Microwave-assisted synthesis of Limonia acidissima Groff gum stabilized palladium nanoparticles for colorimetric glucose sensing

Herein, we present a novel microwave-assisted method for the synthesis of palladium nanoparticles (PdNPs) supported by Limonia acidissima Groff tree extract gum. The synthesized PdNPs were characterized using various analytical techniques, including FTIR, SEM, TEM, UV-visible, and powder XRD analyses. TEM and XRD analysis confirmed that the synthesized LAG-PdNPs are highly crystalline nature spherical shapes with an average size diameter of 7-9 nm. We employed these gum-capped PdNPs to investigate their peroxidase-like activity for colorimetric detection of hydrogen peroxide (H2O2) and glucose. The oxidation of 3,3',5,5'-tetramethylbenzidine (TMB) by H2O2, catalyzed by PdNPs, produces oxidation products quantified at 652 nm using spectrophotometry. The catalytic activity of PdNPs was optimized with respect to temperature and pH. The developed method exhibited a linear range of detection from 1 to 50 µm, with detection limits of 0.35 µm for H2O2 and 0.60 µm for glucose.

Use of waste marble powder for the synthesis of novel calcium-rich biochar: Characterization and application for phosphorus recovery in continuous stirring tank reactors

This study investigates-for the first time-the synthesis of a novel Ca-rich biochar (N-Ca-B) and its potential use for phosphorus (P) recovery from both synthetic solutions (SS) and treated urban wastewater (TUW) in a continuous stirring tank reactor (CSTR) mode. The novel biochar was synthesized by pyrolysis at 900 °C of a mixture composed of three different materials: animal biomass (poultry manure; PM), lignocellulosic waste (date palm fronds; DPFs), and abundant mineral waste (waste marble powder; WMP). Characterization of N-Ca-B showed that it has good textural properties: well-developed porosity, and high specific surface area. Furthermore, high calcium hydroxide (Ca(OH)2) and calcium oxides (CaO) nanoparticle loads were observed on the biochar surface. The dynamic CSTR assays indicated that the P recovery efficiency mainly depended on the biochar mass, P influent concentration, and, especially, the Ca content of the feeding solution. Owing to its richness in Ca cations, TUW exhibited the highest adsorbed P amount (109.2 mg g-1), i.e., about 14% larger than the SS. P recovery occurs through precipitation as hydroxyapatite, surface complexation, and electrostatic interactions with positively charged biochar particles. In real-world scenarios, CSTR systems can be applied as a tertiary treatment step in existing wastewater treatment plants (WWTPs). Decanted P-loaded biochar can be used in agriculture as a slow-release fertilizer instead of commercial products.

Nanomaterial grafted polymorphous activated carbon cloth surface for antibacterial, capacitive deionization and oil spill cleaning applications

This work reports the development of multifunctional or polymorphous surfaces using zinc oxide (ZnO) nanorods, silica (SiO2), and fluoropolymer functionalization in a sequential process. Firstly, zinc oxide nanorods were grown on activated carbon cloth (ACC) using a simple low-temperature synthesis process. ZnO nanorods-coated ACC substrate was applied to investigate the antimicrobial properties, and the results showed inhibition of 50% for Escherichia coli (E.coli) and 55% for Bacillus subtilis (B.subtilis) over 48 h of incubation time. Subsequent in-situ modification of silica nanoparticles like layer on ZnO nanorods-coated ACC surface was developed and used as an electrode for brackish water desalination in a capacitive deionization system. ZnO-SiO2 modified ACC surface enhanced the desalination efficiency by 1.6 times, the salt removal rate (SRR) by threefold, and the durability (fouling prevention) for long-term usage compared to pristine ACC. Further modification of the ZnO-SiO2-ACC surface using fluoropolymer rendered the surface superhydrophobic and oleophilic. Vegetable (1.4 g/g) and crude oil (1.6 g/g) adsorption capacities were achieved for modified surface which was 70% enhancement compared with pristine ACC. The dynamic oil spill adsorption test exhibited the complete removal of oil spills on water surfaces within a few seconds, suggesting a potential application in oil spill cleaning.

Sustainable gliadin - Metal oxide composites for efficient inactivation of Escherichia coli and remediation of cobalt (II) from water

Bio-based materials facilitate greener approach to engineering novel materials with multifunctional properties for various applications including water treatment. In this study, we extracted gliadin from wheat gluten using alcoholic solvent. The aggregation limitations of gliadin protein were overcome by functionalisation with metal oxides (MOs) TiO2, AgFe2O3 and AgFe-TiO2 prepared by chemical precipitations. The novel composites were characterised by scanning electron microscopy-energy dispersive X-ray spectroscopy (SEM-EDS), Fourier-transform infrared spectroscopy (FTIR), X-Ray diffraction (XRD), thermogravimetry analysis (TGA), Brunauer Emmet-Teller (BET), and zeta potential. The multifunctionality of MOs-gliadin composites was tested through toxic Escherichia coli (E. coli) inactivation and Co2+ adsorption from water. The antibacterial results showed excellent inhibition under both dark and light conditions. The maximum Co2+ uptake, 101 mg/g was reached with TiO2@gliadin after 24 h and best fitted the Langmuir isotherm model. The adsorption process followed pseudo-second order model with an equilibrium adsorption capacity, qe2= 89.86 mg/g closer to the experimental data. Thermodynamic investigations indicated that ΔG°=-9.677kJ/mol,ΔH°=-123kJ/mol,and ΔS°=0.490J.K/mol, respectively, suggesting that adsorption was spontaneous and endothermic. The regenerated TiO2@gliadin composite was still efficient after five consecutive cycles. This study demonstrates that MOs-gliadin blended composites are sustainable for water purification.

Towards technology, economy, energy and environment oriented simultaneous optimization of ammonia production process: Further analysis of green process

Ammonia is one of the most produced chemicals around the world due to its various uses. However its traditional production process is associated with high fossil fuel consumption. To avoid this, the production of green ammonia can be done, and one of the considered production methods is water electrolysis, where the hydrogen needed for the manufacturing of ammonia is produced using solar energy. In this work, multi-objective optimization (MOO) is carried out for two ammonia synthesis processes with water electrolysis. One process uses solar energy to generate electricity for the whole process (Green ammonia), while the other uses natural gas for the same purpose (non-green ammonia) on a small production scale. The process is simulated using ProMax 5.0 and MOO is done using Excel-based MOO with I-MODE algorithm. Several MOO cases are solved with different objectives like CO2 emissions and energy (ENG) minimization, and Profit and Purity maximization in two and three objective cases. To conduct the work, several decision variables are selected like the operating temperatures and pressures of different streams in addition to the flow rate of nitrogen and water. Some constraints regarding the purity and reactors temperature are considered as well. The obtained results showed that the profit of green ammonia process (ranges between 0.7 and 80 M$/yr) is lower compared to the non-green process (ranges between 0.8 and 4.4 M$/yr). On the other hand, huge CO2 emissions (up to 38000 tons/yr) are produced in the non-green process compared to almost zero emissions with the green process. In most cases, water and nitrogen flow rates showed a high influence on the results and caused conflict between the objectives.

Exploring Hikikomori-like idiom of distress a year into the SARS-CoV-2 pandemic in Oman: Factorial validity of the 25-item Hikikomori Questionnaire, prevalence and associated factors

BACKGROUND

Existing literature that examines the Hikikomori-like idiom of distress (HLID) initially labelled this phenomenon as a culture-bound syndrome. However, the increasing number of reports from other parts of the world suggest that HLID could instead be a culture-reactive idiom of distress, originating from biopsychosocial disequilibrium and cultural upheaval. The impact of imposed social withdrawal due to the Coronavirus 2 severe acute respiratory syndrome (SARS-CoV-2) pandemic on the growing prevalence of HLID has not yet been adequately explored. Aims: The first objective is to examine the factorial validity of the 25-item Hikikomori Questionnaire (HQ-25) in Oman. Second, we aimed to investigate the prevalence of HLID following the lifting of SARS-COV-2 restrictions in the Arabian Gulf country of Oman. The third related objective is to examine factors associated with the variation of HLID.

METHODS

This cross-sectional online survey was widely distributed across the diverse socio-demographic population residing in Oman. After the validation of the questionnaire and the factorial validity, the Arabic version of HQ-25 was used to explore the prevalence and factors associated with HLID.

RESULTS

A total of 1529 participants were included in the study (response rate = 76.5%), of whom 44% (n = 673) expressed HLID. We randomly split it into half, one for exploratory factor analysis (EFA) (n = 764) and the other half for confirmatory factor analysis (CFA) (n = 765). From the EFA results, a three-factor model was found for the Omani version of HQ-25, which represented 52.87% of the variance with good internal reliability (Overall Cronbach's: 0.92; Socialisation: 0.92; Isolation: 0.84; Emotional support: 0.73). The CFA results report acceptable goodness-of-fit indices (χ2/df = 17.92, p < .001; CFI = 0.90; TLI = 0.95; RMSEA = 0.04, 95% CI 0.02-0.07; SRMR = 0.05) of the three-factor model of the collected samples. All 1529 data were used in the respondents. The results of the logistic regression showed that married marital status (OR = 1.51, 95% CI: 1.12-2.03, p = 0.007), older age (OR = 0.97, 95% CI: 0.95-0.99, p = 0.008), living in an urban area (OR = 0.71, 95% CI: 0.56-0.91, p = 0.006), unemployed occupational status (OR = 1.72, 95% CI: 1.30-2.88, p < .001), screen time (7+ hours vs. <4 hours: OR = 4.50, 95% CI: 3.16-6.41, p < .001; 4-7 hours vs. <4 hours: OR = 2.10, 95% CI: 1.61-2.70, p < .001), history of mental illness (OR = 3.70, 95% CI: 2.29-5.91, p < .001), and adverse childhood experiences (OR = 2.60, 95% CI: 2.03-3.20, p < .001) were significant risk factors for HLID.

CONCLUSION

The factorial validity of the HQ-25 performed in this study appears to mirror the previously reported 3-factor structures. Some of the associated factors appear to support and, conversely, dissent from the findings of previous studies. These are discussed in terms of the attributions of the SARS-COV-2 pandemic, demographic trends in Oman, and sociocultural factors specific to the region of interest.

The Relationship Between Epilepsy Control and the Duration of Nighttime Sleep and Afternoon Siesta

CONTEXT

The association between epilepsy control and the duration of sleep among people with epilepsy (PWE) is not well studied in Middle Eastern countries such as Oman.

AIMS

To describe the sleep habits of PWE in Oman and explore the association of their sleep habits at night and afternoon siesta with the level of seizure control achieved and antiseizure medications (ASMs) consumed.

METHODS

The subjects of this cross-sectional study were adult epilepsy patients attending a neurology clinic. Their sleep parameters were measured for one week using actigraphy. Home sleep apnea testing for one night was conducted to rule out obstructive sleep apnea (OSA).

RESULTS

A total of 129 PWE completed the study. Their mean age was 29.8 ± 9.2  years, and their mean body mass index (BMI) was 27.1 kg/m². There was no significant difference between the people with controlled and uncontrolled epilepsy as regards the duration of night sleep or afternoon siesta (p = 0.24 and 0.37, respectively). There was also no significant correlation between their nighttime sleep duration, afternoon siesta, and the number of ASMs they consumed (p = 0.402 and 0.717, respectively).

CONCLUSION

The study revealed that the sleep habits of PWE with uncontrolled epilepsy who consumed more ASMs were not significantly different from those with controlled epilepsy who consumed fewer ASMs.

Development of portable sensor for the detection of bacteria: effect of gold nanoparticle size, effective surface area, and interparticle spacing upon sensing interface

In this study, systematic development of a portable sensor for the rapid detection of Escherichia coli (E. coli) and Exiguobacterium aurantiacum (E. aurantiacum) was reported. A conductive glass was utilized as a substrate and developed the electrode patterns on it. Trisodium citrate (TSC) and chitosan-stabilized gold nanoparticles (AuNPs) (CHI-AuNP-TSC) and chitosan-stabilized AuNPs (CHI-AuNP) were synthesized and utilized as a sensing interface. The morphology, crystallinity, optical properties, chemical structures, and surface properties of immobilized AuNPs on the sensing electrodes were investigated. The sensing performance of the fabricated sensor was evaluated by using an electrochemical method to observe the current changes in cyclic voltammetric responses. The CHI-AuNP-TSC electrode has higher sensitivity toward E. coli than CHI-AuNP with a limit of detection (LOD) of 1.07 CFU/mL. TSC in the AuNPs synthesis process played a vital role in the particle size, the interparticle spacing, the sensor's effective surface area, and the presence of CHI around AuNPs, thus enhancing the sensing performance. Moreover, post-analysis of the fabricated sensor surface exhibited the sensor stability and the interaction between bacteria and the sensor surface. The sensing results showed a promising potential for rapid detection using a portable sensor for various water and food-borne pathogenic diseases.

pH Controlled Nanostructure and Optical Properties of ZnO and Al-Doped ZnO Nanorod Arrays Grown by Microwave-Assisted Hydrothermal Method

The low-temperature microwave-assisted hydrothermal method was used to successfully grow pure and Al-doped ZnO (AZO) nanorod (NR) arrays on glass substrates. The combined effects of doping and pH on the structural properties, surface chemistry, and optical properties of all samples were investigated. Thermodynamic-based simulations of the growth solution were performed and a growth mechanism, that considers the effects of both the pH and Al-doping, is proposed, and discussed. Tuning the solution pH is key parameter to grow well-aligned, single crystal, highly packed, and high aspect ratio nanorod arrays. Moreover, the optical absorption in the visible range is enhanced by controlling the pH value. The PL spectra reveal a shift of the main radiative emission from the band-to-band into a transition involving deep defect levels of Zinc interstitial Zni. This shift is caused by an enhancement of the non-radiative components (phonon relaxation) at high pH values. The production of well-ordered ZnO and AZO nanorod arrays with visible-active absorption/emission centers would increase their potential use in various applications.

0628 Epilepsy Control and Night Sleep Duration and Afternoon Siesta

Introduction

The relationship between sleep and epilepsy has long been recognized but understanding the association between seizure control and sleep duration is not well explored. The study aims to describe the sleep habits in people with epilepsy (PwE) and explore the association between sleep habits, particularly afternoon napping and level of seizure control and anti-epileptic drugs (AEDs).

Methods

this is a cross-sectional study of adult epilepsy patients attending neurology clinic. Sleep parameters are measured using actigraphy for one week and home sleep apnea testing to rule out obstructive sleep apnea (OSA).

Results

total of 250 PwE were screened and 129 patients (male & female) completed the study with mean age of 29.75 ± 9.18 years and mean body mass index (BMI) of 27.12 kg/m2. There was significant association between night sleep duration and time of wake up and number of AEDs (adjusted R2=0.026, P=0.03 & P=0.04 respectively). There is also significant association between number of seizures per night and afternoon napping (adjusted R2=0.043, P=0.05). Other sleep parameters did not reveal any significant association with level of epilepsy control neither with number of AEDs (P&gt;0.05).

Conclusion

The study described that PwE with uncontrolled epilepsy on multiple AEDs are practicing sleep habits that involved longer afternoon napping and shorter sleep duration.

Support (If Any)

Sultan Qaboos University

Microporous Carbon Nitride (C3 N5.4 ) with Tetrazine based Molecular Structure for Efficient Adsorption of CO2 and Water

Mesoporous carbon nitrides with C₃ N₅ and C₃ N₆ stoichiometries created a new momentum in the field of organic metal-free semiconductors owing to their unique band structures and high basicity. Here, we report on the preparation of a novel graphitic microporous carbon nitride with a tetrazine based chemical structure and the composition of C₃ N_5.4 using ultra-stable Y zeolite as the template and aminoguanidine hydrochloride, a high nitrogen-containing molecule, as the CN precursor. Spectroscopic characterization and density functional theory calculations reveal that the prepared material exhibits a new molecular structure, which comprises two tetrazines and one triazine rings in the unit cell and is thermodynamically stable. The resultant carbon nitride shows an outstanding surface area of 130.4 m²  g^-1 and demonstrates excellent CO₂ adsorption per unit surface area of 47.54 μmol m^-2 , which is due to the existence of abundant free NH₂ groups, basic sites and microporosity. The material also exhibits highly selective sensing over water molecules (151.1 mmol g^-1 ) and aliphatic hydrocarbons due to its unique microporous structure with a high amount of hydrophilic nitrogen moieties and recognizing ability towards small molecules.

Clinico-electrographic characteristics and classification of genetic generalized epilepsy in Oman

PURPOSE

There is a lack of information on the annual incidence of genetic generalized epilepsy (GGE) in the Arab countries, especially Oman. Ascertaining the true burden of illness has crucial implications for health policies and priorities. We aim to study the clinico-electrographic characteristics, classification, and annual incidence of GGE in Oman.

METHOD

Using the cross-sectional data of EEGs obtained from all patients with GGE who presented to Sultan Qaboos University hospital (major referral center for epilepsy in Oman) from January 2007 to June 2014. Analyses were performed using univariate statistics.

RESULTS

Approximately 10,423 patients had EEG studies during the study period of which 376 patients (3.6 %) had EEG abnormalities suggestive of GGE. Forty two percent of the 376 GGE patients were male with ages ranging from 3 to 58 years. We were able to classify 273 patients to one of the GGE syndromes. Forty-three percent of 130 patients had a positive family history of epilepsy in their first or second-degree relatives. The generalized tonic-clonic seizure was the most common seizure type observed in 242 patients (64 %; 95 %CI: 59.2 %-68.9 %). Juvenile myoclonic epilepsy was the most common epilepsy syndrome (41 % of the total GGE patients) encountered in our region. A significant female predominance (9.7 % vs 2.5 %; p = 0.016) was observed in juvenile absence epilepsy. Certain interictal focal EEG abnormalities did not exclude a diagnosis of GGE. An average annual GGE incidence of 2.9 % (95 % CI: 2.6 %-3.2 %) was observed during the study period.

CONCLUSION

This hospital-based study is the first of its kind in the Arabian Gulf region, classifying the different subcategories of GGE. Our results indicate that GGE is a common epilepsy subtype in Oman. A prospective population-based epidemiological study is required to estimate the precise frequency of GGE in Oman.

Removal of heavy metal ions by capacitive deionization: Effect of surface modification on ions adsorption

Activated carbon cloth (ACC) coated with zinc oxide (ZnO) nanoparticles (NPs) have been used as electrodes in flow-by capacitive deionization (CDI) system. Aqueous solution of individual Pb²⁺ and Cd²⁺ ions and mixed Pb²⁺ and Cd²⁺ ions were used as test contaminant in CDI system to study the effect of surface modification upon ions removal efficiency. Due to the aggregated structure of ZnO NPs on ACC surface, the modified ACC electrodes develop the additional surface area as well as dielectric barrier therefore resulting in higher specific capacitance. In addition, coating with ZnO NPs effectively reduced physical adsorption whereby enhanced the ions adsorption rate and capacity during electrosorption process. Upon incorporating with ZnO NPs, the electrosorption efficiency was enhanced from 17% to 33% for Pb²⁺, from 21% to 29% for Cd²⁺ and from 21% to 35% for mixed Pb²⁺ and Cd²⁺ ions. The power consumption of individual ions and mixed ions removal process for ACC and ZnO NPs modified ACC were also discussed. Furthermore, used ACC electrodes surfaces were examined using photoelectron spectroscopy (XPS) and results were also conferred. The CDI ACC electrodes with ZnO NPs showed a promising and an effective way for heavy metal removal applications.

Ultrastructural morphology of lymphocytes of the Arabian oryx (Oryx leucoryx)

An ultrastructural study on the lymphocytes from peripheral blood samples from 20 healthy adult Arabian oryx (Oryx leucocoryx) was undertaken. Small lymphocytes ranged in size from 2-3.5 µm and exhibited the typical repertoire of organelles found in small lymphocytes of other animals but showed no evidence of azurophilic granules. Medium-sized lymphocytes were 5-6.5 µm in diameter and occasionally demonstrated azurophilic granules. Microvilli were a common finding of lymphocytes. Of particular interest was the presence of multivesicular bodies, which have previously only been described in human lymphocytes. Both small- and medium-sized lymphocytes of the Arabian oryx were smaller than those reported for other animals. Small lymphocytes exhibited short, thick microvilli, whereas medium-sized lymphocytes had long thin microvilli, a single nucleolus and occasionally azurophilic granules and multivesicular bodies.

The role of urbanization in soil and groundwater contamination by heavy metals and pathogenic bacteria: A case study from Oman

This study assessed the perception of urban residents of A'Seeb city, Oman, about the impact of their activities on environment. A sociological survey using questionnaire was used to know the residents' perceptions about urban gardening, municipal-waste disposal, and soil and water contamination. Viable pathogenic bacteria, water soluble metals, basic cations, salinity, and texture were quantified and identified in soil and groundwater in proximity of urban gardens and municipal-waste disposal sites. The majority of surveyed residents are not paying attention to the negative consequences of their activities on soil and environment. Although the measured heavy metals concentrations in some of the contaminated sites were significant but still below the international standards. Fecal contaminants reported in in some samples from gardens, garbage-disposal sites and groundwater. Human pathogens belonging to risk group-2 including Klebsiella pneumonia, Shigella spp and E. Coil were identified. More socio-environmental studies required to correlate the behavior of urban residents and pollution and to delineate the sources of the detected pathogenic bacteria. Our results set a foundation for future studies on urban soils and associated residence behaviors and practices in Oman and the neighboring Gulf countries.

Effects of an Adenotonsillectomy on the Cognitive and Behavioural Function of Children Who Snore: A naturalistic observational study

Objectives

This study aimed to evaluate cognitive and behavioural changes among 9-14-year-old Omani children with obstructive sleep apnoea (OSA) after an adenotonsillectomy (AT).

Methods

This naturalistic observational study was conducted at the Sultan Qaboos University Hospital, Muscat, Oman, between January 2012 and December 2014. Omani children with adenotonsillar hypertrophy (ATH) underwent overnight polysomnography and those with confirmed OSA were scheduled for an AT. Cognitive and behavioural evaluations were performed using standardised instruments at baseline prior to the procedure and three months afterwards.

Results

A total of 37 children were included in the study, of which 24 (65%) were male and 13 (35%) were female. The mean age of the males was 11.4 ± 1.9 years, while that of the females was 11.1 ± 1.5 years. Following the AT, there was a significant reduction of 56% in mean apnoea-hypopnoea index (AHI) score (2.36 ± 4.88 versus 5.37 ± 7.17; P <0.01). There was also a significant positive reduction in OSA indices, including oxygen desaturation index (78%), number of desaturations (68%) and number of obstructive apnoea incidents (74%; P <0.01 each). Significant improvements were noted in neurocognitive function, including attention/concentration (42%), verbal fluency (92%), learning/recall (38%), executive function (52%) and general intellectual ability (33%; P <0.01 each). There was a significant decrease of 21% in both mean inattention and hyperactivity scores (P <0.01 each).

Conclusion

These results demonstrate the effectiveness of an AT in improving cognitive function and attention deficit hyperactivity disorder-like symptoms among children with ATH-caused OSA. Such changes can be observed as early as three months after the procedure.

A Triad of Temporomandibular Joint Ankylosis, Mandibular Retrognathia and Severe Obstructive Sleep Apnoea: Case report

The surgical management of paediatric patients with temporomandibular joint (TMJ) ankylosis, mandibular retrognathia and obstructive sleep apnoea (OSA) is challenging. We report a nine-year-old boy who presented to the Department of Oral Health, Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with complaints of limited mouth opening, loud snoring and excessive daytime sleepiness. He was diagnosed with TMJ ankylosis, mandibular retrognathia and severe OSA. The patient initially underwent mandibular distraction and, subsequently, release of the TMJ ankylosis and rib graft reconstruction. The overall patient outcome was successful, with improvement in OSA-related symptoms, good facial symmetry and adequate mouth opening.

Motor and Behavioral Effects of Moringa oleifera Leaf Extract

Moringa oleifera is a medicinal plant widely used in many parts of the world for hypertension, pain and epilepsy. The aim of this study was to determine the effect of M. oleifera aqueous leaf extract on motor and behavioral activities of healthy mice. Male mice were randomly divided into a control group (given 0.9% NaCl orally) and three groups treated with the extract at doses of 100, 200, and 400 mg/kg/day for 14 consecutive days. Motor and behavioral activity were evaluated by quantifying motor activity, exploration (hole-board), neuro-muscular coordination (rota rod treadmill), pain (hot plate, cold-water tail flick, and acetic acid-induced abdominal constriction), and depression (forced swimming test, FST). Administration of M. oleifera extract had a significant and dose-dependent antinociceptive action in both thermal and chemical tests ( p < 0.05). The extract (400 mg/kg) caused a reduction in exploration activity and neuro-muscular coordination, and decreased the mobility time in the FST, suggesting an antidepressant-like action. Motor activity was not significantly affected by any of the doses used. The results suggest that the plant aqueous extract may have a dose-dependent central nervous system (CNS) depressant action.

Efficient visible light photocatalysis of benzene, toluene, ethylbenzene and xylene (BTEX) in aqueous solutions using supported zinc oxide nanorods

Benzene, toluene, ethylbenzene and xylenes (BTEX) are some of the common environmental pollutants originating mainly from oil and gas industries, which are toxic to human as well as other living organisms in the ecosystem. Here we investigate photocatalytic degradation of BTEX under visible light irradiation using supported zinc oxide (ZnO) nanorods grown on glass substrates using a microwave assisted hydrothermal method. ZnO nanorods were characterized by electron microscopy, X-ray diffraction (XRD), specific surface area, UV/visible absorption and photoluminescence spectroscopy. Visible light photocatalytic degradation products of BTEX are studied for individual components using gas chromatograph/mass spectrometer (GC/MS). ZnO nanorods with significant amount of electronic defect states, due to the fast crystallization of the nanorods under microwave irradiation, exhibited efficient degradation of BTEX under visible light, degrading more than 80% of the individual BTEX components in 180 minutes. Effect of initial concentration of BTEX as individual components is also probed and the photocatalytic activity of the ZnO nanorods in different conditions is explored. Formation of intermediate byproducts such as phenol, benzyl alcohol, benzaldehyde and benzoic acid were confirmed by our HPLC analysis which could be due to the photocatalytic degradation of BTEX. Carbon dioxide was evaluated and showed an increasing pattern over time indicating the mineralization process confirming the conversion of toxic organic compounds into benign products.

White coat hypertension and masked hypertension among omani patients attending a tertiary hospital for ambulatory blood pressure monitoring

OBJECTIVES

Our study aimed to estimate the rate of white coat hypertension (WCH) and effect, and masked hypertension in patients attending a tertiary care hospital for 24 hour ambulatory blood pressure monitoring (24-h ABPM).

METHODS

A total of 231 adult patients were referred to the Department of Clinical Physiology at Sultan Qaboos University Hospital, Muscat, for ABPM, between January 2010 and June 2012. The following data were gathered and analyzed: demographic data, clinic blood pressure (BP) measurements, and 24-h BP profile from ABPM. Thirty-two patients were excluded and the final analysis included 199 patients.

RESULTS

There were 105 (52.8%) women and 94 (47.2%) men studied. The mean age of patients was 46±15 years and most patients were overweight with a mean BMI of 29.6±5kg/m(2). Around half of patients (53.8%) were on one or more antihypertensive medications. WCH was found in 10.6% and white coat effect was found in 16% of patients. The majority of patients (57%) with WCH were aged 40 years or above. Masked hypertension was present in 6% of patients and masked uncontrolled hypertension in 8.5% of patients.

CONCLUSIONS

Our study showed that WCH and effect, and masked hypertension are common in hypertensive patients. Identifying these patients will have an impact on their management. However, the results of the study should be interpreted within the context of its limitations. Prospective randomized community and hospital-based studies should be conducted to estimate the true prevalence in the general population as well as in hypertensive patients.

Frequency of obstructive sleep apnea syndrome among patients with epilepsy attending a tertiary neurology clinic

OBJECTIVES

Epilepsy is a common neurological disorder with a median lifetime prevalence of 14 per 1000 subjects. Sleep disorders could influence epileptic seizure. The most common sleep disorder is obstructive sleep apnea syndrome (OSAS) which occurs in 2% of adult women and 4% of adult men in the general population. The aim of this study is to estimate the frequency of OSAS among patients with epilepsy and to study the seizure characteristics among those patients with co-morbid OSAS.

METHODS

Patients with a confirmed diagnosis of epilepsy who attended the Sultan Qaboos University Hospital neurology clinic were recruited for the study between June 2011 and April 2012. Patients were screened for OSAS by direct interview using the validated Arabic version of the Berlin questionnaire. Patients identified as high-risk underwent polysomnography.

RESULTS

A total of 100 patients with epilepsy (55 men and 45 women) were screened for OSAS. Generalized and focal seizure was found in 67% of male and 27% of female patients. Six percent of the participants had epilepsy of undetermined type. Only 9% of the sample was found to have high risk of OSAS based on the Berlin questionnaire. No significant correlation was found between risk of OSAS, type of epilepsy, and anti-epileptic drugs.

CONCLUSION

The risk of OSAS was marginally greater in patients with epilepsy compared to the general population with the overall prevalence of 9%.

Association of gene variants with susceptibility to type 2 diabetes among Omanis

AIM: To investigate the association of 10 known common gene variants with susceptibility to type 2 diabetes mellitus (T2D) among Omanis.

METHODS: Using case-control design, a total of 992 diabetic patients and 294 normoglycemic Omani Arabs were genotyped, by an allelic discrimination assay-by-design TaqMan method on fast real time polymerase chain reaction system, for the following gene variants: KCNJ11 (rs5219), TCF7L2 (rs7903146), CDKAL1 (rs10946398), CDKN2A/B (rs10811661), FTO (rs9939609 and rs8050136), IGF2BP2 (rs4402960), SLC30A8 (rs13266634) CAPN10 (rs3792267) and HHEX (rs1111875). T2D patients were recruited from the Diabetes Clinic (n = 243) and inpatients (n = 749) at Sultan Qaboos Univesity Hospital (SQUH), Muscat, Oman. Adult control participants (n = 294) were volunteers from the community and from those visiting Family Medicine Clinic at SQU, for regular medical checkup. The difficulty in recruiting Omani participants with no family history of diabetes was the main reason behind the small number of control participants in this study. Almost all volunteers questioned had a relative with diabetes mellitus. Inspite of the small number of normoglycemic controls in this study, this sample was sufficient for detection of genes and loci for common alleles influencing T2D with an odds ratio of ≥ 1.3 reaching at least 80% power. Data was collected from June 2010 to February 2012.

RESULTS: Using binary logistic regression analysis, four gene variants showed significant association with T2D risk: KCNJ11 (rs5219, P = 5.8 × 10^-6, OR = 1.74), TCF7L2 (rs7903146, P = 0.001, OR = 1.46), CDKAL1 (rs10946398, P = 0.002, OR = 1.44) and CDKN2A/B (rs10811661, P = 0.020, OR = 1.40). The fixation index analysis of these four gene variants indicated significant genetic differentiation between diabetics and controls {[KCNJ11 (rs5219), P < 0.001], [TCF7L2 (rs7903146), P < 0.001], [CDKAL1 (rs10946398), P < 0.05], [CDKN2A/B (rs10811661), P < 0.05]}. The highest genotype variation % between diabetics and controls was found at KCNJ11 (2.07%) and TCF7L2 (1.62%). This study was not able to detect an association of T2D risk with gene variants of IGF2BP2 (rs4402960), SLC30A8 (rs13266634), CAPN10 (rs3792267) and HHEX (rs1111875). Moreover, no association was found between FTO gene variants (rs9939609 and rs8050136) and T2D risk. However, T2D risk was found to be significantly associated with obesity (P = 0.002, OR = 2.22); and with the Waist-to-Hip ratio (n = 532, P = 1.9 ×10^-7, OR = 2.4), [among males (n = 234, P = 1.2 × 10^-4, OR = 2.0) and females (n = 298, P = 0.001, OR = 6.3)].

CONCLUSION: Results confirmed the association of KCNJ11 (rs5219), TCF7L2 (rs7903146), CDKAL1 (rs10946398) and CDKN2A/B (rs10811661) gene variants with susceptibility to T2D among Omani Arabs.

Impaired Fasting Glucose in Omani Adults with no Family History of Type 2 Diabetes

OBJECTIVES

The aim of this study was to estimate the prevalence of impaired fasting glucose (IFG) among Omani adults with no family history (FH) of diabetes and to investigate the factors behind the risk of developing type 2 diabetes (T2D), while excluding a FH of diabetes.

METHODS

A total of 1,182 Omani adults, aged ≥40 years, visited the Family Medicine & Community Health Clinic at Sultan Qaboos University Hospital, Oman, on days other than the Diabetes Clinic days, from July 2010 to July 2011. The subjects were interviewed and asked if they had T2D or a FH of T2D.

RESULTS

Only 191 (16%) reported no personal history of T2D or FH of the disease. Of these, anthropometric and biochemical data was complete in 159 subjects. Of these a total of 42 (26%) had IFG according to the American Diabetes Association criteria. Body mass index, fasting insulin, haemoglobin A1C and blood pressure (BP), were significantly higher among individuals with IFG (P <0.01, P <0.05, P <0.01 and P <0.01, respectively). In addition, fasting insulin, BP and serum lipid profile were correlated with obesity indices (P <0.05). Obesity indices were strongly associated with the risk of IFG among Omanis, with waist circumference being the strongest predictor.

CONCLUSION

Despite claiming no FH of diabetes, a large number of Omani adults in this study had a high risk of developing diabetes. This is possibly due to environmental factors and endogamy. The high prevalence of obesity combined with genetically susceptible individuals is a warning that diabetes could be a future epidemic in Oman.

Familial Clustering of Type 2 Diabetes among Omanis

OBJECTIVE

The aim of this study was to screen Omani individuals for the familial aggregation of type 2 diabetes mellitus.

METHODS

A random cohort of 1182 Omani individuals visiting the Family Medicine Clinic at Sultan Qaboos University Hospital (SQUH), Muscat, Oman, for regular medical checkup, aged ≥40 years, were sampled. Patients were categorized into three groups: (1) individuals who claim not to have diabetes and had no family history of diabetes; (2) individuals who claim not to have diabetes but had family history of diabetes; (3) individuals with diabetes. Only 16% of these Omani individuals had no diabetes and no family history of diabetes. Another separate random cohort of 234 Omani type 2 diabetes mellitus patients, from the Diabetes Clinic at SQUH, were interviewed and questioned about their family history of type 2 diabetes mellitus.

RESULTS

Ninety five percent of the patients had a family history of diabetes. Eighty percent had first degree relatives with diabetes and 46% had second degree relatives with diabetes. At least one parent with diabetes was reported among 55% of these diabetics, while maternal diabetes (55%) was found to be higher than paternal diabetes (47%). However, only 15% had both parents with diabetes. Furthermore, almost half of the 234 diabetics were having at least one of the following relatives with diabetes: brother, sister, aunt or an uncle.

CONCLUSION

The findings of this study confirm familial aggregation of diabetes among the Omani population. Compared to other populations, familial aggregation of type 2 diabetes mellitus among Omanis is relatively very high, and is perhaps due to the very high degree of consanguinity among Omanis. Since almost everyone seems to have a genetic predisposition to diabetes, the dramatic lifestyle changes over the past 25 years, could tip the population into an epidemic of type 2 diabetes mellitus.

Validation of the arabic version of the epworth sleepiness scale in oman

OBJECTIVES

The Epworth sleepiness scale is a self-administered eight-item questionnaire that was developed as a tool to measure subjective sleepiness in adults. The validity of the Epworth sleepiness scale has been validated and tested in different populations and ethnic groups. However, it has yet to be validated or tested in an Omani or other Arabic speaking population. Thus, the aim of this study is to test the validity and reproducibility of the Epworth sleepiness scale in an Omani population.

METHODS

Subjects were recruited from the general population and were asked to participate in the study. The study enrolled 97 Omani volunteers and was conducted between May and October 2008. An Arabic version of the original English questionnaire was used. The study was approved by the Research and Ethics committee of the institution. Lin's concordance correlation coefficient along with Bland-Altman plots were used to test the agreement between the Arabic and English versions of the Epworth sleepiness scale.

RESULTS

The study included a total of 37 males (38%) and 60 females (62%) with age ranging between 18-75 years. Concordance correlation results revealed a substantial concordance (RhoC) of 0.914, but one that does not approach 1 (95% CI: 0.881, 0.947). This results from both lack of perfect correlation (Pearson's r=0.914) and bias (C_b = 1.000). The Bland and Altman's limits-of-agreement measured at 0.000 (95% CI: -2.684, 2.684), indicating insignificant average departure from agreement between the two versions of the Epworth sleepiness scale.

CONCLUSION

The results indicate agreement between the two versions of ESS (English and the Arabic).

Classification of sleep apnea using wavelet-based spectral analysis of heart rate variability

BACKGROUND

Obstructive Sleep Apnea (OSA) is the cessation of breathing during sleep due to the collapse of upper airway. Polysomnographic recording is a conventional method for detection of OSA. Although it provides reliable results, it is expensive and cumbersome. Thus, an advanced non-invasive signal processing based technique is needed.

OBJECTIVE

The main purpose of this work is to predict the severity of sleep apnea using an efficient wavelet-based spectral analysis method of the heart rate variability (HRV) to classify sleep apnea into three different levels (mild, moderate, and severe) according to its severity and to distinguish them from normal subjects.

METHODS

The standard FFT spectrum analysis method and the soft-decision wavelet-based technique are to be used in this work in order to rank patients to full polysomnography. Data of 20 normal subjects and 20 patients with mild apnea and 20 patients with moderate apnea and 20 patients of severe apnea are used in this study. The data is obtained from the sleep laboratory of Sultan Qaboos University hospital in Oman. Four different classification versions have been used in this work.

RESULTS

Accuracy result of 90% was obtained between severe and normal subjects and 85% between mild and normal and 75% between severe and moderate and 83.75% between normal and patients.

CONCLUSIONS

The VLF/LF power spectral ratio of the wavelet-based soft-decision analysis of the RRI data after a high-pass filter resulted in the best accuracy of classification in all versions.

Gender difference in relationship of apnoea/hypopnoea index with body mass index and age in the omani population

OBJECTIVES

Obstructive sleep apnoea/hypopnoea syndrome (OSAHS) is a disorder characterised by repetitive upper airway collapse during sleep in association with daytime sleepiness. It has an estimated prevalence of 2% and 4% among middle-aged women and men respectively. The aim of the study was to look at the association of body mass index (BMI), age and gender and prevalence of OSAHS in the Omani population.

METHODS

Polysomnography reports and hospital medical records of all patients who took part in the Sleep Study at the Sleep Laboratory of the Clinical Physiology Department, Sultan Qaboos University Hospital, between January 1995 and December 2006, were retrospectively reviewed. Data from both sources was gathered and analysed.

RESULTS

A total of 1,042 sleep studies were conducted with 608 valid studies for analysis. The study showed that the apnoea/hypopnoea index (AHI) >15 was more prevalent in men compared to women (47.9% versus 33.5%, P = 0.001). There was significant correlation of AHI with BMI (P <0.0001) among men compared to women (P = 0.1); however, age was significantly correlated with AHI among women (P <0.0001), but not with men (P = 0.1).

CONCLUSION

The results indicate that there is a gender difference in the prevalence of OSAHS and obesity is a major risk factor for OSAHS among Omani men whereas age is found to be a risk factor for OSAHS among women.

Effects of overweight and leisure-time activities on aerobic fitness in urban and rural adolescents

BACKGROUND

The aim of this research was to study the effects of overweight and leisure-time activities on maximal aerobic capacity (VO(2)max) in urban and rural Omani adolescents.

METHODS

A total of 529 (245 males, 284 females) adolescents, aged 15-16 years were randomly selected from segregated urban and rural schools. Maximal aerobic capacity was estimated using the multistage 20-meter shuttle-run test.

RESULTS

The body mass index (BMI) of urban boys and girls was significantly higher than that of rural boys and girls. Urban boys and girls spent significantly less weekly hours on sports activities and significantly more weekly hours on TV/computer games than their rural counterpart. Urban boys and girls achieved significantly less VO(2)max than rural boys and girls (44.2 and 33.0 vs. 48.3 and 38.6 mL/kg/min, respectively). Maximal aerobic capacity was negatively correlated with BMI in urban boys.

CONCLUSION

Overweight and inactivity had significant negative effects on cardiorespiratory fitness in urban boys and girls as compared to their rural counterparts. Weight gain in adolescence requires early intervention.