Displaying publications 81 - 100 of 149 in total

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  1. Arsenite removal using a pilot system of ultrasound and ultraviolet followed by microfiltration
    Cui M, Jang M, Ibrahim S, Park B, Cho E, Khim J
    Ultrason Sonochem, 2014 Jul;21(4):1527-34.
    PMID: 24500068 DOI: 10.1016/j.ultsonch.2014.01.001
    Batch and continuous-flow pilot tests using ultrasound (US), ultraviolet (UV) and a combination of US and UV were conducted to determine the oxidation rates of arsenite [As(III)]. Compared to the single processes of US or UV, the combined US/UV system was more effective for As(III) oxidation with a synergy index of more than 1.5. A high rate constant of As(III) removal was obtained as ferrous [Fe(II)] ions existed. Like the pseudo-Fenton reaction, Fe(II) species can participate in the production of additional ·OH by reacting with H2O2 produced by US, before being oxidized to Fe(III). From the results of batch tests, the optimum molar ratio of Fe(II)/As(III) and pH were found to be 83 and 6-9.5, respectively. Similarly, the continuous-flow pilot tests showed that US/UV system could remove As(III) below the regulation [10 μg L(-1) as total As (Astot)] at 91 of molar ratio [Fe(II)/As(III)] and 3-h HRT. The continuous-stirred-tank-reactor (CSTR) modeling showed that the scavenging effect of anionic species (Cl(-) and CO3(2-)) for ·OH might prevail in the single processes, whereas it is insignificant in the combined process. Without using chemicals, microfiltration (MF) was adopted to treat sludge produced in oxidation step. In terms of an engineering aspect, the operational critical flux (CF) and cycle time were also optimized through the continuous-flow tests of MF system. As an energy-utilizing oxidation technique that does not require a catalyst, the combined energy system employing US/UV followed by MF could be a promising alternative for treating As(III) and Fe(II) simultaneously.
  2. Fulltext Evaluation of factors influencing the groundwater chemistry in a small tropical island of Malaysia
    Kura NU, Ramli MF, Sulaiman WN, Ibrahim S, Aris AZ, Mustapha A
    Int J Environ Res Public Health, 2013 May;10(5):1861-81.
    PMID: 23648442 DOI: 10.3390/ijerph10051861
    Groundwater chemistry of small tropical islands is influenced by many factors, such as recharge, weathering and seawater intrusion, among others, which interact with each other in a very complex way. In this work, multivariate statistical analysis was used to evaluate the factors controlling the groundwater chemistry of Kapas Island (Malaysia). Principal component analysis (PCA) was applied to 17 hydrochemical parameters from 108 groundwater samples obtained from 18 sampling sites. PCA extracted four PCs, namely seawater intrusion, redox reaction, anthropogenic pollution and weather factors, which collectively were responsible for more than 87% of the total variance of the island's hydrochemistry. The cluster analysis indicated that three factors (weather, redox reaction and seawater intrusion) controlled the hydrochemistry of the area, and the variables were allocated to three groups based on similarity. A Piper diagram classified the island's water types into Ca-HCO3 water type, Na-HCO3 water type, Na-SO4-Cl water type and Na-Cl water type, indicating recharge, mixed, weathering and leached from sewage and seawater intrusion, respectively. This work will provide policy makers and land managers with knowledge of the precise water quality problems affecting the island and can also serve as a guide for hydrochemistry assessments of other islands that share similar characteristics with the island in question.
  3. Bovine serum albumin: survival and osmolarity effect in bovine spermatozoa stored above freezing point
    Nang CF, Osman K, Budin SB, Ismail MI, Jaffar FH, Mohamad SF, et al.
    Andrologia, 2012 May;44 Suppl 1:447-53.
    PMID: 21806660 DOI: 10.1111/j.1439-0272.2011.01203.x
    Liquid nitrogen preservation in remote farms is a limitation. The goal of this study was to determine optimum temperature above freezing point for bovine spermatozoa preservation using bovine serum albumin (BSA) as a supplementation. Pooled semen sample from three ejaculates was subjected to various BSA concentration (1, 4, 8 and 12 mg ml(-1)), before incubation in different above freezing point temperatures (4, 25 and 37 °C). Viability assessment was carried out against time from day 0 (fresh sample) until all spermatozoa become nonviable. Optimal condition for bovine spermatozoa storage was at 4 °C with 1 mg ml(-1) BSA for almost 7 days. BSA improved bovine spermatozoa viability declining rate to 44.28% at day 4 and 57.59% at day 7 compared to control, with 80.54% and 98.57% at day 4 and 7 respectively. Increase in BSA concentration did not improve sperm viability. Our results also confirmed that there was a strong negative correlation between media osmolarity and bovine spermatozoa survival rate with r = 0.885, P < 0.0001. Bovine serum albumin helps to improve survival rate of bovine spermatozoa stored above freezing point.
  4. Fulltext Low-density lipoprotein cholesterol goal attainment among Malaysian dyslipidemic patients
    Al-Khateeb A, Mohamed MS, Imran K, Ibrahim S, Zilfalill BA, Yusof Z
    Southeast Asian J. Trop. Med. Public Health, 2011 Mar;42(2):388-94.
    PMID: 21710862
    The aim of the present study was to evaluate Malaysian dyslipidemic patient treatment practices and outcomes. Factors contributing to success in reaching treatment goal were determined. A retrospective review of the records of dyslipidemic patients who attended the Universiti Sains Malaysia Hospital in 2007 was conducted. All the patients were receiving standard recommended doses of statins. Records were analysed for 890 patients. Patients were divided into three categories: 384 patients (43.1%) had coronary heart disease or coronary heart disease risk equivalents, 216 patients (24.3%) had moderate risk for coronary heart disease and 290 patients (32.6%) had low risk. Statins were the most commonly prescribed drug group (92%), of which atorvastatin was the most commonly prescribed drug (50.6%). The overall success rate for reaching goal was 64.2%. The percentages of patients achieving low-density lipoprotein cholesterol targets in the coronary heart disease and coronary heart disease risk equivalents, moderate, and low-risk groups were 50.5, 66.7, and 80.3%, respectively (p < 0.001). Multiple logistic regression showed achievement of therapeutic goal declined with increasing risk group. The baseline low-density lipoprotein cholesterol value was inversely related to therapeutic goal attainment. An inadequate proportion of dyslipidemic patients achieved the National Cholesterol Education Program therapeutic goals for low-density lipoprotein cholesterol, especially those in the coronary heart disease and coronary heart disease risk equivalent group. The achievement of this goal was dependent on baseline low-density lipoprotein cholesterol levels.
  5. Lipid profile parameters in Malaysian dyslipidemic patients
    Al-Khateeb A, Mohamed MS, Imran K, Ibrahim S, Zilfalil BA, Yusof Z
    Kobe J Med Sci, 2011;57(2):E38-48.
    PMID: 22926072
    The importance of serum lipids as cardiovascular risk factors is well recognized. However, most published studies have focused on western countries. The present study aimed to describe and analyze the lipid profile parameters in Malaysian dyslipidemic patients, and to identify concomitant clinical problems and risk factors associated with cardiovascular disease (CVD) among such patients.
  6. The effects of age, physical activity level, and body anthropometry on calcaneal speed of sound value in men
    Chin KY, Soelaiman IN, Mohamed IN, Ibrahim S, Wan Ngah WZ
    Arch Osteoporos, 2012;7:135-45.
    PMID: 23225291 DOI: 10.1007/s11657-012-0091-2
    The influences of age, physical activity, and body anthropometry on calcaneal speed of sound are different among young adults, middle-aged, and elderly men.
  7. Fulltext Bioactivity studies and adhesion of human osteoblast (hFOB) on silicon-biphasic calcium phosphate material
    Ibrahim S, Sabudin S, Sahid S, Marzuke MA, Hussin ZH, Kader Bashah NS, et al.
    Saudi J Biol Sci, 2016 Jan;23(1):S56-63.
    PMID: 26858566 DOI: 10.1016/j.sjbs.2015.10.024
    Surface reactivity of bioactive ceramics contributes in accelerating bone healing by anchoring osteoblast cells and the connection of the surrounding bone tissues. The presence of silicon (Si) in many biocompatible and bioactive materials has been shown to improve osteoblast cell adhesion, proliferation and bone regeneration due to its role in the mineralisation process around implants. In this study, the effects of Si-biphasic calcium phosphate (Si-BCP) on bioactivity and adhesion of human osteoblast (hFOB) as an in vitro model have been investigated. Si-BCP was synthesised using calcium hydroxide (Ca(OH)2) and phosphoric acid (H3PO4) via wet synthesis technique at Ca/P ratio 1.60 of material precursors. SiO2 at 3 wt% based on total precursors was added into apatite slurry before proceeding with the spray drying process. Apatite powder derived from the spray drying process was pressed into discs with Ø 10 mm. Finally, the discs were sintered at atmospheric condition to obtain biphasic hydroxyapatite (HA) and tricalcium phosphate (TCP) peaks simultaneously and examined by XRD, AFM and SEM for its bioactivity evaluation. In vitro cell viability of L929 fibroblast and adhesion of hFOB cell were investigated via AlamarBlue® (AB) assay and SEM respectively. All results were compared with BCP without Si substitution. Results showed that the presence of Si affected the material's surface and morphology, cell proliferation and cell adhesion. AFM and SEM of Si-BCP revealed a rougher surface compared to BCP. Bioactivity in simulated body fluid (SBF) was characterised by pH, weight gain and apatite mineralisation on the sample surface whereby the changes in surface morphology were evaluated using SEM. Immersion in SBF up to 21 days indicated significant changes in pH, weight gain and apatite formation. Cell viability has demonstrated no cytotoxic effect and denoted that Si-BCP promoted good initial cell adhesion and proliferation. These results suggest that Si-BCP's surface roughness (164 nm) was significantly higher than BCP (88 nm), thus enhancing the adhesion and proliferation of the osteoblast.
  8. Fulltext Synthesis Mechanism and Thermal Optimization of an Economical Mesoporous Material Using Silica: Implications for the Effective Removal or Delivery of Ibuprofen
    Kittappa S, Cui M, Ramalingam M, Ibrahim S, Khim J, Yoon Y, et al.
    PLoS One, 2015;10(7):e0130253.
    PMID: 26161510 DOI: 10.1371/journal.pone.0130253
    Mesoporous silica materials (MSMs) were synthesized economically using silica (SiO2) as a precursor via a modified alkaline fusion method. The MSM prepared at 500°C (MSM-500) had the highest surface area, pore size, and volume, and the results of isotherms and the kinetics of ibuprofen (IBP) removal indicated that MSM-500 had the highest sorption capacity and fastest removal speed vs. SBA-15 and zeolite. Compared with commercial granular activated carbon (GAC), MSM-500 had a ~100 times higher sorption rate at neutral pH. IBP uptake by MSM-500 was thermodynamically favorable at room temperature, which was interpreted as indicating relatively weak bonding because the entropy (∆adsS, -0.07 J mol(-1) K(-1)) was much smaller. Five times recycling tests revealed that MSM-500 had 83-87% recovery efficiencies and slower uptake speeds due to slight deformation of the outer pore structure. In the IBP delivery test, MSM-500 drug loading was 41%, higher than the reported value of SBA-15 (31%). The in vitro release of IBP was faster, almost 100%, reaching equilibrium within a few hours, indicating its effective loading and unloading characteristics. A cost analysis study revealed that the MSM was ~10-70 times cheaper than any other mesoporous silica material for the removal or delivery of IBP.
  9. Fulltext Childhood burns at the Paediatric Institute Kuala Lumpur
    Ibrahim SB, Omar MB, Gan EC, Rauf A, Johari NB, Yusof HB
    Med J Malaysia, 1995 Sep;50(3):221-5.
    PMID: 8926898
    A prospective study of 94 burned children was carried out from January 1993 to October 1994. Scalding was the predominant cause of injury affecting mainly toddlers between 1 and 3 years old. Ninety-six per cent of the injuries occurred at home. There was 1 death following an 81% flame burns. An intense campaign to make parents aware of the hazards is required as almost all the injuries were preventable.
  10. Fulltext COVID-19 plastic surgery recovery plan: The Malaysian experience
    Lam UN, Siddik NSFMM, Yussof SJM, Ilenghoven D, Ibrahim S
    Arch Plast Surg, 2020 Sep;47(5):490-492.
    PMID: 32971604 DOI: 10.5999/aps.2020.01347
  11. Fulltext N95 respirator associated pressure ulcer amongst COVID-19 health care workers
    Lam UN, Md Mydin Siddik NSF, Mohd Yussof SJ, Ibrahim S
    Int Wound J, 2020 Oct;17(5):1525-1527.
    PMID: 32397010 DOI: 10.1111/iwj.13398
  12. Fulltext Dataset on concentration and enrichment factor of rare earth elements (REEs) in sediments of Linggi River, Malaysia
    Elias MS, Ibrahim S, Samuding K, Kantasamy N, Daung JAD, Rahman SA, et al.
    Data Brief, 2019 Aug;25:103983.
    PMID: 31194012 DOI: 10.1016/j.dib.2019.103983
    This study is on the distribution of rare earth elements (REEs) concentrations in sediments collected from 113 sampling locations of Linggi River. The analysis of sediment samples was performed by Neutron Activation Analysis (NAA) and Inductively Coupled Plasma - Mass spectrometer (ICP-MS). The main compositions of Linggi river sediments were silt > sand > clay. The mean of total concentrations of REEs (ΣREE), light REEs (ΣLREE) and heavy REEs (ΣHREE) in Linggi sediment were 249, 228, and 22.0 mg/kg, respectively. The results of Linggi river sediment were normalised to several reference shale values. REEs of Linggi river sediments were comparable to MUQ reference shale values. Enrichment factors (EF) of mean values indicate Linggi River sediment can be categorised as having minor to moderate enrichment.
  13. Fluoride removal by palm shell waste based powdered activated carbon vs. functionalized carbon with magnesium silicate: Implications for their application in water treatment
    Choong CE, Wong KT, Jang SB, Nah IW, Choi J, Ibrahim S, et al.
    Chemosphere, 2020 Jan;239:124765.
    PMID: 31520981 DOI: 10.1016/j.chemosphere.2019.124765
    In this study, palm shell activated carbon powder (PSAC) and magnesium silicate (MgSiO3) modified PSAC (MPSAC) were thoroughly investigated for fluoride (F-) adsorption. F- adsorption isotherms showed that PSAC and MPSAC over-performed some other reported F- adsorbents with adsorption capacities of 116 mg g-1 and 150 mg g-1, respectively. Interestingly, the MgSiO3 impregnated layer changed the adsorption behavior of F- from monolayer to heterogeneous multilayer based on the Langmuir and Freundlich isotherm models verified by chi-square test (X2). Thermodynamic parameters indicated that the F- adsorption on PSAC and MPSAC was spontaneous and exothermic. PSAC and MPSAC were characterized using FESEM-EDX, XRD, FTIR and XPS to investigate the F- adsorption mechanism. Based on the regeneration tests using NaOH (0.01 M), PSAC exhibited poor regeneration (<20%) while MPSAC had steady adsorption efficiencies (∼70%) even after 5 regeneration cycles. This is due to highly polarized C-F bond was found on PSAC while Mg-F bond was distinguished on MPSAC, evidently denoting that the F- adsorption is mainly resulted from the exchange of hydroxyl (-OH) group. It was concluded that PSAC would be a potential adsorbent for in-situ F- groundwater remediation due to its capability to retain F- without leaching out in a wide range pH. MPSAC would be an alternative adsorbent for ex-situ F- water remediation because it can easily regenerate with NaOH solution. With the excellent F- adsorption properties, both PSAC and MPSAC offer as promising adsorbents for F- remediation in the aqueous phase.
  14. Rare earth elements (REEs) as pollution indicator in sediment of Linggi River, Malaysia
    Elias MS, Ibrahim S, Samuding K, Kantasamy N, Rahman SA, Hashim A
    Appl Radiat Isot, 2019 Sep;151:116-123.
    PMID: 31174051 DOI: 10.1016/j.apradiso.2019.05.038
    A study was carried out to determine the concentrations of rare earth elements (REEs) in Linggi river sediments collected from 113 sampling locations. The sediment analysis was performed by Neutron activation analysis (NAA) and Inductively coupled plasma - mass spectrometry (ICP-MS). The results of Linggi river sediment were normalized to "recent" reference shale values. The means of total concentrations of REEs (ΣREE), light REEs (ΣLREE) and heavy REEs (ΣHREE) in Linggi sediment were 241.2, 219.2, and 22.0 mg/kg, respectively, which indicates enrichment compared to ΣREE, ΣLREE and ΣHREE reference shale values. Results obtained from enrichment factors (EF) show no enrichment to moderate enrichment of Linggi sediments, indicating the sources of REEs pollution originated from natural and land-based activities. A similar pattern was observed by comparing the REEs values of Linggi sediments to other references shale values. Ce (δCe) and Eu (δEu) anomalies indicate Linggi sediments showed positive anomaly of Ce whilst negative anomaly of Eu.
  15. Fulltext Free-Radical Photopolymerization of Acrylonitrile Grafted onto Epoxidized Natural Rubber
    Whba R, Su'ait MS, Tian Khoon L, Ibrahim S, Mohamed NS, Ahmad A
    Polymers (Basel), 2021 Feb 23;13(4).
    PMID: 33672185 DOI: 10.3390/polym13040660
    The exploitation of epoxidized natural rubber (ENR) in electrochemical applications is approaching its limits because of its poor thermo-mechanical properties. These properties could be improved by chemical and/or physical modification, including grafting and/or crosslinking techniques. In this work, acrylonitrile (ACN) has been successfully grafted onto ENR- 25 by a radical photopolymerization technique. The effect of (ACN to ENR) mole ratios on chemical structure and interaction, thermo-mechanical behaviour and that related to the viscoelastic properties of the polymer was investigated. The existence of the -C≡N functional group at the end-product of ACN-g-ENR is confirmed by infrared (FT-IR) and nuclear magnetic resonance (NMR) analyses. An enhanced grafting efficiency (~57%) was obtained after ACN was grafted onto the isoprene unit of ENR- 25 and showing a significant improvement in thermal stability and dielectric properties. The viscoelastic behaviour of the sample analysis showed an increase of storage modulus up to 150 × 103 MPa and the temperature of glass transition (Tg) was between -40 and 10 °C. The loss modulus, relaxation process, and tan delta were also described. Overall, the ACN-g-ENR shows a distinctive improvement in characteristics compared to ENR and can be widely used in many applications where natural rubber is used but improved thermal and mechanical properties are required. Likewise, it may also be used in electronic applications, for example, as a polymer electrolyte in batteries or supercapacitor.
  16. Fulltext Enhanced caffeine degradation by immobilised cells of Leifsonia sp. strain SIU
    Ibrahim S, Shukor MY, Syed MA, Johari WL, Shamaan NA, Sabullah MK, et al.
    J Gen Appl Microbiol, 2016;62(1):18-24.
    PMID: 26923127 DOI: 10.2323/jgam.62.18
    In a previous study, we isolated Leifsonia sp. strain SIU, a new bacterium from agricultured soil. The bacterium was tested for its ability to degrade caffeine. The isolate was encapsulated in gellan gum and its ability to degrade caffeine was compared with the free cells. The optimal caffeine degradation was attained at a gellan gum concentration of 0.75% (w/v), a bead size of 4 mm diameter, and 250 beads per 100 mL of medium. At a caffeine concentration of 0.1 g/L, immobilised cells of the strain SIU degraded caffeine within 9 h, which is faster when compared to the case of free cells, in which it took 12 h to degrade. The immobilised cells degraded caffeine completely within 39 and 78 h at 0.5 and 1.0 g/L, while the free cells took 72 and 148 h at 0.5 and 1.0 g/L, respectively. At higher caffeine concentrations, immobilised cells exhibited a higher caffeine degradation rate. At concentrations of 1.5 and 2.0 g/L, caffeine-degrading activities of both immobilised and free cells were inhibited. The immobilised cells showed no loss in caffeine-degrading activity after being used repeatedly for nine 24-h cycles. The effect of heavy metals on immobilised cells was also tested. This study showed an increase in caffeine degradation efficiency when the cells were encapsulated in gellan gum.
  17. Cellulose supported promising magnetic sorbents for magnetic solid-phase extraction: A review
    Mhd Haniffa MAC, Ching YC, Illias HA, Munawar K, Ibrahim S, Nguyen DH, et al.
    Carbohydr Polym, 2021 Feb 01;253:117245.
    PMID: 33279000 DOI: 10.1016/j.carbpol.2020.117245
    Cellulose with ample hydroxyl groups is considered as a promising supportive biopolymer for fabricating cellulose supported promising magnetic sorbents (CMS) for magnetic solid-phase extraction (MSPE). The easy recovery via external magnetic field, and recyclability of CMS, associated with different types and surface modifications of cellulose has made them a promising sorbent in the field of solid-phase extraction. CMS based sorbent can offer improved adsorption and absorption capabilities due to its high specific surface area, porous structure, and magnetic attraction feature. This review mainly focuses on the fabrication strategies of CMS using magnetic nanoparticles (MNPs) and various forms of cellulose as a heterogeneous and homogeneous solution either in alkaline mediated urea or Ionic liquids (ILs). Moreover, CMS will be elaborated based on their structures, synthesis, physical performance, and chemical attraction of MNPs and their MSPE in details. The advantages, challenges, and prospects of CMS in future applications are also presented.
  18. Fulltext Preparation and Characterization of Low-Molecular-Weight Natural Rubber Latex via Photodegradation Catalyzed by Nano TiO₂
    Ibrahim S, Othman N, Sreekantan S, Tan KS, Mohd Nor Z, Ismail H
    Polymers (Basel), 2018 Nov 01;10(11).
    PMID: 30961141 DOI: 10.3390/polym10111216
    Natural rubber is one of the most important renewable biopolymers used in many applications due to its special properties that cannot be easily mimicked by synthetic polymers. To sustain the existence of natural rubber in industries, modifications have been made to its chemical structure from time to time in order to obtain new properties and to enable it to be employed in new applications. The chemical structure of natural rubber can be modified by exposure to ultraviolet light to reduce its molecular weight. Under controlled conditions, the natural rubber chains will be broken by photodegradation to yield low-molecular-weight natural rubber. The aim of this work was to obtain what is known as liquid natural rubber via photodegradation, with titanium dioxide nanocrystals as the catalyst. Titanium dioxide, which was firstly synthesized using the sol⁻gel method, was confirmed to be in the form of an anatase, with a size of about 10 nm. In this work, the photodegradation was carried out in latex state and yielded low-molecular-weight natural rubber latex of less than 10,000 g/mol. The presence of hydroxyl and carbonyl groups on the liquid natural rubber (LNR) chains was observed, resulting from the breaking of the chains. Scanning electron microscopy of the NR latex particles showed that titanium dioxide nanocrystals were embedded on the latex surface, but then detached during the degradation reaction.
  19. Could bacteriophages isolated from the sewage be the solution to methicillin-resistant Staphylococcus aureus?
    Tan CS, Aqiludeen NA, Tan R, Gowbei A, Mijen AB, Santhana Raj L, et al.
    Med J Malaysia, 2020 03;75(2):110-116.
    PMID: 32281590
    INTRODUCTIONS: The emergence of multidrug-resistant bacteria such as Methicillin-Resistant Staphylococcus aureus (MRSA) complicates the treatment of the simplest infection. Although glycopeptides such as vancomycin still proves to be effective in treating MRSA infections, the emergence of vancomycin-resistant strains limits the long term use of this antibiotic. Bacteriophages are ubiquitous bacterial viruses which is capable of infecting and killing bacteria including its antibiotic-resistant strains. Bactericidal bacteriophages use mechanisms that is distinct from antibiotics and is not affected by the antibioticresistant phenotypes.

    OBJECTIVES: The study was undertaken to evaluate the possibility to isolate bacteriolytic bacteriophages against S.aureus from raw sewage water and examine their efficacy as antimicrobial agents in vitro.

    METHODS: Bacteriophages were isolated from the raw sewage using the agar overlay method. Isolated bacteriophages were plaque purified to obtain homogenous bacteriophage isolates. The host range of the bacteriophages was determined using the spot test assay against the 25 MRSA and 36 MSSA isolates obtained from the Sarawak General Hospital. Staphylococcus saprophyticus, Staphylococcus sciuri and Staphylococcus xylosus were included as non-SA controls. The identity of the bacteriophages was identified via Transmission Electron Microscopy and genomic size analysis. Their stability at different pH and temperature were elucidated.

    RESULTS: A total of 10 lytic bacteriophages infecting S.aureus were isolated and two of them namely ΦNUSA-1 and ΦNUSA-10 from the family of Myoviridae and Siphoviridae respectively exhibited exceptionally broad host range against >80% of MRSA and MSSA tested. Both bacteriophages were specific to S.aureus and stable at both physiologic pH and temperature.

    CONCLUSION: This study demonstrated the abundance of S.aureus specific bacteriophages in raw sewage. Their high virulence against both MSSA and MRSA is an excellent antimicrobial characteristic which can be exploited for bacteriophage therapy against MRSA.

  20. Fulltext Angular Deformities of the Knee in Children Treated with Guided Growth
    Jamil K, Yahaya MY, Abd-Rasid AF, Ibrahim S, Abdul-Rashid AH
    Malays Orthop J, 2021 Jul;15(2):26-35.
    PMID: 34429819 DOI: 10.5704/MOJ.2107.005
    Introduction: The guided growth technique is an alternative to corrective osteotomy for treating angular deformities of the extremities. It has the advantage of being minimally invasive and is effective in a growing child. This study reports on the outcome of guided growth technique using a plate in correcting knee angular deformities.

    Material and Methods: We conducted a retrospective study of children with angular deformity of the knee treated by the guided growth technique from January 2010 to December 2015 in a tertiary centre. The guided growth technique was done using either the flexible titanium plate (8-plate) or the 2-hole reconstruction plate. Correction of deformity was assessed on radiographs by evaluating the mechanical axis deviation and tibiofemoral angle. The implants were removed once deformity correction was achieved.

    Results: A total of 17 patients (27 knees) were evaluated. Twenty-two knees (81.5%) achieved complete correction of the deformity. The median age was 4.0 (interquartile range 3.0-6.0) years and the median Body Mass Index (BMI) was 26.0 (25.0-28.0). There were 7 unilateral and 10 bilateral deformities with different pathologies (14 tibia vara, 3 genu valgus). The median rate of correction was 0.71° per month. One patient (1 knee) had screw pull-out and two patients (4 knees) had broken screws in the proximal tibia. Three patients (5 knees) failed to achieve complete correction and were subsequently treated with corrective osteotomies. Out of five patients (8 knees) who were followed-up for at least 12 months after removal of hardware, two had rebound deformities. No permanent growth retardation occurred in our patients.

    Conclusion: Our outcome for guided growth to correct knee angular deformity was similar to other studies. Guided growth is safe to perform in children below 12 years old and has good outcome in idiopathic genu valgus and Langeskiold II for tibia vara. Patients should be observed for recurrence until skeletal maturity following implant removal.

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