Trends in Child Health Insurance Coverage: A Local Perspective

Background: Over the past decade, the percentage of Americans with access to employer-sponsored insurance (ESI) has declined. Dependents, specifically children, are the most likely to bear the burden of lost coverage. Objectives: The objectives of this study were to 1) describe trends in children’s health insurance taking into account the heterogeneity across different sub-populations and 2) assess the associations between individual, local (offers of ESI), and supply side (proximity to safety net hospitals) characteristics and children’s health insurance. Methods: We analyzed locally collected survey data for children living in the 12 counties of greater Houston, Texas (years 2003, 2006, 2008, 2011). For each year, telephone interviews were conducted with caregivers through random digit dialing. Among households with at least one employed caregiver (N=2,508), we performed an adjusted multinomial logistic regression analysis to evaluate the odds of being publicly insured or uninsured, with the option for ESI and proximity to a public hospital as primary independent variables. Results: Low-income and racial/ethnic minority children experienced the largest increases in coverage through public insurance. Children in households without the option for ESI had higher odds (Odds ratio 10.87, 95% confidence interval 7.31-16.17) of being publicly insured or uninsured (Odds ratio 9.50, 95% confidence interval 6.14-14.70) compared to those in households with the option for ESI. Proximity to a public hospital was not associated with being uninsured. Conclusions: As the availability of ESI has declined, public insurance has acted as a safety net for low-income and minority children. While access to free care plays an important role, it may not substitute for insurance coverage

Performance evaluation and upgrade options for existing sequencing batch reactor for nutrient removal

Assessment and upgrade of existing sewage treatment plants (STPs) are necessary due to the revision of the existing effluent regulations which now monitors nutrients including ammonia, nitrate and phosphates. The aim of this study is the performance evaluation of four sequencing batch reactor (SBR) type of STP based on the following parameters: biological oxygen demand (BOD), chemical oxygen demand (COD), total suspended solids (TSS), nitrates, ammonia, phosphates and pH; and their potential upgrade based on the revised regulations stated in DAO 2016-08. Four sequencing batch reactor (SBR) type of STP were assessed for 12 weeks for this study. Results showed noncompliance with nutrient levels, thus upgrade is necessary. Analytical Hierarchy Process (AHP), a Multi-Criteria-Analysis (MCA) tool, was used to select the best option for upgrade among options that include (1) additional SBR tank, (2) diverting wastewater to another treatment facility, and (3) converting the SBR into membrane bioreactor (MBR). Considering the criterion for upgrade, option 2 was the most preferred decision followed by option 1 then option 3

Acetylation of Nata de coco (bacterial cellulose) and membrane formation

Nata de coco (NDC), a bacterial cellulose formed by Acetobacter xylinum, was utilized to fabricate a membrane via acetylation and phase inversion methods. The NDC was activated and dissolved in N,N-Dimethylacetamide (DMAc) with lithium chloride (LiCl) at varying amounts of NDC, LiCl/DMAc ratio, activation temperature, and dissolution temperature. Acetylation was done by adding acetic anhydride (in a mass ratio of 1:12 NDC-anhydride) to NDC-DMAc/LiCl solution at a dissolution temperature of 110 °C for 3 hours. The modified-NDC was recovered via precipitation in methanol. The modified-NDC was washed with deionized water then freeze-dried. Modification was verified by determining the degree of substitution (DS) using titration and FTIR analysis. It was observed that the modification could be carried out at an NDC/DMAc (w/v) ratio of 1:75 at 120 °C for 1 hour, and addition of 8% (w/v) LiCl catalyst at 110 °C for 20 minutes. The DS of the modified-NDC was observed in the range of 2.84 – 3.69, which indicates a successful modification. This was further verified by the FTIR results. Membrane fabrication was carried out using the modified-NDC via immersion-precipitation and solvent evaporation methods. A successful membrane formation was observed using solvent evaporation

Phosphorus recovery from wastewater and sludge

Wastewater and sludge are potential resource of phosphorus (P) for fertilizer production. One method of recovering phosphorus is via chemical precipitation. In the study, phosphorus was recovered from wastewater and sludge. First, hydrolysis was carried out to release the phosphorus in the sludge by the addition of 1.0M acid (sulfuric acid) or base (sodium hydroxide) solution mixed for three hours at 200 rpm. The hydrolyzed sludge was filtered, and the pH of the solution was adjusted to 9.0. Precipitation for both wastewater and hydrolyzed sludge solution was carried out using magnesium chloride hexahydrate (MgCl2•6H2O) and ammonium chloride (NH4Cl). The mixture was stirred for an hour for crystallization. Precipitates were allowed to settle for 24 hours before it was filtered and dried in an oven at 55-58oC for 24 hours. The dried sample was grinded and characterized using Fourier transform infrared spectroscopy (FTIR), x-ray fluorenscence (XRF), and scanning electron microscope with energy-dispersive x-ray spectroscopy(SEM-EDX)

ISPD gene mutations are a common cause of congenital and limb-girdle muscular dystrophies

Dystroglycanopathies are a clinically and genetically diverse group of recessively inherited conditions ranging from the most severe of the congenital muscular dystrophies, Walker-Warburg syndrome, to mild forms of adult-onset limb-girdle muscular dystrophy. Their hallmark is a reduction in the functional glycosylation of α-dystroglycan, which can be detected in muscle biopsies. An important part of this glycosylation is a unique O-mannosylation, essential for the interaction of α-dystroglycan with extracellular matrix proteins such as laminin-α2. Mutations in eight genes coding for proteins in the glycosylation pathway are responsible for ∼50% of dystroglycanopathy cases. Despite multiple efforts using traditional positional cloning, the causative genes for unsolved dystroglycanopathy cases have escaped discovery for several years. In a recent collaborative study, we discovered that loss-of-function recessive mutations in a novel gene, called isoprenoid synthase domain containing (ISPD), are a relatively common cause of Walker-Warburg syndrome. In this article, we report the involvement of the ISPD gene in milder dystroglycanopathy phenotypes ranging from congenital muscular dystrophy to limb-girdle muscular dystrophy and identified allelic ISPD variants in nine cases belonging to seven families. In two ambulant cases, there was evidence of structural brain involvement, whereas in seven, the clinical manifestation was restricted to a dystrophic skeletal muscle phenotype. Although the function of ISPD in mammals is not yet known, mutations in this gene clearly lead to a reduction in the functional glycosylation of α-dystroglycan, which not only causes the severe Walker-Warburg syndrome but is also a common cause of the milder forms of dystroglycanopathy

Characteristics and Performance of PTU-Cu Composite Membrane Fabricated through Simultaneous Complexation and Non-Solvent Induced Phase Separation

This study aims to integrate copper (Cu) during membrane formation by a facile simultaneous phase separation process to alleviate biofouling and improve membrane performance. Polythiourea (PTU) polymer synthesized through condensation polymerization of 4,4-oxydianiline and p-phenylene diisothiocyanate in dimethyl sulfoxide was used in the preparation of dope solution. By incorporating different concentrations of cupric acetate in the non-solvent bath, both non-solvent induced phase separation and complexation induced phase separation occur instantaneously. Scanning electron microscopy—energy dispersive X-ray, fourier-transform infrared spectroscopy and time-of-flight secondary ion mass spectroscopy analysis accompanied by color change of the membrane surfaces—confirms the interaction of the polymer with Cu. Interaction of Cu at the interface during membrane formation results in a decrease in contact angle from 2 to 10° and a decrease in surface roughness from 30% to 52% as measured by atomic force microscope analysis. Pure water flux of PTU-Cu membrane increased by a factor of 3 to 17 relative to pristine PTU membrane. Both the pristine PTU and PTU-Cu membrane showed antibacterial characteristics against E. coli

Preliminary Investigation of an Installed Pilot-Scale Biological Nutrient Removal Technology (BNRT) for Sewage Treatment

Water utilities, commercial and industrial establishments are required to upgrade or install new treatment systems to comply with the revised effluent standards issued by the Department of Environment and Natural Resources – Environment Management Bureau (DENR – EMB) which now includes removal and monitoring of nutrients (nitrogen and phosphorus components). One solution is to utilize a biological nutrient removal technology (BNRT) system capable of removing nutrients from sewage. The on-going study aims to investigate the performance of the pilot-scale system in the removal of nutrients from sewage. The designed pilot-scale anaerobic-anoxic-oxic (A2O) process with a total hydraulic retention time of 8.37 hrs. was operated in an existing sewage treatment plant (STP). System modification was adapted to ensure continuous operation. Dissolved oxygen (DO) and temperature of each compartment were evaluated after 45 days of system modification. The DO of the anaerobic and oxic compartment remained within the required range, while the internal recycling flowrate and/or aeration must be adjusted to achieve a DO concentration of 0.20 – 0.50 mg/L in the anoxic compartment. The research is financially supported by the Philippine Council for Industry, Energy and Emerging Technology Research and Development of the Department of Science and Technology (PCIEERD Project No. 04176)

A decision modelling approach for selection of biological nutrient removal systems for wastewater

This paper proposes a decision model built on a hierarchical network for optimal selection of biological nutrient removal systems (BNR) in wastewater treatment plants. BNR is an important component of a sustainable wastewater management wherein resource recovery from wastewater becomes an integral part of the municipal wastewater treatment plants (WTP). However, selection of the most appropriate technology or systems requires a multiple criteria analysis. This study focuses on the following criteria namely 1) Economic aspect; 2) Technical aspect; 3) Environmental Aspect; and 4) Space Requirement. The following alternatives were then evaluated: 1) 3 Stage Pho-redox (A2O); 2) 5 Stage Bardenpho (5BP); 3) University of Cape Town (UCT); 4) Virginia Initiative Plant; 5) Sequencing Batch Reactor (SBR); 6) Membrane Bioreactor (MBR). A fuzzy ANP approach with Monte Carlo simulation was used to derive the overall priorities of these alternatives. This decision modelling approach addresses the uncertainty and complexity involved in the selection of appropriate BNR in Metro Manila’s WTP

A decision modelling approach for selection of biological nutrient removal systems for wastewater

This paper proposes a decision model built on a hierarchical network for optimal selection of biological nutrient removal systems (BNR) in wastewater treatment plants. BNR is an important component of a sustainable wastewater management wherein resource recovery from wastewater becomes an integral part of the municipal wastewater treatment plants (WTP). However, selection of the most appropriate technology or systems requires a multiple criteria analysis. This study focuses on the following criteria namely 1) Economic aspect; 2) Technical aspect; 3) Environmental Aspect; and 4) Space Requirement. The following alternatives were then evaluated: 1) 3 Stage Pho-redox (A2O); 2) 5 Stage Bardenpho (5BP); 3) University of Cape Town (UCT); 4) Virginia Initiative Plant; 5) Sequencing Batch Reactor (SBR); 6) Membrane Bioreactor (MBR). A fuzzy ANP approach with Monte Carlo simulation was used to derive the overall priorities of these alternatives. This decision modelling approach addresses the uncertainty and complexity involved in the selection of appropriate BNR in Metro Manila\u27s WTP. © The Authors, published by EDP Sciences, 2018

Storage Stability and Disinfection Performance on <i>Escherichia coli</i> of Electrolyzed Seawater

The study investigated the effect of storage conditions on the stability of electrolyzed seawater (ESW)&#8217;s physicochemical properties (pH, oxidation-reduction potential (ORP), and free chlorine (FC) concentration), and bactericidal efficiency on the fecal coliform Escherichia coli for 30 days. Preliminary experiments were conducted to determine the optimal current and electrolysis time. Two batches of 2750 mL filtered seawater were electrolyzed using 50 mm &#215; 192 mm platinum&#8722;titanium mesh electrodes at a current of 1.5 A for 20 min. One hundred milliliters of electrolyzed solution was transferred into each amber glass and high-density polyethylene (HDPE) bottles. The bottles were stored in a dark area at ambient temperature. The results showed an increase in pH and a decrease in ORP and FC concentration through time. Hypochlorous acid remained as the dominant component since the pH levels of the solutions remained below 7.5. FC decay was investigated using Chick&#8217;s Law. It was determined that the decay in HDPE bottles (k = &#8722;0.066 day&#8722;1) was faster compared to amber glass bottles (k = &#8722;0.046 day&#8722;1). Nonetheless, HDPE bottles could still be used as an alternative container for 30 days only due to observed instability beyond 30 days. ESW remained effective since no surviving population of E. coli was observed throughout the experimentation