Displaying publications 1 - 20 of 79 in total

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  1. Fulltext Congenital leukaemia--a case report
    Lee KT
    Med J Malaysia, 1991 Sep;46(3):218-20.
    PMID: 1839915
    Congenital leukaemia which is characterised by proliferation and extrahaemopoietic infiltration of immature leucocyte precursor cells is a rare disorder encountered in the neonatal period. Although more than 100 cases of congenital leukaemia have been reported in the literature, the experience of most general paediatricians with this condition is very likely to be limited. Thus a patient presenting with congenital leukaemia admitted to Alor Star General Hospital is reported.
  2. Optimization of supercritical methanol reactive extraction by response surface methodology and product characterization from Jatropha curcas L. seeds
    Lim S, Lee KT
    Bioresour Technol, 2013 Aug;142:121-30.
    PMID: 23735793 DOI: 10.1016/j.biortech.2013.05.010
    In this study, optimization of supercritical reactive extraction directly from Jatropha seeds in a high pressure batch reactor using Response Surface Methodology (RSM) coupled with Central Composite Rotatable Design (CCRD) was performed. Four primary variables (methanol to solid ratio (SSR), reaction temperature, time and CO2 initial pressure) were investigated under the proposed constraints. It was found that all variables had significant effects towards fatty acid methyl esters (FAME) yield. Moreover, three interaction effects between the variables also played a major role in influencing the final FAME yield. Optimum FAME yield at 92.0 wt.% was achieved under the following conditions: 5.9 SSR, 300°C, 12.3 min and 20 bar CO2. Final FAME product was discovered to fulfil existing international standard. Preliminary characterization analysis proved that the solid residue can be burnt as solid fuel in the form of biochar while the liquid product can be separated as specialty chemicals or burned as bio-oil for energy production.
  3. Fulltext Response surface optimization of ultrasonic-assisted extraction of carotenoids from oil palm (Elaeis guineensis Jacq.) fronds
    Ofori-Boateng C, Lee KT
    Food Sci Nutr, 2013 05;1(3):209-221.
    PMID: 29387349 DOI: 10.1002/fsn3.22
    Oil palm (Elaeis guineensis Jacq.) fronds (OPF) are the most abundant oil palm solid wastes that are generated during oil palm agriculture and harvest. Palm oil and some other palm wastes have been reported to contain high concentrations of carotenoids with vital bioactive properties. However, the extraction and quantification of carotenoids from OPF have not been reported. In this study, ultrasonic-assisted extraction, HPLC-FLD for quantification, and response surface methodology (RSM) for optimization of β-carotene, lutein, and zeaxanthin from OPF extracts were investigated. The effects of extraction temperature (X1: 30-70°C), extraction time (X2: 10-50 min), and solvent-sample ratio (X3: 10-50 mL/g) on the recovery of β-carotene (Y1), lutein (Y2), and zeaxanthin (Y3) were investigated using three-level Box-Behnken design (BBD) experiment. At a desirability of 1, the optimum extraction conditions for β-carotene (30.14°C, 37.11 min, and 23.18 mL/g), lutein (30.00°C, 39.09 min, and 19.24 mL/g), and zeaxanthin (30.09°C, 36.76 min, and 22.38 mL/g) yielded carotenoid concentrations of 17.95 μg/g dry weight (DW), 261.99 μg/g DW, and 29.99 μg/g DW, respectively.
  4. Immobilization of β-glucosidase from Aspergillus niger on κ-carrageenan hybrid matrix and its application on the production of reducing sugar from macroalgae cellulosic residue
    Tan IS, Lee KT
    Bioresour Technol, 2015 May;184:386-94.
    PMID: 25465785 DOI: 10.1016/j.biortech.2014.10.146
    A novel concept for the synthesis of a stable polymer hybrid matrix bead was developed in this study. The beads were further applied for enzyme immobilization to produce stable and active biocatalysts with low enzyme leakage, and high immobilization efficiency, enzyme activity, and recyclability. The immobilization conditions, including PEI concentration, activation time and pH of the PEI solution were investigated and optimized. All formulated beads were characterized for its functionalized groups, composition, surface morphology and thermal stability. Compared with the free β-glucosidase, the immobilized β-glucosidase on the hybrid matrix bead was able to tolerate broader range of pH values and higher reaction temperature up to 60 °C. The immobilized β-glucosidase was then used to hydrolyse pretreated macroalgae cellulosic residue (MCR) for the production of reducing sugar and a hydrolysis yield of 73.4% was obtained. After repeated twelve runs, immobilized β-glucosidase retained about 75% of its initial activity.
  5. Microalgae biofuels: A critical review of issues, problems and the way forward
    Lam MK, Lee KT
    Biotechnol Adv, 2012 May-Jun;30(3):673-90.
    PMID: 22166620 DOI: 10.1016/j.biotechadv.2011.11.008
    Culturing of microalgae as an alternative feedstock for biofuel production has received a lot of attention in recent years due to their fast growth rate and ability to accumulate high quantity of lipid and carbohydrate inside their cells for biodiesel and bioethanol production, respectively. In addition, this superior feedstock offers several environmental benefits, such as effective land utilization, CO(2) sequestration, self-purification if coupled with wastewater treatment and does not trigger food versus fuel feud. Despite having all these 'theoretical' advantages, review on problems and issues related to energy balance in microalgae biofuel are not clearly addressed until now. Base on the maturity of current technology, the true potential of microalgae biofuel towards energy security and its feasibility for commercialization are still questionable. Thus, this review is aimed to depict the practical problems that are facing the microalgae biofuel industry, covering upstream to downstream activities by accessing the latest research reports and critical data analysis. Apart from that, several interlink solutions to the problems will be suggested with the purpose to bring current microalgae biofuel research into a new dimension and consequently, to revolutionize the entire microalgae biofuel industry towards long-term sustainability.
  6. Renewable and sustainable bioenergies production from palm oil mill effluent (POME): win-win strategies toward better environmental protection
    Lam MK, Lee KT
    Biotechnol Adv, 2010 Jan-Feb;29(1):124-41.
    PMID: 20940036 DOI: 10.1016/j.biotechadv.2010.10.001
    Palm oil industry is one of the leading agricultural industries in Malaysia with average crude palm oil production of more than 13 million tonne per year. However, production of such huge amount of crude palm oil has consequently resulted to even larger amount of palm oil mill effluent (POME). POME is a highly polluting wastewater with high chemical oxygen demand (COD) and biochemical oxygen demand (BOD) in which can caused severe pollution to the environment, typically pollution to water resources. On the other hand, POME was identified as a potential source to generate renewable bioenergies such as biomethane and biohydrogen through anaerobic digestion. In other words, a combination of wastewater treatment and renewable bioenergies production would be an added advantage to the palm oil industry. In line with the world's focus on sustainability concept, such strategy should be implemented immediately to ensure palm oil is produced in an environmental friendly and sustainable manner. This review aims to discuss various technologies to convert POME to biomethane and biohydrogen in a commercial scale. Furthermore, discussion on using POME to culture microalgae for biodiesel and bioethanol production was included in the present paper as a new remedy to utilize POME with a greater beneficial return.
  7. Comparison of different process strategies for bioethanol production from Eucheuma cottonii: An economic study
    Tan IS, Lee KT
    Bioresour Technol, 2016 Jan;199:336-346.
    PMID: 26283313 DOI: 10.1016/j.biortech.2015.08.008
    The aim of this work was to evaluate the efficacy of red macroalgae Eucheuma cottonii (EC) as feedstock for third-generation bioethanol production. Dowex (TM) Dr-G8 was explored as a potential solid catalyst to hydrolyzed carbohydrates from EC or macroalgae extract (ME) and pretreatment of macroalgae cellulosic residue (MCR), to fermentable sugars prior to fermentation process. The highest total sugars were produced at 98.7 g/L when 16% of the ME was treated under the optimum conditions of solid acid hydrolysis (8% (w/v) Dowex (TM) Dr-G8, 120°C, 1h) and 2% pretreated MCR (P-MCR) treated by enzymatic hydrolysis (pH 4.8, 50°C, 30 h). A two-stream process resulted in 11.6g/L of bioethanol from the fermentation of ME hydrolysates and 11.7 g/L from prehydrolysis and simultaneous saccharification and fermentation of P-MCR. The fixed price of bioethanol obtained from the EC is competitive with that obtained from other feedstocks.
  8. Solid acid catalysts pretreatment and enzymatic hydrolysis of macroalgae cellulosic residue for the production of bioethanol
    Tan IS, Lee KT
    Carbohydr Polym, 2015 Jun 25;124:311-21.
    PMID: 25839825 DOI: 10.1016/j.carbpol.2015.02.046
    The aim of this study is to investigate the technical feasibility of converting macroalgae cellulosic residue (MCR) into bioethanol. An attempt was made to present a novel, environmental friendly and economical pretreatment process that enhances enzymatic conversion of MCR to sugars using Dowex (TM) Dr-G8 as catalyst. The optimum yield of glucose reached 99.8% under the optimal condition for solid acid pretreatment (10%, w/v biomass loading, 4%, w/v catalyst loading, 30min, 120°C) followed by enzymatic hydrolysis (45FPU/g of cellulase, 52CBU/g of β-glucosidase, 50°C, pH 4.8, 30h). The yield of sugar obtained was found more superior than conventional pretreatment process using H2SO4 and NaOH. Biomass loading for the subsequent simultaneous saccharification and fermentation (SSF) of the pretreated MCR was then optimized, giving an optimum bioethanol yield of 81.5%. The catalyst was separated and reused for six times, with only a slight drop in glucose yield.
  9. Hydrolysis of macroalgae using heterogeneous catalyst for bioethanol production
    Tan IS, Lam MK, Lee KT
    Carbohydr Polym, 2013 Apr 15;94(1):561-6.
    PMID: 23544575 DOI: 10.1016/j.carbpol.2013.01.042
    Utilization of macroalgae biomass for bioethanol production appears as an alternative source to lignocellulosic materials. In this study, for the first time, Amberlyst (TM)-15 was explored as a potential catalyst to hydrolyze carbohydrates from Eucheuma cottonii extract to simple reducing sugar prior to fermentation process. Several important hydrolysis parameters were studied for process optimization including catalyst loading (2-5%, w/v), reaction temperature (110-130°C), reaction time (0-2.5 h) and biomass loading (5.5-15.5%, w/v). Optimum sugar yield of 39.7% was attained based on the following optimum conditions: reaction temperature at 120°C, catalyst loading of 4% (w/v), 12.5% (w/v) of biomass concentration and reaction time of 1.5h. Fermentation of the hydrolysate using Saccharomyces cerevisiae produced 0.33 g/g of bioethanol yield with an efficiency of 65%. The strategy of combining heterogeneous-catalyzed hydrolysis and fermentation with S. cerevisiae could be a feasible strategy to produce bioethanol from macroalgae biomass.
  10. Pretreatment of oil palm frond using hot compressed water: an evaluation of compositional changes and pulp digestibility using severity factors
    Goh CS, Tan HT, Lee KT
    Bioresour Technol, 2012 Apr;110:662-9.
    PMID: 22326327 DOI: 10.1016/j.biortech.2012.01.083
    The influence of reaction temperature (160-200°C), residence time (45-90min), and liquid-solid ratio (8-16v/w) on oil palm frond (OPF) pre-treated with hot compressed water (HCW) was evaluated using severity factors. Effect of the process parameters studied on pulps composition and digestibility were found to be complex. The results revealed that digestibility could not be predicted merely according to composition. Severity factor was correlated with compositional changes and digestibility with good R-squared values at varied liquid-solid ratios (8-16v/w), but not with overall glucose yield. HCW pretreatment significantly improved the overall glucose yield up to 83.72% with severity of 3.31 and liquid-solid ratio of 8.0 compared to untreated raw OPF which only recorded an overall glucose yield of 30.97%. HCW is therefore an effective method for pretreatment of OPF for glucose recovery.
  11. Homogeneous, heterogeneous and enzymatic catalysis for transesterification of high free fatty acid oil (waste cooking oil) to biodiesel: a review
    Lam MK, Lee KT, Mohamed AR
    Biotechnol Adv, 2010 Jul-Aug;28(4):500-18.
    PMID: 20362044 DOI: 10.1016/j.biotechadv.2010.03.002
    In the last few years, biodiesel has emerged as one of the most potential renewable energy to replace current petrol-derived diesel. It is a renewable, biodegradable and non-toxic fuel which can be easily produced through transesterification reaction. However, current commercial usage of refined vegetable oils for biodiesel production is impractical and uneconomical due to high feedstock cost and priority as food resources. Low-grade oil, typically waste cooking oil can be a better alternative; however, the high free fatty acids (FFA) content in waste cooking oil has become the main drawback for this potential feedstock. Therefore, this review paper is aimed to give an overview on the current status of biodiesel production and the potential of waste cooking oil as an alternative feedstock. Advantages and limitations of using homogeneous, heterogeneous and enzymatic transesterification on oil with high FFA (mostly waste cooking oil) are discussed in detail. It was found that using heterogeneous acid catalyst and enzyme are the best option to produce biodiesel from oil with high FFA as compared to the current commercial homogeneous base-catalyzed process. However, these heterogeneous acid and enzyme catalyze system still suffers from serious mass transfer limitation problems and therefore are not favorable for industrial application. Nevertheless, towards the end of this review paper, a few latest technological developments that have the potential to overcome the mass transfer limitation problem such as oscillatory flow reactor (OFR), ultrasonication, microwave reactor and co-solvent are reviewed. With proper research focus and development, waste cooking oil can indeed become the next ideal feedstock for biodiesel.
  12. Rice husk ash sorbent doped with copper for simultaneous removal of SO2 and NO: optimization study
    Lau LC, Lee KT, Mohamed AR
    J Hazard Mater, 2010 Nov 15;183(1-3):738-45.
    PMID: 20724075 DOI: 10.1016/j.jhazmat.2010.07.088
    In order to reduce the negative impact of coal utilization for energy generation, the pollutants present in the flue gas of coal combustion such as sulfur dioxide (SO(2)) and nitrogen oxide (NO) must be effectively removed before releasing to the atmosphere. Thus in this study, sorbent prepared from rice husk ash that is impregnated with copper is tested for simultaneous removal of SO(2) and NO from simulated flue gas. The effect of various sorbent preparation parameters; copper loading, RHA/CaO ratio, hydration period and NaOH concentration on the sorbent desulfurization/denitrification capacity was studied using Design-Expert Version 6.0.6 software. Specifically, Central Composite Design (CCD) coupled with Response Surface Method (RSM) was used. Significant individual parameters that affect the sorbent capacity are copper loading and NaOH concentration. Apart from that, interaction between the following parameters was also found to have significant effect; copper loading, RHA/CaO ratio and NaOH concentration. The optimum sorbent preparation condition for this study was found to be 3.06% CuO loading, RHA/CaO ratio of 1.41, 8.05 h of hydration period and NaOH concentration of 0.80 M. Sorbent characterization using SEM, XRD and surface area analysis were used to describe the effect of sorbent preparation parameters on the desulfurization/denitrification activity.
  13. Hot compressed water pretreatment of oil palm fronds to enhance glucose recovery for production of second generation bio-ethanol
    Goh CS, Lee KT, Bhatia S
    Bioresour Technol, 2010 Oct;101(19):7362-7.
    PMID: 20471249 DOI: 10.1016/j.biortech.2010.04.048
    This work presents the pretreatment of oil palm fronds (OPF) using hot compressed water (HCW) to enhance sugar recovery in enzymatic hydrolysis. A central, composite rotatable design was used to optimize the effect of reaction temperature, reaction time and liquid-solid ratio on the pretreatment process. All variables were found to significantly affect the glucose yield. A quadratic polynomial equation was used to model glucose yield by multiple regression analysis, using response surface methodology (RSM). Using a 10 bar pressurized reactor, the optimum conditions for pretreatment of OPF were found at 178 degrees C, 11.1 min and a liquid-solid ratio of 9.6. The predicted glucose yield was 92.78 wt.% at the optimum conditions. Experimental verification of the optimum conditions gave a glucose yield in good agreement with the estimated value of the model.
  14. Selection of best impregnated palm shell activated carbon (PSAC) for simultaneous removal of SO2 and NOx
    Sumathi S, Bhatia S, Lee KT, Mohamed AR
    J Hazard Mater, 2010 Apr 15;176(1-3):1093-6.
    PMID: 20018447 DOI: 10.1016/j.jhazmat.2009.11.037
    This work examines the impregnated carbon-based sorbents for simultaneous removal of SO(2) and NOx from simulated flue gas. The carbon-based sorbents were prepared using palm shell activated carbon (PSAC) impregnated with several metal oxides (Ni, V, Fe and Ce). The removal of SO(2) and NOx from the simulated flue gas was investigated in a fixed-bed reactor. The results showed that PSAC impregnated with CeO(2) (PSAC-Ce) reported the highest sorption capacity among other impregnated metal oxides for the simultaneous removal of SO(2) and NOx. PSAC-Ce showed the longest breakthrough time of 165 and 115 min for SO(2) and NOx, respectively. The properties of the pure and impregnated PSAC were analyzed by BET, FTIR and XRF. The physical-chemical features of the PSAC-Ce sorbent indicated a catalytic activity in both the sorption of SO(2) and NOx. The formation of both sulfate (SO(4)(2-)) and nitrate (NO(3-)) species on spent PSAC-Ce further prove the catalytic role played by CeO(2).
  15. Second-generation bio-ethanol (SGB) from Malaysian palm empty fruit bunch: energy and exergy analyses
    Tan HT, Lee KT, Mohamed AR
    Bioresour Technol, 2010 Jul;101(14):5719-27.
    PMID: 20223656 DOI: 10.1016/j.biortech.2010.02.023
    Recently, second-generation bio-ethanol (SGB), which utilizes readily available lignocellulosic biomass has received much interest as another potential source of liquid biofuel comparable to biodiesel. Thus the aim of this paper is to determine the exergy efficiency and to compare the effectiveness of SGB and palm methyl ester (PME) processes. It was found that the production of bio-ethanol is more thermodynamically sustainable than that of biodiesel as the net exergy value (NExV) of SGB is 10% higher than that of PME. Contrarily, the former has a net energy value (NEV) which is 9% lower than the latter. Despite this, SGB is still strongly recommended as a potential biofuel because SGB production can help mitigate several detrimental impacts on the environment.
  16. A glycerol-free process to produce biodiesel by supercritical methyl acetate technology: an optimization study via Response Surface Methodology
    Tan KT, Lee KT, Mohamed AR
    Bioresour Technol, 2010 Feb;101(3):965-9.
    PMID: 19773156 DOI: 10.1016/j.biortech.2009.09.004
    In this study, fatty acid methyl esters (FAME) have been successfully produced from transesterification reaction between triglycerides and methyl acetate, instead of alcohol. In this non-catalytic supercritical methyl acetate (SCMA) technology, triacetin which is a valuable biodiesel additive is produced as side product rather than glycerol, which has lower commercial value. Besides, the properties of the biodiesel (FAME and triacetin) were found to be superior compared to those produced from conventional catalytic reactions (FAME only). In this study, the effects of various important parameters on the yield of biodiesel were optimized by utilizing Response Surface Methodology (RSM) analysis. The mathematical model developed was found to be adequate and statistically accurate to predict the optimum yield of biodiesel. The optimum conditions were found to be 399 degrees C for reaction temperature, 30 mol/mol of methyl acetate to oil molar ratio and reaction time of 59 min to achieve 97.6% biodiesel yield.
  17. Optimization of microporous palm shell activated carbon production for flue gas desulphurization: experimental and statistical studies
    Sumathi S, Bhatia S, Lee KT, Mohamed AR
    Bioresour Technol, 2009 Feb;100(4):1614-21.
    PMID: 18952414 DOI: 10.1016/j.biortech.2008.09.020
    Optimizing the production of microporous activated carbon from waste palm shell was done by applying experimental design methodology. The product, palm shell activated carbon was tested for removal of SO2 gas from flue gas. The activated carbon production was mathematically described as a function of parameters such as flow rate, activation time and activation temperature of carbonization. These parameters were modeled using response surface methodology. The experiments were carried out as a central composite design consisting of 32 experiments. Quadratic models were developed for surface area, total pore volume, and microporosity in term of micropore fraction. The models were used to obtain the optimum process condition for the production of microporous palm shell activated carbon useful for SO2 removal. The optimized palm shell activated carbon with surface area of 973 m(2)/g, total pore volume of 0.78 cc/g and micropore fraction of 70.5% showed an excellent agreement with the amount predicted by the statistical analysis. Palm shell activated carbon with higher surface area and microporosity fraction showed good adsorption affinity for SO2 removal.
  18. Fulltext Intrapericardial Aortic Pseudoaneurysm: A Rare Masquerade of Constrictive Pericarditis
    Lee KT, Murugesu K, Liew HB
    CASE (Phila), 2019 Aug;3(4):177-182.
    PMID: 31468022 DOI: 10.1016/j.case.2019.04.003
  19. Prevalence of endocrine complications in transfusion dependent thalassemia in Hospital Pulau Pinang: A pilot study
    Lee KT, Lim SL, Goh AS
    Med J Malaysia, 2020 01;75(1):33-37.
    PMID: 32008017
    INTRODUCTION: Frequent blood transfusions results in iron overload and lead to multiple endocrine complications. In spite of improvements in iron chelation therapy, a significant number of transfusion dependent thalassaemia (TDT) patients still develop endocrine complications. The aim of this study is to evaluate the prevalence of various endocrine complications in our adult TDT patients and to study the correlation with serum ferritin and liver iron concentration (LIC).

    METHODS: A retrospective review of all TDT patients treated in Haematology Unit, Hospital Pulau Pinang (HPP) was conducted.

    RESULTS: Of the 45 adult TDT patients, 22 were males and 23 were females with mean age of 28.8±6.9 years old. Majority of TDT in HPP were beta thalassemia major (71.1%), followed by E-Beta thalassemia (24.4%) and HbH-Constant Spring (4.4%). Frequency of transfusion was 3-4 weekly. 40.0% of adult TDT suffered from at least one endocrine complication. Among the adult TDT patients with endocrine complication, 50% have one endocrinopathy, 38.9% with two types of endocrinopathies and 11.1% of them have three or more types of endocrinopathies. Hypogonadism (22.2%) was the commonest endocrine complication, followed by osteoporosis (20%), hypothyroidism (13.3%), diabetes mellitus (6.7%) and hypocortisolism (4.4%). Patients with endocrine complications were significantly older. Mean serum ferritin level and LIC was higher among patients with endocrine complications but both were not statistically significant.

    CONCLUSION: Endocrinopathy is still prevalent in 40% of adult TDT patients. This leads to higher health-care resource utilization, cost and significant morbidities among patients with TDT. Therefore, regular monitoring and early detection with intensification of chelation therapy is essential.

  20. Clinical characteristic and management of haemophilia patients in Malaysia: A single centre experience
    Lee KT, Tan SK, Goh AS
    Med J Malaysia, 2024 Mar;79(2):170-175.
    PMID: 38553922
    INTRODUCTION: Haemophilia is one of the commonest inherited bleeding disorders which may lead to long term disabilities if not treated properly. Our aim of study is to understand the clinical characteristic, treatment and complications of adult haemophilia patients in our centre.

    MATERIALS AND METHODS: A retrospective cross-sectional review of all adult haemophilia A (HA) or haemophilia B (HB) patients who received treatment in Hospital Pulau Pinang from January 2021 to December 2022 was conducted. Data was retrieved from patients' medical records.

    RESULTS: A total of 75 haemophilia patients (64 HA and 11 HB) were included in this study with median age of 37 years (range 19 70). 42 of them had severe haemophilia (50% of HA, 91% of HB). All HB and 93.8% of severe HA patients were on prophylaxis. Six severe and one mild HA patients developed inhibitor with four of them currently on non-factor prophylaxis. 24 patients (32%) had prior hepatitis C infection and all of them have been successfully treated. The mean annual bleeding rate for severe haemophilia patients were 1.77 (SD ±3.6). Target joints were observed in 9.3% of patients with ankle joint (71.4%) being the most affected joint. More than one quarter (26.7%) of our patients have comorbidities with majority of them having hypertension (17/20), followed by diabetes mellitus (5/20) and ischemic heart disease (5/20).

    CONCLUSION: Our study showed that a significant number of adult patients with haemophilia have comorbidities. Apart from optimising factor replacement therapy, future planning should include improvement in screening, risk modification and prevention of cardiovascular disease.

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