MyMedR

Displaying all 4 publications

Abstract:

Sort:

Fulltext Intramyocardial dissecting haematoma mimicking left ventricular clot, a rare complication of myocardial infarction: a case report

Lee TJ, Roslan A, Teh KC, Ghazi A

Eur Heart J Case Rep, 2019 Jun 01;3(2).
PMID: 31449618 DOI: 10.1093/ehjcr/ytz056

BACKGROUND: Intramyocardial dissecting haematoma is a rare complication of myocardial infarction (MI) associated with high mortality rates. Studies and research of this occurrence are limited largely to isolated case reports or case series.
CASE SUMMARY: We report a case of late presenting MI, where on initial echocardiogram had what was thought to be an intraventricular clot. However, upon further evaluation, the patient actually had an intramyocardial haematoma, with the supporting echocardiographic features to distinguish it from typical left ventricular (LV) clot. While this prevented the patient from receiving otherwise unnecessary anticoagulation, this diagnosis also put him at a much higher risk of mortality. Despite exhaustive medical and supportive management, death as consequence of pump failure occurred after 2 weeks.
DISCUSSION: This report highlights the features seen on echocardiography which support the diagnosis of an intramyocardial haematoma rather than an LV clot, notably the various acoustic densities, a well visualized myocardial dissecting tear leading into a neocavity filled with blood, and an independent endocardial layer seen above the haematoma. Based on this report, we wish to highlight the importance of differentiating intramyocardial haematomas from intraventricular clots in patients with recent MI.
Sustainable and cost-effective approach for the synthesis of lignin-containing cellulose nanocrystals from oil palm empty fruit bunch

Teh KC, Foo ML, Ooi CW, Leng Chew IM

Chemosphere, 2021 Mar;267:129277.
PMID: 33385850 DOI: 10.1016/j.chemosphere.2020.129277

Cellulose nanocrystals (CNC) have received great research attention since the last few decades due to their extraordinary properties and wide range of applications. In this study, a sustainable and cost-effective method for the synthesis of lignin-containing cellulose nanocrystals (LCNC) from oil palm empty fruit bunch (EFB) is presented. This method is able to retain the lignin in EFB and manifest the properties of lignin. The proposed synthesis process is simpler than the conventional method of producing lignin-coated CNC by first removing the lignin to synthesize CNC followed by the re-coating of lignin on the structure. The samples of LCNC were characterized by transmission electron microscopy, X-ray diffraction, Fourier-transform infrared spectroscopy and water contact angle analysis. In addition, by altering the acid concentration during acid hydrolysis process (53% - 60% H2SO4), both surface hydrophobicity (66.0° - 75.1°) and length of LCNC (467 nm-177 nm) can be altered wherein a higher concentration of acid resulted in a greater contact angle and a shorter length of LCNC. Cost and energy analysis deduced that the proposed synthesis method saved about 62% of the total material cost and 80% less energy as compared to the synthesis of lignin-coated CNC.
Sustainability assessment of Indonesian cement manufacturing via integrated life cycle assessment and analytical hierarchy process method

Putra MA, Teh KC, Tan J, Choong TSY

Environ Sci Pollut Res Int, 2020 Aug;27(23):29352-29360.
PMID: 32440875 DOI: 10.1007/s11356-020-09207-z

Cement is a vital material used in the construction of concrete buildings. World annual cement demand is increasing rapidly along with the improvement in infrastructure development. However, cement manufacturing industries are facing challenges in reducing the environmental impacts of cement production. To resolve this issue, a suitable methodology is crucial to ensure the selected processes are effective and efficient and at the same time environmentally friendly. Different technologies and equipment have potential to produce variations in operational effectiveness, environmental impacts, and manufacturing costs in cement manufacturing industries. Therefore, this work aims to present the sustainability assessment of cement plants by taking into consideration of environmental, social, and economic impacts. Three cement production plants located in Western Indonesian are used as case studies where social impact and environmental impact are evaluated via life cycle assessment (LCA) model. This model is integrated with analytic hierarchy process (AHP), a multi-criteria decision analysis tool in selecting the most sustainable cement manufacturing plant.
Association of adiposity, serum vitamin D, and dietary quality with cardiometabolic risk factors in children aged 6-12 years: findings from SEANUTS II Malaysia

Chan KS, Farah NM, Yeo GS, Teh KC, Lee ST, Makbul IAA, et al.

Appl Physiol Nutr Metab, 2024 Jul 04.
PMID: 39251408 DOI: 10.1139/apnm-2023-0621

Increased cardiometabolic risk among children is increasingly becoming a concern, with evidence indicating that obesity, diet, and serum 25-hydroxyvitamin D (25(OH)D) are associated with cardiometabolic risk. However, such studies among Malaysian children are scarce. Thus, this study explores the associations between adiposity, dietary quality, and 25(OH)D, with cardiometabolic risk factors among Malaysian children aged 4-12 years. Data of 479 children (mean age: 8.2 ± 2.3 years old, 52% females) from the South East Asian Nutrition Surveys (SEANUTS II) Malaysia, were included in this analysis. Adiposity (percentage of body fat) was assessed with bioelectrical impedance technique. Dietary quality was assessed using 24 h dietary recall and calculated as mean adequacy ratio. Vitamin D was assessed based on serum 25-hydroxyvitamin D (25(OH)D). Measurements of cardiometabolic risk factors included waist circumference (WC), mean arterial pressure (MAP), fasting blood glucose (FBG), high-density lipoprotein (HDL), triglyceride, and high-sensitivity C-reactive protein, and cardiometabolic risk cluster score (siMS) was calculated. Overall, higher adiposity was positively associated with all cardiometabolic risk factors (WC, ß = 0.907; 95% CI = 0.865, 0.948; MAP, ß = 0.225; 95% CI = 0.158, 0.292; HDL, ß = -0.011; 95% CI = -0.014, -0.009; Triglyceride, ß = 0.012; 95% CI = 0.009, 0.016; FBG, ß = 0.006; 95% CI = 0.002, 0.011) and siMS score (ß = 0.033; 95% CI = 0.029, 0.037). Serum 25(OH)D was inversely associated with siMS score (ß = -0.002; 95% CI = -0.004, -0.000008) and positively associated with HDL (ß = 0.002; 95% CI = 0.0001, 0.003). Our findings suggest that adiposity is a key determinant of adverse cardiometabolic risk factors in children, while serum 25(OH)D may be associated with overall cardiometabolic health. Interventions to reduce obesity are needed to mitigate the deleterious consequences of cardiometabolic dysregulation in children.