1.Biohythane production from palm oil mill effluent – a preliminary evaluation of a two-stage anaerobic digestion
Chou Kian WENG ; Norli ISMAIL ; Norhashimah MORAD ; Mohd. Omar Abdul Kadir ; Joachim MÜ ; LLER
Malaysian Journal of Microbiology 2018;14(2):195-201
Aims:This research aims to investigate the potential of biohythane (biohydrogen and biomethane) production from palm oil mill effluent (POME) in a two-stage anaerobic digestion (AD) system.Methodology and results:A two-stage AD system was configured with a thermophilic dark fermenter (TDF) for biohydrogen (H2) production and a thermophilic anaerobic contact digester (TACD) for biomethane (CH4) production. To adjust pH 5.5 for dark fermentation, the settled sludge was recirculated from TACD to TDF. The hydraulic retention time (HRT) applied in TDF and TACD was 3.75 and 6.25 day, respectively.Conclusion, significance and impact of study:The sludge recirculation from TACD was able to adjust the pH in TDF to the optimum value of 5.5. The total COD and TSSdegradation were 63.12 and 77.94 %, respectively. The H2production in TDF was 1.54 L H2/L POME and the CH4production in TACD was 19.87 L CH4/L POME. The H2and CH4yielded 0.085 L/g CODremovedand 0.339 L/g CODremoved, respectively, with total energy recovery equivalent to 661.02 MJ/m3POME. Only 2.28 % of this energy was contributed by H2and the remaining was dominated by CH4.
2.Improving Tuberculosis Medication Adherence: The Potential of Integrating Digital Technology and Health Belief Model
Mohd Fazeli SAZALI ; Syed Sharizman Syed Abdul RAHIM ; Ahmad Hazim MOHAMMAD ; Fairrul KADIR ; Alvin Oliver PAYUS ; Richard AVOI ; Mohammad Saffree JEFFREE ; Azizan OMAR ; Mohd Yusof IBRAHIM ; Azman ATIL ; Nooralisa Mohd TUAH ; Rahmat DAPARI ; Meryl Grace LANSING ; Ahmad Asyraf Abdul RAHIM ; Zahir Izuan AZHAR
Tuberculosis and Respiratory Diseases 2023;86(2):82-93
Tuberculosis (TB) is a significant public health concern. Globally, TB is among the top 10 and the leading cause of death due to a single infectious agent. Providing standard anti-TB therapy for at least 6 months is recommended as one of the crucial strategies to control the TB epidemic. However, the long duration of TB treatment raised the issue of non-adherence. Non-adherence to TB therapy could negatively affect clinical and public health outcomes. Thus, directly observed therapy (DOT) has been introduced as a standard strategy to improve anti-TB medication adherence. Nonetheless, the DOT approach has been criticized due to inconvenience, stigma, reduced economic productivity, and reduced quality of life, which ultimately could complicate adherence issues. Apart from that, its effectiveness in improving anti-TB adherence is debatable. Therefore, digital technology could be an essential tool to enhance the implementation of DOT. Incorporating the health belief model (HBM) into digital technology can further increase its effectiveness in changing behavior and improving medication adherence. This article aimed to review the latest evidence regarding TB medication non-adherence, its associated factors, DOT’s efficacy and its alternatives, and the use of digital technology and HBM in improving medication adherence. This paper used the narrative review methodology to analyze related articles to address the study objectives. Conventional DOT has several disadvantages in TB management. Integrating HBM in digital technology development is potentially effective in improving medication adherence. Digital technology provides an opportunity to improve medication adherence to overcome various issues related to DOT implementation.