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Record W4415730830 · doi:10.21315/mjms-05-2025-359

The Potential of Trigona Honey as a Supplementary Therapy for Vascular Cognitive Impairment in Patients with Acute Ischaemic Stroke

2025· article· en· W4415730830 on OpenAlexaboutno aff
Mohd Haniff Abu Zarim, Anis Kausar Ghazali, Sanihah Abdul Halim, Engku Nur Syafirah Engku Abd Rahman, Manal Abdel Haleem A. Abusalah, Chan Yean Yean, Sabarisah Hashim

Bibliographic record

VenueMalaysian Journal of Medical Sciences · 2025
Typearticle
Languageen
FieldAgricultural and Biological Sciences
TopicBee Products Chemical Analysis
Canadian institutionsnot available
Fundersnot available
KeywordsMontreal Cognitive AssessmentIschaemic strokeCognitionCognitive impairmentModified Rankin ScaleStroke (engine)Intervention (counseling)Cognitive training

Abstract

fetched live from OpenAlex

Background: Vascular cognitive impairment (VCI) is a common, yet often underrecognised, consequence of acute ischaemic stroke. Despite its prevalence, therapeutic strategies targeting VCI remain limited. Trigona honey, known for its antioxidant and neuroprotective properties, may offer a novel adjunctive intervention to improve cognitive outcomes after stroke. Methods: This randomised controlled study involved 48 patients diagnosed with acute ischaemic stroke. Participants were randomly assigned to two equal groups: an intervention group receiving daily supplementation with Trigona honey (n = 24) and a control group without supplementation (n = 24). Cognitive function was evaluated using the Montreal Cognitive Assessment (MOCA), and global disability was measured using the Modified Rankin Scale (MRS). Assessments were conducted at baseline and after three months of intervention. Results: At baseline, 66.7% of participants were male, with most exhibiting mild cognitive impairment. After three months, the intervention group showed significant improvement in MOCA scores (from 20.08 ± 4.53 to 24.33 ± 3.64), while the control group showed only a modest increase (from 18.42 ± 5.12 to 19.67 ± 6.31). The between-group difference in MOCA scores was 4.25 (95% CI: 3.07, 5.43; P < 0.001). Functional status also improved significantly in the Trigona honey group, with a mean change in MRS score of –1.29 (95% CI: –1.71, –0.87; P < 0.001), indicating enhanced independence compared to the control group. Conclusion: Trigona honey supplementation significantly improved cognitive performance and functional outcomes in patients with VCI following ischaemic stroke, supporting its role as a promising adjunct in stroke rehabilitation.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.528
Threshold uncertainty score0.431

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.007
GPT teacher head0.242
Teacher spread0.235 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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