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Insights into chitosan-based cellulose nanowhiskers reinforced nanocomposite material via deep eutectic solvent in green chemistry

Chang XX, Mubarak NM, Karri RR, Tan YH, Khalid M, Dehghani MH, et al.

Environ Res, 2023 Feb 15;219:115089.
PMID: 36529332 DOI: 10.1016/j.envres.2022.115089

In the present work, the synthesis of cellulose nanowhiskers (CNW)/chitosan nanocomposite films via deep eutectic solvents (DES) changing the chemical structures were carried out. It was observed that a pure chitosan film has broadband at 3180-3400 cm-1, indicating amide and hydroxyl groups. Upon CNW incorporation, the peak gets sharper and stronger and shifts to a greater wavelength. Further, the addition of DES infuses more elements of amide into the nanocomposite films. Moreover, the mechanical properties incorporating CNW filler into a chitosan matrix show an enhancement in tensile strength (TS), Young's modulus (YM), and elongation at break. The TS and YM increase while the elongation decrease as the CNW concentration increases. The YM of biocomposite films is increased to 723 MPa at 25% CNW into chitosan films. Besides, the TS has enhanced to 11.48 MPa at 15% CNW concentration in the biocomposite films. The elongation at break has decreased to 11.7% at 25% CNW concentration. Hence, incorporating CNW into the chitosan matrix via DES can still improve the mechanical properties of the nanocomposite films. Therefore, the application of DES results in a lower YM and TS as the films are hygroscopic. In conclusion, DES can be considered the new green solvent media for synthesizing materials. It has the potential to replace ionic liquids due to its biodegradability and non-toxic properties while preserving the character of low-vapour pressure. Besides that, chitosan can be used as potential material for applications in process industries, such as the biomedical and pharmaceutical industries. Thus, DES can be used as a green solvent and aim to reduce the toxic effect of chemicals on the environment during chemical production.
Magnetic nanoparticles incorporation into different substrates for dyes and heavy metals removal-A Review

Khan FSA, Mubarak NM, Tan YH, Karri RR, Khalid M, Walvekar R, et al.

Environ Sci Pollut Res Int, 2020 Dec;27(35):43526-43541.
PMID: 32909134 DOI: 10.1007/s11356-020-10482-z

Substantial discharge of hazardous substances, especially dyes and heavy metal ions to the environment, has become a global concern due to many industries neglecting the environmental protocols in waste management. A massive discharge of contaminantsfrom different anthropogenic activities, can pose alarming threats to living species and adverse effect to the ecosystem stability. In the process of treating the polluted water, various methods and materials are used. Hybrid nanocomposites have attained numerous interest due to the combination of remarkable features of the organic and inorganic elements in a single material. In this regards, carbon and polymer based nanocomposites have gained particular interest because of their tremendous magnetic properties and stability. These nanocomposites can be fabricated using several approaches that include filling, template, hydrothermal, pulsed-laser irradiation, electro-spinning, detonation induced reaction, pyrolysis, ball milling, melt-blending, and many more. Moreover, carbon-based and polymer-based magnetic nanocomposites have been utilized for an extensive number of applications such as removal of heavy metal and dye adsorbents, magnetic resonance imaging, and drug delivery. This review emphasized mainly on the production of magnetic carbon and polymer nanocomposites employing various approaches and their applications in water and wastewater treatment. Furthermore, the future opportunities and challenges in applying magnetic nanocomposites for heavy metal ion and dye removal from water and wastewater treatment plant.
Prognostic factors in patients with non-small cell lung carcinoma and brain metastases: a Malaysian perspective

Tang WH, Alip A, Saad M, Phua VC, Chandran H, Tan YH, et al.

Asian Pac J Cancer Prev, 2015;16(5):1901-6.
PMID: 25773842

BACKGROUND: Brain metastases occur in about 20-40% of patients with non-small-cell lung carcinoma (NSCLC), and are usually associated with a poor outcome. Whole brain radiotherapy (WBRT) is widely used but increasingly, more aggressive local treatments such as surgery or stereotactic radiosurgery (SRS) or stereotactic radiotherapy (SRT) are being employed. In our study we aimed to describe the various factors affecting outcomes in NSCLC patients receiving local therapy for brain metastases.
MATERIALS AND METHODS: The case records of 125 patients with NSCLC and brain metastases consecutively treated with radiotherapy at two tertiary centres from January 2006 to June 2012 were analysed for patient, tumour and treatment-related prognostic factors. Patients receiving SRS/SRT were treated using Cyberknife. Variables were examined in univariate and multivariate testing.
RESULTS: Overall median survival was 3.4 months (95%CI: 1.7-5.1). Median survival for patients with multiple metastases receiving WBRT was 1.5 months, 1-3 metastases receiving WBRT was 3.6 months and 1-3 metastases receiving surgery or SRS/SRT was 8.9 months. ECOG score (≤2 vs >2, p=0.001), presence of seizure (yes versus no, p=0.031), treatment modality according to number of brain metastases (1-3 metastases+surgery or SRS/SRT±WBRT vs 1-3 metastases+WBRT only vs multiple metastases+WBRT only, p=0.007) and the use of post-therapy systemic treatment (yes versus no, p=0.001) emerged as significant on univariate analysis. All four factors remained statistically significant on multivariate analysis.
CONCLUSIONS: ECOG ≤2, presence of seizures, oligometastatic disease treated with aggressive local therapy (surgery or SRS/SRT) and the use of post-therapy systemic treatment are favourable prognostic factors in NSCLC patients with brain metastases.
Carbon and polymer-based magnetic nanocomposites for oil-spill remediation-a comprehensive review

Mehmood A, Khan FSA, Mubarak NM, Mazari SA, Jatoi AS, Khalid M, et al.

Environ Sci Pollut Res Int, 2021 Oct;28(39):54477-54496.
PMID: 34424475 DOI: 10.1007/s11356-021-16045-0

Oil spills are a major contributor to water contamination, which sets off a significant impact on the environment, biodiversity, and economy. Efficient removal of oil spills is needed for the protection of marine species as well as the environment. Conventional approaches are not efficient enough for oil-water separation; therefore, effective strategies and efficient removal techniques (and materials) must be developed to restore the contaminated marine to its normal ecology. Several research studies have shown that nanotechnology provides efficient features to clean up these oil spills from the water using magnetic nanomaterials, particularly carbon/polymer-based magnetic nanocomposites. Surface modification of these nanomaterials via different techniques render them with salient innovative features. The present review discusses the advantages and limitations of conventional and advanced techniques for the oil spills removal from wastewater. Furthermore, the synthesis of magnetic nanocomposites, their utilization in oil-water separation, and adsorption mechanisms are discussed. Finally, the advancement and future perspectives of magnetic nanocomposites (particularly of carbon and polymer-based magnetic nanocomposites) in environmental remediation are presented.
Breaking the Barrier: A Study on Multi-drug Resistance in Breast Abscess at an Academic Malaysian Hospital

Lee CJ, Lai LL, See MH, Velayuthan RD, Doon YK, Lim PE, et al.

World J Surg, 2023 Nov;47(11):2743-2752.
PMID: 37491402 DOI: 10.1007/s00268-023-07108-z

BACKGROUND: In recent years, the increase in antibiotics usage locally has led to a worrying emergence of multi-drug resistant organisms (MDRO), with the Malaysian prevalence rate of methicillin-resistant Staphylococcus aureus (MRSA) ranging from 17.2 to 28.1% between 1999 and 2017. A study has shown that 7% of all non-lactational breast abscesses are caused by MRSA. Although aspiration offers less morbidities compared to surgical drainage, about 20% of women infected by MRSA who initially underwent aspiration subsequently require surgical drainage. This study is conducted to determine the link between aetiology, antimicrobial resistance pattern and treatment modalities of breast abscesses.
METHODS: Retrospective study of reviewing microbiology specimens of breast abscess patients treated at Universiti Malaya Medical Centre from 2015 to 2020. Data collected from microbiology database and electronic medical records were analysed using SPSS V21.
RESULT: A total of 210 specimens from 153 patients were analysed. One-fifth (19.5%) of the specimens isolated were MDRO. Lactational associated infections had the largest proportion of MDR in comparison to non-lactational and secondary infections (38.5%, 21.7%, 25.7%, respectively; p = 0.23). Staphylococcus epidermidis recorded the highest number of MDR (n = 12) followed by S. aureus (n = 8). Adjusted by aetiological groups, the presence of MDRO is linked to failure of single aspirations (p = 0.554) and significantly doubled the risk of undergoing surgical drainage for resolution (p = 0.041).
CONCLUSION: MDR in breast abscess should be recognised as an increasing healthcare burden due to a paradigm shift of MDRO and a rise of resistance cases among lactational associated infection that were vulnerable to undergo surgical incision and drainage for resolution.
Rapid growth of MXene-based membranes for sustainable environmental pollution remediation

Raheem I, Mubarak NM, Karri RR, Solangi NH, Jatoi AS, Mazari SA, et al.

Chemosphere, 2023 Jan;311(Pt 2):137056.
PMID: 36332734 DOI: 10.1016/j.chemosphere.2022.137056

Water consumption has grown in recent years due to rising urbanization and industry. As a result, global water stocks are steadily depleting. As a result, it is critical to seek strategies for removing harmful elements from wastewater once it has been cleaned. In recent years, many studies have been conducted to develop new materials and innovative pathways for water purification and environmental remediation. Due to low energy consumption, low operating cost, and integrated facilities, membrane separation has gained significant attention as a potential technique for water treatment. In these directions, MXene which is the advanced 2D material has been explored and many applications were reported. However, research on MXene-based membranes is still in its early stages and reported applications are scatter. This review provides a broad overview of MXenes and their perspectives, including their synthesis, surface chemistry, interlayer tuning, membrane construction, and uses for water purification. Application of MXene based membrane for extracting pollutants such as heavy metals, organic contaminants, and radionuclides from the aqueous water bodies were briefly discussed. Furthermore, the performance of MXene-based separation membranes is compared to that of other nano-based membranes, and outcomes are very promising. In order to shed more light on the advancement of MXene-based membranes and their operational separation applications, significant advances in the fabrication of MXene-based membranes is also encapsulated. Finally, future prospects of MXene-based materials for diverse applications were discussed.
Magnetic nanocomposites for sustainable water purification-a comprehensive review

Mehmood A, Khan FSA, Mubarak NM, Tan YH, Karri RR, Khalid M, et al.

Environ Sci Pollut Res Int, 2021 Apr;28(16):19563-19588.
PMID: 33651297 DOI: 10.1007/s11356-021-12589-3

Numerous contaminants in huge amounts are discharged to the environment from various anthropogenic activities. Waterbodies are one of the major receivers of these contaminants. The contaminated water can pose serious threats to humans and animals, by distrubing the ecosystem. In treating the contaminated water, adsorption processes have attained significant maturity due to lower cost, easy operation and environmental friendliness. The adsorption process uses various adsorbent materials and some of emerging adsorbent materials include carbon- and polymer-based magnetic nanocomposites. These hybrid magnetic nanocomposites have attained extensive applications in water treatment technologies due to their magnetic properties as well as combination of unique characteristics of organic and inorganic elements. Carbon- and polymer-related magnetic nanocomposites are more adapted materials for the removal of various kinds of contaminants from waterbodies. These nanocomposites can be produced via different approaches such as filling, pulse-laser irradiation, ball milling, and electro-spinning. This comprehensive review is compiled by reviewing published work of last the latest recent 3 years. The review article extensively focuses on different approaches for producing various carbon- and polymer-based magnetic nanocomposites, their merits and demerits and applications for sustainable water purification. More specifically, use of carbon- and polymer-based magnetic nanocomposites for removal of heavy metal ions and dyes is discussed in detail, critically analyzed and compared with other technologies. In addition, commercial viability in terms of regeneration of adsorbents is also reviewed. Furthermore, the future challenges and prospects in employing magnetic nanocomposites for contaminant removal from various water sources are presented.
A state-of-the-art review of metal oxide nanoflowers for wastewater treatment: Dye removal

Lee SY, Tan YH, Lau SY, Mubarak NM, Tan YY, Tan IS, et al.

Environ Res, 2024 Jun 27;259:119448.
PMID: 38942255 DOI: 10.1016/j.envres.2024.119448

Dye wastewater consists of high solids concentrations, heavy metals, minor contaminants, dissolved chemical oxygen demand, and microorganisms. Nanoflowers are nanoparticles that resemble flowers when viewed at a microscopic level. Inorganic metal oxide nanoflowers have been discovered to be a potential source for overcoming this situation. Their flower-like features give them a higher surface area to volume ratio and porosity structure, which can absorb a significant amount of dye. The metal oxide nanoflower synthesized from different synthesis methods is used to compare which one is cost-effective and capable of generating a large scale of nanoflower. This review has demonstrated outstanding dye removal efficiency by applying inorganic nanoflowers to dye removal. Since both adsorption and photocatalytic reactions enhance the dye degradation process, complete dye degradation could be achieved. Meanwhile, the inorganic metal oxide nanoflowers' exemplary reusability characteristics with negligible performance drop further prove that this approach is highly sustainable and may help to save costs. This review has proven the momentum of obtaining high dye removal efficiency in wastewater treatment to conclude that the metal oxide nanoflower study is worth researching.