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Sequencing batch reactor technology for landfill leachate treatment: A state-of-the-art review

Jagaba AH, Kutty SRM, Lawal IM, Abubakar S, Hassan I, Zubairu I, et al.

J Environ Manage, 2021 Mar 15;282:111946.
PMID: 33486234 DOI: 10.1016/j.jenvman.2021.111946

Landfill has become an underlying source of surface and groundwater pollution if not efficiently managed, due to the risk of leachate infiltration into to land and aquifers. The generated leachate is considered a serious environmental threat for the public health, because of the toxic and recalcitrant nature of its constituents. Thus, it must be collected and appropriately treated before being discharged into the environment. At present, there is no single unit process available for proper leachate treatment as conventional wastewater treatment processes cannot achieve a satisfactory level for degrading toxic substances present. Therefore, there is a growing interest in examination of different leachate treatment processes for maximum operational flexibility. Based on leachate characteristics, discharge requirements, technical possibilities, regulatory requirements and financial considerations, several techniques have been applied for its degradation, presenting varying degrees of efficiency. Therefore, this article presents a comprehensive review of existing research articles on the pros and cons of various leachate degradation methods. In line with environmental sustainability, the article stressed on the application and efficiency of sequencing batch reactor (SBR) system treating landfill leachate due to its operational flexibility, resistance to shock loads and high biomass retention. Contributions of integrated leachate treatment technologies with SBR were also discussed. The article further analyzed the effect of different adopted materials, processes, strategies and configurations on leachate treatment. Environmental and operational parameters that affect SBR system were critically discussed. It is believed that information contained in this review will increase readers fundamental knowledge, guide future researchers and be incorporated into future works on experimentally-based SBR studies for leachate treatment.
Fulltext Natural Fiber Reinforced Composite Material for Product Design: A Short Review

Azman MA, Asyraf MRM, Khalina A, Petrů M, Ruzaidi CM, Sapuan SM, et al.

Polymers (Basel), 2021 Jun 09;13(12).
PMID: 34207597 DOI: 10.3390/polym13121917

Natural fibers have attracted great attention from industrial players and researchers for the exploitation of polymer composites because of their "greener" nature and contribution to sustainable practice. Various industries have shifted toward sustainable technology in order to improve the balance between the environment and social and economic concerns. This manuscript aims to provide a brief review of the development of the foremost natural fiber-reinforced polymer composite (NFRPC) product designs and their applications. The first part of the manuscript presents a summary of the background of various natural fibers and their composites in the context of engineering applications. The behaviors of NFPCs vary with fiber type, source, and structure. Several drawbacks of NFPCs, e.g., higher water absorption rate, inferior fire resistance, and lower mechanical properties, have limited their applications. This has necessitated the development of good practice in systematic engineering design in order to attain optimized NRPC products. Product design and manufacturing engineering need to move in a mutually considerate manner in order to produce successful natural fiber-based composite material products. The design process involves concept design, material selection, and finally, the manufacturing of the design. Numerous products have been commercialized using natural fibers, e.g., sports equipment, musical instruments, and electronic products. In the end, this review provides a guideline for the product design process based on natural fibers, which subsequently leads to a sustainable design.
Fulltext The association of the dietary approach to stop hypertension (DASH) diet with blood pressure, glucose and lipid profiles in Malaysian and Philippines populations

Tiong XT, Nursara Shahirah A, Pun VC, Wong KY, Fong AYY, Sy RG, et al.

Nutr Metab Cardiovasc Dis, 2018 08;28(8):856-863.
PMID: 29853430 DOI: 10.1016/j.numecd.2018.04.014

BACKGROUND AND AIM: Despite a growing body of evidence from Western populations on the health benefits of Dietary Approaches to Stop Hypertension (DASH) diets, their applicability in South East Asian settings is not clear. We examined cross-sectional associations between DASH diet and cardio-metabolic risk factors among 1837 Malaysian and 2898 Philippines participants in a multi-national cohort.
METHODS AND RESULTS: Blood pressures, fasting lipid profile and fasting glucose were measured, and DASH score was computed based on a 22-item food frequency questionnaire. Older individuals, women, those not consuming alcohol and those undertaking regular physical activity were more likely to have higher DASH scores. In the Malaysian cohort, while total DASH score was not significantly associated with cardio-metabolic risk factors after adjusting for confounders, significant associations were observed for intake of green vegetable [0.011, standard error (SE): 0.004], and red and processed meat (-0.009, SE: 0.004) with total cholesterol. In the Philippines cohort, a 5-unit increase in total DASH score was significantly and inversely associated with systolic blood pressure (-1.41, SE: 0.40), diastolic blood pressure (-1.09, SE: 0.28), total cholesterol (-0.015, SE: 0.005), low-density lipoprotein cholesterol (-0.025, SE: 0.008), and triglyceride (-0.034, SE: 0.012) after adjusting for socio-demographic and lifestyle groups. Intake of milk and dairy products, red and processed meat, and sugared drinks were found to significantly associated with most risk factors.
CONCLUSIONS: Differential associations of DASH diet and dietary components with cardio-metabolic risk factors by country suggest the need for country-specific tailoring of dietary interventions to improve cardio-metabolic risk profiles.
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.
Fulltext Antimicrobial Potential of Plastic Films Incorporated with Sage Extract on Chicken Meat

Aziman N, Jawaid M, Mutalib NAA, Yusof NL, Nadrah AH, Nazatul UK, et al.

Foods, 2021 Nov 16;10(11).
PMID: 34829093 DOI: 10.3390/foods10112812

The function of packaging is crucial in the maintenance of fresh meat product quality. This study aimed to assess the efficiency of six films added with coatings 2379L/220 and 2379L/221 (containing sage extracts) to inhibit Salmonella typhimurium, Staphylococcus aureus, and Escherichia coli, which showed that two of the six films had a significant effect. Additionally, the effects of the films on refrigerated skinless chicken breast meat were evaluated based on microbiological content, colour, weight loss, texture and pH. Four of the six films were examined could extend the storability of refrigerated chicken breast fillets for up to seven days. All six treated films improved the pH, colour stability, weight loss, and texture of the chicken fillets. Therefore, these findings suggested that the coatings containing sage extracts having different viscosities (2379L/220 and 2379L/221) were effective as antimicrobial adhesives in food packaging films and can be commercially applied in prolonging the storage of chicken breast meat without affecting their quality.
Fulltext Older adults with non-communicable chronic conditions and their health care access amid COVID-19 pandemic in Bangladesh: Findings from a cross-sectional study

Mistry SK, Ali ARMM, Yadav UN, Ghimire S, Hossain MB, Das Shuvo S, et al.

PLoS One, 2021;16(7):e0255534.
PMID: 34324556 DOI: 10.1371/journal.pone.0255534

BACKGROUND: Burgeoning burden of non-communicable disease among older adults is one of the emerging public health problems. In the COVID-19 pandemic, health services in low- and middle-income countries, including Bangladesh, have been disrupted. This may have posed challenges for older adults with non-communicable chronic conditions in accessing essential health care services in the current pandemic. The present study aimed at exploring the challenges experienced by older Bangladeshi adults with non-communicable chronic conditions in receiving regular health care services during the COVID-19 pandemic.
MATERIALS AND METHODS: The study followed a cross-sectional design and was conducted among 1032 Bangladeshi older adults aged 60 years and above during October 2020 through telephone interviews. Self-reported information on nine non-communicable chronic conditions (osteoarthritis, hypertension, heart disease, stroke, hypercholesterolemia, diabetes, chronic respiratory diseases, chronic kidney disease, cancer) was collected. Participants were asked if they faced any difficulties in accessing medicine and receiving routine medical care for their medical conditions during the COVID-19 pandemic. The association between non-communicable chronic conditions and accessing medication and health care was analysed using binary logic regression model.
RESULTS: Most of the participants aged 60-69 years (77.8%), male (65.5%), married (81.4%), had no formal schooling (58.3%) and resided in rural areas (73.9%). Although more than half of the participants (58.9%) reported having a single condition, nearly one-quarter (22.9%) had multimorbidity. About a quarter of the participants reported difficulties accessing medicine (23%) and receiving routine medical care (27%) during the pandemic, and this was significantly higher among those suffering from multimorbidity. In the adjusted analyses, participants with at least one condition (AOR: 1.95, 95% CI: 1.33-2.85) and with multimorbidity (AOR: 4.75, 95% CI: 3.17-7.10) had a higher likelihood of experiencing difficulties accessing medicine. Similarly, participants with at least one condition (AOR: 3.08, 95% CI: 2.11-4.89) and with multimorbidity (AOR: 6.34, 95% CI: 4.03-9.05) were significantly more likely to face difficulties receiving routine medical care during the COVID-19 pandemic.
CONCLUSIONS: Our study found that a sizeable proportion of the older adults had difficulties in accessing medicine and receiving routine medical care during the pandemic. The study findings highlight the need to develop an appropriate health care delivery pathway and strategies to maintain essential health services during any emergencies and beyond. We also argue the need to prioritise the health of older adults with non-communicable chronic conditions in the centre of any emergency response plan and policies of Bangladesh.
Fulltext Mechanical Performance and Applications of CNTs Reinforced Polymer Composites-A Review

Nurazzi NM, Sabaruddin FA, Harussani MM, Kamarudin SH, Rayung M, Asyraf MRM, et al.

Nanomaterials (Basel), 2021 Aug 26;11(9).
PMID: 34578502 DOI: 10.3390/nano11092186

Developments in the synthesis and scalable manufacturing of carbon nanomaterials like carbon nanotubes (CNTs) have been widely used in the polymer material industry over the last few decades, resulting in a series of fascinating multifunctional composites used in fields ranging from portable electronic devices, entertainment and sports to the military, aerospace, and automotive sectors. CNTs offer good thermal and electrical properties, as well as a low density and a high Young's modulus, making them suitable nanofillers for polymer composites. As mechanical reinforcements for structural applications CNTs are unique due to their nano-dimensions and size, as well as their incredible strength. Although a large number of studies have been conducted on these novel materials, there have only been a few reviews published on their mechanical performance in polymer composites. As a result, in this review we have covered some of the key application factors as well as the mechanical properties of CNTs-reinforced polymer composites. Finally, the potential uses of CNTs hybridised with polymer composites reinforced with natural fibres such as kenaf fibre, oil palm empty fruit bunch (OPEFB) fibre, bamboo fibre, and sugar palm fibre have been highlighted.
Exploring measurement tools to optimise hospital physician distribution

Suan NAM, Soelar SA, Rani RA, Anuar NA, Aziz KAA, Chan HK, et al.

Med J Malaysia, 2024 Mar;79(2):222-233.
PMID: 38553930

INTRODUCTION: Equitable healthcare delivery is essential and requires resources to be distributed, which include assets and healthcare workers. To date, there is no gold standard for measuring the correct number of physicians to meet healthcare needs. This rapid review aims to explore measurement tools employed to optimise the distribution of hospital physicians, with a focus on ensuring fair resource allocation for equitable healthcare delivery.
MATERIALS AND METHODS: A literature search was performed across PubMed, EMBASE, Emerald Insight and grey literature sources. The key terms used in the search include 'distribution', 'method', and 'physician', focusing on research articles published in English from 2002 to 2022 that described methods or tools to measure hospital-based physicians' distribution. Relevant articles were selected through a two-level screening process and critically appraised. The primary outcome is the measurement tools used to assess the distribution of hospital-based physicians. Study characteristics, tool advantages and limitations were also extracted. The extracted data were synthesised narratively.
RESULTS: Out of 7,199 identified articles, 13 met the inclusion criteria. Among the selected articles, 12 were from Asia and one from Africa. The review identified eight measurement tools: Gini coefficients and Lorenz curve, Robin Hood index, Theil index, concentration index, Workload Indicator of Staffing Need method, spatial autocorrelation analysis, mixed integer linear programming model and cohortcomponent model. These tools rely on fundamental data concerning population and physician numbers to generate outputs. Additionally, five studies employed a combination of these tools to gain a comprehensive understanding of physician distribution dynamics.
CONCLUSION: Measurement tools can be used to assess physician distribution according to population needs. Nevertheless, each tool has its own merits and limitations, underscoring the importance of employing a combination of tools. The choice of measuring tool should be tailored to the specific context and research objectives.
Fulltext A Review on Natural Fiber Reinforced Polymer Composite for Bullet Proof and Ballistic Applications

Nurazzi NM, Asyraf MRM, Khalina A, Abdullah N, Aisyah HA, Rafiqah SA, et al.

Polymers (Basel), 2021 Feb 22;13(4).
PMID: 33671599 DOI: 10.3390/polym13040646

Even though natural fiber reinforced polymer composites (NFRPCs) have been widely used in automotive and building industries, there is still a room to promote them to high-level structural applications such as primary structural component specifically for bullet proof and ballistic applications. The promising performance of Kevlar fabrics and aramid had widely implemented in numerous ballistic and bullet proof applications including for bullet proof helmets, vest, and other armor parts provides an acceptable range of protection to soldiers. However, disposal of used Kevlar products would affect the disruption of the ecosystem and pollutes the environment. Replacing the current Kevlar fabric and aramid in the protective equipment with natural fibers with enhanced kinetic energy absorption and dissipation has been significant effort to upgrade the ballistic performance of the composite structure with green and renewable resources. The vast availability, low cost and ease of manufacturing of natural fibers have grasped the attention of researchers around the globe in order to study them in heavy armory equipment and high durable products. The possibility in enhancement of natural fiber's mechanical properties has led the extension of research studies toward the application of NFRPCs for structural and ballistic applications. Hence, this article established a state-of-the-art review on the influence of utilizing various natural fibers as an alternative material to Kevlar fabric for armor structure system. The article also focuses on the effect of layering and sequencing of natural fiber fabric in the composites to advance the current armor structure system.
Screening, Diagnosis and Management of Sarcopenia and Frailty in Hospitalized Older Adults: Recommendations from the Australian and New Zealand Society for Sarcopenia and Frailty Research (ANZSSFR) Expert Working Group

Daly RM, Iuliano S, Fyfe JJ, Scott D, Kirk B, Thompson MQ, et al.

J Nutr Health Aging, 2022;26(6):637-651.
PMID: 35718874 DOI: 10.1007/s12603-022-1801-0

Sarcopenia and frailty are highly prevalent conditions in older hospitalized patients, which are associated with a myriad of adverse clinical outcomes. This paper, prepared by a multidisciplinary expert working group from the Australian and New Zealand Society for Sarcopenia and Frailty Research (ANZSSFR), provides an up-to-date overview of current evidence and recommendations based on a narrative review of the literature for the screening, diagnosis, and management of sarcopenia and frailty in older patients within the hospital setting. It also includes suggestions on potential pathways to implement change to encourage widespread adoption of these evidence-informed recommendations within hospital settings. The expert working group concluded there was insufficient evidence to support any specific screening tool for sarcopenia and recommends an assessment of probable sarcopenia/sarcopenia using established criteria for all older (≥65 years) hospitalized patients or in younger patients with conditions (e.g., comorbidities) that may increase their risk of sarcopenia. Diagnosis of probable sarcopenia should be based on an assessment of low muscle strength (grip strength or five times sit-to-stand) with sarcopenia diagnosis including low muscle mass quantified from dual energy X-ray absorptiometry, bioelectrical impedance analysis or in the absence of diagnostic devices, calf circumference as a proxy measure. Severe sarcopenia is represented by the addition of impaired physical performance (slow gait speed). All patients with probable sarcopenia or sarcopenia should be investigated for causes (e.g., chronic/acute disease or malnutrition), and treated accordingly. For frailty, it is recommended that all hospitalized patients aged 70 years and older be screened using a validated tool [Clinical Frailty Scale (CFS), Hospital Frailty Risk Score, the FRAIL scale or the Frailty Index]. Patients screened as positive for frailty should undergo further clinical assessment using the Frailty Phenotype, Frailty Index or information collected from a Comprehensive Geriatric Assessment (CGA). All patients identified as frail should receive follow up by a health practitioner(s) for an individualized care plan. To treat older hospitalized patients with probable sarcopenia, sarcopenia, or frailty, it is recommended that a structured and supervised multi-component exercise program incorporating elements of resistance (muscle strengthening), challenging balance, and functional mobility training be prescribed as early as possible combined with nutritional support to optimize energy and protein intake and correct any deficiencies. There is insufficient evidence to recommend pharmacological agents for the treatment of sarcopenia or frailty. Finally, to facilitate integration of these recommendations into hospital settings organization-wide approaches are needed, with the Spread and Sustain framework recommended to facilitate organizational culture change, with the help of 'champions' to drive these changes. A multidisciplinary team approach incorporating awareness and education initiatives for healthcare professionals is recommended to ensure that screening, diagnosis and management approaches for sarcopenia and frailty are embedded and sustained within hospital settings. Finally, patients and caregivers' education should be integrated into the care pathway to facilitate adherence to prescribed management approaches for sarcopenia and frailty.
Fulltext Inhibitory activity of Enhydra fluctuans Lour. on calcium oxalate crystallisation through in silico and in vitro studies

Chattaraj B, Nandi A, Das A, Sharma A, Dey YN, Kumar D, et al.

Front Pharmacol, 2022;13:982419.
PMID: 36744215 DOI: 10.3389/fphar.2022.982419

The decoction of the whole plant of Enhydra fluctuans is used ethno medicinally by various tribes for the treatment of kidney stones and urinary problems. However, no scientific studies were carried out to delineate its influence on urinary stone formation and crystallisation. Hence, the present study is proposed to investigate the effect of the aqueous extract of Enhydra fluctuans extract on in vitro crystallisation of calcium oxalate. The present study also evaluated. in silico studies of the metabolites with the target proteins present in the renal calcium oxalate stone matrix. The plant material was subjected to decoction to obtain an aqueous extract. The effect of the extract on calcium oxalate crystallization was evaluated by in vitro nucleation and aggregation assays. Further, the metabolites present in E. fluctuans were mined from the existing literature and their number was found to be 35. The selected 35 metabolites of E. fluctuans were subjected to molecular docking with the 5 proteins which are known to be responsible for calcium oxalate crystal growth. Results of in vitro studies indicated that the extract (50, 100, and 200 μg/mL) and standard drug cystone (1,000 μg/mL) exhibited an inhibitory role in the nucleation process where the percentage inhibitions were 52.69, 43.47, 21.98, and 31.67 μg/mL respectively. The results of molecular docking studies revealed that 2 out of 35 metabolites i.e. Baicalein-7-O-diglucoside and 4',5,6,7-Tetrahydroxy-8-methoxy isoflavone-7-O-beta-D- galactopyranosyl-(1→3)-O-beta-D-xylopyranosyl-(1→4)- O-alpha-L-rhamnopyranoside showed modulatory effects on the four renal stone matrix-associated protein (Human CTP: Phosphoethanolamine Cytidylyltransferase (Protein Data Bank ID: 3ELB), UDP glucose: glycoprotein glucosyltransferase 2 (Gene: UGGT2) (AlphaFold) and RIMS-binding protein 3A (Gene: RIMBP3) (AlphaFold), and Ras GTPase activating-like protein (PDB: 3FAY) based on their docking scores which indicates that they may inhibit the crystallization process. Findings from this study show that Enhydra fluctuans may be effective in the prevention of the crystallization of calcium oxalate. However, further, in vivo studies as well as molecular studies are needed to be conducted to confirm and strengthen its anti-urolithiatic activity and to elucidate the possible mechanism of action involved therein.
Fulltext Potential of histone deacetylase inhibitors in the control and regulation of prostate, breast and ovarian cancer

Pramanik SD, Kumar Halder A, Mukherjee U, Kumar D, Dey YN, R M

Front Chem, 2022;10:948217.
PMID: 36034650 DOI: 10.3389/fchem.2022.948217

Histone deacetylases (HDACs) are enzymes that play a role in chromatin remodeling and epigenetics. They belong to a specific category of enzymes that eliminate the acetyl part of the histones' -N-acetyl lysine, causing the histones to be wrapped compactly around DNA. Numerous biological processes rely on HDACs, including cell proliferation and differentiation, angiogenesis, metastasis, gene regulation, and transcription. Epigenetic changes, specifically increased expression and activity of HDACs, are commonly detected in cancer. As a result, HDACi could be used to develop anticancer drugs. Although preclinical outcomes with HDACs as monotherapy have been promising clinical trials have had mixed results and limited success. In both preclinical and clinical trials, however, combination therapy with different anticancer medicines has proved to have synergistic effects. Furthermore, these combinations improved efficacy, decreased tumor resistance to therapy, and decreased toxicity. In the present review, the detailed modes of action, classification of HDACs, and their correlation with different cancers like prostate, breast, and ovarian cancer were discussed. Further, the different cell signaling pathways and the structure-activity relationship and pharmaco-toxicological properties of the HDACi, and their synergistic effects with other anticancer drugs observed in recent preclinical and clinical studies used in combination therapy were discussed for prostate, breast, and ovarian cancer treatment.
Fulltext Clinical-Epidemiological Pattern of Primary Immunodeficiencies in Malaysia 1987-2006: A 20 year experience in Four Malaysian Hospitals

Noh LM, Nasuruddin BA, Abdul Latiff AH, Noah RM, Kamarul Azahar MR, Norzila MZ, et al.

Med J Malaysia, 2013;68(1):13-7.
PMID: 23466760

To determine the clinical and epidemiological characteristics of patients seen with primary immunodeficiencies referred at four Malaysian Hospitals between 1987 to 2007.
Fulltext Thermogravimetric Analysis Properties of Cellulosic Natural Fiber Polymer Composites: A Review on Influence of Chemical Treatments

Nurazzi NM, Asyraf MRM, Rayung M, Norrrahim MNF, Shazleen SS, Rani MSA, et al.

Polymers (Basel), 2021 Aug 13;13(16).
PMID: 34451248 DOI: 10.3390/polym13162710

Natural fiber such as bamboo fiber, oil palm empty fruit bunch (OPEFB) fiber, kenaf fiber, and sugar palm fiber-reinforced polymer composites are being increasingly developed for lightweight structures with high specific strength in the automotive, marine, aerospace, and construction industries with significant economic benefits, sustainability, and environmental benefits. The plant-based natural fibers are hydrophilic, which is incompatible with hydrophobic polymer matrices. This leads to a reduction of their interfacial bonding and to the poor thermal stability performance of the resulting fiber-reinforced polymer composite. Based on the literature, the effect of chemical treatment of natural fiber-reinforced polymer composites had significantly influenced the thermogravimetric analysis (TGA) together with the thermal stability performance of the composite structure. In this review, the effect of chemical treatments used on cellulose natural fiber-reinforced thermoplastic and thermosetting polymer composites has been reviewed. From the present review, the TGA data are useful as guidance in determining the purity and composition of the composites' structures, drying, and the ignition temperatures of materials. Knowing the stability temperatures of compounds based on their weight, changes in the temperature dependence is another factor to consider regarding the effectiveness of chemical treatments for the purpose of synergizing the chemical bonding between the natural fiber with polymer matrix or with the synthetic fibers.
Fulltext Systematic review of artificial intelligence techniques in the detection and classification of COVID-19 medical images in terms of evaluation and benchmarking: Taxonomy analysis, challenges, future solutions and methodological aspects

Albahri OS, Zaidan AA, Albahri AS, Zaidan BB, Abdulkareem KH, Al-Qaysi ZT, et al.

J Infect Public Health, 2020 Oct;13(10):1381-1396.
PMID: 32646771 DOI: 10.1016/j.jiph.2020.06.028

This study presents a systematic review of artificial intelligence (AI) techniques used in the detection and classification of coronavirus disease 2019 (COVID-19) medical images in terms of evaluation and benchmarking. Five reliable databases, namely, IEEE Xplore, Web of Science, PubMed, ScienceDirect and Scopus were used to obtain relevant studies of the given topic. Several filtering and scanning stages were performed according to the inclusion/exclusion criteria to screen the 36 studies obtained; however, only 11 studies met the criteria. Taxonomy was performed, and the 11 studies were classified on the basis of two categories, namely, review and research studies. Then, a deep analysis and critical review were performed to highlight the challenges and critical gaps outlined in the academic literature of the given subject. Results showed that no relevant study evaluated and benchmarked AI techniques utilised in classification tasks (i.e. binary, multi-class, multi-labelled and hierarchical classifications) of COVID-19 medical images. In case evaluation and benchmarking will be conducted, three future challenges will be encountered, namely, multiple evaluation criteria within each classification task, trade-off amongst criteria and importance of these criteria. According to the discussed future challenges, the process of evaluation and benchmarking AI techniques used in the classification of COVID-19 medical images considered multi-complex attribute problems. Thus, adopting multi-criteria decision analysis (MCDA) is an essential and effective approach to tackle the problem complexity. Moreover, this study proposes a detailed methodology for the evaluation and benchmarking of AI techniques used in all classification tasks of COVID-19 medical images as future directions; such methodology is presented on the basis of three sequential phases. Firstly, the identification procedure for the construction of four decision matrices, namely, binary, multi-class, multi-labelled and hierarchical, is presented on the basis of the intersection of evaluation criteria of each classification task and AI classification techniques. Secondly, the development of the MCDA approach for benchmarking AI classification techniques is provided on the basis of the integrated analytic hierarchy process and VlseKriterijumska Optimizacija I Kompromisno Resenje methods. Lastly, objective and subjective validation procedures are described to validate the proposed benchmarking solutions.
Fulltext Fabrication, Functionalization, and Application of Carbon Nanotube-Reinforced Polymer Composite: An Overview

Mohd Nurazzi N, Asyraf MRM, Khalina A, Abdullah N, Sabaruddin FA, Kamarudin SH, et al.

Polymers (Basel), 2021 Mar 26;13(7).
PMID: 33810584 DOI: 10.3390/polym13071047

A novel class of carbon nanotube (CNT)-based nanomaterials has been surging since 1991 due to their noticeable mechanical and electrical properties, as well as their good electron transport properties. This is evidence that the development of CNT-reinforced polymer composites could contribute in expanding many areas of use, from energy-related devices to structural components. As a promising material with a wide range of applications, their poor solubility in aqueous and organic solvents has hindered the utilizations of CNTs. The current state of research in CNTs-both single-wall carbon nanotubes (SWCNT) and multiwalled carbon nanotube (MWCNT)-reinforced polymer composites-was reviewed in the context of the presently employed covalent and non-covalent functionalization. As such, this overview intends to provide a critical assessment of a surging class of composite materials and unveil the successful development associated with CNT-incorporated polymer composites. The mechanisms related to the mechanical, thermal, and electrical performance of CNT-reinforced polymer composites is also discussed. It is vital to understand how the addition of CNTs in a polymer composite alters the microstructure at the micro- and nano-scale, as well as how these modifications influence overall structural behavior, not only in its as fabricated form but also its functionalization techniques. The technological superiority gained with CNT addition to polymer composites may be advantageous, but scientific values are here to be critically explored for reliable, sustainable, and structural reliability in different industrial needs.
Fulltext Polymer Composites Filled with Metal Derivatives: A Review of Flame Retardants

Ilyas RA, Sapuan SM, Asyraf MRM, Dayana DAZN, Amelia JJN, Rani MSA, et al.

Polymers (Basel), 2021 May 23;13(11).
PMID: 34070960 DOI: 10.3390/polym13111701

Polymer composites filled with metal derivatives have been widely used in recent years, particularly as flame retardants, due to their superior characteristics, including high thermal behavior, low environmental degradation, and good fire resistance. The hybridization of metal and polymer composites produces various favorable properties, making them ideal materials for various advanced applications. The fire resistance performance of polymer composites can be enhanced by increasing the combustion capability of composite materials through the inclusion of metallic fireproof materials to protect the composites. The final properties of the metal-filled thermoplastic composites depend on several factors, including pore shape and distribution and morphology of metal particles. For example, fire safety equipment uses polyester thermoplastic and antimony sources with halogenated additives. The use of metals as additives in composites has captured the attention of researchers worldwide due to safety concern in consideration of people's life and public properties. This review establishes the state-of-art flame resistance properties of metals/polymer composites for numerous industrial applications.
Fulltext A Review on Mechanical Performance of Hybrid Natural Fiber Polymer Composites for Structural Applications

Nurazzi NM, Asyraf MRM, Athiyah SF, Shazleen SS, Rafiqah SA, Harussani MM, et al.

Polymers (Basel), 2021 Jun 30;13(13).
PMID: 34209030 DOI: 10.3390/polym13132170

In the field of hybrid natural fiber polymer composites, there has been a recent surge in research and innovation for structural applications. To expand the strengths and applications of this category of materials, significant effort was put into improving their mechanical properties. Hybridization is a designed technique for fiber-reinforced composite materials that involves combining two or more fibers of different groups within a single matrix to manipulate the desired properties. They may be made from a mix of natural and synthetic fibers, synthetic and synthetic fibers, or natural fiber and carbonaceous materials. Owing to their diverse properties, hybrid natural fiber composite materials are manufactured from a variety of materials, including rubber, elastomer, metal, ceramics, glasses, and plants, which come in composite, sandwich laminate, lattice, and segmented shapes. Hybrid composites have a wide range of uses, including in aerospace interiors, naval, civil building, industrial, and sporting goods. This study intends to provide a summary of the factors that contribute to natural fiber-reinforced polymer composites' mechanical and structural failure as well as overview the details and developments that have been achieved with the composites.
Fulltext Natural Fiber-Reinforced Polycaprolactone Green and Hybrid Biocomposites for Various Advanced Applications

Ilyas RA, Zuhri MYM, Norrrahim MNF, Misenan MSM, Jenol MA, Samsudin SA, et al.

Polymers (Basel), 2022 Jan 03;14(1).
PMID: 35012203 DOI: 10.3390/polym14010182

Recent developments within the topic of biomaterials has taken hold of researchers due to the mounting concern of current environmental pollution as well as scarcity resources. Amongst all compatible biomaterials, polycaprolactone (PCL) is deemed to be a great potential biomaterial, especially to the tissue engineering sector, due to its advantages, including its biocompatibility and low bioactivity exhibition. The commercialization of PCL is deemed as infant technology despite of all its advantages. This contributed to the disadvantages of PCL, including expensive, toxic, and complex. Therefore, the shift towards the utilization of PCL as an alternative biomaterial in the development of biocomposites has been exponentially increased in recent years. PCL-based biocomposites are unique and versatile technology equipped with several importance features. In addition, the understanding on the properties of PCL and its blend is vital as it is influenced by the application of biocomposites. The superior characteristics of PCL-based green and hybrid biocomposites has expanded their applications, such as in the biomedical field, as well as in tissue engineering and medical implants. Thus, this review is aimed to critically discuss the characteristics of PCL-based biocomposites, which cover each mechanical and thermal properties and their importance towards several applications. The emergence of nanomaterials as reinforcement agent in PCL-based biocomposites was also a tackled issue within this review. On the whole, recent developments of PCL as a potential biomaterial in recent applications is reviewed.
Antibiotic use in a co-infection of respiratory syncytial virus and pathogenic bacteria in children in a resource-limited setting in northeast Peninsular Malaysia

Liew CSL, Guad RM, Taylor-Robinson AW, Teck KS, Mandrinos S, Duin EV, et al.

Trop Biomed, 2024 Sep 01;41(3):310-315.
PMID: 39548785 DOI: 10.47665/tb.41.3.011

To investigate co-infection of bacterial isolates associated with respiratory syncytial virus (RSV) in children aged less than two years who were admitted to hospital with confirmed lower respiratory tract infection (LRTI) in Kelantan, Malaysia. The demographic data, clinical history, case management, haematological as well as infectious parameters (white blood cell differential and count, plus C-reactive protein, CRP) of the patients were systematically recorded. Less than one-third of cases were RSV-positive (21.03% and 26.23% were diagnosed as acute bronchiolitis or pneumonia, respectively). Blood cultures from approximately 10% of patients demonstrated growth of Haemophilus influenzae, Staphylococcus aureus, coagulase-negative Staphylococcus, Pseudomonas stutzeri, haemolytic Streptococcus group A, and Bacillus subtilis. Further analysis indicated that children with positive bacterial growth had an insignificant predictive value of CRP (2.32-7.16 mg/dl). The total white cell counts were 2.97-7.33 x 109sup>/L despite increased lymphocyte values in the bacteria-positive blood culture. Platelet counts were also within normal limits except for a single case of H. influenzae infection (685.50 x 109sup>/L). Interestingly, 95.01% of patients were treated with antibiotics; 66.23% of RSV infection cases were administered with a combination of antibiotics and 33.77% with only a single antibiotic. The data indicate that the use of antibiotics, either singly or in combination, is not always effective in treating LRTI in infants. Alternative therapeutic regimens should be considered, especially in Asian countries that may have limited resources.

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