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4.2 billion people live without access to safely managed sanitation services. This report describes the field testing of an onsite prototype system designed to treat blackwater from a single flush toilet and reuse of the treated effluent for flushing. The system passes wastewater through a solid-liquid separator followed by settling tanks and granular activated carbon columns into an electrochemical reactor that oxidizes chloride salts from urine to generate chlorine to remove pathogens. The objectives of the study were to verify the functionality of the system (previously demonstrated in the laboratory) under realistic use conditions, to identify maintenance requirements, and to make a preliminary assessment of the system's user acceptability. The prototype was installed in a women's workplace and residential toilet block in Coimbatore, India, and tested over a period of 10 months. The treated water met stringent disinfection threshold for both E. coli and helminth eggs and produced a clear, colorless effluent that met or nearly met local and international discharge standards for non-sewered sanitation systems. The effluent had an average chemical oxygen demand of 81 mg/L, total suspended solids of 11 mg/L, and reduction of total nitrogen by 65%. These tests determined the recommended service lifetimes and maintenance intervals for key system components including the electrochemical cell, granular activated carbon columns, and solid-liquid separator. User feedback regarding the use of treated blackwater as flush water was positive. These findings will inform the design and implementation of next-generation systems currently under development.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7043008 | PMC |
http://dx.doi.org/10.1016/j.scitotenv.2020.136706 | DOI Listing |
Res Child Adolesc Psychopathol
September 2025
Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Cannabis use is common among US youth who become involved in the juvenile legal system (JLS), yet substance use treatment rates remain low, particularly among youth diverted away from formal JLS involvement. Diverted youth encounter multiple barriers to receiving services in the community that could be addressed via digital approaches offered by the JLS. This multiphase work details development of the TECH (Teen Empowerment through Computerized Health) app, a tailored digital adjunct to usual JLS services.
View Article and Find Full Text PDFNurs Res
September 2025
College of Nursing & Institute of Nursing Research, Korea University, Seoul, South Korea.
Background: Existing research fails to address the complex nature of nonspecific chronic lower back pain (cLBP ) despite its detrimental effect on economic, societal, and medical expenditures.
Objectives: We developed a nurse-led, mobile-delivered self-management intervention-Problem-Solving Pain to Enhance Living Well (PROPEL-M)-and evaluated its usability, feasibility, and initial efficacy for South Korean adults with nonspecific cLBP.
Methods: This study was composed of two phases: (a) lab and field usability testing for a gamified mobile device application; and (b) a pilot study employing a one-arm pre-test and post-test design among adults aged 18-60 years with nonspecific cLBP.
J Glaucoma
September 2025
Hamilton Glaucoma Center, Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California San Diego, La Jolla, CA, United States.
Precis: Artificial intelligence applied to OCTA images demonstrated high accuracy in estimating 24-2 visual field maps by leveraging information from pararpapillary area.
Purpose: To develop deep learning (DL) models estimating 24-2 visual field (VF) maps from optical coherence tomography angiography (OCTA) optic nerve head (ONH) en face images.
Methods: A total of 3148 VF OCTA pairs were collected from 994 participants (1684 eyes).
J Glaucoma
September 2025
Department of Ophthalmology, Kurashiki Medical Center, Kurashiki, Okayama, Japan.
Prcis: Protocol 30-2 of Melbourne Rapid Fields, online computer perimetry, provides a portable, reliable, and patient-friendly alternative to Humphrey Field Analyzer 30-2 SITA fast protocol for Japanese all severity stages of glaucoma patients.
Purpose: Melbourne Rapid Fields (MRF) online computer perimetry is a web-browser-based software that offers white-on-white threshold perimetry using any computer. This study evaluates the perimetric results of 30-2 protocol from MRF performed using a laptop computer in comparison to Humphrey Field Analyzer (HFA).
Background: Alcohol has been demonstrated to impair an individual's cognitive and motor abilities, resulting in a range of adverse consequences. Moreover, the probability of vehicular accidents is elevated in the aftermath of alcohol-impaired driving. The objective of this study was to evaluate the concordance between alcohol breath tests and blood alcohol tests used to determine alcohol levels, as well as the effect of time.
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