A System Dynamics Approach for Hospital Waste Management in a City in a Developing Country: The Case of Nablus, Palestine

Hospitals and health centers provide a variety of healthcare services and normally generate hazardous waste as well as general waste. General waste has a similar nature to that of municipal solid waste and therefore could be disposed of in municipal landfills. However, hazardous waste poses risks to public health, unless it is properly managed. The hospital waste management system encompasses many factors, i.e., number of beds, number of employees, level of service, population, birth rate, fertility rate, and not in my back yard (NIMBY) syndrome. Therefore, this management system requires a comprehensive analysis to determine the role of each factor and its influence on the whole system. In this research, a hospital waste management simulation model is presented based on the system dynamics technique to determine the interaction among these factors in the system using a software package, ithink. This model is used to estimate waste segregation as this is important in the hospital waste management system to minimize risk to public health. Real data has been obtained from a case study of the city of Nablus, Palestine to validate the model. The model exhibits wastes generated from three types of hospitals (private, charitable, and government) by considering the number of both inpatients and outpatients depending on the population of the city under study. The model also offers the facility to compare the total waste generated among these different types of hospitals and anticipate and predict the future generated waste both infectious and non-infectious and the treatment cost incurred

Electrophoretic bilayer deposition of zirconia and reinforced bioglass system on Ti6Al4V for implant applications: An in vitro investigation

The physical, chemical and biological properties of the bioglass reinforced yttria-stabilized composite layer on Ti6Al4V titanium substrates were investigated. The Ti6Al4V substrate was deposited with yttria stabilized zirconia - YSZ as the base layer of thickness approximate to 4-5 mu m, to inhibit metal ion leach out from the substrate and bioglass zirconia reinforced composite as the second layer of thickness approximate to 15 mu m, which would react with surrounding bone tissue to enhance bone formation and implant fixation. The deposition of these two layers on the substrate was carried out using the most viable electrophoretic deposition (EPD) technique. Biocompatible yttria-stabilized zirconia (YSZ) in the form of nano-particles and sol gel derived bioglass in the form of micro-particles were chosen as precursors for coating. The coatings were vacuum sintered at 900 degrees C for 3 h. The biocompatibility and corrosion resistance property were studied in osteoblast cell culture and in simulated body fluid (SBF) respectively. Analysis showed that the zirconia reinforced bioglass bilayer system promoted significant bioactivity, and it exhibited a better corrosion resistance property and elevated mechanical strength under load bearing conditions in comparison with the monolayer YSZ coating on Ti6Al4V implant surface. (C) 2013 Elsevier B.V. All rights reserved

Structural and chemical analysis of silica-doped β-TCP ceramic coatings on surgical grade 316L SS for possible biomedical application

We have developed a novel approach to introduce silica-doped β-tricalcium phosphate (Si-β-TCP) on 316L SS substrates for enhanced biological properties. Doping of β-TCP with silica loadings ranging from 0 to 8 mol% was carried out using chemical precipitation method. Si-β-TCP powder was sintered at 800 °C followed by coating it on 316L SS substrate using electrophoretic deposition. The coated and uncoated samples were investigated by various characterization techniques such as X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), field emission scanning electron microscopy (FESEM) and X-ray fluorescence spectroscopy (XRF). Biomineralization ability of the coatings was evaluated by immersing in simulated body fluid (SBF) solution for different number of days such as 7, 14, 21 and 28 days. The results obtained in our study have shown that the apatite formation ability was high for the 8 mol% of Si-β-TCP. This will promote better biomineralization ability compared to the other coatings

Dynamics of Heat Transfer Analysis of Convective-Radiative Fins with Variable Thermal Conductivity and Heat Generation: Differential Transformation Method

The study of convective heat transfer in differently shaped fins with radiation, internal heat generation and variable thermal conductivity was considered. The energy equation of the model was converted into the dimensionless form by adopting the proper variables, which was later solved using the differential transformation method. The impact of the parameters on the thermal performance, efficiency and heat transfer of the fins was analyzed graphically and also by performing thermal analysis on the fins. It was noticed that there was a significant effect on the thermal performance of the fins with different shapes, and also the heat transfer rate of the fin increased for improved values of the internal heat generation and radiation parameters. The exponential profile showed better results than other profiles, and the results obtained were supported by thermal analysis using ANSYS software