Development of a Lignin-Based Carrier - Citronella Oil Nanoemulsion and Its Utilization as an Herbicide against Specific Weed Species.

This research aims to create an emulsion formulation utilizing lignin as a carrier and citronella oil for its application as a herbicide. The formulation composition includes lignin solution 55-62%v/v, Tween 80 25%w/v, propylene glycol 10%w/v, and citronella oil 3-10%w/v. The preparation steps involve preparing the oil phase by mixing tween 80 surfactant, propylene glycol, and citronella oil; preparing the aqueous phase by mixing lignin into distilled water at pH 12 with stirring; mixing the oil phase and the water phase accompanied by stirring at 5000-10000 rpm for 1-5 minutes until a stable solution is formed as a natural herbicide. The application outcomes revealed that the formulation successfully eliminated specific weeds within two to three days at the maximum concentration of 10%, leaving no detectable herbicide residue after 7 and 15 days of treatment. The result demonstrates how green technology has the capacity to replace herbicides derived from chemicals, especially in the agricultural sector.

Preparation and characterization of Arenga pinnata thermoplastic starch/bacterial cellulose nanofiber biocomposites via in-situ twin screw extrusion.

Thermoplastic starch (TPS) is considered as alternative material for substitute petroleum-based materials for single-use packaging material applications. The main weakness of TPS is sensitive to water and humidity which causes low mechanical properties and low thermal resistance. To address this limitation, one can enhance the strength is by incorporating cellulose nanofiber as a reinforcing agent. Cellulose nanofiber used in this study is bacterial cellulose, synthesized from tapioca liquid waste media, namely Nata de Cassava (NDCass). The effect of NDCass addition to TPS on chemical characteristics, physical properties, crystallinity, mechanical properties, and thermal properties was investigated. As the results, NDCass incorporation has no significant effect on the chemical structure and crystal structure of composites as observed by FTIR and XRD analysis. Incorporating of NDCass improved the mechanical properties by 37.3 %, the thermal stability, and the viscosity, however reduced the elongation at break by 65.6 %, the density, the melt flow and shear rate of TPS biocomposite. This study evidently that starch from Arenga pinnata trunk and bacterial cellulose from tapioca liquid waste can be manufactured into biocomposites using in-situ twin screw extrusion which beneficial for large-scale applications.

Promoting knowledge of metered dose inhaler (MDI) usage among pharmacy professional students through a mobile app.

INTRODUCTION: Efficient asthma management necessitates optimal usage of metered-dose inhalers (MDIs). As future health professionals, pharmacy students are pivotal in disseminating accurate methodologies for MDI usage. Despite having hands-on experience, there is room to enhance their comprehension, highlighting the need for prompt patient educational interventions. OBJECTIVE: This study aims to evaluate the effectiveness of a mobile app-assisted educational method in improving pharmacy students' understanding of MDI usage. METHODS: A pre-experimental study was conducted from March to August 2021 with 45 participants enrolled in the Pharmacist Professional Study Program at the Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta. Using a one-group pretest-post-test design, the study measured the app's impact on students' knowledge and MDI usage skills. RESULTS: The intervention significantly improved students' scores on a 9-step MDI usage checklist, with increases ranging from 0.10 to 0.50 across verbal and motor components. A Mann-Whitney U test validated these findings, showing a statistically significant p-value of 0.001. CONCLUSION: The mobile app-assisted educational approach substantially enhanced pharmacy students' proficiency in MDI use. The significant rise in mean scores for the 9-step checklist, along with the notable p-value, supports the effectiveness of this intervention in healthcare education.

The impact of mobile health applications on the outcomes of patients with chronic kidney disease: a systematic review and meta-analysis.

Chronic kidney disease is one of the main causes of mortality worldwide. It affects more than 800 million patients globally, accounting for approximately 10% of the general population. The significant burden of the disease prompts healthcare systems to implement adequate preventive and therapeutic measures. This systematic review and meta-analysis aimed to provide a concise summary of the findings published in the existing body of research about the influence that mobile health technology has on the outcomes of patients with the disease. A comprehensive systematic literature review was conducted from inception until March 1st, 2023. This systematic review and meta-analysis included all clinical trials that compared the efficacy of mobile app-based educational programs to that of more conventional educational treatment for the patients. Eleven papers were included in the current analysis, representing 759 CKD patients. 381 patients were randomly assigned to use the mobile apps, while 378 individuals were assigned to the control group. The mean systolic blood pressure was considerably lower in the mobile app group (MD -4.86; 95%-9.60, -0.13; p=0.04). Meanwhile, the mean level of satisfaction among patients who used the mobile app was considerably greater (MD 0.75; 95% CI 0.03, 1.46; p=0.04). Additionally, the mean self-management scores in the mobile app groups were significantly higher (SMD 0.534; 95% CI 0.201, 0.867; p=0.002). Mobile health applications are potentially valuable interventions for patients. This technology improved the self-management of the disease, reducing the mean levels of systolic blood pressure with a high degree of patient satisfaction.

Impact of a mobile-app assisted self-management educational intervention on the scores of asthma control test (ACT) questionnaire among young asthmatic patients.

BACKGROUND: Mobile phone apps have reached almost all sectors of everyday modern human life, including health promotion and patient education intervention. Regarding asthma self-management programs, apps are considered to be a potential learning medium for patients with asthma, especially young patients, due to their effectiveness in improving patients' knowledge and, consequently, the level of asthma control. OBJECTIVE: The aim of this study was to evaluate the effectiveness of the AsmaDroid® mobile app, as compared with conventional educational methods, as a self-management educational intervention tool for improving asthma control among young patients. METHODS: To determine the app's effectiveness, the study involved 140 participants from various backgrounds and applied a quasi-experimental method using a two-group pretest and posttest with a control group design. Specifically, the treatment groups received the AsmaDroid® app as a learning medium, while the control groups used conventional methods (e.g., books, posters, videos, and social media). Before and after a 4-week intervention period, all the participants of both groups were asked to complete the Asthma Control Test (ACT) questionnaire. RESULTS: The results of this study revealed a significant difference of +1.4 (p < 0.0001) in the pretest and posttest scores of the ACT questionnaire from the intervention group, while no difference was found in the control group. CONCLUSIONS: Therefore, this study concluded that mobile app-assisted self-management educational intervention significantly improved the scores of the ACT questionnaire among young asthmatic patients.

Determining the relationship between the knowledge on self-management and levels of asthma control among adult asthmatic patients: a cross-sectional study.

The primary aim of asthma management is to improve the patient's quality of life and keep the symptoms under control, therefore improving the patient's daily activities. Asthmatic patients who know and understand how to control their symptoms could be able to prevent further attacks. Many previous studies have shown the role of patient knowledge regarding asthma self-management in improving asthma control. It was why this study mainly aimed to determine the relationship between patient knowledge of self-management and asthma control levels among adult asthmatic patients in the rural community. The design used analytical observation with a cross-sectional approach to collect data. It involved 100 asthmatic outpatients from two private hospitals owned by the Muhammadiyah Society in the Special Region of Yogyakarta, Indonesia, from February to August 2022. Most participants had a low level of knowledge (66%;n=66), followed by a good level of knowledge (34%;n=34). Regarding the levels of asthma control, it could be confirmed that 61% (n=61) of study participants had uncontrolled asthma, followed by partially controlled (35%;n=35), and controlled (4%;n=4). In terms of the relationship between two variables (patient knowledge of self-management and asthma control levels), the results of Pearson Chi-Square showed a p-value of 0.001, highlighting a relationship between the patient's knowledge of self-management and levels of asthma control. This study concluded that there was a strong relationship between knowledge regarding asthma self-management and asthma control levels.

Novel In Situ Modification for Thermoplastic Starch Preparation based on Arenga pinnata Palm Starch.

Thermoplastic starch (TPS) has three main disadvantages, i.e., poor mechanical properties, low thermal stability and water sensibility. To overcome these disadvantages, TPS properties can be improved by starch modification, adding reinforcements and blending with other polymers. In this research, to prepare modified TPS, starch modification was carried out by in situ modification. The modified TPS was prepared by adding Arenga pinnata palm starch (APPS), glycerol and benzoyl peroxide simultaneously in the twin-screw extruder. Morphology analysis of TPS revealed that the starch granules were damaged and gelatinized in the extrusion process. No phase separation is observed in TPS, which exhibits that starch granules with and without benzoyl peroxide were uniformly dispersed in the matrix. The addition of benzoyl peroxide resulted in increased density of TPS from 1.37 to 1.39 g·cm-3, tensile strength from 7.19 to 8.61 MPa and viscosity from 2482.19 to 2604.60 Pa.s. However, it decreased the elongation at break of TPS from 33.95 to 30.16%, melt flow rate from 7.13 to 5.73 gr/10 min and glass transition temperature from 65 to 52 °C. In addition, the thermal analysis showed that the addition of benzoyl peroxide increased the thermal stability of TPS and extended the temperature range of thermal degradation.

The efficient use of smartphone apps to improve the level of asthma knowledge.

Patient education is one of the important aspects of improving knowledge and quality of asthma control. In this digital era, it can be made with the support of an app - or known as mHealth. Unfortunately, implementing applications for patient education is relatively new among asthmatic patients in Indonesia. This study aimed to determine the efficacy of the educational content of the AsmaDroid® app on the levels of asthma knowledge among asthmatic patients. This study was a randomized controlled trial carried out from December 2019 to March 2020 in the Special Region of Yogyakarta, Indonesia. A quota sampling was employed, resulting in 140 study participants being categorized into control and treatment groups. Before and after the 4-week treatment period, all participants were asked to complete a pre-test and post-test of the Asthma General Knowledge Questionnaire for Adults (AGKQA) questionnaire. All the scores were then compared to determine the efficacy of educational content on the levels of asthma knowledge. The results of descriptive statistics reported that the pretest scores of AGKQA from the control group (minimum, maximum, and mean) were 9, 25, and 19.04±2.56, respectively, and post-test scores were 10, 27, and 18.79±3.59 (p=0.47). Meanwhile, in the treatment group, these were 13, 25, and 19.11±2.87, while post-test scores were 16, 31, 23.6±3.95 (p=0.01). Additionally, there was a difference between the post-test scores of the control and treatment groups, namely 4.81 (p=0.01). The educational content of the app significantly improved the levels of asthma knowledge.

Enhancement of the Mechanical, Self-Healing and Pollutant Adsorption Properties of Mortar Reinforced with Empty Fruit Bunches and Shell Chars of Oil Palm.

This study aims to produce mortar through the addition of oil palm shells (OPS)-activated charcoal and oil palm empty fruit bunch (OPEFB) hydrochar, which has high mechanical properties, self-healing crack capabilities, and pollutant adsorption abilities. The cracking of mortar and other cementitious materials is essential in anticipating and reducing building damages and ages due to various reasons, such as chemical reactions, foundation movements, climatic changes, and environmental stresses. This leads to the creation of self-healing mortar, which is produced by adding reductive crack size materials to form calcium carbonate (CaCO3) and silicate hydrate (3CaO.2SiO2.2H2O, CSH). One of these materials is known as activated charcoal, which is obtained from oil palm shells (OPS) and oil palm empty fruit bunches (OPEFB) fibres. This is because the OPS-activated charcoal minimizes crack sizes and functions as a gaseous pollutant absorber. In this study, activated charcoal was used as fine aggregate to substitute a part of the utilized sand. This indicated that the utilized content varied between 1-3 wt.% cement. Also, the mortar samples were tested after 28 days of cure, including the mechanical properties and gaseous pollutant adsorption abilities. Based on this study, the crack recovery test was also performed at specific forces and wet/dry cycles, respectively, indicating that the mortar with the addition of 3% activated charcoal showed the best characteristics. Using 3% of the cement weight, OPEFB hydrochar subsequently varied at 1, 2, and 3% of the mortar volume, respectively. Therefore, the mortar with 3 and 1% of OPS-activated charcoal and OPEFB hydrochar had the best properties, based on mechanical, self-healing, and pollutant adsorption abilities.

Highly Stretchable and Sensitive Single-Walled Carbon Nanotube-Based Sensor Decorated on a Polyether Ester Urethane Substrate by a Low Hydrothermal Process.

We report a highly stretchable sensor with low-concentration (1.5 wt %) single-walled carbon nanotubes (SWCNTs) on flexible polyether ester urethane (PEEU) yarn, fabricated using a low hydrothermal process at 90 °C. Although SWCNTs restrict the PEEU polymer chain mobility, the resulting ductility of our nanocomposites reduces only by 16.5% on average, initially from 667.3% elongation at break to 557.2%. The resulting electrical resistivity of our nanocomposites can be controlled systematically by the number of hydrothermal cycles. A high gauge factor value of 4.84 is achieved at a tensile strain below 100%, and it increases up to 28.5 with applying a tensile strain above 450%. We find that the piezoresistivity of our nanocomposite is sensitive to temperature variations of 25-85 °C due to the hopping effect, which promotes more charge transport at elevated temperatures. Our nanocomposites offer both a high sensitivity and a large strain sensing range, which is achieved with a relatively simple fabrication technique and low concentration of SWCNTs.