Displaying publications 21 - 40 of 43 in total

Abstract:
Sort:
  1. In-depth insight on microbial electrochemical systems coupled with membrane bioreactors for performance enhancement: a review
    Daud SM, Noor ZZ, Mutamim NSA, Baharuddin NH, Aris A
    Environ Sci Pollut Res Int, 2023 Aug;30(40):91636-91648.
    PMID: 37518846 DOI: 10.1007/s11356-023-28975-y
    A conventional activated sludge (CAS) system has traditionally been used for secondary treatment in wastewater treatment plants. Due to the high cost of aeration and the problem of sludge treatment, researchers are developing alternatives to the CAS system. A membrane bioreactor (MBR) is a technology with higher solid-liquid separation efficiency. However, the use of MBR is limited due to inevitable membrane fouling and high energy consumption. Membrane fouling requires frequent cleaning, and MBR components must be replaced, which reduces membrane lifetime and operating costs. To overcome the limitations of the MBR system, a microbial fuel cell-membrane bioreactor (MFC-MBR) coupling system has attracted the interest of researchers. The design of the novel bioelectrochemical membrane reactor (BEMR) can effectively couple microbial degradation in the microbial electrochemical system (MES) and generate a microelectric field to reduce and alleviate membrane fouling in the MBR system. In addition, the coupling system combining an MES and an MBR can improve the efficiency of COD and ammonium removal while generating electricity to balance the energy consumption of the system. However, several obstacles must be overcome before the MFC-MBR coupling system can be commercialised. The aim of this study is to provide critical studies of the MBR, MES and MFC-MBR coupling system for wastewater treatment. This paper begins with a critical discussion of the unresolved MBR fouling problem. There are detailed past and current studies of the MES-MBR coupling system with comparison of performances of the system. Finally, the challenges faced in developing the coupling system on a large scale were discussed.
  2. Fulltext First report of Aspergillus niger causing fruit rot of bilimbi in Malaysia
    Mohd Zainudin NAI, Abd Murad NB, Aris A, Hussain NH
    Plant Dis, 2022 Sep 19.
    PMID: 36122197 DOI: 10.1094/PDIS-06-22-1291-PDN
    In July 2019 to November 2021, symptoms of fruit rot of Averrhoa bilimbi (commonly known as bilimbi) fruits were observed in Serdang (3°00'05.8"N 101°42'18.4"E) and Tanjong Karang (3°25'55.3"N 101°12'55.7"E), Selangor, Malaysia. External decay showed some yellowish to brownish-red discoloration and inside the fruit there was black powdery sporulation and a brownish decay that measured between 8 - 15 mm wide. Twenty random symptomatic fruits were collected from each location. Small pieces (5 mm) of infected tissues from the fruit rot were surface sterilized for 1 min in 0.5% NaOCl, washed twice with sterile distilled water and cultured onto potato dextrose agar (PDA) and peptone pentachloronitrobenzene agar (PPA). The plates were incubated at 28 ± 1oC under 12 hours light/dark for 7 days. The fungal colonies growing from the plates were purified using hyphal tip technique (Leyronas et al. 2012). A total of 42 fungal isolates were obtained, and the morphology characteristics of six isolates were matched that of Aspergillus niger. The A. niger isolates were further identified based genus and species-specific Internal Transcribed Spacer (ITS) sequencing. Primers ITS1/ITS4, were used to amplify and subsequently sequenced the ITS1-5.8S-ITS2 region (White et al. 1990). Primer ASAP1 (5'-CAGCGAGTACATCACCTTGG-3'), ASAP2 (5'-CCATTGTTGAAAGTTTTAACTGATT-3') was used for Aspergillus species confirmation, primer ASPU (5'-ACTACCGATTGAATGGCTCG-3') / Ni1r (5'-ACGCTTTCAGACAGTGTTCG-3') for A. niger species-specific, ASPU / Af3r (5'-CATACTTTCAGAACAGCGTTCA-3') for A. fumigatus specific-specific and ASPU / Fl2r (5'-TTCACTAGATCAGACAGAGT-3') for A. flavus specific-specific (Sugita et al. 2004). In general, Aspergillus niger isolates grew rapidly on PDA and were visibly white initially then appearing black and powdery on the second day of incubation (Figure 1A). Some isolates grew rapidly (0.71-0.85 cm/day) and have a cottony appearance. The conidia were appeared brown to black, globose and rough with diameter ranging between 4.1-5.2 µm (Figure 1B). The vesicles were hyaline, globose, and brown in color with measurement of 30-75 µm in diameter with uniseriate sterigmata (Figure 1C). The conidial head was brownish black in color and split into several irregular and regular columns of conidial chains (Figure 1D-E). The conidiophores were hyaline, and brown in color. Phylogenetic trees of ITS (Figure 2A) and ASAP sequences (Figure 2B) were constructed using a Neighbor-Joining method showing isolates Aspergillus niger #11, #15, #32, #33, #41 and #42 were grouped into the same clade as A. niger (accession no. MT446087). To examine virulence of A. niger, pathogenicity tests were performed three times by inoculating an asymptomatic fruit with six isolates of A. niger (isolate #11, #15, #32, #33, #41 and #42) and a single isolate for each species of Aspergillus aculeatus, Lasiodiplodia theobromae and Penicillium gerundense. Ten fruits were inoculated by placing a mycelial disc (6 mm) (Kouame et al. 2010) from a 5-day-old culture of each fungal colony while control fruits were non-inoculated with any fungal colony (10 fruits were inoculated with a sterile agar disc and 10 were non-inoculated, respectively). After 3 days, typical symptoms of Aspergillus fruit rot were observed on A. niger inoculated fruits, whereas the control fruits remained asymptomatic (Figure 1F-P). Aspergillus niger was reisolated and reidentified based on morphological and molecular characterization from the inoculated, symptomatic fruits, thus confirming Koch's postulates. A. niger causing widespread diseases in various plant and it is a common contaminant of food. This study shows A. niger to be highly virulent on bilimbi fruits and leads to reduction of fruit quality and its production. To our knowledge, this is the first report of A. niger causing fruit rot on bilimbi and future work on its pathogenesis may provide strategies for disease control against the pathogen.
  3. Quality of Kelantan drinking water and knowledge, attitude and practice among the population of Pasir Mas, Malaysia
    Ab Razak NH, Praveena SM, Aris AZ, Hashim Z
    Public Health, 2016 Feb;131:103-11.
    PMID: 26715317 DOI: 10.1016/j.puhe.2015.11.006
    Information about the quality of drinking water, together with analysis of knowledge, attitude and practice (KAP) analysis and health risk assessment (HRA) remain limited. The aims of this study were: (1) to ascertain the level of KAP regarding heavy metal contamination of drinking water in Pasir Mas; (2) to determine the concentration of heavy metals (Al, Cr, Cu, Fe, Ni, Pb, Zn and Cd) in drinking water in Pasir Mas; and (3) to estimate the health risks (non-carcinogenic and carcinogenic) caused by heavy metal exposure through drinking water using hazard quotient and lifetime cancer risk.
  4. Identification of naphthalene metabolism by white rot fungus Armillaria sp. F022
    Hadibarata T, Yusoff AR, Aris A, Kristanti RA
    J Environ Sci (China), 2012;24(4):728-32.
    PMID: 22894109
    Armillaria sp. F022, a white rot fungus isolated from tropical rain forest (Samarinda, Indonesia) was used to biodegrade naphthalene in cultured medium. Transformation of naphthalene by Armillaria sp. F022 which is able to use naphthalene, a two ring-polycyclic aromatic hydrocarbon (PAH) as a source of carbon and energy was investigated. The metabolic pathway was elucidated by identifying metabolites, biotransformation studies and monitoring enzyme activities in cell-free extracts. The identification of metabolites suggests that Armillaria sp. F022 initiates its attack on naphthalene by dioxygenation at its C-1 and C-4 positions to give 1,4-naphthoquinone. The intermediate 2-hydroxybenzaldehyde and salicylic acid, and the characteristic of the meta-cleavage of the resulting diol were identified in the long-term incubation. A part from typical metabolites of naphthalene degradation known from mesophiles, benzoic acid was identified as the next intermediate for the naphthalene pathway of this Armillaria sp. F022. Neither phthalic acid, catechol and cis,cis-muconic acid metabolites were detected in culture extracts. Several enzymes (manganese peroxidase, lignin peroxidase, laccase, 1,2-dioxygenase and 2,3-dioxygenase) produced by Armillaria sp. F022 were detected during the incubation.
  5. Optimizing the coagulation process in a drinking water treatment plant -- comparison between traditional and statistical experimental design jar tests
    Zainal-Abideen M, Aris A, Yusof F, Abdul-Majid Z, Selamat A, Omar SI
    Water Sci Technol, 2012;65(3):496-503.
    PMID: 22258681 DOI: 10.2166/wst.2012.561
    In this study of coagulation operation, a comparison was made between the optimum jar test values for pH, coagulant and coagulant aid obtained from traditional methods (an adjusted one-factor-at-a-time (OFAT) method) and with central composite design (the standard design of response surface methodology (RSM)). Alum (coagulant) and polymer (coagulant aid) were used to treat a water source with very low pH and high aluminium concentration at Sri-Gading water treatment plant (WTP) Malaysia. The optimum conditions for these factors were chosen when the final turbidity, pH after coagulation and residual aluminium were within 0-5 NTU, 6.5-7.5 and 0-0.20 mg/l respectively. Traditional and RSM jar tests were conducted to find their respective optimum coagulation conditions. It was observed that the optimum dose for alum obtained through the traditional method was 12 mg/l, while the value for polymer was set constant at 0.020 mg/l. Through RSM optimization, the optimum dose for alum was 7 mg/l and for polymer was 0.004 mg/l. Optimum pH for the coagulation operation obtained through traditional methods and RSM was 7.6. The final turbidity, pH after coagulation and residual aluminium recorded were all within acceptable limits. The RSM method was demonstrated to be an appropriate approach for the optimization and was validated by a further test.
  6. Multivariate and Geoaccumulation Index evaluation in mangrove surface sediment of Mengkabong lagoon, Sabah
    Praveena SM, Ahmed A, Radojevic M, Abdullah MH, Aris AZ
    Bull Environ Contam Toxicol, 2008 Jul;81(1):52-6.
    PMID: 18506379 DOI: 10.1007/s00128-008-9460-3
    Spatial variations in estuarine intertidal sediment have been often related to such environmental variables as salinity, sediment types, heavy metals and base cations. However, there have been few attempts to investigate the difference condition between high and low tides relationships and to predict their likely responses in an estuarine environment. This paper investigates the linkages between environmental variables and tides of estuarine intertidal sediment in order to provide a basis for describing the effect of tides in the Mengkabong lagoon, Sabah. Multivariate statistical technique, principal components analysis (PCA) was employed to better interpret information about the sediment and its controlling factors in the intertidal zone. The calculation of Geoaccumulation Index (I(geo)) suggests the Mengkabong mangrove sediments are having background concentrations for Al, Cu, Fe, and Zn and unpolluted for Pb. Extra efforts should therefore pay attention to understand the mechanisms and quantification of different pathways of exchange within and between intertidal zones.
  7. Waste bones ash as an alternative source of P for struvite precipitation
    Darwish M, Aris A, Puteh MH, Jusoh MNH, Abdul Kadir A
    J Environ Manage, 2017 Dec 01;203(Pt 2):861-866.
    PMID: 26935149 DOI: 10.1016/j.jenvman.2016.02.033
    Struvite precipitation has been widely applied for the removal of ammonium-nitrogen (NH4-N) from wastewater. Due to the high cost of phosphorus (P) reagents, the current research trend was directed to find alternative sources of P, in order to maintain a sustainable NH4-N removal process. The current study investigated waste bones ashes as alternative sources of P. Different types of bones' ashes were characterized, in which the ash produced from waste fish bones was the highest in P content (17%wt.). The optimization of the factors affecting P extraction from ash by acidic leaching showed that applying 2M H2SO4 and 1.25 kg H2SO4/kg ash achieved the highest P recovery (95%). Thereafter, the recovered P was successfully used in struvite precipitation, which achieved more than 90% NH4-N removal and high purity struvite.
  8. Health Risk Assessment using in vitro digestion model in assessing bioavailability of heavy metal in rice: A preliminary study
    Omar NA, Praveena SM, Aris AZ, Hashim Z
    Food Chem, 2015 Dec 1;188:46-50.
    PMID: 26041162 DOI: 10.1016/j.foodchem.2015.04.087
    Little is known about the bioavailability of heavy metal contamination and its health risks after rice ingestion. This study aimed to determine bioavailability of heavy metal (As, Cd, Cu, Cr, Co, Al, Fe, Zn and Pb) concentrations in cooked rice and human Health Risk Assessment (HRA). The results found Zn was the highest (4.3±0.1 mg/kg), whereas As showed the lowest (0.015±0.001 mg/kg) bioavailability of heavy metal concentration in 22 varieties of cooked rice. For single heavy metal exposure, no potential of non carcinogenic health risks was found, while carcinogenic health risks were found only for As. Combined heavy metal exposures found that total Hazard Quotient (HQtotal) values for adult were higher than the acceptable range (HQTotal<1), whereas total Lifetime Cancer Risk (LCRTotal) values were higher than the acceptable range (LCRTotal values >1×10(-4)) for both adult and children. This study is done to understand that the inclusion of bioavailability heavy metal into HRA produces a more realistic estimation of human heavy metal exposure.
  9. Influence of varying reacting conditions in the degradation of azo dye using immobilized TiO2 photocatalyst
    Aris A, Din MF, Salim MR, Yunus S, Abu Bakar WA
    Water Sci Technol, 2002;46(9):255-62.
    PMID: 12448476
    In Malaysia, most colored wastewater from dyeing factories is discharged to the environment causing serious problems. In this paper the influence of several reacting conditions, i.e. H2O2, pH, Ultraviolet (UV) intensity and dye concentration, on the performance of the immobilized system is discussed. The pH of the solution was varied from 3 to 11 while H2O2 concentration tested was from 10(-4) M to 5 x 10(-2) M. UV was tested at 365 nm and 254 nm, while dye concentration ranged from 2.5 x 10(-4) M to 10(-3) M. The influence of the reacting conditions was assessed based on absorbance. Using an OG concentration of 10(-3) M, the degradation increases from 17.8% to 49.7%. Optimum concentration of H2O2 was found to be 5 x 10(-3) M for degradation. Increasing the intensity of the UV light via shorter light wavelength also improves the performance of the system. Increasing the concentration of the dye reduces the overall performance of the system. Using the dye concentration of 2.5 x 10(-4) M (H2O2 = 10(-2) M, lambda = 254 nm, pH = 11), gives a degradation of 93.2%. At dye concentration of 10(-3) M, the performance was reduced to 53.1%.
  10. Mass transfer kinetics of biosorption of nitrogenous matter from palm oil mill effluent by aerobic granules in sequencing batch reactor
    Fulazzaky MA, Nuid M, Aris A, Muda K
    Environ Technol, 2018 Sep;39(17):2151-2161.
    PMID: 28675960 DOI: 10.1080/09593330.2017.1351494
    Understanding of mass transfer kinetics is important for biosorption of nitrogen compounds from palm oil mill effluent (POME) to gain a mechanistic insight into future biological processes for the treatment of high organic loading wastewater. In this study, the rates of global and sequential mass transfer were determined using the modified mass transfer factor equations for the experiments to remove nitrogen by aerobic granular sludge accumulation in a sequencing batch reactor (SBR). The maximum efficiencies as high as 97% for the experiment run at [kLa]g value of 1421.8 h-1 and 96% for the experiment run at [kLa]g value of 9.6 × 1037 h-1 were verified before and after the addition of Serratia marcescens SA30, respectively. The resistance of mass transfer could be dependent on external mass transfer that controls the transport of nitrogen molecule along the experimental period of 256 days. The increase in [kLa]g value leading to increased performance of the SBR was verified to contribute to the future applications of the SBR because this phenomenon provides new insight into the dynamic response of biological processes to treat POME.
  11. Bioavailability and mobility of arsenic, cadmium, and manganese in gold mine tailings amended with rice husk ash and Fe-coated rice husk ash
    Tariq FS, Samsuri AW, Karam DS, Aris AZ, Jamilu G
    Environ Monit Assess, 2019 Mar 21;191(4):232.
    PMID: 30900076 DOI: 10.1007/s10661-019-7359-6
    This study was conducted to determine the effects of rice husk ash (RHA) and Fe-coated rice husk ash (Fe-RHA) on the bioavailability and mobility of As, Cd, and Mn in mine tailings. The amendments were added to the tailings at 0, 5, 10, or 20% (w/w) and the mixtures were incubated for 0, 7, 15, 30, 45, and 60 days. The CaCl2 extractable As, Cd, and Mn in the amended tailings were determined at each interval of incubation period. In addition, the tailings mixture was leached with simulated rain water (SRW) every week from 0 day (D 0) until day 60 (D 60). The results showed that both RHA and Fe-RHA application significantly decreased the CaCl2-extractable Cd and Mn but increased that of As in the tailings throughout the incubation period. Consequently, addition of both RHA and Fe-RHA leached out higher amount of As from the tailings but decreased Cd and Mn concentration compared to the controls. The amount of As leached from the Fe-RHA-amended tailings was less than that from RHA-amended tailings. Application of both RHA and Fe-RHA could be an effective way in decreasing the availability of cationic heavy metals (Cd and Mn) in the tailings but these amendments could result in increasing the availability of anionic metalloid (As). Therefore, selection of organic amendments to remediate metal-contaminated tailings must be done with great care because the outcomes might be different among the elements.
  12. A review of antibiotic removal from domestic wastewater using the activated sludge process: removal routes, kinetics and operational parameters
    Chen CX, Aris A, Yong EL, Noor ZZ
    Environ Sci Pollut Res Int, 2022 Jan;29(4):4787-4802.
    PMID: 34775565 DOI: 10.1007/s11356-021-17365-x
    Many advanced technologies have shown encouraging results in removing antibiotics from domestic wastewater. However, as activated sludge treatment is the most common sewage treatment system employed worldwide, improving its effect on antibiotic removal would be more desirable. Understanding the removal mechanisms, kinetics and factors that affect antibiotic removal in the activated sludge process is important as it would allow us to improve the treatment performance. Although these have been discussed in various literature covering different types of antibiotics and wastewater, a specific review on antibiotics and domestic wastewater is clearly missing. This review paper collates, discusses and analyses the removal of antibiotics from sewage in the activated sludge process along with the removal mechanisms and kinetics. The antibiotics are categorised into six classes: β-lactam, dihydrofolate reductase inhibitor, fluoroquinolone, macrolide, sulfonamides and tetracycline. Furthermore, the factors affecting the system performance with regard to antibiotic removal are examined.
  13. Bioaugmentation and enhanced formation of biogranules for degradation of oil and grease: Start-up, kinetic and mass transfer studies
    Nuid M, Aris A, Abdullah S, Fulazzaky MA, Muda K
    J Environ Manage, 2023 Sep 01;341:118032.
    PMID: 37163834 DOI: 10.1016/j.jenvman.2023.118032
    Biogranulation technology is an emerging biological process in treating various wastewater. However, the development of biogranules requires an extended period of time when treating wastewaters with high oil and grease (O&G) content. A study was therefore conducted to assess the formation of biogranules through bioaugmentation with the Serratia marcescens SA30 strain, in treating real anaerobically digested palm oil mill effluent (AD-POME), with O&G of about 4600 mg/L. The biogranules were developed in a lab-scale sequencing batch reactor (SBR) system under alternating anaerobic and aerobic conditions. The experimental data were assessed using the modified mass transfer factor (MMTF) models to understand the mechanisms of biosorption of O&G on the biogranules. The system was run with variable organic loading rates (OLR) of 0.69-9.90 kg/m3d and superficial air velocity (SAV) of 2 cm/s. After 60 days of being bioaugmented with the Serratia marcescens SA30 strain, the flocculent biomass transformed into biogranules with excellent settleability with improved treatment efficiency. The biogranules showed a compact structure and good settling ability with an average diameter of about 2 mm, a sludge volume index at 5 min (SVI5) of 43 mL/g, and a settling velocity (SV) of 81 m/h after 256 days of operation. The average removal efficiencies of O&G increased from 6 to 99.92%, respectively. The application of the MMTF model verified that the resistance to O&G biosorption is controlled via film mass transfer. This research indicates successful bioaugmentation of biogranules using the Serratia marcescens SA30 strain for enhanced biodegradation of O&G and is capable to treat real AD-POME.
  14. Pineapple wastewater as co-substrate in treating real alkaline, non-biodegradable textile wastewater using biogranulation technology
    Nuid M, Aris A, Krishnen R, Chelliapan S, Muda K
    J Environ Manage, 2023 Oct 15;344:118501.
    PMID: 37418913 DOI: 10.1016/j.jenvman.2023.118501
    This study was to develop biogranules using a sequencing batch reactor (SBR) and to evaluate the effect of pineapple wastewater (PW) as a co-substrate for treating real textile wastewater (RTW). The biogranular system cycle was 24 h (2 stages of phase), with an anaerobic phase (17.8 h) followed by an aerobic phase (5.8 h) for every stage of the phase. The concentration of pineapple wastewater was the main factor studied in influencing COD and color removal efficiency. Pineapple wastewater with different concentrations (7, 5, 4, 3, and 0% v/v) makes a total volume of 3 L and causes the OLRs to vary from 2.90 to 0.23 kg COD/m3day. The system achieved 55% of average color removal and 88% of average COD removal at 7%v/v PW concentration during treatment. With the addition of PW, the removal increased significantly. The experiment on the treatment of RTW without any added nutrients proved the importance of co-substrate in dye degradation.
  15. The effect of drastic temperature changes on the performance of MBR treating municipal wastewater
    Al-Amri A, Salim MR, Aris A
    Water Sci Technol, 2011;64(7):1398-405.
    PMID: 22179635 DOI: 10.2166/wst.2011.421
    A study has been carried out to define the effect of drastic temperature changes on the performance of lab-scale hollow-fibre MBR in treating municipal wastewater at a flux of 10 L m(-2) h(-1) (LMH). The objectives of the study were to estimate the activated sludge properties, the removal efficiencies of COD and NH(3)-N and the membrane fouling tendency under critical conditions of drastic temperature changes (23, 33, 42 & 33 °C) and MLSS concentration ranged between 6,382 and 8,680 mg/L. The study exhibited that the biomass reduction, the low sludge settleability and the supernatant turbidity were results of temperature increase. The temperature increase led to increase in SMP carbohydrate and protein, and to decrease in EPS carbohydrate and protein. The BRE of COD dropped from 80% at 23 °C to 47% at 42 °C, while the FRE was relatively constant at about 90%. Both removal efficiencies of NH(3)-N trended from about 100% at 33 °C to less than 50% at 42 °C. TMP and BWP ascended critically with temperature increase up to 336 and 304 mbar respectively by the end of the experiment. The values of suspended solids (SS) and the turbidity in the final effluent were negligible. The DO in the mixed liquor was varying with temperature change, while the pH was within the range of 6.7-8.3.
  16. Characteristics of developed granules containing selected decolourising bacteria for the degradation of textile wastewater
    Ibrahim Z, Amin MF, Yahya A, Aris A, Muda K
    Water Sci Technol, 2010;61(5):1279-88.
    PMID: 20220250 DOI: 10.2166/wst.2010.021
    Textile wastewater, one of the most polluted industrial effluents, generally contains substantial amount of dyes and chemicals that will cause increase in the COD, colour and toxicity of receiving water bodies if not properly treated. Current treatment methods include chemical and biological processes; the efficiency of the biological treatment method however, remains uncertain since the discharged effluent is still highly coloured. In this study, granules consisting mixed culture of decolourising bacteria were developed and the physical and morphological characteristics were determined. After the sixth week of development, the granules were 3-10 mm in diameter, having good settling property with settling velocity of 70 m/h, sludge volume index (SVI) of 90 to 130 mL/g, integrity coefficient of 3.7, and density of 66 g/l. Their abilities to treat sterilised raw textile wastewater were evaluated based on the removal efficiencies of COD (initial ranging from 200 to 3,000 mg/L), colour (initial ranging from 450 to 2000 ADMI) of sterilised raw textile wastewater with pH from 6.8 to 9.4. Using a sequential anaerobic-aerobic treatment cycle with hydraulic retention time (HRT) of 24 h, maximum removal of colour and COD achieved was 90% and 80%, respectively.
  17. The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA)
    Aris A, Sulaiman S, Che Hasan MK
    Enferm Clin, 2019 09;29 Suppl 2:16-23.
    PMID: 31208927 DOI: 10.1016/j.enfcli.2019.04.004
    OBJECTIVE: The objective of this study was to investigate whether music therapy affects immediate postoperative well-being among patients who had undergone TKA surgery in the recovery unit.

    METHOD: A randomized controlled trial was conducted recruiting patients from Hospital Melaka, Malaysia. Postoperative TKA patients with good hearing and visual acuity, fully conscious and prescribed with patients controlled analgesia (PCA) were randomized to either intervention or control groups using a sealed envelope. Patients in the intervention group received usual care with additional music therapy during recovery, while patients in the control group received the usual care provided by the hospital. Two factors identified affecting mental well-being were the pain (measured using numerical rating scale) and anxiety (measured using a visual analog scale) at five different minutes' points (0, 10, 20, 30, and 60).

    RESULTS: A total of 56 (control: 28, intervention: 28) postoperative TKA patients consented in the study. There was no difference in baseline characteristics between the two groups (p>0.05). Using Mann-Whitney U tests, patients in music therapy group showed significantly lower numerical pain score at 60min (p=0.045) whereas there was no significant difference between the two groups at all time points for anxiety scores (p>0.05). In the intervention group, Friedman tests showed that there was a significant difference in numerical pain (χ2=36.957, df=4, p<0.001) and anxiety score across times (χ2=18.545, p=0.001).

    CONCLUSIONS: This study found that pain score decreases over time among patients in the music therapy group while no effect is seen for anxiety. It is suggested that music therapy could not affect postoperative TKA patients' mental well-being. Nonetheless, patients reported better pain score despite the small sample.

  18. Effects of music therapy on physiological outcomes for post-operative total knee arthroplasty (TKA) patients
    Aris A, Sulaiman S, Che Hasan MK
    Enferm Clin, 2021 04;31 Suppl 2:S10-S15.
    PMID: 33849138 DOI: 10.1016/j.enfcli.2020.10.006
    This study aimed to investigate the effects of music on physiological outcomes for post-operative TKA patients in the recovery unit. Fifty-six patients from Hospital Melaka were randomized equally into intervention (IG) and control groups (CG). IG received the usual care and listened to selected music for 60min, while the CG received only the usual care. Systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), respiration rate (RR) and oxygen saturation (SpO2) were measured on arrival and after 10, 20, 30, and 60min in the recovery unit. A significant difference between groups was observed in RR upon arrival (U=276.5, p=0.029) and after 10min (U=291, p=0.45). Meanwhile, there were significant differences in DBP (F=3.158, p=0.032), RR (χ2=15.956, p=0.003) and SpO2 (χ2=14.084, p=0.007) over time in the IG. Overall, listening to music immediately after TKA has an effect on DBP, RR, and SpO2.
  19. Fulltext Difficult intubation stylohyoid ligament calcification
    Aris AM, Elegbe EO, Krishna R
    Singapore Med J, 1992 Apr;33(2):204-5.
    PMID: 1621133
    Intubation was difficult and traumatic in a 40-year-old patient presented for emergency oesophagoscopy because the diagnosis of stylohyoid ligament calcification was not suspected. High probability of stylohyoid ligament calcification should be suspected when there is difficulty in lifting the epiglottis and fibre-optic laryngoscopy is suggested as the best way to tackle this problem to prevent trauma and possible risk of regurgitation and aspiration especially in emergency situation.
  20. Status, source identification, and health risks of potentially toxic element concentrations in road dust in a medium-sized city in a developing country
    Praveena SM, Aris AZ
    Environ Geochem Health, 2018 Apr;40(2):749-762.
    PMID: 28929262 DOI: 10.1007/s10653-017-0021-8
    This study aims to determine the status of potentially toxic element concentrations of road dust in a medium-sized city (Rawang, Malaysia). This study adopts source identification via enrichment factor, Pearson correlation analysis, and Fourier spectral analysis to identify sources of potentially toxic element concentrations in road dust in Rawang City, Malaysia. Health risk assessment was conducted to determine potential health risks (carcinogenic and non-carcinogenic risks) among adults and children via multiple pathways (i.e., ingestion, dermal contact, and inhalation). Mean of potentially toxic element concentrations were found in the order of Pb > Zn > Cr(IV) > Cu > Ni > Cd > As > Co. Source identification revealed that Cu, Cd, Pb, Zn, Ni, and Cr(IV) are associated with anthropogenic sources in industrial and highly populated areas in northern and southern Rawang, cement factories in southern Rawang, as well as the rapid development and population growth in northwestern Rawang, which have resulted in high traffic congestion. Cobalt, Fe, and As are related to geological background and lithologies in Rawang. Pathway orders for both carcinogenic and non-carcinogenic risks are ingestion, dermal contact, and inhalation, involving adults and children. Non-carcinogenic health risks in adults were attributed to Cr(IV), Pb, and Cd, whereas Cu, Cd, Cr(IV), Pb, and Zn were found to have non-carcinogenic health risks for children. Cd, Cr(IV), Pb, and As may induce carcinogenic risks in adults and children, and the total lifetime cancer risk values exceeded incremental lifetime.
Related Terms
Filters
Contact Us

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

External Links