Effectiveness of Centralized Wastewater Treatment Plant in Removing Emerging Contaminants: A Case Study at Kuching, Malaysia

Before the construction of the Kuching Centralized Wastewater Treatment System Package 1 (KCWTSP1), partially treated blackwater and greywater were discharged directly into natural waterways. The accumulated wastewater had polluted Sarawak river, which is regulated and cannot discharge freely into the South China Sea. The polluted Sarawak river has endangered human health, river water quality, and aquatic ecosystems. Hence, the KCWTSP1 commissioned in 2015 serves the purpose of removing pollutants from wastewater before it is discharged into natural waterways. However, the effectiveness of KCWTPP1 is unknown. This paper is aimed to discuss and review the effectiveness of KCWTPP1 in treating wastewater since its inception in 2015. From 2017 to 2020, KCWTPP1 has treated an average of 4,200,000 m3 of wastewater per year. Generally, most of the discharge effluent met Environmental Quality Act (1974) Standard A criteria, except for the oil and grease parameter. Initially, the plant could not treat suspended solids and total phosphorus, but this was greatly improved in subsequent years. Therefore, some improvements are required to treat oil and grease parameters effectively and efficiently to ensure that only Standard A effluent is discharged into the Sarawak River in the future.

Effect of intervention treatment from different stages on prognosis in children with central coordination disturbance

BACKGROUND: Central coordination disturbance is regarded as the early-stage symptom of brain injury-induced cerebral palsy. This disease manifests itself as motor disorder, abnormal attitudinal reflex and muscular tension. Early intervention may improve its prognosis. OBJECTIVE: To observe the effects of intervention treatment from different stages on the prognosis of central coordination disturbance following brain injury in children patients. DESIGN: A contrast observation experiment. SETTING: Department of Neurology and Rehabilitation, Urumqi Children’s Hospital. PARTICIPANTS: Totally 151 children who were diagnosed as central coordination disturbance from January 2002 to December 2003 in the Department of Neurology and Rehabilitation of Urumqi Children’s Hospital were recruited. All the children patients, including 101 male and 50 female, aged from 3 months to 1 year old, met the diagnosis criteria of central coordination disturbance from Vojta. They were divided into slight, moderate and severe abnormity according to Vojta attitudinal reflex. All 151 patients were divided into 2 groups according to their age at diagnosis: 3-6 months old group (n=74), 62 severe, 10 moderate and 2 slight; 7-12 months old group (n=77), 66 severe, 7 moderate and 4 slight. All the relatives of children patients were informed of the experiment. METHODS: ① Both groups received physical training (PT) as the main treatment; Hand training was given if necessary. All of the patients received additional hyperbaric oxygen therapy, bioelectric therapy, scalp acupuncture, drug treatment and family training. The importance of integration of hospital and family based rehabilitation was stressed. Those who did not catch up with the normal development or had abnormal reflexes continued to receive treatment. ② Around the age of 2 years old, all children did a final evaluation using Bayley Scales of Infant Development (BSID). Mental development index (MDI) and physical development index (PDI) were taken as evaluative criteria. Children with scores 80 and above on MDI and PDI were considered to have normal motor and mental development; 79 and below were considered delayers. The Diagnostic Criteria of Cerebral Palsy and Infant-Secondary School Social Adaptation Scale were used in the final evaluation[scores≤5 was extremely severe (extremely severe cerebral palsy), 6 was severe(severe cerebral palsy), 7 was moderate(moderate cerebral palsy), 8 was slight(slight cerebral palsy), 9 was borderline(slight cerebral palsy), 10 was normal, 11 was above average, 12 was excellent and ≥13 was extremely excellent]. ③ Final evaluative results of 2 groups were compared. And u test was used for the comparison of Bayley development index and Chi-square test for the comparison of normalization rate. MAIN OUTCOME MEASURES: BSID MDI and PDI as well as the normalization rate of motor function and mental behavior of children patients at 2 years old. RESULTS: Totally 151 children patients entered the stage of result analysis. ①Two groups of children patients were given integrated rehabilitation therapy , and evaluated at 2 years old . The 3-6 months old group had higher MDI and PDI than the 7-12 months old group(91.81±19.99 vs 71.93±18.98;91.55±23.61 vs 68.95±23.51,u=6.265,5.894,P < 0.01). ②After being given integrated rehabilitation therapy, children patients of 3-6 months old group had significantly higher normalization rate of motor function and mental behavior than 7-12 months old group (73%,27%,χ2=29.723 9,P < 0.01). ③Six slight and 17 moderate central coordination disturbance children of 2 groups all completely recovered; After intervention treatment, among 128 severe central coordination disturbance children, 52 recovered and 76 were still abnormal, in which, 43 slight cerebral palsy, 18 moderate cerebral palsy, 5 severe cerebral palsy and 10 extremely severe cerebral palsy. CONCLUSION: To perform integrated intervention treatment before 6 months old can better improve and promote mental and physical development levels of children patients with central coordination disturbance after brain injury than 6 months later.

上海市级定点医院新型冠状病毒肺炎患者集中救治动态能力体系建设策略

2022年上海本轮疫情中,上海申康医院发展中心组成工作专班,通过发挥知识转移与组织动态能力组织传导策略,协同各类资源,搭建多元动态平台,提高市级医院应对内外部环境压力的能力,增强市级医院在疫情期间的救治体系以及救治能力。现总结在公共卫生应急状态下如何组织市级医院通过整合内在与外在资源转型成为集中救治定点医院,建立市级医院“一夜成军”的快速反应机制。