A 14 year old Malay boy with an adenocarcinoma of the transverse colon is reported. A lesion was discovered early when he presented with an uncommon complication in the form of a bowel intussusception. Emergency segmental colonic resection was performed, followed later by an extended left hemicolectomy following histological confirmation of the disease. Benign adenomatous polyp is believed to be the predisposing condition. Both ralities, colorectal cancer in young adults and adult intussusception, are discussed.
Bleeding gastroesophageal varices is associated with a high morbidity and mortality. Forty-four cases of bleeding gastroesophageal varices were treated at the Department of Surgery, Universiti Kebangsaan Malaysia, General Hospital, Kuala Lumpur over four and a half years. Thirty-two of them had liver cirrhosis. Hepatitis B infection was noted in 13 and alcoholic abuse was present in 14 patients. Five patients had associated hepatoma. Thirty-four percent had gastric fundal varices and a third of these bled from them. A total of 179 endoscopic injection sclerotherapy sessions were performed averaging 4 per person. Rebleeding rate was 4% and mortality was high (50%) in these cases. It was concluded that injection sclerotherapy is a safe and effective means of controlling bleeding oesophageal varices. Operative surgery was employed in those who rebled after injection and would be considered in those in Child's A.
The need for environmental protection and water pollution control has led to the development of different sensors for determining many kinds of pollutants in water. Ammonia nitrogen presence is an important indicator of water quality in environmental monitoring applications. In this paper, a high sensitivity sensor for monitoring ammonia nitrogen concentration in water using a tapered microfiber interferometer (MFI) as a sensor platform and a broad supercontinuum laser as the light source is realized. The MFI is fabricated to the waist diameter of 8 µm producing a strong interference pattern due to the coupling of the fundamental mode with the cladding mode. The MFI sensor is investigated for a low concentration of ammonia nitrogen in water in the wide wavelength range from 1500-1800 nm with a high-power signal provided by the supercontinuum source. The broad source allows optical sensing characteristics of the MFI to be evaluated at four different wavelengths (1505, 1605, 1705, and 1785 nm) upon exposure towards various ammonia nitrogen concentrations. The highest sensitivity of 0.099 nm/ppm that indicates the wavelength shift is observed at 1785 nm operating wavelength. The response is linear in the ammonia nitrogen range of 5-30 ppm with the best measurement resolution calculated to be 0.5 ppm. The low concentration ammonia nitrogen detected by the MFI in the unique infrared region reveals the potential application of this optical fiber-based sensor for rivers and drinking water monitoring.
Although metallic nanocatalysts such as palladium nanoparticles (Pd NPs) are known to possess higher catalytic activity due to their large surface-to-volume ratio, however, in nanosize greatly reducing their activity due to aggregation. To overcome this challenge, superparamagnetic chitosan-coated manganese ferrite was successfully prepared and used as a support for the immobilization of palladium nanoparticles to overcome the above-mentioned challenge. The Pd-Chit@MnFe2O4 catalyst exhibited high catalytic activity in 4-nitrophenol and 4-nitroaniline reductions, with respective turnover frequencies of 357.1 min-1 and 571.4 min-1, respectively. The catalyst can also be recovered easily by magnetic separation after each reaction. Additionally, the Pd-Chit@MnFe2O4 catalyst performed well in the reductive deprotection of allyl carbamate. Coating the catalyst with chitosan reduced the Pd leaching and its cytotoxicity. Therefore, the catalytic activity of Pd-Chit@MnFe2O4 was proven to be unrestricted in biology conditions.
Fish epidermal mucus is an important reservoir of antipathogenic compounds which serves as the first line of the immune defence. Despite its significant role in the physiology and health of fish, detailed profiling of fish epidermal mucus has yet to be explored. Therefore, this study investigates a label-free colloidal surface-enhanced Raman spectroscopic (SERS) method for profiling grouper mucus. Gold nanoparticles were first synthesised using the standard citrate reduction and characterised using ultraviolet-visible spectroscopy, transmission electron microscopy and dynamic light scattering. The influence of acidified sodium sulphate (Na2SO4) at pH 3 as the aggregating agent on the enhancement of the SERS spectrum of different analyte samples including rhodamine 6G (R6G) dye, lysozyme solution and hybrid grouper (Epinephelus fuscoguttatus × Epinephelus lanceolatus) mucus was observed. Based on the results, an optimal Na2SO4 concentration of 1 M was recorded to achieve the highest enhancement of the SERS signal for R6G and grouper mucus, while the optimal concentration for lysozyme was 0.1 M. The results indicated a higher degree of aggregation induced by lysozyme than R6G and grouper mucus. A few overlapping peaks of the SERS spectra of lysozyme and grouper mucus made it possible to confirm the presence of lysozyme as potential biomarkers.
This research investigates the physicochemical properties of biopolymer succinyl-κ-carrageenan as a potential sensing material for NH4+ Localized Surface Plasmon Resonance (LSPR) sensor. Succinyl-κ-carrageenan was synthesised by reacting κ-carrageenan with succinic anhydride. FESEM analysis shows succinyl-κ-carrageenan has an even and featureless topology compared to its pristine form. Succinyl-κ-carrageenan was composited with silver nanoparticles (AgNP) as LSPR sensing material. AFM analysis shows that AgNP-Succinyl-κ-carrageenan was rougher than AgNP-Succinyl-κ-carrageenan, indicating an increase in density of electronegative atom from oxygen compared to pristine κ-carrageenan. The sensitivity of AgNP-Succinyl-κ-carrageenan LSPR is higher than AgNP-κ-carrageenan LSPR. The reported LOD and LOQ of AgNP-Succinyl-κ-carrageenan LSPR are 0.5964 and 2.7192 ppm, respectively. Thus, AgNP-Succinyl-κ-carrageenan LSPR has a higher performance than AgNP-κ-carrageenan LSPR, broader detection range than the conventional method and high selectivity toward NH4+. Interaction mechanism studies show the adsorption of NH4+ on κ-carrageenan and succinyl-κ-carrageenan were through multilayer and chemisorption process that follows Freundlich and pseudo-second-order kinetic model.