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Fulltext Microscopic features of enamel and dentinal caries under confocal laser scanning microscopy (CLSM) and image analyzer: preliminary experimental study

Saini R, Azmi AS, Ghani NB, Al-Salihi KA

Med J Malaysia, 2007 Aug;62(3):238-40.
PMID: 18246915 MyJurnal

This study was designed to identify surface and subsurface microscopic changes in different carious lesions by using Confocal Laser Scanning Microscope (CLSM) and Image analyzer (light microscopy). Thirty extracted carious posterior teeth were fixed, embedded and polymerized in plastic fixation medium. The final thin sections (80mm) were stained with H&E and Masson Goldner's Tricome while others were left unstained. Under Confocal, marked differences between control sound enamel and dentin, and carious area of the samples were observed which illustrated that a correlation existed between the zone of autofluoresence, demineralization and carious enamel and dentin. Compared to CLSM, Image Analyzer only produce two-dimensional images but the histopathological changes were better appreciated by using various staining methods.
Fulltext Three-year follow-up of a Traumatic Hemipelvectomy Survivor: A Case Report

Wan KL, Azlan MS, Syed-Azmi AS, Lattish R, Faisham WI

Malays Orthop J, 2021 Nov;15(3):143-146.
PMID: 34966511 DOI: 10.5704/MOJ.2111.024

The management of a patient with traumatic hemipelvectomy is complex. We report the acute management and rehabilitation of a 21-year-old patient as well as her prosthesis modification. She was able to return to society as a K3 level ambulator.
Fulltext Enhanced Flexibility of Biodegradable Polylactic Acid/Starch Blends Using Epoxidized Palm Oil as Plasticizer

Awale RJ, Ali FB, Azmi AS, Puad NIM, Anuar H, Hassan A

Polymers (Basel), 2018 Sep 02;10(9).
PMID: 30960902 DOI: 10.3390/polym10090977

The brittleness of polylactic acid (PLA) has always limited its usage, although it has good mechanical strength. In this study, flexibility of PLA/starch (PSt) blend was enhanced using epoxidized palm oil (EPO) as the green plasticizer. The PLA/starch/EPO (PSE) blends were prepared while using the solution casting method by fixing the content of starch and varying ratio of EPO. The thermal properties, such as glass transition temperature (Tg), melting temperature (Tm), and crystallization temperature (Tcc) were decreased by increasing the amount of EPO into PSt, indicating that EPO increases the chain mobility. Thermogravimetric analysis (TGA) showed that thermal degradation resistance of PSE was higher when compared to PSt. The mechanical testing revealed that EPO at all contents improved the mechanical properties, such as increment of the elongation-at-break and impact strength. Whereas, dynamic mechanical analysis showed that the addition of filler into PLA decreased the storage modulus of PLA. The carbonyl group of the aliphatic ester remained the same in the PSE blends. The morphological study verified the ductility of PSE blends surface when compared to the brittle surface of PSt. As for the soil burial tests, EPO accelerated the degradation of blends. From these results, it can be concluded that EPO improved the flexibility of PLA blends.
Fulltext Development of Biodegradable Cosmetic Patch Using a Polylactic Acid/Phycocyanin-Alginate Composite

Adli SA, Ali F, Azmi AS, Anuar H, Nasir NAM, Hasham R, et al.

Polymers (Basel), 2020 Jul 27;12(8).
PMID: 32727165 DOI: 10.3390/polym12081669

The usage of non-degradable polymer as the main matrix for a cosmetic patch raises concern, as it can cause environmental pollution when discarded in landfill. Thus, biodegradable polylactic acid (PLA) was chosen in this study, as PLA has non-toxic properties and similar mechanical properties to conventional plastic materials. An active ingredient in a cosmetic patch serves the purpose of providing beneficial ingredients to the skin; therefore, phycocyanin, an extract from spirulina, was chosen, as it possesses antioxidant and anti-inflammatory properties. Alginate was also incorporated with the phycocyanin for fabrication onto the PLA matrix. A preliminary study was first carried out to identify the antioxidant properties and cytotoxic effect of the phycocyanin on skin cells. It was observed that phycocyanin had no cytotoxic effect on the skin and showed good antioxidant activity. PLA/phycocyanin-alginate composite was fabricated using a solvent casting method, and optimization of preparation conditions (phycocyanin/alginate ratio, stirring time, and temperature) were carried out using the one-factor-at-a-time (OFAT) method with responses of elongation at break and releasing properties. Attenuated total reflectance (ATR)-FTIR analysis was also conducted to further analyze the functional group of the composites. Surface morphologies were observed for samples before and after the releasing test. From the analyses conducted, PLA/phycocyanin-alginate composite prepared at a phycocyanin/alginate ratio of 40/60 for 20 h at 20 °C gave the best properties in terms of flexibility of film and releasing properties of phycocyanin.
Large placental chorioangioma with maternal and perinatal morbidity

Adnan WFW, Ismail EHE, Azmi AS, Zin AAM, Elisabeth AM

Eur J Obstet Gynecol Reprod Biol, 2024 Aug 14.
PMID: 39152085 DOI: 10.1016/j.ejogrb.2024.08.009

INTRODUCTION: Placental chorioangioma is a benign placenta tumour. Majority of cases, the placental chorioangioma are small and no maternal and fetal complications. We highlight a case diagnosed with large placental chorioangioma with an intrapartum event associated with significant maternal and perinatal morbidity.
METHOD: A 38-year-old woman, Gravida 3 Para 1, with one previous miscarriage, presented with preterm labour at 33 weeks gestation. Antenatally, she was referred to a feto-maternal specialist for finding a placental tumour size 12 × 10 cm. Features are consistent with placental chorioangioma with polyhydramnios. The anomaly scan was normal. Antenatal fetal surveillance with Doppler studies were normal.
RESULTS: During this admission, corticosteroid was given together with a tocolytic agent and opioid analgesia. Unfortunately, the labour progressed, and the patient felt reduced in fetal movement. The cardiotograph showed suspicious tracing. We proceed with emergency caesarean delivery. The placenta was sent for histopathology assessment which confirmed a large placental chorioangioma. The baby was born with Apgar's score of 9 at 1 min, pH of 7.28 and lactate of 7.28 with anaemia and thrombocytopenia. The uterus developed intermittent uterine atony, and the uterotonic agent was given. She recovered well post-delivery. The baby was admitted to the neonatal intensive care unit (NICU) and received a blood product transfusion and discharged from NICU on day 15 of life.
DISCUSSION: Large placental chorioangioma is associated with polyhydramnios, preterm labour, postpartum haemorrhage, fetal anaemia, fetal distress, fetal hydrops and possible perinatal death. Multidisciplinary team involvement with feto-maternal specialists, anaesthetic and neonatologists would improve the outcome of both mother and fetus.