Displaying publications 21 - 40 of 43 in total

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  1. 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.
  2. 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.
  3. 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.
  4. Influence of initial dissolved oxygen concentration on Fenton's reagent degradation
    Aris A, Sharratt PN
    Environ Technol, 2006 Oct;27(10):1153-61.
    PMID: 17144264
    The effect of initial dissolved oxygen concentration (IDOC) on Fenton's reagent degradation of a dyestuff, Reactive Black 5 was explored in this study. The study was designed, conducted and analysed based on Central Composite Rotatable Design using a 3-1 lab-scale reactor. The participation of O2 in the process was experimentally observed and appears to be affected by the dosage of the reagents used in the study. The IDOC was found to have a significant influence on the process. Reducing the IDOC from 7.5 mg l(-1) to 2.5 mg l(-1) increased the removal of TOC by an average of about 10%. Reduction of IDOC from 10 mg l(-1) to 0 mg l(-1) enhanced the TOC removal by about 30%. The negative influence of IDOC is likely to be caused by the competition between the O2 and the reagents for the organoradicals. A model describing the relationship between initial TOC removal, reagent dosage and IDOC has also been developed.
  5. Influence of static mixer on the development of aerobic granules for the treatment of low-medium strength domestic wastewater
    We ACE, Aris A, Zain NAM, Muda K, Sulaiman S
    Chemosphere, 2021 Jan;263:128209.
    PMID: 33297168 DOI: 10.1016/j.chemosphere.2020.128209
    The present work investigates the feasibility of aerobic granulation for the treatment of low-medium strength domestic wastewater for long-term operation and effects of a static mixer on the properties and removal performances of the aerobic granules formed. The static mixer was installed in a sequential batch reactor to provide higher hydrodynamic shear force in enhancing the formation of the aerobic granules. Aerobic granules were successfully formed in the domestic wastewater, and the granulation treatment system was sustained for a period of 356 days without granules disintegration. Subsequent to the installation, aerobic granules with a low SVI30 of 41.37 mL/gTSS, average diameter 1.11 mm, granular strength with integrity coefficient 10.4% and regular shape with minimum filamentous outgrowth were formed. Mineral concentrations such as Fe, Mg, Ca and Na as well as composition of protein and polysaccharide in tightly bound-extracellular polymeric substance of the aerobic granules were found to be higher under the effect of the static mixer. However, no significant improvement was observed on the TCOD, NH4+-N and TSS removal performance. Good TCOD and TSS removal performance of above 85% and 90%, respectively and moderate NH4+-N removal performance of about 60% were observed throughout the study. Higher simultaneous nitrification and denitrification (SND) efficiency of 56% was observed after the installation of the static mixer, as compared to 21% prior. Therefore, it may be concluded that the installation of the static mixer significantly improved the properties of aerobic granules formation and SND efficiency but not the TCOD, NH4+-N and TSS removal performance.
  6. 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%.
  7. Lafora disease in a Malaysian with a rare mutation in the EPM2A gene
    Tee SK, Ong TL, Aris A, See SML, Leong HY, Khalid MKNM, et al.
    Seizure, 2019 Apr;67:78-81.
    PMID: 30947044 DOI: 10.1016/j.seizure.2019.03.012
  8. Fulltext Live vaccines against bacterial fish diseases: A review
    Mohd-Aris A, Muhamad-Sofie MHN, Zamri-Saad M, Daud HM, Ina-Salwany MY
    Vet World, 2019 Nov;12(11):1806-1815.
    PMID: 32009760 DOI: 10.14202/vetworld.2019.1806-1815
    Fish diseases are often caused either by bacteria, viruses, fungi, parasites, or a combination of these pathogens. Of these, bacterial fish diseases are considered to be a major problem in the aquaculture industry. Hence, the prevention of such diseases by proper vaccination is one of the integral strategies in fish health management, aimed at reducing the fish mortality rate in the aquaculture farms. Vaccination offers an effective yet low-cost solution to combat the risk of disease in fish farming. An appropriate vaccination regime to prevent bacterial diseases offers a solution against the harmful effects of antibiotic applications. This review discusses the role of live-attenuated vaccine in controlling bacterial diseases and the development of such vaccines and their vaccination strategy. The current achievements and potential applications of live-attenuated and combined vaccines are also highlighted. Vaccine development is concluded to be a demanding process, as it must satisfy the requirements of the aquaculture industry.
  9. Low-dissolved-oxygen nitrification in tropical sewage: an investigation on potential, performance and functional microbial community
    How SW, Lim SY, Lim PB, Aris AM, Ngoh GC, Curtis TP, et al.
    Water Sci Technol, 2018 May;77(9-10):2274-2283.
    PMID: 29757179 DOI: 10.2166/wst.2018.143
    Intensive aeration for nitrification is a major energy consumer in sewage treatment plants (STPs). Low-dissolved-oxygen (low-DO) nitrification has the potential to lower the aeration demand. However, the applicability of low-DO nitrification in the tropical climate is not well-understood. In this study, the potential of low-DO nitrification in tropical setting was first examined using batch kinetic experiments. Subsequently, the performance of low-DO nitrification was investigated in a laboratory-scale sequential batch reactor (SBR) for 42 days using real tropical sewage. The batch kinetic experiments showed that the seed sludge has a relatively high oxygen affinity. Thus, the rate of nitrification was not significantly reduced at low DO concentrations (0.5 mg/L). During the operation of the low-DO nitrification SBR, 90% of NH4-N was removed. The active low-DO nitrification was mainly attributed to the limited biodegradable organics in the sewage. Fluorescence in-situ hybridisation and 16S rRNA amplicon sequencing revealed the nitrifiers were related to Nitrospira genus and Nitrosomonadaceae family. Phylogenetic analysis suggests 47% of the operational taxonomic units in Nitrospira genus are closely related to a comammox bacteria. This study has demonstrated active low-DO nitrification in tropical setting, which is a more sustainable process that could significantly reduce the energy footprint of STPs.
  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. 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.
  12. 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.
  13. 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.
  14. Prevalence of surgical wound infection and related factors in patients after long bone surgery: A systematic review and meta-analysis
    Asadi K, Tehrany PM, Salari A, Ghorbani Vajargah P, Mollaei A, Sarafi M, et al.
    Int Wound J, 2023 Jul 10.
    PMID: 37424390 DOI: 10.1111/iwj.14300
    The goal of this systematic review and meta-analysis is to provide an overview of the prevalence of surgical wound infection and related factors in patients after long bone surgery. A comprehensive, systematic search was conducted in different international electronic databases, such as Scopus, PubMed, Web of Science and Persian electronic databases such as Iranmedex and Scientific Information Database using keywords extracted from Medical Subject Headings such as "Prevalence", "Surgical wound infection", "Surgical site infection" and "Orthopedics" from the earliest to the May 1, 2023. The appraisal tool for cross-sectional studies (AXIS tool) evaluates the quality of the included studies. A total of 71 854 patients undergoing long bone surgery participated in 12 studies. The pooled prevalence of surgical wound infection in patients who underwent long bone surgery reported in the 12 studies was 3.3% (95% CI: 1.5%-7.2%; I2  = 99.39%; p 
  15. 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.
  16. Simultaneous determination of three organophosphorus pesticides in different food commodities by gas chromatography with mass spectrometry
    Vijaya Bhaskar Reddy A, Yusop Z, Jaafar J, Bin Aris A, Abdul Majid Z, Umar K, et al.
    J Sep Sci, 2016 Jun;39(12):2276-83.
    PMID: 27095506 DOI: 10.1002/jssc.201600155
    A sensitive and selective gas chromatography with mass spectrometry method was developed for the simultaneous determination of three organophosphorus pesticides, namely, chlorpyrifos, malathion, and diazinon in three different food commodities (milk, apples, and drinking water) employing solid-phase extraction for sample pretreatment. Pesticide extraction from different sample matrices was carried out on Chromabond C18 cartridges using 3.0 mL of methanol and 3.0 mL of a mixture of dichloromethane/acetonitrile (1:1 v/v) as the eluting solvent. Analysis was carried out by gas chromatography coupled with mass spectrometry using selected-ion monitoring mode. Good linear relationships were obtained in the range of 0.1-50 μg/L for chlorpyrifos, and 0.05-50 μg/L for both malathion and diazinon pesticides. Good repeatability and recoveries were obtained in the range of 78.54-86.73% for three pesticides under the optimized experimental conditions. The limit of detection ranged from 0.02 to 0.03 μg/L, and the limit of quantification ranged from 0.05 to 0.1 μg/L for all three pesticides. Finally, the developed method was successfully applied for the determination of three targeted pesticides in milk, apples, and drinking water samples each in triplicate. No pesticide was found in apple and milk samples, but chlorpyrifos was found in one drinking water sample below the quantification level.
  17. 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.
  18. 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.
  19. The effect of hydraulic retention time on granular sludge biomass in treating textile wastewater
    Muda K, Aris A, Salim MR, Ibrahim Z, van Loosdrecht MC, Ahmad A, et al.
    Water Res, 2011 Oct 15;45(16):4711-21.
    PMID: 21714982 DOI: 10.1016/j.watres.2011.05.012
    The physical characteristics, microbial activities and kinetic properties of the granular sludge biomass were investigated under the influence of different hydraulic retention times (HRT) along with the performance of the system in removal of color and COD of synthetic textile wastewater. The study was conducted in a column reactor operated according to a sequential batch reactor with a sequence of anaerobic and aerobic reaction phases. Six stages of different HRTs and different anaerobic and aerobic reaction time were evaluated. It was observed that the increase in HRT resulted in the reduction of organic loading rate (OLR). This has caused a decrease in biomass concentration (MLSS), reduction in mean size of the granules, lowered the settling ability of the granules and reduction of oxygen uptake rate (OUR), overall specific biomass growth rate (ìoverall), endogeneous decay rate (kd) and biomass yield (Yobs, Y). When the OLR was increased by adding carbon sources (glucose, sodium acetate and ethanol), there was a slight increase in the MLSS, the granules mean size, ìoverall, and biomass yield. Under high HRT, increasing the anaerobic to aerobic reaction time ratio caused an increase in the concentration of MLSS, mean size of granules and lowered the SVI value and biomass yield. The ìoverall and biomass yield increased with the reduction in anaerobic/aerobic time ratio. The HRT of 24 h with anaerobic and aerobic reaction time of 17.8 and 5.8 h respectively appear to be the best cycle operation of SBR. Under these conditions, not only the physical properties of the biogranules have improved, the highest removal of color (i.e. 94.1±0.6%) and organics (i.e. 86.5±0.5%) of the synthetic textile dyeing wastewater have been achieved.
  20. 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.

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