49 research outputs found

    The effects of incubation period and temperature on the Hydrogen sulphide (H2S) technique for detection of faecal contamination in water

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    A total of 171 water samples from 3 sources were analyzed for the presence of faecal contamination by standard MPN, P/A, EC-M and H2S techniques at different temperatures and incubation times. Analysis of water samples by H2S technique showed that the incubation period of H2S bottles is highly dependent on temperature and concentration of faecal coliform bacteria. Incubation temperature was changed from 22 to 45°C. At higher temperatures (45°C) the bottles turned to black after a 6 h incubation period. Correlation of H2S technique with P/A and MPN techniques were 75.4 and 71%, respectively. Furthermore, the P/A technique showed a correlation of 60.9% with standard MPN technique. In relation to the faecal coliform and by using EC-M technique, we obtained a correlation percentage of 65.1, 56 and 62.3% for standard MPN, H2S and P/A techniques, respectively. This study indicated that incubation period and temperature had significant effects (P = 0.05) on the efficiency of H2S technique. The times when H2S bottles take to turn black is dependent on the number of faecal bacteria, an indicator of the risk that pathogenic organisms are present. Based on the results obtained in this study, we concluded that H2S technique is a reliable method that can be used as an alternative for indication of faecal contamination and drinking water quality surveillance. By using this technique at high t emperatures, rapid screening of large number of water samples in a short period can be profitable especially when the number of drinking water sources is high

    ART THERAPY FOR PEOPLE WITH AUTISM

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    Background: Art therapy is a technique used in mental health profession in which patients with special needs use creative process facilitated by the art therapist to explore patients‘ interpersonal and art skills. Art therapy teaches knowledge of visual art (drawing and painting) and the creative process involved is not only beneficial for fine motor skills development but also assists in dealing with emotions. The objectives were to identify interpersonal skills, to develop art skills and to increase self-esteem through art therapy activities. Subjects and Method: This was a qualitative study. A series of art therapy workshop were conducted in University of Malaya in collaboration with Malaysian Rehabilitation Council, Maybank Foundation, and University of Malaya. A number of 38 participants from Malaysian Rehabilitation Council who were autistic were invited to University of Malaya for the art therapy workshop. Their age range was from 8 – 17 years old and consisted of Malays, Chinese and Indians. It was a participant observer study in which the researcher studied the life of a group by sharing in its activities. Art therapy workshop was conducted for 6 months duration twice a month and each session was for 4 hours. Art template, art materials and a list of activities were given to each participant. Throughout the sessions, the way participants communicate and interact with researcher were documented to identify interpersonal skills. The development of art skills was through the teaching of art using the different art template for each session. Results: From the outcome of the artwork, participants showed increased self-esteem as their art skills improved throughout the art sessions. Conclusion: Art therapy is able to develop interpersonal skills, art skills and increase self-esteem of people with autism. Keywords: Art therapy, autism, interpersonal skills, art skills, self-estee

    Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

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    Background: Understanding the health consequences associated with exposure to risk factors is necessary to inform public health policy and practice. To systematically quantify the contributions of risk factor exposures to specific health outcomes, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 aims to provide comprehensive estimates of exposure levels, relative health risks, and attributable burden of disease for 88 risk factors in 204 countries and territories and 811 subnational locations, from 1990 to 2021. Methods: The GBD 2021 risk factor analysis used data from 54 561 total distinct sources to produce epidemiological estimates for 88 risk factors and their associated health outcomes for a total of 631 risk–outcome pairs. Pairs were included on the basis of data-driven determination of a risk–outcome association. Age-sex-location-year-specific estimates were generated at global, regional, and national levels. Our approach followed the comparative risk assessment framework predicated on a causal web of hierarchically organised, potentially combinative, modifiable risks. Relative risks (RRs) of a given outcome occurring as a function of risk factor exposure were estimated separately for each risk–outcome pair, and summary exposure values (SEVs), representing risk-weighted exposure prevalence, and theoretical minimum risk exposure levels (TMRELs) were estimated for each risk factor. These estimates were used to calculate the population attributable fraction (PAF; ie, the proportional change in health risk that would occur if exposure to a risk factor were reduced to the TMREL). The product of PAFs and disease burden associated with a given outcome, measured in disability-adjusted life-years (DALYs), yielded measures of attributable burden (ie, the proportion of total disease burden attributable to a particular risk factor or combination of risk factors). Adjustments for mediation were applied to account for relationships involving risk factors that act indirectly on outcomes via intermediate risks. Attributable burden estimates were stratified by Socio-demographic Index (SDI) quintile and presented as counts, age-standardised rates, and rankings. To complement estimates of RR and attributable burden, newly developed burden of proof risk function (BPRF) methods were applied to yield supplementary, conservative interpretations of risk–outcome associations based on the consistency of underlying evidence, accounting for unexplained heterogeneity between input data from different studies. Estimates reported represent the mean value across 500 draws from the estimate's distribution, with 95% uncertainty intervals (UIs) calculated as the 2·5th and 97·5th percentile values across the draws. Findings: Among the specific risk factors analysed for this study, particulate matter air pollution was the leading contributor to the global disease burden in 2021, contributing 8·0% (95% UI 6·7–9·4) of total DALYs, followed by high systolic blood pressure (SBP; 7·8% [6·4–9·2]), smoking (5·7% [4·7–6·8]), low birthweight and short gestation (5·6% [4·8–6·3]), and high fasting plasma glucose (FPG; 5·4% [4·8–6·0]). For younger demographics (ie, those aged 0–4 years and 5–14 years), risks such as low birthweight and short gestation and unsafe water, sanitation, and handwashing (WaSH) were among the leading risk factors, while for older age groups, metabolic risks such as high SBP, high body-mass index (BMI), high FPG, and high LDL cholesterol had a greater impact. From 2000 to 2021, there was an observable shift in global health challenges, marked by a decline in the number of all-age DALYs broadly attributable to behavioural risks (decrease of 20·7% [13·9–27·7]) and environmental and occupational risks (decrease of 22·0% [15·5–28·8]), coupled with a 49·4% (42·3–56·9) increase in DALYs attributable to metabolic risks, all reflecting ageing populations and changing lifestyles on a global scale. Age-standardised global DALY rates attributable to high BMI and high FPG rose considerably (15·7% [9·9–21·7] for high BMI and 7·9% [3·3–12·9] for high FPG) over this period, with exposure to these risks increasing annually at rates of 1·8% (1·6–1·9) for high BMI and 1·3% (1·1–1·5) for high FPG. By contrast, the global risk-attributable burden and exposure to many other risk factors declined, notably for risks such as child growth failure and unsafe water source, with age-standardised attributable DALYs decreasing by 71·5% (64·4–78·8) for child growth failure and 66·3% (60·2–72·0) for unsafe water source. We separated risk factors into three groups according to trajectory over time: those with a decreasing attributable burden, due largely to declining risk exposure (eg, diet high in trans-fat and household air pollution) but also to proportionally smaller child and youth populations (eg, child and maternal malnutrition); those for which the burden increased moderately in spite of declining risk exposure, due largely to population ageing (eg, smoking); and those for which the burden increased considerably due to both increasing risk exposure and population ageing (eg, ambient particulate matter air pollution, high BMI, high FPG, and high SBP). Interpretation: Substantial progress has been made in reducing the global disease burden attributable to a range of risk factors, particularly those related to maternal and child health, WaSH, and household air pollution. Maintaining efforts to minimise the impact of these risk factors, especially in low SDI locations, is necessary to sustain progress. Successes in moderating the smoking-related burden by reducing risk exposure highlight the need to advance policies that reduce exposure to other leading risk factors such as ambient particulate matter air pollution and high SBP. Troubling increases in high FPG, high BMI, and other risk factors related to obesity and metabolic syndrome indicate an urgent need to identify and implement interventions

    Burden of disease scenarios for 204 countries and territories, 2022–2050: a forecasting analysis for the Global Burden of Disease Study 2021

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    Background: Future trends in disease burden and drivers of health are of great interest to policy makers and the public at large. This information can be used for policy and long-term health investment, planning, and prioritisation. We have expanded and improved upon previous forecasts produced as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) and provide a reference forecast (the most likely future), and alternative scenarios assessing disease burden trajectories if selected sets of risk factors were eliminated from current levels by 2050. Methods: Using forecasts of major drivers of health such as the Socio-demographic Index (SDI; a composite measure of lag-distributed income per capita, mean years of education, and total fertility under 25 years of age) and the full set of risk factor exposures captured by GBD, we provide cause-specific forecasts of mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) by age and sex from 2022 to 2050 for 204 countries and territories, 21 GBD regions, seven super-regions, and the world. All analyses were done at the cause-specific level so that only risk factors deemed causal by the GBD comparative risk assessment influenced future trajectories of mortality for each disease. Cause-specific mortality was modelled using mixed-effects models with SDI and time as the main covariates, and the combined impact of causal risk factors as an offset in the model. At the all-cause mortality level, we captured unexplained variation by modelling residuals with an autoregressive integrated moving average model with drift attenuation. These all-cause forecasts constrained the cause-specific forecasts at successively deeper levels of the GBD cause hierarchy using cascading mortality models, thus ensuring a robust estimate of cause-specific mortality. For non-fatal measures (eg, low back pain), incidence and prevalence were forecasted from mixed-effects models with SDI as the main covariate, and YLDs were computed from the resulting prevalence forecasts and average disability weights from GBD. Alternative future scenarios were constructed by replacing appropriate reference trajectories for risk factors with hypothetical trajectories of gradual elimination of risk factor exposure from current levels to 2050. The scenarios were constructed from various sets of risk factors: environmental risks (Safer Environment scenario), risks associated with communicable, maternal, neonatal, and nutritional diseases (CMNNs; Improved Childhood Nutrition and Vaccination scenario), risks associated with major non-communicable diseases (NCDs; Improved Behavioural and Metabolic Risks scenario), and the combined effects of these three scenarios. Using the Shared Socioeconomic Pathways climate scenarios SSP2-4.5 as reference and SSP1-1.9 as an optimistic alternative in the Safer Environment scenario, we accounted for climate change impact on health by using the most recent Intergovernmental Panel on Climate Change temperature forecasts and published trajectories of ambient air pollution for the same two scenarios. Life expectancy and healthy life expectancy were computed using standard methods. The forecasting framework includes computing the age-sex-specific future population for each location and separately for each scenario. 95% uncertainty intervals (UIs) for each individual future estimate were derived from the 2·5th and 97·5th percentiles of distributions generated from propagating 500 draws through the multistage computational pipeline. Findings: In the reference scenario forecast, global and super-regional life expectancy increased from 2022 to 2050, but improvement was at a slower pace than in the three decades preceding the COVID-19 pandemic (beginning in 2020). Gains in future life expectancy were forecasted to be greatest in super-regions with comparatively low life expectancies (such as sub-Saharan Africa) compared with super-regions with higher life expectancies (such as the high-income super-region), leading to a trend towards convergence in life expectancy across locations between now and 2050. At the super-region level, forecasted healthy life expectancy patterns were similar to those of life expectancies. Forecasts for the reference scenario found that health will improve in the coming decades, with all-cause age-standardised DALY rates decreasing in every GBD super-region. The total DALY burden measured in counts, however, will increase in every super-region, largely a function of population ageing and growth. We also forecasted that both DALY counts and age-standardised DALY rates will continue to shift from CMNNs to NCDs, with the most pronounced shifts occurring in sub-Saharan Africa (60·1% [95% UI 56·8–63·1] of DALYs were from CMNNs in 2022 compared with 35·8% [31·0–45·0] in 2050) and south Asia (31·7% [29·2–34·1] to 15·5% [13·7–17·5]). This shift is reflected in the leading global causes of DALYs, with the top four causes in 2050 being ischaemic heart disease, stroke, diabetes, and chronic obstructive pulmonary disease, compared with 2022, with ischaemic heart disease, neonatal disorders, stroke, and lower respiratory infections at the top. The global proportion of DALYs due to YLDs likewise increased from 33·8% (27·4–40·3) to 41·1% (33·9–48·1) from 2022 to 2050, demonstrating an important shift in overall disease burden towards morbidity and away from premature death. The largest shift of this kind was forecasted for sub-Saharan Africa, from 20·1% (15·6–25·3) of DALYs due to YLDs in 2022 to 35·6% (26·5–43·0) in 2050. In the assessment of alternative future scenarios, the combined effects of the scenarios (Safer Environment, Improved Childhood Nutrition and Vaccination, and Improved Behavioural and Metabolic Risks scenarios) demonstrated an important decrease in the global burden of DALYs in 2050 of 15·4% (13·5–17·5) compared with the reference scenario, with decreases across super-regions ranging from 10·4% (9·7–11·3) in the high-income super-region to 23·9% (20·7–27·3) in north Africa and the Middle East. The Safer Environment scenario had its largest decrease in sub-Saharan Africa (5·2% [3·5–6·8]), the Improved Behavioural and Metabolic Risks scenario in north Africa and the Middle East (23·2% [20·2–26·5]), and the Improved Nutrition and Vaccination scenario in sub-Saharan Africa (2·0% [–0·6 to 3·6]). Interpretation: Globally, life expectancy and age-standardised disease burden were forecasted to improve between 2022 and 2050, with the majority of the burden continuing to shift from CMNNs to NCDs. That said, continued progress on reducing the CMNN disease burden will be dependent on maintaining investment in and policy emphasis on CMNN disease prevention and treatment. Mostly due to growth and ageing of populations, the number of deaths and DALYs due to all causes combined will generally increase. By constructing alternative future scenarios wherein certain risk exposures are eliminated by 2050, we have shown that opportunities exist to substantially improve health outcomes in the future through concerted efforts to prevent exposure to well established risk factors and to expand access to key health interventions

    Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

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    Background: Detailed, comprehensive, and timely reporting on population health by underlying causes of disability and premature death is crucial to understanding and responding to complex patterns of disease and injury burden over time and across age groups, sexes, and locations. The availability of disease burden estimates can promote evidence-based interventions that enable public health researchers, policy makers, and other professionals to implement strategies that can mitigate diseases. It can also facilitate more rigorous monitoring of progress towards national and international health targets, such as the Sustainable Development Goals. For three decades, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) has filled that need. A global network of collaborators contributed to the production of GBD 2021 by providing, reviewing, and analysing all available data. GBD estimates are updated routinely with additional data and refined analytical methods. GBD 2021 presents, for the first time, estimates of health loss due to the COVID-19 pandemic. Methods: The GBD 2021 disease and injury burden analysis estimated years lived with disability (YLDs), years of life lost (YLLs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries using 100 983 data sources. Data were extracted from vital registration systems, verbal autopsies, censuses, household surveys, disease-specific registries, health service contact data, and other sources. YLDs were calculated by multiplying cause-age-sex-location-year-specific prevalence of sequelae by their respective disability weights, for each disease and injury. YLLs were calculated by multiplying cause-age-sex-location-year-specific deaths by the standard life expectancy at the age that death occurred. DALYs were calculated by summing YLDs and YLLs. HALE estimates were produced using YLDs per capita and age-specific mortality rates by location, age, sex, year, and cause. 95% uncertainty intervals (UIs) were generated for all final estimates as the 2·5th and 97·5th percentiles values of 500 draws. Uncertainty was propagated at each step of the estimation process. Counts and age-standardised rates were calculated globally, for seven super-regions, 21 regions, 204 countries and territories (including 21 countries with subnational locations), and 811 subnational locations, from 1990 to 2021. Here we report data for 2010 to 2021 to highlight trends in disease burden over the past decade and through the first 2 years of the COVID-19 pandemic. Findings: Global DALYs increased from 2·63 billion (95% UI 2·44–2·85) in 2010 to 2·88 billion (2·64–3·15) in 2021 for all causes combined. Much of this increase in the number of DALYs was due to population growth and ageing, as indicated by a decrease in global age-standardised all-cause DALY rates of 14·2% (95% UI 10·7–17·3) between 2010 and 2019. Notably, however, this decrease in rates reversed during the first 2 years of the COVID-19 pandemic, with increases in global age-standardised all-cause DALY rates since 2019 of 4·1% (1·8–6·3) in 2020 and 7·2% (4·7–10·0) in 2021. In 2021, COVID-19 was the leading cause of DALYs globally (212·0 million [198·0–234·5] DALYs), followed by ischaemic heart disease (188·3 million [176·7–198·3]), neonatal disorders (186·3 million [162·3–214·9]), and stroke (160·4 million [148·0–171·7]). However, notable health gains were seen among other leading communicable, maternal, neonatal, and nutritional (CMNN) diseases. Globally between 2010 and 2021, the age-standardised DALY rates for HIV/AIDS decreased by 47·8% (43·3–51·7) and for diarrhoeal diseases decreased by 47·0% (39·9–52·9). Non-communicable diseases contributed 1·73 billion (95% UI 1·54–1·94) DALYs in 2021, with a decrease in age-standardised DALY rates since 2010 of 6·4% (95% UI 3·5–9·5). Between 2010 and 2021, among the 25 leading Level 3 causes, age-standardised DALY rates increased most substantially for anxiety disorders (16·7% [14·0–19·8]), depressive disorders (16·4% [11·9–21·3]), and diabetes (14·0% [10·0–17·4]). Age-standardised DALY rates due to injuries decreased globally by 24·0% (20·7–27·2) between 2010 and 2021, although improvements were not uniform across locations, ages, and sexes. Globally, HALE at birth improved slightly, from 61·3 years (58·6–63·6) in 2010 to 62·2 years (59·4–64·7) in 2021. However, despite this overall increase, HALE decreased by 2·2% (1·6–2·9) between 2019 and 2021. Interpretation: Putting the COVID-19 pandemic in the context of a mutually exclusive and collectively exhaustive list of causes of health loss is crucial to understanding its impact and ensuring that health funding and policy address needs at both local and global levels through cost-effective and evidence-based interventions. A global epidemiological transition remains underway. Our findings suggest that prioritising non-communicable disease prevention and treatment policies, as well as strengthening health systems, continues to be crucially important. The progress on reducing the burden of CMNN diseases must not stall; although global trends are improving, the burden of CMNN diseases remains unacceptably high. Evidence-based interventions will help save the lives of young children and mothers and improve the overall health and economic conditions of societies across the world. Governments and multilateral organisations should prioritise pandemic preparedness planning alongside efforts to reduce the burden of diseases and injuries that will strain resources in the coming decades. Funding: Bill & Melinda Gates Foundation

    Basics of Formian-K

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    Preface: Formian is the name of a software system that is ideally suited for generation of shapes and forms of all kind. The term ‘Formian’ is meant to imply the ‘language of form’. The software has a convenient algebraic structure and this provides a powerful basis for creation of generic (parametric) formulations that embodies all the necessary geometric details. Formian may be used for ‘configuration processing’ (that is, creation and processing of forms) in any discipline. In particular, Formian has been used extensively for generation and processing of spatial structural forms. The concepts on which Formian is based are evolved during the past 40 years with the concepts being further enriched continuously. This is a feature of algebraic concepts that with application they continue to grow and become more mature. There have been a number of versions of Formian used over the years, but the version that has been employed in the recent years is called Formian-2. A new version of the software is now available which is referred to as Formian-K. This new version is completely rewritten and, while providing many powerful new features, it is quite convenient to use. The material in the present document provides a concise description of the structure of Formian-K. However, regarding the description of the aspects that are similar to Formian-2, reference is often made to Formian-2 literature for detailed explanation

    Basics of Formian-K

    No full text
    Preface: Formian is the name of a software system that is ideally suited for generation of shapes and forms of all kind. The term ‘Formian’ is meant to imply the ‘language of form’. The software has a convenient algebraic structure and this provides a powerful basis for creation of generic (parametric) formulations that embodies all the necessary geometric details. Formian may be used for ‘configuration processing’ (that is, creation and processing of forms) in any discipline. In particular, Formian has been used extensively for generation and processing of spatial structural forms. The concepts on which Formian is based are evolved during the past 40 years with the concepts being further enriched continuously. This is a feature of algebraic concepts that with application they continue to grow and become more mature. There have been a number of versions of Formian used over the years, but the version that has been employed in the recent years is called Formian-2. A new version of the software is now available which is referred to as Formian-K. This new version is completely rewritten and, while providing many powerful new features, it is quite convenient to use. The material in the present document provides a concise description of the structure of Formian-K. However, regarding the description of the aspects that are similar to Formian-2, reference is often made to Formian-2 literature for detailed explanation

    Sequence-Fenton Reaction for Decreasing Phenol Formation during Benzene Chemical Conversion in Aqueous Solutions

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    Advanced oxidation processes such as Fenton reagent generates highly reactive hydroxyl free radicals to oxidize various compounds in the water and wastewater. The efficiency of different Fenton-related oxidative processes such as Fenton, solar-Fenton, UV-Fenton and Fenton reactions in different batch reactors was examined using benzene as pollutant in aqueous solutions. A batch study was conducted to optimize parameters like pH, hydrogen peroxide concentration, temperature, reaction time and ferrous ion concentration governing the Fenton process. The concentrations of produced phenol were measured at the end of the reactions. The role of sequence reaction was tested for decreasing phenol formation during benzene conversion. At optimum conditions, different Fenton-related processes were compared for the degradation of benzene. Increased degradation efficiency was observed in photo-Fenton processes as compared to conventional Fenton process. The formation of phenol in Fenton reaction depended on reaction time, sequence in reaction, purity of hydrogen peroxide and other compounds such as alcohols that contributed into the reaction. In the Fenton process, carboxylic acids like acetic acid and oxalic acid were formed as the end products during the complete degradation of benzene. With the increase in mono-valence, two-valence ions and hardness, Fenton's efficiency decreased, respectively. Sequence Fenton reaction produced less phenol and its end products had smaller COD as compared to conventional Fenton process

    Comparative Study of SMBR and Extended Aeration Activated Sludge Processes in the Treatment of Strength Wastewaters

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    Background and Objectives: One of the complete treatment processes for industrial and municipal wastewater treatment is membrane bioreactor process which has dominant potential in process and operation sections. This study was conducted to compare the performance of extended aeration activated sludge (EAAS) with submerged membrane bioreactor (SMBR) systems in the treatment of strength wastewater, in the same condition. Materials and Methods: The initial activated sludge was brought from the Plascokar Saipa wastewater plant. The Plexiglas reactor with effective volume of 758 L was separated by a baffle into the aeration and secondary sedimentation parts with effective volumes of 433 L and 325 L, respectively. The chemical oxygen demand (COD) concentration of the influent wastewater of the EAAS and SMBR systems were between 500-2700 and 500-5000 mg/L, respectively.Results: Results showed that the SMBR system produced a much better quality effluent than EAAS system in terms of COD, biochemical oxygen demand (BOD5), total suspended solids (TSS) and ammonium. By increasing the COD concentration, the concentration of mixed liquor suspended solids (MLSS) and the removal efficiency of organic matter in the SMBR system, were increased regularly, however the removal efficiency of COD in the EAAS system was irregular. Conclusion: The average BOD5/COD ratio of effluent in the EAAS and SMBR systems were 0.708±0.18 and 0.537±0.106, respectively. These show that the organic matters in the effluent of the SMBR system was less degradable and thereupon more biological treatment was achieved. Nitrification process was completely done in the SMBR system while the EAAS system could not achieve to complete nitrification
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