Browse publications by year: 2018

  1. Moshikur RM, Chowdhury MR, Wakabayashi R, Tahara Y, Moniruzzaman M, Goto M
    Int J Pharm, 2018 Jul 30;546(1-2):31-38.
    PMID: 29751143 DOI: 10.1016/j.ijpharm.2018.05.021
    The technological utility of active pharmaceutical ingredients (APIs) is greatly enhanced when they are transformed into ionic liquids (ILs). API-ILs have better solubility, thermal stability, and the efficacy in topical delivery than solid or crystalline drugs. However, toxicological issue of API-ILs is the main challenge for their application in drug delivery. To address this issue, 11 amino acid esters (AAEs) were synthesized and investigated as biocompatible counter cations for the poorly water-soluble drug salicylic acid (Sal) to form Sal-ILs. The AAEs were characterized using 1H and 13C NMR, FTIR, elemental, and thermogravimetric analyses. The cytotoxicities of the AAE cations, Sal-ILs, and free Sal were investigated using mammalian cell lines (L929 and HeLa). The toxicities of the AAE cations greatly increased with inclusion of long alkyl chains, sulfur, and aromatic rings in the side groups of the cations. Ethyl esters of alanine, aspartic acid, and proline were selected as a low cytotoxic AAE. The cytotoxicities of the Sal-ILs drastically increased compared with the AAEs on incorporation of Sal into the cations, and were comparable to that of free Sal. Interestingly, the water miscibilities of the Sal-ILs were higher than that of free Sal, and the Sal-ILs were miscible with water at any ratio. A skin permeation study showed that the Sal-ILs penetrated through skin faster than the Sal sodium salt. These results suggest that AAEs could be used in biomedical applications to eliminate the use of traditional toxic solvents for transdermal delivery of poorly water-soluble drugs.
    MeSH terms: Administration, Cutaneous; Animals; Cell Line; Cell Survival/drug effects; Esters; Female; HeLa Cells; Humans; Skin/metabolism; Skin Absorption; Swine; Mice; In Vitro Techniques
  2. Bhatti S, Ali Shah SA, Ahmed T, Zahid S
    Drug Chem Toxicol, 2018 Oct;41(4):399-407.
    PMID: 29742941 DOI: 10.1080/01480545.2018.1459669
    The present study investigates the neuroprotective effects of Foeniculum vulgare seeds in a lead (Pb)-induced brain neurotoxicity mice model. The dried seeds extract of Foeniculum vulgare was prepared with different concentrations of organic solvents (ethanol, methanol, n-hexane). The in vitro antioxidant activity of Foeniculum vulgare seed extracts was assessed through DPPH assay and the chemical composition of the extracts was determined by high-resolution 1H NMR spectroscopy. The age-matched male Balb/c mice (divided into 9 groups) were administered with 0.1% Pb and 75% and 100% ethanol extracts of Foeniculum vulgare seeds at a dose of 200 mg/kg/day and 20 mg/kg/day. The maximum antioxidant activity was found for 75% ethanol extract, followed by 100% ethanol extract. Gene expression levels of oxidative stress markers (SOD1 and Prdx6) and the three isoforms of APP (APP common, 770 and 695), in the cortex and hippocampus of the treated and the control groups were measured. Significant increase in APP 770 expression level while a substantial decrease was observed for SOD1, Prdx6 and APP 695 expression in Pb-treated groups. Interestingly, the deranged expression levels were significantly normalized by the treatment with ethanol extracts of Foeniculum vulgare seeds (specifically at dose of 200 mg/kg/day). Furthermore, the Pb-induced morphological deterioration of cortical neurons was significantly improved by the ethanol extracts of Foeniculum vulgare seeds. In conclusion, the present findings highlight the promising therapeutic potential of Foeniculum vulgare to minimize neuronal toxicity by normalizing the expression levels of APP isoforms and oxidative stress markers.
    MeSH terms: Animals; Brain/drug effects*; Brain/metabolism; Brain/pathology; Lead/toxicity*; Male; Mice, Inbred BALB C; Magnetic Resonance Spectroscopy; Plant Extracts/pharmacology*; Seeds; Free Radical Scavengers/pharmacology; Amyloid beta-Protein Precursor/genetics; Oxidative Stress; Neuroprotective Agents/pharmacology*; Neurotoxicity Syndromes/prevention & control*; Mice
  3. Alsabery AI, Sheremet MA, Chamkha AJ, Hashim I
    Sci Rep, 2018 May 09;8(1):7410.
    PMID: 29743641 DOI: 10.1038/s41598-018-25749-2
    The problem of steady, laminar natural convection in a discretely heated and cooled square cavity filled by an alumina/water nanofluid with a centered heat-conducting solid block under the effects of inclined uniform magnetic field, Brownian diffusion and thermophoresis is studied numerically by using the finite difference method. Isothermal heaters and coolers are placed along the vertical walls and the bottom horizontal wall, while the upper horizontal wall is kept adiabatic. Water-based nanofluids with alumina nanoparticles are chosen for investigation. The governing parameters of this study are the Rayleigh number (103 ≤ Ra ≤ 106), the Hartmann number (0 ≤ Ha ≤ 50), thermal conductivity ratio (0.28 ≤ k w  ≤ 16), centered solid block size (0.1 ≤ D ≤ 0.7) and the nanoparticles volume fraction (0 ≤ ϕ ≤ 0.04). The developed computational code is validated comprehensively using the grid independency test and numerical and experimental data of other authors. The obtained results reveal that the effects of the thermal conductivity ratio, centered solid block size and the nanoparticles volume fraction are non-linear for the heat transfer rate. Therefore, it is possible to find optimal parameters for the heat transfer enhancement in dependence on the considered system. Moreover, high values of the Rayleigh number and nanoparticles volume fraction characterize homogeneous distributions of nanoparticles inside the cavity. High concentration of nanoparticles can be found near the centered solid block where thermal plumes from the local heaters interact.
    MeSH terms: Aluminum Oxide; Diffusion; Hot Temperature; Thermal Conductivity; Water; Convection; Phase Transition; Nanoparticles; Magnetic Fields
  4. Foo CY, Lim HN, Mahdi MA, Wahid MH, Huang NM
    Sci Rep, 2018 May 09;8(1):7399.
    PMID: 29743664 DOI: 10.1038/s41598-018-25861-3
    Three-dimensional (3D) printing technology provides a novel approach to material fabrication for various applications because of its ability to create low-cost 3D printed platforms. In this study, a printable graphene-based conductive filament was employed to create a range of 3D printed electrodes (3DEs) using a commercial 3D printer. This printing technology provides a simplistic and low-cost approach, which eliminates the need for the ex-situ modification and post-treatment of the product. The conductive nature of the 3DEs provides numerous deposition platforms for electrochemical active nanomaterials such as graphene, polypyrrole, and cadmium sulfide, either through electrochemical or physical approaches. To provide proof-of-concept, these 3DEs were physiochemically and electrochemically evaluated and proficiently fabricated into a supercapacitor and photoelectrochemical sensor. The as-fabricated supercapacitor provided a good capacitance performance, with a specific capacitance of 98.37 Fg-1. In addition, these 3DEs were fabricated into a photoelectrochemical sensing platform. They had a photocurrent response that exceeded expectations (~724.1 μA) and a lower detection limit (0.05 μM) than an ITO/FTO glass electrode. By subsequently modifying the printing material and electrode architecture, this 3D printing approach could provide a facile and rapid manufacturing process for energy devices based on the conceptual design.
    MeSH terms: Electric Conductivity; Electrodes; Graphite; Motivation; Polymers; Pyrroles; Sulfides; Cadmium Compounds; Electric Capacitance; Nanostructures; Limit of Detection; Printing, Three-Dimensional
  5. Lau MF, Vellasamy S, Chua KH, Sabaratnam V, Kuppusamy UR
    EXCLI J, 2018;17:186-199.
    PMID: 29743857 DOI: 10.17179/excli2018-1011
    Colorectal cancer (CRC) is the third most leading cause of morbidity and mortality throughout the world. 5-fluorouracil (5-FU), which is often administrated to disrupt carcinogenesis, was found to elevate blood glucose level among CRC patients. Thus, this study was conducted to evaluate the influence of rosiglitazone on antiproliferative effect of 5-FU using cellular model. Two human colonic carcinoma cell lines (HCT 116 and HT 29) were cultured in the presence of 5-FU, rosiglitazone or in combination under normal and high glucose concentration. The drug cytotoxicity was evaluated using the MTT assay whereas the assessment of cell cycle was carried out using the flow cytometry technique. Combination index (CI) method was used to determine the drug interaction between rosiglitazone and 5-FU. High glucose diminished the cytotoxic effect of 5-FU but at a high drug dosage, this effect could be overcome. Cell cycle analysis demonstrated that 5-FU and rosiglitazone caused G1-phase arrest and S-phase arrest, respectively. CI values indicated that rosiglitazone exerted synergistic effect on 5-FU regardless of glucose levels. This study is the first to demonstrate the influence of rosiglitazone on cytotoxicity of 5-FU under normal or high glucose level. Rosiglitazone may be a promising drug for enhancing the efficacy of 5-FU in the treatment of CRC associated with hyperglycemia.
    MeSH terms: Blood Glucose; Cell Cycle; Colonic Neoplasms; Drug Interactions; Flow Cytometry; Fluorouracil; Humans; Hyperglycemia; Colorectal Neoplasms; HT29 Cells; Thiazolidinediones; Carcinogenesis
  6. Elgharbawy AA, Alam MZ, Moniruzzaman M, Kabbashi NA, Jamal P
    3 Biotech, 2018 May;8(5):236.
    PMID: 29744268 DOI: 10.1007/s13205-018-1253-8
    The pretreatment of empty fruit bunch (EFB) was conducted using an integrated system of IL and cellulases (IL-E), with simultaneous fermentation in one vessel. The cellulase mixture (PKC-Cel) was derived from Trichoderma reesei by solid-state fermentation. Choline acetate [Cho]OAc was utilized for the pretreatment due to its biocompatibility and biodegradability. The treated EFB and its hydrolysate were characterized by the Fourier transform infrared spectroscopy, scanning electron microscopy, and chemical analysis. The results showed that there were significant structural changes in EFB after the treatment in IL-E system. The sugar yield after enzymatic hydrolysis by the PKC-Cel was increased from 0.058 g/g of EFB in the crude sample (untreated) to 0.283 and 0.62 ± 06 g/g in IL-E system after 24 and 48 h of treatment, respectively. The EFB hydrolysate showed the eligibility for ethanol production without any supplements where ethanol yield was 0.275 g ethanol/g EFB in the presence of the IL, while lower yield obtained without IL-pretreatment. Moreover, it was demonstrated that furfural and phenolic compounds were not at the level of suppressing the fermentation process.
    MeSH terms: Acetates; Ethanol; Carbohydrates; Cellulase; Choline; Fermentation; Fruit; Furaldehyde; Hydrolysis; Microscopy, Electron, Scanning; Trichoderma; Spectroscopy, Fourier Transform Infrared; Dietary Supplements; Cellulases
  7. Khan NA, Anwar A, Siddiqui R
    Curr Med Chem, 2018 May 10.
    PMID: 29745319 DOI: 10.2174/0929867325666180510125633
    BACKGROUND: First discovered in the early 1970s, Acanthamoeba keratitis has remained a major eye infection and presents a significant threat to the public health, especially in developing countries. The aim is to present a timely review of our current understanding of the advances made in this field in a comprehensible manner and includes novel concepts and provides clear directions for immediate research priorities.

    METHOD: We undertook a search of bibliographic databases for peer-reviewed research literature and also summarized our published results in this field.

    RESULTS: The present review focuses on novel diagnostic and therapeutic strategies in details which can provide access to management and treatment of Acanthamoeba keratitis. This coupled with the recently available genome sequence information together with high throughput genomics technology and innovative approaches should stimulate interest in the rational design of preventative and therapeutic measures. Current treatment of Acanthamoeba keratitis is problematic and often leads to infection recurrence. Better understanding of diagnosis, pathogenesis, pathophysiology and therapeutic regimens, would lead to novel strategies in treatment and prophylaxis.

    MeSH terms: Developing Countries; Public Health; Publications; Research; Eye Infections; Acanthamoeba Keratitis; Databases, Bibliographic; Genomics
  8. Lim SY, Tham PY, Lim HYL, Heng WS, Chang YP
    J Food Sci, 2018 Jun;83(6):1522-1532.
    PMID: 29745989 DOI: 10.1111/1750-3841.14155
    The valorization of guava waste requires compositional and functional studies. We tested three byproducts of guava purée processing, namely refiner, siever, and decanter. We analyzed the chemical composition and quantified the prebiotic activity score and selected carbohydrates; we also determined the water holding (WHC), oil holding (OHC), cation exchange capacities, bile acid binding, and glucose dialysis retardation (GDR) of the solid fraction and the antioxidative and α-amylase inhibitory capacities (AIC) of the ethanolic extract. Refiner contained 7.7% lipid, 7.08% protein and a relatively high phytate content; it had a high prebiotic activity score and possessed the highest binding capacity with deoxycholic acid. Siever contained high levels of low molecular weight carbohydrates and total tannin but relatively low crude fiber and cellulose contents. It had the highest binding with chenodeoxycholic acid (74.8%), and exhibited the highest 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging capacity. Decanter was rich in cellulose and had a high prebiotic activity score. The WHC and OHC values of decanter were within a narrow range and also exhibited the highest binding with cholic acid (86.6%), and the highest values of GDR and AIC. The refiner waste could be included in animal feed but requires further processing to reduce the high phytate levels. All three guava byproducts had the potential to be a source of antioxidant dietary fiber (DF), a finding that warrants further in vivo study.

    PRACTICAL APPLICATION: To differing extents, the guava byproducts exhibited useful physicochemical binding properties and so possessed the potential for health-promoting activity. These byproducts could also be upgraded to other marketable products so the manufacturers of processed guava might be able to develop their businesses sustainably by making better use of them.

    MeSH terms: alpha-Amylases/metabolism; Antioxidants/analysis; Antioxidants/pharmacology*; Biphenyl Compounds/metabolism; Carbohydrates/analysis; Carbohydrates/pharmacology; Cellulose/analysis; Cellulose/pharmacology*; Dietary Fiber/analysis; Dietary Fiber/pharmacology*; Fruit/chemistry; Hypoglycemic Agents/analysis; Hypoglycemic Agents/pharmacology*; Phytic Acid/analysis; Picrates/metabolism; Tannins/analysis; Cholic Acid/metabolism; Plant Preparations/pharmacology*; Plant Preparations/chemistry; Psidium/chemistry*; Prebiotics*
  9. Shahul Hamid MY, Triwahyono S, Jalil AA, Che Jusoh NW, Izan SM, Tuan Abdullah TA
    Inorg Chem, 2018 May 21;57(10):5859-5869.
    PMID: 29746104 DOI: 10.1021/acs.inorgchem.8b00241
    Nickel (Ni), cobalt (Co), and zinc (Zn) loaded on fibrous silica KCC-1 was investigated for CO2 methanation reactions. Ni/KCC-1 exhibits the highest catalyst performance with a CH4 formation rate of 33.02 × 10-2 molCH4 molmetal-1 s-1, 1.77 times higher than that of Co/KCC-1 followed by Zn/KCC-1 and finally the parent KCC-1. A pyrrole adsorption FTIR study reveals shifting of perturbed N-H stretching decreasing slightly with the addition of metal oxide, suggesting that the basic sites of catalyst were inaccessible due to metal oxide deposition. The strengths of basicity were found to follow sthe equence KCC-1, Ni/KCC-1, Zn/KCC-1, and Co/KCC-1. The data were supported by N2 adsorption desorption analysis, where Co/KCC-1 displayed the greatest reduction in total surface area whereas Ni/KCC-1 displayed the least reduction. The elucidation of difference mechanism pathways has also been studied by in situ IR spectroscopy studies to determine the role of different metal oxides in CO2 methanation. It was discovered that Ni/KCC-1 and Co/KCC-1 follow a dissociative mechanism of CO2 methanation in which the CO2 molecule was dissociated on the surface of the metal oxide before migration onto the catalyst surface. This was confirmed by the evolution of a peak corresponding to carbonyl species (COads) on a metal oxide surface in FTIR spectra. Zn/KCC-1, on the other hand, showed no such peak, indicating associative methanation pathways where a hydrogen molecule interacts with an O atom in CO2 to form COads and OH. These results offers a better understanding for catalytic studies, particularly in the field of CO2 recycling.
    MeSH terms: Adsorption; Carbon Dioxide; Catalysis; Cobalt; Hydrogen; Muscle Rigidity; Nickel; Oxides; Pyrroles; Silicon Dioxide; Zinc; Spectroscopy, Fourier Transform Infrared; Recycling
  10. Vicknasingam B, Narayanan S, Singh D, Chawarski M
    Curr Opin Psychiatry, 2018 07;31(4):300-305.
    PMID: 29746420 DOI: 10.1097/YCO.0000000000000429
    PURPOSE OF REVIEW: To review the literature on decriminalization of drug use from 2016 to 2017 and suggest the way forward.

    RECENT FINDINGS: The systematic review of the literature on decriminalization resulted in seven articles that discuss decriminalization as compared with 57 published articles on legalization. Decriminalization of drug use did not have an effect on the age of onset of drug use and the prices of drugs did not decrease after the implementation of drug decriminalization. Policy-based studies on decriminalization suggest shifting from criminal sanctions to a public health approach, which was endorsed by the United Nations (UN) that viewed drug addiction as a preventable and treatable health disorder. One study preferred decriminalization only for cannabis and cautioned against regulating cannabis like alcohol. Another study indicated that general medical practitioners in Ireland did not favour the decriminalization of cannabis.

    SUMMARY: Scientific evidence supporting drug addiction as a health disorder and the endorsement by the UN strengthen the case for decriminalization. However, studies reporting on the positive outcomes of decriminalization remain scarce. The evidence needs to be more widespread in order to support the case for decriminalization. Furthermore, the endorsement by the UN needs to be acted upon by individual member states.

    MeSH terms: Cannabis*; Humans; Public Opinion; Substance-Related Disorders/prevention & control*
  11. Niazi MKK, Abas FS, Senaras C, Pennell M, Sahiner B, Chen W, et al.
    PLoS One, 2018;13(5):e0196547.
    PMID: 29746503 DOI: 10.1371/journal.pone.0196547
    Automatic and accurate detection of positive and negative nuclei from images of immunostained tissue biopsies is critical to the success of digital pathology. The evaluation of most nuclei detection algorithms relies on manually generated ground truth prepared by pathologists, which is unfortunately time-consuming and suffers from inter-pathologist variability. In this work, we developed a digital immunohistochemistry (IHC) phantom that can be used for evaluating computer algorithms for enumeration of IHC positive cells. Our phantom development consists of two main steps, 1) extraction of the individual as well as nuclei clumps of both positive and negative nuclei from real WSI images, and 2) systematic placement of the extracted nuclei clumps on an image canvas. The resulting images are visually similar to the original tissue images. We created a set of 42 images with different concentrations of positive and negative nuclei. These images were evaluated by four board certified pathologists in the task of estimating the ratio of positive to total number of nuclei. The resulting concordance correlation coefficients (CCC) between the pathologist and the true ratio range from 0.86 to 0.95 (point estimates). The same ratio was also computed by an automated computer algorithm, which yielded a CCC value of 0.99. Reading the phantom data with known ground truth, the human readers show substantial variability and lower average performance than the computer algorithm in terms of CCC. This shows the limitation of using a human reader panel to establish a reference standard for the evaluation of computer algorithms, thereby highlighting the usefulness of the phantom developed in this work. Using our phantom images, we further developed a function that can approximate the true ratio from the area of the positive and negative nuclei, hence avoiding the need to detect individual nuclei. The predicted ratios of 10 held-out images using the function (trained on 32 images) are within ±2.68% of the true ratio. Moreover, we also report the evaluation of a computerized image analysis method on the synthetic tissue dataset.
    MeSH terms: Algorithms; Cell Nucleus/pathology*; Humans; Image Processing, Computer-Assisted/methods*; Immunohistochemistry/methods*; Reproducibility of Results; Phantoms, Imaging
  12. Lim J, Rampal S, Razack AHA, Malek R, Sundram M, Nasuha NA, et al.
    Urology, 2018 Aug;118:145-151.
    PMID: 29746873 DOI: 10.1016/j.urology.2018.02.055
    OBJECTIVES: To develop a simple prostate volume (PV) calculator that can aid in managing patients with lower urinary tract symptoms (LUTS) secondary to benign prostatic enlargement at daily urology services in developing Asian countries.

    MATERIALS AND METHODS: We conducted a cross-sectional study of men aged above 40 years with no history of prostate cancer, prostate surgery, or 5α-reductase inhibitor treatment. Serum prostate-specific antigen (PSA) and total PV were measured in each subject. Potential sociodemographic and clinical variables including age, weight, comorbidities, and International Prostate Symptom Score (IPSS) were collected. Of 1034 subjects, 837 were used in building the PV calculator using regression analysis. The remaining 1/5 (n = 197) was used for model validation.

    RESULTS: There were 1034 multiethnic Asian men (Chinese 52.9%, Malay 35.4%, and Indian 11.7%) with mean age of 60 ± 7.6 years. Average PV was 29.4 ± 13.0 mL while the overall mean of PSA was 1.7 ± 1.7 ng/mL. We identified age, IPSS, weight, and PSA (all P 

    MeSH terms: Adult; Aged; Aged, 80 and over; Cross-Sectional Studies; Diagnostic Techniques, Urological; Humans; Male; Middle Aged; Organ Size; Prostate/pathology*; Prostatic Hyperplasia/complications; Prostatic Hyperplasia/pathology*; Regression Analysis; Lower Urinary Tract Symptoms/etiology; Lower Urinary Tract Symptoms/pathology*
  13. Sutirman ZA, Sanagi MM, Abd Karim KJ, Wan Ibrahim WA, Jume BH
    Int J Biol Macromol, 2018 Sep;116:255-263.
    PMID: 29746971 DOI: 10.1016/j.ijbiomac.2018.05.031
    In this study, the Cu(II) and Cd(II) ions removal behavior of crosslinked chitosan beads grafted poly(methacrylamide) (abbreviated as crosslinked chitosan-g-PMAm) from single metal ion solutions was investigated. The modified chitosan beads presented a remarkable improvement in acid resistance. The batch experiments demonstrated that pH of solution played a significant role in adsorption. It was found that the adsorption of Cu(II) and Cd(II) were optimum at pH 4 and pH 5, respectively. The maximum adsorption capacities for Cu(II) and Cd(II) based on Langmuir equation were 140.9 mg g-1 and 178.6 mg g-1, respectively. Pseudo-second order gave a better fit for adsorption data with respect to linearity coefficients than pseudo-first order suggesting that chemisorption or electron transfer is the dominant mechanism of the metal ions onto crosslinked chitosan-g-PMAm. In addition, X-ray photoelectron spectroscopy (XPS) investigations revealed that adsorption of both metal ions took place on the surfaces of crosslinked chitosan-g-PMAm by chelation through CNH2, CO and CO groups. Overall, the modified chitosan has proved a promising adsorbent for removal of metal ions.
    MeSH terms: Adsorption; Cadmium/chemistry*; Copper/chemistry*; Hydrogen-Ion Concentration; Ions/chemistry*; Kinetics; Water Pollutants, Chemical/chemistry; Water Purification/methods; Chitosan/chemistry*; Photoelectron Spectroscopy/methods
  14. Kanakaraju D, Glass BD, Oelgemöller M
    J Environ Manage, 2018 Aug 01;219:189-207.
    PMID: 29747102 DOI: 10.1016/j.jenvman.2018.04.103
    Pharmaceuticals, which are frequently detected in natural and wastewater bodies as well as drinking water have attracted considerable attention, because they do not readily biodegrade and may persist and remain toxic. As a result, pharmaceutical residues pose on-going and potential health and environmental risks. To tackle these emerging contaminants, advanced oxidation processes (AOPs) such as photo-Fenton, sonolysis, electrochemical oxidation, radiation and ozonation etc. have been applied to remove pharmaceuticals. These processes utilize the high reactivity of hydroxyl radicals to progressively oxidize organic compounds to innocuous products. This review provides an overview of the findings from recent studies, which have applied AOPs to degrade pharmaceutical compounds. Included is a discussion that links various factors of TiO2-mediated photocatalytic treatment to its effectiveness in degrading pharmaceutical residues. This review furthermore highlights the success of AOPs in the removal of pharmaceuticals from different water matrices and recommendations for future studies are outlined.
    MeSH terms: Pharmaceutical Preparations*; Oxidation-Reduction; Water; Water Pollutants, Chemical*; Water Purification*; Waste Water
  15. Bello MO, Solarin SA, Yen YY
    J Environ Manage, 2018 Aug 01;219:218-230.
    PMID: 29747103 DOI: 10.1016/j.jenvman.2018.04.101
    The primary objective of this paper is to investigate the isolated impacts of hydroelectricity consumption on the environment in Malaysia as an emerging economy. We use four different measures of environmental degradation including ecological footprint, carbon footprint, water footprint and CO2 emission as target variables, while controlling for GDP, GDP square and urbanization for the period 1971 to 2016. A recently introduced unit root test with breaks is utilized to examine the stationarity of the series and the bounds testing approach to cointegration is used to probe the long run relationships between the variables. VECM Granger causality technique is employed to examine the long-run causal dynamics between the variables. Sensitivity analysis is conducted by further including fossil fuels in the equations. The results show evidence of an inverted U-shaped relationship between environmental degradation and real GDP. Hydroelectricity is found to significantly reduce environmental degradation while urbanization is also not particularly harmful on the environment apart from its effect on air pollution. The VECM Granger causality results show evidence of unidirectional causality running from hydroelectricity and fossil fuels consumption to all measures of environmental degradation and real GDP per capita. There is evidence of feedback hypothesis between real GDP to all environmental degradation indices. The inclusion of fossil fuel did not change the behavior of hydroelectricity on the environment but fossil fuels significantly increase water footprint.
    MeSH terms: Carbon Dioxide; Electricity*; Malaysia; Water; Water Supply*; Carbon Footprint*
  16. Baki MA, Hossain MM, Akter J, Quraishi SB, Haque Shojib MF, Atique Ullah AKM, et al.
    Ecotoxicol Environ Saf, 2018 Sep 15;159:153-163.
    PMID: 29747150 DOI: 10.1016/j.ecoenv.2018.04.035
    A contaminated aquatic environment may end up in the food chain and pose risks to tourist health in a tourist destination. To assess the health risk for tourists that visit St. Martine Island, which is a popular domestic and foreign tourist destination in Bangladesh, a study is undertaken to analyse the level of heavy metal contamination from chromium (Cr), manganese (Mn), copper (Cu), zinc (Zn), arsenic (As), cadmium (Cd), lead (Pb), mercury (Hg) and iron (Fe) in six of the most consumed fish (L. fasciatus, R. kanagurta, H. nigrescens, P. cuneatus, P. annularis and S. rubrum) and five crustacean species, which consist of a shrimp (P. sculptilis), a lobster (P. versicolor) and three crabs (P. sanguinolentus, T. crenata and M. victor) captured. The samples were analysed for trace metals using atomic absorption spectrometer, and the concentrations of the metals were interpreted using the United State Environmental Protection Agency (USEPA) health risk model. The muscle and carapace/exoskeleton of shrimp, lobster and crabs were analysed and contained various concentrations of Pb, Hg, As, Cr, Cd, Fe, Cu, Zn and Mn. The hierarchy of the heavy metal in marine fish is Fe > Cd > Zn > Pb > Cu > Cr > Mn > Hg. The concentrations of Pb in the species R. kanagurta, H. nigresceus and S. rubrum were above the food safety guideline by Australia, New Zealand and other legislations in most marine fish and crustaceans. Crabs showed higher mean heavy metal concentrations than shrimp and lobster. Acceptable carcinogen ranges were observed in three fish species (R. kanagurata, H. nigresceus and S. rubrum) and one crustacean species (P. sculptilis) samples.
    MeSH terms: Adult; Animals; Arsenic/analysis*; Bangladesh; Crustacea*; Environmental Monitoring; Fishes*; Food Contamination/analysis*; Humans; Muscles/chemistry; Water Pollutants, Chemical/analysis*; Seafood/analysis*; Metals, Heavy/analysis*; Animal Shells/chemistry; Islands
  17. Richford J, Abdullah S, Norhafizah M, Juliana I, Rashdeen F, Razana A
    Malays Orthop J, 2018 Mar;12(1):1-6.
    PMID: 29725505 MyJurnal DOI: 10.5704/MOJ.1803.001
    Tendon transfers for radial nerve palsy is a common operation with good results. We did a retrospective study on twenty patients with radial nerve palsy who underwent tendon transfer surgery and recovered between January 2008 and December 2012. Outcomes measured were motor power of wrist extension, finger extension, grip strength and DASH scores. There was significant improvement of motor power of wrist and finger extension between the preoperative period and three months post-operatively, between the pre operative period and six months post operatively and between three and six months postoperatively (p = 0.0005). Grip strength improved significantly as well between preoperative, three and six months postoperatively (p = 0.0005). DASH scores reflecting patient satisfaction at six months postoperatively showed only mild or moderate difficulty of function.
    MeSH terms: Fingers; Humans; Postoperative Period; Radial Nerve; Retrospective Studies; Tendon Transfer; Wrist; Wrist Joint; Patient Satisfaction; Hand Strength; Radial Neuropathy; Preoperative Period
  18. Kampitak W, Tanavalee A, Ngarmukos S, Amarase C, Songthamwat B, Boonshua A
    Malays Orthop J, 2018 Mar;12(1):7-14.
    PMID: 29725506 DOI: 10.5704/MOJ.1803.002
    Introduction: Total knee arthroplasty (TKA) is associated with intense postoperative pain for which effective analgesia is essential to facilitate early postoperative recovery. Adductor canal block (ACB) and local infiltration analgesia (LIA) have become increasingly involved in postoperative pain management after TKA. We aimed to compare their efficacy and outcomes in patients undergoing TKA. Materials and Methods: Sixty patients undergoing unilateral TKA were randomized to receive either postoperative single-injection ACB (Group A) or LIA (Group L) during the operation. All patients received spinal anaesthesia. Primary outcome was total morphine consumption over postoperative 24 hours. Visual analog pain scale, time to first and total dosage of rescue analgesia, performance-based evaluations [timed-up and go (TUG) test, quadriceps strength], side-effects, length of hospital stay and patient satisfaction were measured. Results: Fifty-seven patients were available for analysis. Median total morphine consumption over 24 and 48 postoperative hours of Group A were significantly less than Group L (6/10 mg vs 13/25 mg, p, 0.008 and 0.001, respectively). Similarly, Group A had significantly lower VAS at postoperative 6, 12 and 18 hours, VAS at ambulation on postoperative (POD) 1-3, better TUG tests on POD 2 and during POD 3 than those of Group L. However, quadriceps strength and patient satisfaction were not different between both groups. Conclusion: Patients undergoing TKA with single-injection ACB required less postoperative opioids than those with LIA. Furthermore, multimodal analgesia using ACB provided better postoperative analgesia, as well as performance-based activities, than those with LIA.
    MeSH terms: Analgesia; Analgesics, Opioid; Anesthesia, Spinal; Humans; Length of Stay; Morphine; Pain Measurement; Pain, Postoperative; Walking; Patient Satisfaction; Arthroplasty, Replacement, Knee; Quadriceps Muscle; Pain Management
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