THE STATISTICAL AND TECHNICAL EVALUATION OF THE WASTEWATER TREATMENT PLANTS IN HOLIDAY RESORTS

The aim of this study is technical and statistical evaluation of wastewater treatment plants existing at the holiday resorts in areas surrounding Izmir City. The study was carried out in the time period from August to September 2018. Within the scope of the study, 150 holiday resorts were investigated and listed. The necessary permissions were obtained and the treatment plants were visited at their current locations. Most of the wastewater treatment plants are embedded in the ground and are referred to as package treatment systems. They are used at holiday resorts for many reasons, such as smell and noise control. Many parameters have been considered within the scope of the study, such as installed power of the plant, influent wastewater flow and pollutant concentration, the properties of the sludge, sludge disposal methods, effluent wastewater parameters, the method and location of effluent water discharge, operation period of the wastewater treatment plant. As a result of this study, it has been found that the low cost package treatment systems were generally preferred. The systems that required most energy were the blowers. In order to provide clean and smooth environment, the use of central wastewater treatment plants is more suitable than the use of package treatment systems

Nanocoating Thin Film Applications on Water Treatment

The main objective of this study is to determine the photocatalytic degradation efficiencies of the persistent compounds in wastewater by using new generation photocatalytic potassium lanthanum titanates (K(2)Ln(2)Ti(3)O(10)) materials. With this concept, the influence of pH, pollutant concentration and light intensity are investigated in details. The disadvantage of the current treatment methods is the sludge production. Sol-gel method is applied to produce newly developed photocatalysyts in order to oxidize the pollutants in water. DTA, FTIR, XRD, SEM, XPS and AFM analyses were performed to determine the thermal, structural and morphological characterization of the photocatalysts, respectively. To provide the highest activity, new generated K(2)Ln(2)Ti(3)O(10) (Ln= La, Nd, Gd, Sm and Dy) photocatalytic thin films were produced on Si (100) substrates and the degradation experiments were analyzed. The photocatalytic performances of methylene blue (MB) were carried out in a solar box ATLAS SUNTEST CPS+ which simulates solar radiation. On the other hand, ANOVA test for K2La2Ti3O10 was used to understand the effectiveness of the variables. The pH (3-7-10) and light intensity (250 and 750 W/m(2)) were selected as variables for an initial concentration of 10(-5) M methylene blue. The maximum degradation ratio of MB was obtained 99.87 % at pH 10 and 750 W/m(2) by using K2La2Ti3O10. The same procedure with different precursors is applied to produce different doped K2La2Ti3O10 thin films. Dopant precursors were selected as Sm, Dy, Gd and Nd as mentioned above. The maximum degradation ratio of MB among the doped photocatalyst was obtained 98 % by K2La1,1Gd0,9Ti3O10 and K2La1,5Gd0,5Ti3O10 at the same conditions. (C) 2015 Elsevier Ltd. All rights reserved. Selection and peer-review under responsibility of TEMA - Centre for Mechanical Technology and Automation

Atrial Fibrillation Management in Acute Stroke Patients in Türkiye: Real-life Data from the NöroTek Study

Objective: Atrial fibrillation (AF) is the most common directly preventable cause of ischemic stroke. There is no dependable neurology-based data on the spectrum of stroke caused by AF in Turkiye. Within the scope of NoroTek-Turkiye (TR), hospital-based data on acute stroke patients with AF were collected to contribute to the creation of acute-stroke algorithms.Materials and Methods: On May 10, 2018 (World Stroke Awareness Day), 1,790 patients hospitalized at 87 neurology units in 30 health regions were prospectively evaluated. A total of 929 patients [859 acute ischemic stroke, 70 transient ischemic attack (TIA)] from this study were included in this analysis.Results: The rate of AF in patients hospitalized for ischemic stroke/TIA was 29.8%, of which 65% were known before stroke, 5% were paroxysmal, and 30% were diagnosed after hospital admission. The proportion of patients with AF who received "effective" treatment [international normalization ratio >= 2.0 warfarin or non-vitamin K antagonist oral anticoagulants (NOACs) at a guideline dose] was 25.3%, and, either no medication or only antiplatelet was used in 42.5% of the cases. The low dose rate was 50% in 42 patients who had a stroke while taking NOACs. Anticoagulant was prescribed to the patient at discharge at a rate of 94.6%; low molecular weight or unfractionated heparin was prescribed in 28.1%, warfarin in 32.5%, and NOACs in 31%. The dose was in the low category in 22% of the cases discharged with NOACs, and half of the cases, who received NOACs at admission, were discharged with the same drug.Conclusion: NoroTekTR revealed the high but expected frequency of AF in acute stroke in Turkiye, as well as the aspects that could be improved in the management of secondary prophylaxis. AF is found in approximately one-third of hospitalized acute stroke cases in Turkiye. Effective anticoagulant therapy was not used in three-quarters of acute stroke cases with known AF. In AF, heparin, warfarin, and NOACs are planned at a similar frequency (one-third) within the scope of stroke secondary prophylaxis, and the prescribed NOAC dose is subtherapeutic in a quarter of the cases. Non-medical and medical education appears necessary to prevent stroke caused by AF

Acute Stroke Management in Türkiye: Intravenous Tissue Plasminogen Activator and Thrombectomy NöroTek: Türkiye Neurology Single Day Study

Objective: To reveal the profile and practice in patients with acute stroke who received intravenous tissue plasminogen activator (IV tPA) and/or neurointerventional therapy in Turkiye. Materials and Methods: On World Stroke Awareness Day, May 10, 2018, 1,790 patients hospitalized in 87 neurology units spread over 30 health regions were evaluated retrospectively and prospectively. Results: Intravenous tPA was administered to 12% of 859 cases of acute ischemic stroke in 45 units participating in the study. In the same period, 8.3% of the cases received neurointerventional treatment. The rate of good prognosis [modified Rankin score (mRS) 0-2] at discharge was 46% in 83 patients who received only IV tPA [age: 67 +/- 12 years; National Institutes of Health Stroke Scale (NIHSS): 12 +/- 6; hospital stay, 24 +/- 29 days]; 35% in 51 patients who underwent thrombectomy (MT) alone (age: 64 +/- 13 years; NIHSS: 14.1 +/- 6.5; length of hospital stay, 33 +/- 31 days), 19% in those who received combined treatment (age: 66 +/- 14 years; NIHSS: 15.6 +/- 5.4; length of hospital stay, 26 +/- 35 days), and 56% of 695 patients who did not receive treatment for revascularization (age: 70 +/- 13 years; NIHSS: 7.6 +/- 7.2; length of hospital stay, 21 +/- 28 days). The symptom-to-door time was 87 +/- 53 minutes in the IV treatment group and 200 +/- 26 minutes in the neurointerventional group. The average door-to-needle time was 66 +/- 49 minutes in the IV tPA group. In the neurothrombectomy group, the door-to-groin time was 103 +/- 90 minutes, and the TICI 2b-3 rate was 70.3%. In 103 patients who received IV tPA, the discharge mRS 0-2 was 41%, while the rate of mRS 0-1 was 28%. In 71 patients who underwent neurothrombectomy, the mRS 0-2 was 31% and mRS 0-1 was 18%. The door-to-groin time was approximately 30 minutes longer if IV tPA was received (125 +/- 107 and 95 +/- 83 minutes, respectively). Symptomatic bleeding rates were 4.8% in IV recipients, 17.6% among those who received only MT, and 15% in combined therapy. Globally, the hemorrhage rate was 6.8% in patients receiving IV tPA and 16.9% in MT. Conclusion: IV thrombolytic and neurointerventional treatment applications in acute ischemic stroke in Turkiye can provide the anticipated results. Heterogeneity has begun to be reduced in our country with the dissemination of the system indicated by the "Directive on Health Services to be Provided to Patients with Acute Stroke.