Modeling and Optimization of Phosphate Recovery from Industrial Wastewater and Precipitation of Solid Fertilizer using Experimental Design Methodology

In this work, the experimental design methodology is applied to optimize phosphate salts precipitation as struvite and others applied in soil fertilization from treated industrial wastewater stream. This is a process to maximize phosphate recovery percentage from inlet wastewater stream containing interfering foreign ions. Therefore, these optimized conditions could be used as input data for engineering design-software for successive equipment required in wastewater treatment plant. A four factors Box–Behnken experimental design was used to model and optimize the operating parameters. The optimum operating conditions were quite efficient in trapping 86.10 % recovered phosphates in industrial stream, and 92.6 % in synthetic solution at pH of 10.89, time of reaction of 34.76 min, temperature of 25.23 °C and R of 2.25 with an insignificance effect for molar ratio (R) between Mg and PO4 ions. If these optimal parameters were shifted, the reached recovery percentage would decrease with the precipitated struvite. The precipitated salts were subjected to characterization through different chemical techniques confirming the presence of struvite with schertelite as a mixed slow release fertilizer

Role of the community pharmacist in emergency contraception counseling and delivery in the United States: current trends and future prospects

Women and couples continue to experience unintended pregnancies at high rates. In the US, 45% of all pregnancies are either mistimed or unwanted. Mishaps with contraceptives, such as condom breakage, missed pills, incorrect timing of patch or vaginal ring application, contraceptive nonuse, forced intercourse, and other circumstances, place women at risk of unintended pregnancy. There is a critical role for emergency contraception (EC) in preventing those pregnancies. There are currently three methods of EC available in the US. Levonorgestrel EC pills have been available with a prescription for over 15 years and over-the-counter since 2013. In 2010, ulipristal acetate EC pills became available with a prescription. Finally, the copper intrauterine device remains the most effective form of EC. Use of EC is increasing over time, due to wider availability and accessibility of EC methods. One strategy to expand access for both prescription and nonprescription EC products is to include pharmacies as a point of access and allow pharmacist prescribing. In eight states, pharmacists are able to prescribe and provide EC directly to women: levonorgestrel EC in eight states and ulipristal acetate in seven states. In addition to access with a prescription written by a pharmacist or other health care provider, levonorgestrel EC is available over-the-counter in pharmacies and grocery stores. Pharmacists play a critical role in access to EC in community pharmacies by ensuring product availability in the inventory, up-to-date knowledge, and comprehensive patient counseling. Looking to the future, there are opportunities to expand access to EC in pharmacies further by implementing legislation expanding the pharmacist scope of practice, ensuring third-party reimbursement for clinical services delivered by pharmacists, and including EC in pharmacy education and training

Estimating the Incidence of Typhoid Fever and Other Febrile Illnesses in Developing Countries

To measure the incidence of typhoid fever and other febrile illnesses in Bilbeis District, Egypt, we conducted a household survey to determine patterns of health seeking among persons with fever. Then we established surveillance for 4 months among a representative sample of health providers who saw febrile patients. Health providers collected epidemiologic information and blood (for culture and serologic testing) from eligible patients. After adjusting for the provider sampling scheme, test sensitivity, and seasonality, we estimated that the incidence of typhoid fever was 13/100,000 persons per year and the incidence of brucellosis was 18/100,000 persons per year in the district. This surveillance tool could have wide applications for surveillance for febrile illness in developing countries

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

Nanostructural Features of Silver Nanoparticles Powder Synthesized through Concurrent Formation of the Nanosized Particles of Both Starch and Silver

Green innovative strategy was developed to accomplish silver nanoparticles formation of starch-silver nanoparticles (St-AgNPs) in the powder form. Thus, St-AgNPs were synthesized through concurrent formation of the nanosized particles of both starch and silver. The alkali dissolved starch acts as reducing agent for silver ions and as stabilizing agent for the formed AgNPs. The chemical reduction process occurred in water bath under high-speed homogenizer. After completion of the reaction, the colloidal solution of AgNPs coated with alkali dissolved starch was cooled and precipitated using ethanol. The powder precipitate was collected by centrifugation, then washed, and dried; St-AgNPs powder was characterized using state-of-the-art facilities including UV-vis spectroscopy, Transmission Electron Microscopy (TEM), particle size analyzer (PS), Polydispersity index (PdI), Zeta potential (ZP), XRD, FT-IR, EDX, and TGA. TEM and XRD indicate that the average size of pure AgNPs does not exceed 20 nm with spherical shape and high concentration of AgNPs (30000 ppm). The results obtained from TGA indicates that the higher thermal stability of starch coated AgNPS than that of starch nanoparticles alone. In addition to the data obtained from EDX which reveals the presence of AgNPs and the data obtained from particle size analyzer and zeta potential determination indicate that the good uniformity and the highly stability of St-AgNPs)

Modified Rice Straw as a Template in Syntheses of Nano TiO2 Loaded on Wool Fibers for Wastewater Treatment

Industrialization of textile produces large amounts of colored wastewater and recycling of that wastewater is recently under the scope. The current work is implemented to use rice straw as a template for preparation of nano TiO2 to be applied in decolorization of wastewater of textile industries. Different treatments including silica removal and esterification were performed for rice straw to produce highly reactive nanotitanium dioxide. Size, morphological shape, and surface area of the so obtained TiO2 nanoparticles were observed to be influenced by rice straw treatments. Percentage of anatase phase in titanium dioxide was increased from 41.6% to 75.0% after removing of silica and modification with citric acid of rice straw. The particle size of anatase was significantly reduced from 88.6 nm to 10.5 nm while the BET surface area of nanotitanium dioxide was enlarged from 41.2 m2/g to 84.7 m2/g. The prepared TiO2 nanoparticles were loaded onto wool fibers and the photocatalytic properties of nano TiO2 powder before and after loaded to fiber were measured against methylene blue dye. The dye removal percentage raised from 92.5 to 99.2 by using of nano TiO2 powder-loaded wool fibers compared to nano TiO2 powder