Displaying all 11 publications

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  1. Krishnan KS, Raju G, Shawkataly O
    PMID: 34501950 DOI: 10.3390/ijerph18179361
    Purpose-This study aimed to estimate the prevalence and risk factors of MSD pain in various anatomical regions among nurses. Method-A cross-sectional study involving a self-administered questionnaire by registered nurses with clinical experience. Data was collected using convenience sampling after obtaining informed consent. The results were drawn from a total of 300 nurses. Results-The nurses presented with occasional mental exhaustion (44.3%) and often physical exhaustion (44.0%). Almost all (97.3%) the nurses complained of having work-related pain during the last 12 months. Body parts with the most pain were the lower back (86.7%), ankles (86.7%), neck (86.0%), shoulders (85.0%), lower legs (84.7%) and upper back (84.3%). The pain frequency was rated as occasional pain for the neck and upper back, pain was often felt for the rest of the parts. Nurses complained of severe pain in the lower back (19.7%), right shoulder (29.7%) and left shoulder (30.3%). The frequency of having musculoskeletal symptoms in any body region was increased with age, lower education level, female gender, high BMI, job tenure and lifestyle. Conclusions-Nurses' WRMSD complaints should be taken seriously to curb further risk and musculoskeletal hazards.
  2. Mao Y, Raju G, Zabidi MA
    Nat Sci Sleep, 2023;15:931-947.
    PMID: 38021213 DOI: 10.2147/NSS.S431442
    Occupational stress and sleep quality are prevalent issues that can impact the physical and mental well-being of adults. An association between occupational stress and sleep quality has been found. However, this association is not entirely the same across different occupational groups. Additionally, variations are present in the research design and instruments employed.This systematic review aims to investigate the association between these two factors and identify gaps and limitations in current research. Articles published between January 1, 2011, and December 31, 2022, were retrieved from the WOS, Scopus, and PubMed databases. Out of 1225 articles, 38 studies met the predetermined inclusion and exclusion criteria and were included in the review. In the study, research designs, samples, instruments, and associations between occupational stress and sleep quality were statistically analyzed.These studies encompassed a diverse range of occupations, including both blue-collar and white-collar workers. Cross-sectional study is the most common research method. The Pittsburgh Sleep Quality Index (PSQI) was the most frequently utilized tool for assessing sleep quality, while there was a wide variety of measurement tools employed to assess occupational stress. The association between occupational stress and sleep quality consistently demonstrated a negative association, although the specific dimensions varied among studies. Moreover, several other factors were identified to have direct or indirect effects on occupational stress and sleep quality. For future research in this field, we propose four recommendations: (1) Consider utilizing objective measures to assess occupational stress and sleep quality. (2) Employ controlled experiments to further validate the causal relationship between occupational stress and sleep quality. (3) Investigate occupational groups that have received less attention. (4) Take into account the potential influence of other factors on occupational stress and sleep quality.
  3. Raju G, Khalid M, Shaban MM, Azahari B
    Polymers (Basel), 2021 Aug 20;13(16).
    PMID: 34451334 DOI: 10.3390/polym13162796
    This study investigates the impact of spent coffee biochar (Biochar) compared to carbon black (CB) as a partial replacement for carbon black in epoxidized natural rubber (ENR). Particle size and elemental analysis were used to characterize the biochar and CB. Cure characteristics, tensile, thermal, and morphological properties on the effect of biochar and CB as filler were studied. It was found that incorporating 10 phr of spent coffee biochar could improve the composites' tensile properties and thermal performance compared to carbon black. However, the addition of biochar significantly affects the maximum torque compared to CB and delays the vulcanization time. SEM study shows that biochar has a strong effect on the morphology of composite films. The FTIR graph reveals no substantial difference between compounds with biochar and CB. According to the thermal calorimetric study, the thermal stability of ENR-Biochar is higher than that of ENR-CB. Additionally, these findings suggest that the utilization of spent coffee as a sustainable biochar could be further explored, but little has been done in epoxidized natural rubber (ENR).
  4. Kamal RS, Shaban MM, Raju G, Farag RK
    ACS Omega, 2021 Nov 30;6(47):31926-31934.
    PMID: 34870015 DOI: 10.1021/acsomega.1c04693
    Sustainability metrics have been established that cover the economic, social, and environmental aspects of human activities. Reduce, reuse, and recycle (3R) strategy targets solid waste management in the waste generation sectors. The purpose of this work is to study the possibility of using various plastic wastes containing high-density polyethylene (HDPE) and high-density polyethylene nanoclay (PMON) as polymer additives to modify lubricating oil. The structure of these additives was elucidated by Fourier transform infrared (FTIR) spectra, and the particle size of PMON was determined by dynamic light scattering (DLS). The thermal stability of HDPE and nanoclay HDPE (PMON) was studied, which showed higher thermal stability, and these additives completed degradation above 500 °C. The performance of HDPE and nanoclay HDPE (PMON) in lubricating oil was evaluated as pour point depressants by standard ASTM methods. The results showed that the efficiency of these additives increases with the decrease in the dose of these additives and lubricating oil treated with HDPE at 0.25% dosage lowers PPT to -30 °C, while lubricating oil treated with nanoclay HDPE (PMON7) at 0.25% dosage reduces PPT to -36 °C. Photomicrographic analysis was conducted to study accumulations and modifications in the wax crystal morphology in lube oil without and with HDPE and nanoclay HDPE (PMON7). Photomicrographs revealed that wax morphology changes due to effective pour point depressants on crystal growth.
  5. Raju G, Mas Haris MRH, Azura AR, Ahmed Mohamed Eid AM
    ACS Omega, 2020 Nov 10;5(44):28760-28766.
    PMID: 33195929 DOI: 10.1021/acsomega.0c04081
    The slow-release mechanism of copper into soil followed by soil biodegradation was studied using the chitosan (CTS)/epoxidized natural rubber (ENR) biocomposite. The biocomposite was prepared by homogenizing CTS in ENR50 (ENR with about 50% epoxy content) latex in the presence of curing agents and acetic acid. It was found that the adsorption property of the biocomposite was very much influenced by chitosan loading, where 20phrCTS-t-ENR biocomposite can absorb 76.31% of Cu(II) ions. The desorption study indicates that the copper (II) ion can be released at a very slow and control phase as proven by the kinetic study using zero-order, first-order, Higuchi, and Korsmeyer Peppas equations. The slow-release studies comply with the Higuchi square-root equation, indicating that the release process is diffusion-controlled. Results of desorption and biodegradation process suggest that this biocomposite has the potential use of being a slow-release matrix in the field of agriculture.
  6. Monowar T, Rahman MS, Bhore SJ, Raju G, Sathasivam KV
    Biomed Res Int, 2019;2019:6951927.
    PMID: 30868071 DOI: 10.1155/2019/6951927
    Secondary bioactive compounds of endophytes are inevitable biomolecules of therapeutical importance. In the present study, secondary metabolites profiling of an endophytic bacterial strain, Acinetobacter baumannii, were explored using GC-MS study. Presence of antioxidant substances and antioxidant properties in chloroform (CHL), diethyl ether (DEE), and ethyl acetate (EA) crude extracts of the endophytic bacteria were studied. Total phenolic content (TPC), total flavonoid content (TFC), total antioxidant capacity (TAC), 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging activity, and ferrous ion chelating assay were evaluated. A total of 74 compounds were identified from the GC-MS analysis of the EA extract representing mostly alkane compounds followed by phenols, carboxylic acids, aromatic heterocyclic compounds, ketones, aromatic esters, aromatic benzenes, and alkenes. Among the two phenolic compounds, namely, phenol, 2,4-bis(1,1-dimethylethyl)- and phenol, 3,5-bis(1,1-dimethylethyl)-, the former was found in abundance (11.56%) while the latter was found in smaller quantity (0.14%). Moreover, the endophytic bacteria was found to possess a number of metal ions including Fe(II) and Cu(II) as 1307.13 ± 2.35 ppb and 42.38 ± 0.352 ppb, respectively. The extracts exhibited concentration dependent antioxidant and prooxidant properties at high and low concentrations, respectively. The presence of phenolic compounds and metal ions was believed to play an important role in the antioxidant and prooxidant potentials of the extracts. Further studies are suggested for exploring the untapped resource of endophytic bacteria for the development of novel therapeutic agents.
  7. Michael FM, Khalid M, Raju G, Ratnam CT, Walvekar R, Mubarak NM
    Molecules, 2021 Sep 27;26(19).
    PMID: 34641395 DOI: 10.3390/molecules26195852
    We studied the reinforcing effects of treated and untreated nanohydroxyapatite (NHA) on poly-lactic acid (PLA). The NHA surface was treated with three different types of chemicals; 3-aminopropyl triethoxysilane (APTES), sodium n-dodecyl sulfate (SDS) and polyethylenimine (PEI). The nanocomposite samples were prepared using melt mixing techniques by blending 5 wt% untreated NHA and 5 wt% surface-treated NHA (mNHA). Based on the FESEM images, the interfacial adhesion between the mNHA filler and PLA matrix was improved upon surface treatment in the order of mNHA (APTES) > mNHA (SDS) > mNHA (PEI). As a result, the PLA-5wt%mNHA (APTES) nanocomposite showed increased viscoelastic properties such as storage modulus, damping parameter, and creep permanent deformation compared to pure PLA. Similarly, PLA-5wt%mNHA (APTES) thermal properties improved, attaining higher Tc and Tm than pure PLA, reflecting the enhanced nucleating effect of the mNHA (APTES) filler.
  8. Monowar T, Rahman MS, Bhore SJ, Raju G, Sathasivam KV
    Molecules, 2018 Dec 06;23(12).
    PMID: 30563220 DOI: 10.3390/molecules23123220
    Antibiotic resistance is one of the most important global problems currently confronting the world. Different biomedical applications of silver nanoparticles (AgNPs) have indicated them to be promising antimicrobial agents. In the present study, extracellular extract of an endophytic bacterium, Pantoea ananatis, was used for synthesis of AgNPs. The synthesized AgNPs were characterized by UV⁻Vis spectroscopy, FTIR, transmission electron microscopy (TEM), scanning electron microscopy-energy dispersive X-ray spectroscopy (SEM-EDX), and Zeta potential. The antimicrobial potential of the AgNPs against pathogenic Staphylococcus aureus subsp. aureus (ATCC 11632), Bacillus cereus (ATCC 10876), Escherichia coli (ATCC 10536), Pseudomonas aeruginosa (ATCC 10145) and Candida albicans (ATCC 10231), and multidrug resistant (MDR) Streptococcus pneumoniae (ATCC 700677), Enterococcus faecium (ATCC 700221) Staphylococcus aureus (ATCC 33592) Escherichia coli (NCTC 13351) was investigated. The synthesized spherical-shaped AgNPs with a size range of 8.06 nm to 91.32 nm exhibited significant antimicrobial activity at 6 μg/disc concentration against Bacillus cereus (ATCC 10876) and Candida albicans (ATCC 10231) which were found to be resistant to conventional antibiotics. The synthesized AgNPs showed promising antibacterial efficiency at 10 µg/disc concentration against the MDR strains. The present study suggests that AgNPs synthesized by using the endophytic bacterium P. ananatis are promising antimicrobial agent.
  9. Nagarajan T, Vilosamy K, Raju G, Shanmugan S, Walvekar R, Rustagi S, et al.
    Chemosphere, 2024 Apr 11;358:141936.
    PMID: 38614393 DOI: 10.1016/j.chemosphere.2024.141936
    This study presents the adsorption of methylene blue (MB) dye using latex char derived from pyrolysis of latex gloves. The adsorption process was investigated systematically using Response Surface Methodology (RSM) with a Central Composite Design (CCD). The effects of four key variables, namely pH, time, temperature, and adsorbent dosage, were studied using a factorial design enriched with center points and axial points. Experimental data were analyzed using a second-order polynomial regression model to construct a response surface model, which elucidated the relationship between the variables and MB removal efficiency. The study found that the char obtained at 800 °C exhibited the highest adsorption capacity due to its increased carbonization, expanded surface area, and diverse pore structure. Analysis of Variance (ANOVA) confirmed the significance of the quadratic model, with remarkable agreement between predicted and experimental outcomes. Diagnostic plots validated the model's reliability, while 3D contour graphs illustrated the combined effects of variables on MB removal efficiency. Optimization using DoE software identified optimal conditions resulting in a 99% removal efficiency, which closely matched experimental results. Additionally, adsorption isotherms revealed that the Freundlich model best described the adsorption behavior, indicating heterogeneous surface adsorption with multilayer adsorption. This comprehensive study provides valuable insights into the adsorption process of MB dye using latex char, with implications for wastewater treatment and environmental remediation.
  10. Tantavisut S, Ho KY, Arandia EF, Cheng SC, Eiamtanasate S, Jarayabhand R, et al.
    Cureus, 2023 Jun;15(6):e41156.
    PMID: 37525772 DOI: 10.7759/cureus.41156
    INTRODUCTION: Multimodal analgesia is key in the effective management of acute pain. Previous clinical trials have demonstrated good results with the use of a fixed-dose combination (FDC) of tramadol 75 mg and dexketoprofen 25 mg (TRAM/DKP) in acute pain management. However, there is a dearth of real-world evidence on the efficacy and safety of this combination in the management of acute non-surgical pain, especially among Asian patients. The case series reported herein investigates the real-world experiences of physicians and Asian patients with the use of TRAM/DKP FDC in the management of acute non-surgical pain.

    METHODS: Data were collected retrospectively on 11 Asian patients across multiple hospitals who had received a short course of TRAM/DKP FDC for acute non-surgical orthopaedic and non-orthopaedic pain. Data on baseline characteristics, medical history, treatment regimen, clinical outcomes, and patient satisfaction were compiled and shared at a peer-to-peer expert meeting in October 2022.

    RESULTS: All patients experienced a reduction in pain intensity and were very satisfied with pain management, with a mean satisfaction score of 4.3/5. Five patients (range: 63-74 years) experienced mild adverse events, including nausea, vomiting, and dizziness, which resolved with no need for additional treatment in the majority of cases. No serious adverse events were recorded.

    CONCLUSION: Asian patients with acute non-surgical orthopaedic and non-orthopaedic pain achieved good pain control with TRAM/DKP FDC. The regimen was well tolerated, and patients reported high levels of satisfaction with the outcomes, indicating that TRAM/DKP FDC is an effective choice for the control of acute non-surgical pain in Asian patients.

  11. Ho KY, Gyanwali B, Dimayuga C, Eufemio EM, Bernardo E, Raju G, et al.
    BMJ Open, 2024 Mar 19;14(3):e080620.
    PMID: 38508619 DOI: 10.1136/bmjopen-2023-080620
    INTRODUCTION: Satisfactory management of acute pain remains a major medical challenge despite the availability of multiple therapeutic options including the fixed-dose combination (FDC) drugs. Tramadol and dexketoprofen trometamol (TRAM/DKP) 75/25 mg FDC was launched in 2018 in Asia and is widely used in the management of moderate to severe acute pain. There are limited data on its effectiveness and safety in Asian patients, and therefore, a need to better understand its usage patterns in clinical practice. We aim to understand the usage pattern of TRAM/DKP FDC, its effectiveness and tolerability in patients with moderate to severe acute pain in Asia.

    METHODS AND ANALYSIS: REKOVER is a phase-IV, multicountry, multicentre, prospective, real-world observational study. A total of 750 postsurgical and non-surgical patients (male and female, aged 18-80 years) will be recruited from 13 tertiary-care hospitals (15 sites) in Singapore, Thailand, the Philippines and Malaysia. All patients prescribed with TRAM/DKP FDC and willing to participate in the study will be enrolled. The recruitment duration for each site will be 6 months. The severity of pain will be collected using Numeric Pain Rating Scale through the treatment period from day 1 to day 5, while satisfaction with the treatment will be evaluated using Patient Global Evaluation Scale at the end of treatment. Any adverse event reported during the study duration will be recorded for safety analysis (up to day 6). The study data will be entered into the ClaimIt portal and mobile application (app) (ObvioHealth, USA). All the inpatient data will be entered into the portal by the study site and for outpatient it will be done by patients through an app.

    ETHICS AND DISSEMINATION: The study has been approved by the local ethics committee from each study sites in Singapore, Thailand, the Philippines and Malaysia. Findings will be disseminated through local and global conference presentations, publications in peer-reviewed scientific journals and continuing medical education.

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