TEACHING CASE STUDY: FROM PENAGA TREE TO HERITAGE BOUTIQUE HOTEL: A CASE STUDY OF HOTEL PENAGA

Hotel Penaga is a heritage-listed boutique hotel in the Unesco World Heritage Site in Penang, Malaysia. It was built in the 1920s and renovated into a 45-room hotel in 2008. Hotel Penaga was the first heritage-listed renovated hotel to be awarded Gold by the Green Building Index. Currently, Hotel Penaga is managed by Vouk Hotel Management. Hotel Penaga is committed to environmental sustainability and emphasizes destination marketing in its hotel operations. Achieving a healthy occupancy rate for the hotel is one of the biggest challenges for Hotel Penaga, especially after the pandemic

Viral hepatitis prevalence in patients with active and latent tuberculosis

AIM: To assess the prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) infection and association with drug induced liver injury (DILI) in patients undergoing anti-tuberculosis (TB) therapy. METHODS: Four hundred and twenty nine patients with newly diagnosed TB - either active disease or latent infection - who were due to commence anti-TB therapy between September 2008 and May 2011 were included. These patients were prospectively tested for serological markers of HBV, HCV and human immunodeficiency virus (HIV) infections - hepatitis B core antigen (HBcAg), hepatitis B surface antigen (HBsAg), hepatitis B e antigen, IgG and IgM antibody to HBcAg (anti-HBc), HCV IgG antibody and HIV antibody using a combination of enzyme-linked immunosorbent assay, Western blot assay and polymerase chain reaction techniques. Patients were reviewed at least monthly during the TB treatment initiation phase. Liver function tests were measured prior to commencement of anti-TB therapy and 2-4 wk later. Liver function tests were also performed at any time the patient had significant nausea, vomiting, rash, or felt non-specifically unwell. Fisher’s exact test was used to measure significance in comparisons of proportions between groups. A P value of less than 0.05 was considered statistically significant. RESULTS: Of the 429 patients, 270 (62.9%) had active TB disease and 159 (37.1%) had latent TB infection. 61 (14.2%) patients had isolated anti-HBc positivity, 11 (2.6%) were also HBsAg positive and 7 (1.6%) were HCV-antibody positive. 16/270 patients with active TB disease compared to 2/159 patients with latent TB infection had markers of chronic viral hepatitis (HBsAg or HCV antibody positive; P = 0.023). Similarly the proportion of HBsAg positive patients were significantly greater in the active vs latent TB infection group (10/43 vs 1/29, P = 0.04). The prevalence of chronic HBV or HCV was significantly higher than the estimated United Kingdom prevalence of 0.3% for each. We found no association between DILI and presence of serological markers of HBV or HCV. Three (5.3%) patients with serological markers of HBV or HCV infection had DILI compared to 25 (9.5%) patients without; P = 0.04. CONCLUSION: Viral hepatitis screening should be considered in TB patients. DILI risk was not increased in patients with HBV/HCV

Low temperature spin fluctuations in geometrically frustrated Yb3Ga5O12

In the garnet structure compound Yb3Ga5O12, the Yb3+ ions (ground state effective spin S' = 1/2) are situated on two interpenetrating corner sharing triangular sublattices such that frustrated magnetic interactions are possible. Previous specific heat measurements evidenced the development of short range magnetic correlations below 0.5K and a lambda-transition at 54mK (Filippi et al. J. Phys. C: Solid State Physics 13 (1980) 1277). From 170-Yb M"ossbauer spectroscopy measurements down to 36mK, we find there is no static magnetic order at temperatures below that of the lambda-transition. Below 0.3K, the fluctuation frequency of the short range correlated Yb3+ moments progressively slows down and as the temperature tends to 0, the frequency tends to a quasi-saturated value of 3 x 10^9 s^-1. We also examined the Yb3+ paramagnetic relaxation rates up to 300K using 172-Yb perturbed angular correlation measurements: they evidence phonon driven processes.Comment: 6 pages, 5 figure

A Combination of Approved Antibodies Overcomes Resistance of Lung Cancer to Osimertinib by Blocking Bypass Pathways.

<b>Purpose:</b> Because of emergence of resistance to osimertinib, a third-generation EGFR tyrosine kinase inhibitor (TKI), no targeted treatments are available for patients with lung cancer who lose sensitivity due to new mutations or bypass mechanisms. We examined in animals and <i>in vitro</i> an alternative therapeutic approach making use of antibodies. <b>Experimental Design:</b> An osimertinib-sensitive animal model of lung cancer, which rapidly develops drug resistance, has been employed. To overcome compensatory hyperactivation of ERK, which we previously reported, an anti-EGFR antibody (cetuximab) was combined with other antibodies, as well as with a subtherapeutic dose of osimertinib, and cancer cell apoptosis was assayed. <b>Results:</b> Our animal studies identified a combination of three clinically approved drugs, cetuximab, trastuzumab (an anti-HER2 mAb), and osimertinib (low dose), as an effective and long-lasting treatment that is able to prevent onset of resistance to osimertinib. A continuous schedule of concurrent treatment was sufficient for effective tumor inhibition and for prevention of relapses. Studies employing cultured cells and analyses of tumor extracts indicated that the combination of two mAbs and a subtherapeutic TKI dose sorted EGFR and HER2 for degradation; cooperatively enhanced apoptosis; inhibited activation of ERK; and reduced abundance of several bypass proteins, namely MET, AXL, and HER3. <b>Conclusions:</b> Our <i>in vitro</i> assays and animal studies identified an effective combination of clinically approved drugs that might overcome resistance to irreversible TKIs in clinical settings. The results we present attribute the long-lasting effect of the drug combination to simultaneous blockade of several well-characterized mechanisms of drug resistance. <i>Clin Cancer Res; 24(22); 5610-21. ©2018 AACR</i> <i>See related commentary by Fan and Yu, p. 5499</i>

Small grid embeddings of 3-polytopes

We introduce an algorithm that embeds a given 3-connected planar graph as a convex 3-polytope with integer coordinates. The size of the coordinates is bounded by $O(2^{7.55n})=O(188^{n})$. If the graph contains a triangle we can bound the integer coordinates by $O(2^{4.82n})$. If the graph contains a quadrilateral we can bound the integer coordinates by $O(2^{5.46n})$. The crucial part of the algorithm is to find a convex plane embedding whose edges can be weighted such that the sum of the weighted edges, seen as vectors, cancel at every point. It is well known that this can be guaranteed for the interior vertices by applying a technique of Tutte. We show how to extend Tutte's ideas to construct a plane embedding where the weighted vector sums cancel also on the vertices of the boundary face

Green Work Climate and Pro-Environmental Behaviour Among Academics: The Mediating Role of Harmonious Environmental Passion

Environmental issues such as climate change, pollution, deforestation, and the loss of biodiversity are the concerns of society in different parts of the world today. As human activities have adverse impacts on the environment, developing pro-environmental behaviour in each individual is an essential aspect of protecting mother earth. The primary purpose of this research is to evaluate the influence of green work climate perceptions and harmonious environmental passion on pro-environmental behaviour (PEB). Additionally, the mediating effect of harmonious environmental passion between green work climate and PEB is determined. A total of 167 academics from a private university in Malaysia participated in this study. The results from Partial Least Square Structural Equation Modelling suggested that green work climate and harmonious environmental passion positively influence PEB. Apart from this, harmonious environmental passion partially mediates the relationship between green work climate and PEB. The results indicate that leaders should actively shape the perception of green work climate within their organisations through policies and procedures that support environmental sustainability efforts, as well as effectively communicate with their employees. Such efforts will lead to greater harmonious environmental passion, in turn, promoting pro-environmental behaviour among members

Thermodynamic Study of Excitations in a 3D Spin Liquid

In order to characterize thermal excitations in a frustrated spin liquid, we have examined the magnetothermodynamics of a model geometrically frustrated magnet. Our data demonstrate a crossover in the nature of the spin excitations between the spin liquid phase and the high-temperature paramagnetic state. The temperature dependence of both the specific heat and magnetization in the spin liquid phase can be fit within a simple model which assumes that the spin excitations have a gapped quadratic dispersion relation.Comment: 5 figure

Solving Uncalibrated Photometric Stereo using Total Variation

International audienceEstimating the shape and appearance of an object, given one or several images, is still an open and challenging research problem called 3D-reconstruction. Among the different techniques available, photometric stereo (PS) produces highly accurate results when the lighting conditions have been identified. When these conditions are unknown, the problem becomes the so-called uncalibrated PS problem, which is ill-posed. In this paper, we will show how total variation can be used to reduce the ambiguities of uncalibrated PS, and we will study two methods for estimating the parameters of the generalized bas-relief ambiguity. These methods will be evaluated through the 3D-reconstruction of real-world objects