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Fulltext Acute Paraplegia in a Toddler: A Diagnostic Journey Compounding the Challenge in Management: A Case Report

Goh JH, Fazir M, Zainal-Abidin NA, Amir D, Singh M

Malays Orthop J, 2016 Jul;10(2):56-60.
PMID: 28435564 MyJurnal DOI: 10.5704/MOJ.1607.012

Spinal tuberculosis is not common in the paediatric age group. Initial clinical features are often vague and non specific until the disease progresses to later stages. We highlight the diagnostic difficulties and management challenges of a complicated extradural tuberculoma with neurological deficits in a very young girl.
Does Leveling the Upper Thoracic Spine Have Any Impact on Postoperative Clinical Shoulder Balance in Lenke 1 and 2 Patients?

Amir D, Yaszay B, Bartley CE, Bastrom TP, Newton PO

Spine (Phila Pa 1976), 2016 Jul 15;41(14):1122-1127.
PMID: 26863257 DOI: 10.1097/BRS.0000000000001497

STUDY DESIGN: Retrospective review of prospective data.
OBJECTIVE: To determine if surgically leveling the upper thoracic spine in patients with adolescent idiopathic scoliosis results in level shoulders postoperatively.
SUMMARY OF BACKGROUND DATA: Research has shown that preoperatively tilted proximal ribs and T1 tilt are more correlated with trapezial prominence than with clavicle angle.
METHODS: Prospectively collected Lenke 1 and 2 cases from a single center were reviewed. Clinical shoulder imbalance was measured from 2-year postoperative clinical photos. Lateral shoulder imbalance was assessed utilizing clavicle angle. Medial imbalance was assessed with trapezial angle (TA), and trapezial area ratio (TAR). First rib angle, T1 tilt, and upper thoracic curve were measured from 2-year radiographs. Angular measurements were considered level if ≤ 3° of zero. TAR was considered level if ≤ 1 standard deviation of the natural log of the ratio. Upper thoracic Cobb at 2-years was categorized as at or below the mean value (≤ 14°) versus above the mean.
RESULTS: Eighty-four patients were identified. There was no significant difference in the percentage of patients with a level clavicle angle or TAR based on first rib being level, T1 tilt being level, or upper thoracic Cobb being at/below versus above the mean (P
Investigating the synthesis parameters of durian skin-based activated carbon and the effects of silver nanocatalysts on its recyclability in methylene blue removal

Amir D, Nasaruddin RR, Yousefi M, Mastuli MS, Sulaiman S, Alam MZ, et al.

Discov Nano, 2024 Feb 22;19(1):32.
PMID: 38386194 DOI: 10.1186/s11671-024-03974-1

Activated carbon (AC) is the most common and economically viable adsorbent for eliminating toxic organic pollutants, particularly dyes, from wastewater. Its widespread adoption is due to the simplicity and affordable production of AC, wherein low-cost agricultural wastes, such as durian skin can be used. Converting durian skin into AC presents a promising solution for its solid waste management. However, inherent drawbacks such as its non-selectivity, relatively short lifespan and laborious replacement and recovery processes diminish the overall efficacy of AC as an adsorbent. To address these challenges, the immobilisation of metal nanocatalysts such as silver nanoparticles (AgNPs) is one of the emerging solutions. AgNPs can facilitate the regeneration of the adsorption sites of AC by catalysing the conversion of the adsorbed dyes into harmless and simpler molecules. Nevertheless, the immobilisation of AgNPs on AC surface can be challenging as the pore size formation of AC is hard to control and the nanomaterials can easily leach out from the AC surface. Hence, in this study, we synthesised AC from durian skin (DS) and immobilised AgNPs on the AC-DS surface. Then, we used methylene blue (MB) removal for studying the adsorption capability and recyclability of the AC-DS. In the synthesis of AC-DS, the influences of reaction temperature, activating agent, and acid-washing to its capability in adsorptive removal of MB in solution were first determined. It was found that 400 °C, KOH activating agent, and the presence of acid-washing (50% of HNO3) resulted in AC-DS with the highest percentage of MB removal (91.49 ± 2.86%). Then, the overall results from three recyclability experiments demonstrate that AC-DS with immobilised AgNPs exhibited higher MB removal after several cycles (up to 6 cycles) as compared to AC-DS alone, proving the benefit of AgNPs for the recyclability of AC-DS. We also found that AgNPs/Citrate@AC-DS exhibited better adsorption capability and recyclability as compared to AgNPs/PVP@AC-DS indicating significant influences of type of stabilisers in this study. This study also demonstrates that the presence of more oxygen-containing functional groups (i.e., carboxyl and hydroxyl functional groups) after acid-washing on AC-DS and in citrate molecules, has greater influence to the performance of AC-DS and AgNPs/Citrate@AC-DS in the removal of MB as compared to the influences of their BET surface area and pore structure. The findings in this study have the potential to promote and serve as a guideline for harnessing the advantages of nanomaterials, such as AgNPs, to enhance the properties of AC for environmental applications.
Fulltext Nutritional, Antioxidant, Antimicrobial, and Anticholinesterase Properties of Phyllanthus emblica: A Study Supported by Spectroscopic and Computational Investigations

Orabi MAA, Hasan AH, AbouZid SF, El Amir D, Hetta MH, Awadh AAA, et al.

Metabolites, 2023 Sep 14;13(9).
PMID: 37755293 DOI: 10.3390/metabo13091013

Dietary fruits and vegetables play a vital role as food and drugs and are the main sources of antioxidant defences against degenerative diseases, such as brain dysfunctions, cardiovascular diseases, immune system deteriorations, and cancers, brought on by oxidative damage. Phyllanthus emblica is a significant herbal remedy used in conventional medicine to recover lost strength and power. In this research, the potential value of Phyllanthus emblica as a food and drug is researched. The total phenolic, total flavonoid, and total tannin contents as well as the nutritional value, vitamin C, vitamin E, and mineral contents of different organs of P. emblica were evaluated. The antioxidant and antimicrobial activities of extracts and fractions of different organs of P. emblica were determined. A total of eleven flavonoids, simple phenolic, tannin-related phenolic, and tannin molecules were isolated from a hydroalcoholic extract of the leaves and fruits. The structures were identified by spectroscopic data and comparison with the literature values as gallic acid (1), naringenin 7-O-(6″-O-galloyl)-β-D-glucopyranoside (2), 3,3'-di-O-methyl ellagic acid-4'-O-β-d-glucopyranoside (3), 1-O-galloyl glycerol (4), 1,6-di-O-galloyl-β-d-glucopyranoside (5), flavogallonic acid bislactone (6), corilagin (7), ethyl gallate (8), urolithin M5 (9), (E)-p-coumaroyl-1-O-β-d-glucopyranoside (10), and 1,2,4,6-tetra-O-galloyl-β-d-glucopyranoside (11). Among them, compounds 3 and 10 are first isolated from the plant. Molecular docking was performed to investigate the comparative interactions between positive controls (galantamine and donepezil) and selected compounds utilizing acetylcholinesterase (4EY7) as a target receptor. Results exhibited the potency of these compounds against the target receptor. In summary, P. emblica has a wealth of minerals, vitamins C and E, and polyphenolic phytochemicals that may work together to treat infectious disease, prevent and/or treat oxidative-damage-related illnesses including Alzheimer's disease.