Evaluation of Epididymo-Orchtis-A Study of 100 Cases

Background: Acute epididymo-orchitis is a common clinical problem in urological practice. It is not an uncommon disease in our country to cause work loss particularly in active group of people. Aim of the study: The aim of this study was to see the predisposing factors involved, aetiopathology and progression of disease process.Methods:This prospective study was conducted in department of surgery, Kumudini Women’s Medical College Hospital, Tangail from April 2008 to March 2009. Hundred patients of inflammation of epididymis and testis were included in this study.Results:Out of 100 patients, majority (48%) were in monogamous relationship. All patients (100%) had scrotal pain, 22% had scrotal swelling, 59% had fever, 32% had dysuria and 11% had urethral discharge. All patients presented with tenderness of the testis and epididymis and 82% cases had both epididymal and testicular swelling. Thirty two percent cases had urinary tract infection, trauma and promiscuous sexual contact were associated with the disease in 2% and 18% cases, respectively. History of masturbation was noted in 18% cases. By urine routine microscopy 28% had pus cell and 03% had RBC in urine, 16 cases were positive in urine culture, among 15% were E.coll and 01% were found Klebsiela. Forty patients were tested Chlamydial CFT and 16(40%) were found positive, out of 12 Filarial CFT tested 01(8.33 %) was found positive, Gram staining of urethral discharge revealed Neisseria gonorhhoae in 02(18.18%) cases. In maximum cases no actiological factor was found. Majority cases under 35 years were infected with Chlamydia and patients older than 35 years were mostly infected with E.coli.Conclusion:This study reflects that maximum of our study patients report to hospital nearly at right time with relatively better health status and outcome of available treatment facilities are satisfactory.

Recycling Plastics from WEEE: A Review of the Environmental and Human Health Challenges Associated with Brominated Flame Retardants

Waste electrical and electronic equipment (WEEE) presents the dual characteristic of containing both hazardous substances and valuable recoverable materials. Mainly found in WEEE plastics, brominated flame retardants (BFRs) are a component of particular interest. Several actions have been taken worldwide to regulate their use and disposal, however, in countries where no regulation is in place, the recovery of highly valuable materials has promoted the development of informal treatment facilities, with serious consequences for the environment and the health of the workers and communities involved. Hence, in this review we examine a wide spectrum of aspects related to WEEE plastic management. A search of legislation and the literature was made to determine the current legal framework by region/country. Additionally, we focused on identifying the most relevant methods of existing industrial processes for determining BFRs and their challenges. BFR occurrence and substitution by novel BFRs (NBFRs) was reviewed. An emphasis was given to review the health and environmental impacts associated with BFR/NBFR presence in waste, consumer products, and WEEE recycling facilities. Knowledge and research gaps of this topic were highlighted. Finally, the discussion on current trends and proposals to attend to this relevant issue were outlined.

Predicting daily COVID-19 case rates from SARS-CoV-2 RNA concentrations across a diversity of wastewater catchments

We assessed the relationship between municipality COVID-19 case rates and SARS-CoV-2 concentrations in the primary sludge of corresponding wastewater treatment facilities. Over 1,700 daily primary sludge samples were collected from six wastewater treatment facilities with catchments serving 18 cities and towns in the State of Connecticut, USA. Samples were analyzed for SARS-CoV-2 RNA concentrations during a 10 month time period that overlapped with October 2020 and winter/spring 2021 COVID-19 outbreaks in each municipality. We fit lagged regression models to estimate reported case rates in the six municipalities from SARS-CoV-2 RNA concentrations collected daily from corresponding wastewater treatment facilities. Results demonstrate the ability of SARS-CoV-2 RNA concentrations in primary sludge to estimate COVID-19 reported case rates across treatment facilities and wastewater catchments, with coverage probabilities ranging from 0.94 to 0.96. Lags of 0 to 1 days resulted in the greatest predictive power for the model. Leave-one-out cross validation suggests that the model can be broadly applied to wastewater catchments that range in more than one order of magnitude in population served. The close relationship between case rates and SARS-CoV-2 concentrations demonstrates the utility of using primary sludge samples for monitoring COVID-19 outbreak dynamics. Estimating case rates from wastewater data can be useful in locations with limited testing availability, testing disparities, or delays in individual COVID-19 testing programs.

A Study on the Development of Livestock Odor (Ammonia) Monitoring System Using ICT (Information and Communication Technology)

Recently, environmental problems due to livestock odor have emerged in Korea, and technologies to solve these problems are being developed. This study developed a livestock odor monitoring system using ICT technology and an ammonia sensor. This system consists of a sensor, communication equipment, server, database management system (DBMS), and user operating program. The requirements for each component were presented and applied to the system. The livestock odor monitoring system is divided into Livestock Odor Management System (LOMS) and Livestock Odor Control System (LOCS). LOMS comprises a sensor that can measure ammonia in livestock farms or treatment facilities and communication equipment that transmits and receives data. LOCS consists of a server that can receive data and a program to check real-time data. This system will be used for trend analysis using livestock odor data and to plan to reduce livestock odor in the future.

FACTORS AFFECTING THE SATISFACTION OF BANGLADESHI MEDICAL TOURISTS

Medical tourism is a promising industry which is growing day by day. Researching on medical tourism is getting popularity in tourism literature. The aim of this study is to analyze the factors that have effects on medical tourist satisfaction towards medical tourism and also measure the satisfaction level. Thus, non-probability sampling method, especially convenience and snowball sampling technique were used to collect data from the respondents. Statistical analysis like factor analysis, descriptive analysis, and ordinal logistic regression analysis has been used to analyze the data collected through questionnaire. The statistical outcome indicates that doctors’ and nurses’ service quality, treatment facilities, cost of medical care, environment of hospital, tourism facilities, availability of doctors and staffs were found to have an impact on the patients’ satisfaction ratings. Patient demographic characteristics such as sex of the patients, age, and income had insignificant associations with satisfaction.

The Analysis of Decision-making Items for Operation Management of Digital Twin Simulators for Sewage and Water Treatment Facilities

This paper addresses the derivation of decision-making factors for the operation and management of the Cyber Physical systems (CPS)-linked wastewater treatment plants (WWTPs) and drinking water treatment plants (DWTPs) simulator. The analytical hierarchy process (AHP) method was applied to evaluate the importance of each influencing factor on the operational elements targeting experts. Here, the experts were 37 people working for WWTPs and 30 people working for DWTPs, respectively. The analysis factors for decision-making were influent load, reactor capacity, treatment process, occurrence of high turbidity influent, risk, urgency, response, and recovery, and their relative importance was analyzed. Among the operational elements of WWTPs, influent fluctuations have been shown as the most important factor. Conversely, the possibility of occurrence was found to be the most important influencing factor. In the case of DWTPs, the inflow of high turbidity was found to be the main operating factor, and the influencing factors were the probability of occurrence and the degree of risk. Based upon the results obtained, this study is expected to contribute to the establishment of a stable system of both WWTPs and DWTPS by identifying influent fluctuations, which are a major influencing factor, and by controlling operation factors connected with the establishment of a digital twin simulation.

Rationale for the use of photocatalysis for natural and drinking water purification from pollutants of biological origin

Objective. To evaluate the effectiveness of photocatalytic methods of oxidation of organic substances for the preparation of drinking water. To show the expediency of the use of the described method for the design of wastewater treatment facilities.Materials and methods. The oxidation degrees of 58 organic substances of various hazard classes were studied. The sampling frame was based on two characteristics: origin (biological and artificial) and the oxidation state stated in different sources.Results. A high efficiency of photocatalysis for the destruction of organic substances in wastewater from various industries has been shown: the degrees of oxidation range from 70 to 100 %.Conclusion. Photocatalysis can be used to design wastewater treatment facilities with a view to reducing the probability of biological pollution of natural waters intended for drinking water production.

Algorithm of the calculation of technological for several objects of technological standardization

Цель исследования – разработка алгоритма расчета технологических показателей отдельно по видам выпускаемой продукции для интегрированного целлюлозно-бумажного комбината при сбросе сточных вод после очистки сточных вод на единых очистных сооружениях промышленных стоков. Использован балансовый метод расчёта значений масс загрязняющих веществ, образующихся на тонну выпускаемой продукции ЦБК на основе масс загрязняющих веществ, образующихся во вспомогательных технологических процессах, с учетом очистки сточных вод на общепроизводственных очистных сооружениях. Технологические показатели установлены отдельно для продукции, нормируемой по беленой или небеленой целлюлозе. Если фактические значения технологических показателей превысят значения технологических показателей НДТ, то необходимо разработать водоохранные мероприятия по достижению этих показателей и, до момента их достижения, оплачивать негативное воздействие на водные объекты со стократным повышающим коэффициентом. Разработан алгоритм и функциональные зависимости расчета технологических показателей для ЦБК, выпускающих продукцию, содержащую в композиции беленую и небеленую целлюлозу. Алгоритм рассмотрен на примере условного ЦБК, выпускающего первичные небелёные и беленые волокнистые полуфабрикаты и продукцию полного цикла. К первичным волокнистым полуфабрикатам небеленым отнесены: хвойная и лиственная целлюлоза, ТММ, ХТММ; к первичным волокнистым беленым полуфабрикатам отнесены: беленая хвойная и лиственная целлюлоза, БХТММ; к продукции полного цикла отнесены бумага, картон и продукция их переработки. Алгоритм расчета состоит из пяти этапов: 1 – построение балансовой схемы расчета технологических показателей; 2 – расчет технологических показателей для первичных волокнистых полуфабрикатов небеленых; 3 – расчет технологических показателей для первичных волокнистых полуфабрикатов беленых; 4 – расчет технологических показателей для продукции полного цикла; 5 – расчет значений технологических показателей для каждого вида продукции с учетом очистки на общепроизводственных очистных сооружениях. The purpose of the study is to develop an algorithm for calculating technological indicators separately by types of products for an integrated pulp and paper mill when discharging wastewater after wastewater treatment at unified industrial wastewater treatment plants. A balance method was used for calculating the values of the masses of pollutants formed per ton of output from the pulp and paper mill based on the masses of pollutants formed in auxiliary technological processes, taking into account wastewater treatment at general industrial treatment facilities. Technological indicators are set separately for products rated for bleached or unbleached pulp. If the actual values of technological indicators exceed the values of technological indicators BAT, then it is necessary to develop water protection measures to achieve these indicators and, until they are reached, to pay for the negative impact on water bodies with a hundredfold increasing coefficient. An algorithm and functional dependencies for calculating technological indicators for pulp and paper mills producing products containing bleached and unbleached cellulose in the composition have been developed. The algorithm is considered on the example of a conventional pulp and paper mill, which produces primary unbleached and bleached fibrous semi-finished products, and full-cycle products. Primary unbleached fibrous semi-finished products include: coniferous and deciduous cellulose, ТМP, CТМP; primary fibrous bleached semi-finished products include: bleached softwood and hardwood pulp, BCTMP; full cycle products include: paper, cardboard and their processing products. The calculation algorithm consists of five stages: 1 – building a balance sheet for calculating technological indicators; 2 – calculation of technological indicators for primary fibrous semi-finished products, unbleached; 3 – calculation of technological indicators for primary fibrous semi-finished products bleached; 4 – calculation of technological indicators for full cycle products; 5 – calculation of the values of technological indicators for each type of product, taking into account cleaning at general production treatment facilities.