Introduction: Large wounds in the leg require combination of local flaps or free flap for wound coverage. Gastrocnemius musculocutaneous flap (GMCF) allows a large wound to be covered by a single local flap. However, the conventional GMCF is often associated with donor site morbidity where the exposed soleus raphe causes poor uptake of the skin graft. Islanding the skin on the muscles allows the donor site to be closed primarily, thus avoiding the donor site morbidity. Materials and Methods: Medical records of twelve patients who underwent islanded GMCF surgery from 2004 till 2018 were reviewed retrospectively. Results: The mean age was 31 years old. Eight cases were with open fracture of the tibia, two degloving injury exposing the patella, one open fracture of patella and necrotising soft tissue infection. The wound size ranged from 12cm2 to 120cm2. All flaps survived. Three patients required skin grafting at the donor site while in the rest the donor sites were able to be closed primarily. Four patients developed deep infection, one healed after vacuum dressing, one after bone transport and one after split thickness skin graft. One patient ended up with below knee amputation after developing chronic osteomyelitis of the tibia. Conclusion: Islanded gastrocnemius musculocutaneous flap is an effective simple alternative for coverage of large soft tissue defects from the knee to half of the leg distally with minimal donor site morbidity. Aggressive debridement of unhealthy tissue is necessary to prevent infection following wound coverage with this flap.
Exploring new renewable energy sources as a substitute of petroleum reserves is necessary due to fulfilling the oncoming energy needs for industry and transportation systems. In this quest, a lot of research is going on to expose different kinds of new biodiesel sources. The non-edible oil from candlenut possesses the potential as a feedstock for biodiesel production. The present study aims to produce biodiesel from crude candlenut oil by using two-step transesterification process, and 10%, 20%, and 30% of biodiesel were mixed with diesel fuel as test blends for engine testing. Fourier transform infrared (FTIR) and gas chromatography (GC) were performed and analyzed to characterize the biodiesel. Also, the fuel properties of biodiesel and its blends were measured and compared with the specified standards. The thermal stability of the fuel blends was measured by thermogravimetric analysis (TGA) and differential scan calorimetry (DSC) analysis. Engine characteristics were measured in a Yanmar TF120M single cylinder direct injection (DI) diesel engine. Biodiesel produced from candlenut oil contained 15% free fatty acid (FFA), and two-step esterification and transesterification were used. FTIR and GC remarked the biodiesels' existing functional groups and fatty acid methyl ester (FAME) composition. The thermal analysis of the biodiesel blends certified about the blends' stability regarding thermal degradation, melting and crystallization temperature, oxidative temperature, and storage stability. The brake power (BP), brake specific fuel consumption (BSFC), and brake thermal efficiency (BTE) of the biodiesel blends decreased slightly with an increasing pattern of nitric oxide (NO) emission. However, the hydrocarbon (HC) and carbon monoxides (CO) of biodiesel blends were found decreased.
The availability of natural energy resources and the environmental issues are the most significant issues that are often highlighted by the world communities. With regard to these problems, isobutanol is a higher chain alcohol with four carbons which can be derived from biomass resources and it is potential to become an alternative fuel source besides the biodiesel for a diesel engine. The aim of this study is to evaluate the effect of isobutanol with Calophyllum inophyllum methyl ester and diesel as the ternary blend on physicochemical properties, engine performance, and emission characteristics. Five different fuel blends containing Calophyllum inophyllum biodiesel and isobutanol were tested on a single-cylinder direct injection diesel engine at different engine load of brake mean effective pressure. The physicochemical properties of the fuel blends were measured and then compared with neat diesel. The results indicate that the blend containing isobutanol and CIME gives a slight increase in BSEC and EGT and a minimal drop in BTE as compared to that of neat diesel. Besides that, the tested blends show a reduction of carbon monoxide and unburned hydrocarbon emissions. Meanwhile, all the fuel blends show a minimal increase in carbon dioxide and nitrogen oxides emissions, compared to that of neat diesel. Isobutanol can be proved as a preferred substitute for biodiesel and diesel fuels to achieve desired engine performance and emissions level.
Methanolic extract of Cynometra cauliflora whole fruit was assayed for cytotoxicity against the human promyelocytic leukemia HL-60 and the normal mouse fibroblast NIH/3T3 cell lines by using the MTT assay. The CD(50) of the extract for 72 hours was 0.9 μg/mL whereas the value for the cytotoxic drug vincristine was 0.2 μg/mL. The viability of the NIH/3T3 cells was at 80.0% when treated at 15.0 μg/mL. The extract inhibited HL-60 cell proliferation with dose dependence. AO/PI staining of HL-60 cells treated with the extract revealed that majority of cells were in the apoptotic cell death mode. Flow cytometry analysis of HL-60 cells treated at CD(50) of the extract showed that the early apoptotic cells were 31.0, 26.3 and 19.9% at 24, 48, and 72 hours treatment, respectively. The percentage of late apoptotic cells was increased from 62.0 at 24 hours to 64.1 and 70.2 at 48 and 72 hours, respectively. Meanwhile, percent of necrotic cells were 4.9, 6.6, and 8.5 at 24, 48, and 72 hours, respectively. This study has shown that the methanolic extract of C. cauliflora whole fruit was cytotoxic towards HL-60 cells and induced the cells into apoptotic cell death mode, but less cytotoxic towards NIH/3T3 cells.