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Experience in managing glaucoma filtration surgery complications with oral doxycycline: A case series

Yong GY, Mohamed-Noor J, Ong PY, Suliman NB, Lim CW, Zahari M

Eur J Ophthalmol, 2021 Feb 07.
PMID: 33550831 DOI: 10.1177/1120672121992953

PURPOSE: To report the clinical profile and effectiveness of oral doxycycline as a non-invasive treatment for glaucoma filtering surgery complications.
METHOD: Prospective case series.
RESULTS: Doxycycline is widely used in treating corneal melts, ocular surface diseases, meibomian gland disease, recurrent epithelial cell erosion, rosacea, and keratitis sicca. This prospective case series highlights the successful treatment of five patients with leaking blebs and conjunctiva erosion from glaucoma filtration surgery with the use of oral doxycycline. There was no adverse event reported in our cases.
CONCLUSIONS: This study suggests that oral doxycycline may be a feasible non-surgical treatment modality due to its ability to inhibit collagenolysis, restore the Meibomian gland function, thereby stopping breakdown and promote conjunctival tissue healing.
Dilution rate of compost leachate from different biowaste for the fertigation of vegetables

Ahamad Sanadi NFB, Ibrahim N, Ong PY, Klemeš JJ, Li C, Lee CT

J Environ Manage, 2021 Oct 01;295:113010.
PMID: 34348429 DOI: 10.1016/j.jenvman.2021.113010

Compost leachate (CL) is often treated as sewage. Limited studies have characterised the use of CL for agriculture application due to the variation of nutrient range, potential pollutants and need for pretreatment before use. This paper reviewed the characteristics of CL in terms of its nutrients and physical characteristics from three types of biowastes, i.e. the organic portion of municipal solid waste (OP-MSW), animal manure and green waste. The nutrient range characterised are used to develop the dilution rate of the CL as fertigation water for three types of vegetables. The dilution rate of CL developed is based on the fertigation standards set by the Food and Agriculture Organization of the United Nations and Malaysia Standards. The results show that all CL contain high organic content and micronutrients, which exceeded the upper limits. For the fertigation of vegetables using the CL, based on the requirement of COD and micronutrients (Fe, Mn, Zn, Cu, Pb, Ni, Cd, Cr) of the vegetables, the CL from green waste required the lowest dilution rate (8-45 fold), followed by animal waste (33-65 fold) and the OP-MSW (193-1770 fold). The novel dilution range developed is vital to balance the essential nutrients in the CL while avoiding phototoxicity on plant and soil pollution. The dilution strategy developed is essential to support the conversion of CL as an organic liquid fertiliser for agricultural application.
Effect of aquaculture salinity on nitrification and microbial community in moving bed bioreactors with immobilized microbial granules

Gao Y, Wang X, Li J, Lee CT, Ong PY, Zhang Z, et al.

Bioresour Technol, 2020 Feb;297:122427.
PMID: 31784249 DOI: 10.1016/j.biortech.2019.122427

The novel immobilized microbial granules (IMG) shows a significant effect of nitrification for freshwater aquaculture. However, there is lack of evaluation study on the performance of nitrification at high salinity due to the concentration of recycled water or seawater utilization. A laboratory scale moving bed bioreactor (MBBR) with IMG was tested on recycled synthetic aquaculture wastewater for the nitrification at 2.5 mg/L NH3-N daily. The results indicated that IMG showed a high salinity tolerance and effectively converted ammonia to nitrate up to 92% at high salinity of 35.0 g/L NaCl. As salinity increased from near zero to 35.0 g/L, the microbial activity of nitrite oxidation bacteria (NOB) in the IMG decreased by 86.32%. The microbial community analysis indicated that salinity significantly influenced the community structure. It was found that Nitrosomonas sp. and Nitrospira sp. were the dominant genera for ammonia oxidation bacteria (AOB) and NOB respectively at different salinity levels.
Fulltext Enhancing recovery of bioactive compounds from Cosmos caudatus leaves via ultrasonic extraction

Latiff NA, Ong PY, Abd Rashid SNA, Abdullah LC, Mohd Amin NA, Fauzi NAM

Sci Rep, 2021 08 27;11(1):17297.
PMID: 34453075 DOI: 10.1038/s41598-021-96623-x

Cosmos caudatus (C. caudatus) is a medicinal plant that is high in bioactive compounds such as phenolics. In this study, an ultrasound extraction method was used to optimise the extraction of bioactive compounds from C. caudatus leaves. Response surface methodology (RSM) based on a Box-Behnken design (BBD) was applied to obtain the optimum extraction parameters which is solid-liquid ratio (10-30 g/mL), particle size (180-850 µm) and extraction time (20-30 min) for maximal quercitrin and total phenolic content (TPC) yields. Analysis of antimicrobial activity was performed against two human pathogenic microbes: Staphylococcus aureus (S. aureus) and Escherichia coli (E. coli) by the agar well diffusion method. The optimal ultrasonic extraction condition was as follow: solvent-liquid ratio of 1:28 (g/mL), particle size of 485 µm, and duration of 30 min, respectively. Remarkably, extraction using ultrasonic method had recovered more bioactive content and antioxidant activity than the Soxhlet method. The extract also exhibited good antimicrobial activities. Due to the above findings, the ultrasonic extraction was found to be suitable to improve recovery extraction of quercitrin and TPC from C. caudatus leaves. It also opens the possibility that the plant extract can be used for functional food and antimicrobial agents in various applications.
COMPARING STAGES OF DIABETIC RETINOPATHY WITH SYSTEMIC VASCULAR STATUS USING FINGER PHOTOPLETHYSMOGRAPHY

Ab Rahman N, Chellapan K, Ong PY, Adnan A, Md Din N

Retina, 2025 Feb 01;45(2):310-317.
PMID: 39442016 DOI: 10.1097/IAE.0000000000004297

PURPOSE: To evaluate systemic vascular fitness measured by finger photoplethysmography in diabetic retinopathy (DR).
METHODS: This was a cross-sectional observational study on patients with Type II diabetes mellitus from October 2020 to May 2021. Data collected include systolic/diastolic blood pressure, visual acuity, glycated hemoglobin, and central macular thickness. Diabetic retinopathy severity was categorized using the Early Treatment Diabetic Retinopathy Study classification. Photoplethysmography signals were acquired using pulse-oximeter modules (OEM-60; Dolphin Medical, Inc) measured for 90 seconds at 275 Hz sampling rate and 16-bit resolution, which records photoplethysmography fitness index, vascular risk prediction index, and vascular age.
RESULTS: One hundred and forty-one patients were equally distributed into six DR categories. Mean age was 58.8 ± 9.9 years, with female-to-male ratio of 1.27. There were significant differences in mean systolic (125.5 ± 10.0 mmHg, P = 0.007) and diastolic blood pressure (80.0 ± 8.8 mmHg), mean glycated hemoglobin (7.6 ± 1.9%, P = 0.005), median log unit of minimal angle of resolution (0.3, interquartile range: 0.2-0.5, P < 0.001), and central macular thickness ( P = 0.003) across DR severity. Significant differences were also seen in photoplethysmography fitness index ( P = 0.001), vascular risk prediction index ( P < 0.001), and vascular age ( P = 0.001), with poorer values in severe compared with mild/moderate DR. After adjusting for age, blood pressure, and glycated hemoglobin, photoplethysmography fitness reduces by 3.3% (regression coefficient, b = -3.27, P < 0.001), vascular age increases by 2.5 years ( b = 2.54, P = 0.002), and vascular risk prediction index increases by 3.1 ( b = 3.08, P < 0.001) with every DR worsening.
CONCLUSION: More severe DR stages were associated with poorer photoplethysmography vascular markers.