Manual and Electronic Detection of Subgingival Calculus: Reliability and Accuracy

Calculus consists of mineralised dental biofilm on the surfaces of teeth and dental prosthesis, the location of which can be detected by using a periodontal or an electronic probe. Detection of subgingival calculus is critical for successful treatment outcome in the management of periodontal patients. The aim of this study was to detect subgingival calculus using manual and electronic probe and to compare the reliability and the accuracy of both methods. The study was carried out in vitro on thirty-two extracted teeth with calculus mounted in frasaco model. A total of 192 sites on six surfaces of the teeth bucally and lingually were recorded for the presence of subgingival calculus. Manual probing of calculus depended on tactile sensation and experience; where as electronic probing gave sound and light signal. The results showed that at the depth of 1-3mm, manual probing could detect 62.7% of calculus and electronic probing could detect more at 77.1%. At the deeper sites of 4-6mm, the ability for detection using electronic probing reduced to 14.1% with failure for detection at ≥ 7mm depth. However manual probing recorded more at 25% for 4-6mm calculus and 4.7% at ≥7mm. Manual and electronic probing has different sensitivity in detecting subgingival calculus with electronic probing being more sensitive at shallow sites and failed to detect calculus at deeper sites. It also has difficulty to differentiate between calculus and other roughness on tooth surfaces. These findings highlighted the accuracy and reliability of manual detection for deeper calculus. Redesigning calibration and length of electronic probe can improve its usage. Further study on clinical application to assess the impact of both probing may benefit clinical teaching of subgingival calculus detection and the outcome of periodontal patient’s management

Directional felling within selective management system of Peninsular Malaysia: comparison between current and extended techniques

Directional felling has been implemented in Peninsular Malaysia as part of the Selective Management System (SMS) to obtain optimum yield from the forest resources while reducing damage to the environment and residual trees. Some questions regarding its effectiveness have been questioned a few times, resulting in a joint research project at Ulu Jelai Forest Reserve, Pahang, Malaysia to compare between the current directional felling technique and the new (extended) techniques, in terms of accuracy of tree felling, volume of felling logs, expected damage on residual trees, and time taken for tree felling. For this study, 38 trees were felled with the current and extended techniques. By using the extended technique, 91.3% of the trees were felled within the 0°-5° range, and 100% within the 0°-10° range, compared to 28.01% (within the 0°-5° range) using the current technique. The extended technique also recorded higher volume recovery (14% higher) and lower damage on the residual trees by almost 50%. However, the extended technique took longer time, i.e. 4.56 minutes per tree, as compared to 2.50 minutes. The main contributor to the difference is the presence of gauge cut in the extended technique. Generally, the studies suggest that the extended technique is preferred as it is safer to the feller and surrounding people, while reducing the collateral damage on the harvested trees, as well as the residual trees

Experimental study to identify common engine part load conditions between Malaysian city driving and NEDC test

This paper describes an experimental study conducted to identify the common engine part load conditions between Malaysian city driving and NEDC (New European Driving Cycle) test on a 4 cylinder gasoline fuelled engine, with multi-point fuel injection system, and continuous variable transmission vehicle. This is to pinpoint a regional area from the part load map in the attempt to strategize key technologies such as CDA (Cylinder Deactivation) or CNG (Compressed Natural Gas). Technologies such as CDA or CNG do not operate at all engine operations. Due to certain drawbacks, the operation of the technologies must be strategized to obtain most benefit from the engine. With the knowledge of the common part load region, these technologies could be integrated and strategized into the region to reduce overall fuel consumption. With improvements in fuel consumption respective to the identified common part load operations, the overall fuel consumption benefit does not only serve the legislation but also most importantly benefit the local consumers who travel on Malaysian roads. Copyright © 2009 Praise Worthy Prize S.r.l. - All rights reserved

Evaluating the Shelf Life of Chilled Raw and Pasteurized Goat Milk: An Analysis of Physicochemical and Microbial Content

Goat milk offers a variety of health benefits. The objective of this study is to evaluate the influence of refrigerated storage on the quality of unprocessed and pasteurized goat milk within a defined timeframe. In addition, also analyzes the chemical and microbiological composition of both raw and pasteurized goat milk during refrigerated storage to assess its longevity. Goat milk samples were obtained from healthy Saanen female goats, aged 3-4 years, with a body condition score (BCS) ranging from 2 to 3. The samples were taken from UniSZA Pasir Akar farm in Besut, Terengganu, Malaysia. The milk samples were processed through pasteurization. Exactly 10 goats were meticulously chosen, with each goat yielding 1 liter of milk. The goats were segregated into two cohorts: one cohort for raw milk (n=5) and the other for pasteurized milk (n=5). Subsequently, the milk samples from both groups were subjected to chilling storage experimentation at the food technology laboratory of Universiti Sultan Zainal Abidin (UniSZA) in Besut. The milk samples (duplicates) were monitored for 42 days to assess their physical characteristics. The pasteurized goat milk samples were evaluated for milk composition (fat, solid non-fat, protein, and lactose) and microbial contents (TPC and EMB) from Week 0 to Week 6. The effect of shelf life, composition values, and bacterial growth were measured weekly, and the data were presented descriptively (SEM±STD) with paired T-Test as the statistical analysis, considering p<0.15 as a significant difference. The findings revealed a downward trajectory in the physical attributes and chemical makeup of both unprocessed and pasteurized goat milk throughout the storage duration, resulting in decreases in fat, solid non-fat, protein, and lactose. The microbiological investigation revealed increased microbial levels in both raw and pasteurized milk after two weeks. Nevertheless, there was a subsequent decrease in the number of microorganisms from week 3 to week 6, indicating a phase of natural bacterial decline caused by limited nutrients and competition among bacteria. The study emphasizes the significance of maintaining sustainability in dairy production and addressing food safety concerns. It is crucial for customers to be informed about the duration of safe consumption of pasteurized milk and the potential threat of bacterial growth during prolonged cold storag

Impact of Long-Term Forest Enrichment Planting on the Biological Status of Soil in a Deforested Dipterocarp Forest in Perak, Malaysia

Deforestation leads to the deterioration of soil fertility which occurs rapidly under tropical climates. Forest rehabilitation is one of the approaches to restore soil fertility and increase the productivity of degraded areas. The objective of this study was to evaluate and compare soil biological properties under enrichment planting and secondary forests at Tapah Hill Forest Reserve, Perak after 42 years of planting. Both areas were excessively logged in the 1950s and left idle without any appropriate forest management until 1968 when rehabilitation program was initiated. Six subplots (20 m × 20 m) were established within each enrichment planting (F1) and secondary forest (F2) plots, after which soil was sampled at depths of 0–15 cm (topsoil) and 15–30 cm (subsoil). Results showed that total mean microbial enzymatic activity, as well as biomass C and N content, was significantly higher in F1 compared to F2. The results, despite sample variability, suggest that the rehabilitation program improves the soil biological activities where high rate of soil organic matter, organic C, N, suitable soil acidity range, and abundance of forest litter is believed to be the predisposing factor promoting higher population of microbial in F1 as compared to F2. In conclusion total microbial enzymatic activity, biomass C and biomass N evaluation were higher in enrichment planting plot compared to secondary forest. After 42 years of planting, rehabilitation or enrichment planting helps to restore the productivity of planted forest in terms of biological parameters

Quasi-static compression properties of bamboo and pvc tube reinforced polymer foam structures

In recent years, there has been a growing interest for composite materials due to the superior capability to absorb energy and lightweight factor. These properties are compatible to be utilized in the development for transportation system as it can reduce the fuel consumption and also minimize the effect of crash to the passenger. Therefore, the aim for this project is to study the compression strength and energy absorbing capability for Polyvinyl chloride (PVC) and bamboo tubes reinforced with foam. Several parameters are being considered, these being the effect of single and multiple tube reinforced foam structure, foam density, diameter of the tube as well as effect of different crosshead speed. The results showed that increasing the relative foam density will led to an increase in the compression strength and specific energy absorption (SEA) values. Furthermore, a significant increase of compression strength can be seen when several tubes are introduced into the foam while SEA remained almost the same. Finally, the influence of crosshead below 20 mm/min did not vary significantly for both compression strength and SEA

Solid-state fermentation of oil palm frond petiole for lignin peroxidase and xylanase-rich cocktail production

In current practice, oil palm frond leaflets and stems are re-used for soil nutrient recycling, while the petioles are typically burned. Frond petioles have high commercialization value, attributed to high lignocellulose fiber content and abundant of juice containing free reducing sugars. Pressed petiole fiber is the subject of interest in this study for the production of lignocellulolytic enzyme. The initial characterization showed the combination of 0.125 mm frond particle size and 60% moisture content provided a surface area of 42.3 m2/g, porosity of 12.8%, and density of 1.2 g/cm3, which facilitated fungal solid-state fermentation. Among the several species of Aspergillus and Trichoderma tested, Aspergillus awamori MMS4 yielded the highest xylanase (109 IU/g) and cellulase (12 IU/g), while Trichoderma virens UKM1 yielded the highest lignin peroxidase (222 IU/g). Crude enzyme cocktail also contained various sugar residues, mainly glucose and xylose (0.1–0.4 g/L), from the hydrolysis of cellulose and hemicellulose. FT-IR analysis of the fermented petioles observed reduction in cellulose crystallinity (I900/1098), cellulose–lignin (I900/1511), and lignin–hemicellulose (I1511/1738) linkages. The study demonstrated successful bioconversion of chemically untreated frond petioles into lignin peroxidase and xylanase-rich enzyme cocktail under SSF condition

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030