9 research outputs found

    Biosorption of heavy metals using Pleurotus Ostreatus fungal mycelium from mushroom farming waste / Prof. Sr. Ir. Dr. Suhaimi Abdul Talib … [et al.]

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    Industrial wastewater containing heavy metals are hazardous, which pose a detrimental health implication to human and environment. Global industrialization development has increased the discharge of this dangerous industrial wastewater to surface water. It is of great concern nowadays due to its toxicity, non-biodegaradable and cumulative characteristics. Heavy metals, such as lead, cadmium, copper, nickel and mercury, are from metal plating, painting and metal finishing industries. The most commonly used method in heavy metals treatment for industrial wastewater is precipitation with caustic soda. However, this method generates a large amount of hydroxide sludge which need further disposal. In view of this, interest which focus on green sustainable biosorption process, has been intensified among researchers recently. Biosorption is a passive metabolic independent process involving physico-chemical binding of metal ions with biosorbent, which from nonliving biological materials. The biosorbent offers two major advantages, namely, renewable and cost effective. It is easily regenerated by using diluted acid for reuse and transformed from available large amount of bio-waste to wealth. Biosorbents from agricultural and industrial waste which are available in respective countries, such as Brazil, India, Pakistan, Iran, China and Turkey have been investigated. Fungal Pleurotus ostreatus (Chia-Chay et a/., 2011, Javaid et a/., 2011) and sawdust (Zakaria et a/., 2009) are promising biosorbents due to their high heavy metals removal efficiency if compared to other plant or bacteria derived biosorbents. To date, there is lack of information on biosorption of Pleurotus ostreatus Mushroom Spent-Substrate (PSMC) in wastewater heavy metals treatment. Generally, the PSMC is an agricultural waste of mushroom cultivation farm in Malaysia, which majorly consists of rubber tree sawdust and Pleurotus ostreatus mycelium. The disposal of PSMC is currently handled by open-burning or converted into low commercial value organic fertilizer in order to reduce cost for solid waste disposal. Studies on PSMC as a potential biosorbent for heavy metals treatment is yet to be explored. Meanwhile in biosorption study, the half saturation constant of biosorption evaluation is seemed hardly been carried out as a time saving approach for this alternative sustainable technology. Presently, little research is applying the Artificial Neural Networks (ANN) in biosorption study. Kardam and co-researchers (2010) reported that constructed ANN models were highly precise in predicting the single output variable. In fact, such single output ANN network has a limitation in simulation of biosorption operating system for prediction of effluent quality and the best time for elution of biosorbent under any operating conditions. This study is thus expected to make contribution to the knowledge of scale-up biosorption of heavy metals technology. This study focuses on biosorption characteristics of heavy metals biosorption from aqueous solution by deploying PSMC. The half saturation constant of heavy metals biosorption and the best operating parameters of initial pH, contact time and initial heavy metals concentration were optimized. Biosorption data were fitted to established isotherm, kinetic and thermodynamic models. Concurrently, mechanisms of heavy metals biosorption were studied. Application of biosorbent was evaluated in industrial wastewater. Furthermore, a constructed ANN modelling with two output in biosorption study is explored. This study is not only parallel with green sustainable technology for heavy metals treatment but also waste management

    Thermal stability, mechanical properties, and tribological performance of TiAlXN coatings: Understanding the effects of alloying additions

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    In tribological applications, the degradation of metallic coatings due to oxidation and thermal softening at high temperatures is an issue of increasing concern. Recently, researchers have focused on the development of durable hard coatings that can perform well under elevated temperatures. The alloying of ternary TiAlN coatings with various elements has received considerable attention due to its ability to improve coating properties at high temperatures by solid solution hardening, grain refinement, formation of new phases, diffusion barriers, and self-lubricious tribo-oxides. This paper reviews the microstructure, thermal stability, oxidation behaviour, and mechanical and tribological properties of resultant quaternary TiAlXN coatings (X = Si, Cr, V, Ta and B). The effects of the deposition parameters, chemical composition, high-temperature annealing, and coating architecture on the coating properties are discussed in depth. The properties of quinary TiAlCrSiN coatings are also reviewed to provide a better understanding of the synergistic effects of Si and Cr additions to TiAlN. The maximum hardness and plastic deformation resistance (H/E and H3/E2) of TiAlXN coatings produced by various deposition techniques are compared. This paper provides useful insights into the challenges and future research perspectives of the reviewed coatings

    Use of anticoagulants and antiplatelet agents in stable outpatients with coronary artery disease and atrial fibrillation. International CLARIFY registry

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    A short review on the phase structures, oxidation kinetics, and mechanical properties of complex Ti-Al alloys

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    This paper reviews the phase structures and oxidation kinetics of complex Ti-Al alloys at oxidation temperatures in the range of 600–1000 °C. The mass gain and parabolic rate constants of the alloys under isothermal exposure at 100 h (or equivalent to cyclic exposure for 300 cycles) is compared. Of the alloying elements investigated, Si appeared to be the most effective in improving the oxidation resistance of Ti-Al alloys at high temperatures. The effect of alloying elements on the mechanical properties of Ti-Al alloys is also discussed. Significant improvement of the mechanical properties of Ti-Al alloys by element additions has been observed through the formation of new phases, grain refinement, and solid solution strengthening

    Cosmeceutical therapy:Engaging the repercussions of uvr photoaging on the skin’s circadian rhythm

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    Sunlight is an important factor in regulating the central circadian rhythm, including the modulation of our sleep/wake cycles. Sunlight had also been discovered to have a prominent influence on our skin’s circadian rhythm. Overexposure or prolonged exposure to the sun can cause skin photodamage, such as the formation of irregular pigmentation, collagen degradation, DNA damage, and even skin cancer. Hence, this review will be looking into the detrimental effects of sunlight on our skin, not only at the aspect of photoaging but also at its impact on the skin’s circadian rhythm. The growing market trend of natural-product-based cosmeceuticals as also caused us to question their potential to modulate the skin’s circadian rhythm. Questions about how the skin’s circadian rhythm could counteract photodamage and how best to maximize its biopotential will be discussed in this article. These discoveries regarding the skin’s circadian rhythm have opened up a completely new level of understanding of our skin’s molecular mechanism and may very well aid cosmeceutical companies, in the near future, to develop better products that not only suppress photoaging but remain effective and relevant throughout the day

    Empagliflozin in Patients with Chronic Kidney Disease

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    Background The effects of empagliflozin in patients with chronic kidney disease who are at risk for disease progression are not well understood. The EMPA-KIDNEY trial was designed to assess the effects of treatment with empagliflozin in a broad range of such patients. Methods We enrolled patients with chronic kidney disease who had an estimated glomerular filtration rate (eGFR) of at least 20 but less than 45 ml per minute per 1.73 m(2) of body-surface area, or who had an eGFR of at least 45 but less than 90 ml per minute per 1.73 m(2) with a urinary albumin-to-creatinine ratio (with albumin measured in milligrams and creatinine measured in grams) of at least 200. Patients were randomly assigned to receive empagliflozin (10 mg once daily) or matching placebo. The primary outcome was a composite of progression of kidney disease (defined as end-stage kidney disease, a sustained decrease in eGFR to < 10 ml per minute per 1.73 m(2), a sustained decrease in eGFR of & GE;40% from baseline, or death from renal causes) or death from cardiovascular causes. Results A total of 6609 patients underwent randomization. During a median of 2.0 years of follow-up, progression of kidney disease or death from cardiovascular causes occurred in 432 of 3304 patients (13.1%) in the empagliflozin group and in 558 of 3305 patients (16.9%) in the placebo group (hazard ratio, 0.72; 95% confidence interval [CI], 0.64 to 0.82; P < 0.001). Results were consistent among patients with or without diabetes and across subgroups defined according to eGFR ranges. The rate of hospitalization from any cause was lower in the empagliflozin group than in the placebo group (hazard ratio, 0.86; 95% CI, 0.78 to 0.95; P=0.003), but there were no significant between-group differences with respect to the composite outcome of hospitalization for heart failure or death from cardiovascular causes (which occurred in 4.0% in the empagliflozin group and 4.6% in the placebo group) or death from any cause (in 4.5% and 5.1%, respectively). The rates of serious adverse events were similar in the two groups. Conclusions Among a wide range of patients with chronic kidney disease who were at risk for disease progression, empagliflozin therapy led to a lower risk of progression of kidney disease or death from cardiovascular causes than placebo

    Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

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    Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

    The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

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    © 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine

    Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

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    This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London
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