Objective: To study the demographic, clinical features, management and outcome of neonatal tetanus treated at Tawau Hospital.
Method: A retrospective study of neonatal tetanus admitted to a district hospital in Sabah was conducted.
Results: In 2015, the hospital handled 18 cases of babies with neonatal tetanus in the Tawau Hospital. This implies an occurrence of 1.5 cases per month. All the mothers were non-citizens and did not have any proper antenatal follow up. All the tetanus babies required invasive mechanical ventilation with a median of 20 days (range, 5 to 32 days). The survival rate was 94.4%.
Conclusion: Despite the promotion of maternal and childhood vaccination along with hygienic practices of delivery, neonatal tetanus still remains a threat to babies born in Sabah.
Nickel-based catalysts play an important role in the hydrogen-free deoxygenation for the production of biofuel. The yield and quality of the biofuel are critically affected by the physicochemical properties of NiO supported on nanosized zeolite Y (Y65, crystal size of 65 nm). Therefore, 10 wt% NiO supported on Y65 synthesized by using impregnation (IM) and deposition-precipitation (DP) methods were investigated. It was found that preparation methods have a significant effect on the deoxygenation of triolein. The initial rate of the DP method (14.8 goil·h-1) was 1.5 times higher than that of the IM method (9.6 goil·h-1). The DP-Y65 showed the best deoxygenation performance with a 80.0% conversion and a diesel selectivity of 93.7% at 380 °C within 1 h. The outstanding performance from the DP method was due to the smaller NiO particle size (3.57 ± 0.40 nm), high accessibility (H.F value of 0.084), and a higher Brönsted to Lewis acidity (B/L) ratio (0.29), which has improved the accessibility and deoxygenation ability of the catalyst. The NH4+ released from the decomposition of the urea during the DP process increased the B/L ratio of zeolite NaY. As a result, the pretreatment to convert Na-zeolite to H-zeolite in a conventional zeolite synthesis can be avoided. In this regard, the DP method offers a one-pot synthesis to produce smaller NiO-supported nanosized zeolite NaY with a high B/L ratio, and it managed to produce a higher yield with selectivity towards green diesel via deoxygenation under a hydrogen-free condition.