Urinary aluminium and its association with autism spectrum disorder in urban preschool children in Malaysia

Background

The presence of aluminium (Al) in the human body may impact brain neurodevelopment and function, and it is thought to contribute to autism spectrum disease (ASD). The main objective of this study was to assess the association between urinary Al and the development of ASD among Malaysian preschool children in the urban city of Kuala Lumpur.

Method

This was an unmatched case-control study in which children with ASD were recruited from an autism early intervention center and typically developed (TD) children were recruited from government-run nurseries and preschools. Urine samples were collected at home, assembled temporarily at study locations, and transported to the laboratory within 24 h. The Al concentration in the children's urine samples was determined using inductively coupled plasma mass spectrometry (ICP-MS).

Result

A total of 155 preschool children; 81 ASD children and 74 TD children, aged 3 to 6 years, were enlisted in the study. This study demonstrated that ASD children had significantly higher urinary Al levels than TD children (median (interquartile range (IQR): 2.89 (6.77) µg/dL versus 0.96 (2.95) µg/dL) (p < 0.001). Higher parental education level, non-Malay ethnicity, male gender, and higher urinary Al level were the significant ASD risk factors (adjusted odds ratio (aOR) >1, p < 0.05).

Conclusion

A higher urine Al level was discovered to be a significant risk factor for ASD among preschool children in the urban area of Kuala Lumpur, Malaysia.

Incidence and clinicopathological features of colorectal cancer among multi-ethnic patients in Kuala Lumpur, Malaysia: a hospital-based retrospective analysis over two decades

Background

The incidence rate of colorectal cancer (CRC) in Asian countries is increasing. Furthermore, recent studies have shown a concerning rise in the incidence of CRC among younger patients aged less than 50 years. This study aimed to analyze the incidence trends and clinicopathological features in patients with early-onset CRC (EOCRC) and later-onset CRC (at age ≥ 50 years).

Methods

A retrospective analysis was performed on 946 patients with CRC diagnosed from 1997 to 2017 at Universiti Kebangsaan Malaysia Medical Centre. The time trend was assessed by dividing the two decades into four 5-year periods. The mean age-standardized and age-specific incidence rates were calculated by using the 5-year cumulative population of Kuala Lumpur and World Health Organization standard population. The mean incidence was expressed per 100,000 person-years.

Results

After a stable (all age groups) CRC incidence rate during the first decade (3.00 per 100,000 and 3.85 per 100,000), it sharply increased to 6.12 per 100,000 in the 2008-2012 period before decreasing to 4.54 per 100,000 in the 2013-2017 period. The CRC incidence trend in later-onset CRC showed a decrease in the 2013-2017 period. Contrariwise, for age groups of 40-44 and 45-49 years, the trends showed an increase in the latter 15 years of the study period (40-44 years: 1.44 to 1.92 to 2.3 per 100,000; 45-49 years: 2.87 to 2.94 to 4.01 per 100,000). Malays' EOCRC incidence rate increased from 2008-2012 to 2013-2017 for both the age groups 40-44 years (1.46 to 2.89 per 100,000) and 45-49 years (2.73 to 6.51 per 100,000). Nearly one-fifth of EOCRC cases were diagnosed at an advanced stage (Dukes D: 19.9%), and the majority of them had rectal cancer (72.8%).

Conclusion

The incidence of EOCRC increased over the period 1997-2017; the patients were predominantly Malays, diagnosed at a later stage, and with cancer commonly localized in the rectal region. All the relevant stakeholders need to work on the management and prevention of CRC in Malaysia.

Environmental hazard assessment of industrial and municipal waste materials with the applications of RES2-D method and 3-D Oasis Montaj modeling: A case study at Kepong, Kuala Lumpur, Peninsula Malaysia

Environmental hazards, industrial, and municipal wastes geochemical and geophysical assessments were carried out at an industrial waste disposal (IWD) site at Bukit Kepong, Kuala Lumpur, Malaysia. RES2-D geophysical method was applied, capable of identification and quantification of the industrial wastes; buried hazardous materials (BHM) and their effects on the subsurface stratum, from the moderately saturated zones, to fully saturated zones housing the aquifer units underneath the water table. Six RES2-D survey profiles were respectively acquired along E-W, and N-S directions. The perpendicular arrangement of the RES2-D survey lines, was tenaciously designed to make possible, the industrial waste materials (IWM)and municipal solid waste (MSW) quantification, with sufficient length of survey lines set at 200 m, and electrode spacing of 5 m, to cover as much details segments of the IWM and MSW as possible. The six RES2-D inversion results, helped in the subsurface stratum classification into three layers, namely; soft layers, which encompasses the waste materials, with varied resistivity values i.e., 0-100 Ω-m, at 10-15 m depths. The consolidated layers produced varied resistivity values i.e., 101-400 Ω-m, at 15-20 m depths. The bedrock has the highest resistivity values i.e., 401-2000 Ω-m, at depths > 20 m. The estimated volume of the waste materials was 312,000 m ³, using 3-D Oasis Montaj modeling via rectangular prism model generated from the inverted RES2-D. Results from the geochemical analysis helped in the validation of the site as a potential contaminated zone with severe health effects.

A novel method for the quantification of industrial and municipal waste materials for environmental hazard assessment

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Development of a novel method to assess environmnetal hazards of industrial, and municipal wastes.

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Application of the inverted RES2-D data using the Oasis Montaj to generate a rectangular prism model.

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Using the rectangular prism model developed to estimate the volume of IWM and MSW materials.

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Quantification of the leachate contaminant plumes flow from IWM and MSW for remediation.

A novel methodological approach was developed to quantified the volume of industrial waste desposal (IWD) site, combined with municipal waste materials (MWM), through the integration of a non-invasive, fast, and less expenssive RES2-D Electrical Resistivity Technique (ERT), using Wenner-Schlumberger electrode array geophysical method with Oasis Montaj software. Underground water bearing structures, and the eco-system are being contaminated through seepage of the plumes emanating from the mixtures of the industrial waste materials (IWM), made of moist cemented soil with municipal solid wastes (MSW) dumped at the site. The distribution of the contiminant hazardous plumes emanating from the waste materials' mixtures within the subsurface structural lithological layers was clearly map and delineated within the near-surface structures, using the triplicate technique to collect samples of the soil with the waste mixtures, and the water analysis for the presence of dissolved ions. The deployed method helped to monitor the seepage of the contaminant leachate plumes to the groundwater aquifer units via the ground surface, through the subsurface stratum lithological layers, and hence, estimation of the waste materials' volume was possibly approximated to be 312,000 m³.

In summary, the novel method adopted are as presented below:•

The novel method is transferable, reproduce-able, and most importantly, it is unambiguous technique for the quantification of environmental, industrial and municipal waste materials.

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It helps to map the distribution of the plumes emanating from the waste materials' mixtures within the subsurface structural lithological layers that was clearly delineated within the near-surface structures underlain the study site.

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The procedure helped in the monitoring of leachate contaminants plumes seepages into the surface water bodies and the groundwater aquifer units, via the ground surface, through to the porous subsurface stratum lithological layers.

Data for the industrial and municipal environmental wastes hazard contaminants assessment with integration of RES2D techniques and Oasis Montaj software

Industrial, and municipal wastes are part of the main sources of environmental hazards as well as groundwater and surface water pollutions. If not well composed, treated, and safely disposed, it could permeate through the subsurface lithologies by reaching down to the underground water aquifers, particularly in zones of unprotected aquifer units. Pollutants, most especially the landfills leachates that encompassed organic contaminants, ammonia, nitrates, total nitrogen, suspended solids, heavy metals and soluble inorganic salts, i.e., soluble nitrogen, sulphur compound, sulphate and chlorides, could posed undesirable environmental impacts due to inappropriate disposals that may give rise to gaseous fumes and leachate formations. An electrical resistivity geophysical technique utilizing the RES2D no-invasive, cost-effective and rapid method of data collection was integrated with the 3D Oasis Montaj software to approximate the volume of the generated rectangular prism model of the contaminants delineated from mixtures of the industrial, and municipal wastes plumes to be 312,000 m ³.

Observations of BTEX in the ambient air of Kuala Lumpur by passive sampling

Benzene, toluene, ethylbenzene and xylenes (BTEX) are well known hazardous volatile organic compounds (VOCs) due to their human health risks and photochemical effects. The main objective of this study was to estimate BTEX levels and evaluate interspecies ratios and ozone formation potentials (OFP) in the ambient air of urban Kuala Lumpur (KL) based on a passive sampling method with a Tenax® GR adsorbent tube. Analysis of BTEX was performed using a thermal desorption (TD)-gas chromatography mass spectrometer (GCMS). OFP was calculated based on the Maximum Incremental Reactivity (MIR). Results from this study showed that the average total BTEX during the sampling period was 66.06 ± 2.39 μg/m³. Toluene (27.70 ± 0.97 μg/m³) was the highest, followed by m,p-xylene (13.87 ± 0.36 μg/m³), o-xylene (11.49 ± 0.39 μg/m³), ethylbenzene (8.46 ± 0.34 μg/m³) and benzene (3.86 ± 0.31 μg/m³). The ratio of toluene to benzene (T:B) is > 7, suggesting that VOCs in the Kuala Lumpur urban environment are influenced by vehicle emissions and other anthropogenic sources. The average of ozone formation potential (OFP) value from BTEX was 278.42 ± 74.64 μg/m³ with toluene and xylenes being the major contributors to OFP. This study also indicated that the average of benzene concentration in KL was slightly lower than the European Union (EU)-recommended health limit value for benzene of 5 μg/m³ annual exposure.

Characteristics and health effect of heavy metals on non-exhaust road dusts in Kuala Lumpur

This study aimed to assess the concentrations and health effect of trace metals [cadmium (Cd), chromium (Cr), copper (Cu), lead (Pb), nickel (Ni), and zinc (Zn)] on the road dust of selected locations in the city of Kuala Lumpur. Sampling was conducted thrice at four locations, namely, Tun Razak Road, Raja Abdullah Road, Tunku Abdul Rahman (TAR) Road, and Ayer Molek Road. The concentrations of trace metals in road dust were analyzed by inductively coupled plasma mass spectrometry. TAR Road presented the highest Cd, Cu, Ni, and Pb contents compared with the other roads. The pollution level of trace metals in road dust was assessed by pollution index and pollution load index (PLI), showing that all studied locations were highly contaminated except Ayer Molek Road. Based on the PLI value, the sequence of pollution in descending order is as follows: TAR Road > Raja Abdullah Road > Tun Razak Road > Ayer Molek Road. Health risk assessment was performed to assess the health effects of carcinogenic and noncarcinogenic pollutants caused by the exposure to trace metals in road dust on adults and children. Based on the integrated hazard index values for children at all locations, >1 indicates a possible noncarcinogenic effect. All incremental lifetime cancer risk values for adult and children at all locations are within acceptable limits and are considered safe.

Satellite data for Singapore, Manila and Kuala Lumpur city growth analysis

This data article presents satellite data related to city growth of Singapore, Manila and Kuala Lumpur cities. The data were collected from NASA and USGS websites. A method has been developed for city built-up density from city center to outward till 50 km by using satellite data. These data sets consists three decade Landsat images. A detailed description is given to show how to use this data to produce urban growth maps. The urban growth maps have been used to know the changes and growth pattern in the Southeast Asia Cities.

Trends in Self-Harm in Kuala Lumpur, 2005-2011

Acts of self-harm are not routinely tracked in Malaysia. The present study investigates the prevalence of self-harm in Kuala Lumpur, Malaysia, over a 7-year period. The aims were to: (a) assess the prevalence of self-harm; (b) examine any changes over a period of 7 years, and (c) identify correlates of methods of self-harm. Data were extracted from the hospital records of Kuala Lumpur Hospital to review trends in self-harm between 2005 and 2011. There were 918 episodes of self-harm across the 7-year period, with a significant peak in 2007-2009. The average rate of self-harm (7.7 per 100,000 population per year) was similar or lower than the rate of suicide (6-8 or 8-13 per 100,000) suggesting that genuine cases of self-harm are often attributed to other causes. Nevertheless, over-representation of young people, women and Indians suggest areas in which resources to prevent self-harm might usefully be targeted. Estimating rates of self-harm are fraught with problems and further research is needed to understand the economic and cultural barriers around seeking treatment for self-harm, reporting self-harm and classifying self-harm.