxybenzene-2,2',3,3'-tetracarboxylic acid, bipy = 4,4'-bipyridine, and Ln = Sm(1), Eu(2), Gd(3), Tb(4), Dy(5), Er(6)) have been synthesized and characterized systematically. The cationic Hbipy(+) guest incorporated polymers are isostructural sets, featuring a one-dimensional (1D) zigzag double chain edifice composed of binuclear clusters [Ln2(H4aobtc)2], with the Hbipy(+) guest being located on two sides. These 1D chains are further interlinked into a 2D layer structure, and further extended into a 3D framework through hydrogen bonding interactions. The luminescence emission spectra of polymers 2 and 3 are based on the H4aobtc acid ligands, while 1 and 4 display the characteristic f-f transitions of Ln(iii) ions. Magnetic measurements revealed the presence of ferromagnetic behavior in polymer 3. The magnetic behaviors of 4 and 6 are ascribed to the depopulation of the Stark levels and/or weak antiferromagnetic interactions within MOFs at lower temperature. Slow relaxation is observed through the alternating-current susceptibility measurements for 5 at lower temperature, and the coexistence of weak ferromagnetism corresponding to the spin-canting-like behavior.
  20. Hwong WY, Ng SW, Tong SF, Ab Rahman N, Law WC, Kaman Z, et al.
    Front Neurol, 2022;13:1048807.
    PMID: 36504666 DOI: 10.3389/fneur.2022.1048807
    INTRODUCTION: Translation of evidence into clinical practice for use of intravenous thrombolysis in acute stroke care has been slow, especially across low- and middle-income countries. In Malaysia where the average national uptake was poor among the public hospitals in 2018, one hospital intriguingly showed comparable thrombolysis rates to high-income countries. This study aimed to explore and provide in-depth understanding of factors and explanations for the high rates of intravenous stroke thrombolysis in this hospital.

    METHODS: This single case study sourced data using a multimethod approach: (1) semi-structured in-depth interviews and focus group discussions, (2) surveys, and (3) review of medical records. The Tailored Implementation of Chronic Diseases (TICD) framework was used as a guide to understand the determinants of implementation. Twenty-nine participants comprising the Hospital Director, neurologists, emergency physicians, radiologists, pharmacists, nurses and medical assistants (MAs) were included. Thematic analyses were conducted inductively before triangulated with quantitative analyses and document reviews.

    RESULTS: Favorable factors contributing to the uptake included: (1) cohesiveness of team members which comprised of positive interprofessional team dynamics, shared personal beliefs and values, and passionate leadership, and (2) facilitative work process through simplification of workflow and understanding the rationale of the sense of urgency. Patient factors was a limiting factor. Almost two third of ischemic stroke patients arrived at the hospital outside the therapeutic window time, attributing patients' delayed presentation as a main barrier to the uptake of intravenous stroke thrombolysis. One other barrier was the availability of resources, although this was innovatively optimized to minimize its impact on the uptake of the therapy. As such, potential in-hospital delays accounted for only 3.8% of patients who missed the opportunity to receive thrombolysis.

    CONCLUSIONS: Despite the ongoing challenges, the success in implementing intravenous stroke thrombolysis as standard of care was attributed to the cohesiveness of team members and having facilitative work processes. For countries of similar settings, plans to improve the uptake of intravenous stroke thrombolysis should consider the inclusion of interventions targeting on these modifiable factors.

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