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Fulltext The effectiveness of a theory-based intervention program for pregnant women with anemia: A randomized control trial

Abd Rahman R, Idris IB, Md Isa Z, Abd Rahman R

PLoS One, 2022;17(12):e0278192.
PMID: 36473006 DOI: 10.1371/journal.pone.0278192

Anemia in pregnancy is a public health concern. It has been diagnosed in 27% of pregnant women in Malaysia and up to 40% of pregnant women globally. This study aimed to develop and evaluate the effectiveness of an intervention initiative based on the health belief model. The MyPinkMom program was disseminated through a mobile messaging application to pregnant women to educate them on the prevention of anemia in pregnancy. We conducted a two-arm cluster-assignment, single-blinded, randomized control trial at two government antenatal clinics in Selangor. One clinic was randomly chosen as the intervention group, and the other was chosen as the control group. Sixty pregnant women with anemia from the intervention group received the MyPinkMom intervention program in the form of six infographic video clips, and 60 pregnant women with anemia from the control group received routine counseling on anemia in pregnancy. Pregnant women who had anemia secondary to hemoglobinopathy or other chronic diseases were excluded from this study. MANOVA showed significant increases in hemoglobin, knowledge, attitude, subjective norms, and perceived behavioral control scores for adherence to iron supplements, dietary iron, and dietary vitamin C intake (p < 0.001) in the intervention group at week 6. A significant reduction also occurred in dietary tannin intake (p < 0.001) in the intervention group at week 6. The intervention group at week 6 showed a large effect on hemoglobin level increments (partial eta squared, Ƞp2 0.268), dietary iron intake (Ƞp2 0.213), knowledge of anemia in pregnancy (Ƞp2 0.622), subjective norm scores for adherence to iron supplements (Ƞp2 0.167), and reduction in dietary tannin intake (Ƞp2 0.353). Similarly, repeated measures ANOVA showed that changes in hemoglobin levels were significantly different over time (i.e., at baseline, week 6, and week 12) between the intervention and control groups (p < 0.001). Hemoglobin increased rapidly over time among participants in the intervention group but gradually in the control group. To conclude, the newly developed MyPinkMom program that was delivered through a messaging application showed effectiveness in preventing anemia during pregnancy.

Matched MeSH terms: Iron
An investigation into the suitability of some etching reagents to restoring obliterated stamped numbers on cast iron engine blocks of cars

Abdul Wahab MF, Mohamad Ghani NI, Kuppuswamy R

Forensic Sci Int, 2012 Nov 30;223(1-3):53-63.
PMID: 22955030 DOI: 10.1016/j.forsciint.2012.07.020

Most of the automotive companies use cast iron for their engine blocks. Restoration of obliterated number on these iron surfaces by chemical etching is known to be quite difficult. Heating of the obliterated surface using oxyacetylene flame is an alternative recovery treatment suggested in literature and used in practice. However chemical etching has been established to be the most sensitive technique for detection of metal deformation present under stamped serial numbers. Hence, the current work investigated the suitability of some common etchants on cast iron surfaces with a view to determining the most suitable one for revealing the obliterated marks. The reagents tested were mostly copper containing Fry's reagent and its modifications. Two cast iron engine blocks (3.29%C and 3.1%C) of two cars--a Proton Saga and a Toyota--were utilized for the experiments. The engine blocks were cut into several small plates and each plate was stamped with some numerical characters at 8 kN load using Instron Table Mounted Universal Testing Machine. The depth of stamping impression varied between 0.2 mm and 0.3 mm. The stamped number was completely ground off manually using a metal file. The grounded surface was then polished smooth using emery papers and etched with a few selected reagents mostly by swabbing. Experimental results showed that a modified Fry's composition consisting of 4 5g CuCl(2), 100 mL HCl, and 180 mL H(2)O restored the number with better contrast at a reasonably shorter time. The above reagent is a slightly modified form of one of the Fry's original compositions--45 g CuCl(2), 180 mL HCl, and 100 mL H(2)O. Quite importantly the proposed reagent restored the original stamped numbers of both Proton and Toyota cars and also a Mitsubishi car that had been obliterated. The most widely used Fry's composition (90 g CuCl(2), 120 mL HCl and 100 mL H(2)O), although recovered the obliterated number, did not cause the desired contrast.

Matched MeSH terms: Iron
Fulltext Favourable response to splenectomy in familial myelodysplastic syndrome

Abdul-Wahab J, Naznin M, Suhaimi A, Amir-Hamzah AR

Singapore Med J, 2007 Jul;48(7):e206-8.
PMID: 17609817

Familial myelodysplastic syndrome occurring at a young age is a very rare childhood haematological malignancy. Two siblings, aged three and 18 years, from a consanguineous marriage, presented with pancytopenia and was subsequently diagnosed to have myelodysplastic syndrome. Both remained clinically stable throughout the illness. Splenectomy appeared to have fully corrected the cytopenia in one of them.

Matched MeSH terms: Iron Overload/etiology
Fulltext Getting patient blood management Pillar 1 right in the Asia-Pacific: a call for action

Abdullah HR, Ang AL, Froessler B, Hofmann A, Jang JH, Kim YW, et al.

Singapore Med J, 2020 Jun;61(6):287-296.
PMID: 31044255 DOI: 10.11622/smedj.2019037

Preoperative anaemia is common in the Asia-Pacific. Iron deficiency anaemia (IDA) is a risk factor that can be addressed under patient blood management (PBM) Pillar 1, leading to reduced morbidity and mortality. We examined PBM implementation under four different healthcare systems, identified challenges and proposed several measures: (a) Test for anaemia once patients are scheduled for surgery. (b) Inform patients about risks of preoperative anaemia and benefits of treatment. (c) Treat IDA and replenish iron stores before surgery, using intravenous iron when oral treatment is ineffective, not tolerated or when rapid iron replenishment is needed; transfusion should not be the default management. (d) Harness support from multiple medical disciplines and relevant bodies to promote PBM implementation. (e) Demonstrate better outcomes and cost savings from reduced mortality and morbidity. Although PBM implementation may seem complex and daunting, it is feasible to start small. Implementing PBM Pillar 1, particularly in preoperative patients, is a sensible first step regardless of the healthcare setting.

Matched MeSH terms: Iron/administration & dosage*; Anemia, Iron-Deficiency/drug therapy*
Prevalence of anaemia and associated risk factors amongst The Malaysian Cohort participants

Abdullah N, Ismail N, Abd Jalal N, Mohd Radin F, Othman R, Kamalul Arifin AS, et al.

Ann Hematol, 2020 Nov;99(11):2521-2527.
PMID: 32975589 DOI: 10.1007/s00277-020-04279-w

This study was aimed at determining the prevalence of anaemia amongst the Malaysian Cohort participants and the associated risk factors. This was a cross-sectional study that involved 102,388 participants from The Malaysian Cohort (TMC) aged between 35 and 70 years old recruited from April 2006 to September 2012. Venous blood was taken for the full blood count. The prevalence of anaemia was 13.8% with majority having the microcytic-hypochromic type (59.7%). Comparison between the ethnic groups showed that Indians have the highest prevalence of anaemia (19.9%), followed by Malays (13.1%), and Chinese (12.0%). The prevalence of anaemia was substantially higher in females (20.1%) compared to males (4.9%). Amongst the female participants, the prevalence of anaemia was highest amongst those who were younger than 49 years old and decreased as the age increased. In contrast, the prevalence of anaemia in males increased with age. Gender, ethnicity, age, marital status, presence of platelet disorders and kidney disease were significant risk factors associated with anaemia and contributed to 14.9% of the risk of developing anaemia in this population. The prevalence of anaemia amongst the Malaysian Cohort participants is 13.8% with the majority having the microcytic and hypochromic type implying iron deficiency as the main cause. It is important that those who have anaemia be further investigated and treated.
Study name: The Malaysian Cohort (TMC) project

Matched MeSH terms: Anemia, Iron-Deficiency
New treatment of stabilized leachate by ozone/Fenton in the advanced oxidation process

Abu Amr SS, Aziz HA

Waste Manag, 2012 Sep;32(9):1693-8.
PMID: 22633680 DOI: 10.1016/j.wasman.2012.04.009

Ozonation, combined with the Fenton process (O(3)/H(2)O(2)/Fe(2+)), was used to treat matured landfill leachate. The effectiveness of the Fenton molar ratio, Fenton concentration, pH variance, and reaction time were evaluated under optimum operational conditions. The optimum removal values of chemical oxygen demand (COD), color, and NH(3)-N were found to be 65%, 98%, and 12%, respectively, for 90 min of ozonation using a Fenton molar ratio of 1 at a Fenton concentration of 0.05 mol L(-1) (1700 mg/L) H(2)O(2) and 0.05 mol L(-1) (2800 mg/L) Fe(2+) at pH 7. The maximum removal of NH(3)-N was 19% at 150 min. The ozone consumption for COD removal was 0.63 kg O(3)/kg COD. To evaluate the effectiveness, the results obtained in the treatment of stabilized leachate were compared with those obtained from other treatment processes, such as ozone alone, Fenton reaction alone, as well as combined Fenton and ozone. The combined method (i.e., O(3)/H(2)O(2)/Fe(2+)) achieved higher removal efficiencies for COD, color, and NH(3)-N compared with other studied applications.

Matched MeSH terms: Iron/chemistry*
Optimization of semi-aerobic stabilized leachate treatment using ozone/Fenton's reagent in the advanced oxidation process

Abu Amr SS, Aziz HA, Adlan MN, Bashir MJ

J Environ Sci Health A Tox Hazard Subst Environ Eng, 2013;48(7):720-9.
PMID: 23445415 DOI: 10.1080/10934529.2013.744611

The objective of this study was to investigate the performance of employing Fenton's reagent in the advanced oxidation of ozone to treat stabilized landfill leachate in an ozone reactor. A central composite design (CCD) with response surface methodology (RSM) was applied to evaluate the relationships between operating variables, such as ozone and Fenton dosage, pH, and reaction time, to identify the optimum operating conditions. Quadratic models for the following four responses proved to be significant with very low probabilities (<0.0001): chemical oxygen demand (COD), color, NH-N, and ozone consumption (OC). The obtained optimum conditions included a reaction time of 90 min, 30 g/m³ ozone, 0.01 mol/L₂H₂O,0.02 mol/L Fe²⁺, and pH 5. COD, color, and NH₃-N removal rates of 79%, 100%, and 20%, respectively, and 0.18 kg O₃/kg COD OC were obtained. The predictions correspond well with experimental results (COD, color, and NH-N removal rates of 78%, 98.5%, and 19%, respectively, and 0.29 kg O₃/kg COD OC). This method reduces the treatment time and improves the treatment efficiency relative to a previously published method that used Fenton's reagent prior to ozonation.

Matched MeSH terms: Iron/chemistry*
Comparison between Iberet Folic® and Zincofer® in treatment of iron deficiency anaemia in pregnancy

Abu MA, Borhan AS, Abdul Karim AK, Ahmad MF, Mahdy ZA

Horm Mol Biol Clin Investig, 2020 Dec 14;42(1):49-56.
PMID: 33781008 DOI: 10.1515/hmbci-2020-0034

OBJECTIVES: To compare the effect of Iberet Folic® and Zincofer® on haemoglobin (Hb) and serum ferritin level; and its adverse effect.
METHODS: This randomised controlled trial conducted from January 2018 until December 2018. Pregnant women below 34 weeks of gestation, with Hb concentration less than 11 g/dL and serum ferritin level less than 12 ug/L were randomised to receive either one tablet Zincofer® or one tablet Iberet Folate® daily for four weeks. Both groups were compared in terms of effect on Hb level, serum ferritin level, and other haematological indices adverse effect related to treatment, and treatment cost.
RESULTS: Hundred and thirty patients were recruited in this study with 68 patients in Iberet Folic group and 62 patients in Zincofer group. The change in the Hb and serum ferritin level from baseline to day 30 did not differ significantly between treatment groups. The mean (±SD) change from baseline to day 30 was 2.15 (±0.59) g/dL in the Iberet Folic group, and 1.98 (±0.49) in the Zincofer (p value = 0.08). Mean serum ferritin at day 30 was 17.2 (±3.68) ug/L and 16.7 (±4.28) ug/L with 8.44 (±3.41) and 8.55 (±3.50) difference, respectively (p = 0.86). Adverse events were comparable in between groups, with p value >0.05. GI intolerance and constipation were among the common side effects, occurred in 34.6 and 29.2% cases, respectively.
CONCLUSIONS: Zincofer® offers equivalent efficacy and side effect profile in comparison with Iberet Folic® for the treatment of iron deficiency anaemia (IDA) during pregnancy, but with lower cost.

Matched MeSH terms: Anemia, Iron-Deficiency/blood; Anemia, Iron-Deficiency/drug therapy*
Amino benzoic acid modified silica--an improved catalyst for the mono-substituted product in the benzylation of toluene with benzyl chloride

Adam F, Andas J

J Colloid Interface Sci, 2007 Jul 1;311(1):135-43.
PMID: 17391688

Iron and 4-(methylamino)benzoic acid have been successfully incorporated into silica extracted from rice husk. The silica/Fe/amine complex, RH-Fe(5% amine), showed a ca. 24% increase in specific surface area compared to RH-Fe. This increase was attributed to the templated formation of regular pores. The XRD showed the RH-Fe(5% amine) to be amorphous. The Friedel-Crafts benzylation reaction with toluene using RH-Fe(5% amine) showed a drastic reduction in the di-substituted products to ca. 1.0%.

Matched MeSH terms: Iron/chemistry
Iron incorporated heterogeneous catalyst from rice husk ash

Adam F, Kandasamy K, Balakrishnan S

J Colloid Interface Sci, 2006 Dec 1;304(1):137-43.
PMID: 16996077

Silica supported iron catalyst was prepared from rice husk ash (RHA) via the sol-gel technique using an aqueous solution of iron(III) salt in 3.0 M HNO3. The sample was dried at 110 degrees C and labeled as RHA-Fe. A sample of RHA-Fe was calcined at 700 degrees C for 5 h and labeled as RHA-Fe700. X-ray diffraction spectrogram showed that both RHA-Fe and RHA-Fe700 were amorphous. The SEM/EDX results showed that the metal was present as agglomerates and the Fe ions were not homogeneously distributed in RHA-Fe but RHA-Fe700 was shown to be homogeneous. The specific surface areas for RHA-Fe and RHA-Fe700 were determined by BET nitrogen adsorption studies and found to be 87.4 and 55.8 m(2) g(-1), respectively. Both catalysts showed high activity in the reaction between toluene and benzyl chloride. The mono-substituted benzyltoluene was the major product and both catalysts yielded more than 92% of the product. The GC showed that both the ortho- and para-substituted monoisomers were present in about equal quantities. The minor products consisting of 16 di-substituted isomers were also observed in the GC-MS spectra of both catalytic products. The catalyst was found to be reusable without loss of activity and with no leaching of the metal.

Matched MeSH terms: Iron/chemistry*
Iron deficiency in healthy, term infants aged five months, in a pediatric outpatient clinic: a prospective study

Adnan NA, Breen E, Tan CA, Wang CC, Jalaludin MY, Lum LCS

BMC Pediatr, 2024 Jan 23;24(1):74.
PMID: 38263022 DOI: 10.1186/s12887-023-04277-7

BACKGROUND: Iron deficiency (ID) is prevalent in Malaysian children. The incidence of ID in infants under 6 months of age is unknown. Our aim was to determine the prevalence of iron deficiency (ID) and iron deficiency anemia (IDA) in healthy, term infants aged below 6 months in our hospital population.
METHODS: A prospective longitudinal pilot study of mother-infant pairs was conducted on infants receiving routine immunizations in a mother and child clinic at a university hospital, in Kuala Lumpur, Malaysia. Mothers completed standardized questionnaires at 3- and 5-month postnatal visits. Maternal and infant full blood count, ferritin, and C-reactive protein (CRP) levels were measured at 3 months and for the infants repeated at 5 months. Infant anthropometric measurements were obtained at both visits. We conducted a univariate analysis to identify factors associated with ID and IDA.
RESULTS: Altogether, 91 mother-infant pairs were enrolled, with 88 completing the study. No infant had ID or IDA at 3 months; the lowest ferritin level was 16.6 µg/L. At 5 months, 5.9% (5/85) of infants had ID, and 2.4% (2/85) had IDA. Median (interquartile range) infant ferritin levels significantly declined from 113.4 (65.0-183.6) µg/L at 3 months to 50.9 (29.2-70.4) µg/L at 5 months, p iron-rich foods should be considered in exclusively breastfed babies. A high prevalence of wasting suggests a calorie deficit in this population and will lead to stunting if not addressed.

Matched MeSH terms: Anemia, Iron-Deficiency*
Fulltext Green Flexible Polyurethane Foam as a Potent Support for Fe-Si Adsorbent

Ahmad A, Jamil SNAM, Shean Yaw Choong T, Abdullah AH, Mastuli MS, Othman N, et al.

Polymers (Basel), 2019 Dec 04;11(12).
PMID: 31817283 DOI: 10.3390/polym11122011

This paper describes the preparation, characterisation, and potential application of flexible palm oil-based polyurethane foam (PUF) as a support for iron-silica (Fe-Si) adsorbent. Fe-Si/polyurethane composite (Fe-Si/PUC) was prepared by impregnating Fe-Si adsorbent onto the surface of PUF by using a novel immersion-drying method. Morphological analysis of Fe-Si/PUC proved that Fe-Si was successfully impregnated onto the surface of PUF. Compression test and thermogravimetric analysis were carried out to determine the flexibility and thermal stability of Fe-Si/PUC, respectively. The Fe-Si/PUC removed 90.0% of 10 ppm methylene blue (MB) from aqueous solution in 60 min. The reusability study showed that Fe-Si/PUC removed 55.9% of MB on the seventh cycle. Hence, the synthesis of Fe-Si/PUC opens up a new path of implementing palm oil-based PUF to assist in the recovery of an adsorbent for environmental clean-up. The mechanism of physical interaction during the impregnation of Fe-Si adsorbent onto PUF was proposed in this paper.

Matched MeSH terms: Iron; Iron, Dietary
A 1-h time interval between a meal containing iron and consumption of tea attenuates the inhibitory effects on iron absorption: a controlled trial in a cohort of healthy UK women using a stable iron isotope

Ahmad Fuzi SF, Koller D, Bruggraber S, Pereira DI, Dainty JR, Mushtaq S

Am J Clin Nutr, 2017 Dec;106(6):1413-1421.
PMID: 29046302 DOI: 10.3945/ajcn.117.161364

Background: Tea has been shown to be a potent inhibitor of nonheme iron absorption, but it remains unclear whether the timing of tea consumption relative to a meal influences iron bioavailability.Objective: The aim of the study was to investigate the effect of a 1-h time interval of tea consumption on nonheme iron absorption in an iron-containing meal in a cohort of iron-replete, nonanemic female subjects with the use of a stable isotope (57Fe).Design: Twelve women (mean ± SD age: 24.8 ± 6.9 y) were administered a standardized porridge meal extrinsically labeled with 4 mg 57Fe as FeSO4 on 3 separate occasions, with a 14-d time interval between each test meal (TM). The TM was administered with water (TM-1), with tea administered simultaneously (TM-2), and with tea administered 1 h postmeal (TM-3). Fasted venous blood samples were collected for iron isotopic analysis and measurement of iron status biomarkers. Fractional iron absorption was estimated by the erythrocyte iron incorporation method.Results: Iron absorption was 5.7% ± 8.5% (TM-1), 3.6% ± 4.2% (TM-2), and 5.7% ± 5.4% (TM-3). Mean fractional iron absorption was found to be significantly higher (2.2%) when tea was administered 1 h postmeal (TM-3) than when tea was administered simultaneously with the meal (TM-2) (P = 0.046). An ∼50% reduction in the inhibitory effect of tea (relative to water) was observed, from 37.2% (TM-2) to 18.1% (TM-3).Conclusions: This study shows that tea consumed simultaneously with an iron-containing porridge meal leads to decreased nonheme iron absorption and that a 1-h time interval between a meal and tea consumption attenuates the inhibitory effect, resulting in increased nonheme iron absorption. These findings are not only important in relation to the management of iron deficiency but should also inform dietary advice, especially that given to those at risk of deficiency. This trial was registered at clinicaltrials.gov as NCT02365103.

Matched MeSH terms: Iron/blood; Iron/pharmacokinetics*; Iron Isotopes/blood; Iron Isotopes/pharmacokinetics; Anemia, Iron-Deficiency/blood; Anemia, Iron-Deficiency/prevention & control*; Iron, Dietary/blood; Iron, Dietary/pharmacokinetics*
Fulltext Enhancement of Treatment Efficiency of Recalcitrant Wastewater Containing Textile Dyes Using a Newly Developed Iron Zeolite Socony Mobil-5 Heterogeneous Catalyst

Ahmad M, Asghar A, Abdul Raman AA, Wan Daud WM

PLoS One, 2015;10(10):e0141348.
PMID: 26517827 DOI: 10.1371/journal.pone.0141348

Fenton oxidation, an advanced oxidation process, is an efficient method for the treatment of recalcitrant wastewaters. Unfortunately, it utilizes H2O2 and iron-based homogeneous catalysts, which lead to the formation of high volumes of sludge and secondary pollutants. To overcome these problems, an alternate option is the usage of heterogeneous catalyst. In this study, a heterogeneous catalyst was developed to provide an alternative solution for homogeneous Fenton oxidation. Iron Zeolite Socony Mobile-5 (Fe-ZSM-5) was synthesized using a new two-step process. Next, the catalyst was characterized by scanning electron microscopy, energy-dispersive X-ray spectroscopy, fourier transform infrared spectroscopy, and Brunauer-Emmett-Teller analysis and tested against a model wastewater containing the azo dye Acid Blue 113. Results showed that the loading of iron particles reduced the surface area of the catalyst from 293.59 to 243.93 m2/g; meanwhile, the average particle size of the loaded material was 12.29 nm. Furthermore, efficiency of the developed catalyst was evaluated by performing heterogeneous Fenton oxidation. Taguchi method was coupled with principal component analysis in order to assess and optimize mineralization efficiency. Experimental results showed that under optimized conditions, over 99.7% degradation and 77% mineralization was obtained, with a 90% reduction in the consumption of the developed catalyst. Furthermore, the developed catalyst was stable and reusable, with less than 2% leaching observed under optimized conditions. Thus, the present study proved that newly developed catalyst has enhanced the oxidation process and reduced the chemicals consumption.

Matched MeSH terms: Iron/chemistry*
Photocatalytic degradation of methyl orange from wastewater using a newly developed Fe-Cu-Zn-ZSM-5 catalyst

Ahmad M, Aziz ARA, Mazari SA, Baloch AG, Nizamuddin S

Environ Sci Pollut Res Int, 2020 Jul;27(21):26239-26248.
PMID: 32358758 DOI: 10.1007/s11356-020-08940-9

Photo-Fenton oxidation is one of the most promising processes to remove recalcitrant contaminants from industrial wastewater. In this study, we developed a novel heterogeneous catalyst to enhance photo-Fenton oxidation. Multi-composition (Fe-Cu-Zn) on aluminosilicate zeolite (ZSM-5) was prepared using a chemical process. Subsequently, the synthesized catalyst was characterized by using X-ray diffraction (XRD), field emission scanning electron microscope (FESEM), high-resolution transmission electron microscopy (HRTEM), energy dispersive X-ray (spectroscopy) (EDX), and Brunauer-Emmett-Teller (BET). Activity of the synthesized catalyst is analysed to degrade an azo dye, methyl orange. Taguchi method is used to optimize color removal and total carbon content (TOC) removal. The dye completely degraded, and 76% of TOC removal was obtained at optimized process conditions. The amount of catalyst required for the desired degradation of dye significantly reduced up to 92% and 30% compared to conventional homogenous and heterogeneous Fenton oxidation processes, respectively.

Matched MeSH terms: Iron*
Fulltext Enhanced Thermal Stability and Synergistic Effects of Magnesium and Iron Borate Composites against Pathogenic Bacteria

Ahmad P, Khandaker MU, Khan A, Rehman F, Din SU, Ali H, et al.

Biomed Res Int, 2022;2022:3605054.
PMID: 36420094 DOI: 10.1155/2022/3605054

A simple process based on the dual roles of both magnesium oxide (MgO) and iron oxide (FeO) with boron (B) as precursors and catalysts has been developed for the synthesis of borate composites of magnesium and iron (Mg2B2O5-Fe3BO6) at 1200°C. The as-synthesized composites can be a single material with the improved and collective properties of both iron borates (Fe3BO6) and magnesium borates (Mg2B2O5). At higher temperatures, the synthesized Mg2B2O5-Fe3BO6 composite is found thermally more stable than the single borates of both magnesium and iron. Similarly, the synthesized composites are found to prevent the growth of both gram-positive (Staphylococcus aureus) and gram-negative (Escherichia coli) pathogenic bacteria on all the tested concentrations. Moreover, the inhibitory effect of the synthesized composite increases with an increase in concentration and is more pronounced against S. aureus as compared to E. coli.

Matched MeSH terms: Iron*
Anaemia during pregnancy in rural Kelantan

Ahmad Z, Jaafar R, Md Hassan MH, Othman MS, Hashim A

Family Physician, 1995;7:11-15.

Anaemia still constitutes a public health problem in the world, especially in the developing countries (1). Nutritional deficiency remains a major causative factor (2). During pregnancy, growth of the foetus, placenta and the larger amount of circulating blood in the expectant mother will lead to an increase in the demand for nutrients, especially iron and folic acid. Many women start their lives with insufficient iron stores, but also, because of inadequate child spacing, they have little time to build up their iron levels between pregnancies. In pregnancy, anaemia has been shown to be associated with an increased risk of maternal and fetal morbidity and mortality (3,4,5). Iron and folic acid supplementation is routinely given to pregnant mothers in Malaysia. It is anticipated that pregnant mothers who comply strictly with the prescribed iron supplement will maintain adequate iron stores at parturition. However, the compliance rate among rural mothers in Kelantan is often poor (6). Kelantan is also one of the most socio-economically underdeveloped

Matched MeSH terms: Iron
Fulltext Physico-chemical changes and microbiological quality of refrigerated broiler chicken meat slaughtered by two different methods

Ahmed, H.O., Hassan, Z., Abdul Manap, M.N.

International Food Research Journal, 2018;25(3):913-920.
MyJurnal

Slaughtering is the first step in meat processing. It involves killing an animal for the production of meat. Effectiveness of slaughter is determined by the amount of blood removed from the animal. This study aimed to compare the chemical changes and microbiological quality of broiler chicken meat slaughtered by Halal and Non-Halal slaughter methods during refrigerated storage. A total of sixty (60) broiler chickens were slaughtered by: i) Neck cutting (NC) - by severing the jugular veins, carotid arteries, trachea and the oesophagus according to the Islamic ritual method of slaughter and (ii) Neck poking (NP) - by poking the neck of the bird with a sharp object. Residual blood was quantified by measuring the haem iron content in the breast meat samples. Storage stability of chicken meat was evaluated by measuring the extent of lipid oxidation determined by thiobarbituric acid reactive substances (TBARS) and by assessing the microbiological quality of the meat. Haem iron content decreased significantly (P0.05) on chicken meat lipid oxidation at 1, 3, and 9 day of storage at 4oC. However, at 5 and 7 day of storage, significant differences (P

Matched MeSH terms: Iron
Serum iron status in Orang Asli children living in endemic areas of soil-transmitted helminths

Aini UN, Al-Mekhlafi MS, Azlin M, Shaik A, Sa'iah A, Fatmah MS, et al.

Asia Pac J Clin Nutr, 2007;16(4):724-30.
PMID: 18042535

We conducted a cross sectional study to examine the association of intestinal parasitic infections and protein energy malnutrition (PEM) with iron-status indicators and anaemia among Orang Asli children in Selangor, Malaysia. A total of 281 children aged 2 - 15 years were studied. The data were collected using structured questionnaires, anthropometric measurements and laboratory analysis for blood and faecal samples. All children were infected either by A. lumbricoides, T. trichiura or hookworm and almost 19%, 26% and 3% of the children had severe infection of ascariasis, trichuriasis and hookworm infection respectively. The prevalence of giardiasis among them was 24.9%. Overall, 41.5% of the children were anaemic (haemoglobin < 11.0 g/dL). Of these 61.0% of the children had iron deficiency and 36.5% had iron deficiency anaemia (IDA), which accounted for 88.0% of anaemia in this population. Severe trichuriasis had the most significant correlation with anaemia and iron deficiency in this population. It contributed to low concentrations of haemoglobin, serum iron and serum ferritin and high total iron binding capacity (TIBC). Significant underweight and stunting were associated with low concentrations of haemoglobin and serum iron while significant wasting was significantly associated with low concentration of serum ferritin. Logistic regression analysis confirmed that severe trichuriasis was a strong predictor of IDA. It also confirmed that children who were significantly underweight and whose mother was working were independent predictors of IDA in this population.

Matched MeSH terms: Iron/blood*; Iron/deficiency; Anemia, Iron-Deficiency/blood*; Anemia, Iron-Deficiency/epidemiology
The effectiveness of supervised weekly versus unsupervised daily oral iron supplementation regimes in improving the status of iron deficiency in preschool Orang Asli children

Aisyah, H.M.R., Syed Zulkifli, S.Z., Noor Khatijah, N.

Malaysian Journal of Paediatrics and Child Health, 2005;14(1):14-20.
MyJurnal

OBJECTIVE: To assess a better strategy to implement oral iron supplementation in preschool Orang Asli children with high prevalence of iron deficiency, as opposed to the current practice, yet inefficient, of daily oral iron supplementation regime.
METHODS: A randomized controlled trial was conducted in preschool children presenting to a remote health center (Klinik Desa Kenang, Sungai Siput, Perak) with iron deficiency state. Oral iron prescribed as a daily unsupervised dose (group A) was compared to a weekly supervised administration (group B) over eight weeks.
RESULTS: Before intervention, iron deficiency was prevalent in these children (91.2%). The mean baseline haemoglobin and ferritin levels of group A were 9.9 (+/- 1.1) g/dL and 8.9 (+/- 1.3) mg/L respectively, and that of group B were 9.9 (+/-1.2) g/dL and 9.7 (+/- 1.9) mg/L respectively. After eight weeks of treatment, the mean rise in haemoglobin and ferritin levels of group A were 1.2 (+/- 0.6) g/dL and 18.1 (+/- 15.1) mg/ L respectively, as compared to group B, where the mean rise in haemoglobin and ferritin levels were 1.8 (+/- 0.7) g/dL and 35.2 (+/- 21.8) mg/ L respectively. The differences in the rise of haemoglobin and ferritin levels of the two groups were statistically significant (p<0.025). Both regimes were however effective in improving the iron status in a short term (88% in group A and 100% in group B), but group B had a better iron improvement (35.2 +/- 21.8 versus 18.1 +/-15.1 mg/L).
CONCLUSION: It was concluded that the supervised weekly oral iron supplementation regime was more effective than the unsupervised daily supplementation for treating iron deficiency in preschool Orang Asli children. Since iron deficiency is so common in these children and in view of the possibility of poor compliance with the unsupervised regime, an intermittent supervised treatment is proposed as the most effective strategy to address this nutritional problem.

Matched MeSH terms: Iron; Anemia, Iron-Deficiency

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