Assessment of Surface Water Quality by Using Water Quality Index of Sanbarish Pond of Morang District, Nepal

A study of surface water of Sanbarish pond has been carried out to examine the quality for drinking and other domestic purpose as well as to evaluate the water pollution status of wetland on the basis of the presence of different physicochemical and microbiological parameters. For calculating the WQI, the following 11 parameters have been considered: Temperature (ambient and water), pH, turbidity, TDS (Total Dissolved Solid), Cl- (chloride), EC (Electric Conductivity), DO (Dissolved Oxygen), TH (Total Hardness), PO4–P (Phosphate – phosphorus), NO3-N (Nitrate – nitrogen), COD (Chemical Oxygen Demand).  The WQI for these samples has been found to be mainly from the higher values of turbidity, DO and PH of the wetland water. The result of WQI has indicated the calculated value (ΣSIi = 95.59) showed the good quality for drinking as per the classification given and needs some proper treatment before consumption, and it also needs to be protected from the risk of contamination. The mean value of fecal coli form recorded was 1166.67 MPN/l00 ml which was crossed the WHO guide line

Primary cutaneous tuberculosis associated with reactive cervical lymphadenopathy: a case report

Tuberculosis (TB) is a mycobacterial infection that most frequently occurs due to infection with Mycobacterium tuberculosis, an acid-fast bacillus. Cutaneous lesions are relatively uncommon manifestations of TB, occurring in only 1 to 2 percent of all infected patients.  Cutaneous tuberculosis can be acquired either exogenously or endogenously .We present here a case of primary cutaneous tuberculosis with reactive cervical lymphadenopathy.  A high index of suspicion is necessary for prompt diagnosis and treatment

Arsenic in Surface Waters: A Report from River Ganga and its Tributary Jamania at Bhagalpur, Bihar, India

An investigation has been carried out to examine the arsenic pollution status of River Ganga & its tributary Jamania during pre-monsoon period of  2017 at Bhagalpur, Bihar (India). Altogether 17 water samples from different sampling sites along with their geo co-ordinates have been investigated for the value of arsenic using FTK test as well as spectrophotometer method. Throughout the study, arsenic value ranged from 10.69 ppb to 55.92 ppb. Out of the 17 water samples, the values of arsenic in 13 samples were from 20ppb to 54.1ppb. The concentration levels of arsenic in all the 17 river water samples and 2 public water supply samples (source: river water) in the present study were found above from the permissible limit of WHO (2008) and BIS (2004-2005) standards for drinking which is 10 ppb (part per billion)

Rosai-Dorfman disease in a child with involvement of extra-nodal wrist joint

Rosai-Dorfman Disease (RDD) is a benign condition primarily affecting the lymph nodes. The term sinus histiocytosis with massive lymphadenopathy was first used. There may be extra-nodal presentation of RDD with or without constitutional symptoms. A 10-year-old boy presented with massive bilateral cervical lymphadenopathy which mimicked the diagnosis of lymphoma. We describe here a case of RDD in a child with extra-nodal bone involvement of the wrist joint, its diagnosis by histopathological examination supported by immunohistochemistry and consequent initial management

Boston Hospitality Review: Winter 2019

TABLE OF CONTENTS: "Training: The Necessity of Error Management Training in the Hospitality Industry" by Priyanko Guchait; "Trends: Green Hotels: An Overview" by Minu Agarwal and Prashant Das; "Tourism: Panacea or peril? The implications of Neolocalism as a more intrusive form of tourism" by Makarand Mody and Kyle Koslowsky; "Restaurants: How Can Single-Unit Restaurants Strive for Powerful Online Presence?" by Leora Lanz and Jenna Berry; "Retention: Why Hoteliers Stay and Go: Future Oriented Thinking" by Sean McGinley; "Service Recovery: Failure is Not Fatal: Actionable Insights on Service Failure and Recovery for the Hospitality Industry" by Lisa C. Wan and Elisa Chan; "Research: A Detailed Study of the Expected and Actual Use of Hotel Amenities" by Chekitan S. Dev and Prateek Kumar

Injection Practices at Primary Healthcare Units in Bangladesh

BackgroundIndiscriminate usage of injections and lack of safe practices during injection administration have been reported worldwide. Unnecessary and unsafe injection usage not only increases the financial burden but are also responsible for spreading blood borne diseases including HIV, HBV and HCV. To attain a better understanding of the situation of injection usage in Bangladesh, a study was conducted at six Upazilla Health Complexes (UHCs), which are primary healthcare units in Bangladesh.Method  The study involved the retrospective collection of treatment sheets of 1048 in-patients at six UHCs from January 2009 to June 2009.  The data was then analyzed using statistical tests. ResultsAmong the patients investigated, 60.11% of the patients received injections and among them the male population received more injection than the female population (males vs. females = 62.50% vs. 55.85%). Patients below 12 years of age received the highest proportion of injections and highest usage of injections was observed in the month of March. The average number of injection(s) prescribed to a patient was 2.44 incurring a prescription cost of 280.22 Taka (USD 3.92 approx.). Injections were mostly prescribed in patients who were diagnosed with physical assault and acute watery diarrhea where intravenous fluids and antibiotics were most widely prescribed. Non-compliance to recapping of used injections was very common which accounted for 22.22% needle stick injuries.ConclusionThe data suggest that indiscriminate and unsafe injection practices were occurring in all UHCs.  Such practices resulted in financial losses as well as compromising safety for healthcare providers and patients.