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  1. Chia WY
    J Pediatr Urol, 2007 Dec;3(6):457-60.
    PMID: 18947794 DOI: 10.1016/j.jpurol.2007.04.010
    To describe a tissue-preserving feminizing clitoroplasty that potentially allows for future total reversal to male and report on its initial result.
  2. Wan Hazmy CH, Chia WY, Fong TS, Ganendra P
    Med J Malaysia, 2006 Feb;61 Suppl A:3-9.
    PMID: 17042220
    The post-operatve course of amputees is poorly documented. This cross-sectional survey was unertaken to determine functional outcomes of 213 patients who had undergone either a below-knee or above-knee amputation from 2000 to 2002 in a state-hospital setting. The study comprises a self-constructed questionnaire and interview conducted by phone. Of the 213 amputees, 41 out of 61 documented telephone numbers of the patients were useful for contact. Only 30 amputees were available for the study as the remaining 11 had passed away. Included in the questionnaire was the modified Barthel Index, a measurement to assess the amputees' ability to carry out activities of daily living (ADL). It contains ten questions pertaining to ADL with a total score of 20 points. Two-thirds of the respondents (67%) use their prosthesis for less than six hours per day. The Barthel Index of 30 patients ranged from 9-20 (mean 17.7). However, the mean Barthel Index in those with and without prosthesis was 18.4 and 15.2 respectively, but this difference was not significant. Half of the respondents were unable to maintain their pre-amputation jobs, while the remaining 50% were still able to work. Forty seven percent of amputees took less than a year to return to their activities, while 33% took between one to two years. Regarding the adequacy of preamputation information provided by the doctors, 73% amputees responded in the affirmative, while 27% felt otherwise. Amputees were still facing substantial disabilities following major amputation of the lower limb. Although 80% of respondents surveyed own prosthesis, the full use of prosthesis is suboptimal due to prosthetic-related problems. Most amputees had a good functional outcome based on the modified Barthel Index. Some amputees were unhappy as they felt that they were insufficiently informed regarding post-amputation expectation prior to the amputation. Despite good support from family, the community support for amputees is still lacking.
  3. Zulfiqar MA, Zaleha AM, Zulkifli I, Chia WY, Samad SA
    Med J Malaysia, 1998 Sep;53(3):284-7.
    PMID: 10968168
    Three children aged 3-11 years had ultrasonography of the urinary tract for the investigation of dysuria and haematuria. A bladder mass was seen in these 3 children. One child had computed tomography scan, cystoscopy and bladder biopsy because rhabdomyosarcoma was considered. The biopsy revealed an inflammatory process. The urine culture of the other 2 children revealed E. coli. On ultrasonography, the inflammatory mass may appear homogeneously hypoechoic or may contain moderate level echoes. The mucosal surface of the mass may be smooth or lobulated. It is important to consider an infective cause for a bladder mass in children because computed tomography, cystoscopy and biopsy may be avoided.
  4. Qian Y, Bian L, Wang K, Chia WY, Khoo KS, Zhang C, et al.
    Chemosphere, 2021 Mar;266:128948.
    PMID: 33220979 DOI: 10.1016/j.chemosphere.2020.128948
    In this study, to improve the mechanical and thermal properties of curdlan film, a curdlan/nanocellulose (NC) blended film was prepared and characterized for the first time. NC was successfully prepared from microcrystalline cellulose (MCC) with NaOH/urea treatment. The particle size of NC was observed to be 70-140 nm by cryo-electron microscope (cryo-EM). The blended film was prepared by adding the NC to curdlan solution. The tensile strength (TS) of the blended film reached the maximum value of 38.6 MPa, and the elongation at break (EB) was 40%. The DSC curve showed that the heat absorption peak of the film was 240 °C, indicating that the blended film has good temperature stability. Additionally, some other film properties were also improved, including gas barrier properties and transparency. Obvious morphological and molecular differences between the blended film and the pure curdlan film were discovered by SEM and FTIR analysis. Finally, the blended film was used for the preservation of chilled meat and extended the storage time of meat to 12 days. These results provided a theoretical basis for future application and development of biodegradable film.
  5. Chew KW, Chia SR, Chia WY, Cheah WY, Munawaroh HSH, Ong WJ
    Environ Pollut, 2021 Mar 01;278:116836.
    PMID: 33689952 DOI: 10.1016/j.envpol.2021.116836
    The remarkable journey of progression of mankind has created various impacts in the form of polluted environment, amassed heavy metals and depleting resources. This alarming situation demands sustainable energy resources and approaches to deal with these environmental hazards and power deficit. Pyrolysis and co-pyrolysis address both energy and environmental issues caused by civilization and industrialization. The processes use hazardous waste materials including waste tires, plastic and medical waste, and biomass waste such as livestock waste and agricultural waste as feedstock to produce gas, char and pyrolysis oil for energy production. Usage of hazardous materials as pyrolysis and co-pyrolysis feedstock reduces disposal of harmful substances into environment, reducing occurrence of soil and water pollution, and substituting the non-renewable feedstock, fossil fuels. As compared to combustion, pyrolysis and co-pyrolysis have less emission of air pollutants and act as alternative options to landfill disposal and incineration for hazardous materials and biomass waste. Hence, stabilizing heavy metals and solving the energy and waste management problems. This review discusses the pyrolysis and co-pyrolysis of biomass and harmful wastes to strive towards circular economy and eco-friendly, cleaner energy with minimum waste disposal, reducing negative impact on the planet and creating future possibilities.
  6. Foo WH, Chia WY, Tang DYY, Koay SSN, Lim SS, Chew KW
    J Hazard Mater, 2021 Sep 05;417:126129.
    PMID: 34229396 DOI: 10.1016/j.jhazmat.2021.126129
    Waste cooking oil (WCO) is considered as one of the hazardous wastes because improper disposal of WCO can cause significant environmental problems such as blockages of drains and sewers as well as water or soil pollution. In this review, the physical and chemical properties of WCO are evaluated along with its regulations and policies in different countries to promote WCO refined biofuels. Blended WCO can be an auxiliary fuel for municipal solid waste incinerators while the heat produced is able to form superheated steam and subsequently generate electricity via combined heat and power system. Also, WCO contains high ratio of hydrogen atoms compared to carbon and oxygen atoms, making it able to be catalytically cracked, synthesizing hydrogen gas. WCO-based biodiesel has been traditionally produced by transesterification in order to substitute petroleum-based diesel which has non-degradability as well as non-renewable features. Hence, the potentials of hazardous WCO as a green alternative energy source for electricity generation, hydrogen gas as well as biofuels production (e.g. biodiesel, biogas, biojet fuel) are critically discussed due to its attractive psychochemical properties as well as its economic feasibility. Challenges of the WCO utilization as a source of energy are also reported while highlighting its future prospects.
  7. Khoo KS, Chia WY, Wang K, Chang CK, Leong HY, Maaris MNB, et al.
    Sci Total Environ, 2021 Nov 01;793:148705.
    PMID: 34328982 DOI: 10.1016/j.scitotenv.2021.148705
    Fuel cells (FCs) are a chemical fuel device which can directly convert chemical energy into electrical energy, also known as electrochemical generator. Proton exchange membrane fuel cells (PEMFCs) are one of the most appealing FC systems that have been broadly developed in recent years. Due to the poor conductivity of electrolyte membrane used in traditional PEMFC, its operation at higher temperature is greatly limited. The incorporation of ionic liquids (ILs) which is widely regarded as a greener alternative compared to traditional solvents in the proton exchange membrane electrolyte shows great potential in high temperature PEMFCs (HT-PEMFCs). This review provides insights in the latest progress of utilizing ILs as an electrochemical electrolyte in PEMFCs. Besides, electrolyte membranes that are constructed by ILs combined with polybenzimidazole (PBI) have many benefits such as better thermal stability, improved mechanical properties, and higher proton conductivity. The current review aims to investigate the newest development and existing issues of ILs research in electrolyte and material selection, system fabrication method, synthesis of ILs, and experimental techniques. The evaluation of life cycle analysis, commercialization, and greenness of ILs are also discussed. Hence, this review provides insights to material scientists and develops interest of wider community, promoting the use of ILs to meet energy challenges.
  8. Pocha CKR, Chia SR, Chia WY, Koyande AK, Nomanbhay S, Chew KW
    Chemosphere, 2022 Mar;290:133246.
    PMID: 34906526 DOI: 10.1016/j.chemosphere.2021.133246
    The ever-growing human population has resulted in the expansion of agricultural activity; evident by the deforestation of rainfoamrests as a means of acquiring fertile land for crops. The crops and fruits produced by such means should be utilized completely; however, there are still losses and under-exploitation of these produces which has resulted in wastes being mounted in landfills. These underutilized agricultural wastes including vegetables and fruits can serve as a potential source for biofuels and green diesel. This paper discusses the main routes (e.g., biological and thermochemical) for producing biofuels such as bioethanol, biodiesel, biogas, bio-oil and green diesel from underutilized crops by emphasizing recent technological innovations for improving biofuels and green diesel yields. The future prospects of a successful production of biofuels and green diesel by this source are also explained. Underutilized lignocelluloses including fruits and vegetables serve as a prospective biofuel and green diesel generation source for the future prosperity of the biofuel industry.
  9. Neo YT, Chia WY, Lim SS, Ngan CL, Kurniawan TA, Chew KW
    Food Res Int, 2023 Mar;165:112480.
    PMID: 36869493 DOI: 10.1016/j.foodres.2023.112480
    Production and extraction systems of algal protein and handling process of functional food ingredients need to control several parameters such as temperature, pH, intensity, and turbidity. Many researchers have investigated the Internet of Things (IoT) approach for enhancing the yield of microalgae biomass and machine learning for identifying and classifying microalgae. However, there have been few specific studies on using IoT and artificial intelligence (AI) for production and extraction of algal protein as well as functional food ingredients processing. In order to improve the production of algal protein and functional food ingredients, the implementation of smart system is a must to have real-time monitoring, remote control system, quick response to sudden events, prediction and characterisation. Techniques of IoT and AI are expected to help functional food industries to have a big breakthrough in the future. Manufacturing and implementation of beneficial smart systems are important to provide convenience and to increase the efficiency of work by using the interconnectivity of IoT devices to have good capturing, processing, archiving, analyzing, and automation. This review investigates the possibilities of implementation of IoT and AI in production and extraction of algal protein and processing of functional food ingredients.
  10. Chia WY, Kok H, Chew KW, Low SS, Show PL
    Bioengineered, 2021 Dec;12(1):1226-1237.
    PMID: 33858291 DOI: 10.1080/21655979.2021.1910432
    The world at large is facing a new threat with the emergence of the Coronavirus Disease 2019 (COVID-19) pandemic. Though imperceptible by the naked eye, the medical, sociological and economical implications caused by this newly discovered virus have been and will continue to be a great impediment to our lives. This health threat has already caused over two million deaths worldwide in the span of a year and its mortality rate is projected to continue rising. In this review, the potential of algae in combating the spread of COVID-19 is investigated since algal compounds have been tested against viruses and algal anti-inflammatory compounds have the potential to treat the severe symptoms of COVID-19. The possible utilization of algae in producing value-added products such as serological test kits, vaccines, and supplements that would either mitigate or hinder the continued health risks caused by the virus is prominent. Many of the characteristics in algae can provide insights on the development of microalgae to fight against SARS-CoV-2 or other viruses and contribute in manufacturing various green and high-value products.
  11. Chia WY, Chew KW, Le CF, Lam SS, Chee CSC, Ooi MSL, et al.
    Environ Pollut, 2020 Dec;267:115662.
    PMID: 33254731 DOI: 10.1016/j.envpol.2020.115662
    Acceleration of urbanization and industrialization has resulted in the drastic rise of waste generation with majority of them being biowaste. This constitutes a global challenge since conventional waste management methods (i.e., landfills) present environmental issues including greenhouse gases emissions, leachate formation and toxins release. A sustainable and effective approach to treat biowaste is through composting. Various aspects of composting such as compost quality, composting systems and compost pelletization are summarized in this paper. Common application of compost as fertilizer or soil amendment is presented with focus on the low adoption level of organic waste compost in reality. Rarely known, compost which is easily combustible can be utilized to generate electricity. With the analysis on critical approaches, this review aims to provide a comprehensive study on energy content of compost pellets, which has never been reviewed before. Environmental impacts and future prospects are also highlighted to provide further insights on application of this technology to close the loop of circular bioeconomy.
  12. Azmi AAB, Chew KW, Chia WY, Mubashir M, Sankaran R, Lam MK, et al.
    Bioresour Technol, 2021 Aug;333:125197.
    PMID: 33930672 DOI: 10.1016/j.biortech.2021.125197
    The work aimed to study the potential in producing a system with high microalgal protein recovery and separation by utilizing a one-step or integrated downstream process. This in turn enables green biorefinery of protein, contributing to circular bioeconomy whereby less energy, labor, and cost are required for the process. By utilizing electric three phase partitioning flotation system, high protein recovery yield, R of 99.42 ± 0.52% and high separation efficiency, E of 52.72 ± 0.40% system was developed. Scaling up also showed high protein recovery yield with R value of 89.13 ± 1.56%. Total processing duration (extraction, separation, and purification) was also significantly reduced to 10 min. This system showed remarkable potential in reducing processing time, alternatively cost of production, benefiting microalgal downstream processing. Concisely, through this system, microalgal bioprocessing will no longer be complex allowing a wide array of potentials for further studies in this field.
  13. Zainuddin AA, Grover SR, Soon CH, Nur Azurah AG, Mahdy ZA, Wu LL, et al.
    Front Pediatr, 2019;7:144.
    PMID: 31058121 DOI: 10.3389/fped.2019.00144
    Background: Girls born with congenital adrenal hyperplasia have virilized external genitalia. There is considerable debate regarding both the outcomes of feminizing genitoplasty and timing of the surgery in this population. Objective: To investigate outcomes of females 46,XX individuals with CAH in Malaysia, the surgical outcomes of feminizing genitoplasty (FG) and their attitudes toward surgery. Study Design: This is a cross-sectional study involving the two main tertiary centers in Malaysia. All 46,XX patients with CAH and raised female, who had undergone FG were identified and invited to participate. Data on socio-demographic, medical profiles, and attitudes toward surgery were collected. A standardized evaluation of the external genitalia was undertaken including the anatomic and cosmetic evaluation by independent gynecologists. Results: Of 61 individuals identified, 59 participated-consisting of children (n = 12), adolescents (n = 29) and adults (n = 18). All but one had classical CAH (98.3%) and had undergone FG (n = 55, 93.2%) with surgery mostly undertaken by pediatric surgeons trained in DSD work (n = 44, 74.6%). Complications overall were low (20.3%), with repeat surgery rate of 9.1%. External genital examination was performed in 38 participants. Overall 36.8% had absent clitoral glands and 39.5% had a persistent urogenital sinus and in 10.5%, no vaginal orifices were seen. Poor cosmetic outcomes were present in 42.1% with 55.3% recommended for further assessment under general anesthetic. Almost half participants did not venture an opinion on FG, those who did varied from having a positive attitude toward it (18 participants) to 3 opining that it should not be done, or avoided or delayed. From the participants, 35.5% preferred FG to be done early in life compared to 44.0% of the parents. Conclusions: The reoperation rates of the feminizing genitoplasty surgeries were low however due to the anatomic and cosmetic outcomes, reassessment of the external genitalia of these CAH patients may be required once they consider becoming sexually active as they may require further treatment. Many factors such as cultural sensitivities and access to medical treatment and late diagnoses have an impact on attitudes toward FG.
  14. Devadas VV, Khoo KS, Chia WY, Chew KW, Munawaroh HSH, Lam MK, et al.
    Bioresour Technol, 2021 Apr;325:124702.
    PMID: 33487515 DOI: 10.1016/j.biortech.2021.124702
    The accumulation of conventional petroleum-based polymers has increased exponentially over the years. Therefore, algae-based biopolymer has gained interest among researchers as one of the alternative approaches in achieving a sustainable circular economy around the world. The benefits of microalgae biopolymer over other feedstock is its autotrophic complex to reduce the greenhouse gases emission, rapid growing ability with flexibility in diverse environments and its ability to compost that gives greenhouse gas credits. In contrast, this review provides a comprehensive understanding of algae-based biopolymer in the evaluation of microalgae strains, bioplastic characterization and bioplastic blending technologies. The future prospects and challenges on the algae circular bioeconomy which includes the challenges faced in circular economy, issues regard to the scale-up and operating cost of microalgae cultivation and the life cycle assessment on algal-based biopolymer were highlighted. The aim of this review is to provide insights of algae-based biopolymer towards a sustainable circular bioeconomy.
  15. Ahmed SF, Mofijur M, Nuzhat S, Chowdhury AT, Rafa N, Uddin MA, et al.
    J Hazard Mater, 2021 08 15;416:125912.
    PMID: 34492846 DOI: 10.1016/j.jhazmat.2021.125912
    Emerging contaminants (ECs) in wastewater have recently attracted the attention of researchers as they pose significant risks to human health and wildlife. This paper presents the state-of-art technologies used to remove ECs from wastewater through a comprehensive review. It also highlights the challenges faced by existing EC removal technologies in wastewater treatment plants and provides future research directions. Many treatment technologies like biological, chemical, and physical approaches have been advanced for removing various ECs. However, currently, no individual technology can effectively remove ECs, whereas hybrid systems have often been found to be more efficient. A hybrid technique of ozonation accompanied by activated carbon was found significantly effective in removing some ECs, particularly pharmaceuticals and pesticides. Despite the lack of extensive research, nanotechnology may be a promising approach as nanomaterial incorporated technologies have shown potential in removing different contaminants from wastewater. Nevertheless, most existing technologies are highly energy and resource-intensive as well as costly to maintain and operate. Besides, most proposed advanced treatment technologies are yet to be evaluated for large-scale practicality. Complemented with techno-economic feasibility studies of the treatment techniques, comprehensive research and development are therefore necessary to achieve a full and effective removal of ECs by wastewater treatment plants.
  16. Kumar V, Sharma N, Duhan L, Pasrija R, Thomas J, Umesh M, et al.
    Environ Toxicol Pharmacol, 2023 Mar;98:104045.
    PMID: 36572198 DOI: 10.1016/j.etap.2022.104045
    Microplastics are the small fragments of the plastic molecules which find their applications in various routine products such as beauty products. Later, it was realized that it has several toxic effects on marine and terrestrial organisms. This review is an approach in understanding the microplastics, their origin, dispersal in the aquatic system, their biodegradation and factors affecting biodegradation. In addition, the paper discusses the major engineering approaches applied in microbial biotechnology. Specifically, it reviews microbial genetic engineering, such as PET-ase engineering, MHET-ase engineering, and immobilization approaches. Moreover, the major challenges associated with the plastic removal are presented by evaluating the recent reports available.
  17. Mehmood S, Ilyas N, Akhtar N, Chia WY, Shati AA, Alfaifi MY, et al.
    Environ Res, 2023 Jan 15;217:114784.
    PMID: 36395868 DOI: 10.1016/j.envres.2022.114784
    Vast amounts of plastic waste are causing serious environmental issues and urge to develop of new remediation methods. The aim of the study is to determine the role of inorganic (nitric acid), organic (starch addition), and biological (Pseudomonas aeruginosa) soil amendments on the degradation of Polyethylene (PE) and phytotoxic assessment for the growth of lettuce plant. The PE-degrading bacteria were isolated from the plastic-contaminated soil. The strain was identified as Pseudomonas aeruginosa (OP007126) and showed the highest degradation percentage for PE. PE was pre-treated with nitric acid as well as starch and incubated in the soil, whereas P. aeruginosa was also inoculated in PE-contaminated soils. Different combinations were also tested. FTIR analysis and weight reduction showed that though nitric acid was efficient in degradation, the combined application of starch and bacteria also showed effective degradation of PE. Phytotoxicity was assessed using morphological, physiological, and biochemical parameters of plant. Untreated PE significantly affected plants' physiology, resulting in a 45% reduction in leaf chlorophyll and a 40% reduction in relative water content. It also had adverse effects on the biochemical parameters of lettuce. Bacterial inoculation and starch treatment mitigated the harmful impact of stress and improved plants' growth as well as physiological and biochemical parameters; however, the nitric treatment proved phytotoxic. The observed results revealed that bacteria and starch could be effectively used for the degradation of pre-treated PE.
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