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Fulltext Quality of life of women with breast cancer in a tertiary referral university hospital

Yusoff J, Ismail A, Abd Manaf MR, Ismail F, Abdullah N, Muhammad R, et al.

Health Qual Life Outcomes, 2022 Jan 29;20(1):15.
PMID: 35093066 DOI: 10.1186/s12955-022-01921-1

BACKGROUND: Quality of life (QoL) is one of the treatment outcome measures in patients with breast cancer. In this study, we measured the QoL of women with breast cancer at Universiti Kebangsaan Malaysia Medical Centre (UKMMC) and identified the associated factors.
METHODOLOGY: This cross-sectional study was conducted from October 2017 to December 2017 and involved female patients with breast cancer. The QoL scores and domains were determined using the EuroQol EQ-5D-5L, and were presented as the utility value and visual analog scores, respectively.
RESULTS: We recruited a total of 173 women, aged 33-87 years. The median VA score was 80.00 (interquartile range [IQR] 70.00-90.00); the median utility value was 0.78 (interquartile range [IQR] 0.65-1.00. Women who did not take traditional medicine had a higher utility index score of 0.092 (95% CI 0.014-0.171), and women with household income of RM3000-5000 had a higher utility index score of 0.096 (95% CI 0.011-0.180).
CONCLUSION: Traditional medicine consumption and household income were significantly associated with lower QoL. The pain/discomfort domain was the worst affected QoL domain and was related to traditional medicine use and household income. Addressing pain management in patients with breast cancer and the other factors contributing to lower QoL may improve the QoL of breast cancer survivors in the future.
Fulltext Comparative Study on Extraction of Cellulose Fiber from Rice Straw Waste from Chemo-Mechanical and Pulping Method

Razali NAM, Mohd Sohaimi R, Othman RNIR, Abdullah N, Demon SZN, Jasmani L, et al.

Polymers (Basel), 2022 Jan 19;14(3).
PMID: 35160377 DOI: 10.3390/polym14030387

Inspired by nature, cellulose extracted from plant wastes has been explored, due to its great potential as an alternative for synthetic fiber and filler that contributes to structural performance. The drive of this study was to extract, treat, and evaluate the characteristics of rice straw (RS) (Oryza sativa L.) cellulose as a biodegradable reinforcement to be utilized in polymer base materials. Two routes of extraction and treatment were performed via the pulping (Route 1) and chemo-mechanical methods (Route 2), in order to discover comparative characteristics of the synthesized cellulose fiber. Comprehensive characterization of RS cellulose was carried out to determine crystallinity, surface morphology, and chemical bonding properties, using X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM), and Fourier transform infra-red (FTIR), respectively. The XRD test results showed that the crystallinity index (CI) of cellulose powder (CP) decreased after the surface modification treatment, Route 2, from 64.50 to 50.10% CI for modified cellulose powder (MCP), due to the surface alteration of cellulose structure. From Route 1, the crystallinity of the fibers decreased up to 33.5% (dissolve cellulose, DC) after the pulp went through the surface modification and dissolution processes, resulting from the transformation of cellulose phase into para-crystalline structure. FESEM micrographs displayed a significant reduction of raw RS diameter from 7.78 µm to 3.34 µm (treated by Route 1) and 1.06 µm (treated by Route 2). The extracted and treated cellulose via both routes, which was considerably dominated by cellulose II because of the high percentage of alkaline used, include the dissolve cellulose (DC). The dissolution process, using NMMO solvent, was performed on the pulp fiber produced by Route 1. The fiber change from cellulose I to cellulose II after undergoes the process. Thus, the dissolution process maintains cellulose II but turned the pulp to the cellulose solution. The acquired characteristics of cellulose from RS waste, extracted by the employed methods, have a considerably greater potential for further application in numerous industries. It was concluded that the great achievement of extracted RS is obtained the nanosized fibers after surface modification treatment, which is very useful for filler in structural composite applications.
Corrigendum to "Toxic bloom of Pseudo-nitzschia cuspidata (Bacillariophyceae) and domoic acid contamination of bivalve molluscs in Malaysia Borneo" [Toxicon 202 (2021) 132-141]

Teng ST, Abdullah N, Hanifah AH, Tan SN, Gao C, Law IK, et al.

Toxicon, 2022 Jan 15;205:99.
PMID: 34872755 DOI: 10.1016/j.toxicon.2021.12.002
Combined perineal massage and warm compress compared to massage alone during active second stage of labour in nulliparas: A randomised trial

Hong JGS, Abdullah N, Rajaratnam RK, Ahmad Shukri S, Tan SP, Hamdan M, et al.

Eur J Obstet Gynecol Reprod Biol, 2022 Jan 12;270:144-150.
PMID: 35063897 DOI: 10.1016/j.ejogrb.2022.01.011

OBJECTIVE: To evaluate the effect of combined perineal massage and warm compress to the perineum (MassComp) compared to perineal massage alone during pushing in the second stage of labour in reducing perineal trauma requiring suturing in nulliparas.
STUDY DESIGN: A randomised trial was performed in a University hospital, Malaysia from June 2020 to May 2021. 281 term nulliparas who were about to start pushing in the second stage of labour were randomised to combined perineal massage and warm compress or perineal massage alone to the perineum. Primary outcome was suturing for perineal injury (episiotomy or tear). The Chi-square test was used to analyse categorical data, Student t test to compare means and distributions for normally distributed continuous data and Mann Whitney U test for appropriate ordinal data.
RESULTS: Data from 277 participants (140 MassComp arm, 137 perineal massage alone arm) were analysed based on modified intention to treat basis. Perineal suturing rates were 133/140(95.0%) [MassComp] vs. 128/137(93.4%) [perineal massage alone] RR 1.02(95%CI 0.96-1.08), P = 0.615. Of the secondary outcomes, Likert scale response to recommend allocated treatment to a friend was 103/140(73.6%) vs. 84/137(61.3%) RR 1.20(95%CI 1.02-1.42)NNTb 9(95%CI 4.3-76.4) P = 0.029, participants' satisfaction with care (visual numerical rating scale 0-10) median [interquartile range] 6[6-8] vs. 6[5-8] P = 0.392, intervention to delivery intervals were 25[15-35] vs. 19[14-30] minutes P = 0.012, major perineal injury (episiotomy, second degree or higher tears) rates 116/140(82.9%) vs. 119/137(86.9%) RR 0.95(95%CI 0.86-1.05), P = 0.404, episiotomy rates 97/140(69.3%) vs. 97/140(70.8%) RR 0.98(95%CI 0.84-1.14), P = 0.795, and spontaneous vaginal delivery rates 103/140(73.6%) vs. 106/137(77.4%) RR 0.95(95%CI 0.83-1.09), P = 0.488 for MassComp vs. perineal massage alone respectively. Other maternal and neonatal outcomes were not significantly different.
CONCLUSION: Massage and warm compress during pushing did not decrease the likelihood of perineal injury requiring suturing in nulliparas when compared to perineal massage alone. Women were more likely to recommend massage and warm compress during pushing to a friend.
Delayed diagnosis of Kawasaki disease in Malaysia: Who is at risk and what is the outcome

Mat Bah MN, Alias EY, Sapian MH, Abdullah N

Pediatr Int, 2022 Jan;64(1):e15162.
PMID: 35789141 DOI: 10.1111/ped.15162

BACKGROUND: Data on the delayed diagnosis of (KD) is limited. This study aimed to determine the prevalence and trend of delayed diagnosis over time and identify the associated risk factors in Malaysia.
METHODS: This retrospective, observational, population-based study involved all children with KD registered in Johor Kawasaki Clinical Registry over 10 years (January 2010 and December 2019). The prevalence of delayed diagnosis and its trend over time was calculated. Multivariable binary logistic regression was used to identify the independent risk factors for delayed diagnosis.
RESULTS: There were 556 cases of KD, with 28% having incomplete criteria, 11% atypical presentation, while 10% developed a coronary aneurysm. The overall prevalence of delayed diagnosis was 9.9% (95% confidence interval (CI): 7.6-12.7%). There was a statistically significant decrease in delayed diagnosis over time (P = 0.008), with the latest rate of 4.6%. The majority of delayed diagnoses were due to failure to diagnose the disease during the initial consultation. Independent risk factors for delayed diagnosis were children older than 1 year, diagnosis before 2015, atypical presentation, and incomplete KD, with adjusted odds ratios (ORs) of 2.7, 2.3, 4.3, and 3.6, respectively. Compared to early diagnosis of KD, delayed diagnosis was significantly associated with coronary aneurysms (27.3% vs. 8.2%, P < 0.001, OR 4.2, [95% CI: 2.1-8.3]).
CONCLUSIONS: One-tenth of cases of KD were diagnosed late, but it has improved over time. Children > 1 year, presenting with atypical presentation, and incomplete criteria are associated with late diagnosis.
Fulltext A deep crowd density classification model for Hajj pilgrimage using fully convolutional neural network

Bhuiyan MR, Abdullah J, Hashim N, Al Farid F, Ahsanul Haque M, Uddin J, et al.

PeerJ Comput Sci, 2022;8:e895.
PMID: 35494812 DOI: 10.7717/peerj-cs.895

This research enhances crowd analysis by focusing on excessive crowd analysis and crowd density predictions for Hajj and Umrah pilgrimages. Crowd analysis usually analyzes the number of objects within an image or a frame in the videos and is regularly solved by estimating the density generated from the object location annotations. However, it suffers from low accuracy when the crowd is far away from the surveillance camera. This research proposes an approach to overcome the problem of estimating crowd density taken by a surveillance camera at a distance. The proposed approach employs a fully convolutional neural network (FCNN)-based method to monitor crowd analysis, especially for the classification of crowd density. This study aims to address the current technological challenges faced in video analysis in a scenario where the movement of large numbers of pilgrims with densities ranging between 7 and 8 per square meter. To address this challenge, this study aims to develop a new dataset based on the Hajj pilgrimage scenario. To validate the proposed method, the proposed model is compared with existing models using existing datasets. The proposed FCNN based method achieved a final accuracy of 100%, 98%, and 98.16% on the proposed dataset, the UCSD dataset, and the JHU-CROWD dataset, respectively. Additionally, The ResNet based method obtained final accuracy of 97%, 89%, and 97% for the proposed dataset, UCSD dataset, and JHU-CROWD dataset, respectively. The proposed Hajj-Crowd-2021 crowd analysis dataset and the model outperformed the other state-of-the-art datasets and models in most cases.
Fulltext Recent Mitigation Strategies on Membrane Fouling for Oily Wastewater Treatment

Zulkefli NF, Alias NH, Jamaluddin NS, Abdullah N, Abdul Manaf SF, Othman NH, et al.

Membranes (Basel), 2021 Dec 25;12(1).
PMID: 35054552 DOI: 10.3390/membranes12010026

The discharge of massive amounts of oily wastewater has become one of the major concerns among the scientific community. Membrane filtration has been one of the most used methods of treating oily wastewater due to its stability, convenience handling, and durability. However, the continuous occurrence of membrane fouling aggravates the membrane's performance efficiency. Membrane fouling can be defined as the accumulation of various materials in the pores or surface of the membrane that affect the permeate's quantity and quality. Many aspects of fouling have been reviewed, but recent methods for fouling reduction in oily wastewater have not been explored and discussed sufficiently. This review highlights the mitigation strategies to reduce membrane fouling from oily wastewater. We first review the membrane technology principle for oily wastewater treatment, followed by a discussion on different fouling mechanisms of inorganic fouling, organic fouling, biological fouling, and colloidal fouling for better understanding and prevention of membrane fouling. Recent mitigation strategies to reduce fouling caused by oily wastewater treatment are also discussed.
Influence of cultural practices on breast cancer risks, stage at presentation and outcome in a multi-ethnic developing country

Abdullah N, Mohamed N

Oncol Lett, 2021 Nov;22(5):806.
PMID: 34630713 DOI: 10.3892/ol.2021.13067

Malaysia is a developing country made up of three main ethnicities: Malay, Chinese and Indian. There are significant ethnic differences with regard to the type of daily food and cooking methods, contraception, breast-feeding preferences, confinement period and care, postmenopausal intake and influence of the traditional healer. Breast cancer is the most common cancer among Malaysian women across all three ethnicities. However, the National Cancer Registry and local medical centres have documented ethnic differences in breast cancer risk (Chinese, 40.7 per 100,000; Indian, 38.1 per 100,000; Malay, 31.5 per 100,000), peak age (youngest in the Malays), stage at presentation (largest percentage at advanced stage among the Malays) and survival (poorest survival rate among the Malays). The Malays have several practices that are protective against breast cancer compared with the Chinese. However, the Malays have strong beliefs in the traditional healer, which contribute to the delay in getting treatment, causing a poor outcome and a low survival rate. The highest BRCA1 and 2 genetic mutation incidence is amongst the Chinese, but the Malays have the largest triple-negative breast cancer rates. These factors may also contribute to the statistical breast cancer data.
Fulltext Significant Leukocytosis with Hypereosinophilia Secondary to Trichuris trichiura in Adult: A Case Report

Abdullah N, Baharudin N, Mohd Rustam FR, Khalid Z

Clin Pract, 2021 Oct 26;11(4):785-790.
PMID: 34842643 DOI: 10.3390/clinpract11040094

Eosinophilic leukocytosis can be attributed to a number of clinical conditions such as parasitic infection, allergies, and neoplasms. Parasitic infection is the main cause of eosinophilia; however, a marked leukocytosis with hypereosinophilia secondary to Trichuris trichiura in adults has not been previously reported. We describe a case of a 39-year-old man who presented with fever and diarrhea. The investigation revealed a white blood cell (WBC) count of 20.69 × 109/L with an absolute eosinophil count of 12.44 × 109/L. Fecal microscopic examination demonstrated T. trichuria eggs. The WBC count returned to normal following treatment with albendazole. The literature pertaining to hematological findings associated with Trichuris trichiura is explored in this report. This case highlights that a significant elevation of leukocyte count with hypereosinophilia can be one of the manifestations of trichuriasis infection in adults. Empirical treatment with anti-helminthic agents may play a role in suspected cases to avoid severe complications, such as Trichuris dysentery syndrome.
Molecular and allergenic characterization of recombinant tropomyosin from mud crab Scylla olivacea

Azemi NFH, Misnan R, Keong BP, Mokhtar M, Kamaruddin N, Fah WC, et al.

Mol Biol Rep, 2021 Oct;48(10):6709-6718.
PMID: 34427887 DOI: 10.1007/s11033-021-06661-x

BACKGROUND: Tropomyosin is a major allergen in crustaceans, including mud crab species, but its molecular and allergenic properties in Scylla olivacea are not well known. Thus, this study aimed to produce the recombinant tropomyosin protein from S. olivacea and subsequently investigate its IgE reactivity.
METHODS AND RESULTS: The tropomyosin gene was cloned and expressed in the Escherichia coli system, followed by SDS-PAGE and immunoblotting test to identify the allergenic potential of the recombinant protein. The 855-base pair of tropomyosin gene produced was found to be 99.18% homologous to Scylla serrata. Its 284 amino acids matched the tropomyosin of crustaceans, arachnids, insects, and Klebsiella pneumoniae, ranging from 79.03 to 95.77%. The tropomyosin contained 89.44% alpha-helix folding with a tertiary structure of two-chain alpha-helical coiled-coil structures comprising a homodimer heptad chain. IPTG-induced histidine tagged-recombinant tropomyosin was purified at the size of 42 kDa and confirmed as tropomyosin using anti-tropomyosin monoclonal antibodies. The IgE binding of recombinant tropomyosin protein was reactive in 90.9% (20/22) of the sera from crab-allergic patients.
CONCLUSIONS: This study has successfully produced an allergenic recombinant tropomyosin from S. olivacea. This recombinant tropomyosin may be used as a specific allergen for the diagnosis of allergy.
Toxic bloom of Pseudo-nitzschia cuspidata (Bacillariophyceae) and domoic acid contamination of bivalve molluscs in Malaysia Borneo

Teng ST, Abdullah N, Hanifah AH, Tan SN, Gao C, Law IK, et al.

Toxicon, 2021 Sep 30;202:132-141.
PMID: 34600910 DOI: 10.1016/j.toxicon.2021.09.018

In March 2018, an algal bloom of Pseudo-nitzschia was detected, for the first time, in a semi-enclosed lagoon in Miri, Sarawak, Malaysia Borneo. The plankton samples were collected for cell enumeration and species identification by electron microscopy and molecular characterization. Liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS) was performed to detect and quantify the neurotoxin domoic acid (DA) in both the plankton and shellfish samples. The abundance of Pseudo-nitzschia cells ranged from 5.6 × 105 to 3.5 × 106 cell L-1 during the bloom event. Morphological observation of the cells by transmission electron microscopy showed that the plankton samples comprised a single Pseudo-nitzschia morphotype resembling P. cuspidata. The ITS2 sequence-structure phylogenetic inference further supported the species identity as Pseudo-nitzschia cuspidata. Low levels of DA were detected in the plankton samples, with cellular DA, particulate DA, and dissolved DA of 257-504 fg DA cell-1, 676 ng L-1, and 15 ng L-1, respectively. The amount of DA, 8 μg g-1 tissue, was found present in the shellfish sample (Magallana sp.) which is below the regulatory limit of 20 μg DA g-1 tissue. The study documented, for the first time, DA contamination in shellfish that associated with bloom of P. cuspidata in the Western Pacific region.
Hot water extract of Pleurotus pulmonarius stalk waste enhances innate immune response and immune-related gene expression in red hybrid tilapia Oreochromis sp. following challenge with pathogen-associated molecular patterns

Ching JJ, Shuib AS, Abdullah N, Majid NA, Taufek NM, Sutra J, et al.

Fish Shellfish Immunol, 2021 Sep;116:61-73.
PMID: 34157396 DOI: 10.1016/j.fsi.2021.06.005

In aquaculture, commercial fish such as red hybrid tilapia are usually raised at high density to boost the production within a short period of time. This overcrowded environment, however, may cause stress to the cultured fish and increase susceptibility to infectious diseases. Antibiotics and chemotherapeutics are used by fish farmers to overcome these challenges, but this may increase the production cost. Studies have reported on the potential of mushroom polysaccharides that can act as immunostimulants to enhance the immune response and disease resistance in fish. In the current study, hot water extract (HWE) from mushroom stalk waste (MSW) was used to formulate fish feed and hence administered to red hybrid tilapia to observe the activation of immune system. Upon 30 days of feeding, the fish were challenged with pathogen-associated molecular patterns (PAMPs) such as lipopolysaccharides (LPS) and polyinosinic:polycytidylic acid (poly (I:C)) to mimic bacterial and viral infection, respectively. HWE supplementation promoted better feed utilisation in red hybrid tilapia although it did not increase the body weight gain and specific growth rate compared to the control diet. The innate immunological parameters such as phagocytic activity and respiratory burst activity were significantly higher in HWE-supplemented group than that of the control group following PAMPs challenges. HWE-supplemented diet also resulted in higher mRNA transcription of il1b and tnfa in midgut, spleen and head kidney at 1-day post PAMPs injection. Tlr3 exhibited the highest upregulation in the HWE fed fish injected with poly (I:C). At 3-days post PAMPs injection, both ighm and tcrb expression were upregulated significantly in the spleen and head kidney. Results showed that HWE supplementation enhances the immune responses of red hybrid tilapia and induced a higher serum bactericidal activity against S. agalactiae.
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.
Correction to: Epidemiology, clinical characteristics, and immediate outcome of Kawasaki disease: a population-based study from a tropical country

Mat Bah MN, Alias EY, Razak H, Sapian MH, Foo FH, Abdullah N

Eur J Pediatr, 2021 Aug;180(8):2607.
PMID: 34160651 DOI: 10.1007/s00431-021-04160-6
Epidemiology, clinical characteristics, and immediate outcome of Kawasaki disease: a population-based study from a tropical country

Mat Bah MN, Alias EY, Razak H, Sapian MH, Foo FH, Abdullah N

Eur J Pediatr, 2021 Aug;180(8):2599-2606.
PMID: 34086103 DOI: 10.1007/s00431-021-04135-7

Data on Kawasaki disease from tropical countries are scarce. Hence, this population-based study aims to determine the epidemiology, clinical characteristics, and outcome of Kawasaki disease in children enrolled in the Kawasaki disease registry between 2006 and 2019 in Southern Malaysia. Diagnosis of Kawasaki disease was made using standard criteria. Primary outcome measure was a coronary artery aneurysm. Multivariable logistic regression was used to analyze the associated risk factors for coronary artery aneurysm. There were 661 Kawasaki disease, with 27% incomplete and 11% atypical presentations. Male-to-female ratio was 2:1, and median age of diagnosis was 1.4 years (interquartile range 9 to 32 months). Incidence in children of less than 5 years was 14.8 (95% confidence interval [CI]: 13.6 to 16.0) per 100,000 population, higher in males (19/100,000) and Chinese (22/100,000), with a gradual increase from 5.7/100,000 in 2006 to 19.6/100,000 in 2019, p < 0.001. Incidence in children between 5 and 9 years old was 1.3 (95% CI: 0.9 to 1.6) per 100,000 population and remained stable over time. There was a seasonal pattern with peak incidence during the rainy season. Out of 625 intravenous immunoglobulins (IVIG)-treated Kawasaki disease, 7.4% were resistant, and 9% had coronary artery aneurysms. Atypical presentation, male sex, late diagnosis, and IVIG resistance were independent risk factors for coronary artery aneurysms.Conclusions: Despite the tropical climate, Kawasaki disease epidemiology is similar to non-tropic regions with seasonal patterns and a rising incidence. Atypical presentation, male sex, late diagnosis, and IVIG resistance were significantly associated with coronary artery aneurysms. What is Known: • Kawasaki disease predominantly occurs in males, children less than 5 years old, and the Asian population. • Male sex, late diagnosis, incomplete Kawasaki disease, and IVIG resistance were associated with coronary artery aneurysms. What is New: • In multi-ethnic Asian countries such as Malaysia, ethnic Chinese have a higher prevalence of Kawasaki disease compared to other ethnicities. • Kawasaki disease with atypical presentation can occur in both complete and incomplete Kawasaki disease and is significantly associated with a coronary artery aneurysm.
Fulltext Participants Attrition in a Longitudinal Study: The Malaysian Cohort Study Experience

Abdullah N, Kamaruddin MA, Goh YX, Othman R, Dauni A, Jalal NA, et al.

Int J Environ Res Public Health, 2021 07 06;18(14).
PMID: 34299667 DOI: 10.3390/ijerph18147216

The attrition rate of longitudinal study participation remains a challenge. To date, the Malaysian Cohort (TMC) study follow-up rate was only 42.7%. This study objective is to identify the cause of attrition among TMC participants and the measures to curb it. A total of 19,343 TMC participants from Kuala Lumpur and Selangor that was due for follow-up were studied. The two most common attrition reasons are undergoing medical treatment at another government or private health center (7.0%) and loss of interest in participating in the TMC project (5.1%). Those who were inclined to drop out were mostly Chinese, aged 50 years and above, unemployed, and had comorbidities during the baseline recruitment. We have also contacted 2183 participants for the home recruitment follow-up, and about 10.9% agreed to join. Home recruitment slightly improved the overall follow-up rate from 42.7% to 43.5% during the three-month study period.
Study name: The Malaysian Cohort (TMC) project
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 The Influence of Reaction Time on Non-Covalent Functionalisation of P3HT/MWCNT Nanocomposites

Nurazzi NM, Abdullah N, Demon SZN, Halim NA, Mohamad IS

Polymers (Basel), 2021 Jun 09;13(12).
PMID: 34207577 DOI: 10.3390/polym13121916

Non-covalent functionalisation of the carbon nanotube (CNT) sidewall through polymer wrapping is the key strategy for improving well-dispersed CNTs without persistent alteration of their electronic properties. In this work, the effect of reaction time on regioregular poly (3-hexylthiophene-2,5-diyl) (P3HT)-wrapped hydroxylated multi-walled CNT (MWCNT-OH) nanocomposites was investigated. Five different reaction times (24, 48, 72, 96, and 120 h) were conducted at room temperature in order to clearly determine the factors that influenced the quality of wrapped MWCNT-OH. Morphological analysis using Field Emission Scanning Electron Microscopic (FESEM) and High-Resolution Transmission Electron Microscope (HRTEM) analysis showed that P3HT successfully wrapped the MWCNT-OH sidewall, evidenced by the changes in the mean diameter size of the nanocomposites. Results obtained from Raman spectroscopy, X-ray Photoelectron Spectroscopy (XPS) as well as Thermogravimetric Analysis (TGA) showed a significant effect of the wrapped polymer on the CNT sidewall as the reaction time increased. Overall, the method used during the preparation of P3HT-wrapped MWCNT-OH and the presented results significantly provided a bottom-up approach to determine the effect of different reaction times on polymer wrapping to further expand this material for novel applications, especially chemical sensors.
Fulltext Synthesis and application of functionalized Graphene oxide-silica with chitosan for removal of Cd (II) from aqueous solution

Azizkhani S, Hussain SA, Abdullah N, Ismail MHS, Mohammad AW

J Environ Health Sci Eng, 2021 Jun;19(1):491-502.
PMID: 34150253 DOI: 10.1007/s40201-021-00622-z

The functionalized graphene oxide by silica and chitosan helped to prepared an adsorbent with high adsorption potential for removing cadmium(II). In this study, the adsorbent was synthesized and the batch system of adsorption method was examined to find the potential of the new adsorbent with the various factors of the concentration, pH, time and temperature. The characterization of adsorbent was analyzed by FT-IR, TEM, Zeta potential and XRD analysis. Regards to the analysis it can be understood that the adsorbent was synthesized successfully. The investigational results were validated and analyzed by applying the 5 models of isotherm and 4 models of kinetic. The Langmuir, Freundlich, Temkin, Harkins-Jura and Dubinin-radushkevich models were used which the Langmuir, Freundlich and Temkin fitted well for removing cadmium(II). The Qmax value was achieved 126.58 mg/g by using the Langmuir model for removing Cd(II) respectively. The pseudo-first-order, pseudo-second-order, Elovich and Intra-particle models were used to validate the kinetic models of the process. The pseudo-second-order and Elovich models were the best fitted kinetic model in this investigation. Thermodynamic parameters of the energy of gibes, the enthalpy, and the entropy were calculated. Generally, the adsorption process was distinguished as an exothermic and spontaneous.
Mapping timely access to emergency and essential surgical services: The Malaysian experience

Hoh SM, Wahab MYA, Hisham AN, Guest GD, Watters DAK

ANZ J Surg, 2021 Jun 01.
PMID: 34075677 DOI: 10.1111/ans.16986

BACKGROUND: Surgical conditions form a significant proportion of the global burden of disease. Since the 2015 World Health Assembly resolution A68.15, there is recognition that the provision of essential surgical care is an integral part of universal access to health care. The Lancet Commission on Global Surgery proposed its first surgical indicator to measure a population's access to the Bellwether procedures (laparotomy, caesarean section and treatment of open fracture) within two hours. Bellwether access is a proxy for emergency and essential surgical care. This project aims to map essential surgical access to the Bellwether procedures in Malaysia.
METHODS: The location and capability of hospitals to perform the Bellwether procedures was obtained from the Ministry of Health (MoH) and MoH hospital specific websites. The Malaysian population data were retrieved from the national department of statistics. Times for patients to travel to hospital were calculated by combining manual contouring and geospatial mapping.
RESULTS: There were 49 Bellwether-capable MoH hospitals serving a national population of 32.5 million. Overall 94% of Malaysia's population have access to the Bellwethers within two hours. This coverage is universal in West (Peninsular) Malaysia, but there is only 73% coverage in East Malaysia, with 1.8 million residents of Sabah and Sarawak not having timely access. Malaysia's Bellwether capacity compares well with other countries in World Health Organisation's Western Pacific region.
CONCLUSION: There is good access to essential and emergency surgical services in Malaysia. The incomplete access for 1.8 million people in East Malaysia will inform national surgical planning.

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