Introduction: Anxiety and depression are both associated with increased morbidity in diabetic population, especially those afflicted with foot ulcer, whereas Erectile Dysfunction (“ED”) and Female Sexual Dysfunction (“FSD”) are amongst the common complication found in diabetes. This study aimed to determine the prevalence of anxiety and depression as primary outcome and sexual dysfunction (“SD”) as a secondary outcome in diabetic patients with and without foot ulcer (“DFU”).
Methods: A cross-sectional study was conducted in Hospital Raja Permaisuri Bainun Ipoh, Perak, where 164 diabetic patients were recruited for the purpose of this study. Hospital Anxiety and Depression Scale (“HADS”) were utilised to measure anxiety and depression. International Index for Erectile Function 5 (“IIEF-5”) and the Malay version of Female Sexual Function Index (“MVFSFI”) were used to detect SD. Simple and multiple logistic regressions were referred to in order to evaluate the factors associated with anxiety, depression and SD.
Results: In the group with foot ulcer, 36.8% had depressive and anxiety risk respectively compared to without the foot ulcer, 37.5% and 38.5% respectively. Male gender (AOR=6.3,p=0.002,95%CI 1.975, 20.205) and having lower education status (AOR=6.0,p=0.018,95%CI1.36,26.59,) was associated with foot ulcer. High prevalence of SD found in foot ulcer group (52.6%,p=0.006). Those with depression (OR=4.421,95% CI 1.08,18.16,p=0.039) and male gender (OR=18.42,p<0.01,95%CI5.5,-61.62) predicts present of SD.
Conclusion: Depression and anxiety prevalent were similar for both with and without diabetic foot ulcer. Several significant predictor factors were identified for DFU group, for anxiety and depression risk and for SD in a diabetes patient. Further studies are required to establish the directional nature of this relationship.
Keywords: Depression, Anxiety, Diabetic food ulcer (DFU), Erectile Dysfunction (ED), Female Sexual Dysfunction (FSD)
Study site: outpatient clinic of medical and orthopedic departments in Hospital Raja Permaisuri Bainun (HRPB) Ipoh, Perak, Malaysia
The ever-increasing demand for the finite source of oil has led oil production companies to produce and transport the produced crude oil as efficiently and economically as possible. One of the major concerns especially in waters like the South China Sea is the deposition of wax on the walls of the pipeline or wellbore, constricting and hindering the hydrocarbon flow. This is due to the low seabed temperatures, which can be below the wax appearance temperature (WAT), leading to the deposition of wax out of waxy crude oil through the molecular dispersion mechanism. Currently, many prevention and remedy methods are in place to overcome the problem, but most of the additives possess environmental threat, as most of the chemical solutions used are toxic, nonorganic, and costly. Hence, this paper aims to provide some insights into the effect of palm oil derivatives such as crude palm oil (CPO) and crude palm kernel oil (CPKO) on wax inhibition. The effect of aging time (i.e., immersion time) was also evaluated. A comparison was made between paraffin inhibition efficiency results (PIE %) obtained by CPO, CPKO, poly(ethylene-co-vinyl acetate) (EVA), and triethanolamine (TEA). It was observed that the average efficiency of 81.67% was obtained when 1% CPO was added to heavy crude oil. The wax inhibition performance reached a plateau after 1.5 h of aging time for all of the investigated samples.
Transportation of crude oil and refined petroleum is the main function of pipeline system in petroleum industry. Unfortunately, wax precipitation has become a serious problem for the petroleum industry where it causes pipeline blockage and eventually results in operational catastrophe. Up-to-date, the technique used to mitigate wax deposition by injecting chemical wax inhibiting agent remains a debate amongst researchers. This review addresses the evolution of chemical wax inhibitor generations started from polymer-based in the early 1980s, followed by biosurfactant-based in the late 1990s and finally plant-based or agricultural-based in recent years. Pivoting to environmental impact, petroleum industry is amidst finding a green wax inhibiting agent to solve wax deposition problem that occurs during the transportation of crude oil whilst facilitating the remediation process of contaminated groundwater.
In this study, glycerol as an abundant green feedstock was used as a hydrogen source to investigate the reaction of water-glycerol solution decomposition by microwave-assisted catalytic to produce hydrogen over NiO/zeolite catalyst. The catalyst was prepared by inception wetness and then characterized through X-ray diffraction (XRD), scanning electron microscopy (SEM), Energy diffraction X-ray (EDX), and transmission electron microscope (TEM) measurements. The conversion process of glycerol into hydrogen was performed in a fixed-bed microwave-assisted reactor. Effect of microwave power, NiO content, and feed flow rate (FFR) on glycerol conversion and hydrogen selectivity were studied. The results of XRD and EDX measurement showed that NiO crystalline exists on the catalyst sample. The particle size of NiO/zeolite was determined in the range of 30-300 nm, and the particle was found well dispersed on the zeolite surface as confirmed by TEM. Furthermore, the maximum conversion rate can achieve about 96.67 %, while the highest hydrogen production was found up to 73.5 % with the condition of 20% of NiO as an active site on natural zeolite. It was found that the NiO content of 20% gave the best glycerol conversion at the microwave power of 600 W and FFR 0.5 ml/min. Microwave-assisted catalytic irradiation of glycerol appears to be a promising candidate for the production of H2 from an aqueous glycerol solution.
The accumulation of plastic waste has urged researchers to develop methods of waste conversion into valuable products, which is fuel. This study aimed to synthesize Ni embedded onto Aceh natural zeolite (Ni/Aceh-zeolite) as a cheap catalyst which could be used in the reforming process to improve the quality of oil produced from polypropylene (PP) pyrolysis. Ni/Aceh-zeolite was synthesized from Ni(NO3)2·6H2O and acid-activated natural zeolite through impregnation and calcination. The catalyst was found to have particle sizes ranging from 100 to 200 nm of 20 wt% Ni content. The reforming process using Ni/Aceh natural zeolite with Ni loading of 15 wt% yielded the highest amounts of liquid product (yield = 65%) and gasoline fractions (C5-C12, 96.71%). However, the highest high heating value of 45.467 MJ/kg was found in the liquid product obtained with 20% Ni/Aceh-zeolite. In conclusion, Ni/Aceh-zeolite could be used in the reforming process of PP pyrolysis-derived oil, which could reach a quality similar to that of commercial gasoline.
Lignin is a natural biopolymer with a complex three-dimensional network and it is rich in phenol, making it a good candidate for the production of bio-based polyphenol material. This study attempts to characterize the properties of green phenol-formaldehyde (PF) resins produced through phenol substitution by the phenolated lignin (PL) and bio-oil (BO), extracted from oil palm empty fruit bunch black liquor. Mixtures of PF with varied substitution rates of PL and BO were prepared by heating a mixture of phenol-phenol substitute with 30 wt.% NaOH and 80% formaldehyde solution at 94 °C for 15 min. After that, the temperature was reduced to 80 °C before the remaining 20% formaldehyde solution was added. The reaction was carried out by heating the mixture to 94 °C once more, holding it for 25 min, and then rapidly lowering the temperature to 60 °C, to produce the PL-PF or BO-PF resins. The modified resins were then tested for pH, viscosity, solid content, FTIR, and TGA. Results revealed that the substitution of 5% PL into PF resins is enough to improve its physical properties. The PL-PF resin production process was also deemed environmentally beneficial, as it met 7 of the 8 Green Chemistry Principle evaluation criteria.