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Perceived changes in symptoms and quality-of-life amongst patients with dizziness: A single-centre experience in Malaysia

Wong KYR, Abdul Rasheed SRSMA, Jamaluddin SA, Hussein Al-Hadeethi YF

Med J Malaysia, 2022 Nov;77(6):730-735.
PMID: 36448392

INTRODUCTION: Dizziness is a common complaint by patients, yet it always presents as a diagnostic challenge to the attending clinician. An accurate diagnosis is essential to correctly administer the precise treatment regime, alleviate the symptoms, and improve the quality-of-life of patients who present with dizziness. A specialised vestibular clinic with a holistic approach of meticulous history-taking, complete physical examination, a collection of audiovestibular test battery, and facilities for vestibular rehabilitation was set up to assist in the management of these patients. This study aims to investigate the effect of vestibular clinic intervention on the symptoms and qualityof- life of patients who were managed in the vestibular clinic.
MATERIALS AND METHODS: A total of 64 new patients who were managed in the vestibular clinic were selected and the validated Malay - Vestibular Rehabilitation Benefit Questionnaire (My-VRBQ) was completed during the first and follow-up visits to measure the changes in symptoms and quality-of-life before and after receiving care at the vestibular clinic.
RESULTS: Our study showed that there was a positive effect of vestibular clinic intervention on the symptoms and quality-of-life of patients who were managed by the vestibular clinic. Statistically significant improvements were seen in the total My-VRBQ scores, symptoms scores, and quality-of-life scores. The subscale scores of dizziness, anxiety, and motion-provoked dizziness also showed statistically significant improvement among the patients who received care at the vestibular clinic.
CONCLUSION: This indicates that the vestibular clinic was an essential part of the work-up, diagnosis, and treatment of patients with dizziness; and a specialised vestibular clinic was able to bring about positive outcomes in the symptoms and quality-of-life of patients with balance disorders.
Fulltext Investigation of Acetone Vapour Sensing Properties of a Ternary Composite of Doped Polyaniline, Reduced Graphene Oxide and Chitosan Using Surface Plasmon Resonance Biosensor

Usman F, Dennis JO, Mkawi EM, Al-Hadeethi Y, Meriaudeau F, Ferrell TL, et al.

Polymers (Basel), 2020 Nov 20;12(11).
PMID: 33233844 DOI: 10.3390/polym12112750

This work reports the use of a ternary composite that integrates p-Toluene sulfonic acid doped polyaniline (PANI), chitosan, and reduced graphene oxide (RGO) as the active sensing layer of a surface plasmon resonance (SPR) sensor. The SPR sensor is intended for application in the non-invasive monitoring and screening of diabetes through the detection of low concentrations of acetone vapour of less than or equal to 5 ppm, which falls within the range of breath acetone concentration in diabetic patients. The ternary composite film was spin-coated on a 50-nm-thick gold layer at 6000 rpm for 30 s. The structure, morphology and chemical composition of the ternary composite samples were characterized by FTIR, UV-VIS, FESEM, EDX, AFM, XPS, and TGA and the response to acetone vapour at different concentrations in the range of 0.5 ppm to 5 ppm was measured at room temperature using SPR technique. The ternary composite-based SPR sensor showed good sensitivity and linearity towards acetone vapour in the range considered. It was determined that the sensor could detect acetone vapour down to 0.88 ppb with a sensitivity of 0.69 degree/ppm with a linearity correlation coefficient of 0.997 in the average SPR angular shift as a function of the acetone vapour concentration in air. The selectivity, repeatability, reversibility, and stability of the sensor were also studied. The acetone response was 87%, 94%, and 99% higher compared to common interfering volatile organic compounds such as propanol, methanol, and ethanol, respectively. The attained lowest detection limit (LOD) of 0.88 ppb confirms the potential for the utilisation of the sensor in the non-invasive monitoring and screening of diabetes.
State of the Art and New Directions on Electrospun Lignin/Cellulose Nanofibers for Supercapacitor Application: A Systematic Literature Review

Adam AA, Ojur Dennis J, Al-Hadeethi Y, Mkawi EM, Abubakar Abdulkadir B, Usman F, et al.

Polymers (Basel), 2020 Dec 01;12(12).
PMID: 33271876 DOI: 10.3390/polym12122884

Supercapacitors are energy storage devices with high power density, rapid charge/discharge rate, and excellent cycle stability. Carbon-based supercapacitors are increasingly attracting attention because of their large surface area and high porosity. Carbon-based materials research has been recently centered on biomass-based materials due to the rising need to maintain a sustainable environment. Cellulose and lignin constitute the major components of lignocellulose biomass. Since they are renewable, sustainable, and readily accessible, lignin and cellulose-based supercapacitors are economically viable and environmentally friendly. This review aims to systematically analyze published research findings on electrospun lignin, cellulose, and lignin/cellulose nanofibers for use as supercapacitor electrode materials. A rigorous scientific approach was employed to screen the eligibility of relevant articles to be included in this study. The research questions and the inclusion criteria were clearly defined. The included articles were used to draw up the research framework and develop coherent taxonomy of literature. Taxonomy of research literature generated from the included articles was classified into review papers, electrospun lignin, cellulose, and lignin/cellulose nanofibers for use as supercapacitor electrode materials. Furthermore, challenges, recommendations, and research directions for future studies were equally discussed extensively. Before this study, no review on electrospun lignin/cellulose nanofiber-based supercapacitors has been reported. Thus, this systematic review will provide a reference for other researchers interested in developing biomass-based supercapacitors as an alternative to conventional supercapacitors based on petroleum products.
Fulltext Acetone Vapor-Sensing Properties of Chitosan-Polyethylene Glycol Using Surface Plasmon Resonance Technique

Usman F, Dennis JO, Mkawi EM, Al-Hadeethi Y, Meriaudeau F, Fen YW, et al.

Polymers (Basel), 2020 Nov 04;12(11).
PMID: 33158093 DOI: 10.3390/polym12112586

To non-invasively monitor and screen for diabetes in patients, there is need to detect low concentration of acetone vapor in the range from 1.8 ppm to 5 ppm, which is the concentration range of acetone vapor in diabetic patients. This work presents an investigation for the utilization of chitosan-polyethylene glycol (PEG)-based surface plasmon resonance (SPR) sensor in the detection of trace concentration acetone vapor in the range of breath acetone in diabetic subjects. The structure, morphology, and elemental composition of the chitosan-PEG sensing layer were characterized using FTIR, UV-VIS, FESEM, EDX, AFM, and XPS methods. Response testing was conducted using low concentration of acetone vapor in the range of 0.5 ppm to 5 ppm using SPR technique. All the measurements were conducted at room temperature and 50 mL/min gas flow rate. The sensor showed good sensitivity, linearity, repeatability, reversibility, stability, and high affinity toward acetone vapor. The sensor also showed better selectivity to acetone compared to methanol, ethanol, and propanol vapors. More importantly, the lowest detection limit (LOD) of about 0.96 ppb confirmed the applicability of the sensor for the non-invasive monitoring and screening of diabetes.