MyMedR

Displaying publications 1 - 20 of 190 in total

Abstract:

Sort:

Obesity is a determinant of arterial stiffness independent of traditional risk factors in Asians with young-onset type 2 diabetes

Liu JJ, Sum CF, Tavintharan S, Yeoh LY, Ng XW, Moh AM, et al.

Atherosclerosis, 2014 Oct;236(2):286-91.
PMID: 25112799 DOI: 10.1016/j.atherosclerosis.2014.07.017

OBJECTIVE: Type 2 diabetes (T2DM) among the young population has become a serious concern globally, presumably due to the rising trend of obesity. Compared to other forms of diabetes, young-onset T2DM experiences more cardiovascular events and other vascular complications although the underlying mechanisms remain largely unknown. Increased arterial stiffness is a hallmark of vasculopathy. We aim to study the clinical and metabolic determinants of arterial stiffness in a cohort of multi-ethnic Asians with young-onset T2DM.
METHODS: 179 subjects with T2DM onset age below 30 years old were selected in this cross sectional study. Arterial stiffness was assessed by carotid-femoral pulse wave velocity (PWV).
RESULTS: PWV was correlated with age, duration of diabetes, systolic blood pressure, alanine aminotransferase, urinary albumin-to-creatinine ratio (ACR) and eGFR in bivariate correlation analysis. However, PWV was only significantly correlated with body mass index (BMI), waist circumference, urinary ACR and eGFR after adjustment for age. Overweight individuals with young-onset T2DM had significantly higher PWV levels compared to their lean counterparts (7.3 ± 2.4 m/s vs 6.4 ± 2.3 m/s, p = 0.072 and p < 0.0001 without and with adjustment for age, respectively). Multivariable regression models revealed that age, BMI, eGFR and usage of insulin were independently associated with PWV. These 4 variables explained 35.5% variance in PWV levels.
CONCLUSION: Age, BMI, renal function and insulin usage are the main determinants of PWV levels in Asians with young-onset T2DM. Notably, obesity is a modifiable determinant of arterial stiffness independent of high blood pressure, dyslipidemia and hyperglycemia in this population.

Matched MeSH terms: Glomerular Filtration Rate
Fulltext Factors associated with adherence to low protein diet among patients with stage iii-v of chronic kidney disease in an outpatient clinic at Hospital Pakar Sultanah Fatimah

Sim-Kian Leong, Yi-Loon Tye, Nik Mahani Nik Mahmood, Zulfitri Azuan Mat Daud

Malaysian Journal of Medicine and Health Sciences, 2020;16(106):131-139.
MyJurnal

Introduction: Although the benefit of low protein diet (LPD) on chronic kidney disease (CKD) progression is well documented, patients’ adherence remains as the main challenge. Therefore, this study sought to identify adherence towards LPD among CKD patients and determine possible associating factors. Methods: This cross-sectional study was done at the Hospital Pakar Sultanah Fatimah in Muar, Johor, among stage III to V CKD patients. Three-day dietary recalls were used to quantify dietary energy (DEI) and protein intake (DPI). Factors investigated include socio-demo- graphic characteristics, medical history, anthropometry and body composition measurements, dietary knowledge, appetite level, handgrip strength, perceived stress, and health locus of control. Associating variables were analysed with logistic regression analysis. Results: The final analysis included 113 patients (54% male) with a mean estimated glomerular filtration rate of 17.5±11.2mL/min/1.73m2 and the average age of 56.3±12.8 years. Mean DEI and DPI were 22.4±5.9kcal/kg/day and 0.83±0.28g/kg/day, respectively. Only 34.5% of patients adhere to the LPD diet with 59% exceeding the DPI recommendation. Poorer LPD adherence was associated with longer duration of hospitaliza- tion (OR 0.707, 95%CI 0.50-1.00, p=0.048), higher energy intake (OR 0.744, 95%CI 0.65-0.85, p

Matched MeSH terms: Glomerular Filtration Rate
Is 6% hydroxyethyl starch 130/0.4 safe in coronary artery bypass graft surgery?

Ooi JS, Ramzisham AR, Zamrin MD

Asian Cardiovasc Thorac Ann, 2009 Aug;17(4):368-72.
PMID: 19713332 DOI: 10.1177/0218492309338101

The aim of this study was to compare 6% hydroxyethyl starch 130/0.4 with 4% succinylated gelatin for priming the cardiopulmonary bypass circuit and as volume replacement in patients undergoing coronary artery bypass, in terms of postoperative bleeding, blood transfusion requirements, renal function, and outcome after surgery. Forty-five patients received 6% hydroxyethyl starch 130/0.4 (Voluven) and another 45 were given 4% succinylated gelatin (Gelofusine) as the priming solution for the cardiopulmonary bypass circuit as well as for volume replacement. Postoperative bleeding was quantified from the hourly chest drainage in the first 4 h and at 24 h postoperatively. The baseline characteristics of both groups were similar. In the hydroxyethyl starch group, the total amount of colloid used was 1.9 +/- 1.0 L, while the gelatin group had 2.0 +/- 0.7 L. There was no significant difference in hourly chest drainage between groups. Blood transfusion requirements, estimated glomerular filtration rate, extubation time, intensive care unit and hospital stay were similar in both groups. It was concluded that 6% hydroxyethyl starch 130/0.4 is a safe alternative colloid for priming the cardiopulmonary bypass circuit and volume replacement in patients undergoing coronary artery bypass surgery.

Matched MeSH terms: Glomerular Filtration Rate
Fulltext Chronic kidney disease screening methods and its implication for Malaysia: an in depth review

Almualm Y, Zaman Huri H

Glob J Health Sci, 2015;7(4):96-109.
PMID: 25946939 DOI: 10.5539/gjhs.v7n4p96

Chronic Kidney Disease has become a public health problem, imposing heath, social and human cost on societies worldwide. Chronic Kidney Disease remains asymptomatic till late stage when intervention cannot stop the progression of the disease. Therefore, there is an urgent need to detect the disease early. Despite the high prevalence of Chronic Kidney Disease in Malaysia, screening is still lacking behind. This review discusses the strengths and limitations of current screening methods for Chronic Kidney Disease from a Malaysian point of view. Diabetic Kidney Disease was chosen as focal point as Diabetes is the leading cause of Chronic Kidney Disease in Malaysia. Screening for Chronic Kidney Disease in Malaysia includes a urine test for albuminuria and a blood test for serum creatinine. Recent literature indicates that albuminuria is not always present in Diabetic Kidney Disease patients and serum creatinine is only raised after substantial kidney damage has occurred. Recently, cystatin C was proposed as a potential marker for kidney disease but this has not been studied thoroughly in Malaysia. Glomerular Filtration Rate is the best method for measuring kidney function and is widely estimated using the Modification of Diet for Renal Disease equation. Another equation, the Chronic Kidney Disease Epidemiology Collaboration Creatinine equation was introduced in 2009. The new equation retained the precision and accuracy of the Modification of Diet for Renal Disease equation at GFR < 60ml/min/1.73m2, showed less bias and improved precision at GFR>60ml/min/1.73m2. In Asian countries, adding an ethnic coefficient to the equation enhanced its performance. In Malaysia, a multi-ethnic Asian population, the Chronic Kidney Disease Epidemiology Collaboration equation should be validated and the Glomerular Filtration Rate should be reported whenever serum creatinine is ordered. Reporting estimated Glomerular Filtration Rate will help diagnose patients who would have been otherwise missed if only albuminuria and serum creatinine are measured.

Matched MeSH terms: Glomerular Filtration Rate
Fulltext Recent Advances of Graphene-Derived Nanocomposites in Water-Based Drilling Fluids

Ikram R, Mohamed Jan B, Vejpravova J, Choudhary MI, Zaman Chowdhury Z

Nanomaterials (Basel), 2020 Oct 11;10(10).
PMID: 33050617 DOI: 10.3390/nano10102004

Nanocomposite materials have distinctive potential for various types of captivating usage in drilling fluids as a well-designed solution for the petroleum industry. Owing to the improvement of drilling fluids, it is of great importance to fabricate unique nanocomposites and advance their functionalities for amplification in base fluids. There is a rising interest in assembling nanocomposites for the progress of rheological and filtration properties. A series of drilling fluid formulations have been reported for graphene-derived nanocomposites as additives. Over the years, the emergence of these graphene-derived nanocomposites has been employed as a paradigm to formulate water-based drilling fluids (WBDF). Herein, we provide an overview of nanocomposites evolution as engineered materials for enhanced rheological attributes in drilling operations. We also demonstrate the state-of-the-art potential graphene-derived nanocomposites for enriched rheology and other significant properties in WBDF. This review could conceivably deliver the inspiration and pathways to produce novel fabrication of nanocomposites and the production of other graphenaceous materials grafted nanocomposites for the variety of drilling fluids.

Matched MeSH terms: Filtration
Fulltext Estimation of glomerular filtration rate using serum cystatin C in overweight and obese subjects

Marwyne MN, Loo CY, Halim AG, Norella K, Sulaiman T, Zaleha MI

Med J Malaysia, 2011 Oct;66(4):313-7.
PMID: 22299549 MyJurnal

Obesity and overweight are strong independent risk factors for chronic kidney disease (CKD). Using serum creatinine-based estimated glomerular filtration rate (eGFR) equations in these subjects may be inaccurate. On the other hand, cystatin C-based eGFR equations may overestimate CKD prevalence as recent findings suggest an association of cystatin C with obesity. The objective of this study was to assess the accuracy of a cystatin C-based eGFR equation compared to two creatinine -based eGFR equations in overweight and obese subjects.

Matched MeSH terms: Glomerular Filtration Rate*
Parametric and kinetic studies of activated sludge dewatering by cationic chitosan-like bioflocculant BF01314 produced from Citrobacter youngae

Mohamed Hatta NS, Lau SW, Chua HB, Takeo M, Sen TK, Mubarak NM, et al.

Environ Res, 2023 May 01;224:115527.
PMID: 36822539 DOI: 10.1016/j.envres.2023.115527

Bacterial strains belonging to Citrobacter spp. were reported to produce polysaccharides consisting of N-acetylglucosamine and glucosamine like chitosan, with high flocculation activity. In this work, the flocculation dewatering performance of activated sludge conditioned by a novel cationic chitosan-like bioflocculant (BF) named BF01314, produced from Citrobacter youngae GTC 01314, was evaluated under the influences of flocculant dosage, pH, and temperature. At BF dosage as low as 0.5 kg/t DS, the sludge dewaterability was significantly enhanced in comparison to the raw (untreated) sludge, featuring well-flocculated characteristic (reduction in CST from 22.0 s to 9.4 s) and good sludge filterability with reduced resistance (reduction in SRF by one order from 7.42 × 1011 to 9.59 × 1010 m/kg) and increased compactness of sludge (increase in CSC from 15.2 to 23.2%). Besides, the BF demonstrated comparable high sludge dewatering performance within the pH range between 2 and 8, and temperature range between 25 °C and 80 °C. Comparison between the BF, the pristine chitosan and the commercial cationic copolymer MF 7861 demonstrated equivalent performance with enhanced dewaterability at the dosage between 2.0 and 3.0 kg/t DS. Besides, the BF demonstrated strong flocculation activity (>99%) when added to the sludge suspension using moderate to high flocculation speeds (100-200 rpm) with at least 3-min mixing time. The BF's reaction in sludge flocculation was best fitted with a pseudo first-order kinetic model. Electrostatic charge patching and polymer bridging mechanisms are believed to be the dominant mechanistic phenomena during the BF's sludge conditioning process (coagulation-flocculation).

Matched MeSH terms: Filtration
Fulltext A population-based study measuring the prevalence of chronic kidney disease among adults in West Malaysia

Hooi LS, Ong LM, Ahmad G, Bavanandan S, Ahmad NA, Naidu BM, et al.

Kidney Int, 2013 Nov;84(5):1034-40.
PMID: 23760287 DOI: 10.1038/ki.2013.220

In this population-based study, we determine the prevalence of chronic kidney disease in West Malaysia in order to have accurate information for health-care planning. A sample of 876 individuals, representative of 15,147 respondents from the National Health and Morbidity Survey 2011, of the noninstitutionalized adult population (over 18 years old) in West Malaysia was studied. We measured the estimated glomerular filtration rate (eGFR) (CKD-EPI equation); albuminuria and stages of chronic kidney disease were derived from calibrated serum creatinine, age, gender and early morning urine albumin creatinine ratio. The prevalence of chronic kidney disease in this group was 9.07%. An estimated 4.16% had stage 1 chronic kidney disease (eGFR >90 ml/min per 1.73 m(2) and persistent albuminuria), 2.05% had stage 2 (eGFR 60-89 ml/min per 1.73 m(2) and persistent albuminuria), 2.26% had stage 3 (eGFR 30-59 ml/min per 1.73 m(2)), 0.24% had stage 4 (eGFR 15-29 ml/min per 1.73 m(2)), and 0.36% had stage 5 chronic kidney disease (eGFR <15 ml/min per 1.73 m(2)). Only 4% of respondents with chronic kidney disease were aware of their diagnosis. Risk factors included increased age, diabetes, and hypertension. Thus, chronic kidney disease in West Malaysia is common and, therefore, warrants early detection and treatment in order to potentially improve outcome.
Study name: National Health and Morbidity Survey (NHMS-2011)

Matched MeSH terms: Glomerular Filtration Rate
Tackling membrane fouling in microalgae filtration using nylon 6,6 nanofiber membrane

Bilad MR, Azizo AS, Wirzal MDH, Jia Jia L, Putra ZA, Nordin NAHM, et al.

J Environ Manage, 2018 Oct 01;223:23-28.
PMID: 29885561 DOI: 10.1016/j.jenvman.2018.06.007

Microalgae technology, if managed properly, has promising roles in solving food-water-energy nexus. The Achilles' heel is, however, to lower the costs associated with cultivation and harvesting. As a favorable technique, application of membrane process is strongly limited by membrane fouling. This study evaluates performance of nylon 6,6 nanofiber membrane (NFM) to a conventional polyvinylidene fluoride phase inverted membrane (PVDF PIM) for filtration of Chlorella vulgaris. Results show that nylon 6,6 NFM is superhydrophilic, has higher size of pore opening (0.22 vs 0.18 μm) and higher surface pore density (23 vs 18 pores/μm2) leading to higher permeance (1018 vs 493 L/m2hbar) and better fouling resistant. Such advantages help to outperform the filterability of PVDF PIM by showing much higher steady-state permeance (286 vs 120 L/m2hbar), with comparable biomass retention. In addition, unlike for PVDF PIM, imposing longer relaxation cycles further enhances the performance of the NFM (i.e., 178 L/m2hbar for 0.5 min and 236 L/m2hbar for 5 min). Overall findings confirm the advantages of nylon 6,6 NFM over the PVDF PIM. Such advantages can help to reduce required membrane area and specific aeration demand by enabling higher flux and lowering aeration rate. Nevertheless, developments of nylon 6,6 NFM material with respect to its intrinsic properties, mechanical strength and operational conditions of the panel can still be explored to enhance its competitiveness as a promising fouling resistant membrane material for microalgae filtration.

Matched MeSH terms: Filtration
X-ray spectra and quality parameters from Monte Carlo simulation and analytical filters

Salehi Z, Ya Ali NK, Yusoff AL

Appl Radiat Isot, 2012 Nov;70(11):2586-9.
PMID: 22940409 DOI: 10.1016/j.apradiso.2011.12.007

BEAMnrc was used to derive the X-ray spectra, from which HVL and homogeneity coefficient were determined, for different kVp and filtration settings. Except for the peak at 61 keV, the spectra are in good agreement with the IPEM report 78 data for the case of filtered beams, whereas the unfiltered beams exhibit softer spectra. Although the current attenuation data deviates from the IPEM 78 data by ~±0.5%, this has negligible effects on the calculated HVL values.

Matched MeSH terms: Filtration
Development of a single-run liquid chromatography-mass spectrometry analysis for the detection of 11 multiclass contaminants of emerging concern using a direct filtration method

Razak MR, Aris AZ, Sukatis FF, Zaki MRM, Zainuddin AH, Haron DEM, et al.

J Sep Sci, 2023 Jan;46(1):e2200282.
PMID: 36337037 DOI: 10.1002/jssc.202200282

In toxicological analysis, the analytical validation method is important to assess the exact risk of contaminants of emerging concern in the environment. Syringe filters are mainly used to remove impurities from sample solutions. However, the loss of analyte to the syringe filter could be considerable, causing an underestimate of the analyte concentrations. The current study develops and validates simultaneous liquid chromatography-mass spectrometry analysis using a direct filtration method to detect four groups of contaminants of emerging concern. The adsorption of the analyte onto three different matrices and six types of syringe filters is reported. The lowest adsorption of analytes was observed in methanol (16.72%), followed by deionized water (48.19%) and filtered surface lake water (48.94%). Irrespective of the type of the matrices, the lowest average adsorption by the syringe filter was observed in the 0.45 μm polypropylene membrane (15.15%), followed by the 0.20 μm polypropylene membrane (16.10%), the 0.20 μm regenerated cellulose (16.15%), the 0.20 μm polytetrafluoroethylene membrane (47.38%), the 0.45 μm nylon membrane (64.87%) and the 0.20 μm nylon membrane (71.30%). In conclusion, the recommended syringe filter membranes for contaminants of emerging concern analysis are polypropylene membranes and regenerated cellulose, regardless of the matrix used.

Matched MeSH terms: Filtration
Purification of Plasmodium and Babesia- infected erythrocytes using a non-woven fabric filter

Tao ZY, Liu WP, Dong J, Feng XX, Yao DW, Lv QL, et al.

Trop Biomed, 2020 Dec 01;37(4):911-918.
PMID: 33612745 DOI: 10.47665/tb.37.4.911

The purification of parasite-infected erythrocytes from whole blood containing leucocytes is crucial for many downstream genetic and molecular assays in parasitology. Current methodologies to achieve this are often costly and time consuming. Here, we demonstrate the successful application of a cheap and simple Non-Woven Fabric (NWF) filter for the purification of parasitized red blood cells from whole blood. NWF filtration was applied to the malaria-parasitized blood of three strains of mice, and one strain of rat, and to Babesia gibsoni parasitized dog blood. Before and after filtration, the white blood cell (WBC) removal rates and red blood cell (RBC) recovery rates were measured. After NWF filter treatment of rodent malaria-infected blood, the WBC removal rates and RBC recovery rates were, for Kunming mice: 99.51%±0.30% and 86.12%±8.37%; for BALB/C mice: 99.61%±0.15% and 80.74%±7.11%; for C57 mice: 99.71%±0.12% and 84.87%±3.83%; for Sprague-Dawley rats: 99.93%±0.03% and 83.30%±2.96%. Microscopy showed WBCs were efficiently removed from infected dog blood samples, and there was no obvious morphological change of B. gibsoni parasites. NWF filters efficiently remove leukocytes from malaria parasite-infected mouse and rat blood, and are also suitable for filtration of B. gibsoni-infected dog blood.

Matched MeSH terms: Filtration
Fulltext Purification and differentiation of human adipose-derived stem cells by membrane filtration and membrane migration methods

Lin HR, Heish CW, Liu CH, Muduli S, Li HF, Higuchi A, et al.

Sci Rep, 2017 01 10;7:40069.
PMID: 28071738 DOI: 10.1038/srep40069

Human adipose-derived stem cells (hADSCs) are easily isolated from fat tissue without ethical concerns, but differ in purity, pluripotency, differentiation ability, and stem cell marker expression, depending on the isolation method. We isolated hADSCs from a primary fat tissue solution using: (1) conventional culture, (2) a membrane filtration method, (3) a membrane migration method where the primary cell solution was permeated through membranes, adhered hADSCs were cultured, and hADSCs migrated out from the membranes. Expression of mesenchymal stem cell markers and pluripotency genes, and osteogenic differentiation were compared for hADSCs isolated by different methods using nylon mesh filter membranes with pore sizes ranging from 11 to 80 μm. hADSCs isolated by the membrane migration method had the highest MSC surface marker expression and efficient differentiation into osteoblasts. Osteogenic differentiation ability of hADSCs and MSC surface marker expression were correlated, but osteogenic differentiation ability and pluripotent gene expression were not.

Matched MeSH terms: Filtration/methods*
Tilted membrane panel: A new module concept to maximize the impact of air bubbles for membrane fouling control in microalgae harvesting

Eliseus A, Bilad MR, Nordin NAHM, Putra ZA, Wirzal MDH

Bioresour Technol, 2017 Oct;241:661-668.
PMID: 28609754 DOI: 10.1016/j.biortech.2017.05.175

Microalgae harvesting using membrane technology is challenging because of its high fouling propensity. As an established fouling mitigation technique, efficacy of air bubbles can be improved by maximizing the impact of shear-rates in scouring foulant. In this study, it is achieved by tilting the membrane panel. We investigate the effect of tilting angle, switching period as well as aeration rate during microalgal broth filtration. Results show that higher tilting angles (up to 20°) improve permeability of up to 2.7 times of the vertical panel. In addition, operating a one-sided panel is better than a two-sided panel, in which the later involved switching mode. One-sided membrane panel only require a half of area, yet its performance is comparable with of a large-scale module. This tilted panel can lead to significant membrane cost reductions and eventually improves the competitiveness of membrane technology for microalgae harvesting application.

Matched MeSH terms: Filtration
Fulltext Application of membrane-based technology for purification of bromelain

Nor, M. Z. M., Ramchandran, L., Duke, M., Vasiljevic, T.

International Food Research Journal, 2017;24(4):1685-1696.
MyJurnal

About 60% of world’s commercial enzyme products are proteases, giving promising opportunity
to derive such enzymes sustainably from waste sources. Bromelain is a crude protease occurring
naturally in pineapple, and it possesses properties of benefit for pharmaceutical, medical and food products. The production of bromelain involves a purification stage, normally performed by small-scale conventional operations which lead to high operating cost and low product recovery, while being difficult to scale up and produce polluting by-products. Membrane-based technology offers an alternative to produce high quality purified bromelain in a more efficient and sustainable process. This review identified the current state and future needs for utilising membrane processes for sustainable bromelain production at larger scales. It was found that declining membrane flux due to fouling have been reported, but may be effectively overcome with more appropriate (and advanced) membrane types and/or processing conditions. For example, interactions between macromolecules present in the pineapple derived bromelain mixture (particularly polysaccharides) and the membrane may cause performance limiting fouling, but can be overcome by enzymatic pre-treatment. Membrane fouling can be further reduced by the employment of ceramic membrane filters operating at optimised trans-membrane pressure, cross-flow velocity, feed pH and temperature. Two-stage ultrafiltration together with diafiltration or gas sparging was suggested as a means to reduce fouling and improve enzyme purity. Despite these promising technical findings, the review identified the need for a valid economic assessment to properly guide further work towards purifying bromelain from pineapple waste for sustainable production of commercial proteases.

Matched MeSH terms: Filtration; Ultrafiltration
Select critically ill patients at risk of augmented renal clearance: experience in a Malaysian intensive care unit

Adnan S, Ratnam S, Kumar S, Paterson D, Lipman J, Roberts J, et al.

Anaesth Intensive Care, 2014 Nov;42(6):715-22.
PMID: 25342403

Augmented renal clearance (ARC) refers to increased solute elimination by the kidneys. ARC has considerable implications for altered drug concentrations. The aims of this study were to describe the prevalence of ARC in a select cohort of patients admitted to a Malaysian intensive care unit (ICU) and to compare measured and calculated creatinine clearances in this group. Patients with an expected ICU stay of <24 hours plus an admission serum creatinine concentration <120 µmol/l, were enrolled from May to July 2013. Twenty-four hour urinary collections and serum creatinine concentrations were used to measure creatinine clearance. A total of 49 patients were included, with a median age of 34 years. Most study participants were male and admitted after trauma. Thirty-nine percent were found to have ARC. These patients were more commonly admitted in emergency (P=0.03), although no other covariants were identified as predicting ARC, likely due to the inclusion criteria and the study being under-powered. Significant imprecision was demonstrated when comparing calculated Cockcroft-Gault creatinine clearance (Crcl) and measured Crcl. Bias was larger in ARC patients, with Cockcroft-Gault Crcl being significantly lower than measured Crcl (P <0.01) and demonstrating poor correlation (rs=-0.04). In conclusion, critically ill patients with 'normal' serum creatinine concentrations have varied Crcl. Many are at risk of ARC, which may necessitate individualised drug dosing. Furthermore, significant bias and imprecision between calculated and measured Crcl exists, suggesting clinicians should carefully consider which method they employ in assessing renal function.

Matched MeSH terms: Glomerular Filtration Rate/physiology
Plasma asymmetric dimethylarginine and its association with some of cardiovascular disease risk factors in chronic kidney disease

Quoc Hoang TA, Tam V, Thang HV

Med J Malaysia, 2019 Jun;74(3):209-214.
PMID: 31256175

INTRODUCTION: Chronic kidney disease (CKD) usually has increase of asymmetric dimethylarginine (ADMA) levels. ADMA is a cardiovascular disease (CVD) risk factor and its elevation associated with other CVD risk factors at CKD leads to increasing risk of death. In this article, we aimed to identify levels and elevation proportion of plasma ADMA in CKD as well as association between ADMA with CVD risk factors.
METHODS: This cross-sectional study was performed at Hue Central Hospital from 2012-2016 on 176 CKD and 64 control subjects. ADMA levels were measured by using the enzyme linked immunosorbent assay (ELISA) method.
RESULTS: Mean ADMA level was markedly higher (p<0.001) in all patients combined (0.73±0.24μmol/L) than in control subjects (0.47±0.13μmol/L). Mean ADMA levels in advanced kidney disease were higher than control subjects. ADMA levels correlated inversely and relatively strictly to estimated glomerular filtration rate (eGFR) (r = -0.689; p<0.001), haemoglobin (r = -0.525; p<0.001) and haematocrit (r = - 0.491; p<0.001); correlated favourably and relatively strictly to serum creatinine (r = 0.569; p<0.001) and serum urea (r = 0.642; p<0.001). ADMA elevation was predicted simultaneously by eGFR<60 mL/min/1.73m2 (p<0.001), anaemia (p=0.002), body mass index (BMI) (p=0.011) and high sensitivity C-reactive protein (hs-CRP) (p=0.041). Cutoff of ≥0.68μmol/L, ADMA levels predict reduction of eGFR<60 mL/min/1.73m2, sensitivity of 86.9 %, specificity of 82.6%, area under ROC 92.4% (95%CI: 88.6-96.1%).

Matched MeSH terms: Glomerular Filtration Rate
Fulltext Risk of Preeclampsia and Pregnancy Complications in Women With a History of Acute Kidney Injury

Tangren JS, Wan Md Adnan WAH, Powe CE, Ecker J, Bramham K, Hladunewich MA, et al.

Hypertension, 2018 08;72(2):451-459.
PMID: 29915020 DOI: 10.1161/HYPERTENSIONAHA.118.11161

An episode of clinically recovered acute kidney injury (r-AKI) has been identified as a risk factor for future hypertension and cardiovascular disease. Our objective was to assess whether r-AKI was associated with future preeclampsia and other adverse pregnancy outcomes and to identify whether severity of AKI or time interval between AKI and pregnancy was associated with pregnancy complications. We conducted a retrospective cohort study of women who delivered infants between 1998 and 2016 at Massachusetts General Hospital. AKI was defined using the 2012 Kidney Disease Improving Global Outcomes laboratory criteria with subsequent clinical recovery (estimate glomerular filtration rate, >90 mL/min per 1.73 m2 before conception). AKI was further classified by severity (Kidney Disease Improving Global Outcomes stages 1-3) and time interval between AKI episode and the start of pregnancy. Women with r-AKI had an increased rate of preeclampsia compared with women without previous r-AKI (22% versus 9%; P<0.001). Infants of women with r-AKI were born earlier (gestational age, 38.2±3.0 versus 39.0±2.2 weeks; P<0.001) and were more likely to be small for gestational age (9% versus 5%; P=0.002). Increasing severity of r-AKI was associated with increased risk of preeclampsia for stages 2 and 3 AKI (adjusted odds ratio, 3.5; 95% confidence interval, 2.1-5.7 and adjusted odds ratio, 6.5; 95% confidence interval, 3.5-12.0, respectively), but not for stage 1 (adjusted odds ratio, 1.7; 95% confidence interval, 0.9-3.2). A history of AKI before pregnancy, despite apparent full recovery, was associated with increased risk of pregnancy complications. Severity and timing of the AKI episode modified the risk.

Matched MeSH terms: Glomerular Filtration Rate/physiology
Fulltext Septage treatment using pilot vertical-flow engineered wetlands system

Jong, V. S. W., Tang, F. E.

Pertanika Journal of Science & Technology, 2014;22(2):613-625.
MyJurnal

This paper presents a two-staged, pilot-scale vertical flow engineered wetland-based septage treatment system (VFEWs), which was designed and constructed in Curtin University Sarawak Campus to determine the system efficiency in treatment of septage. The treatment system consists of storage tanks, vertical flow wetlands, and a network of influent and effluent distribution pipes. The first stage of the VFEWs treatment system consists of three vertical flow wetlands placed in parallel to provide pre-treatment to raw septage to reduce solids and organic matters mainly by physical filtration and sedimentation processes. The percolate from the first stage is then further treated in the second stage, with four vertical flow wetlands, each with variation in operational regime and substrate (filter) type. The influences of various system and application-related parameters such as substrate material, presence of plants and plant types, and septage feeding practices (solid loading rate (SLR), batch and intermittent loading, and frequency of daily feeding) on pollutant removal efficiency were studied. Results from the first stage wetlands indicate that the removal of total solids and organic matter (BOD and COD) from the raw septage is promising (> 80%) at both SLR of 100 kg TS/m2 .yr and 250 kg TS/m2 .yr, respectively. However, a higher SLR decreased the average NH3-N removal efficiency. The findings on bed clogging assessment during the study period are also presented in this paper. Validation and expansion of these results are carried out with ongoing assessments on the system performance.

Matched MeSH terms: Filtration
Organic matter and nitrogen removal at planted wetlands treating domestic septage with varying operational strategies

Jong VS, Tang FE

Water Sci Technol, 2014;70(2):352-60.
PMID: 25051484 DOI: 10.2166/wst.2014.237

A two-staged engineered wetland-based system was designed and constructed to treat raw domestic septage. Hydraulic loading rates (HLRs) of 8.75 and 17.5 cm/d were studied with four and eight daily dosings at the second stage of the system to investigate the influence of the regimes on septage treatment. Removal of organic matter (OM) was found to be HLR dependent, where the results indicated that the increase of HLR from 8.75 to 17.5 cm/d impaired the overall level of treatment in the wetland units. Effluent of wetland fed at HLR 17.5 cm/d presented significantly lower oxygen reduction potential and dissolved oxygen values than wetland fed at 8.75 cm/d, indicative of the occurrence of less aerobic and reductive conditions in the bed. The reoxygenation capability of the wetland units was found to be heavily affected by the dosing frequency especially under high hydraulic load (17.5 cm/d). NH3-N degradation was found to decrease with statistical importance when the wetland was flushed two times more frequently with smaller batches of influent. The number of hydraulic load fractionings did not seem to affect the level of treatments of OM and ammonia for both the wetlands fed under the lower HLR of 8.75 cm/d. Prediction of hydraulic limits and management of the feeding strategies are important in the vertical type of engineered wetlands to guarantee the treatment performance and minimize the chances of filter clogging.

Matched MeSH terms: Filtration

Filters

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links