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Puerperal sterilisation: comparison of the use of local anaesthesia and epidural lumbar anaesthesia

Peng WW, Hing NG, Fuvan IS

Med J Malaysia, 1975 Jun;29(4):293-8.
PMID: 1196177
Cervicograms of normal labour in Malaysian women

Peng WW, Aun LM, Sinnathuray TA, Lin WM

Med J Malaysia, 1976 Jun;30(4):261-3.
PMID: 979726
Fulltext Effects of Size and Aggregation/Agglomeration of Nanoparticles on the Interfacial/Interphase Properties and Tensile Strength of Polymer Nanocomposites

Ashraf MA, Peng W, Zare Y, Rhee KY

Nanoscale Res Lett, 2018 Jul 17;13(1):214.
PMID: 30019092 DOI: 10.1186/s11671-018-2624-0

In this study, several simple equations are suggested to investigate the effects of size and density on the number, surface area, stiffening efficiency, and specific surface area of nanoparticles in polymer nanocomposites. In addition, the roles of nanoparticle size and interphase thickness in the interfacial/interphase properties and tensile strength of nanocomposites are explained by various equations. The aggregates/agglomerates of nanoparticles are also assumed as large particles in nanocomposites, and their influences on the nanoparticle characteristics, interface/interphase properties, and tensile strength are discussed. The small size advantageously affects the number, surface area, stiffening efficiency, and specific surface area of nanoparticles. Only 2 g of isolated and well-dispersed nanoparticles with radius of 10 nm (R = 10 nm) and density of 2 g/cm3 produce the significant interfacial area of 250 m2 with polymer matrix. Moreover, only a thick interphase cannot produce high interfacial/interphase parameters and significant mechanical properties in nanocomposites because the filler size and aggregates/agglomerates also control these terms. It is found that a thick interphase (t = 25 nm) surrounding the big nanoparticles (R = 50 nm) only improves the B interphase parameter to about 4, while B = 13 is obtained by the smallest nanoparticles and the thickest interphase.
Design, preparation and evaluation of a high performance sensor for formaldehyde based on a novel hybride nonocomposite ZnWO3/rGO

Ashraf MA, Liu Z, Peng W, Parsaee Z

Anal Chim Acta, 2019 Mar 21;1051:120-128.
PMID: 30661608 DOI: 10.1016/j.aca.2018.11.014

The ultrasound wave assisted synthesis of a novel ZnWO3/rGO hybrid nono composition (ZnWO3/rGO HNC) as a high performance sensor for formaldehyde (FA) has been reported. Different techniques of analysis such as XRD, FE-SEM, TGA, XPS, HRTEM and BET were applied for morphological and spectroscopic characterization of the ZnWO3/rGO HNC. The sensing evaluation of the constructed sensor showed high selectivity, sensitivity and a linear correlation between achieved responses and concentration of target gas (1-10 ppm) with R2 = 0.993 at temperature of 95 °C. The determination of FA was validated and performed using gas chromatography-mass spectrometry combined by solid phase micro-extraction after derivatization with O-(2,3,4,5,6-pentafluoro-benzyl)-hydroxylamine hydrochloride. Validation was carried out in terms of limit of detection linearity, precision, and recovery. The mechanistic evaluation of sensing behavior of the ZnWO3/rGO HNC was interpreted based on large specific surface area (SSA) to volume, mesoporous structure and the heterojunction between rGO and ZnWO3 at the interface between the rGO and ZnWO3.
Microwave pyrolysis valorization of used baby diaper

Lam SS, Wan Mahari WA, Ma NL, Azwar E, Kwon EE, Peng W, et al.

Chemosphere, 2019 Sep;230:294-302.
PMID: 31108440 DOI: 10.1016/j.chemosphere.2019.05.054

Used baby diaper consists of a combination of decomposable cellulose, non-biodegradable plastic materials (e.g. polyolefins) and super-absorbent polymer materials, thus making it difficult to be sorted and separated for recycling. Microwave pyrolysis was examined for its potential as an approach to transform used baby diapers into value-added products. Influence of the key operating parameters comprising process temperature and microwave power were investigated. The pyrolysis showed a rapid heating process (up to 43 °C/min of heating rate) and quick reaction time (20-40 min) in valorizing the used diapers to generate pyrolysis products comprising up to 43 wt% production of liquid oil, 29 wt% gases and 28 wt% char product. Microwave power and operating temperature were observed to have impacts on the heating rate, process time, production and characteristics of the liquid oil and solid char. The liquid oil contained alkanes, alkenes and esters that can potentially be used as chemical additives, cosmetic products and fuel. The solid char contained high carbon, low nitrogen and free of sulphur, thus showing potential for use as adsorbents and soil additives. These observations demonstrate that microwave pyrolysis has great prospect in transforming used baby diaper into liquid oil and char products that can be utilised in several applications.
Effect of carnosine supplementation on lipid profile, fasting blood glucose, HbA1C and insulin resistance: A systematic review and meta-analysis of long-term randomized controlled trials

Peng W, Mao P, Liu L, Chen K, Zhong Y, Xia W, et al.

Complement Ther Med, 2020 Jan;48:102241.
PMID: 31987255 DOI: 10.1016/j.ctim.2019.102241

OBJECTIVE: Glucose disorders and dyslipidemia are closely associated with obesity and metabolic disease. The purpose of this study was to investigate the effect of Carnosine supplementation on lipid profile, fasting blood glucose, HbA1C and Insulin resistance.
METHOD: MEDLINE/PubMed, Scopus and Web of sciences were investigated to identify relevant articles up to June 2019. The search strategy combined the Medical Subject Heading and Title and/or abstract keywords. The combined effect sizes were calculated as weight mean difference (WMD) using the random-effects model. Between study heterogeneity was evaluated by the Cochran's Q test and I2.
RESULTS: Four RCTs studies investigated Carnosine use versus any control for at least 2 weeks were identified and analyzed. Overall results from the random-effects model on included studies, with 184 participants, indicated that carnosine intervention reduced HbA1C levels in intervention vs control groups (WMD: -0.92 %, 95 % CI: -1.20, -0.63, I2:69 %). Four studies, including a total of 183 participants, reported TG changes as an outcome measure variable, but combined results did not show significant reduction in this outcome (WMD: -14.46 mg/dl, 95 % CI: -29.11, 0.19, I2:94 %). Furthermore, combined results did not show any significant change in HOMA-IR, Cholesterol, fasting blood sugar, or HDL-C.
CONCLUSION: Carnosine supplementation results in a decrease in HbA1C, but elicits no effect on HOMA-IR, Cholesterol, fasting blood sugar, TG and HDL-C. Future studies with a larger sample sizes, varied doses of carnosine, and population-specific sub-groups are warranted to confirm, and enhance, the veracity of our findings.
Support Austria's glyphosate ban

Peng W, Lam SS, Sonne C

Science, 2020 01 17;367(6475):257-258.
PMID: 31949072 DOI: 10.1126/science.aba5642
The ongoing cut-down of the Amazon rainforest threatens the climate and requires global tree planting projects: A short review

Peng W, Sonne C, Lam SS, Ok YS, Alstrup AKO

Environ Res, 2020 02;181:108887.
PMID: 31732170 DOI: 10.1016/j.envres.2019.108887

The Amazon rainforest has sustained human existence for more than 10,000 years. Part of this has been the way that the forest controls regional climate including precipitation important for the ecosystem as well as agroforestry and farming. In addition, the Amazon also affects the global weather systems, so cutting down the rainforest significantly increases the effects of climate change, threatening the world's biodiversity and causing local desertification and soil erosion. The current fire activities and deforestation in the Amazon rainforest therefore have consequences for global sustainability. In the light of this, the current decisions made in Brazil regarding an increase in Amazon deforestation require policy changes if the global ecosystems and biodiversity are not to be set to collapse. There is only one way to move forward and that is to increase efforts in sustainable development of the region including limitation in deforestation and to continuously measure and monitor the development. The G7 countries have offered Brazil financial support for at least 20 million euros for fighting the forest fires but the president denies receiving such financial support and says that it is more relevant to raise new forests in Europe. In fact, this is exactly what is happening in Denmark and China in order to reduce climate change. Such activities should be global and include South America, Europe, Africa and Asia where deforestation is important issue. Forest restoration reduces climate change, desertification, and preserves both the regional tropical and global environment if the wood is not burned at a later stage but instead used in e.g. roads as filling material. Changes are therefore needed through improved international understanding and agreements to better avoid the global climate changes, from cutting down the precious rainforest before it is too late as rainforest cannot be re-planted.
Wildfire puts koalas at risk of extinction

Lam SS, Waugh C, Peng W, Sonne C

Science, 2020 02 14;367(6479):750.
PMID: 32054755 DOI: 10.1126/science.aba8372
Engineering pyrolysis biochar via single-step microwave steam activation for hazardous landfill leachate treatment

Lam SS, Yek PNY, Ok YS, Chong CC, Liew RK, Tsang DCW, et al.

J Hazard Mater, 2020 05 15;390:121649.
PMID: 31753673 DOI: 10.1016/j.jhazmat.2019.121649

Improving the sustainability and cost-effectiveness of biochar production is crucial to meet increased global market demand. Here, we developed a single-step microwave steam activation (STMSA) as a simplified yet efficient method to produce microwave activated biochar (MAB) from waste palm shell (WPS). The STMSA recorded a higher heating rate (70 °C/min) and higher conversion (45 wt%) of WPS into highly microporous MAB (micropore surface area of 679.22 m2/g) in contrast with the conventional heating approach (≤ 12-17 wt%). The MAB was then applied as biosorbent for hazardous landfill leachate (LL) treatment and the adsorption performance was compared with commercial activated carbon under different pH, adsorbent quantity, adsorbate concentrations, and contact times. The MAB demonstrated high adsorption capacity, achieving maximum adsorption efficiency at 595 mg/g and 65 % removal of chemical oxygen demand (COD) with 0.4 g/L of adsorbent amount under optimal acidic conditions (pH ≈ 2-3) after 24 h of contact time. The Freundlich isotherm and pseudo second-order kinetic models were well-fitted to explain the equilibrium adsorption and kinetics. The results indicate the viability of STMSA as a fast and efficient approach to produce activated biochar as a biosorbent for the treatment of hazardous landfill leachate.
Sumatran rhinoceros on the brink of extinction

Lam SS, Ma NL, Peng W, Sonne C

Science, 2020 May 29;368(6494):958.
PMID: 32467384 DOI: 10.1126/science.abc2202
Fulltext Health effects from contaminant exposure in Baltic Sea birds and marine mammals: A review

Sonne C, Siebert U, Gonnsen K, Desforges JP, Eulaers I, Persson S, et al.

Environ Int, 2020 06;139:105725.
PMID: 32311628 DOI: 10.1016/j.envint.2020.105725

Here we review contaminant exposure and related health effects in six selected Baltic key species. Sentinel species included are common eider, white-tailed eagle, harbour porpoise, harbour seal, ringed seal and grey seal. The review represents the first attempt of summarizing available information and baseline data for these biomonitoring key species exposed to industrial hazardous substances focusing on anthropogenic persistent organic pollutants (POPs). There was only limited information available for white-tailed eagles and common eider while extensive information exist on POP exposure and health effects in the four marine mammal species. Here we report organ-tissue endpoints (pathologies) and multiple biomarkers used to evaluate health and exposure of key species to POPs, respectively, over the past several decades during which episodes of significant population declines have been reported. Our review shows that POP exposure affects the reproductive system and survival through immune suppression and endocrine disruption, which have led to population-level effects on seals and white-tailed eagles in the Baltic. It is notable that many legacy contaminants, which have been banned for decades, still appear to affect Baltic wildlife. With respect to common eiders, changes in food composition, quality and contaminant exposure seem to have population effects which need to be investigated further, especially during the incubation period where the birds fast. Since new industrial contaminants continuously leak into the environment, we recommend continued monitoring of them in sentinel species in the Baltic, identifying possible effects linked to climate change, and modelling of population level effects of contaminants and climate change.
Processed Bamboo as a Novel Formaldehyde-Free High-Performance Furniture Biocomposite

Ge S, Ma NL, Jiang S, Ok YS, Lam SS, Li C, et al.

ACS Appl Mater Interfaces, 2020 Jul 08;12(27):30824-30832.
PMID: 32544314 DOI: 10.1021/acsami.0c07448

We used an innovative approach involving hot pressing, low energy consumption, and no adhesive to transform bamboo biomass into a natural sustainable fiber-based biocomposite for structural and furniture applications. Analyses showed strong internal bonding through mechanical "nail-like" nano substances, hydrogen, and ester and ether bonds. The biocomposite encompasses a 10-fold increase in internal bonding strength with improved water resistance, fire safety, and environmentally friendly properties as compared to existing furniture materials using hazardous formaldehyde-based adhesives. As compared to natural bamboo material, this new biocomposite has improved fire and water resistance, while there is no need for toxic adhesives (mostly made from formaldehyde-based resin), which eases the concern of harmful formaldehyde-based VOC emission and ensures better indoor air quality. This surpasses existing structural and furniture materials made by synthetic adhesives. Interestingly, our approach can 100% convert discarded bamboo biomass into this biocomposite, which represents a potentially cost reduction alternative with high revenue. The underlying fragment riveting and cell collapse binding are obviously a new technology approach that offers an economically and sustainable high-performance biocomposite that provides solutions to structural and furniture materials bound with synthetic adhesives.
Engineered biochar via microwave CO2 and steam pyrolysis to treat carcinogenic Congo red dye

Yek PNY, Peng W, Wong CC, Liew RK, Ho YL, Wan Mahari WA, et al.

J Hazard Mater, 2020 08 05;395:122636.
PMID: 32298946 DOI: 10.1016/j.jhazmat.2020.122636

We developed an innovative single-step pyrolysis approach that combines microwave heating and activation by CO2 or steam to transform orange peel waste (OPW) into microwave activated biochar (MAB). This involves carbonization and activation simultaneously under an inert environment. Using CO2 demonstrates dual functions in this approach, acting as purging gas to provide an inert environment for pyrolysis while activating highly porous MAB. This approach demonstrates rapid heating rate (15-120 °C/min), higher temperature (> 800 °C) and shorter process time (15 min) compared to conventional method using furnace (> 1 h). The MAB shows higher mass yield (31-44 wt %), high content of fixed carbon (58.6-61.2 wt %), Brunauer Emmett Teller (BET) surface area (158.5-305.1 m2/g), low ratio of H/C (0.3) and O/C (0.2). Activation with CO2 produces more micropores than using steam that generates more mesopores. Steam-activated MAB records a higher adsorption efficiency (136 mg/g) compared to CO2 activation (91 mg/g), achieving 89-93 % removal of Congo Red dye. The microwave pyrolysis coupled with steam or CO2 activation thereby represents a promising approach to transform fruit-peel waste to microwave-activated biochar that remove hazardous dye.
Applying microwave vacuum pyrolysis to design moisture retention and pH neutralizing palm kernel shell biochar for mushroom production

Wan Mahari WA, Nam WL, Sonne C, Peng W, Phang XY, Liew RK, et al.

Bioresour Technol, 2020 Sep;312:123572.
PMID: 32470829 DOI: 10.1016/j.biortech.2020.123572

Microwave vacuum pyrolysis of palm kernel shell was examined to produce engineered biochar for application as additive in agriculture application. The pyrolysis approach, performed at 750 W of microwave power, produced higher yield of porous biochar (28 wt%) with high surface area (270 cm2/g) compared to the yield obtained by conventional approach (<23 wt%). Addition of the porous biochar in mushroom substrate showed increased moisture content (99%) compared to the substrate without biochar (96%). The mushroom substrate added with biochar (150 g) was optimal in shortening formation, growth, and full colonization of the mycelium within one month. Using 2.5% of the biochar in mushroom substrate desirably maintained the optimum pH level (6.8-7) during the mycelium colonization period, leading to high mycelium growth (up to 91%) and mushroom yield (up to 280 g). The engineered biochar shows great potential as moisture retention and neutralizing agent in mushroom cultivation.
Fulltext Seroprevalence of avian influenza in Baltic common eiders (Somateria mollissima) and pink-footed geese (Anser brachyrhynchus)

Lam SS, Tjørnløv RS, Therkildsen OR, Christensen TK, Madsen J, Daugaard-Petersen T, et al.

Environ Int, 2020 09;142:105873.
PMID: 32585505 DOI: 10.1016/j.envint.2020.105873

Blood plasma was collected during 2016-2018 from healthy incubating eiders (Somateria molissima, n = 183) in three Danish colonies, and healthy migrating pink-footed geese (Anser brachyrhynchus, n = 427) at their spring roost in Central Norway (Svalbard breeding population) and their novel flyway through the Finnish Baltic Sea (Russian breeding population). These species and flyways altogether represent terrestrial, brackish and marine ecosystems spanning from the Western to the Eastern and Northern part of the Baltic Sea. Plasma of these species was analysed for seroprevalence of specific avian influenza A (AI) antibodies to obtain information on circulating AI serotypes and exposure. Overall, antibody prevalence was 55% for the eiders and 47% for the pink-footed geese. Of AI-antibody seropositive birds, 12% (22/183) of the eiders and 3% (12/427) of the pink-footed geese had been exposed to AI of the potentially zoonotic serotypes H5 and/or H7 virus. AI seropositive samples selected at random (n = 33) showed a low frequency of serotypes H1, H6 and H9. Future projects should aim at sampling and isolating AI virus to characterize dominant serotypes and virus strains (PCR). This will increase our understanding of how AI exposure may affect health, breeding and population viability of Baltic common eiders and pink-footed geese as well as the potential spill-over to humans (zoonotic potential).
Fulltext Body mass, mercury exposure, biochemistry and untargeted metabolomics of incubating common eiders (Somateria mollissima) in three Baltic colonies

Ma NL, Hansen M, Roland Therkildsen O, Kjær Christensen T, Skjold Tjørnløv R, Garbus SE, et al.

Environ Int, 2020 09;142:105866.
PMID: 32590281 DOI: 10.1016/j.envint.2020.105866

The Baltic/Wadden Sea Flyway of common eiders has declined over the past three decades. Multiple factors such as contaminant exposure, global warming, hunting, white-tailed eagle predation, decreased agricultural eutrophication and infectious diseases have been suggested to explain the decline. We collected information on body mass, mercury (Hg) concentration, biochemistry and untargeted metabolomics of incubating birds in two colonies in the Danish Straits (Hov Røn, n = 100; Agersø, n = 29) and in one colony in the Baltic proper (Christiansø, n = 23) to look into their metabolisms and energy balance. Body mass was available from early and late incubation for Hov Røn and Christiansø, showing a significant decline (25-30%) in both colonies with late body mass at Christiansø being the lowest. Whole blood concentrations of total mercury Hg were significantly higher in birds at Christiansø in the east compared to Hov Røn in the west. All birds in the three colonies had Hg concentrations in the range of ≤1.0 μg/g ww, which indicates that the risk of effects on reproduction is in the no to low risk category for wild birds. Among the biochemical measures, glucose, fructosamine, amylase, albumin and protein decreased significantly from early to late incubation at Hov Røn and Christiansø, reflecting long-term fastening as supported by the decline in body mass. Untargeted metabolomics performed on Christiansø eiders revealed presence of 8,433 plasma metabolites. Of these, 3,179 metabolites changed significantly (log2-fold change ≥1, p ≤ 0.05) from the early to late incubation. For example, smaller peptides and vitamin B2 (riboflavin) were significantly down-regulated while 11-deoxycorticosterone and palmitoylcarnitine were significantly upregulated. These results show that cumulative stress including fasting during incubation affect the eiders' biochemical profile and energy metabolism and that this may be most pronounced for the Christiansø colony in the Baltic proper. This amplify the events of temperature increases and food web changes caused by global warming that eventually accelerate the loss in body weight. Future studies should examine the relationship between body condition, temperature and reproductive outcomes and include mapping of food web contaminant, energy and nutrient content to better understand, manage and conserve the populations.
Integrated farming system producing zero emissions and sustainable livelihood for small-scale cattle farms: Case study in the Mekong Delta, Vietnam

Thanh Hai L, Tran QB, Tra VT, Nguyen TPT, Le TN, Schnitzer H, et al.

Environ Pollut, 2020 Oct;265(Pt B):114853.
PMID: 32480006 DOI: 10.1016/j.envpol.2020.114853

This study proposes an integrated cattle breeding and cultivation system that provides zero emission and sustainable livelihood for the community in rural areas. The proposed integrated farming system improves agricultural productivity and environmental and sanitation conditions, minimizes the amount of waste, and increases the family income up to 41.55%. Several waste types can be recycled and transformed into valuable products, such as energy for cooking, organic fertilizer for crops, and cattle feed for breeding. Wastewater effluent from the biogas tank can be treated by biochar and results show that it then meets the standards for irrigation purposes. Also, the waste flow from cattle breeding supplies enough nutrients to cultivate plants, and the plants grown supply are adequate food for the 30 cows living on the farm. This research shows that the use of an integrated farming system could achieve zero-emission goal. Thereby, it provides a sustainable livelihood for cattle breeding family farms. The proposed integrated cattle breeding and cultivation system improves agricultural productivity, environmental and increases the farmer income up to 41.55%.
Environmental management of two of the world's most endangered marine and terrestrial predators: Vaquita and cheetah

Lam SS, Chew KW, Show PL, Ma NL, Ok YS, Peng W, et al.

Environ Res, 2020 11;190:109966.
PMID: 32829186 DOI: 10.1016/j.envres.2020.109966

Two of the world most endangered marine and terrestrial species are at the brink of extinction. The vaquita (Phocoena sinus) is the smallest existing cetacean and the population has declined to barely 22 individuals now remaining in Mexico's Gulf of California. With the ongoing decline, it is likely to go extinct within few years. The primary threat to this species has been mortality as a result of by-catch from gillnet fishing as well as environmental toxic chemicals and disturbance. This has called for the need to establish a National Park within the Gulf of California to expand essential habitat and provide the critical ecosystem protection for vaquita to thrive and multiply, given that proper conservation enforcement and management of the park are accomplished. In the terrestrial environment, the cheetah (Acinonyx jubatus) is reduced to a low number worldwide with the Iran subpopulation currently listed as Critically Endangered and the Indian subpopulation already extinct. There is a need for conservation efforts due to habitat loss, but also an indication of the conspicuous threat of illegal trade and trafficking from Africa and Arab countries in the Middle East. Funds have also been set up to provide refuges for the cheetah by working directly with farmers and landowners, which is a critical movement in adaptive management. These are the potential options for the preservation and possibly the expansion of the overall vaquita and cheetah populations.
Deforestation of rainforests requires active use of UN's Sustainable Development Goals

Wan Mahari WA, Azwar E, Li Y, Wang Y, Peng W, Ma NL, et al.

Sci Total Environ, 2020 Nov 10;742:140681.
PMID: 33167298 DOI: 10.1016/j.scitotenv.2020.140681

The deforestation and burning of the Amazon and other rainforests is having a cascade of effects on global climate, biodiversity, human health and local and regional socioeconomics. This challenging situation demands a sustainable exploitation of the region's resources in accordance with the United Nations (UNs) Sustainable Development Goals (SDGs) in order to meet Good Environmental Status and reduce poverty. The management of forests sustainability spans across at least eight of the 17 UN SDGs mainly to combat desertification, halt biodiversity loss, and reverse land degradation. Significant changes are needed if we are to sustain the world's rainforests and thereby the global climate and biodiversity. These measures and mitigations are of global responsibility requiring both developed and developing nations such as the United States, EU, and China to change their policies and stand regarding their high demand for meat and hardwood. When possible, non-profit tree-planting internet browsers should be implemented by governments and institutions. So far, there is a lack of active use of the UN SDGs and the countries must therefore need to fully adopt the UN SDGs in order to help the situation. One way to enforce this could be through imposing economic penalties to governments and national institutions that do not adhere to for example publishing open access of data and other important information relevant for the mission of the UN SDGs.

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