A young man with HIV presented with biliary peritonitis secondary to spontaneous common bile duct perforation. Investigation revealed that the perforation was due to Mycobacterium tuberculosis. Tuberculosis of the bile duct is uncommon and usually presents with obstructive jaundice due to stricture. Bile duct perforation due to tuberculosis is extremely rare. Its management is discussed.
A green regenerated superabsorbent hydrogel was fabricated with mixtures of dissolved oil palm empty fruit bunch (EFB) cellulose and sodium carboxymethylcellulose (NaCMC) in NaOH/urea system. The formation of hydrogel was aided with epichlorohydrin (ECH) as a crosslinker. The resultant regenerated hydrogel was able to swell >80,000% depending on the NaCMC concentrations. The hydrogel absorbed water rapidly upon exposure to water up to 48 h and gradually declined after 72 h. The crosslinked of covalent bond of COC between dissolved EFB cellulose (EFBC) with NaCMC was confirmed with Attenuated total reflectance Fourier transform infrared (ATR-FT-IR) spectroscopy. Crystallinity and thermal stability of the hydrogel samples were depended on the concentrations of NaCMC, crosslinking, and swelling process. The strength and stability of crosslinked network was studied by examining the gel fraction of hydrogel. This study explored the swelling ability and probable influenced factors towards physical and chemical properties of hydrogel.
Dissolved oil palm empty fruit bunch (EFB) cellulose in NaOH/urea solvent was mixed with sodium carboxymethylcellulose (NaCMC) to form a green regenerated superabsorbent hydrogel. The effect of concentration of epichlorohydrin (ECH) as the crosslinker on the formation, physical, and chemical properties of hydrogel was studied. Rapid formation and higher gel content of hydrogel were observed at 10% concentration of ECH. The superabsorbent hydrogel was successfully fabricated in this study with the swelling ability >100,000%. Hydrogel with higher concentration of ECH showed opposite trend by having higher superabsorbent property than that of lower concentration. The covalent bond of COC was observed with Attenuated total reflectance fourier transform infrared (ATR-FT-IR) spectroscopy to confirm the occurrence of crosslinking. The physical and chemical properties of hydrogel were affected by swelling phenomenon. Hydrogel with higher degree of swelling exhibited lower moisture retention and higher transparency. Moreover, the weight of the superabsorbent hydrogel increased with the decrement of pH value of external media (distilled water). This study provided substantial information on the effect of different percentage of ECH as crosslinker on hydrogel basic properties. Furthermore, this study affords correlation of many essential driving forces that affected hydrogel superabsorbent property.
Dissolved oil palm empty fruit bunch cellulose (EFBC) and sodium carboxymethylcellulose (NaCMC) were chemically crosslinked with epichlorohydrin (ECH) to generate designated hydrogel. After swelling process in distilled water, the swollen hydrogel was frozen and freeze-dried to form cryogel. The swelling phenomenon of hydrogel during the absorption process gave substantial effects on thinning of crosslinked network wall, pore size and volume, steadiness of cryogel skeletal structure, and re-swelling of cryogel. The swelling effects on hydrogel were confirmed via microscopic study using variable pressure scanning electron microscope (VPSEM). From the retrieved VPSEM images, nano-thin crosslinked network wall of 24.31 ± 1.97 nm and interconnected pores were observed. As a result, the amount of water, the swelling degree, and the freeze-drying process indirectly affected the VPSEM images that indicated pore size and volume, formation of interconnected pores, and re-swelling of cryogel. This study determined the intertwined factors that affected both hydrogel and cryogel properties by investigating the swelling phenomenon and its ensuing effects.
This study aimed to develop a safe and advanced antibacterial material of electrospun microfiber membranes (MFMs) for wound dressings. Combinations of several materials were investigated; thermal treatment and electrospinning techniques were used to form the best quality of MFMs to suit its end applications. By comparing the fiber morphology, diameter changes, and fracture strength, the suitable ratio of raw materials and thermal treatment were obtained before and after adding Trition X-100 as a surfactant for MFMs of sodium alginate/polyvinyl alcohol/polyethylene oxide (SA/PVA/PEO). The electrospinning solution was mixed with berberine as an antibacterial substance; meanwhile, calcium chloride (CaCl2) was used as the crosslinking agent. The antibacterial properties, water dissolution resistance, water content, and fracture strength were thoroughly investigated. The results showed that the antibacterial rates of MFMs with different mass fractions of berberine (0, 3, and 5 wt.%) to Escherichia coli (E. coli) were 14.7, 92.9, and 97.2%, respectively. The moisture content and fracture strength of MFMs containing 5 wt.% berberine were 72.0% and 7.8 MPa, respectively. In addition, the produced MFMs embodied great water dissolution resistance. Berberine-loaded SA/PVA/PEO MFMs could potentially serve as an antibacterial wound dressing substrate with low cost and small side effects.
Objective: We aimed to meta-analyze the effects of combined upper and lower limb plyometric training (ULLPT) on physical fitness attributes in athletes. Methods: A systematic literature search was conducted in Web of Science, SPORTDiscus, PubMed, and SCOPUS, for up to 13 August 2022. Controlled studies with baseline and follow-up measures were included if they examined the effects of ULLPT on at least one measure of physical fitness indices in athletes. A random effects meta-analysis was performed using the Comprehensive Meta-Analysis software. Results: Fifteen moderate-to-high-quality studies with 523 participants aged 12−22.4 years were included in the analyses. Small to large (ES = 0.42−1.66; p = 0.004 to <0.001) effects were noted for upper and lower body muscle power, linear sprint speed, upper and lower body muscle strength, agility, and flexibility, while no significant effects on static and dynamic balance were noted (ES = 0.44−0.10; all p > 0.05). Athletes’ sex, age, and training program variables had no modulator role on the effects of ULLPT in available data sets. Conclusions: ULLPT induces distinct neuro-muscular adaptations in the upper and lower body musculature and is an efficient method for enhancing athletes’ physical fitness.
Cellulose is one of the most abundant natural polymers with excellent biocompatibility, non-toxicity, flexibility, and renewable source. Regenerated cellulose (RC) products result from the dissolution-regeneration process risen from solvent and anti-solvent reagents, respectively. The regeneration process changes the cellulose chain conformation from cellulose I to cellulose II, leads the structure to have more amorphous regions with improved crystallinity, and inclines towards extensive modification on the RC products such as hydrogel, aerogel, cryogel, xerogel, fibers, membrane, and thin film. Recently, RC products are accentuated to be used in the agriculture field to develop future sustainable agriculture as alternatives to conventional agriculture systems. However, different solvent types and production techniques have great influences on the end properties of RC products. Besides, the fabrication of RC products from solely RC lacks excellent mechanical characteristics. Thus, the flexibility of RC has allowed it to be homogenously blended with other materials to enhance the final products' properties. This review will summarize the properties and preparation of potential RC-based products that reflect its application to replace soil the plantation medium, govern the release of the fertilizer, provide protection on crops and act as biosensors.
Cotton thread therapeutic properties as a wound dressing can be enhanced by utilising carboxymethyl cellulose-nanoparticles (CMC/NPs) colloidal solution as a coating solution. Nanoparticles such as graphene oxide (GO), graphene quantum dots (GQD), and silver nanoparticles (AgNP) stability in CMC was investigated through the rheological analysis and UV-Vis spectroscopy of the colloidal solutions. Citric acid (CA) acted as a crosslinker and was utilised to crosslink the colloidal solution with cotton thread. These CMC/NPs coated threads were subjected to mechanical properties and antibacterial activity analysis. Results obtained indicate less nanoparticle agglomeration and were stable in the CMC-based nanofluid. CMC/NPs rheological study suggested that colloidal solutions exhibited shear thinning behaviour and behaved as non-Newtonian fluids with n
Under hydrothermal condition, kenaf cellulose carbamate (KCC) was synthesized using urea and kenaf core pulp (KCP) without catalyst and organic solvent. The KCC was prepared with various urea/KCP ratios (2:1, to 4:1 and 6:1) with the aid of autoclave and oil bath, whereas the regenerated KCC membranes were formed via solution casting method. The physical and thermal properties of KCC were studied. The urea/KCP ratio used in preparing KCC corresponds with the nitrogen percentage obtained in KCC. The formation of the regenerated KCC membranes could be confirmed by the existence of cellulose II through X-ray diffraction (XRD) study. As examined by Field emission scanning electron microscope (FESEM), the regenerated KCC membranes possessed the greater pore size structures at higher urea concentration. Mechanical results showed the tensile strength and modulus of regenerated KCC membranes have improved up to 43.4% and 76.9%, respectively, as compared to native KCP membrane. It can be concluded from the findings that synthesizing KCC and its membranes with improved mechanical properties has broad prospects for potential industrial applications such as biomembranes and packaging materials.
The hydrogel regeneration process, involving various cellulose types, results in distinct chemical bonding patterns. Even minor variations in chemical interactions among polymers during regeneration significantly impact properties like hydrogel-forming ability, hydrophilicity, and swelling capacity. This study focuses on regenerating a superabsorbent hydrogel from the interplay of native empty fruit bunch cellulose (EFBC), sodium carboxymethyl cellulose (NaCMC), and hydroxyethyl cellulose (HEC) using epichlorohydrin (ECH) as a crosslinker. The hydrogel was formed from dissolved EFBC solutions in an aqueous NaOH/urea solvent, supplemented with different NaCMC and HEC weight ratios, and ECH chemically assisted the crosslinking process. EFBC provides the hydrogel's supporting skeletal structure, while NaCMC and HEC play vital roles in enhancing forming ability and its physical and mechanical properties through diverse chemical interactions based on their electrovalent properties. Notably, NaCMC imparts hydrophilicity, while HEC indirectly improves superabsorbent properties through the enhancement of the elastic network's retraction force. Hydrogels combining NaCMC and HEC show a remarkable water absorption capacity exceeding 30,000 %, surpassing those regenerated solely with EFBC and NaCMC. The highest swelling, over 130,000 %, is achieved with 0.75 % NaCMC and 0.25 % HEC. Regarding thermal stability, hydrogels with a higher NaCMC proportion outperform those with increased HEC content. The study highlights the critical role of tailored chemical interactions in successfully regenerating an improved superabsorbent hydrogel with enhanced water absorption properties.
Development of polyurethane foam (PUF) containing bio-based components is a complex process that requires extensive studies. This work reports on the production of rigid PUFs from polyol obtained via liquefaction of oil palm empty fruit bunch (EFB) biomass with different isocyanate (NCO) indexes. The effect of the NCO index on the physical, chemical and compressive properties of the liquefied EFB-based PUF (EFBPUF) was evaluated. The EFBPUFs showed a unique set of properties at each NCO index. Foaming properties had affected the apparent density and cellular morphology of the EFBPUFs. Increasing NCO index had increased the crosslink density and dimensional stability of the EFBPUFs via formation of isocyanurates, which had also increased their thermal stability. Combination of both foaming properties and crosslink density of the EFBPUFs had influenced their respective compressive properties. The EFBPUF produced at the NCO index of 120 showed the optimum compressive strength and released the least toxic hydrogen cyanide (HCN) gas under thermal degradation. The normalized compressive strength of the EFBPUF at the NCO index of 120 is also comparable with the strength of the PUF produced using petrochemical polyol.