Medical training is often regarded as a stressful period. Studies have previously found that 21.6%-50% of medical students experience significant psychological distress. The present study compared the prevalence and levels of psychological distress between 2 cohorts of first-year medical students that underwent different admission selection processes.
CONTEXT: There is considerable evidence that emotional intelligence, previous academic achievement (i.e. cumulative grade point average (GPA)) and personality are associated with success in various occupational settings. This study evaluated the relationships of these variables with psychological health of first year medical students during stressful periods.
METHODS: A 1-year prospective study was done with students accepted into the School of Medical Sciences, Universiti Sains Malaysia. Information on emotional intelligence, GPA and personality traits were obtained prior to admission. The validated Universiti Sains Malaysia Emotional Quotient Inventory and Universiti Sains Malaysia Personality Inventory were used to measure emotional intelligence and personality traits, respectively. Stress, anxiety and depression were measured by the 21-item Depression Anxiety Stress Scale during the end-of-course (time 1) and final (time 2) examinations.
RESULTS: At the less stressful period (time 1), stress level was associated with agreeableness and the final GPA, anxiety level was associated with emotional control and emotional conscientiousness and depression level was associated with the final GPA and extraversion. At the more stressful period (time 2), neuroticism associated with stress level, anxiety level was associated with neuroticism and emotional expression, and depression level was associated with neuroticism.
CONCLUSIONS: This study found that neuroticism was the strongest associated factor of psychological health of medical students during their most stressful testing period. Various personality traits, emotional intelligence and previous academic performance were associated factors of psychological health during a less stressful period. These data suggest that early identification of medical students who are vulnerable to the stressful environment of medical schools might help them maintain psychological well-being during medical training.
Currently, generation of solid waste per capita in Malaysia is about 1.1 kg/day. Over 26,500 t of solid waste is disposed almost solely through 166 operating landfills in the country every day. Despite the availability of other disposal methods, landfill is the most widely accepted and prevalent method for municipal solid waste (MSW) disposal in developing countries, including Malaysia. This is mainly ascribed to its inherent forte in terms cost saving and simpler operational mechanism. However, there is a downside. Environmental pollution caused by the landfill leachate has been one of the typical dilemmas of landfilling method. Leachate is the liquid produced when water percolates through solid waste and contains dissolved or suspended materials from various disposed materials and biodecomposition processes. It is often a high-strength wastewater with extreme pH, chemical oxygen demand (COD), biochemical oxygen demand (BOD), inorganic salts and toxicity. Its composition differs over the time and space within a particular landfill, influenced by a broad spectrum of factors, namely waste composition, landfilling practice (solid waste contouring and compacting), local climatic conditions, landfill's physico-chemical conditions, biogeochemistry and landfill age. This paper summarises an overview of landfill operation and leachate treatment availability reported in literature: a broad spectrum of landfill management opportunity, leachate parameter discussions and the way forward of landfill leachate treatment applicability.
Landfill leachate is a heavily polluted and a likely hazardous liquid that is produced as a result of water infiltration through solid wastes generated industrially and domestically. This study investigates the potential of using psyllium husk as coagulant and coagulant aid for the treatment of landfill leachate. Psyllium husk has been tested as primary coagulant and as coagulant aid with poly-aluminum chloride (PACl) and aluminum sulfate (alum). As primary coagulant, the optimum dosage and pH for PACl were 7.2 and 7.5 g/L, respectively, with removal efficiencies of 55, 80 and 95% for COD, color and TSS, respectively. For alum, the optimum conditions were 11 g/L alum dosage and pH 6.5 with removal efficiencies of 58, 79 and 78% for COD, color and TSS, respectively. The maximum removal efficiencies of COD, color and TSS were 64, 90 and 96%, respectively, when psyllium husk was used as coagulant aid with PACl. Based on the results, psyllium husk was found to be more effective as coagulant aid with PACl in the removal of COD, color and TSS as compared to alum. Zeta potential test was carried out for leachate, PACl, alum and psyllium husk before and after running the jar test to enhance the results of the jar test experiments.
Water hyacinth (Eichhornia crassipes) and water lettuce (Pistia stratiotes) were analyzed to determine their effectiveness in aquaculture wastewater treatment in Malaysia. Wastewater from fish farm in Semanggol Perak, Malaysia was sampled and the parameters determined included, the pH, turbidity, dissolved oxygen (DO), chemical oxygen demand (COD), biochemical oxygen demand (BOD), nitrite phosphate (PO4(3-)), nitrate (NO(3-)), nitrite (NO(-2)), ammonia (NH3), and total kjedahl nitrogen (TKN). Also, hydroponics system was set up and was added with fresh plants weights of 150 +/- 20 grams Eichhornia crassipes and 50 +/- 10 grams Pistia stratiotes during the 30 days experiment. The phytoremediation treatment with Eichhornia crassipes had pH ranging from 5.52 to 5.59 and from 4.45 to 5.5 while Pistia stratiotes had its pH value from 5.76 to 6.49 and from 6.24 to 7.07. Considerable percentage reduction was observed in all the parameters treated with the phytoremediators. Percentage reduction of turbidity for Eichhornia crassipes were 85.26% and 87.05% while Pistia stratiotes were 92.70% and 93.69% respectively. Similar reductions were observed in COD, TKN, NO(3-), NH3, and PO4(3-). The capability of these plants in removing nutrients was established from the study. Removal of aquatic macrophytes from water bodies is recommended for efficient water purification.
The demanding and intense environment of medical training can create excessive pressures on medical students that eventually lead to unfavorable consequences, either at a personal or professional level. These consequences can include poor academic performance and impaired cognitive ability. This study was designed to explore associations between pass-fail outcome and psychological health parameters (i.e. stress, anxiety, and depression symptoms).
A cross-sectional descriptive study was conducted among Big Sib students to explore their perceptions of the educational environment at the School of Medical Sciences, Universiti Sains Malaysia (USM) and its weak areas using the Dundee Ready Educational Environment Measure (DREEM) inventory. The DREEM inventory is a validated global instrument for measuring educational environments in undergraduate medical and health professional education.
The high-strength leachate produced from sanitary landfill is a serious issue around the world as it poses adverse effects on aquatic life and human health. Physio-chemical technology is one of the promising options as the leachate normally presents in stabilized form and not fully amendable by biological treatment. In this research, the effectiveness of natural zeolite (clinoptilolite) augmented electrocoagulation process (hybrid system) for removing high-strength ammonia (3,442 mg/L) and color (8,427 Pt-Co) from naturally saline (15 ppt) local landfill leachate was investigated. A batch mode laboratory-scale reactor with parallel-monopolar aluminum electrodes attached to a direct current (DC) electric power was used as an electrocoagulation reactor for performance enhancement purpose. Optimum operational conditions of 146 g/L zeolite dosage, 600 A/m2 current density, 60 min treatment time, 200 rpm stirring speed, 35 min settling duration, and pH 9 were recorded with up to 70% and 88% removals of ammonia and color, respectively. The estimated overall operational cost was 26.22 $/m3 . The biodegradability of the leachate had improved from 0.05 to 0.27 in all post-treatment processes. The findings revealed the ability of the hybrid process as a viable option in eliminating concentrated ammonia and color in natural saline landfill leachate. PRACTITIONER POINTS: Clinoptilolite was augmented on the electrocoagulation process in saline and stabilized landfill leachate (15 ppt). The high strength NH3 -N (3,442 mg/L) and color (8,427 Pt-Co) were 70% and 88% removed, respectively. The optimum conditions occurred at 140 g/L zeolite, 60 mA/cm2 current density, 60 min, and final pH of 8.20. The biodegradability of the leachate improved from 0.05 to 0.27 after the treatment. This hybrid treatment was simple, faster, and did not require auxiliary electrolyte.
Diacylglycerol (DAG) and triacylglycerol (TAG) as responses on optimization of DAG production using a dual response approach of response surface methodology were investigated. This approach takes the molecular equilibrium of DAG into account and allows for the optimization of reaction conditions to achieve maximum DAG and minimum TAG yields. The esterification reaction was optimized with four factors using a central composite rotatable design. The following optimized conditions yielded 48 wt % DAG and 14 wt % TAG: reaction temperature of 66.29 degrees C, enzyme dosage of 4 wt %, fatty acid/glycerol molar ratio of 2.14, and reaction time of 4.14 h. Similar results were achieved when the process was scaled up to a 10 kg production in a pilot packed-bed enzyme reactor. Lipozyme RM IM did not show any significant activity losses or changes in fatty acid selectivity on DAG synthesis during the 10 pilot productions. However, lipozyme RM IM displayed higher selectivity toward the production of oleic acid-enriched DAG. The purity of DAG oil after purification was 92 wt %.
Immobilized PS-C 'Amano' II lipase was used to catalyze the interesterification of palm olein (POo) with 30, 50, and 70% stearic acid in n-hexane at 60 degrees C. The catalytic performance of the immobilized lipase was evaluated by determining the composition change of fatty acyl groups and triacylglycerol (TAG) by gas liquid chromatography and high-performance liquid chromatography, respectively. The interesterification process resulted in the formation of new TAGs, mainly tripalmitin and dipalmitostearin, both of which were absent in the original oil. These changes in TAG composition resulted in an increase in slip melting point, from the original 25.5 degrees C to 36.3, 37.0, and 40.0 degrees C in the modified POo with 30, 50, and 70% stearic acid, respectively. All the reactions attained steady state in about 6 h. This type of work will find great applications in food industries, such as confectionery.
This paper investigated the effects of petroleum-based oils (PBOs) as a dispersing aid on the physicochemical characteristics of natural rubber (NR)-based magnetorheological elastomers (MREs). The addition of PBOs was expected to overcome the low performance of magnetorheological (MR) elastomers due to their inhomogeneous dispersion and the mobility of magnetic particles within the elastomer matrix. The NR-based MREs were firstly fabricated by mixing the NR compounds homogeneously with different ratios of naphthenic oil (NO), light mineral oil (LMO), and paraffin oil (PO) to aromatic oil (AO), with weight percentage ratios of 100:0, 70:30, 50:50, and 30:70, respectively. From the obtained results, the ratios of NO mixed with low amounts of AO improved the material physicochemical characteristics, such as thermal properties. Meanwhile, LMO mixed the AO led to the best results for curing characteristics, microstructure observation, and magnetic properties of the MREs. We found that the LMO mixed with a high content of AO could provide good compatibility between the rubber molecular and magnetic particles due to similar chemical structures, which apparently enhance the physicochemical characteristics of MREs. In conclusion, the 30:70 ratio of LMO:AO is considered the preferable dispersing aid for MREs due to structural compounds present in the oil that enhance the physicochemical characteristics of the NR-based MREs.
Landfill leachate is one of the major contamination sources. In this study, the ability of synthetic ion exchange resins which carry different mobile ion for removing color, chemical oxygen demand (COD), and ammonia nitrogen (NH(3)-N) from stabilized leachate was investigated. The synthetic resin INDION 225 Na as a cationic exchanger and INDION FFIP MB as an anionic exchanger were used in this study. INDION 225 Na was used in hydrogen form (H(+)) and in sodium form (Na(+)), while INDION FFIP MB resin was used in hydroxide form (OH(-)) and in calcium form (Cl(-)) form. The results indicated better removal of color, COD and NH(3)-N by using INDION 225 Na in H(+) as compared with Na(+) form, while no performance differences were observed by using INDION FFIP MB in OH(-) or Cl(-) form. Applying cationic resin followed by anionic resin achieved 97, 88 and 94, percent removal of color, COD and NH(3)-N. The residual amounts were 160 Pt-Co, 290 mg/L and 110 mg/L of color, COD and NH(3)-N respectively.
This study investigated the behavior and mechanisms of cross-linked Durio zibethinus seed starch (CDSS) flocculants for landfill leachate treatment. A physical-chemical treatment method of coagulation-flocculation process and starch modification were implemented in treating stabilized leachate from Matang Landfill, Perak, Malaysia. In practical, the removal performance of color, COD, suspended solid and turbidity for CDSS flocculants were evaluated by combining with primary coagulant of polyaluminium chloride (PAC). In this study, the application of crosslinking modification for Durio zibethinus seed waste starch flocculants showed good improvement. The impurities removal for colour, COD, suspended solid and turbidity were increased by the addition of CDSS flocculants. Furthermore, the average size of the floc was also increased from 60.24 µm to 89.5 µm. Despite, the addition of CDSS flocculants produced a reduction of PAC coagulant from 2700 mg/L to 2200 mg/L, with 500 mg/L reduction on the PAC dosage dependency. Therefore, these results affirmed the potentials of crosslinked modification for Durio zibethinus seed waste starch flocculants in landfill leachate treatment.
Heterogeneous combinations of organic compounds (humic acid (HA) and fulvic acid) are the prime factor for the high concentration of colour and chemical oxygen demand (COD) in semi-aerobic stabilized landfill leachate. These organics are less biodegradable and cause a severe threat to environmental elements. Microfiltration and centrifugation processes were applied in this study to investigate the HA removal from stabilized leachate samples and its corresponding interference with COD and colour. The three-stage extraction process recovered a maximum of 1412 ± 2.5 mg/L (Pulau Burung landfill site (PBLS) leachate), 1510 ± 1.5 mg/L (Alor Pongsu landfill site (APLS leachate) at pH 1.5 and 1371 ± 2.5 mg/L (PBLS) and 1451 ± 1.5 mg/L (APLS) of HA (about 42% of the total COD concentration) at pH 2.5, which eventually indicates the process efficiency. Comparative characteristics analysis of recovered HA by scanning electron microscopy, energy-dispersive X-ray, X-ray photoelectron spectroscopy, and Fourier transform infrared significantly indicate the existence of identical elements in the recovered HA compared with the previous studies. The higher reduction (around 37%) in ultraviolet (UV) absorbance values (UV254 and UV280) in the final effluent indicates the elimination of aromaticity and conjugated double-bond compounds from leachate. Moreover, 36 and 39% COD and 39 and 44% colour removal exhibit substantial interference.
In this study, landfill leachate was treated by using the sequencing batch reactor (SBR) process. Two types of the SBR, namely non-powdered activated carbon and powdered activated carbon (PAC-SBR) were used. The influence of aeration rate and contact time on SBR and PAC-SBR performances was investigated. Removal efficiencies of chemical oxygen demand (COD), colour, ammoniacal nitrogen (NH(3)-N), total dissolved salts (TDS), and sludge volume index (SVI) were monitored throughout the experiments. Response surface methodology (RSM) was applied for experimental design, analysis and optimization. Based on the results, the PAC-SBR displayed superior performance in term of removal efficiencies when compared to SBR. At the optimum conditions of aeration rate of 1L/min and contact time of 5.5h the PAC-SBR achieved 64.1%, 71.2%, 81.4%, and 1.33% removal of COD, colour, NH(3)-N, and TDS, respectively. The SVI value of PAC-SBR was 122.2 mL/g at optimum conditions.
Performance evaluation of pilot scale sub-surface constructed wetlands was carried out in treating leachate from Pulau Burung Sanitary Landfill (PBSL). The constructed wetland was planted with Cyperus haspan with sand and gravel used as substrate media. The experiment was operated for three weeks retention time and during the experimentation, the influent and effluent samples were tested for its pH, turbidity, color, total suspended solid (TSS), chemical oxygen demand (COD), biochemical oxygen demand (BOD(5)), ammonia nitrogen (NH(3)-N), Total phosphorus (TP), total nitrogen (TN) and also for heavy metals such as iron (Fe), magnesium (Mg), manganese (Mn) and zinc (Zn) concentrations. The results showed that the constructed wetlands with C. haspan were capable of removing 7.2-12.4% of pH, 39.3-86.6% of turbidity, 63.5-86.6% of color, 59.7-98.8% of TSS, 39.2-91.8% of COD, 60.8-78.7% of BOD(5), 29.8-53.8% of NH(3)-N, 59.8-99.7% of TP, 33.8-67.0% of TN, 34.9-59.0% of Fe, 29.0-75.0% of Mg, 51.2-70.5% of Mn, and 75.9-89.4% of Zn. The significance of removal was manifested in the quality of the effluent obtained at the end of the study. High removal efficiencies in the study proved that leachate could be treated effectively using subsurface constructed wetlands with C. haspan plant.