The demanding and intense environment of medical training can create excessive pressures on medical students that eventually lead to unfavorable consequences, either at a personal or professional level. These consequences can include poor academic performance and impaired cognitive ability. This study was designed to explore associations between pass-fail outcome and psychological health parameters (i.e. stress, anxiety, and depression symptoms).
Water hyacinth (Eichhornia crassipes) and water lettuce (Pistia stratiotes) were analyzed to determine their effectiveness in aquaculture wastewater treatment in Malaysia. Wastewater from fish farm in Semanggol Perak, Malaysia was sampled and the parameters determined included, the pH, turbidity, dissolved oxygen (DO), chemical oxygen demand (COD), biochemical oxygen demand (BOD), nitrite phosphate (PO4(3-)), nitrate (NO(3-)), nitrite (NO(-2)), ammonia (NH3), and total kjedahl nitrogen (TKN). Also, hydroponics system was set up and was added with fresh plants weights of 150 +/- 20 grams Eichhornia crassipes and 50 +/- 10 grams Pistia stratiotes during the 30 days experiment. The phytoremediation treatment with Eichhornia crassipes had pH ranging from 5.52 to 5.59 and from 4.45 to 5.5 while Pistia stratiotes had its pH value from 5.76 to 6.49 and from 6.24 to 7.07. Considerable percentage reduction was observed in all the parameters treated with the phytoremediators. Percentage reduction of turbidity for Eichhornia crassipes were 85.26% and 87.05% while Pistia stratiotes were 92.70% and 93.69% respectively. Similar reductions were observed in COD, TKN, NO(3-), NH3, and PO4(3-). The capability of these plants in removing nutrients was established from the study. Removal of aquatic macrophytes from water bodies is recommended for efficient water purification.
Solid waste comprised of a grass clippings mixture was decomposed using a locally-made compost bin in Pulau Pinang, Malaysia, to eliminate challenges associated with improper waste disposal. Bulk density, pH, moisture content, nutrients content, nitrogen (N), phosphorus (P), potassium (K), iron (Fe), zinc (Zn), copper (Cu) and carbon/nitrogen (C/N) ratio were determined over 77 days. A 34% reduction in compost bin volume was observed and bulk density and pH were also reduced from 732 to 482 kg m(-3) and 7.82 to 8.41, respectively, indicating fairly good performance. The final moisture content and C/N ratio were 44.06% and 14 : 1, respectively, and the results also showed that the presence of nutrients and heavy metals in the final compost were within acceptable limits for use as a soil conditioner. Final concentrations of N, P and K were 347 mg kg(-1), 510 mg kg(-1) and 14.8 g kg(-1) and for heavy metals, Fe, Zn and Cu were 5308, 300 and 20 mg kg(-1), respectively, which considerably assisted in the decomposition process. Processed waste materials from the bin were shown to be excellent organic fertilizers with over 75% germination index for seeds grown into bean sprouts in 72 h. An improved bin design to eliminate greenhouse gas emission into the environment is suggested.
Proper implementation of landfill siting with the right regulations and constraints can prevent undesirable long-term effects. Different countries have respective guidelines on criteria for new landfill sites. In this article, we perform a comparative study of municipal solid waste landfill siting criteria stated in the policies and guidelines of eight different constitutional bodies from Malaysia, Australia, India, U.S.A., Europe, China and the Middle East, and the World Bank. Subsequently, a geographic information system (GIS) multi-criteria evaluation model was applied to determine new suitable landfill sites using different criterion parameters using a constraint mapping technique and weighted linear combination. Application of Macro Modeler provided in the GIS-IDRISI Andes software helps in building and executing multi-step models. In addition, the analytic hierarchy process technique was included to determine the criterion weight of the decision maker's preferences as part of the weighted linear combination procedure. The differences in spatial results of suitable sites obtained signifies that dissimilarity in guideline specifications and requirements will have an effect on the decision-making process.
Advanced oxidation processes (AOPs) such as Fenton, electro-Fenton and photo-Fenton have been applied effectively to remove refractory organics from landfill leachate. The Fenton reaction is based on the addition of hydrogen peroxide to the wastewater or leachate in the presence of ferrous salt as a catalyst. The use of this technique has proved to be one of the best compromises for landfill leachate treatment because of its environmental and economical advantages. Fenton process has been used successfully to mineralize wide range of organic constituents present in landfill leachate particularly those recalcitrant to biological degradation. The present study reviews the use of Fenton and related processes in terms of their increased application to landfill leachate. The effects of various operating parameters and their optimum ranges for maximum COD and color removal are reviewed with the conclusion that the Fenton and related processes are effective and competitive with other technologies for degradation of both raw and pre-treated landfill leachate.
Leachate collected from the collection ponds of four landfill sites was investigated and compared for total coliforms and E. coli concentration as representatives of fecal pollution. Concentration of total coliforms and E. coli was comparable for leachate obtained from Kulim Landfill Site (KLS) and Ampang Landfill Site (ALS) with little variations. However, the level of indicator bacteria was significantly lower for Kuala Sepetang Landfill Site (KSLS), whereas Pulau Burung Landfill Site (PBLS) had the lowest concentration for both total coliforms and E. coli. Considering the landfills are currently operational, with the exception of ALS, the presence of indicator bacteria implies their inactivation prior to discharge. High concentration of indicator bacteria in ALS is attributed to the run-off entering the leachate pond. Greater concentration of ammonia and salinity level were partly responsible for lower concentration of indicator bacteria in leachate from KSLS and PBLS, indicating that salinty and ammonia could significantly affect the survival of indicator bacteria.
A cross-sectional descriptive study was conducted among Big Sib students to explore their perceptions of the educational environment at the School of Medical Sciences, Universiti Sains Malaysia (USM) and its weak areas using the Dundee Ready Educational Environment Measure (DREEM) inventory. The DREEM inventory is a validated global instrument for measuring educational environments in undergraduate medical and health professional education.
Performance evaluation of pilot scale sub-surface constructed wetlands was carried out in treating leachate from Pulau Burung Sanitary Landfill (PBSL). The constructed wetland was planted with Cyperus haspan with sand and gravel used as substrate media. The experiment was operated for three weeks retention time and during the experimentation, the influent and effluent samples were tested for its pH, turbidity, color, total suspended solid (TSS), chemical oxygen demand (COD), biochemical oxygen demand (BOD(5)), ammonia nitrogen (NH(3)-N), Total phosphorus (TP), total nitrogen (TN) and also for heavy metals such as iron (Fe), magnesium (Mg), manganese (Mn) and zinc (Zn) concentrations. The results showed that the constructed wetlands with C. haspan were capable of removing 7.2-12.4% of pH, 39.3-86.6% of turbidity, 63.5-86.6% of color, 59.7-98.8% of TSS, 39.2-91.8% of COD, 60.8-78.7% of BOD(5), 29.8-53.8% of NH(3)-N, 59.8-99.7% of TP, 33.8-67.0% of TN, 34.9-59.0% of Fe, 29.0-75.0% of Mg, 51.2-70.5% of Mn, and 75.9-89.4% of Zn. The significance of removal was manifested in the quality of the effluent obtained at the end of the study. High removal efficiencies in the study proved that leachate could be treated effectively using subsurface constructed wetlands with C. haspan plant.
In this study, landfill leachate was treated by using the sequencing batch reactor (SBR) process. Two types of the SBR, namely non-powdered activated carbon and powdered activated carbon (PAC-SBR) were used. The influence of aeration rate and contact time on SBR and PAC-SBR performances was investigated. Removal efficiencies of chemical oxygen demand (COD), colour, ammoniacal nitrogen (NH(3)-N), total dissolved salts (TDS), and sludge volume index (SVI) were monitored throughout the experiments. Response surface methodology (RSM) was applied for experimental design, analysis and optimization. Based on the results, the PAC-SBR displayed superior performance in term of removal efficiencies when compared to SBR. At the optimum conditions of aeration rate of 1L/min and contact time of 5.5h the PAC-SBR achieved 64.1%, 71.2%, 81.4%, and 1.33% removal of COD, colour, NH(3)-N, and TDS, respectively. The SVI value of PAC-SBR was 122.2 mL/g at optimum conditions.
In this research, two types of sequencing batch reactors (SBRs) with 8 h of cycle times, namely non-powdered activated carbon (NPAC-SBR) and powdered activated carbon (PAC-SBR), were used for the treatment of raw leachates at Kulim and Pulau Burung landfill sites. To test the performance of SBRs, phenols, total iron, zinc, ammonia, nitrite, nitrate, color, suspended solids, chemical oxygen demand, biochemical oxygen demand, and total dissolved salts removal efficiencies and sludge volume index (SVI) were studied at both sites. The rates of phenols removal, for instance in NPAC-SBRs and PAC-SBRs at Kulim, were 25% and 55%, respectively, whereas those at Pulau Buring were 94.81% and 97.75%, respectively. PAC as adsorbent in PAC-SBRs enhanced the removal efficiencies of the aforementioned pollutants from leachates at both sites. In addition, PAC as adsorbent decreased the SVI values at Kulim (59.7 mL/g) and Pulau Burung (91.4 mL/g) leachates and improved the nitrification and denitrification processes.
Two new applications for sequence treatment of mature (stabilized) landfill leachate, that is, cationic resin followed by anionic resin (cationic/anionic) and anionic resin followed by cationic resin (anionic/cationic), are employed and documented for the first time in the literature. Response surface methodology (RSM) concerning central composite design (CCD) is used to optimize each treatment process, as well as evaluate the individual and interactive effects of operational cationic resin dosage and anionic resin dosage on the effectiveness of each application in terms of color, chemical oxygen demand (COD), and NH(3)-N removal efficiency. A statistically significant model for color, COD, and NH(3)-N removal was obtained with high coefficient of determination values (R(2)>0.8). Under optimum operational conditions, the removal efficiency levels for color, COD, and NH(3)-N are 96.8%, 87.9%, and 93.8% via cationic/anionic sequence, and 91.6%, 72.3%, and 92.5% via anionic/cationic sequence, respectively. The experimental results and the model predictions agree well with each other.
This study evaluated the convergent, discriminant, construct, concurrent and discriminative validity of the Medical Student Wellbeing Index (MSWBI) as well as to evaluate its internal consistency and optimal cut-off total scores to detect at least moderate levels of general psychological distress, stress, anxiety and depression symptoms. A cross sectional study was done on 171 medical students. The MSWBI and DASS-21 were administered and returned immediately upon completion. Confirmatory factor analysis, reliability analysis, ROC analysis and Pearson correlation test were applied to assess psychometric properties of the MSWBI. A total of 168 (98.2%) medical students responded. The goodness of fit indices showed the MSWBI had a good construct (χ(2)=6.14, p=0.803, RMSEA<0.001, RMR=0.004, GFI=0.99, AGFI=0.97, CFI=1.00, IFI=1.02, TLI=1.04). The Cronbach's alpha value was 0.69 indicating an acceptable level of internal consistency. Pearson correlation coefficients and ROC analysis suggested each MSWBI's item showed adequate convergent and discriminant validity. Its optimal cut-off scores to detect at least moderate levels of general psychological distress, stress, anxiety, and depression were 1.5, 2.5, 1.5 and 2.5 respectively with sensitivity and specificity ranged from 62 to 80% and the areas under ROC curve ranged from 0.71 to 0.83. This study showed that the MSWBI had good level of psychometric properties. The MSWBI score more than 2 can be considered as having significant psychological distress. The MSWBI is a valid and reliable screening instrument to assess psychological distress of medical students.
Optimum processing conditions on palm oil-based formulations are required to produce the desired quality margarine. As oils and fats contribute to the overall property of the margarine, this paper will review the importance of beta' tending oils and fats in margarine formulation, effects of the processing parameters -- emulsion temperature, flow-rate, product temperature and pin-worker speed -- on palm oil margarines produced and their subsequent behaviour in storage. Palm oil, which contributes the beta' crystal polymorph and the best alternative to hydrogenated liquid fats, and the processing conditions can affect the margarine consistency by influencing the solid fat content (SFC) and the types of crystal polymorph formed during production as well as in storage. Palm oil, or hydrogenated palm oil and olein, in mixture with oils of beta tending, can veer the product to the beta' crystal form. However, merely having beta' crystal tending oils is not sufficient as the processing conditions are also important. The emulsion temperature had no significant effect on the consistency and polymorphic changes of the product during storage, even though differences were observed during processing. The consistency of margarine during storage was high at low emulsion flow-rates and low at high flow rates. The temperature of the scraped-surface tube-cooler is the most important parameter in margarine processing. High temperature will produce a hardened product with formation of beta-crystals during storage. The speed of the pin-worker is responsible for inducing crystallization but, at the same time, destroys the crystal agglomerates, resulting in melting.
The mammalian DREAM (Drosophila, RB, E2F, and Myb) complex was discovered in 2004 by several research groups. It was initially identified in Drosophila followed by Caenorhaditis elegans and later in mammalian cells. The composition of DREAM is temporally regulated during cell cycle; being associated with E2F-4 and either p107 or p130 in G0/G1 (repressive DREAM complexes) and with B-myb transcription factor in S/G2 (activator DREAM complex). High risk human papillomavirus (HPV) E6 and E7 oncoproteins expression are important for malignant transformation of cervical cancer cells. In particular, the E7 of high risk HPV binds to pRB family members (pRB, p107 and p130) for degradation. It has recently been discovered that the p107 and p130 'pocket proteins' are members of mammalian DREAM complexes. With this understanding, we would like to hypothesise the mammalian DREAM complex could plays a critical role for malignant transformation in cervical cancer cells.
Immobilized PS-C 'Amano' II lipase was used to catalyze the interesterification of palm olein (POo) with 30, 50, and 70% stearic acid in n-hexane at 60 degrees C. The catalytic performance of the immobilized lipase was evaluated by determining the composition change of fatty acyl groups and triacylglycerol (TAG) by gas liquid chromatography and high-performance liquid chromatography, respectively. The interesterification process resulted in the formation of new TAGs, mainly tripalmitin and dipalmitostearin, both of which were absent in the original oil. These changes in TAG composition resulted in an increase in slip melting point, from the original 25.5 degrees C to 36.3, 37.0, and 40.0 degrees C in the modified POo with 30, 50, and 70% stearic acid, respectively. All the reactions attained steady state in about 6 h. This type of work will find great applications in food industries, such as confectionery.
The high-strength leachate produced from sanitary landfill is a serious issue around the world as it poses adverse effects on aquatic life and human health. Physio-chemical technology is one of the promising options as the leachate normally presents in stabilized form and not fully amendable by biological treatment. In this research, the effectiveness of natural zeolite (clinoptilolite) augmented electrocoagulation process (hybrid system) for removing high-strength ammonia (3,442 mg/L) and color (8,427 Pt-Co) from naturally saline (15 ppt) local landfill leachate was investigated. A batch mode laboratory-scale reactor with parallel-monopolar aluminum electrodes attached to a direct current (DC) electric power was used as an electrocoagulation reactor for performance enhancement purpose. Optimum operational conditions of 146 g/L zeolite dosage, 600 A/m2 current density, 60 min treatment time, 200 rpm stirring speed, 35 min settling duration, and pH 9 were recorded with up to 70% and 88% removals of ammonia and color, respectively. The estimated overall operational cost was 26.22 $/m3 . The biodegradability of the leachate had improved from 0.05 to 0.27 in all post-treatment processes. The findings revealed the ability of the hybrid process as a viable option in eliminating concentrated ammonia and color in natural saline landfill leachate. PRACTITIONER POINTS: Clinoptilolite was augmented on the electrocoagulation process in saline and stabilized landfill leachate (15 ppt). The high strength NH3 -N (3,442 mg/L) and color (8,427 Pt-Co) were 70% and 88% removed, respectively. The optimum conditions occurred at 140 g/L zeolite, 60 mA/cm2 current density, 60 min, and final pH of 8.20. The biodegradability of the leachate improved from 0.05 to 0.27 after the treatment. This hybrid treatment was simple, faster, and did not require auxiliary electrolyte.