Driven by the urgent need for a solution to tackle the surge of rice husk (RH) and waste frying oil (WFO) waste accumulation at a global scale, this report highlights the use of calcium silicates (CS) extracted from acid-pre-treated rice husk ash (RHA) for free fatty acid (FFA) removal from WFO as conventional RHA shows limited FFA adsorption performance. A novel alkaline earth silicate extraction method from acid-pre-treated RHA was outlined. The structural and behavioural attributes of the synthesised CS were identified through BET, SEM-EDS, and XRD analyses and compared to those of RHA. Notable morphology and structural modification were determined, including reducing specific surface areas, mitigating from amorphous to crystalline structure with regular geometric forms, and detecting Si-O-Ca functional groups exclusive to CS adsorbents. A comparison study showed superior lauric acid (LA) adsorption performance by CS absorbents over acid-pre-treated RHA, with a significant increase from 0.0831 ± 0.0004 mmol LA/g to 2.5808 ± 0.0011 mmol LA/g after 60 min. Recognised as the best-performing CS adsorbent, CS-1.0 was used for further investigations on the effect of dosage, LA concentration, and temperature for efficient LA adsorption, with up to 100% LA removal and 5.6712 ± 0.0016 mmol LA/g adsorption capacity. The adsorption isotherm and kinetic studies showed LA adsorption onto CS-1.0 followed Freundlich isotherm with KF = 0.0598 mmol(1-1/n) L(1/n) g-1 & Qe,cal = 3.1696 mmol g-1 and intraparticle diffusion model with kid = 0.1250 mmol g-1 min0.5 & Ci = 0.9625 mmol g-1, indicating rapid initial adsorption and involvement of carboxylate end of LA and the calcium ions on the CS-1.0 in the rate-limiting step. The high equilibrium adsorption capacity and LA adsorption rate indicated that the proposed CS-1.0 adsorbent has excellent potential to recover FFA from WFO effectively.
Neurological rehabilitation is a physician-supervised programme for individuals with nervous system diseases, injuries or disorders. Neurological rehabilitation, also known as neurorehabilitation, is part of the rehabilitation process that improves function, reduces severity and enhances a patient's well-being. Because neurological injuries occur in the brain, spine and nerves, affecting multiple body parts including organs, blood vessels, muscles and bones, rehabilitation requires a multidisciplinary approach. This study conducted a systematic literature review (SLR) on the use of mobile game in neurorehabilitation. The steps undertaken in the literature review included the collection, identification, categorisation, summarisation and synthesis of relevant studies in the research domain. A total of 50 related articles were reviewed. The study identified that the effects on cognitive skills, handgrip strength, memory, attention, visuospatial abilities, executive function tasks, motor functionality, and improvements in balance, visual perception, and functional mobility are impacts of the use of mobile games in neurological rehabilitation. Furthermore, several research challenges and recommendations for future research were identified.
The surge in the use of antibiotics, especially in aquaculture, has led to development of antibiotic resistance genes, which will harm environmental and public health. One of the most commonly used antibiotics in aquaculture is oxytetracycline (OTC). Employing photocatalysis, this study compared OTC degradation efficiency of two different types of common photocatalysts, TiO2 and graphitic carbon nitride (GCN) in terms of their photochemical properties and underlying photocatalytic mechanism. For reference purpose, self-synthesized GCN from urea precursor (GCN-Urea) and commercial GCN (GCN-Commercial) were both examined. OTC adsorption-photocatalysis removal rates in pure OTC solution by TiO2, GCN-Urea and GCN-Commercial were attained at 95%, 60% and 40% respectively. Photochemical properties evaluated included light absorption, band gap, valence and conduction band positions, photoluminescence, cyclic voltammetry, BET surface area and adsorption capability of the photocatalysts. Through the evaluations, this study provides novel insights towards current state-of-the-art heterogeneous photocatalytic processes. The electron-hole recombination examined by photoluminescence is not the key factor influencing the photocatalytic efficacies as commonly discussed. On the contrary, the dominating factors governing the higher OTC degradation efficiency of TiO2 compared to GCN are the high mobility of electrons that leads to high redox capability and the high pollutant-photocatalyst affinity. These claims are proven by 86% and 40% more intense anodic and cathodic cyclic voltammetry curve peaks of TiO2 as compared to both GCNs. OTC also demonstrated 1.7 and 2.3 times higher affinity towards TiO2 than GCN-Urea and GCN-Commercial. OTC removal by TiO2 in real aquaculture wastewater only achieved 50%, due to significant inhibition effect by dissolved solids, dissolved organic matters and high ionic contents in the wastewater.
Zinc (Zn) was identified as one of the most toxic heavy metals and often found contaminating the water sources as a result of inefficient treatment of industrial effluent. A green emulsion liquid membrane (GELM) was proposed in this study as a method to minimize the concentration of Zn ions in an aqueous solution. Instead of the common petroleum-based diluent, the emulsion is reformulated with untreated waste cooking oil (WCO) collected from the food industry as a sustainable and cheaper diluent. It also includes Bis(2-ethylhexyl) phosphate (D2EHPA) as a carrier, Span 80 as a surfactant, sulfuric acid (H2SO4) as an internal phase, and ZnSO4 solution as an external phase. Such formulation requires a thorough understanding of the oil characteristics as well as the interaction of the components in the membrane phase. The compatibility of WCO and D2EHPA, as well as the external phase pH, was confirmed via a liquid-liquid extraction (LLE) method. To obtain the best operating conditions for Zn extraction using GELM, the extraction time and speed, carrier, surfactant and internal phase concentrations, and W/O ratio were varied. 95.17% of Zn ions were removed under the following conditions; 0.001 M of H2SO4 in external phase, 700 rpm extraction speed for 10 min, 8 wt% of carrier and 4 wt% of surfactant concentrations, 1:4 of W/O ratio, and 1 M of internal phase concentration.
Hemorrhoidectomy is one of the most common surgical interventions to remove the third and fourth degrees of prolapse hemorrhoid. We carried out this systematic review and meta-analysis of the randomized controlled trials (RCTs) to comprehensively evaluate the efficacy of harmonic scalpel (HS) versus bipolar diathermy (BD) methods in terms of decreasing intraoperative and postoperative morbidities among patients undergoing hemorrhoidectomy. Suitable citations were found utilizing digital medical sources, including the CENTRAL, Web of Science, PubMed, Scopus, and Google Scholar, from inception until December 2022. Only RCTs that matched the inclusion requirements were selected. We used the updated Cochrane risk of bias (ROB) tool (version 2) to assess the quality of the involved citations. The Review Manager (version 5.4 for Windows) was used to perform the pooled analysis. Data were pooled and reported as mean difference (MD) or risk ratio (RR) with a 95% confidence interval (CI) in random-effects models. Overall, there was no significant difference between HS and BD in terms of decreasing intraoperative morbidities like operative time, intraoperative blood loss, mean duration of hospital stay, and mean duration of first bowel movement (P>0.05). Similarly, the rate of postoperative complications like pain, bleeding, urinary retention, anal stenosis, flatus incontinence, and wound edema; was similar in both groups with no significant difference (P>0.05). In conclusion, our pooled analysis revealed there was no substantial difference between HS and BD in terms of intraoperative and postoperative endpoints. Additional RCTs with larger sample sizes are needed to consolidate the power and quality of the presented evidence.
The current toxicity concerns of gadolinium-based contrast agents (GBCAs) have birthed the need to regulate and, sometimes restrict its clinical administration. However, tolerable concentration levels of Gd in the water sector have not been set. Therefore, the detection and speedy increase of the anthropogenic Gd-GBCAs in the various water bodies, including those serving as the primary source of drinking water for adults and children, is perturbing. Nevertheless, the strongly canvassed risk-benefit considerations and superior uniqueness of GBCAs compared to the other ferromagnetic metals guarantees its continuous administration for Magnetic resonance imaging (MRI) investigations regardless of the toxicity concerns. Unfortunately, findings have shown that both the advanced and conventional wastewater treatment processes do not satisfactorily remove GBCAs but rather risk transforming the chelated GBCAs to their free ionic metal (Gd 3+) through inadvertent degradation processes. This unintentional water processing-induced GBCA dechelation leads to the intricate pathway for unintentional human intake of Gd ion. Hence exposure to its probable ecotoxicity and several reported inimical effects on human health such as; digestive symptoms, twitching or weakness, cognitive flu, persistent skin diseases, body pains, acute renal and non-renal adverse reactions, chronic skin, and eyes changes. This work proposed an economical and manageable remediation technique for the potential remediation of Gd-GBCAs in wastewater, while a precautionary limit for Gd in public water and commercial drinks is advocated.
Emerging contaminants (ECs) originated from different agricultural, biological, chemical, and pharmaceutical sectors have been detected in our water sources for many years. Several technologies are employed to minimise EC content in the aqueous phase, including solvent extraction processes, but there is not a solution commonly accepted yet. One of the studied alternatives is based on separation processes of emulsion liquid membrane (ELM) that benefit low solvent inventory and energy needs. However, a better understanding of the process and factors influencing the operating conditions and the emulsion stability of the extraction/stripping process is crucial to enhancing ELM's performance. This article aims to describe the applications of this technique for the EC removal and to comprehensively review the ELM properties and characteristics, phase compositions, and process parameters.
Surging growth of aquaculture industry has alarmed the public when the wastewater discharged had an adverse effect on the environment. This current study is a pioneer in the use of membrane distillation (MD) to treat real aquaculture wastewater. In addition to excellent hydrophobicity, the slippery surface of membrane used for MD is another key factor that enhances the performance of MD. The slippery surface of the membrane was tuned by layering high-viscosity and low-viscosity polypropylene (PP) polymers on the electrospun membrane by solvent-exchanged method. While the high-viscosity PP coating (PP/HV) rendered the membrane surface slippery, the low-viscosity PP coating (PP/LV) caused the fish farm wastewater to have stick-slip movement on the membrane surface. In the long-term 70-hour direct contact membrane distillation (DCMD) separation, PP/HV and PP/LV membranes can perfectly eliminate the undesirable components in the fish farm wastewater. The PP/HV membrane has registered a flux of 19.1 kg/m2·h, while the flux of PP/LV membrane was only 7.3 kg/m2·h. The PP/HV membrane also showed excellent anti-scaling properties in relative to the PP/LV membrane. This is because the PP/HV membrane promotes effortless gliding of the feed water along the surface of the membrane, while the surface of the PP/LV membrane has a static water boundary. Therefore, it can be concluded that the application of MD using the membrane coated with high-viscosity PP polymer is a feasible technology for the treatment of aquaculture wastewater.
Membrane distillation (MD) is a thermal technology for the desalination process that requires a hydrophobic microporous membrane to ensure that the membrane can maintain the liquid-vapor interface. This work aims to enhance the water permeation flux of the previously coated membrane by modifying the surface of the polytetrafluoroethylene hollow fiber (PTFE HF) membrane with a selected non-solvent such as acetone, cyclohexanone, and ethanol in low-density polyethylene as a polymeric coating solution. However, the modification using acetone and cyclohexanone solvents was unsuccessful because a reduction in membrane hydrophobicity was observed. The modified PTFE HF membrane with ethanol content exhibits high wetting resistance with a high water contact angle, which can withstand pore wetting during the direct contact MD process. Since MD operates under a lower operating temperature range (50-90 °C) compared to the conventional distillation, we herein demonstrated that higher flux could be obtained at 7.26 L m-2 h-1. Thus, the process is economically feasible because of lower energy consumption. Performance evaluation of the modified PTFE HF membrane showed a high rejection of 99.69% for sodium chloride (NaCl), indicating that the coated membrane preferentially allowed only water vapor to pass through.
This study is to estimate in-hospital mortality in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) patients stratified by hemoglobin (Hb) level. Patients were stratified according to hemoglobin level into two groups, that is, Hb <100 g/L and Hb >100 g/L. A total of 6931 patients were included. Of these, 6377 (92%) patients had hemoglobin levels >100 g/L. The mean age was 44 ± 17 years, and 66% of the patients were males. The median length of overall hospital stay was 13 days [2; 31]. The remaining 554 (8%) patients had a hemoglobin level <100 g/L. Overall mortality was 176 patients (2.54%) but was significantly higher in the group with hemoglobin levels <100 g/L (124, 22.4%) than in the group with hemoglobin levels >100 g/L (52, 0.82%). Risk factors associated with increased mortality were determined by multivariate analysis. The Kaplan-Meier survival analysis showed hemoglobin as a predictor of mortality. Cox proportional hazards regression coefficients for hemoglobin for the HB ≤ 100 category of hemoglobin were significant, B = 2.79, SE = 0.17, and HR = 16.34, p
Health literacy is progressively seen as an indicator to describe a nation's health status. To improve health literacy, countries need to address health inequalities by examining different social demographic factors across the population. This assessment is crucial to identify and evaluate the strengths and limitations of a country in addressing health issues. By addressing these health inequalities, a country would be better informed to take necessary steps to improve the nation's health literacy. This study examines health literacy levels in Malaysia and analyses socio-demographic factors that are associated with health literacy. A cross-sectional survey was carried out using the HLS-M-Q18 instrument, which was validated for the Malaysian population. Multi-stage random sampling strategy was used in this study, utilising several sampling techniques including quota sampling, cluster sampling, and simple random sampling to allow random data collection. A total of 855 respondents were sampled. Our results showed that there were significant associations between health literacy and age, health status, and health problems. Our findings also suggest that lower health literacy levels were associated with the younger generation. This study's findings have provided baseline data on Malaysians' health literacy and provide evidence showing potential areas of intervention.
The hydrophobic membranes have been widely explored to meet the membrane characteristics for the membrane distillation (MD) process. Inorganic metal oxide nanoparticles have been used to improve the membrane hydrophobicity, but limited studies have used nano clay particles. This study introduces halloysite nanotube (HNT) as an alternative material to synthesis a hydrophobic poly(vinylidene fluoride) (PVDF)-HNT membrane. The PVDF membranes were fabricated using functionalized HNTs (e.g., carnauba wax and 1H,1H,2H,2H-perfluorooctyl-trichlorosilane (FOTS)). The results were determined by Fourier transform infrared-attenuated total reflection, scanning electron microscope, goniometer and porometer to determine the desired hydrophobic membrane for direct contact membrane distillation (DCMD). The addition of FOTS-HNT (fs-HNT) and carnauba wax-HNT (fw-HNT) in the PVDF membrane enhanced the water contact angle (CA) to 127° and 137°, respectively. The presence of fw-HNT in the PVDF membrane exhibited higher liquid entry pressure (LEP) (2.64 bar) compared to fs-HNT in the membrane matrix (1.44 bar). The PVDF/fw-HNT membrane (Pfw-HNT) obtained the highest flux of 7.24 L/m2h with 99.9% salt removal. A stable permeability in the Pfw-HNT membrane was obtained throughout 16 h of DCMD. The incorporation of fw-HNT in the PVDF membrane had improved the anti-wetting properties and the membrane performance with the anti-fouling effect.
Membrane distillation (MD) is an attractive technology for the separation of highly saline water used with a polytetrafluoroethylene (PTFE) hollow fiber (HF) membrane. A hydrophobic coating of low-density polyethylene (LDPE) coats the outer surface of the PTFE membrane to resolve membrane wetting as well as increase membrane permeability flux and salt rejection, a critical problem regarding the MD process. LDPE concentrations in coating solution have been studied and optimized. Consequently, the LDPE layer altered membrane morphology by forming a fine nanostructure on the membrane surface that created a hydrophobic layer, a high roughness of membrane, and a uniform LDPE network. The membrane coated with different concentrations of LDPE exhibited high water contact angles of 135.14 ± 0.24 and 138.08 ± 0.01° for membranes M-3 and M-4, respectively, compared to the pristine membrane. In addition, the liquid entry pressure values of LDPE-incorporated PTFE HF membranes (M-1 to M-5) were higher than that of the uncoated membrane (M-0) with a small decrease in the percentage of porosity. The M-3 and M-4 membranes demonstrated higher flux values of 4.12 and 3.3 L m-2 h-1 at 70 °C, respectively. On the other hand, the water permeation flux of 1.95 L m-2 h-1 for M-5 further decreased when LDPE concentration is increased.
Natural organic matters (NOMs) have been found to be the major foulant in the application of ultrafiltration (UF) for treating surface water. Against this background, although hydrophilicity has been demonstrated to aid fouling mitigation, other parameters such as membrane surface morphology may contribute equally to improved fouling resistance. In this work, with humic acid solution as the model substance, the effects of titanium dioxides (TiO2) types (PC-20, P25, and X500) on membrane anti-fouling and defouling properties were comparatively analysed. The aims are (1) to determine the correlation between membrane surface morphology and membrane fouling and (2) to investigate the anti-fouling and UV-cleaning abilities of PVDF/TiO2 mixed-matrix membranes with different membrane topographies and surface energy conditions. The mixed-matrix membrane with P25 TiO2 exhibited the most significant UV-defouling ability, with a high irreversible flux recovery ratio (IFRR(UV)) of 16.56 after 6 h of UV irradiation, whereas that with X500 TiO2 exhibited both superior anti-fouling and defouling properties due to its smoother surface and its highly reactive surface layer.
Membrane distillation (MD) is an advantageous separation process compared with pressure-driven technologies and was subsequently introduced to treat aquaculture wastewater. Harnessing a superhydrophobic membrane in an MD process is of extreme importance to prevent membrane wetting. In this work, the electrospun polypropylene (PP) membrane was surface modified by depositing an additional coating of PP via the solvent-exchange method, thereby improving the membrane's superhydrophobicity. Layer-by-layer deposition of PP caused the formation of uniform polymer spherulites on the membrane surface, which levelled up the membrane's surface roughness. A superhydrophobic surface was achieved by applying a single-layered PP coating, with static water contact angle of 152.2° and sliding angle of 12.5°. While all membranes achieved almost perfect salt rejection (up to 99.99%), the MD permeate flux improved by 30%, average of 13.0 kg/m2h, when the single-layered PP-coated membrane was used to treat the high salinity water in both 2 and 60 hr MD processes. Further layers of coating resulted in larger size of PP spherulites with higher sliding angle, followed by lowered flux in MD. The evenness of the surface coating and the size of the aggregate PP spherulites (nano-scaled) are two predominant factors contributing to the superhydrophobicity character of a membrane.
The development of mixed matrix membranes (MMMs) for effective gas separation has been gaining popularity in recent years. The current study aimed at the fabrication of MMMs incorporated with various loadings (0-4 wt%) of functionalized KIT-6 (NH2KIT-6) [KIT: Korea Advanced Institute of Science and Technology] for enhanced gas permeation and separation performance. NH2KIT-6 was characterized by field emission scanning electron microscope (FESEM), X-ray diffraction (XRD), Fourier transform infrared (FTIR), and N2 adsorption-desorption analysis. The fabricated membranes were subjected to FESEM and FTIR analyses. The effect of NH2KIT-6 loading on the CO2 permeability and ideal CO2/CH4 selectivity of the fabricated membranes were investigated in gas permeation and separation studies. The successfulness of (3-Aminopropyl) triethoxysilane (APTES) functionalization on KIT-6 was confirmed by FTIR analysis. As observed from FESEM images, MMMs with no voids in the matrix were successfully fabricated at a low NH2KIT-6 loading of 0 to 2 wt%. The CO2 permeability and ideal CO2/CH4 selectivity increased when NH2KIT-6 loading was increased from 0 to 2 wt%. However, a further increase in NH2KIT-6 loading beyond 2 wt% led to a drop in ideal CO2/CH4 selectivity. In the current study, a significant increase of about 47% in ideal CO2/CH4 selectivity was achieved by incorporating optimum 2 wt% NH2KIT-6 into the MMMs.
The purpose of this study is to explore the emulsion liquid membrane stability for acetaminophen (ACTP) removal from aqueous solution. In this work, the membrane phase was prepared by dissolving trioctylamine (TOA) with kerosene and Span80. The stability of the emulsion in terms of emulsion size, membrane breakage, and its efficiency in removing ACTP was considered for the optimization of parameters. Investigation on the stability of emulsion was carried out by manipulating the concentration of stripping agent, agitation speed, extraction time, and treat ratio. The best condition to produce a very stable emulsion was achieved at 0.1 M of stripping agent concentration, with 300 rpm of agitation speed for 3 min of extraction time with a treat ratio of 3:1. Eighty-five percent of ACTP successfully stripped into the emulsion with minimum membrane breakage of 0.17% through this experiment.
BACKGROUND: The European Health Literacy Survey Questionnaire (HLS-EU-Q47) is becoming a widely used tool to measure health literacy (HL), including in Malaysia. There are efforts to reduce the 47-item scale to parsimonious short item scales that still reflect the assumptions and requirements of the conceptual model. This study used confirmatory factor analysis to reduce the 47-item scale to a short scale that can offer a feasible HL screening tool with sufficient psychometric properties.
METHODS: A cross-sectional survey was conducted on the Malaysian population based on ethnic distribution to ensure that the short version instrument reflects the country's varied ethnicities. The survey was administered by well-trained interviewers working for the Ministry of Health Malaysia. A total of 866 responses were obtained. Data was analysed using multi-factorial confirmatory factor analysis (CFA) with categorical variables.
RESULTS: The analysis resulted in a satisfactory 18-item model. There were high correlations among the 18 items. The internal consistency reliability was robust, with no floor/ceiling effects. These results represented equivalence and consistency among the responses to items, suggesting that these items were homogenous in measuring Malaysian health literacy. The strong convergent and discriminant validity of the model makes the proposed 18 items a suitable short version of the health literacy instrument for Malaysia.
CONCLUSIONS: The researchers propose the 18-item instrument to be named HLS-M-Q18. This short version instrument may be used in measuring health literacy in Malaysia as it achieved robust reliability, structural validity and construct validity that fulfilled goodness-of-fit criteria.
In the current study, a total of 86 soccer’s players with mean age of 14 years drawn from Terengganu soccer academy were tested in performing 10 parameters aiming at determining the performance of those players based on assessing the contribution of each activity and its corresponding significant level. The 10 performance related parameters involved anthropometry (BMI), fitness test (agility, coordination, muscular endurance (push and sit up), power, YoYo level), and football skill test (dribbling with ball, dribbling without ball and juggling). All the parameters testing is carried out based on international standard and performed by well-trained staff. The Pearson correlation analysis was used to achieve the objective in this study. Result shows a positive correlation between the two types of muscular parameters; the power is influenced by BMI and coordination; the specific football tests are highly impacted by the power and agility. The coefficient of determination R^2 and the significance level p-values show that the parameters that can be significantly considered are the anthropometric BMI (0.020), agility (0.025), muscular endurance (0.039 and 0.043), power (0.039), special football test without the ball (0.041), and juggling (0.046). The coordination, YoYo, football special test with the ball were not found to be significantly accounted for preparing the young players to achieve the required performance. Based on the results of the coefficient of determination and the significance p-values of the parameters, a model was proposed to determine the highest and lowest parameters that play important roles in the selection of young players.
The aim of this study is to evaluate the performance and antifouling properties of polyethersulfone (PES) membrane incorporated with dual nanofiller, zinc oxide (ZnO) and multi-walled carbon nanotube (MWCNT). The synergistic effect of the these nanofillers in PES membrane is studied by blending different ratio of ZnO/MWCNT nanofiller into the PES membrane. The fabricated membranes were characterized in terms of cross-section and surface morphology, surface hydrophilicity, pore size and porosity. The filtration performance of the membranes was tested using 50 mg/L humic acid (HA) solution as model solution. SEM image and gravimetric evaluation reported that the incorporation of both MWCNT and ZnO into the PES membrane improved porosity significantly up to 46.02%. Lower water contact angle of PES membrane incorporated with equal ratio of MWCNT and ZnO (PES 3) revealed that it has neat PES membrane properties and more hydrophilic membrane surface than single filler. PES 3 outperform other membranes with excellent HA permeate flux of 40.00 L/m2.h and rejection of 88.51%. Due to hydrophilic membrane surface, PES 3 membrane demonstrate efficient antifouling properties with lower relative flux reduction (RFR) and higher flux recovery ratio (FRR). PES 3 also showed notable antibacterial properties with less bacterial attached to the membrane compared to neat PES membrane (PES 0).