Cancer patients often grapple with substantial out-of-pocket (OOP) expenses and productivity loss, with the ramifications being particularly crucial for lower-income households. This study aims to estimate OOP costs incurred by cancer patients, assess their productivity loss, and analyse the financial coping mechanisms employed by individuals within the lower-income bracket. The study employed face-to-face interviews among cancer patients aged 40 years and above, currently undergoing treatment, and belonging to the lower-income group. Participants were recruited from six public cancer referral hospitals. OOP expenses, encompassing medical and non-medical costs, along with productivity loss, were measured. A generalized linear model was applied to identify potential OOP determinants. Additionally, the coping mechanisms employed by individuals to finance their cancer OOP expenses were also determined. Among the 430 participants recruited, predominantly female (63.5%), and aged 60 or older (53.9%). The annual mean total cancer costs per patient were US$ 2,398.28 (±2,168.74), including 15% for medical costs US$ 350.95 (±560.24), 34% for non-medical costs US$820.24 (±818.24), and 51% for productivity loss costs US$1,227.09 (±1,809.09). Transportation, nutritional supplements, outpatient treatment, and medical supplies were notable cost contributors to total OOP expenditures. Ethnicity (β = 1.44; 95%CI = 1.15–1.79), household income (β = 1.40; 95%CI = 1.10–1.78), annual outpatient visits (β = 1.00; 95%CI = 1.00–1.01), age (β = 0.74; 95%CI = 0.56–0.98), and employment status (β = 0.54; 95%CI = 0.72–1.34) were identified as significant predictors of OOP costs among cancer patients. Notably, 91% of participants relied on household salaries and savings, while 15% resorted to interest-free borrowing, 11% sold possessions, and 0.5% borrowed with interest to finance their expenses. This study offers crucial insights into the economic impact of cancer on individuals and their families, providing policymakers with valuable information to tackle challenges faced in their journey. Despite substantial public healthcare subsidies, the study revealed that cancer costs can remain a potential barrier to accessing essential treatment. Therefore, there is a need for reinforced system-level infrastructure to facilitate targeted financial navigation services.

The oldest preservation techniques used are drying techniques, which are employed to remove moisture and prevent microorganisms’ growths, prolonging a material’s shelf life. This study evaluates the effects of drying methods on carboxymethyl cellulose (CMC) + citric acid (CA) coating layers on cotton threads. For this reason, cotton threads were washed and then coated with different layers of CMC cross-linked with CA, followed by drying using an oven (OD), infrared (IR), and a combination of oven + IR (OIR) drying methods at 65 °C. Our investigations revealed that CMC + CA yields a pliable biopolymer. The differences in drying regimes and coating layers of CMC + CA have a significant effect on the coated cotton thread strength and absorption capability. The study concluded that the IR drying regime is more effective to dry a single-layered cotton thread with a single layer of CMC + CA coating to enhance desirable properties for wound dressing modification.

The effectiveness in the dehydration of sugars into 5-Hydroxymethylfurfural is related to the catalyst existence. A comprehensive synthesis of 5-Hydroxymethylfurfural from fructose, glucose and sucrose (3.73 mmol) with and without addition zeolite catalyst was performed in this study. The reactions were carried out in water-methanol solvent system for 3 hours reaction time at 180°C temperature. The catalytic results from HPLC showed that the reaction with zeolite increases the yield of 5-Hydroxymethylfurfural with 51.72 %, 34.01% and 50.10% for fructose, glucose and sucrose respectively. The study suggests that zeolites promote the isomerization of glucose into fructose to occur and simultaneously catalyze the dehydration of fructose into 5-Hydroxymethylfurfural. Only slight changes on FT-IR spectra of use zeolite after the reaction was observed. Thus suggest that zeolite was a potential catalyst for catalytic reaction for the conversion of sugar into 5-Hydroxymethylfurfural.