We conducted a prospective study in order to audit our experience of repairing cranial defects using Methyl methacrylate. This included a total of 49 patients undergoing cranioplasty using methyl methacrylate, of which 45 were males and 4 females. The age of patients at the time of surgery ranged from 16 to 40 years old, with an average of 24 years. Malays were the majority (67%), followed by Chinese (23%) and Indian (10%). Cranial defects were mainly caused by motor vehicle accident (94%), while gunshot wounds, industrial accidents and tumours, each contribute 2%. Bone flaps were commonly removed during previous surgery related to traumatic subdural haemorrhage (33%), contusion (21%) and intracerebral haemorrhage (14%). The size of cranial defects ranged from 28 cm2 to 440 cm2, with an average of 201 cm2. Most had right sided (55%) and lateral defects [temporoparietal (52%) followed by temporal (16%), frontal (16%), frontotemporal (14%) and occipital (2%)]. Duration of surgery ranged from 70 to 275 minutes, with an average of 135 minutes. Nine of 12 patients (75%) with neurological disability had some improvement while 85% of symptomatic patients had symptoms improvement after cranioplasty. The infection rate in this series was 4%.
The present work aimed at obtaining the optimum combination of stabilisers used in an
instant ice cream formulation. Instant ice cream mixes were formulated using milk protein,
fat, sucrose, stabilisers, emulsifiers and water. A basic formulation for ice cream mix was
prepared according to the process flow of instant ice cream. Three different stabilisers
mixtures, which were carboxymethyl cellulose (CMC), carrageenan, and sodium alginate
used in 14 formulations were studied using mixture design methodology. Physical analyses on
meltdown rate, hardness, melted ice cream viscosity, and overrun were performed. The results
were compared with those of commercial instant ice cream to determine the acceptability and
quality of the final products. From the optimisation study, the recommended combination of
stabilisers was found to be 0.151% CMC and 0.149% sodium alginate. The optimised sample
had a higher viscosity of 0.17 Pa.s than the commercial one (0.16 Pa.s), which corresponded to
higher hardness thus indicating slower melting rate, which is a good texture for ice cream. The
overrun of the optimised sample was 108.33%, which is considered high. The high amount of
air, viscosity, and hardness resulted in a low melting rate of 0.22 g/min, which is desirable for
ice cream consumption. Based on sensory evaluation, the optimised instant ice cream was the
most preferred by panellists as compared to commercial sample.
This article contains water quality data collected in a shallow and narrow Setiu Lagoon during the southwest monsoon, wet period of northeast monsoon and dry period of northeast monsoon. The surface water quality parameters, which include the temperature, salinity, chlorophyll-a and nutrients (ammonia, nitrate, phosphate, and silicate) were sampled twice per day (high and low tides) at a total of eight stations. Hourly current speed and direction was obtained from mooring of two units of current meters. Compared to the Malaysia Marine Water Quality Criteria and Standard (MWQCS), nutrients in Setiu Lagoon were in Class 2. Although limited, this dataset can provide insights on the changes of water quality condition in Setiu Lagoon under the presence of anthropogenic pressures.
Copper (Cu, 1-5 wt%) was loaded onto carbon nanotubes (CNTs) by a simple electrochemical method. The physicochemical properties of catalysts (Cu/CNTs) were characterized by using X-ray diffraction (XRD), transmission electron microscopy (TEM), nitrogen (N2) adsorption-desorption, Fourier transform infra-red spectroscopy (FTIR), X-ray photoelectron spectroscopy (XPS), and electron spinning resonance (ESR). The results showed that the Cu was distributed well on the CNT surface by the interaction of Cu(2+) ions with -OH and -COOH groups on the CNT surface, which preferentially occurred at the defect sites along the CNT backbone. The Cu-O-C bonds formed were found to play an important role in enhancing the photoactivity of the catalysts. The highest number of Cu-O-C bonds possessed by 3 wt% Cu/CNTs demonstrated the best performance in the degradation of p-chloroaniline (96%) under UV light irradiation within 5 h of reaction at 27 °C and under neutral pH conditions. Kinetic studies showed that the degradation followed the pseudo-first order model and the surface reaction was the controlling step. It is believed that these results could contribute to the synthesis of various supported catalysts for various applications.
Orthopaedic societies, with their diverse membership from across the world, serve a mission to endorse the progress and innovation in the field of orthopaedics and traumatology with a focus on improving patient care, as well as to encourage and develop education, teaching and research. Such organizations, whether small or large, have been successful in meeting the professional, educational and training needs of its members. The past and future presidents of these societies share insights addressing their professional experiences, lessons learnt and their vision for future leaders of the field. The objective of this article is to summarize the thoughts of presidents of orthopaedic societies from around the globe and to inspire younger and aspiring members of the global orthopaedic fraternity.
Mesoporous silica nanoparticles (MSNs) were synthesized with variable microwave power in the range of 100-450 W, and the resulting enhancement of MSN crystal growth was evaluated for the adsorption and release of ibuprofen. X-ray diffraction (XRD) revealed that the MSN prepared under the highest microwave power (MSN450) produced the most crystallized and prominent mesoporous structure. Enhancement of the crystal growth improved the hexagonal order and range of silica, which led to greater surface area, pore width and pore volume. MSN450 exhibited higher ibuprofen adsorption (98.3 mg/g), followed by MSN300(81.3 mg/g) and MSN100(74.1 mg/g), confirming that more crystallized MSN demonstrated higher adsorptivity toward ibuprofen. Significantly, MSN450 also contained more hydroxyl groups that provided more adsorption sites. In addition, MSN450 exhibited comparable ibuprofen adsorption with conventionally synthesized MSN, indicating the potential of microwave treatment in the synthesis of related porous materials. In vitro drug release was also investigated with simulated biological fluids and the kinetics was studied under different pH conditions. MSN450 showed the slowest release rate of ibuprofen, followed by MSN300 and MSN100. This was due to the wide pore diameter and longer range of silica order of the MSN450. Ibuprofen release from MSN450 at pH 5 and 7 was found to obey a zero-order kinetic model, while release at pH 2 followed the Kosmeyer-Peppas model.
A cross-sectional study was conducted to investigate the effects of acute and chronic pesticide exposure on the plasma beta-glucuronidase enzyme activity among five patients of acute pesticide poisoning in Tengku Ampuan Rahimah Hospital, Klang, 230 farmers in the MADA area, Kedah and 49 fishermen in Setiu, Terengganu. The duration of pesticide exposure among the patients was unknown, but the plasma samples from patients were collected on day one in the hospital. The duration of pesticide exposure among the farmers was between 1 and 45 years. The beta-glucuronidase activity was compared with plasma cholinesterase activity in the same individual. The plasma cholinesterase activity was measured using Cholinesterase (PTC) Reagent set kit (Teco Diagnostics, UK) based on colorimetric method, while the plasma beta-glucuronidase activity was measured fluorometrically based on beta-glucuronidase assay. The plasma cholinesterase activity was significantly reduced (p<0.05) among the patients (1386.786+/-791.291 U/L/min) but the inhibition in plasma cholinesterase activity among the farmers (7346.5+/-1860.786 U/L/min) was not significant (p>0.05). The plasma beta-glucuronidase activity among the farmers was significantly elevated (p<0.05) (0.737+/-0.425 microM/h) but not significant among the patients (p>0.05). The plasma cholinesterase activity was positively correlated with the plasma beta-glucuronidase activity among the farmers (r=0.205, p<0.01) but not among the patients (r=0.79, p>0.05). Thus, plasma beta-glucuronidase enzyme activity can be measured as a biomarker for the chronic exposure of pesticide. However, further studies need to be performed to confirm whether plasma beta-glucuronidase can be a sensitive biomarker for anticholinesterase pesticide poisoning.