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Parametric analysis of lignocellulosic ultrafiltration in lab scale cross flow module using pore blocking and artificial neural network model

Yogarathinam LT, Velswamy K, Gangasalam A, Ismail AF, Goh PS, Subramaniam MN, et al.

Chemosphere, 2022 Jan;286(Pt 3):131822.
PMID: 34416593 DOI: 10.1016/j.chemosphere.2021.131822

In this study, fouling mechanism and modelling analysis of synthetic lignocellulose biomass and agricultural palm oil effluent was studied using polyethersulfone (PES) ultrafiltration (UF) 10 kDa membrane. The impact of process variables (transmembrane pressure (TMP), pH and concentration of feed solution) on lignocellulosic flux was analysed using pore blocking model. The feasible approaches on utilising deep learning artificial neural network (ANN) to predict smaller flux datasets are studied. Among the input variables, pH of lignin feed solution has significant control towards flux and lignin rejection coefficient for both lignin and lignocellulosic solution. Alteration in the structure of lignin at different pH conditions contributed in the improvement of lignin rejection coefficient to 0.98 at the feed pH of 9. A maximum steady state flux of 52.03 L/m2h was observed at the lower lignin concentration (0.25 g/L), TMP of 200 kPa and feed pH of 3. At high TMP and concentration, lignin rejection decreased due to enhancement of feed concentration on membrane surface. The mechanistic model exhibited that cake layer phenomena was dominant in both lignin and lignocellulosic solution. The proposed ANN model showed good correlation (R2-1.00) with experimental non-linear flux dynamic data of both lignin and synthetic lignocellulosic solution. In ANN analysis, activation function, algorithm and neuron effect have significant effect in design of accurate model for prediction of small flux datasets. Aerobically-treated palm oil mill filtration analysis also showed that cake layer phenomenon was dominant. A water recovery of 82 % was achieved even at low TMP under short durations.
Fulltext Rare but Potentially Fatal Presentations of Diffuse Large B-cell Lymphoma: Leukemic Phase or Hemophagocytic Syndrome in Bone Marrow

Wan Mohd Zohdi WA, Ismail AZ, Yusof N, Ithnin A, Shuib S, Masir N, et al.

Clin Pathol, 2022 01 09;15:2632010X211070774.
PMID: 35036912 DOI: 10.1177/2632010X211070774

Diffuse large B-cell lymphoma (DLBCL) is a type of non-Hodgkin Lymphoma commonly presenting as a solid tumor either by nodal or extra-nodal manifestations. Here we describe two atypical presentations of lymphoma, finally resulting in the diagnosis of DLBCL. Case 1: A 53-year-old man with a previous history of nasopharyngeal carcinoma presented with a two-week history of B-symptoms and hyperleukocytosis. Peripheral blood film showed 78% abnormal mononuclear cells. Immunohistochemical stain showing Ki-67 of 90%, negative c-myc, BCL2 and BCL6, and negative c-MYC with fluorescence in-situ hybridization studies on the trephine biopsy, concluded the diagnosis of CD5+ DLBCL of ABC subtype. He received intravenous cyclophosphamide and oral prednisolone for cytoreduction, followed by 6 cycles of chemo-immunotherapy. However, he succumbed due to severe sepsis after the completion of therapy. Case 2: A 56-year-old lady who was initially investigated for pyrexia of unknown origin was noted to have hemophagocytosis upon bone marrow aspirate examination. The bone marrow trephine biopsy revealed some atypical clusters of B-cells positive for CD20 which was inconclusive. PET-CT scan noted an enlarged hypermetabolic spleen without lymphadenopathy. Splenic biopsy with immunohistochemical studies revealed DLBCL of ABC subtype. The diagnosis was consistent with primary splenic DLBCL. She became unwell post splenic biopsy and was admitted to the intensive care unit where she passed away 2 weeks later from Candida and Sternotrophomonas septicemia. These cases highlight the atypical presentations of a common subtype of NHL in our center. Arriving at the definitive diagnosis can be difficult especially when patients are acutely ill, hampering the necessary invasive procedures for diagnosis. The outcomes of both cases are briefly discussed hoping to spread awareness among clinicians on the rare and acutely critical presentations of DLBCL.
Fulltext CO2 Plasticization Resistance Membrane for Natural Gas Sweetening Process: Defining Optimum Operating Conditions for Stable Operation

Kadirkhan F, Sean GP, Ismail AF, Wan Mustapa WNF, Halim MHM, Kian SW, et al.

Polymers (Basel), 2022 Oct 26;14(21).
PMID: 36365530 DOI: 10.3390/polym14214537

Membranes with a stable performance during the natural gas sweetening process application are highly demanded. This subject has been immensely explored due to several challenges faced by conventionally used polymeric membranes, especially the high tendency of plasticization and physical aging. In this study, polysulfone (PSf) hollow-fiber membrane was formulated and tested for its application in natural gas sweetening based on several compositions of CO2/CH4 mixed gas. The effects of operating conditions such as pressure, temperature and CO2 feed composition on separation performance were analyzed. The findings showed that the formulated membrane exhibited decreasing CO2 permeation trend with the increase in pressure. Conversely, the increase in operating temperature boosted the CO2 permeation. High productivity can be attained at higher operating temperatures with a reduction in product purity. Interestingly, since PSf has higher plasticization pressure, it was not affected by the change in CO2 percentage up to 70% CO2. The experimental study showed that the membrane material formulated in this study can be potentially evaluated at the field stage. Longer testing duration is needed with the real feed gas, appropriate pre-treatment based on the material limitations, and optimum operating conditions at the site to further confirm the membrane's long-term lifetime, resistance, and stability.
Fulltext Recent Advances of Polymeric Membranes in Tackling Plasticization and Aging for Practical Industrial CO2/CH4 Applications-A Review

Kadirkhan F, Goh PS, Ismail AF, Wan Mustapa WNF, Halim MHM, Soh WK, et al.

Membranes (Basel), 2022 Jan 05;12(1).
PMID: 35054597 DOI: 10.3390/membranes12010071

Membranes are a promising technology for bulk CO2 separation from natural gas mixtures due to their numerous advantages. Despite the numerous fundamental studies on creating better quality membrane efficiency, scaling up the research work for field testing requires huge efforts. The challenge is to ensure the stability of the membrane throughout the operation while maintaining its high performance. This review addresses the key challenges in the application of polymeric technology for CO2 separation, focusing on plasticization and aging. A brief introduction to the properties and limitations of the current commercial polymeric membrane is first deliberated. The effect of each plasticizer component in natural gas towards membrane performance and the relationship between operating conditions and the membrane efficiency are discussed in this review. The recent technological advancements and techniques to overcome the plasticization and aging issues covering polymer modification, high free-volume polymers, polymer blending and facilitated transport membranes (FTMs) have been highlighted. We also give our perspectives on a few main features of research related to polymeric membranes and the way forwards. Upcoming research must emphasize mixed gas with CO2 including minor condensable contaminants as per real natural gas, to determine the competitive sorption effect on CO2 permeability and membrane selectivity. The effects of pore blocking, plasticization and aging should be given particular attention to cater for large-scale applications.
Fulltext Significantly higher atherosclerosis risks in patients with obstructive sleep apnea and non-alcoholic fatty liver disease

Sukahri S, Mohamed Shah FZ, Ismail AI, Koshy M, Johari B, Mohd Razali M, et al.

PLoS One, 2021;16(6):e0253298.
PMID: 34191823 DOI: 10.1371/journal.pone.0253298

INTRODUCTION: There is limited data on the relationship between Obstructive Sleep Apnea (OSA) and Non-Alcoholic Fatty Liver Disease (NAFLD), each associated with increased cardiovascular risk. This study aimed to determine the relationships between severity of OSA, degree of steatosis in NAFLD and cardiovascular risk via CIMT and atherosclerosis markers ie intracellular adhesion molecule-1 (ICAM-1) an Lipoprotein-a (Lp(a)) in a group of patients with OSA.
MATERIALS AND METHODS: This was a cross-sectional, single center study. A total of 110 subjects between 18 to 65 years of age and diagnosed with OSA following sleep study examinations were recruited. Exclusion criteria included seropositive Hepatitis B or Hepatitis C, and significant alcohol intake.
RESULT: The prevalence of NAFLD was 81.8%. The mean CIMT (0.08±0.03 vs 0.06±0.01 cm, p = 0.001), ICAM-1 (334.53±72.86 vs 265.46±102.92 ng/mL, p = 0.001) and Lp(a) (85.41±52.56 vs 23.55±23.66 nmol/L, p<0.001) were significantly higher in the NAFLD group compared to the non-NAFLD group. Comparisons between the different groups showed significantly increasing levels of CIMT, ICAM-1 and Lp(a), lowest within the non-NAFLD, followed by the NAFLD 1 and NAFLD 2+3 groups. There was a significant positive correlation between degree of steatosis and the severity of OSA (r = 0.453, p<0.001). Logistic regression analysis revealed that patients with apnea/hypopnea index (AHI) of >30 were 52.77 (CI 6.34, 439.14) times more likely to have NAFLD compared to those with mild AHI (p<0.001).
CONCLUSION: The prevalence of NAFLD is alarmingly high in this group of OSA patients. The degree of steatosis in patients with NAFLD was significantly correlated with severity of OSA, CIMT measurements, ICAM-1 and Lp(a). Our findings underscore screening for NAFLD in patients with OSA to ensure prompt risk stratification and management.
Probiotic inhibits oral carcinogenesis: A systematic review and meta-analysis

Wan Mohd Kamaluddin WNF, Rismayuddin NAR, Ismail AF, Mohamad Aidid E, Othman N, Mohamad NAH, et al.

Arch Oral Biol, 2020 Oct;118:104855.
PMID: 32801092 DOI: 10.1016/j.archoralbio.2020.104855

OBJECTIVES: This systematic review aimed to investigate the effects if probiotics can inhibit oral carcinogenesis.
DESIGN: PubMed, Web of Science, Scopus, and PLOS databases were searched up to February 2020 to identify randomised controlled trials that fulfilled the eligibility criteria. Joanna Briggs Institute (JBI) Critical Appraisal Tool was used for quality assessment of articles. This review was performed according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA-P) 2015 protocol guidelines.
RESULT: The initial search retrieved 774 articles. Of these, only five articles were included in the qualitative synthesis. Two out of the five papers were further analysed for quantitative synthesis in meta-analysis. The majority of the included studies were found to be of "moderate quality". The qualitative synthesis found four probiotics that exhibited potential therapeutic effects in oral carcinogenesis, includingAcetobacter syzygii, AJ2, Lactobacillus plantarum, and Lactobacillus salivarius REN. Among them, the application of L. salivarius REN resulted in a 95 % lower risk for developing oral cancer (p
Acute toxicity test of copper pyrithione on Javanese medaka and the behavioural stress symptoms

Mohamat-Yusuff F, Sarah-Nabila AG, Zulkifli SZ, Azmai MNA, Ibrahim WNW, Yusof S, et al.

Mar Pollut Bull, 2018 Feb;127:150-153.
PMID: 29475647 DOI: 10.1016/j.marpolbul.2017.11.046

This study was conducted to investigate the median lethal concentration (LC50) of copper pyrithione (CuPT) at 96-hr exposure on adult Javanese medaka (Oryzias javanicus) in revealing toxicological effects of CuPT contamination in the tropical area. Wild stock fishes were acclimatized for 14-days prior analysis. Triplicate of test tanks for seven test concentrations were placed with ten fishes each, this includes two control tanks. The behaviour of the tested fishes was manually observed through a camera. The LC50 of CuPT at 96-h was found to be 16.58mg/L. Tested fishes swam slowly in vertical movement and swam fast towards food during feeding time as the sign of stress behaviour. Meanwhile, fishes in the two control groups swam actively in a horizontal manner and no excitement during feeding time. No mortality in control groups. Results indicate CuPT to be toxic to Javanese medaka at low concentration and caused behavioural stress.
Fulltext Development of Ultrahigh Permeance Hollow Fiber Membranes via Simple Surface Coating for CO2/CH4 Separation

Said N, Wong KC, Lau WJ, Khoo YS, Yeong YF, Othman NH, et al.

Molecules, 2022 Dec 01;27(23).
PMID: 36500475 DOI: 10.3390/molecules27238381

Most researchers focused on developing highly selective membranes for CO2/CH4 separation, but their developed membranes often suffered from low permeance. In this present work, we aimed to develop an ultrahigh permeance membrane using a simple coating technique to overcome the trade-off between membrane permeance and selectivity. A commercial silicone membrane with superior permeance but low CO2/CH4 selectivity (in the range of 2-3) was selected as the host for surface modification. Our results revealed that out of the three silane agents tested, only tetraethyl orthosilicate (TEOS) improved the control membrane's permeance and selectivity. This can be due to its short structural chain and better compatibility with the silicone substrate. Further investigation revealed that higher CO2 permeance and selectivity could be attained by coating the membrane with two layers of TEOS. The surface integrity of the TEOS-coated membrane was further improved when an additional polyether block amide (Pebax) layer was established atop the TEOS layer. This additional layer sealed the pin holes of the TEOS layer and enhanced the resultant membrane's performance, achieving CO2/CH4 selectivity of ~19 at CO2 permeance of ~2.3 × 105 barrer. This performance placed our developed membrane to surpass the 2008 Robeson Upper Boundary.
Experience of using expired lyophilized snake antivenom during a medical emergency situation in Lao People's Democratic Republic--A possible untapped resource to tackle antivenom shortage in Southeast Asia

Blessmann J, Hanlodsomphou S, Santisouk B, Krumkamp R, Kreuels B, Ismail AK, et al.

Trop Med Int Health, 2023 Jan;28(1):64-70.
PMID: 36416013 DOI: 10.1111/tmi.13833

OBJECTIVES: To evaluate the safety and efficacy of expired lyophilized snake antivenom of Thai origin during a medical emergency in 2020/2021 in Lao People's Democratic Republic.
METHODS: Observational case series of patients with potentially life-threatening envenoming who consented to the administration of expired antivenom between August 2020 and May 2022.
RESULTS: A total of 31 patients received the expired antivenom. Malayan pit vipers (Calloselasma rhodostoma) were responsible for 26 (84%) cases and green pit vipers (Trimeresurus species) for two cases (6%). In three patients (10%) the responsible snake could not be identified. Of these, two presented with signs of neurotoxicity and one with coagulopathy. A total of 124 vials of expired antivenom were administered. Fifty-nine vials had expired 2-18 months earlier, 56 vials 19-36 months and nine vials 37-60 months before. Adverse effects of variable severity were observed in seven (23%) patients. All 31 patients fully recovered from systemic envenoming.
CONCLUSIONS: Under closely controlled conditions and monitoring the use of expired snake antivenom proved to be effective and safe. Discarding this precious medication is an unnecessary waste, and it could be a valuable resource in ameliorating the current shortage of antivenom. Emergency use authorization granted by health authorities and preclinical testing of expired antivenoms could provide the support and legal basis for such an approach.
Fulltext Selectively mixed matrix hemodialysis membrane for adequate clearance of p-cresol by the incorporation of imprinted zeolite

Raharjo Y, Ismail AF, Dzarfan Othman MH, Fahmi MZ, Saiful, Santoso D, et al.

RSC Adv, 2023 Jan 18;13(5):2972-2983.
PMID: 36756405 DOI: 10.1039/d2ra07557a

The adequacy in uremic toxin removal upon hemodialysis treatment is essential in patients with kidney failure diseases as poor removal leads to heart failure, hypertension, and stroke. The combination of adsorption and diffusion processes has become very advantageous for hemodialysis membranes. By this mechanism, water-soluble uremic toxins (WSUTs) and protein-bounded uremic toxins (PBUTs) could be removed at one time. Therefore, this study aimed to develop a novel imprinted zeolite by p-cresol (IZC) and then incorporated it into polyethersulfone (PES) and poly(vinyl pyrrolidone) (PVP) to produce hollow fiber mixed matrix membrane (HF-MMM). The IZC proved to be sensitive in attracting the adsorbate, classifying it as having a strong adsorption behavior. Accordingly, IZC is very promising to be applied as an adsorbent in the hemodialysis treatment. In this study, IZC as p-cresol's adsorbent was incorporated into a PES-based polymeric membrane with a small addition of PVP to produce HF-MMM using a dry/wet spinning process. The effect of air gap distance between the spinneret and coagulant bath and percentage loading for PES, PVP, and IZC were studied and optimized to obtain the best performance of HF-MMM. The 40 cm of air gap distance, 16 wt% of PES, 2 wt% of PVP, and 1 wt% of IZC loading were able to produce a superior hemodialysis membrane. These optimized parameters showed sufficient uremic toxin removal, i.e., 60.74% of urea, 52.35% of p-cresol in the phosphate buffer saline solution, and 66.29% of p-cresol in bovine serum albumin solution for 4 h permeation using the dialysis system. These HF-MMMs also achieved pure water flux of 67.57 L m-2 h-1 bar-1 and bovine serum albumin rejection of 95.05%. Therefore, this membrane has proven to be able to clean up WSUT and PBUT through a one-step process. Moreover, as compared to the neat PES membrane, MMM was able to remove p-cresol at 186.22 times higher capability.
Removal of nickel from aqueous solution using supported zeolite-Y hollow fiber membranes

Muhamad N, Abdullah N, Rahman MA, Abas KH, Aziz AA, Othman MHD, et al.

Environ Sci Pollut Res Int, 2018 Jul;25(19):19054-19064.
PMID: 29721796 DOI: 10.1007/s11356-018-2074-3

This work describes the development of supported zeolite-Y membranes, prepared using the hydrothermal method, for the removal of nickel from an aqueous solution. Alumina hollow fibers prepared using the phase inversion and sintering technique were used as an inert support. The supported zeolite-Y membranes were characterized using the field emission scanning electron microscope (FESEM), X-ray diffraction (XRD), and the water permeation and rejection test. The performance of the supported zeolite-Y membranes for heavy metal removal using batch adsorption and filtration test was studied using the atomic absorption spectroscopy (AAS). The adsorption study shows that the removal of nickel was pH-dependent but affected by the presence of α-alumina. The seeded zeolite-Y membrane gave the highest adsorption capacity which was 126.2 mg g-1. This enabled the membrane to remove 63% of nickel ions from the aqueous solution within 180 min of contact time. The adsorption mechanism of nickel onto the zeolite-Y membrane was best fitted to the Freundlich isotherm. The kinetic study concluded that the adsorption was best fitted to pseudo-second-order model with higher correlation coefficient (R2 = 0.9996). The filtration study proved that the zeolite-Y membrane enabled to reduce the concentration of heavy metal at parts per billion level.
Fulltext High stability resistive switching mechanism of a screen-printed electrode based on BOBZBT2 organic pentamer for creatinine detection

Khushaini MAA, Azeman NH, Ismail AG, Teh CH, Salleh MM, Bakar AAA, et al.

Sci Rep, 2021 Dec 07;11(1):23519.
PMID: 34876656 DOI: 10.1038/s41598-021-03046-9

The resistive switching (RS) mechanism is resulted from the formation and dissolution of a conductive filament due to the electrochemical redox-reactions and can be identified with a pinched hysteresis loop on the I-V characteristic curve. In this work, the RS behaviour was demonstrated using a screen-printed electrode (SPE) and was utilized for creatinine sensing application. The working electrode (WE) of the SPE has been modified with a novel small organic molecule, 1,4-bis[2-(5-thiophene-2-yl)-1-benzothiopene]-2,5-dioctyloxybenzene (BOBzBT2). Its stability at room temperature and the presence of thiophene monomers were exploited to facilitate the cation transport and thus, affecting the high resistive state (HRS) and low resistive state (LRS) of the electrochemical cell. The sensor works based on the interference imposed by the interaction between the creatinine molecule and the radical cation of BOBzBT2 to the conductive filament during the Cyclic Voltammetry (CV) measurement. Different concentrations of BOBzBT2 dilution were evaluated using various concentrations of non-clinical creatinine samples to identify the optimised setup of the sensor. Enhanced sensitivity of the sensor was observed at a high concentration of BOBzBT2 over creatinine concentration between 0.4 and 1.6 mg dL-1-corresponding to the normal range of a healthy individual.
Harnessing the photocatalytic potential of bismuth ferrite-activated carbon nanocomposite (BFO-AC) for Staphylococcus aureus decontamination under visible light

Daub NA, Aziz F, Mhamad SA, Chee DNA, Jaafar J, Yusof N, et al.

Environ Sci Pollut Res Int, 2024 Mar;31(11):16629-16641.
PMID: 38321283 DOI: 10.1007/s11356-024-32261-w

In response to the escalating global issue of microbial contamination, this study introduces a breakthrough photocatalyst: bismuth ferrite-activated carbon (BFO-AC) for visible light-driven disinfection, specifically targeting the Gram-positive bacterium Staphylococcus aureus (S. aureus). Employing an ultrasonication method, we synthesized various BFO-AC ratios and subjected them to comprehensive characterization. Remarkably, the bismuth ferrite-activated carbon 1:1.5 ratio (BA 1:1.5) nanocomposite exhibited the narrowest band gap of 1.86 eV. Notably, BA (1:1.5) demonstrated an exceptional BET surface area of 862.99 m2/g, a remarkable improvement compared to pristine BFO with only 27.61 m2/g. Further investigation through FE-SEM unveiled the presence of BFO nanoparticles on the activated carbon surface. Crucially, the photocatalytic efficacy of BA (1:1.5) towards S. aureus reached its zenith, achieving complete inactivation in just 60 min. TEM analysis revealed severe damage and rupture of bacterial cells, affirming the potent disinfection capabilities of BA (1:1.5). This exceptional disinfection efficiency underscores the promising potential of BA (1:1.5) for the treatment of contaminated water sources. Importantly, our results underscore the enhanced photocatalytic performance with an increased content of activated carbon, suggesting a promising avenue for more effective microorganism inactivation.
Removal of multiple pesticides from water by different types of membranes

Seah MQ, Ng ZC, Lai GS, Lau WJ, Al-Ghouti MA, Alias NH, et al.

Chemosphere, 2024 May;356:141960.
PMID: 38604517 DOI: 10.1016/j.chemosphere.2024.141960

Pesticides are used in agriculture to protect crops from pathogens, insects, fungi and weeds, but the release of pesticides into surface/groundwater by agriculture runoff and rain has raised serious concerns not only for the environment but also for human health. This study aimed to investigate the impact of surface properties on the performance of seven distinct membrane types utilized in nanofiltration (NF), reverse osmosis (RO) and forward osmosis (FO) processes in eliminating multiple pesticides from spiked water. Out of the membranes tested, two are self-fabricated RO membranes while the rest are commercially available membranes. Our results revealed that the self-fabricated RO membranes performed better than other commercial membranes (e.g., SW30XLE, NF270, Duracid and FO) in rejecting the targeted pesticides by achieving at least 99% rejections regardless of the size of pesticides and their log Kow value. Despite the marginally lower water flux exhibited by the self-fabricated membrane compared to the commercial BW30 membrane, its exceptional ability to reject both mono- and divalent salts renders it more apt for treating water sources containing not only pesticides but also various dissolved ions. The enhanced performance of the self-fabricated RO membrane is mainly attributed to the presence of a hydrophilic interlayer (between the polyamide layer and substrate) and the incorporation of hydrophilic nanosheets in tuning its surface characteristics. The findings of the work provide insight into the importance of membrane surface modification for the application of not only the desalination process but also for the removal of contaminants of emerging concern.
Fulltext Development of Copper-Aluminum Layered Double Hydroxide in Thin Film Nanocomposite Nanofiltration Membrane for Water Purification Process

Tajuddin MH, Yusof N, Wan Azelee I, Wan Salleh WN, Ismail AF, Jaafar J, et al.

Front Chem, 2019;7:3.
PMID: 30800647 DOI: 10.3389/fchem.2019.00003

This study aims to fabricate a thin film composite (TFC) membrane, modified with copper-aluminium layered double hydroxide (LDH) nanofillers via interfacial polymerization technique for nanofiltration (NF) processes. It was found that Cu-Al LDH nanofillers possessed layered structured materials with typical hexagonal plate-like shape and positive surface charge. The study revealed that TFN membrane exhibits a relatively smooth surface and a less nodular structure compared to pristine TFC membrane. The contact angle of TFN progressively decreased from 54.1° to 37.25°, indicating enhancement in surface hydrophilicity. Moreover, the incorporation of LDH nanofillers resulted in a less negative membrane as compared to the pristine TFC membrane. The best NF performance was achieved by TFN2 membrane with 0.1° of Cu-Al LDH loading and a water flux of 7.01 Lm-2h-1.bar. The addition of Cu-Al LDH resulted in excellent single salt rejections of Na2SO4 (96.8%), MgCl2 (95.6%), MgSO4 (95.4%), and NaCl (60.8%). The improvement in anti-fouling properties of resultant TFN membranes can be observed from the increments of pure water flux recovery and normalized water flux by 14% and 25% respectively. The findings indicated that Cu-Al LDH is a promising material in tailoring membrane surface properties and fouling resistance. The modification of the LDH-filled TFN membrane shows another alternative to fabricating a high-performance composite membrane, especially for water softening and partial desalination process.
Fulltext Frequency, geographical distribution and outcomes of pit viper bites in Malaysia consulted to Remote Envenomation Consultancy Services (RECS) from 2017 to 2020

Qamruddin RM, Safferi RS, Mohamed Ismail Z, Salleh MS, Abd Hamid MNH, Frederic Ng VER, et al.

PLoS Negl Trop Dis, 2023 Aug;17(8):e0011569.
PMID: 37585486 DOI: 10.1371/journal.pntd.0011569

Not all pit viper species are present in every state of Malaysia and their distribution varies according to altitude. There is limited information on pit viper bite incidence and its geographical distribution. This was a cross-sectional study of confirmed pit viper bite cases referred to Remote Envenomation Consultancy Services (RECS) from January 2017 to December 2020. Data was collected following the approval of institutional research ethics committee. Universal sampling methods were used. Confirmed pit viper bite cases in each state, geographical location and the antivenom used were reported. A total of 523 confirmed pit viper bite injuries occurred over the 4-year study period. The majority were Malaysians, male and young adults. Most were non-occupational related (83.9%) and involved the upper limbs (46.8%). The commonest pit viper species involved was Trimeresurus purpureomaculatus (23.7%). Green pit viper antivenom (GPAV) was the most frequent antivenom used (n = 51) with the majority of patients requiring only one dose (3 vials). This study provides a better appreciation of indigenous pit viper species distribution for each state and reflects the requirement of appropriate antivenom to be stocked in each state or district hospital.
Fulltext A Systematic Analysis of Additive Manufacturing Techniques in the Bioengineering of In Vitro Cardiovascular Models

Mohanadas HP, Nair V, Doctor AA, Faudzi AAM, Tucker N, Ismail AF, et al.

Ann Biomed Eng, 2023 Nov;51(11):2365-2383.
PMID: 37466879 DOI: 10.1007/s10439-023-03322-x

Additive Manufacturing is noted for ease of product customization and short production run cost-effectiveness. As our global population approaches 8 billion, additive manufacturing has a future in maintaining and improving average human life expectancy for the same reasons that it has advantaged general manufacturing. In recent years, additive manufacturing has been applied to tissue engineering, regenerative medicine, and drug delivery. Additive Manufacturing combined with tissue engineering and biocompatibility studies offers future opportunities for various complex cardiovascular implants and surgeries. This paper is a comprehensive overview of current technological advancements in additive manufacturing with potential for cardiovascular application. The current limitations and prospects of the technology for cardiovascular applications are explored and evaluated.
Fulltext Permeability and Antifouling Augmentation of a Hybrid PVDF-PEG Membrane Using Nano-Magnesium Oxide as a Powerful Mediator for POME Decolorization

Abdulsalam M, Che Man H, Goh PS, Yunos KF, Zainal Abidin Z, Isma M I A, et al.

Polymers (Basel), 2020 Mar 03;12(3).
PMID: 32138186 DOI: 10.3390/polym12030549

This study focused on developing a hydrophilic hybrid polyvinylidene fluoride (PVDF)-polyethylene glycol (PEG) hollow membrane by incorporating Nano-magnesium oxide (NMO) as a potent antifouling mediator. The Nano-hybrid hollow fibers with varied loading of NMO (0 g; 0.25 g; 0.50 g; 0.75 g and 1.25 g) were spun through phase inversion technique. The resultants Nano-hybrid fibers were characterized and compared based on SEM, EDX, contact angle, surface zeta-potential, permeability flux, fouling resistance and color rejection from palm oil mill effluent (POME). Noticeably, the permeability flux, fouling resistance and color rejection improved with the increase in NMO loading. PVDF-PEG with 0.50 g-NMO loading displayed an outstanding performance with 198.35 L/m2·h, 61.33 L/m2·h and 74.65% of water flux, POME flux and color rejection from POME, respectively. More so, a remarkable fouling resistance were obtained such that the flux recovery, reversible fouling percentage and irreversible fouling percentage remains relatively steady at 90.98%, 61.39% and 7.68%, respectively, even after 3 cycles of continuous filtrations for a total period of 9 h. However, at excess loading of 0.75 and 1.25 g-NMO, deterioration in the flux and fouling resistance was observed. This was due to the agglomeration of nanoparticles within the matrix structure at the excessive loading.
Fulltext Prevalence and predictors of road crash involvement among medical doctors in Malaysia: a cross-sectional study protocol

Rashid AA, Devaraj NK, Mohd Yusof H, Mustapha F, Wong SV, Ismail AF, et al.

BMJ Open, 2020 Jul 02;10(7):e037653.
PMID: 32616493 DOI: 10.1136/bmjopen-2020-037653

INTRODUCTION: Medical doctors are often subjected to long working hours with minimal rest in between the shifts. This has led to many fatal and non-fatal road crash involvement (RCI). This study aims to determine the prevalence and predictors of RCI among medical doctors in Malaysia.
METHODS AND ANALYSIS: This is a cross-sectional study among 375 Malaysian medical doctors who met the inclusion criteria. A predetermined self-administered questionnaires will be used to collect information regarding the sociodemographic, health status, workplace information, work commuting information, driving behaviour, history of RCI, fatigue, sleep quality, mental health status and work engagement. The questionnaires consist of the following instruments: (1) sociodemographic, health status, workplace information, work commuting information, driving behaviour and history of RCI; (2) Checklist of Individual Strength Questionnaire; (3) Pittsburgh Sleep Quality Index; (4) 21-item Depression Anxiety and Stress Scale; and (5) Utrecht's Work Engagement Scale. The data will be analysed using SPSS program V.24. Descriptive and inferential statistics will be used to determine the prevalence and predictors of RCI.
ETHICS AND DISSEMINATION: This study protocol has received ethics approval from the Medical Research and Ethics Committee (MREC), Ministry of Health Malaysia (NMRR-18-3983-40609) and the Ethics Committee for Research Involving Human Subject, University Putra Malaysia (JKEUPM). Online written informed consent will be obtained from each study participant by the researchers. Results of the study will be disseminated through relevant journals and conferences.
TRIAL REGISTRATION NUMBER: NCT04243291.
Fulltext Development of a P84/ZCC Composite Carbon Membrane for Gas Separation of H2/CO2 and H2/CH4

Widiastuti N, Widyanto AR, Caralin IS, Gunawan T, Wijiyanti R, Wan Salleh WN, et al.

ACS Omega, 2021 Jun 22;6(24):15637-15650.
PMID: 34179608 DOI: 10.1021/acsomega.1c00512

Hydrogen (H2) has become one of the promising alternative clean energy resources. Membrane technology is a potential method for hydrogen separation or production. This study aims to develop a new carbon membrane for hydrogen separation or production. Moreover, the permeation behavior of H2, CO2, and CH4 through a hollow fiber composite carbon membrane derived from P84 co-polyimide and with incorporation of zeolite composite carbon (ZCC) was also examined. ZCC was synthesized via the impregnation method of sucrose into zeolite-Y pores, followed by carbonization at 800 °C. Thus, this filler has a high surface area, high microporosity, ordered pore structure, and low hydrophilicity. The presence of zeolites in ZCC is predicted to increase certain gases' affinity for the membrane. Various heating rates (1-5 °C/min) were applied during pyrolysis to understand the effect of the heating rate on the pore structure and H2/CO2 and H2/CH4 gas separation performance. Moreover, gas permeation was evaluated at various temperatures (298-373 K) to study the thermodynamic aspect of the process. A characteristic graphite peak was detected at 2θ ∼ 44° in all carbon samples. Scanning electron microscopy (SEM) observations revealed the void-free surface and the asymmetric structure of the carbon membranes. During the permeation test, it was found that gas permeation through the membrane was significantly affected by the temperature of the separation process. The highest permeability of H2, CO2, and CH4 was detected on the composite carbon membrane at a 3 °C/min heating rate with a permeation temperature of 373 K. The thermodynamic study shows that CO2 and H2 have lower activation energies compared to CH4. The transport mechanism of the membrane involved adsorption and activated surface diffusion. The permeation temperature has a large impact on the transport of small penetrants in the carbon matrix.

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