A Regional Decision Support Scheme for Pest Risk Analysis in Southeast Asia

A key justification to support plant health regulations is the ability of quarantine services to conduct pest risk analyses (PRA). Despite the supranational nature of biological invasions and the close proximity and connectivity of Southeast Asian countries, PRAs are conducted at the national level. Furthermore, some countries have limited experience in the development of PRAs, which may result in inadequate phytosanitary responses that put their plant resources at risk to pests vectored via international trade. We review existing decision support schemes for PRAs and, following international standards for phytosanitary measures, propose new methods that adapt existing practices to suit the unique characteristics of Southeast Asia. Using a formal written expert elicitation survey, a panel of regional scientific experts was asked to identify and rate unique traits of Southeast Asia with respect to PRA. Subsequently, an expert elicitation workshop with plant protection officials was conducted to verify the potential applicability of the developed methods. Rich biodiversity, shortage of trained personnel, social vulnerability, tropical climate, agriculture-dependent economies, high rates of land-use change, and difficulties in implementing risk management options were identified as challenging Southeast Asian traits. The developed methods emphasize local Southeast Asian conditions and could help support authorities responsible for carrying out PRAs within the region. These methods could also facilitate the creation of other PRA schemes in low- and middle-income tropical countries

The Individual and Synergistic Indexes for Assessments of Heavy Metal Contamination in Global Rivers and Risk: a Review

This article provides an overview of heavy metal contamination in rivers and assessment methods of their contamination and effects. According to literature, rivers with heavy metal contamination in surface water are mainly found in developing countries in Asia, Africa, and Latin America and the Caribbean area, while rivers with heavy metal contamination in sediments are mostly found in Europe. The increase in heavy metal contamination in rivers has led to the adoption of individual and synergistic assessment methods. Individual methods are useful in assessing the contamination and effects for a single heavy metal, while synergistic methods assess the combined contamination and effects of several heavy metals present in surface water and sediments. These two approaches have been commonly used together in recent studies to overcome the limitations of each other and provide a more comprehensive assessment. The developments, equations, advantages, limitations, and future perspectives of these methods are discussed in this review. Calculating indexes are simple, easy-to-implement, and effective methods to provide early alerts for the environmental changes and the adverse impacts on ecosystems and human health. However, calculating indexes still have limitations due to the lack of background concentrations of heavy metals in the study area. Therefore, this issue should be addressed to overcome the limitations of these methods in the future. This review provides a useful reference for future studies on heavy metal contamination in global rivers and the assessment methods for heavy metal contamination and effects

Reverse osmosis treatment of condensate from ammonium nitrate production: Insights into membrane performance

Ammonium nitrate is an important fertilizer and industrial explosive. The production of ammonium nitrate entails the generation of a large volume of condensate laden with nitrogen that must be treated before environment discharge. Results in this study show that through appropriate membrane selection, over 90% rejection of ammonium nitrate can be achieved by reverse osmosis (RO) filtration. Using RO (which is highly compact and efficient) to enrich ammonium nitrate in the condensate would significantly reduce the size of the evaporation separator for ammonia recovery. The results also highlight the importance of membrane selection for this application. Results reported here suggest that a low pressure RO membrane (e.g. ESPA2) is more suitable for the dilute condensate while a high pressure RO membrane (e.g. SW30) is recommended for the concentrated condensate to ensure adequate ammonia and nitrate rejection. Ammonia and nitrate rejections were dependent on key operating parameters including applied pressure (or water flux), temperature, feed solution pH, and initial ammonium nitrate concentration in the condensate. The impact of operating conditions on ammonia and nitrate rejections was more profound for low pressure (thus high flux) than high pressure RO membrane. An extended filtration experiment shows no evidence of membrane fouling. Results from this study are useful to the integration of a compact RO system to ammonium nitrate manufacturing for pollution prevention and improving product yield

Membrane Processes for the Regeneration of Liquid Desiccant Solution for Air Conditioning

© 2019, Springer Nature Switzerland AG. Purpose of Review: Regeneration of liquid desiccant solutions is critical for the liquid desiccant air conditioning (LDAC) process. In most LDAC systems, the weak desiccant solution is regenerated using the energy-intensive thermal evaporation method which suffers from desiccant carry-over. Recently, membrane processes have gained increasing interest as a promising method for liquid desiccant solution regeneration. This paper provides a comprehensive review on the applications of membrane processes for regeneration of liquid desiccant solutions. Fundamental knowledge, working principles, and the applications of four key membrane processes (e.g., reverse osmosis (RO), forward osmosis (FO), electrodialysis (ED), and membrane distillation (MD)) are discussed to shed light on their feasibility for liquid desiccant solution regeneration and the associated challenges. Recent Findings: RO is effective at preventing desiccant carry-over; however, current RO membranes are not compatible with hypersaline liquid desiccant solutions. FO deploys a concentrated draw solution to overcome the high osmotic pressure of liquid desiccant solutions; hence, it is feasible for their regeneration despite the issues with internal/external concentration polarization and reverse salt flux. ED has proven its technical feasibility for liquid desiccant solution regeneration; nevertheless, more research into the process energy efficiency and the recycling of spent solution are recommended. Finally, as a thermally driven process, MD is capable of regenerating liquid desiccant solutions, but it is adversely affected by the polarization effects associated with the hypersalinity of the solutions. Summary: Extensive studies are required to realize the applications of membrane processes for the regeneration of liquid desiccant solutions used for LDAC systems

Membrane distillation regeneration of liquid desiccant solution for air-conditioning: Insights into polarisation effects and mass transfer

© 2020 Membrane distillation (MD) embodies ideal attributes for the regeneration of liquid desiccant solutions used in air-conditioning systems. The MD process has been experimentally proven technically viable for the regeneration of liquid desiccant solutions; however, it suffers severely from temperature and concentration polarisation effects. In this study, for the first time a descriptive mass and heat transfer (DMHT) model is developed to quantitatively describe the mass transfer and the negative impacts of temperature and concentration polarisation during the MD regeneration of the LiCl desiccant solution. The simulation results demonstrate significant reduction in water flux along the membrane due to decreasing mass transfer coefficient (Cm) and transmembrane water vapour pressure gradient (ΔPm). Over the length of the membrane leaf of 0.145 m, water flux reduces by 31% from 11.0 to 7.6 L/m2⋅h. The temperature and concentration polarisation effects cause a substantial decline in the process driving force - ΔPm is only two thirds of the water vapour pressure difference between the bulk feed and distillate (ΔPb). Temperature polarisation is the predominant cause of the reduction in ΔPm compared with ΔPb; however, the negative impact of concentration polarisation is also notable. Finally, amongst the key operating conditions, the inlet feed temperature and concentration exert the most profound influence on the temperature and concentration polarisation during the DCMD regeneration of the hyper saline LiCl solution

Improving antibiotic prescribing for community-acquired pneumonia in a provincial hospital in Northern Vietnam

Objectives To test the effectiveness of a quality improvement programme to promote adherence to national quality standards (QS) for patients hospitalized with community-acquired pneumonia (CAP), exploring the factors that hindered improvements in clinical practice. Methods An improvement bundle aligned to the QS was deployed using plan-do-study-act methodology in a 600 bed hospital in northern Vietnam from July 2018 to April 2019. Proposed care improvements included CURB65 score guided hospitalization, timely diagnosis and inpatient antibiotic treatment review to limit the spectrum and duration of IV antibiotic use. Interviews with medical staff were conducted to better understand the barriers for QS implementation. Results The study found that improvements were made in CURB65 score documentation and radiology results available within 4 h (P < 0.05). There were no significant changes in the other elements of the QS studied. We documented institutional barriers relating to the health reimbursement mechanism and staff cultural barriers relating to acceptance and belief as significant impediments to implementation of the standards. Conclusions Interventions led to some process changes, but these were not utilized by clinicians to improve patient management. Institutional and behavioural barriers documented may inhibit wider national uptake of the QS. National system changes with longer term support and investment to address local behavioural barriers are likely to be crucial for future improvements in the management of CAP, and potentially other hospitalized conditions, in Vietnam

Development and evaluation of a non-ribosomal random PCR and next-generation sequencing based assay for detection and sequencing of hand, foot and mouth disease pathogens

Hand, foot and mouth disease (HFMD) has become a major public health problem across the Asia-Pacific region, and is commonly caused by enterovirus A71 (EV-A71) and coxsackievirus A6 (CV-A6), CV-A10 and CV-A16. Generating pathogen whole-genome sequences is essential for understanding their evolutionary biology. The frequent replacements among EV serotypes and a limited numbers of available whole-genome sequences hinder the development of overlapping PCRs for whole-genome sequencing. We developed and evaluated a non-ribosomal random PCR (rPCR) and next-generation sequencing based assay for sequence-independent whole-genome amplification and sequencing of HFMD pathogens. A total of 16 EV-A71/CV-A6/CV-A10/CV-A16 PCR positive rectal/throat swabs (Cp values: 20.9-33.3) were used for assay evaluation.Our assay evidently outperformed the conventional rPCR in terms of the total number of EV-A71 reads and the percentage of EV-A71 reads: 2.6 % (1275/50,000 reads) vs. 0.1 % (31/50,000) and 6 % (3008/50,000) vs. 0.9 % (433/50,000) for two samples with Cp values of 30 and 26, respectively. Additionally the assay could generate genome sequences with the percentages of coverage of 94-100 % of 4 different enterovirus serotypes in 73 % of the tested samples, representing the first whole-genome sequences of CV-A6/10/16 from Vietnam, and could assign correctly serotyping results in 100 % of 24 tested specimens. In all but three the obtained consensuses of two replicates from the same sample were 100 % identical, suggesting that our assay is highly reproducible.In conclusion, we have successfully developed a non-ribosomal rPCR and next-generation sequencing based assay for sensitive detection and direct whole-genome sequencing of HFMD pathogens from clinical samples

Development and evaluation of a non-ribosomal random PCR and next-generation sequencing based assay for detection and sequencing of hand, foot and mouth disease pathogens

Hand, foot and mouth disease (HFMD) has become a major public health problem across the Asia-Pacific region, and is commonly caused by enterovirus A71 (EV-A71) and coxsackievirus A6 (CV-A6), CV-A10 and CV-A16. Generating pathogen whole-genome sequences is essential for understanding their evolutionary biology. The frequent replacements among EV serotypes and a limited numbers of available whole-genome sequences hinder the development of overlapping PCRs for whole-genome sequencing. We developed and evaluated a non-ribosomal random PCR (rPCR) and next-generation sequencing based assay for sequence-independent whole-genome amplification and sequencing of HFMD pathogens. A total of 16 EV-A71/CV-A6/CV-A10/CV-A16 PCR positive rectal/throat swabs (Cp values: 20.9-33.3) were used for assay evaluation.Our assay evidently outperformed the conventional rPCR in terms of the total number of EV-A71 reads and the percentage of EV-A71 reads: 2.6 % (1275/50,000 reads) vs. 0.1 % (31/50,000) and 6 % (3008/50,000) vs. 0.9 % (433/50,000) for two samples with Cp values of 30 and 26, respectively. Additionally the assay could generate genome sequences with the percentages of coverage of 94-100 % of 4 different enterovirus serotypes in 73 % of the tested samples, representing the first whole-genome sequences of CV-A6/10/16 from Vietnam, and could assign correctly serotyping results in 100 % of 24 tested specimens. In all but three the obtained consensuses of two replicates from the same sample were 100 % identical, suggesting that our assay is highly reproducible.In conclusion, we have successfully developed a non-ribosomal rPCR and next-generation sequencing based assay for sensitive detection and direct whole-genome sequencing of HFMD pathogens from clinical samples