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Fulltext Effect of Empty Fruit Brunch reinforcement in PolyButylene-Succinate/Modified Tapioca Starch blend for Agricultural Mulch Films

Ayu RS, Khalina A, Harmaen AS, Zaman K, Mohd Nurrazi N, Isma T, et al.

Sci Rep, 2020 01 24;10(1):1166.
PMID: 31980742 DOI: 10.1038/s41598-020-58278-y

In this study, it focused on empty fruit brunch (EFB) fibres reinforcement in polybutylene succinate (PBS) with modified tapioca starch by using hot press technique for the use of agricultural mulch film. Mechanical, morphological and thermal properties were studied. Mechanical analysis showed decreased in values of modulus strength for both tensile and flexural testing for fibres insertion. Higher EFB fibre contents in films resulted lower mechanical properties due to poor fibre wetting from insufficient matrix. This has also found evident in SEM micrograph, showing poor interfacial bonding. Water vapour permeability (WVP) shows as higher hydrophilic EFB fibre reinforcement contents, the rate of WVP also increase. Besides this, little or no significant changes on thermal properties for composite films. This is because high thermal stability PBS polymer show its superior thermal properties dominantly. Even though EFB fibres insertion into PBS/tapioca starch biocomposite films have found lower mechanical properties. It successfully reduced the cost of mulch film production without significant changes of thermal performances.
Fulltext Potential for Natural Fiber Reinforcement in PLA Polymer Filaments for Fused Deposition Modeling (FDM) Additive Manufacturing: A Review

Lee CH, Padzil FNBM, Lee SH, Ainun ZMA, Abdullah LC

Polymers (Basel), 2021 Apr 27;13(9).
PMID: 33925266 DOI: 10.3390/polym13091407

In this review, the potential of natural fiber and kenaf fiber (KF) reinforced PLA composite filament for fused deposition modeling (FDM) 3D-printing technology is highlighted. Additive manufacturing is a material-processing method in which the addition of materials layer by layer creates a three-dimensional object. Unfortunately, it still cannot compete with conventional manufacturing processes, and instead serves as an economically effective tool for small-batch or high-variety product production. Being preformed of composite filaments makes it easiest to print using an FDM 3D printer without or with minimum alteration to the hardware parts. On the other hand, natural fiber-reinforced polymer composite filaments have gained great attention in the market. However, uneven printing, clogging, and the inhomogeneous distribution of the fiber-matrix remain the main challenges. At the same time, kenaf fibers are one of the most popular reinforcements in polymer composites. Although they have a good record on strength reinforcement, with low cost and light weight, kenaf fiber reinforcement PLA filament is still seldom seen in previous studies. Therefore, this review serves to promote kenaf fiber in PLA composite filaments for FDM 3D printing. To promote the use of natural fiber-reinforced polymer composite in AM, eight challenges must be solved and carried out. Moreover, some concerns arise to achieve long-term sustainability and market acceptability of KF/PLA composite filaments.
Fulltext A Review on Properties and Application of Bio-Based Poly(Butylene Succinate)

Rafiqah SA, Khalina A, Harmaen AS, Tawakkal IA, Zaman K, Asim M, et al.

Polymers (Basel), 2021 Apr 29;13(9).
PMID: 33946989 DOI: 10.3390/polym13091436

Researchers and companies have increasingly been drawn to biodegradable polymers and composites because of their environmental resilience, eco-friendliness, and suitability for a range of applications. For various uses, biodegradable fabrics use biodegradable polymers or natural fibers as reinforcement. Many approaches have been taken to achieve better compatibility for tailored and improved material properties. In this article, PBS (polybutylene succinate) was chosen as the main topic due to its excellent properties and intensive interest among industrial and researchers. PBS is an environmentally safe biopolymer that has some special properties, such as good clarity and processability, a shiny look, and flexibility, but it also has some drawbacks, such as brittleness. PBS-based natural fiber composites are completely biodegradable and have strong physical properties. Several research studies on PBS-based composites have been published, including physical, mechanical, and thermal assessments of the properties and its ability to replace petroleum-based materials, but no systematic analysis of up-to-date research evidence is currently available in the literature. The aim of this analysis is to highlight recent developments in PBS research and production, as well as its natural fiber composites. The current research efforts focus on the synthesis, copolymers and biodegradability for its properties, trends, challenges and prospects in the field of PBS and its composites also reviewed in this paper.
Fulltext Effect of Lignin Modification on Properties of Kenaf Core Fiber Reinforced Poly(Butylene Succinate) Biocomposites

Ahmad Saffian H, Hyun-Joong K, Md Tahir P, Ibrahim NA, Lee SH, Lee CH

Materials (Basel), 2019 Dec 05;12(24).
PMID: 31817323 DOI: 10.3390/ma12244043

In this study, the effects of lignin modification on the properties of kenaf core fiber reinforced poly(butylene succinate) biocomposites were examined. A weight percent gain (WPG) value of 30.21% was recorded after the lignin were modified with maleic anhydride. Lower mechanical properties were observed for lignin composites because of incompatible bonding between the hydrophobic matrix and the hydrophilic lignin. Modified lignin (ML) was found to have a better interfacial bonding, since maleic anhydrides remove most of the hydrophilic hydrogen bonding (this was proven by a Fourier-transform infrared (FTIR) spectrometer-a reduction of broadband near 3400 cm-1, corresponding to the -OH stretching vibration of hydroxyl groups for the ML samples). On the other hand, ML was found to have a slightly lower glass transition temperature, Tg, since reactions with maleic anhydride destroy most of the intra- and inter-molecular hydrogen bonds, resulting in a softer structure at elevated temperatures. The addition of kraft lignin was found to increase the thermal stability of the PBS polymer composites, while modified kraft lignin showed higher thermal stability than pure kraft lignin and possessed delayed onset thermal degradation temperature.
Fulltext Acute myocardial infarction in young Asian women: a comparative study on Chinese, Malay and Indian ethnic groups

Xie CB, Chan MY, Teo SG, Low AF, Tan HC, Lee CH

Singapore Med J, 2011 Nov;52(11):835-9.
PMID: 22173254

There is a paucity of data on acute myocardial infarction (AMI) in young Asian women and of comparative data among various ethnic groups with respect to risk factor profile and clinical outcomes. We present a comprehensive overview of the clinical characteristics of young Asian women with AMI and a comparative analysis among Chinese, Malay and Indian women in a multi-ethnic Asian country.
Fulltext Potential of Oil Palm Empty Fruit Bunch Resources in Nanocellulose Hydrogel Production for Versatile Applications: A Review

Padzil FNM, Lee SH, Ainun ZMA, Lee CH, Abdullah LC

Materials (Basel), 2020 Mar 10;13(5).
PMID: 32164150 DOI: 10.3390/ma13051245

Oil palm empty fruit bunch (OPEFB) is considered the cheapest natural fiber with good properties and exists abundantly in Malaysia. It has great potential as an alternative main raw material to substitute woody plants. On the other hand, the well-known polymeric hydrogel has gathered a lot of interest due to its three-dimensional (3D) cross-linked network with high porosity. However, some issues regarding its performance like poor interfacial connectivity and mechanical strength have been raised, hence nanocellulose has been introduced. In this review, the plantation of oil palm in Malaysia is discussed to show the potential of OPEFB as a nanocellulose material in hydrogel production. Nanocellulose can be categorized into three nano-structured celluloses, which differ in the processing method. The most popular nanocellulose hydrogel processing methods are included in this review. The 3D printing method is taking the lead in current hydrogel production due to its high complexity and the need for hygiene products. Some of the latest advanced applications are discussed to show the high commercialization potential of nanocellulose hydrogel products. The authors also considered the challenges and future direction of nanocellulose hydrogel. OPEFB has met the requirements of the marketplace and product value chains as nanocellulose raw materials in hydrogel applications.
Evidence supports the use of hydrocortisone for patients with community-acquired pneumonia

Lu DE, Chang CY, Cheng SW, Kang E, Lee CH, Chen KH

Crit Care, 2024 Feb 20;28(1):55.
PMID: 38378580 DOI: 10.1186/s13054-024-04833-2
Fulltext Effect of Modified Tapioca Starch on Mechanical, Thermal, and Morphological Properties of PBS Blends for Food Packaging

Ayu RS, Khalina A, Harmaen AS, Zaman K, Jawaid M, Lee CH

Polymers (Basel), 2018 Oct 25;10(11).
PMID: 30961112 DOI: 10.3390/polym10111187

In this study, polybutylene succinate (PBS) was blended with five types of modified tapioca starch to investigate the effect of modified tapioca starch in PBS blends for food packaging by identifying its properties. Tensile and flexural properties of blends found deteriorated for insertion of starch. This is due to poor interface, higher void contents and hydrolytic degradation of hydrophilic starch. FTIR results show all starch/PBS blends are found with footprints of starch except OH stretching vibration which is absent in B40 blends. Besides, Broad O⁻H absorption in all specimens show that these are hydrogen bonded molecules and no free O⁻H bonding was found. SEM testing shows good interfacial bonding between PBS and starch except E40 blends. Therefore, poor results of E40 blends was expected. In TGA, a slightly weight loss found between 80 to 100 °C due to free water removal. Apart from this, insertion of all types of starch reduces thermal stability of blend. However, high crystallinity of starch/PBS blend observed better thermal stability but lower char yield. Starch A and B blends are suggested to be used as food wrap and food container materials while starch D blend is suitable for grocery plastic bags according to observed results.
An integrative taxonomic review of the agamid genus Bronchocela (Kuhl, 1820) from Peninsular Malaysia with descriptions of new montane and insular endemics

Grismer LL, Wood PL, Lee CH, Quah ES, Anuar S, Ngadi E, et al.

Zootaxa, 2015 Apr 20;3948(1):1-23.
PMID: 25947760 DOI: 10.11646/zootaxa.3948.1.1

An integrative taxonomic analysis is used to identify and describe two new species of the agamid genus Bronchocela (Kuhl) from Peninsular Malaysia: an upland species B. shenlong sp. nov. from Bukit Larut, Perak in the Bintang Mountain Range and Parit Falls, Cameron Highlands, Pahang in the Titiwangsa Mountain Range and an insular species, B. rayaensis sp. nov., from Pulau Langkawi, Kedah off the northwest coast on the border with Thailand. Both species are diagnosed from each other and all other species of Bronchocela on the basis of body shape, scale morphology, and color pattern. The analysis also demonstrates the remarkable genetic similarity of B. cristatella (Kuhl) throughout 1120 km of its range from northern Peninsular Malaysia to western Borneo despite its highly variable coloration and pattern. The two new species are appended to a rapidly growing list of newly described lizard species (60 to date) from Peninsular Malaysia tallied within the last decade.
Constituents of the Edible Leaves of Melicope pteleifolia with Potential Analgesic Activity

Lee BW, Park JG, Ha TKQ, Pham HTT, An JP, Noh JR, et al.

J Nat Prod, 2019 08 23;82(8):2201-2210.
PMID: 31393125 DOI: 10.1021/acs.jnatprod.9b00224

Melicope pteleifolia has long been consumed as a popular vegetable and tea in Southeast Asian countries, including Malaysia and southern mainland China, and is effective in the treatment of colds and inflammation. In the search for active metabolites that can explain its traditional use as an antipyretic, six new phloroacetophenone derivatives (3-8) along with seven known compounds (1, 2, and 9-13) were isolated from the leaves of M. pteleifolia. Their chemical structures were confirmed by extensive spectroscopic analysis including NMR, IR, ECD, and HRMS. All compounds isolated from the leaves of M. pteleifolia (1-13) have a phloroacetophenone skeleton. Notably, the new compound 8 contains an additional cyclobutane moiety in its structure. The bioactivities of the isolated compounds were evaluated, and compounds 1, 6, and 7 inhibited tumor necrosis factor-α-induced prostaglandin E2. Moreover, the major constituent, 3,5-di-C-β-d-glucopyranosyl phloroacetophenone (1), was found to be responsible for the antipyretic activity of M. pteleifolia based on in vivo experiments.
A Comprehensive Review on Advanced Sustainable Woven Natural Fibre Polymer Composites

Aisyah HA, Paridah MT, Sapuan SM, Ilyas RA, Khalina A, Nurazzi NM, et al.

Polymers (Basel), 2021 Feb 02;13(3).
PMID: 33540731 DOI: 10.3390/polym13030471

Over the last decade, the progressive application of natural fibres in polymer composites has had a major effect in alleviating environmental impacts. Recently, there is a growing interest in the development of green materials in a woven form by utilising natural fibres from lignocellulosic materials for many applications such as structural, non-structural composites, household utilities, automobile parts, aerospace components, flooring, and ballistic materials. Woven materials are one of the most promising materials for substituting or hybridising with synthetic polymeric materials in the production of natural fibre polymer composites (NFPCs). These woven materials are flexible, able to be tailored to the specific needs and have better mechanical properties due to their weaving structures. Seeing that the potential advantages of woven materials in the fabrication of NFPC, this paper presents a detailed review of studies related to woven materials. A variety of factors that influence the properties of the resultant woven NFRC such as yarn characteristics, fabric properties as well as manufacturing parameters were discussed. Past and current research efforts on the development of woven NFPCs from various polymer matrices including polypropylene, polylactic acid, epoxy and polyester and the properties of the resultant composites were also compiled. Last but not least, the applications, challenges, and prospects in the field also were highlighted.
Fulltext Thermal, Physical and Mechanical Properties of Poly(Butylene Succinate)/Kenaf Core Fibers Composites Reinforced with Esterified Lignin

Saffian HA, Yamaguchi M, Ariffin H, Abdan K, Kassim NK, Lee SH, et al.

Polymers (Basel), 2021 Jul 19;13(14).
PMID: 34301116 DOI: 10.3390/polym13142359

In this study, Kraft lignin was esterified with phthalic anhydride and was served as reinforcing filler for poly(butylene succinate) (PBS). Composites with different ratios of PBS, lignin (L), modified lignin (ML) and kenaf core fibers (KCF) were fabricated using a compounding method. The fabricated PBS composites and its counterparts were tested for thermal, physical and mechanical properties. Weight percent gain of 4.5% after lignin modification and the FTIR spectra has confirmed the occurrence of an esterification reaction. Better thermo-mechanical properties were observed in the PBS composites reinforced with modified lignin and KCF, as higher storage modulus and loss modulus were recorded using dynamic mechanical analysis. The density of the composites fabricated ranged from 1.26 to 1.43 g/cm3. Water absorption of the composites with the addition of modified lignin is higher than that of composites with unmodified lignin. Pure PBS exhibited the highest tensile strength of 18.62 MPa. Incorporation of lignin and KCF into PBS resulted in different extents of reduction in tensile strength (15.78 to 18.60 MPa). However, PBS composite reinforced with modified lignin exhibited better tensile and flexural strength compared to its unmodified lignin counterpart. PBS composite reinforced with 30 wt% ML and 20 wt% KCF had the highest Izod impact, as fibers could diverge the cracking propagation of the matrix. The thermal conductivity value of the composites ranged from 0.0903 to 0.0983 W/mK, showing great potential as a heat insulator.
Fulltext The efficacy of honey-cinnamon commixture in diabetic wound healing. [Abstract]

Azib FN, Lee CH, Mohd Yusof NM, Yusuf N, Mohd Fuad NF, Saharuddin NS, et al.

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):23-0.
MyJurnal

1st UMS INTERNATIONAL NURSING CONFERENCE IN CONJUNCTION WITH 11TH INTERNATIONAL NURSING STUDENTS’ FORUM
A view into the future of nursing: Nursing Transformation towards IR-4.0, Held at the Faculty of Medicine and Health Sciences,, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia, On 6-8th March 2020
Introduction: Delayed wound healing and a hefty cost of treatment poses a burden to those undergoing treatment for Diabetic wound care. An alternative wound product to speed up wound healing may address this problem. Honey has been recognized around the world for its efficacy as treating wounds, eczema, and inflammation while cinnamon has a variety of biological functions including anti-diabetic, anti-microbial, and anti-inflammatory. As both cinnamon and honey possess different properties in wound healing, it is hypothesized that combining both products can accelerate wound healing. This study is to compare the efficacy of pure honey, pure cinnamon and honey-cinnamon commixture in diabetic wound healing.
Methods: Three volunteers were selected from Kitamura clinic, Pontianak, Indonesia participated in this study. Each of them was given a different wound product which were pure honey (subject 1), pure cinnamon extract (subject 2), and honey-cinnamon commixture (subject 3). The wound bed percentage, size, and characteristics were recorded and compared. Results: Usage of pure cinnamon was discontinued during the second visit due to its drying effect. Subjects 1 and 3 both presented with an increase in granulation and reduction in sloughing of cells and biofilm. However, subject 3 showed faster wound contraction and reduction in maceration as compared to subject 1.
Conclusion: Pure cinnamon extract should not be used as a standalone wound product due to its drying properties. However, topical co-administration of honey and Cinnamon cassia extract has a synergistic interaction effect, improves wound healing in diabetic individuals and is recommended as a new topical herbal drug production for treating of the diabetic wound. Further studies on the therapeutic concentration of honey-cinnamon commixture should be conducted.
Fulltext Association of DSM-5 Betel-Quid Use Disorder With Oral Potentially Malignant Disorder in 6 Betel-Quid Endemic Asian Populations

Lee CH, Ko AM, Yang FM, Hung CC, Warnakulasuriya S, Ibrahim SO, et al.

JAMA Psychiatry, 2018 03 01;75(3):261-269.
PMID: 29417149 DOI: 10.1001/jamapsychiatry.2017.4307

Importance: Betel-quid (BQ) is the fourth most popular psychoactive agent worldwide. An emerging trend across Asia is the addictive consumption of BQ, which is associated with oral cancer and other health consequences.
Objective: To investigate the validity and pattern of DSM-5-defined BQ use disorder (BUD) and its association with oral potentially malignant disorder (OPMD) among Asian populations.
Design, Setting, and Participants: In-person interviews were conducted from January 1, 2009, to February 28, 2010, among a random sample of 8922 noninstitutionalized adults from the Asian Betel-quid Consortium study, an Asian representative survey of 6 BQ-endemic populations. Statistical analysis was performed from January 1, 2015, to December 31, 2016.
Main Outcomes and Measures: Participants were evaluated for BUD using DSM-5 criteria for substance use disorder and for OPMD using a clinical oral examination. Current users of BQ with 0 to 1 symptoms were classified as having no BUD, those with 2 to 3 symptoms as having mild BUD, those with 4 to 5 symptoms as having moderate BUD, and those with 6 or more symptoms as having severe BUD.
Results: Among the 8922 participants (4564 women and 4358 men; mean [SD] age, 44.2 [0.2] years), DSM-5 symptoms showed sufficient unidimensionality to act as a valid measure for BUD. The 12-month prevalence of DSM-5-defined BUD in the 6 study populations was 18.0% (mild BUD, 3.2%; moderate BUD, 4.3%; and severe BUD, 10.5%). The 12-month proportion of DSM-5-defined BUD among current users of BQ was 86.0% (mild BUD, 15.5%; moderate BUD, 20.6%; and severe BUD, 50.0%). Sex, age, low educational level, smoking, and drinking were significantly associated with BUD. Among individuals who used BQ, family use, high frequency of use, and amount of BQ used were significantly linked to moderate to severe BUD. Compared with individuals who did not use BQ, those who used BQ and had no BUD showed a 22.0-fold (95% CI, 4.3-112.4) risk of OPMD (P
Fulltext Effects of Multi-Component Exercise on Sleep Quality in Middle-Aged Adults

Ai JY, Kuan G, Juang LY, Lee CH, Kueh YC, Chu IH, et al.

Int J Environ Res Public Health, 2022 Nov 22;19(23).
PMID: 36497548 DOI: 10.3390/ijerph192315472

Sleep is a crucial factor in healthy aging. However, most middle-aged adults experience high levels of sleep disorders. While previous findings have suggested exercise training could benefit the quality of sleep, the effects of multi-component exercise on sleep quality are less examined. Accordingly, the current study aimed to assess the effectiveness of a multi-component exercise program on the quality of sleep among middle-aged adults. Twenty-four middle-aged adults were randomly assigned either to a multi-component exercise (MCE) group or a control group. The participants in the MCE group attended a 90-min session per week for 12 weeks. The control group was instructed to maintain their daily routine for 12 weeks. The primary outcome was the sleep quality evaluated by the Pittsburgh Sleep Quality Index (PSQI). The secondary outcome was physical fitness, including muscular strength and endurance, balance, and flexibility. Regarding sleep quality, the global mean score (p = 028), sleep disturbances (p = 011), and sleep efficiency (p = 035) of the PSQI scores were significantly reduced in the MCE group after the 12-week intervention. Regarding physical fitness, the flexibility of the MCE group improved significantly after the intervention (p = 028), yet, no significant change was observed in the control group. Additionally, the muscular strength of the control group declined significantly after the 12-week period (p = 034). Our results revealed the effectiveness of the MCE intervention in improving sleep quality and physical fitness in middle-aged adults. Further studies using larger sample sizes, objective measures of sleep quality, different types of exercise training, as well as different populations, are warranted to extend our current findings.
Fulltext Effects of Fabric Counts and Weave Designs on the Properties of Laminated Woven Kenaf/Carbon Fibre Reinforced Epoxy Hybrid Composites

Aisyah HA, Paridah MT, Khalina A, Sapuan SM, Wahab MS, Berkalp OB, et al.

Polymers (Basel), 2018 Nov 28;10(12).
PMID: 30961245 DOI: 10.3390/polym10121320

The effects of different fabric materials namely weave designs (plain and satin) and fabric counts (5 × 5 and 6 × 6) on the properties of laminated woven kenaf/carbon fibre reinforced epoxy hybrid composites were evaluated. The hybrid composites were fabricated from two types of fabric, i.e., woven kenaf that was made from a yarn of 500tex and carbon fibre, by using vacuum infusion technique and epoxy resin as matrix. The panels were tested for tensile, flexural, and impact strengths. The results have revealed that plain fabric is more suitable than satin fabric for obtaining high tensile and impact strengths. Using a fabric count of 5 × 5 has generated composites that are significantly higher in flexural modulus as compared to 6 × 6 which may be attributed to their structure and design. The scanned electron micrographs of the fractured surfaces of the composites demonstrated that plain woven fabric composites had better adhesion properties than satin woven fabric composites, as indicated by the presence of notably lower amount of fibre pull out.
Fulltext The Challenges and Future Perspective of Woven Kenaf Reinforcement in Thermoset Polymer Composites in Malaysia: A Review

Lee CH, Khalina A, Nurazzi NM, Norli A, Harussani MM, Rafiqah SA, et al.

Polymers (Basel), 2021 Apr 25;13(9).
PMID: 33922885 DOI: 10.3390/polym13091390

In this review, the challenges faced by woven kenaf thermoset polymer composites in Malaysia were addressed with respect to three major aspects: woven kenaf reinforcement quality, Malaysian citizen awareness of woven kenaf thermoset composite products, and government supports. Kenaf plantations were introduced in Malaysia in the last two decades, but have generally not produced much kenaf composite product that has been widely accepted by the public. However, woven kenaf fiber enhances the thermoset composites to a similar degree or better than other natural fibers, especially with respect to impact resistance. Woven kenaf composites have been applied in automotive structural studies in Malaysia, yet they are still far from commercialization. Hence, this review discusses the kenaf fiber woven in Malaysia, thermoset and bio-based thermoset polymers, thermoset composite processing methods and, most importantly, the challenges faced in Malaysia. This review sets guidelines, provides an overview, and shares knowledge as to the potential challenges currently faced by woven kenaf reinforcements in thermoset polymer composites, allowing researchers to shift their interests and plans for conducting future studies on woven kenaf thermoset polymer composites.
Fulltext Betel-quid dependence and oral potentially malignant disorders in six Asian countries

Lee CH, Ko AM, Yen CF, Chu KS, Gao YJ, Warnakulasuriya S, et al.

Br J Psychiatry, 2012 Nov;201(5):383-91.
PMID: 22995631 DOI: 10.1192/bjp.bp.111.107961

Despite gradual understanding of the multidimensional health consequences of betel-quid chewing, information on the effects of dependent use is scant.
Fulltext The remodelling index risk stratifies patients with hypertensive left ventricular hypertrophy

Le TT, Lim V, Ibrahim R, Teo MT, Bryant J, Ang B, et al.

Eur Heart J Cardiovasc Imaging, 2021 05 10;22(6):670-679.
PMID: 32255186 DOI: 10.1093/ehjci/jeaa040

AIMS: Hypertensive left ventricular hypertrophy (LVH) is associated with increased cardiovascular events. We previously developed the remodelling index (RI) that incorporated left ventricular (LV) volume and wall-thickness in a single measure of advanced hypertrophy in hypertensive patients. This study examined the prognostic potential of the RI in reference to contemporary LVH classifications.
METHODS AND RESULTS: Cardiovascular magnetic resonance was performed in 400 asymptomatic hypertensive patients. The newly derived RI (EDV3t, where EDV is LV end-diastolic volume and t is the maximal wall thickness across 16 myocardial segments) stratified hypertensive patients: no LVH, LVH with normal RI (LVHNormal-RI), and LVH with low RI (LVHLow-RI). The primary outcome was a composite of all-cause mortality, acute coronary syndromes, strokes, and decompensated heart failure. LVHLow-RI was associated with increased LV mass index, fibrosis burden, impaired myocardial function and elevated biochemical markers of myocardial injury (high-sensitive cardiac troponin I), and wall stress. Over 18.3 ± 7.0 months (601.3 patient-years), 14 adverse events occurred (2.2 events/100 patient-years). Patients with LVHLow-RI had more than a five-fold increase in adverse events compared to those with LVHNormal-RI (11.6 events/100 patient-years vs. 2.0 events/100 patient-years, respectively; log-rank P
Fulltext Valorisation of biomass and diaper waste into a sustainable production of the medical mushroom Lingzhi Ganoderma lucidum

Khoo SC, Ma NL, Peng WX, Ng KK, Goh MS, Chen HL, et al.

Chemosphere, 2022 Jan;286(Pt 1):131477.
PMID: 34303046 DOI: 10.1016/j.chemosphere.2021.131477

Global solid waste is expected to increase by at least 70% annually until year 2050. The mixture of solid waste including food waste from food industry and domestic diaper waste in landfills is causing environmental and human health issues. Nevertheless, food and diaper waste containing high lignocellulose can easily degrade using lignocellulolytic enzymes thereby converted into energy for the development and growth of mushroom. Therefore, this study explores the potential of recycling biomass waste from coffee ground, banana, eggshell, tea waste, sugarcane bagasse and sawdust and diaper waste as raw material for Lingzhi mushroom (Ganoderma lucidum) cultivation. Using 2% of diaper core with sawdust biowaste leading to the fastest 100% mushroom mycelium spreading completed in one month. The highest production yield is 71.45 g mushroom; this represents about 36% production biological efficiency compared to only 21% as in commercial substrate. The high mushroom substrate reduction of 73% reflect the valorisation of landfill waste. The metabolomics profiling showed that the Lingzhi mushroom produced is of high quality with a high content of triterpene being the bioactive compounds that are medically important for treating assorted disease and used as health supplement. In conclusion, our study proposed a potential resource management towards zero-waste and circular bioeconomy for high profitable mushroom cultivation.

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