Displaying publications 121 - 140 of 149 in total

Abstract:
Sort:
  1. Blood pressure profile in continuous ambulatory peritoneal dialysis patients
    Cader RA, Gafor HA, Mohd R, Ibrahim S, Wan Haslina WH, Bain A, et al.
    EXCLI J, 2012;11:116-24.
    PMID: 27366136
    Cardiovascular mortality is the leading cause of death in end stage renal disease. Despite being on continuous ambulatory peritoneal dialysis (CAPD), blood pressure (BP) remains poorly controlled. A higher pulse pressure and non dipping are associated with increased cardiovascular mortality. We studied BP control and the prevalence of non dipping in CAPD patients.
  2. Fulltext Biosurfactant Production and Growth Kinetics Studies of the Waste Canola Oil-Degrading Bacterium Rhodococcuserythropolis AQ5-07 from Antarctica
    Ibrahim S, Abdul Khalil K, Zahri KNM, Gomez-Fuentes C, Convey P, Zulkharnain A, et al.
    Molecules, 2020 Aug 26;25(17).
    PMID: 32858796 DOI: 10.3390/molecules25173878
    With the progressive increase in human activities in the Antarctic region, the possibility of domestic oil spillage also increases. Developing means for the removal of oils, such as canola oil, from the environment and waste "grey" water using biological approaches is therefore desirable, since the thermal process of oil degradation is expensive and ineffective. Thus, in this study an indigenous cold-adapted Antarctic soil bacterium, Rhodococcus erythropolis strain AQ5-07, was screened for biosurfactant production ability using the multiple approaches of blood haemolysis, surface tension, emulsification index, oil spreading, drop collapse and "MATH" assay for cellular hydrophobicity. The growth kinetics of the bacterium containing different canola oil concentration was studied. The strain showed β-haemolysis on blood agar with a high emulsification index and low surface tension value of 91.5% and 25.14 mN/m, respectively. Of the models tested, the Haldane model provided the best description of the growth kinetics, although several models were similar in performance. Parameters obtained from the modelling were the maximum specific growth rate (qmax), concentration of substrate at the half maximum specific growth rate, Ks% (v/v) and the inhibition constant Ki% (v/v), with values of 0.142 h-1, 7.743% (v/v) and 0.399% (v/v), respectively. These biological coefficients are useful in predicting growth conditions for batch studies, and also relevant to "in field" bioremediation strategies where the concentration of oil might need to be diluted to non-toxic levels prior to remediation. Biosurfactants can also have application in enhanced oil recovery (EOR) under different environmental conditions.
  3. 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.
  4. Fulltext Batch growth kinetic studies of locally isolated cyanide-degrading Serratia marcescens strain AQ07
    Karamba KI, Ahmad SA, Zulkharnain A, Yasid NA, Ibrahim S, Shukor MY
    3 Biotech, 2018 Jan;8(1):11.
    PMID: 29259886 DOI: 10.1007/s13205-017-1025-x
    The evaluation of degradation and growth kinetics of Serratia marcescens strain AQ07 was carried out using three half-order models at all the initial concentrations of cyanide with the values of regression exceeding 0.97. The presence of varying cyanide concentrations reveals that the growth and degradation of bacteria were affected by the increase in cyanide concentration with a total halt at 700 ppm KCN after 72 h incubation. In this study, specific growth and degradation rates were found to trail the substrate inhibition kinetics. These two rates fitted well to the kinetic models of Teissier, Luong, Aiba and Heldane, while the performance of Monod model was found to be unsatisfactory. These models were used to clarify the substrate inhibition on the bacteria growth. The analyses of these models have shown that Luong model has fitted the experimental data with the highest coefficient of determination (R2) value of 0.9794 and 0.9582 with the lowest root mean square error (RMSE) value of 0.000204 and 0.001, respectively, for the specific rate of degradation and growth. It is the only model that illustrates the maximum substrate concentration (Sm) of 713.4 and empirical constant (n) of 1.516. Tessier and Aiba fitted the experimental data with a R2 value of 0.8002 and 0.7661 with low RMSE of 0.0006, respectively, for specific biodegradation rate, while having a R2 value of 0.9 and RMSE of 0.001, respectively, for specific growth rate. Haldane has the lowest R2 value of 0.67 and 0.78 for specific biodegradation and growth rate with RMSE of 0.0006 and 0.002, respectively. This indicates the level of the bacteria stability in varying concentrations of cyanide and the maximum cyanide concentration it can tolerate within a specific time period. The biokinetic constant predicted from this model demonstrates a good ability of the locally isolated bacteria in cyanide remediation in industrial effluents.
  5. Fulltext Aural myiasis in a neonate in peninsular Malaysia
    Ahmad NW, Ismail A, Jeffery J, Ibrahim S, Hadi AA, Ibrahim MN, et al.
    Parasit Vectors, 2009;2(1):63.
    PMID: 20003466 DOI: 10.1186/1756-3305-2-63
    Myiasis is a pathological condition in humans and animals caused by various species of dipterous larvae. Myiasis which occurs in a newborn baby is referred as neonatal myiasis. It is a rare condition and there are only a few reports to date. A case of neonatal aural myiasis in a two day old infant is reported in this paper.
  6. Assessment of vaccination with gamma radiationattenuated infective Toxocara canis eggs on murine toxocariasis
    Hafez EN, Awadallah FM, Ibrahim SA, Amin MM, El-Nawasera NZ
    Trop Biomed, 2020 Mar 01;37(1):89-102.
    PMID: 33612721
    Toxocara canis is a major parasite that infects many animals with high risk of human infections. This study aims at assessing the immunization with gamma radiationattenuated infective stage on rats challenged with non-irradiated dose. Level of vaccine protection was evaluated in liver and lung regarding parasitological, histopathological, biochemical and molecular parameters. Fifty rats were enrolled in three groups: group A (10 rats) as normal control; group B (20 rats) subdivided into subgroup B1 (infected control) and subgroup B2 infected then challenged after 14 days with the same dose of infection (challenged infected control); and group C (20 rats) subdivided into subgroup C1 vaccinated with a dose of 800 gray (Gy) gamma-radiated infective eggs (vaccine control) and subgroup C2 vaccinated then challenged on 14th day with same number of infective eggs (vaccinated-challenged). Tissues were stained with Haematoxylin and Eosin (H and E) for histopathological studies. Biochemical studies through detection of nitric oxide (NO) and Caspase-3 were conducted. Extent of DNA damage by Comet assay was assessed. Vaccinated-challenged subgroup revealed a marked reduction in larvae in tissues with mild associated histological changes. In addition there was accompanied reduction of NO, Casepase-3 level and DNA damage compared to the control infected group. It could be concluded that vaccination of rats with a dose of 800Gy gamma radiation-attenuated infective stage improves immune response to challenge infection and drastically reduces the morbidity currently seen.
  7. Assessment of toxic elements in sediments of Linggi River using NAA and ICP-MS techniques
    Elias MS, Ibrahim S, Samuding K, Rahman SA, Wo YM
    MethodsX, 2018;5:454-465.
    PMID: 30090704 DOI: 10.1016/j.mex.2018.05.001
    Fourteen sediment samples were collected along Linggi River, Malaysia. Neutron activation analysis (NAA) and inductively coupled plasma-mass spectrometry (ICP-MS) techniques were used in the determination of toxic element contents. The results showed that As, Cd and Sb concentrations were higher at all sampling stations, with enrichment factor values ranging from 17.7 to 75.0, 2.1 to 19.5 and 6.6 to 28.4, respectively. Elements of Pb and Zn) were also enriched at most of the sampling stations whilst Cu, Cr and Ni were shown as background levels. The sediment of Linggi River can be categorised as low (<8.0) to very high degree of contamination (>32.0). The mean concentrations of elements viz. Cd, Cr, Ni, Pb, Sb and Zn were lower than the threshold effect level (TEL) of FSQGs values except for As. The concentration of As (arsenic) was higher than PEL and PEC of FSQGs values.
  8. Assessment of groundwater vulnerability to anthropogenic pollution and seawater intrusion in a small tropical island using index-based methods
    Kura NU, Ramli MF, Ibrahim S, Sulaiman WN, Aris AZ, Tanko AI, et al.
    Environ Sci Pollut Res Int, 2015 Jan;22(2):1512-33.
    PMID: 25163562 DOI: 10.1007/s11356-014-3444-0
    In this work, the DRASTIC and GALDIT models were employed to determine the groundwater vulnerability to contamination from anthropogenic activities and seawater intrusion in Kapas Island. In addition, the work also utilized sensitivity analysis to evaluate the influence of each individual parameter used in developing the final models. Based on these effects and variation indices of the said parameters, new effective weights were determined and were used to create modified DRASTIC and GALDIT models. The final DRASTIC model classified the island into five vulnerability classes: no risk (110-140), low (140-160), moderate (160-180), high (180-200), and very high (>200), covering 4, 26, 59, 4, and 7 % of the island, respectively. Likewise, for seawater intrusion, the modified GALDIT model delineates the island into four vulnerability classes: very low (<90), low (90-110), moderate (110-130), and high (>130) covering 39, 33, 18, and 9 % of the island, respectively. Both models show that the areas that are likely to be affected by anthropogenic pollution and seawater intrusion are within the alluvial deposit at the western part of the island. Pearson correlation was used to verify the reliability of the two models in predicting their respective contaminants. The correlation matrix showed a good relationship between DRASTIC model and nitrate (r = 0.58). In a similar development, the correlation also reveals a very strong negative relationship between GALDIT model and seawater contaminant indicator (resistivity Ωm) values (r = -0.86) suggesting that the model predicts more than 86 % of seawater intrusion. In order to facilitate management strategy, suitable areas for artificial recharge were identified through modeling. The result suggested some areas within the alluvial deposit at the western part of the island as suitable for artificial recharge. This work can serve as a guide for a full vulnerability assessment to anthropogenic pollution and seawater intrusion in small islands and will help policy maker and manager with understanding needed to ensure sustainability of the island's aquifer.
  9. Assessment of fluid status in CAPD patients using the body composition monitor
    Cader RA, Gafor HA, Mohd R, Kong NC, Ibrahim S, Wan Hassan WH, et al.
    J Clin Nurs, 2013 Mar;22(5-6):741-8.
    PMID: 23039369 DOI: 10.1111/j.1365-2702.2012.04298.x
    To assess the degree of overhydration in our peritoneal dialysis patients and to examine the factors contributing to overhydration.
  10. 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.
  11. Fulltext Application of geophysical techniques for 3D geohazard mapping to delineate cavities and potential sinkholes in the northern part of Kuala Lumpur, Malaysia
    Bakhshipour Z, Huat BB, Ibrahim S, Asadi A, Kura NU
    ScientificWorldJournal, 2013;2013:629476.
    PMID: 24501583 DOI: 10.1155/2013/629476
    This work describes the application of the electrical resistivity (ER) method to delineating subsurface structures and cavities in Kuala Lumpur Limestone within the Batu Cave area of Selangor Darul Ehsan, Malaysia. In all, 17 ER profiles were measured by using a Wenner electrode configuration with 2 m spacing. The field survey was accompanied by laboratory work, which involves taking resistivity measurements of rock, soil, and water samples taken from the field to obtain the formation factor. The relationship between resistivity and the formation factor and porosity for all the samples was established. The porosity values were plotted and contoured. A 2-dimensional and 3-dimensional representation of the subsurface topography of the area was prepared through use of commercial computer software. The results show the presence of cavities and sinkholes in some parts of the study area. This work could help engineers and environmental managers by providing the information necessary to produce a sustainable management plan in order to prevent catastrophic collapses of structures and other related geohazard problems.
  12. Fulltext Anxiety Reaction in Children During Cast Removal using Oscillating Saw versus Cast Shear - A Randomised, Prospective Trial
    Mohamed-Zain NA, Jamil K, Penafort R, Singh A, Ibrahim S, Abdul-Rashid AH
    Malays Orthop J, 2021 Jul;15(2):122-128.
    PMID: 34429832 DOI: 10.5704/MOJ.2107.018
    Introduction: To compare the anxiety levels demonstrated by children during cast removal procedure between oscillating saw vs cast shear methods.

    Material and methods: A randomised prospective study of 102 children (mean age 8.3 ± 3.5 years) with fractures involving upper or lower limbs. Children undergoing removal of cast were divided into 2 groups; either by an oscillating saw or a cast cutting shear. The level of anxiety was assessed by recording the heart rate with a portable fingertip pulse oximeter before, during and after removal of the cast. Objective assessment was performed by documenting the fear level on Children's Fear Scale (CFS).

    Results: There was a significant increase in the heart rate of children during cast removal while using the oscillating saw compared to cast shear (p<0.05). The noise level produced by the saw exceeded 80 dB (mean 103.3 dB). The fear level was significantly lower in the cast shear group (p<0.05).

    Conclusion: The noise produced by the oscillating saw was associated with an increased anxiety level in children undergoing cast removal. Cast shear is a simple and inexpensive instrument that can be used for cast removal in overly anxious children.

  13. 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.

  14. Fulltext Analysis of sequence variations in low-density lipoprotein receptor gene among Malaysian patients with familial hypercholesterolemia
    Al-Khateeb A, Zahri MK, Mohamed MS, Sasongko TH, Ibrahim S, Yusof Z, et al.
    BMC Med Genet, 2011;12:40.
    PMID: 21418584 DOI: 10.1186/1471-2350-12-40
    Familial hypercholesterolemia is a genetic disorder mainly caused by defects in the low-density lipoprotein receptor gene. Few and limited analyses of familial hypercholesterolemia have been performed in Malaysia, and the underlying mutations therefore remain largely unknown.We studied a group of 154 unrelated FH patients from a northern area of Malaysia (Kelantan). The promoter region and exons 2-15 of the LDLR gene were screened by denaturing high-performance liquid chromatography to detect short deletions and nucleotide substitutions, and by multiplex ligation-dependent probe amplification to detect large rearrangements.
  15. An overview of groundwater chemistry studies in Malaysia
    Kura NU, Ramli MF, Sulaiman WNA, Ibrahim S, Aris AZ
    Environ Sci Pollut Res Int, 2018 Mar;25(8):7231-7249.
    PMID: 26686857 DOI: 10.1007/s11356-015-5957-6
    In this paper, numerous studies on groundwater in Malaysia were reviewed with the aim of evaluating past trends and the current status for discerning the sustainability of the water resources in the country. It was found that most of the previous groundwater studies (44 %) focused on the islands and mostly concentrated on qualitative assessment with more emphasis being placed on seawater intrusion studies. This was then followed by inland-based studies, with Selangor state leading the studies which reflected the current water challenges facing the state. From a methodological perspective, geophysics, graphical methods, and statistical analysis are the dominant techniques (38, 25, and 25 %) respectively. The geophysical methods especially the 2D resistivity method cut across many subjects such as seawater intrusion studies, quantitative assessment, and hydraulic parameters estimation. The statistical techniques used include multivariate statistical analysis techniques and ANOVA among others, most of which are quality related studies using major ions, in situ parameters, and heavy metals. Conversely, numerical techniques like MODFLOW were somewhat less admired which is likely due to their complexity in nature and high data demand. This work will facilitate researchers in identifying the specific areas which need improvement and focus, while, at the same time, provide policymakers and managers with an executive summary and knowledge of the current situation in groundwater studies and where more work needs to be done for sustainable development.
  16. An integrated assessment of seawater intrusion in a small tropical island using geophysical, geochemical, and geostatistical techniques
    Kura NU, Ramli MF, Ibrahim S, Sulaiman WN, Aris AZ
    Environ Sci Pollut Res Int, 2014;21(11):7047-64.
    PMID: 24532282 DOI: 10.1007/s11356-014-2598-0
    In this study, geophysics, geochemistry, and geostatistical techniques were integrated to assess seawater intrusion in Kapas Island due to its geological complexity and multiple contamination sources. Five resistivity profiles were measured using an electric resistivity technique. The results reveal very low resistivity <1 Ωm, suggesting either marine clay deposit or seawater intrusion or both along the majority of the resistivity images. As a result, geochemistry was further employed to verify the resistivity evidence. The Chadha and Stiff diagrams classify the island groundwater into Ca-HCO3, Ca-Na-HCO3, Na-HCO3, and Na-Cl water types, with Ca-HCO3 as the dominant. The Mg(2+)/Mg(2+)+Ca(2+), HCO3 (-)/anion, Cl(-)/HCO3 (-), Na(+)/Cl(-), and SO4 (2-)/Cl(-) ratios show that some sampling sites are affected by seawater intrusion; these sampling sites fall within the same areas that show low-resistivity values. The resulting ratios and resistivity values were then used in the geographical information system (GIS) environment to create the geostatistical map of individual indicators. These maps were then overlaid to create the final map showing seawater-affected areas. The final map successfully delineates the area that is actually undergoing seawater intrusion. The proposed technique is not area specific, and hence, it can work in any place with similar completed characteristics or under the influence of multiple contaminants so as to distinguish the area that is truly affected by any targeted pollutants from the rest. This information would provide managers and policy makers with the knowledge of the current situation and will serve as a guide and standard in water research for sustainable management plan.
  17. Fulltext An extendable optical fibre probe survey meter for naturally occurring radioactive material (NORM) and other weak emitters
    Zubair HT, Bradley DA, Khairina MD, Oresegun A, Basaif A, Othman J, et al.
    Sci Rep, 2023 Jul 24;13(1):11918.
    PMID: 37488183 DOI: 10.1038/s41598-023-39180-9
    We have developed a radioluminescence-based survey meter for use in industries in which there is involvement in naturally occurring radioactive material (NORM), also in support of those needing to detect other weak emitters of radiation. The functionality of the system confronts particular shortcomings of the handheld survey meters that are currently being made use of. The device couples a LYSO:Ce scintillator with a photodetector via a polymer optical fibre waveguide, allowing for "intrinsically safe" inspection within pipework, separators, valves and other such component pieces. The small-diameter optical fibre probe is electrically passive, immune to electromagnetic interference, and chemically inert. The readout circuit is entirely incorporated within a handheld casing housing a silicon photomultiplier (SiPM) detection circuit and a microprocessor circuit connected to an LCD display. A 15 m long flexible PMMA optical fibre waveguide is butt coupled to an ABS plastic probe that retains the LYSO:Ce scintillator. Initial tests have included the use of lab-based mixed gamma-ray sources, measurements being made in concert with a reference conventional GM survey-meter. Characterization, via NORM sources at a decontamination facility, has shown useful sensitivity, covering the dose-rate range 0.10- to 28 µSv h-1 (R-squared 0.966), extending to 80 µSv/h as demonstrated in use of a Cs-137 source. The system is shown to provide an effective tool for detection of radioactivity within hard to access locations, in particular for sources emitting at low radiation levels, down to values that approach background.
  18. An elbow dislocation in a child with missed medial epicondyle fracture and late ulnar nerve palsy
    Haflah NH, Ibrahim S, Sapuan J, Abdullah S
    J Pediatr Orthop B, 2010 Sep;19(5):459-61.
    PMID: 20555271 DOI: 10.1097/BPB.0b013e32833b6032
    Elbow dislocations associated with a medial epicondyle fracture and ulnar nerve palsy are uncommon injuries. We present the case of an 11-year-old girl with an elbow dislocation treated by closed manual reduction. The medial epicondyle fracture was missed initially until she developed an ulnar nerve palsy 2 months later. Intraoperatively we discovered the bony epicondyle piercing the joint capsule and compressing the ulnar nerve. Removal of the bony fragment relieved her symptoms and she returned to normal activities at 1 year follow-up. We would like to highlight this rare occurrence and present the detailed history and management of this case.
  19. An efficient and economical treatment for batik textile wastewater containing high levels of silicate and organic pollutants using a sequential process of acidification, magnesium oxide, and palm shell-based activated carbon application
    Birgani PM, Ranjbar N, Abdullah RC, Wong KT, Lee G, Ibrahim S, et al.
    J Environ Manage, 2016 Dec 15;184(Pt 2):229-239.
    PMID: 27717677 DOI: 10.1016/j.jenvman.2016.09.066
    Considering the chemical properties of batik effluents, an efficient and economical treatment process was established to treat batik wastewater containing not only high levels of Si and chemical oxygen demand (COD), but also toxic heavy metals. After mixing the effluents obtained from the boiling and soaking steps in the batik process, acidification using concentrated hydrochloric acid (conc. HCl) was conducted to polymerize the silicate under acidic conditions. Consequently, sludge was produced and floated. XRD and FT-IR analyses showed that wax molecules were coordinated by hydrogen bonding with silica (SiO2). The acidification process removed ∼78-95% of COD and ∼45-50% of Si, depending on the pH. In the next stage, magnesium oxide (MgO) was applied to remove heavy metals completely and almost 90% of the Si in the liquid phase. During this step, about 70% of COD was removed in the hydrogel that arose as a consequence of the crosslinking characteristics of the formed nano-composite, such as magnesium silicate or montmorillonite. The hydrogel was composed mainly of waxes with polymeric properties. Then, the remaining Si (∼300 mg/L) in the wastewater combined with the effluents from the rinsing steps was further treated using 50 mg/L MgO. As a final step, palm-shell activated carbon (PSAC) was used to remove the remaining COD to 
  20. Fulltext An approach for developing integrated undergraduate medical curriculum
    Akram A, Rizwan F, Sattar K, Hadi JIS, Meo SA
    Pak J Med Sci, 2018 9 8;34(4):804-810.
    PMID: 30190732 DOI: 10.12669/pjms.344.14565
    Background and Objectives: Medical schools are to develop integrated medical curricula because the term 'integrated curriculum' has grown up and flourished globally and it has become mandatory to align the medical education with the global concept in Pakistan. This paper aims to present a guideline to design an undergraduate integrated medical curriculum.

    Methods: Various themes are used to develop integrated curriculum which are basic medical science, simulation skills, clinical science, personality development, research, entrepreneurship and pre specialization. Each theme is subdivided, termed a module and its contents primarily focus on particular aspect.

    Results: Knowledge, skill and attitude, embodied in themes or modules, are planted in specific way that they have horizontal as well as vertical integration. There is no boundary of various traditional disciplines in template of five years curriculum. For example, diagnosis is a theme which carries contents from medicine, surgery, orthopedics etc.

    Conclusion: The blueprint introduced in this paper would help medical educators to draft integrated medical curricula for those institutions which intend to switch their medical programs from traditional to integrated one.

Related Terms
Filters
Contact Us

Please provide feedback to Administrator (afdal@afpm.org.my)

External Links