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Fulltext Smartphone apps as a technological innovation for weight reduction: a systematic review and meta-analysis. [Abstract]

Muhammad Faiz Mohd Ishak, Safirah Jaan Jaafar, Noor Hazmi Noor Hassim, Azmawati Mohammed Nawi, Rohaizat Mohd Hassan, Norfazilah Ahmad

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):51-51.
MyJurnal

ABSTRACTS FOR THE 1ST INTERNATIONAL BORNEO HEALTHCARE AND PUBLIC HEALTH CONFERENCE AND 4TH BORNEO TROPICAL MEDICINE AND INFECTIOUS DISEASE CONGRESS
New Frontiers in Health: Expecting the Unexpected
Held at the Faculty of Medicine and Health Sciences,
Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia On 3rd-5th September 2019

Introduction: Obesity is a global epidemic with major healthcare implications and costs. The availability of Smart-phone app as a new technological innovation developed is increasing rapidly. This new technological innovation can have a huge potential for interventions to help weight loss and combat obesity. To perform a systematic review and meta-analysis of studies to compare the effectiveness of Smartphone apps compared with other methods to promote weight loss and obesity. Methods: We conducted a systematic review and meta-analysis of relevant studies identified by a search of independently screened studies for inclusion criteria and extracted data. We included arti-cles that assessed any (Smartphone/Mobile phone app intervention with anthropometric measurement like weight/BMI, waist circumference), adult or children population then exclude articles in which the primary outcome is not weight/BMI/Waist circumference, non-original articles (Reviews, Editorials, Non-research letters), case reports or case series, non RCT study design, participant with co-morbidities or condition like pregnancy and Intervention using SMS or any text messaging. Results: We included 7 articles in this systematic review and meta-analysis. This me-ta-analysis shows that smartphone app interventions compared with conventional or other interventions is non-sig-nificant decreases in body weight, with the pooled estimates of the net change in body weight being -1.62 kg (95% CI –3.61 to 0.36; I2 = 93%). Pooled results indicated a non-significant net difference in BMI between smart phone app and control intervention groups (WMD 0.26 kg/m2, 95% CI -0.83 to 1.34; I2 = 68%). For waist circumference, there is non-significant net difference in BMI between smart phone app and control intervention groups (WMD -5.2 cm 95% CI --0.15 to 4.60; I2 = 93%). Conclusion: Smartphone apps intervention alone is not producing substantial evidence of weight loss despite there might be effective for certain groups. However, there are still explorable pros-pect on the use of smartphone app in combination of other approach to assist and promote weight loss as the use of smartphone are proven to influence health related behavioural modification.

Matched MeSH terms: Weight Loss
Fulltext Effect of uv-ozone treatment on physicochemical properties of mesoporous hollow carbon nanoparticles

Muhammad Nur Amir Azman, Yusilawati Ahmad Nor, Nur Husna Samsudin, Ma’an Fahmi Rashid Alkhatib, Yeow, Tshai Kim

Biological and Natural Resources Engineering Journal, 2020;3(2):35-45.
MyJurnal

Carbon nanoparticles have been widely used in various applications. However, they are commonly known to have low dispersibility and chemical inertness which limit their practical ability in medical or biological area. Some studies have been performed to modify carbon nanoparticles such as carbon nanotubes using ultraviolet (UV)-Ozone system. However, little is known on the effects of such system towards other types of carbon nanoparticles such as mesoporous hollow carbon nanoparticles (MHCNs). Thus, in this study, improvement of MHCNs physiochemical properties have been studied using UV-Ozone treatment for the first time. The treatment was conducted in water as dispersant agent at ozone flowrate of 1.0 L/min and exposure time of 45 min. SEM images observed that MHCNs morphology and surface structure remain intact after the treatment. Observations on the dispersibility of MHCNs in phosphate buffered saline (PBS) solution shows that the dispersibility was improved compared to the untreated ones. This was supported by the low Z-average and PDI values of treated MHCNs obtained at ~400 nm and 0.2, respectively when compared to the untreated MHCNs which was obtained at 970 nm and 0.417, respectively. Thermogravimetric analysis (TGA) showed an increased in weight loss of treated MHCNs at the lower temperature compared to untreated MHCNs. Results from Fourier Transform Infrared (FTIR) showed an increase number of new functional groups that includes carboxylic acid group presence at the surface of treated MHCNs which contributes to the improvement of their dispersibility, thermal properties and chemical functionality. These findings opened a new possibility of using UV-Ozone treatment to improve physicochemical properties of MHCNs for medical area such as in drug delivery application in addition to their excellent storage and carrier system.

Matched MeSH terms: Weight Loss
Fulltext Holistic management of venous ulcers especially with endovenous laser treatment using 980nm laser in an ethnically diverse society

Murli NL, Lee TC, Beh ML

Med J Malaysia, 2013 Dec;68(6):453-8.
PMID: 24632912 MyJurnal

AIM: Chronic venous ulcers usually occur as an occupational hazard due to venous insufficiency with venous hypertension. Endovenous laser treatment (EVT) is used to treat varicose veins with venous ulcers and outcome including demography assessed in the different races.

PROCEDURE: 145 lower limbs(right 39.3%, left 60.7%) with venous ulcers involving reflux of the great saphenous (132 cases) and / or small saphenous (57 cases) veins underwent EVT with 980 nm diode laser for single (123 cases) or both (11 cases) legs intervention. Supplementary procedures required multiple avulsions and / or sclerotherapy. Holistic advice of multilayered bandaging, graduated compression stockings, weight reduction and lifestyle changes enforced.

RESULT: The average age with venous ulcers was 53.6 years.The mean BMI was 26.8 : the Chinese, Indian and Malay BMIs were 25.1, 28.1 and 31.3 respectively. Symptoms that included pain, swelling, heaviness and cramps assessed pre- and postsurgically were significantly reduced (<0.0001), using the Wilcoxan signed rank test. Of the occupations involved by race, the Chinese were mostly salespersons, Indians blue collar workers and Malays foodrelated workers. Young overweight Indians with sedentary occupations were most predisposed to venous ulcers. Gram negative organisms 63.4% and gram positive organisms 36.6% were isolated in the ulcers. Most ulcers 63.5% measured <2 cm and majority 73.8% localised in the gaiter area.

DISCUSSION: Results of EVT in healing ulcers with no recurrences more than 2 years were successful in 89.7% (130/145). Complications included numbness foot 7.5% and DVT 1.4%. 10.3% (15 cases) had recurrence of venous ulcers within 2 years. In terms of satisfaction 32.3% experienced as very satisfied while 63.4% were satisfied and 4.3% unsatisfied. In conclusion EVT is a useful adjunct with with minimal invasion in managing venous ulcers holistically.

Matched MeSH terms: Weight Loss
Fulltext The use of weight loss products among overweight and obese patients in Malaysia

Murni Aliza Abd Malik, Noor Azimah Muhammad, Mohd Fairuz Ali

Malaysian Journal of Medicine and Health Sciences, 2019;15(1):23-30.
MyJurnal

Local profiles on the use of weight loss products are scarce. The study aims to address this together with concerns on the users’ misperception of the safety of these products, and the absence of high-quality evidence to support such use. Methods: This was a cross-sectional study conducted in overweight and obese patients attending a public primary care clinic in Penang. Selected patients were given a set of self-administered questionnaire that assessed types of weight loss products used, factors that influenced the usage and the users’ perception of their own body weight and the diet products they are taking. Results: From 332 participants of this study, 18.7% were users. Mean age of users were 44.6 (SD 11.9) years. The majority (66.1%) only used dietary supplements, 11.3% used weight loss medications and the rest (22.6%) used both products. Reasons for its use were for health, a faster result to lose weight and failing dieting and exercise regimes. The average amount spent on this was RM100 per month. Commonest source of weight loss products were friends. Majority (80.6%) did not discuss the use of the products with doctors. Factors associated with the use of weight loss products were being female (AOR=5.59), had tertiary level education (AOR=2.27), being employed (AOR=3.42), self-perceived of overweight (AOR=3.61) and perception that weight loss products as safe (AOR 2.48). Conclusion: Users of weight loss products are among highly educated working females who perceived themselves as being overweight and assume the products are safe.

Matched MeSH terms: Weight Loss
Fulltext POTENTIAL OF AQUEOUS GINGER EXTRACT AS FRUIT COATING ON TOMATO

NOR AMIRA IZATI NOR AZMAN, NUR FAZLEEN SYUHADA ROSTAM, NURUL FAZIHA IBRAHIM, SUHAIZAN LOB

UMT Journal of Undergraduate Research, 2020;2(4):23-30.
MyJurnal

Soft fleshed tomatoes are easily damaged due to mechanical injuries. Later, the wounded tissue will be exposed to fungal infection thus fasten the deterioration rate and reduce the quality of tomato. The aim of this study was to evaluate the potential aqueous ginger extract to inhibit fungal pathogen that causes tomato wilt and its potential in delaying the weight loss of tomato fruits. For this purpose, in vitro antifungal assay using poison plate technique was used to observe the inhibition of fungal pathogen. Then, healthy tomato fruits were dipped in aqueous ginger extract before evaluated for the post-harvest quality such as weight loss and firmness. The results of this study show that 10% aqueous ginger extract can inhibit the fungal pathogen (Fusarium oxysporum) that causes tomato wilt with 13.57% inhibition. Through in vivo antifungal assay, tomato fruits dipped in this plant extract showed lower weight loss (14.44%) and higher firmness (1.7 N) as compared to untreated fruit, but the data were not significantly different. Therefore, manipulation of this extract was suggested to increase its antifungal properties or as eco-friendly coating to lengthen the shelf life of agricultural produces.

Matched MeSH terms: Weight Loss
Fulltext STUDY ON AQUEOUS KAFFIR LIME EXTRACT AS TREATMENT AGENT ON FRESH TOMATO FRUITS

NUR FAZLEEN SYUHADA ROSTAM, NOR AMIRA IZATI NOR AZMAN, NURUL FAZIHA IBRAHIM, SUHAIZAN LOB

UMT Journal of Undergraduate Research, 2020;2(4):17-22.
MyJurnal

Tomatoes have a short shelf life thus they pose a big challenge for growers to maintain the quality of tomatoes to increase customer acceptance. In this study, fungi associated with tomato disease symptoms were isolated and the potential of kaffir lime aqueous extract was evaluated in maintaining post-harvest quality of tomatoes. For this purpose, healthy tomatoes were dipped in 10% aqueous kaffir lime extract before evaluating the post-harvest parameters namely weight loss and firmness. A fungus namely Rhizophus stolonifer was isolated from the symptomatic tomatoes. Subsequently, it was confirmed to be pathogenic on healthy tomato fruits with 100% disease severity. Application of aqueous kaffir lime extract showed that tomato fruits dipped in 10% aqueous kaffir lime extract recorded higher weight loss and higher firmness as compared to untreated tomato fruits. The results showed that treatment with this concentration of plant extract did not help to reduce the weight loss, but it retained the firmness of the tomato fruits stored at room temperature at 27+2oC. Higher transpiration process would lead to shrinkage, weight loss, changes in texture and appearance of the fruits. Therefore, this study suggested an increased concentration of aqueous kaffir lime extract as a treatment agent in order to have a better effect in maintaining the quality of tomato fruits.

Matched MeSH terms: Weight Loss
Fulltext Body image perceptions and weight loss behavior among young adults

Nasuha Najwa Ali Hanapiah, Suriati Sidek

International Journal of Allied Health Sciences, 2018;2(3):426-434.
MyJurnal

University students tend to be more concerned on their body image and body shape concerns because of the surrounding The present study was conducted among undergraduate students at
the International Islamic University Malaysia (IIUM) Kuantan with the aim to identify the body image
perceptions, body shape concerns and weight loss behaviors. Methods: A total of 135 participants
comprising of 50 male and 85 female undergraduate students were recruited from six Kulliyyah in IIUM Kuantan. The Contour Drawing Rating Scale, Body Shape Questionnaire (BSQ-16) and Weight Loss Behavior Scales (WLBS) were used as assessment tools. Results: The result showed 73.3% of students had normal BMI status, 6.7% were underweight and the remaining were overweight or obese. More than 50% of the participants were somewhat concern about their body shape. In addition, more than half of the participants (54.8%) were dissatisfied with their body image and had desired to be thinner. The most preferred weight loss behavior among the participants was exercise compared to other weight loss approaches. The result shows that concerns to dieting and weight have a significant association with BMI status. Meanwhile, body shape concerns are found to be significantly associated with concern to dieting and weight, as well as avoidance of fatty and sweet foods. However, there was no association between body shape concerns and exercise. Conclusion: Based on the findings, more tailored intervention programs that lead to healthy body image and weight loss behavior are needed among young adults.

Matched MeSH terms: Weight Loss
Fulltext Presenting features and treatment outcome of 78 Malaysian children with neuroblastoma

Ng SM, Abdullah WA, Lin HP, Chan LL

Southeast Asian J. Trop. Med. Public Health, 1999 Mar;30(1):149-53.
PMID: 10695803

To study the distribution of presenting features and their prognostic significance in neuroblastoma treated in a single institution in Malaysia. A retrospective study was made of 78 neuroblastoma cases diagnosed and treated in the University Hospital, Kuala Lumpur, Malaysia between June 1982 and February 1997. Diagnosis was established by standard histological criteria. The presenting features were evaluated for their distribution and prognostic influence. Disease-free survival from diagnosis was the outcome variable of interest. The ages ranged from 0.1 to 11 years old (median: 3 years old). The tumor originated from the adrenal glands in 83% and the majority of cases presented in advanced stage (stage III 22%, stage IV 66%). Bone marrow was the commonest site of distant metastasis occurring in 45% of patients. The main presenting signs and symptoms in decreasing order were pallor, fever, abdominal mass, weight loss, and bone/joint pain. Univariate analysis conferred age, initial stage and Hb level as significant prognostic factors. No influence in disease-free survival was found for sex, race, primary site, urinary vanillylmandelic acid level, white cell count and platelet count. Overall 2-year disease-free survival was achieved in 27 (39%) patients. Four patients underwent bone marrow transplant, three of whom achieved 2-year disease-free survival. The results suggest that age, initial stage and hemoglobin level are significant prognostic factors based on univariate analysis. In addition, more Malaysian children presented with adrenal primary site and advanced disease compared to previous reported studies.

Matched MeSH terms: Weight Loss
Fulltext Rapid weight loss practices among elite combat sports athletes in Malaysia

Ng, Qi Xiong, Choe, Yee Xian, Amutha Ramadas, Haemamalar Karppaya, Chai, Wen Jin

Malays J Nutr, 2017;23(2):199-209.
MyJurnal

Introduction: This study aimed to (i) determine rapid weight loss (RWL) practices among Malaysian elite combat sports athletes and (ii) examine the relationship between the characteristics of athletes, self-reported history of weight loss, perceived influence on weight loss and RWL practices.

Methods: This was a cross-sectional study conducted at the Malaysian National Sports Institute among elite combat sports athletes (n=40) recruited via a convenience sampling method. The athletes completed a self-administered validated Rapid Weight Loss Questionnaire. Each response was provided a score and the total RWL score corresponded to the aggressiveness of weight management methods. Partial correlations were used to assess the relationships between total RWL score and independent variables.

Results: The prevalence of RWL among the athletes was high (92.5%). Training with rubber or plastic suits (62.2%) and meal-skipping (27.0%) were the most common RWL techniques practised by the respondents. Aggressive weight-cutting as depicted by a higher total RWL score that correlated with most weight ever lost, duration taken to lose weight, influence of training colleagues and coaches, BMI, current weight and post-competition weight regain (all p

Matched MeSH terms: Weight Loss
Fulltext Anorexia Nervosa in Schizophrenia: a starving mind within a susceptible brain

Nik Ruzyanei, N.J., Wan Salwina, W.I., Choo, S.P., Rosdinom, R.

Malaysian Journal of Psychiatry, 2011;20(1):1-5.
MyJurnal

Schizophrenia poses challenges in diagnosis and treatment strategies when the predominant clinical features represent another spectrum of disorder like eating disorders. Nevertheless, symptoms of eating disorder in schizophrenia are not entirely uncommon although never included in the diagnostic criteria. We reported a case of a woman who first presented at seventeen years old with food refusal and underlying psychosis resulting in severe weight loss, but defaulted treatment for almost a decade. In 2009, she presented again with sinus bradycardia and secondary amenorrhoea. In this report, we discussed about the patient’s vulnerability for psychosis and its psychodynamic drive which led to a complex symptoms manifestation. Our aim is to highlight its diagnostic dilemma and suggestions to treatment strategies unique to this presentation.

Matched MeSH terms: Weight Loss
Fulltext The Heat Is On: Effects of Synchronous Music on Psychophysiological Parameters and Running Performance in Hot and Humid Conditions

Nikol L, Kuan G, Ong M, Chang YK, Terry PC

Front Psychol, 2018;9:1114.
PMID: 30072929 DOI: 10.3389/fpsyg.2018.01114

Running in high heat and humidity increases psychophysiological strain, which typically impairs running performance. Listening to synchronous music has been shown to provide psychophysiological benefits, which may enhance running performance. The present randomized, crossover study examined effects of listening to synchronous music on psychophysiological parameters and running performance in hot and humid conditions. Twelve male runners (21.7 ± 2.2 y; 166.17 ± 7.18 cm; 60.32 ± 9.52 kg; 59.29 ± 5.95 ml kg-1 min-1) completed two running trials in simulated conditions (31°C and 70% humidity) with and without synchronous music. Participants ran on a treadmill inside a climatic chamber for 60 min at 60%

V
˙

O2max and continued to run to exhaustion at 80%

V
˙

O2max. Time-to-exhaustion under the synchronous music condition was 66.59% longer (mean = 376.5 s vs. 226.0 s, p = 0.02, d = 0.63) compared to the no music condition. Ratings of perceived exertion were significantly lower for the synchronous music condition at each time point (15, 30, 45, and 60 min) of the steady state portion of the running trials. Small differences in heart rate were detected between conditions. No significant between-condition differences were found in urine specific gravity, percentage of body weight loss, thermal comfort, and blood lactate. Findings suggest that listening to synchronous music is beneficial to running performance and perceived exertion in hot and humid conditions.

Matched MeSH terms: Weight Loss
Fulltext Body weight satisfaction: association with weight control practices among type 2 diabetic patients

Noor SZ, Lua PL, Nik MM

Malays J Nutr, 2011 Apr;17(1):55-66.
PMID: 22135865 MyJurnal

The recommendation to lose weight has been the guiding principle in the treatment of type 2 diabetic patients. However, to facilitate this process, it is vital to understand factors associated with personal feelings about body weight and related behaviour.

Matched MeSH terms: Weight Loss*
Fulltext Isolation and characterization of a 2,4-dinitrophenol-degrading bacterium

Noor Suffiah Md. Zin, Siti Nadzirah Padrilah, Mohd Fadhil Abd. Rahman, Koh, Sim Han, Ariff Khalid, Mohd. Yunus Shukor

Bioremediation Science and Technology Research, 2016;4(2):28-33.
MyJurnal

2,4-dinitrophenol (2,4-DNP) is utilized in the production of wood preservatives, dyes, and also
as a pesticide. Human acute (short-term) exposure to 2,4-DNP in humans by means of oral
exposure are nausea or vomiting, sweating, headaches, dizziness, and weight reduction. Thus, the
removal of this compound is highly sought. A 2,4-DNP-degrading bacterium (isolate 1) was
isolated from a sample soil from Terengganu. This bacterium (isolate 1) was characterized as a
rod Gram positive, non-sporulated, and non-motile bacterium. The bacterium is oxidase negative
and had catalase positive activity and was able to grow aerobically on 2,4-dinitrophenol as the
sole carbon source. This bacterium showed maximal growth on 2,4-DNP at the temperature
optimum of 30 oC, pH 5.0 and was tolerant to 2,4-DNP concentration of up to 0.5 mM (0.092
g/L). This bacterium prefers to use urea as the nitrogen source in addition to yeast extract for
mineral source and vitamin precursors.

Matched MeSH terms: Weight Loss
Laparoscopic loop duodenaljejunal bypass with sleeve gastrectomy in type 2 diabetic patients

Nor Hanipah Z, Hsin MC, Liu CC, Huang CK

Surg Obes Relat Dis, 2019 May;15(5):696-702.
PMID: 30935839 DOI: 10.1016/j.soard.2019.01.016

BACKGROUND: Laparoscopic loop duodenojejunal bypass with sleeve gastrectomy (LDJB-SG) is a new metabolic procedure. Our initial data on type 2 diabetes (T2D) remission after LDJB-SG were promising.
OBJECTIVES: The aim of this study was to look at our intermediate outcomes after LDJB-SG.
SETTING: An academic medical center.
METHODS: A prospective analysis of T2D patients who underwent LDJB-SG between October 2011 and October 2014 was performed. Data collected included baseline demographic, body mass index, fasting blood glucose, glycosylated hemoglobin, C-peptide, resolution of co-morbidities, and postoperative complications.
RESULTS: A total of 163 patients with minimum of follow-up >1 year were enrolled in this study (57 men and 106 women). The mean age and body mass index were 47.7 (±10.7) years and a 30.2 (±5.1) kg/m2, respectively. There were 119 patients on oral hypoglycemic agents only, 29 patients were on oral hypoglycemic agents and insulin, 3 patients were on insulin only, and the other 12 patients were not on diabetic medication. Mean operation time and length of hospital stay were 144.7 (± 45.1) minutes and 2.4 (± 1.0) days, respectively. Seven patients (3.6%) needed reoperation due to bleeding (n = 1), anastomotic leak (n = 2), sleeve strictures (n = 2), and incisional hernia (n = 2). At 2 years of follow-up, there were 56 patients. None of the patients were on insulin and only 20% of patients were on oral hypoglycemic agents. Mean body mass index significantly dropped to 22.9 (±5.6) kg/m2 at 2 years. The mean preoperative fasting blood glucose, glycosylated hemoglobin, and C-peptide levels were 174.7 mg/dL (± 61.0), 8.8% (±1.8), and 2.6 (±1.7) ng/mL, respectively. The mean fasting blood glucose, glycosylated hemoglobin, and C-peptide at 2 years were 112.5 (±60.7) mg/dL, 6.4% (±2.0), and 1.5 (±0.6) ng/mL, respectively. No patient needed revisional surgery because of dumping syndrome, marginal ulcer, or gastroesophageal reflux disease at the last follow up period.
CONCLUSION: At 2 years, LDJB-SG is a relatively safe and effective metabolic surgery with significant weight loss and resolution of co-morbidities.

Matched MeSH terms: Weight Loss
Efficacy of adjuvant weight loss medication after bariatric surgery

Nor Hanipah Z, Nasr EC, Bucak E, Schauer PR, Aminian A, Brethauer SA, et al.

Surg Obes Relat Dis, 2018 01;14(1):93-98.
PMID: 29287757 DOI: 10.1016/j.soard.2017.10.002

BACKGROUND: Some patients do not achieve optimal weight loss or regain weight after bariatric surgery. In this study, we aimed to determine the effectiveness of adjuvant weight loss medications after surgery for this group of patients.
SETTING: An academic medical center.
METHODS: Weight changes of patients who received weight loss medications after bariatric surgery from 2012 to 2015 at a single center were studied.
RESULTS: Weight loss medications prescribed for 209 patients were phentermine (n = 156, 74.6%), phentermine/topiramate extended release (n = 25, 12%), lorcaserin (n = 18, 8.6%), and naltrexone slow-release/bupropion slow-release (n = 10, 4.8%). Of patients, 37% lost>5% of their total weight 1 year after pharmacotherapy was prescribed. There were significant differences in weight loss at 1 year in gastric banding versus sleeve gastrectomy patients (4.6% versus .3%, P = .02) and Roux-en-Y gastric bypass versus sleeve gastrectomy patients (2.8% versus .3%, P = .01).There was a significant positive correlation between body mass index at the start of adjuvant pharmacotherapy and total weight loss at 1 year (P = .025).
CONCLUSION: Adjuvant weight loss medications halted weight regain in patients who underwent bariatric surgery. More than one third achieved>5% weight loss with the addition of weight loss medication. The observed response was significantly better in gastric bypass and gastric banding patients compared with sleeve gastrectomy patients. Furthermore, adjuvant pharmacotherapy was more effective in patients with higher body mass index. Given the low risk of medications compared with revisional surgery, it can be a reasonable option in the appropriate patients. Further studies are necessary to determine the optimal medication and timing of adjuvant pharmacotherapy after bariatric surgery.

Matched MeSH terms: Weight Loss/drug effects
The Outcome of Bariatric Surgery in Patients Aged 75 years and Older

Nor Hanipah Z, Punchai S, Karas LA, Szomstein S, Rosenthal RJ, Brethauer SA, et al.

Obes Surg, 2018 06;28(6):1498-1503.
PMID: 29290011 DOI: 10.1007/s11695-017-3020-z

BACKGROUND: Bariatric surgery has been shown to be safe and effective in patients aged 60-75 years; however, outcomes in patients aged 75 or older are undocumented.
METHODS: Patients aged 75 years and older who underwent bariatric procedures in two academic centers between 2006 and 2015 were studied.
RESULTS: A total of 19 patients aged 75 years and above were identified. Eleven (58%) were male, the median age was 76 years old (range 75-81), and the median preoperative body mass index (BMI) was 41.4 kg/m2 (range 35.8-57.5). All of the bariatric procedures were primary procedures and performed laparoscopically: sleeve gastrectomy (SG) (n = 11, 58%), adjustable gastric band (AGB) (n = 4, 21%), Roux-en-Y gastric bypass (RYGB) (n = 2, 11%), banded gastric plication (n = 1, 5%), and gastric plication (n = 1, 5%). The median operative time was 120 min (range 75-240), and the median length of stay was 2 days (range 1-7). Three patients (16%) developed postoperative atrial fibrillation which completely resolved at discharge. At 1 year, the median percentage of total weight loss (%TWL) was 18.4% (range 7.4-22.0). The 1-year %TWL varied among the bariatric procedures performed: SG (21%), RYGB (22%), AGB (7%), and gastric plication (8%). There were no 30-day readmissions, reoperations, or mortalities.
CONCLUSION: Our experience suggests that bariatric surgery in selected patients aged 75 years and older would be safe and effective despite being higher risk. Age alone should not be the limiting factor for selecting patients for bariatric surgery.

Matched MeSH terms: Weight Loss/physiology
Development of De Novo Diabetes in Long-Term Follow-up After Bariatric Surgery

Nor Hanipah Z, Punchai S, Brethauer SA, Schauer PR, Aminian A

Obes Surg, 2018 08;28(8):2247-2251.
PMID: 29524184 DOI: 10.1007/s11695-018-3194-z

INTRODUCTION: While bariatric surgery leads to significant prevention and improvement of type 2 diabetes, patients may rarely develop diabetes after bariatric surgery. The aim of this study was to determine the incidence and the characteristic of new-onset diabetes after bariatric surgery over a 17-year period at our institution.
METHODS: Non-diabetic patients who underwent bariatric surgery at a single academic center (1997-2013) and had a postoperative glycated hemoglobin (HbA1c) ≥ 6.5%, fasting blood glucose (FBG) ≥ 126 mg/dl, or positive glucose tolerance test were identified and studied.
RESULTS: Out of 2263 non-diabetic patients at the time of bariatric surgery, 11 patients had new-onset diabetes in the median follow-up time of 9 years (interquartile range [IQR], 4-12). Bariatric procedures performed were Roux-en-Y gastric bypass (n = 7), adjustable gastric banding (n = 3), and sleeve gastrectomy (n = 1). The median interval between surgery and diagnosis of diabetes was 6 years (IQR, 2-9). At the last follow-up, the median HbA1c and FBG values were 6.3% (IQR, 6.1-6.5) and 95 mg/dl (IQR, 85-122), respectively. Possible etiologic factors leading to diabetes were weight regain to baseline (n = 6, 55%), steroid-induced after renal transplantation (n = 1), pancreatic insufficiency after pancreatitis (n = 1), and unknown (n = 3).
CONCLUSION: De novo diabetes after bariatric surgery is rare with an incidence of 0.4% based on our cohort. Weight regain was common (> 50%) in patients who developed new-onset diabetes suggesting recurrent severe obesity as a potential etiologic factor. All patients had good glycemic control (HbA1c ≤ 7%) in the long-term postoperative follow-up.

Matched MeSH terms: Weight Loss
Anticorrosive properties of nano silicate from paddy husk in salt medium

Norinsan Kamil Othman, Solhan Yahya, Denni Asra Awizar

Sains Malaysiana, 2016;45:1253-1258.

Anticorrosive properties of nano silicate from paddy husk in salt medium was investigated via weight loss method, Tafel
polarization and impedance techniques. Prior to the corrosion test, the silica powder was obtained from burning the
rice husk and extended with a chemical treatment process. The size of silica powder was characterized via zeta sizer and
showed the amount of micro silica particle appear more than the nano size particle. Nano silica powder was produced
from the refluxing process of micro silica to enhance the good properties of silica particle. The corrosion inhibition
efficiency of nano silicate showed good inhibition with increased in inhibitor concentrations. Weight loss test exhibits
high inhibition as more than 80% even, immersed in the corrosive medium until 14 days. The nano silicate inhibitor
affected the anodic reaction as showed by Tafel plot analysis. Impedance results also correlated with other test as shown
by the large size of Nyquist semicircle which represents as high resistance of charge transfer. The surface morphology
of inhibited specimen showed a smooth surface after nano silicate inhibitor applied in the NaCl medium as observed
through scanning electron microscopy (SEM) and energy-dispersive x-ray spectroscopy (EDX).

Matched MeSH terms: Weight Loss
Inhibition of consortium sulfate reducing bacteria from crude oil for carbon steel protection

Nur Akma Mahat, Norinsan Kamil Othman, Mohd Nazri Idris, Fathul Karim Sahrani

Sains Malaysiana, 2015;44:1587-1591.

The efficiency of cetyltrimethylammonium bromide (CTAB) to reduce the activity of consortium bacteria consisting of
sulphate-reducing bacteria (C-SRB) has been investigated on variable concentration by weight loss test, potentiodynamic
polarization and diffusion disk methods. C-SRB was isolated from tropical crude oil of Malaysian offshore. Biofilm analysis
was also evaluated by variable pressure scanning electron microscopy (VPSEM). Weight loss and potentiodynamic
polarization analyses showed that CTAB is able to inhibit the biocorrosion process and their inhibition efficiency had
reached to 85 and 65% at 300 ppm CTAB, respectively. Increasing of CTAB efficiency as a function of concentration was
also supported by diffusion disk analysis. Biofilm analysis showed that less of C-SRB and their metabolic by-product had
been observed. It was concluded that CTAB was able to reduce the C-SRB activity and prevent biocorrosion process on
carbon steel surface.

Matched MeSH terms: Weight Loss
Fulltext SYNTHESIS, CHARACTERISATION AND CORROSION INHIBITION SCREENING: Cu[EtBenzdtc]2 AND Cu[BuMedtc]2

Nur Alia Atiqah Alias, Nabilah Syakirah Zolkifli, Mimi Wahidah Mohd Radzi, Nur Nadia Dzulkifli

Journal of Academia Universiti Teknologi MARA Negeri Sembilan, 2021;9(1):56-65.
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Mild steel plays an essential part in many construction industries due to its low cost and excellent mechanical properties. However, the use of strong acid in pickling, construction, and oil refining processes adds to a serious corrosion problem for mild steel. Two Cu(II) dithiocarbamate (DTC) complexes were successfully synthesised, namely Cu(II) ethyl-benzyl DTC (Cu[EtBenzdtc]2) and Cu(II) butyl-methyl DTC (Cu[BuMedtc]2) complexes, by a condensation reaction and subsequently used to scrutinise the corrosion resistance activity towards mild steel in acidic media. The proposed structures of complexes were characterised by using the Fourier transform infrared (FTIR) and ultraviolet-visible (UV-Vis) spectroscopies. The melting point for Cu[EtBenzdtc]2 was found around 362–375°C, and 389–392°C for Cu[BuMedtc]2. The percentages of Cu(II) found in Cu[EtBenzdtc]2 and Cu[BuMedtc]2 were 7.6% and 7.5%, respectively. Both complexes were non-electrolyte based on the molar conductivity analysis. Their corrosion inhibition performances were tested by using a weight loss measurement. Cu[BuMedtc]2 showed a good result as a corrosion inhibitor compared to Cu[EtBenzdtc]2. The complexes showed good effectiveness in sulfuric acid (H2SO4) compared to hydrochloric acid (HCl) solution. Furthermore, Cu[BuMedtc]2 showed a good result as a corrosion inhibitor compared to Cu[EtBenzdtc]2 with the highest percentage of corrosion inhibition recorded at 91.8%. Meanwhile, the highest percentage of corrosion inhibition shown by Cu[EtBenzdtc]2 was only 86.9%. The lowest corrosion rate shown for Cu[BuMedtc]2 was 8.1944×10-4 cm-1 h-1. Meanwhile, the Cu[EtBenzdtc]2 showed the lowest corrosion rate only at 1.3194×10-3 cm-1 h-1. This implies that Cu[BuMedtc]2 showed lower corrosion rate but higher inhibition efficiency compared to Cu[EtBenzdtc]2.

Matched MeSH terms: Weight Loss

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