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Validity of vision screening program conducted by preschool teachers: An interventional study

Mezbah U, Omar R, Md Isa Z, Knight VF

Med Hypothesis Discov Innov Ophthalmol, 2022;11(1):1-10.
PMID: 37641697 DOI: 10.51329/mehdiophthal1439

BACKGROUND: Clear vision is crucial for effective learning among preschool children. Hence, early detection of vision impairment and prompt treatment are required to improve prognosis. Currently, limited information is available, and no program exists to screen for vision impairment among preschoolers in Bangladesh. This study aimed to validate the KieVision™ Preschool Vision Screening Kit, translated into the Bengali language, to improve vision impairment detection among preschool children.
METHODS: In this prospective case-control study, 60 preschool teachers from Chittagong were randomly selected. The study group was trained to conduct vision screening among preschool children using the translated kit, whereas the control group was trained using the Chittagong Eye Infirmary and Training Complex (CEITC) School Teachers' Training Module. Fifteen preschool children aged 4-6 years were screened by each preschool teacher and again by the optometrist.
RESULTS: Sixty preschool teachers screened 900 children. The results showed a higher validity of vision screening findings by the preschool teachers in the study group (sensitivity, 68.00%; specificity, 92.75%) than in the control group (sensitivity 47.37%, specificity 70.39%). The level of agreement between the preschool teachers and optometrists was high for all tests (first-order agreement coefficient [AC1] ≥ 0.80 in the study group). The sensitivity and specificity of the visual acuity test for the study group were 59.65% and 94.15%, respectively, while in the control group it was 13.33% and 62.54%, respectively. A similar trend was noted in the general observation component and Hirschberg's test.
CONCLUSIONS: The Bengali Language KieVision™ Preschool Vision Screening Kit can be used effectively by preschool teachers in vision screening programs to improve the identification of vision impairment among preschool children in Bangladesh.
Fulltext Effect of Wood Dust Fibre Treatments Reinforcement on the Properties of Recycled Polypropylene Composite (r-WoPPC) Filament for Fused Deposition Modelling (FDM)

Nafis ZAS, Nuzaimah M, Kudus SIA, Yusuf Y, Ilyas RA, Knight VF, et al.

Materials (Basel), 2023 Jan 04;16(2).
PMID: 36676215 DOI: 10.3390/ma16020479

The efficacy of wood dust fibre treatment on the property of wood dust reinforced recycled polypropylene composite (r-WoPPC) filament was investigated. The wood dust fibre was treated using alkali, silane, and NaOH-silane. The treated wood fibre was incorporated with r-PP using a twin-screw extruder to produce filament. The silane treatment on wood dust fibre enhances interfacial bonding between wood fibre and recycled PP; hence, a filament has the highest wire pull strength, which is 35.2% higher compared to untreated and alkaline-treated wood dust filament. It is because silanol in silane forms a siloxane bond that acts as a coupling agent that improves interfacial bonding between wood dust fibre and recycled PP. The SEM micrograph of the fracture structure reveals that treated silane has strong interfacial bonding between wood dust fibre and recycled PP, having minimal void, gap, and good fibre adhesion. The water absorption test results indicate that filament with treated wood dust absorbs less water than filament with untreated wood because the treatment minimizes the gap between wood fibres and recycled PP. The FTIR analysis identified the presence of silane on the wood dust surface for silane-treated wood dust. The DSC studies suggest that the temperature range 167-170 °C be used in the extrusion machine to produce r-WoPPC filament. As a result, r-WoPPc filaments containing silane-treated wood dust have better mechanical properties and have a greater potential for usage in FDM applications.
Fulltext Starch-Based Polymer Materials as Advanced Adsorbents for Sustainable Water Treatment: Current Status, Challenges, and Future Perspectives

Khoo PS, Ilyas RA, Uda MNA, Hassan SA, Nordin AH, Norfarhana AS, et al.

Polymers (Basel), 2023 Jul 21;15(14).
PMID: 37514503 DOI: 10.3390/polym15143114

Over the past three decades, chemical and biological water contamination has become a major concern, particularly in the industrialized world. Heavy metals, aromatic compounds, and dyes are among the harmful substances that contribute to water pollution, which jeopardies the human health. For this reason, it is of the utmost importance to locate methods for the cleanup of wastewater that are not genuinely effective. Owing to its non-toxicity, biodegradability, and biocompatibility, starch is a naturally occurring polysaccharide that scientists are looking into as a possible environmentally friendly material for sustainable water remediation. Starch could exhibit significant adsorption capabilities towards pollutants with the substitution of amide, amino, carboxyl, and other functional groups for hydroxyl groups. Starch derivatives may effectively remove contaminants such as oil, organic solvents, pesticides, heavy metals, dyes, and pharmaceutical pollutants by employing adsorption techniques at a rate greater than 90%. The maximal adsorption capacities of starch-based adsorbents for oil and organic solvents, pesticides, heavy metal ions, dyes, and pharmaceuticals are 13,000, 66, 2000, 25,000, and 782 mg/g, respectively. Although starch-based adsorbents have demonstrated a promising future for environmental wastewater treatment, additional research is required to optimize the technique before the starch-based adsorbent can be used in large-scale in situ wastewater treatment.
Fulltext Effectiveness of a Recertification Vision Screening Training Module for Preschool Teachers

Tan XL, Omar R, Knight VF

Malays J Med Sci, 2023 Dec;30(6):147-155.
PMID: 38239245 DOI: 10.21315/mjms2023.30.6.14

BACKGROUND: Certified training must be provided for lay vision screeners prior to their conduct of a vision screening programme. However, the effectiveness of trained lay screeners does deteriorate over time. This study aims to evaluate the effectiveness of a recertification vision screening training module using the KieVision™ Preschool Vision Screening Kit for preschool teachers in Malaysia.
METHODS: This was a randomised control trial. Fifty-nine preschool teachers previously enrolled in a Knowledge Transfer Programme were divided into a Study Group (n = 31) to receive recertification training and a Control Group (n = 28) to attend briefing sessions. Subjects was then asked to perform vision screening on 15 preschool children aged 4 years old-6 years old at their respective premises, then verified by optometrists after 2 weeks from the initial screening on the same children.
RESULTS: A total of 894 children were screened, with the Study Group and Control Group screened 49.7% and 50.3%, respectively. There was higher validity in vision screening findings from the Study Group (sensitivity = 66.7%, positive predictive value (PPV) = 61.5%) compared to the Control Group (sensitivity = 36.0 %, PPV = 40.9%).
CONCLUSION: Teachers who received recertification training were more competent in detecting children's vision impairment using KieVision™ Preschool Vision Screening Kit. Thus, timely recertification training should be emphasised to ensure sustainable consistency and reliability of vision screening programmes conducted by lay vision screeners.
Correction: Carbon nanotubes: functionalisation and their application in chemical sensors

Norizan MN, Moklis MH, Ngah Demon SZ, Halim NA, Samsuri A, Mohamad IS, et al.

RSC Adv, 2024 Mar 20;14(14):9570.
PMID: 38516155 DOI: 10.1039/d4ra90025a

[This corrects the article DOI: 10.1039/D0RA09438B.].
Exploring the Antarctic aminopeptidase P from Pseudomonas sp. strain AMS3 through structural analysis and molecular dynamics simulation

Omar MN, Rahman RNZRA, Noor NDM, Latip W, Knight VF, Ali MSM

J Biomol Struct Dyn, 2024 Mar 31.
PMID: 38555730 DOI: 10.1080/07391102.2024.2331093

Aminopeptidase P (APPro) is a crucial metalloaminopeptidase involved in amino acid cleavage from peptide N-termini, playing essential roles as versatile biocatalysts with applications ranging from pharmaceuticals to industrial processes. Despite acknowledging its potential for catalysis in lower temperatures, detailed molecular basis and biotechnological implications in cold environments are yet to be explored. Therefore, this research aims to investigate the molecular mechanisms underlying the cold-adapted characteristics of APPro from Pseudomonas sp. strain AMS3 (AMS3-APPro) through a detailed analysis of its structure and dynamics. In this study, structure analysis and molecular dynamics (MD) simulation of a predicted model of AMS3-APPro has been performed at different temperatures to assess structural flexibility and thermostability across a temperature range of 0-60 °C over 100 ns. The MD simulation results revealed that the structure were able to remain stable at low temperatures. Increased temperatures present a potential threat to the overall stability of AMS3-APPro by disrupting the intricate hydrogen bond networks crucial for maintaining structural integrity, thereby increasing the likelihood of protein unfolding. While the metal binding site at the catalytic core exhibits resilience at higher temperatures, highlighting its local structural integrity, the overall enzyme structure undergoes fluctuations and potential denaturation. This extensive structural instability surpasses the localized stability observed at the metal binding site. Consequently, these assessments offer in-depth understanding of the cold-adapted characteristics of AMS3-APPro, highlighting its capability to uphold its native conformation and stability in low-temperature environments. In summary, this research provides valuable insights into the cold-adapted features of AMS3-APPro, suggesting its efficient operation in low thermal conditions, particularly relevant for potential biotechnological applications in cold environments.Communicated by Ramaswamy H. Sarma.