Introduction: The aim of treatment for hyperemesis gravidarum is to stop vomiting, correction of dehydration, starvation and electrolytes imbalance. The common types of fluid used for fluid replacement are isotonic solutions like normal saline and hartman's solutions. The absence of potassium in normal saline makes hartman's solution superior but there is a possibility that the lactate component in hartman's solution could worsen the starvation state of the patients. This study is to evaluate which of these two solutions is more effective for fluid replacement in hyperemesis gravidarum. The objectives are to compare which solution corrects dehydration, hypokalaemia and acetonuria faster and to evaluate whether the ketosis state is aggravated by lactate component in hartman's solution. Materials and Methods: Patients with hyperemesis gravidarum were randomised to receive either Hartman's solution or normal saline at the rate of 125mls/hour. Blood urea and serum electrolytes, haematocrit, lactate and urine acetone were taken during admission and repeated every 12 hours. The volume of fluid required to correct dehydration, hypokalaemia and acetonuria were compared. Comparison of the pre and post treatment level of serum lactate were also done. Results: Both hartman's solution and normal saline are both effective in correcting dehydration (11.52±3.28 pints versus 11.94 ± 2.30pints respectively) and acetonuria (11.64 ± 2.75 pints versus 11.64 ± 2.54 pints respectively).
A lower volume of hartman's solution was needed to correct hypokalaemia (8.34 ± 2.44 pints versus 8.88 ± 2.63 pints) but was not statistically significant. Ketonaemia was not made worse after treatment with hartman's solution. Conclusion: Normal saline and hartman's solution are equally effective in treating complications of hyperemesis gravidarum.
Silver catfish (Pangasius sutchi) skin gelatin was extracted to determine the effects of extraction time on the functional properties of the gelatin in terms of solubility, protein solubility as a function of pH and sodium chloride concentration, emulsifying capacity and stability, water holding capacity, fat binding capacities and foaming properties. Silver catfish skins were washed in sodium chloride (NaCl) solution prior to pre-treatment in sodium hydroxide (NaOH) and acetic acid solution. Gelatin was extracted at 50ºC for 6, 8, 10 and 12 hours extraction time followed by freeze drying. The extraction of silver catfish skin gelatin at 50 ºC for 12 hours was more effective than extraction at 6, 8 and 10 hours where the gelatin was characterized by higher emulsifying capacity (52.63%), emulsifying stability (47.83%), water holding capacity (31.78 mL/g), fat binding capacities (54.76%), foaming capacity (41.47 mL) and foaming stability (56.42%) than gelatins extracted at other extraction time. The longer the extraction time, the better the functional properties of the gelatin. Based on its good functional properties, silver catfish skin gelatin may be useful in various food applications such as soups, sauces and gravies.
CaCu3Ti4O12 was synthesized starting from a solution of TiO2 to which Ca and Cu nitrates were added. Due to the differences in the solubilities of the Ca, Cu and Ti, initial variations from ideal stoichiometry and a high solution pH was necessary to obtain stoichiometric CaCu3Ti4O12 precipitates. As precipitated samples were amorphous with CuO phases observed after drying of the precipitates at 300 oC. CaCu3Ti4O12 phases were observed after heat treatment at 1000 oC. XRD studies show the presence of CuO and TiO2 in addition to the CaCu3Ti4O12 for non stoichiometric samples. Observations under the SEM show the presence of Cu rich and Ti rich phases in addition to the CaCu3Ti4O12.
Electrodeposition of white copper-tin alloys (including white miralloys) has been done onto planar mild steel substrates from alkaline cyanide solutions at 65 0 C. The chemical composition of the coating is influenced by plating bath composition and current density. White miralloy can be produced from the test solution containing 10 g/l CuCN2 - , 45 g/l Na2SnO3, 25 g/l NaCN, and 12 g/l NaOH at current density about 5 mA/cm 2 . The local compositions of the coating cross section were analyzed using EDX installed in a FESEM operated at an accelerating voltage of 20 kV. The phases formed during co-deposition process were identified using XRD at 25 mA current and 35 kV voltage.
Nuclear grade (high-purity) graphite for fuel element and moderator material in Advanced Gas
Cooling Reactors (AGR) displays large scatter in strength and a non-linear stress-strain response from the damage accumulation. These responses can be characterized as quasi-brittle behaviour. Current assessments of fracture in core graphite components are based on the linear elastic approximation and thus represent a major assumption. The quasi-brittle behaviour gives challenge to assess the real nuclear graphite component. The selected test method would help to bridge the gap between microscale to macro-scale in real reactor component. The small scale tests presented here can contribute some statistical data to manifests the failure in real component. The evaluation and choice of different solution design of biaxial test will be discussed in this paper. The ball on-three ball test method was used for assessment test follows by numerous of analytical method. The results shown that biaxial strength of the EY9 grade graphite depends on the method used for evaluation. Some of the analytical methods use to calculate biaxial strength were found not to be valid and therefore should not be used to assess the mechanical properties of nuclear graphite.
This paper presents on ionic conductivity of MG30-PEMA blend solid polymer electrolytes (SPEs) prepared by solution cast technique. The analysis has shown that conductivity increases with the increasing salt composition. It is observed via x-ray diffraction analysis that the crystallinity of the sample decreased with the amount of salt composition as expected. It is also observed that the dielectric value increases with increasing amount of LiCF3SO3 in the sample. Surface morphology revealed that ion aggregation occurred after optimum conductivity which has lowered the conductivity.
Aluminium (Al) is a low cost, lightweight and corrosion resistant material, which corrodes when exposed to pitting agents. Palm olein exhibits characteristics, which indicate its suitability as a corrosion inhibitor. Tween 20, hexane and diethyl triamine were used as additives to Palm olein to form the inhibitor formulation POT2OHA. The inhibition efficiency (IE) and behaviour of the POT2OHA were determined using potentiodynamic polarization in which Al 6061 samples were immersed in a 1 M HC1 solution at 26, 50 and 70 °C in the presence of different POT2OHA concentrations: 0, 0.03, 0.07, 0.10, 0.13 and 0.17 M The IE increased with increasing POT2OHA concentration, but decreased with increasing temperature. The work presented indicates that POT2OHA is a mixed-type inhibitor capable of inhibiting both corrosive anodic and cathodic reactions. According to the Langmuir isotherm results POT2OHA adsorbs on the A16061 surface through semiphys iosorption and/or semi-chemisorption. The POT2OHA adsorption mechanism on Al 6061 takes through the protonation of micelles by the HC1 solution, whereby protonated micelles in the presence of chloride ions adsorb on both cathodic and anodic surface corrosion sites.
Introduction: Knowledge, attitude as well as adoption of pharmacogenomics in clinical practice among the pharmacists and physicians in Malaysia have not been reported. This cross-sectional study explores various facets of the two professions as related to pharmacogenomics to determine the need and preferred method to improve education among them. This study also aims to identify the current state of pharmacogenomics practice in Malaysia to help identify barrier and solution to reap advantages from pharmacogenomics practices. Methods: A questionnaire consisting of 38 questions in five parts was adopted and validated. It explores the respondents’ characteristics, attitude, knowledge, adoption and education. It was distributed online to 1500 pharmacists and physicians over five months. Results: Pharmacists differed from the physicians in terms of attitude, knowledge, adoption and education. Overall, adoption rate of pharmacogenomics was found to be low but its anticipation for future adoption is high, and benefits were reported by healthcare professionals who have used the test in a clinical setting. Majority of respondents had poor to fair knowledge and nearly half have had no prior formal teaching on pharmacogenomics. Interest in the education is very high, and most of them preferred to learn pharmacogenomics via continuous professional education programs. Conclusion: Pharmacogenomics is a field that promises many benefits, but to reap these benefits require its implementation in clinical setting. Pharmacists and physicians need to be equipped with adequate knowledge and positive attitude towards pharmacogenomics.
Many studies have been carried out using different metaheuristic algorithms on optimisation problems in various fields like engineering design, economics and routes planning. In the real world, resources and time are scarce. Thus the goals of optimisation algorithms are to optimise these available resources. Different metaheuristic algorithms are available. The firefly algorithm is one of the recent metaheuristic algorithms that is used in many applications; it is also modified and hybridised to improve its performance. In this paper, we compare the Standard Firefly Algorithm, the Elitist Firefly Algorithm, also called the Modified Firefly Algorithm with the Chaotic Firefly Algorithm, which embeds chaos maps in the Standard Firefly Algorithm. The Modified Firefly Algorithm differs from the Standard Firefly Algorithm in such a way that the global optimum solution at a particular iteration will not move randomly but in a direction that is chosen from randomly generated directions that can improve its performance. If none of these directions improves its performance, then the algorithm will not be updated. On the other hand, the Chaotic Firefly Algorithm tunes the parameters of the algorithms for the purpose of increasing the global search mobility i.e. to improve the attractiveness of fireflies. In our study, we found that the Chaotic Firefly Algorithms using three different chaotic maps do not perform as well as the Modified Firefly Algorithms; however, at least one or two of the Chaotic Firefly Algorithms outperform the Standard Firefly Algorithm under the given accuracy and efficiency tests.
Lattice Boltzmann Model for Shallow Water Equation with Turbulence Modeling (LABSWETM) is used to study the flow patterns of sidewall friction effects. The lattice Boltzmann method (LBM) approach in recovery the macroscopic governing equation which is shallow water equation from the microscopic flow behavior of particle movement as described by kinetic theory is explored. With the solution of force term to be used in lattice Boltzmann equation, the boundary condition of LBM is explored. With the use of bed and wall friction coefficients, the importance of Manning’s coefficient in determining the outcome of flow patterns simulation is explained. For model verification, the model represents a straight channel with a circular cavity attached to it. The result of this simulation includes the water circulation patterns, cross-section of average velocity distribution, and water depth. For validation, the cross-sections of the model in term of velocity vectors are compared against alternative numerical and experimental data.
In this paper, a mathematical model is developed based on mass and momentum balance for carbon dioxide absorption into aqueous ammonia solution. The model is simplified based on the assumption that the CO2 absorption into aqueous ammonia is a pseudo-first-order reaction. Laplace transform method is applied in order to solve the partial differential model equation. Finally, the CO2 molar flux is expressed as a function of partial pressure of CO2, concentration of aqueous ammonia, temperature and gas-liquid contact area. Variation of CO2 molar flux with partial pressure of CO2 and temperature is discussed and a comparison is performed with experimental data from literature. Variation of CO2 molar flux is also shown with gas-liquid contact area. The calculated flux from the model follows the same trend as that of the experimental data reported in literature and the accuracy is within the accepted limit. The mathematical model is very helpful to predict the CO2 molar flux as a function of partial pressure of CO2, concentration of aqueous ammonia, temperature and gas-liquid contact area.
The aim of this study was to determine the efficiency of different human amniotic membrane (HAM) processing methods on the concentration, purity and integrity of RNA. Two different techniques (Technique1 andTechnique2) were employed for the processing of HAM, which differed in terms of washing solution, sample storage conditions and processing time. Based on preservation of HAM, three groups were formed under each technique. In Technique 1, the groups were fresh frozen 1 (F1), glycerol preserved (GP) and gamma irradiated glycerol preserved (IGP); where else in Technique 2, the groups were fresh frozen 2 (F2), 50%glycerol/Dulbecco’s modified Eagle medium (DMEM) cryopre served HAM diluted with phosphate buffered saline(GB) and 50% glycerol/DMEM cryop reserved HAM diluted with diethyl procarbonate water (GD). Total RNA was extracted from the samples and their concentration, purity and integrity were examined. The F2 sample of which there was no pre-washing step and involved direct sample storage at-80oC, shorter processing time and chilled processing conditions had yielded better quality of RNA compared to the others.
The impact of good assessment in medical education depends on how appropriately the tools measure the clinical performance and how reliable, valid and feasible they are to achieve the logical decision. The traditional methods of clinical examination using long and short cases and orals are often argued for its subjectivity, low reliability and inadequate context specificity. Oral test though comparatively more valid due to its face-to-face questions are considered less reliable for problems of unstandardized questions, inconsistent marking and lack of sufficient testing time. Development of an “objective structured clinical examination” (OSCE) was sought as a solution to these problems. But the fragmented representation of the context in a number of stations in OSCE makes it less authentic for an integrated judgment of performance. Yet another method to thought of, was the workplace-based assessment (WPBA) but it takes a snapshot as a predefined attribute of a more complex integrated assessment such as long case. However due to the problem of feasibility it is less likely that high stakes examination as summative assessment will ever be able to attain workplace-based assessment such as Mini-CEX and DOPS. A TOACS (task oriented assessment of clinical skills) format currently used in high stakes fellowship examination in one of the center and claimed to have more active role for examiners was analyzed and compared with OSCE. Author however, did not find a difference except the difference of acronyms of the two formats. Both have multiple, fragmented static or interactive stations of 5-10 minutes duration with or without examiners, patients or exhibits and a marking scheme comprising of checklist or global rating. In the backdrop of this context a new assessment format named the ‘task integrated objective structured clinical examination” or TIOSCE modified from OSCE is currently developed in School of Medical Sciences (SMS) at USM. However, it is a different version of OSCE in which though the principle concept is the same as that of an OSCE, the continuum of clinical skill’s work up of the same patient’s is followed through to test multiple short attributes of clinical competences. As it retains most of the favorable features, TIOSCE also addresses some of the odds features of OSCE.
This study was conducted using crab shells as a biosorbent to remove Cu and Cd with different initial concentrations of 1, 5, 10, 15, and 20 mg/L in a biosorption treatment process. Crab shells were selected as biosorbents due to their abundance in the environment and ready availability as waste products from the market place. This study aimed to determine the ability of Scylla Serrata shells to remove Cu and Cd in an aqueous solution, as well as to provide a comparison of the removal rate between the two metals. The data were incorporated into hydrochemical software, PHREEQC, to investigate the chemical speciation distribution of each heavy metal. The shells of S. serrata were found to have a significant (p< 0.05) ability to remove Cu and Cd following the treatment. After six hours of treatment, the crab shells had removed 60 to 80% of both metals. However, the highest removal percentage was achieved for Cu with up to 94.7% removal rate in 5 mg/L initial Cu concentration, while 85.1% of Cd was removed in 1 mg/L initial solution, respectively. It can be concluded that the shells of S. serrata could remove Cu and Cd better with significant results (p
This paper presents the solution to a calculation of the pH of a very dilute solution of a weak acid, taking into account the effect of the hydroxonium ions generated from the ionization of the acid on the ionization of water, also a very weak acid. To be solved successfully, this calculation involves the concepts of conservation of charge, pH, equilibria and the application of the general solution to a cubic equation. Such an exercise requires the application of skills in algebra, and can provide a core of understanding that can prepare advanced students for many different sorts of calculations that represent real-life problems in the chemical sciences. A programme is presented in C++ which enables the work of students to be individualized so that each student in a class can work through a slightly different pH calculation, in such a way that a class supervisor can quickly check each student’s result for accuracy.This exercise is presented as a potential means of enabling students to undertake and master similar types of calculations involving the application of complex algebra to problems related to equilibria and solution dynamics.
A stability-indicating HPLC-UV method for the simultaneous determination of sildenafil citrate and dapoxetine hydrochloride in solution and tablet was developed. The mobile phase was comprised of acetonitrile and 0.2M ammonium acetate buffer. The analyte was eluted at 3.392min and 7.255min for sildenafil citrate and dapoxetine HCl respectively using gradient system at a flow rate of 1.5mL/min. The theoretical plates count was>2000, tailing factor
Dye-sensitized solar cell (DSSC) is the third generation of thin film solar cell. In this work, carrot fruit dye was prepared and used in DSSC as a sensitizer. TiO2–ZrO2 fine binary oxide was mechanochemically prepared and made paste. TiO2–ZrO2 paste (colloidal) was deposited onto FTO/glass in two ways, i.e. as single and double coatings by rolling method. It was immersed in the carrot solution to get dyed cell. The dyed TiO2-ZrO2-FTO/glass cell was offset with the FTO/glass cell coated with adhesive carbon paste. Photovoltaic properties of prepared TiO2–ZrO2 DSSC cell were measured. Results showed that the efficiency of double coating cell was greater than that of the single coating cell. According to the fill factor from the experiments, both the DSSC cells were acceptable for industrial requirement. Hence, it can be concluded that the results obtained were acceptable in the use of cost-effective and eco-favourable dye-sensitized solar cell.
Oil blending has been recognized as one of the most potent solution in producing vegetable oils with good storage stabilities and optimum fatty acids compositions. This study was conducted to identify the best oil blends in terms of physicochemical properties between canola, olive and palm olein oil. Canola and olive oils were blended at different ratios of 80:20, 60:40, 50:50, 40:60, and 20:80. Palm olein is stable against rancidity and oxidation thus the above blends were mixed with 20% palm olein. The 80:20 canola: olive blend shows the best properties after being mixed with 20% palm olein compared to other blends. It passed the cold stability test and has significantly the lowest cloud point of 6.0oC (p
Introduction: The purpose of the present study was to investigate exploratory factor analysis of the
Beck Anxiety Inventory (BAI) and reports its reliability and validity in Malaysia. Method: One thousand
and ninety participants from four different samples (namely students, general population, medical and
psychiatric patients) completed the Malay version of Beck Anxiety Inventory, as well as additional
questionnaires such as Fear Questionnaire, Anxiety Sensitivity Index, Depression Anxiety Stress Scale, and Catastrophic Cognition Questionnaire. Results: Exploratory factor analysis revealed a three factor solution and accounted for 48.01% of the total variance. The three-factor structure appeared to be; subjective anxiety, autonomic, and neurophysiology. The Cronbach alpha coefficients (α) ranged from 0.66 to 0.89 with satisfactory overall alpha value (.91). Evidence was also found acceptable concurrent validity of the BAI-Malay (range between r=.22 to r=.67). Conclusion: This study shows that the BAIMalay is a reliable and valid instrument to measure symptoms of anxiety in the Malay population
and can be used in research and clinical service in Malaysia. However, replication of study by using
confirmatory factor analysis and application of the instrument among anxiety patients worth of further
investigation.
The accumulation of tear film proteins as well as microbes colonization onto worn contact lenses can be eliminated conventionally by mechanical rubbing during the cleaning process. Lens2® functions in rotation manner to loosen the deposits on the contact lens and has antimicrobial coating to keep lenses away from contamination. The objective of this study was to determine the efficiency of Lens2® to remove deposited protein and reduce microbial contamination compared to conventional method. Twenty-eight subjects each wore a pair of contact lens FDA Group 1 (Polymacon, SoftLens® 38, Bausch & Lomb) for one month and cleaned them using multipurpose solution (COMPLETE® MoisturePLUSTM, Advanced Medical Optics) separately using two different methods. The right lens was cleaned conventionally while the left lens were cleaned using the Lens2®. The control group of thirteen subjects each wore a pair of contact lens for the same period and cleaned both conventionally. These lenses and its cases were then analyzed for protein deposition using Bichinchoninic Acid Assay (BCA) Kit (Sigma, USA) in 96-well plate. Microbial contamination was determined by culturing the samples on nutrient agar for bacteria and fungi and non-nutrient agar for amoeba isolation. The mean of total protein on control lenses (17.014 ± 13.246 µg/mL) was not significantly different from those on the Lens2® (21.623 ± 19.127 µg/mL). There were also low growth numbers of amoeba in each group of samples. Interestingly, there were no growths of amoeba from all Lens2® samples collected. There was also low growth numbers of bacteria in each sample group whereby Lens2® had the lowest growth of bacteria. No growth of fungi was obtained from all samples. The automatic lens cleaner, Lens2® was found to be as efficient as the conventional cleaning method. However, the Lens2® has additional advantage because of its antimicrobial material and need shorter time in the cleaning process as well as easy and effective.