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Responses of growth of lady's fingers (Abelmoschus esculentus L.) to different treatments methods of dairy wastewater

Al-Dulaimi RI, Ismail N, Ibrahim MH

Ann Agric Environ Med, 2014;21(1):42-8.
PMID: 24847548

Water is one of the most important precious resources found on the earth, and are most often affected by anthropogenic activities and by industry. Pollution caused by human beings and industries is a serious concern throughout the world. Population growth, massive urbanization, rapid rate of industrialization and modern techniques in agriculture have accelerated water pollution and led to the gradual deterioration of its quality. A large quantity of waste water disposed of at sea or on land has caused environmental problems which have led to environmental pollution, economic losses and chemical risks caused by the wastewater, and its impact on agriculture. However, waste water which contain nutrients and organic matter has possible advantages for agricultural purposes. Therefore, the presented study was undertaken to assess the impact of Dairy Effluent (treated and untreated waste water) on seed germination, seedling growth, dry matter production and the biochemical parameters of lady's fingers (Abelmoschus esculentus L.).

Matched MeSH terms: Waste Disposal, Fluid/methods*
Feasibility study of sequencing batch reactor system for upgrading wastewater treatment in Malaysia

Al-Shididi S, Henze M, Ujang Z

Water Sci Technol, 2003;48(11-12):327-35.
PMID: 14753553

The objective of this study was to assess the feasibility of the Sequencing Batch Reactor (SBR) system for implementation in Malaysia. Theoretical, field, laboratory investigations, and modelling simulations have been carried out. The results of the study indicated that the SBR system was robust, relatively cost-effective, and efficient under Malaysian conditions. However, the SBR system requires highly skilled operators and continuous monitoring. This paper also attempted to identify operating conditions for the SBR system, which optimise both the removal efficiencies and the removal rates. The removal efficiencies could reach 90-96% for COD, up to 92% for TN, and 95% for SS. An approach to estimate a full operational cycle time, to estimate the de-sludging rate, and to control the biomass in the sludge has also been developed. About 4 hours react time was obtained, as 2.25 hours of nitrification with aerated slow fill and 1.75 hour of denitrification with HAc addition as an additional carbon source. Inefficient settling was one of the problems that affect the SBR effluent quality. The settling time was one hour for achieving Standard B (effluent quality) and 2 hours for Standard A.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Statistical optimization of adsorption processes for removal of 2,4-dichlorophenol by activated carbon derived from oil palm empty fruit bunches

Alam MZ, Muyibi SA, Toramae J

J Environ Sci (China), 2007;19(6):674-7.
PMID: 17969639

The adsorption capacity of activated carbon produced from oil palm empty fruit bunches through removal of 2,4-dichlorophenol from aqueous solution was carried out in the laboratory. The activated carbon was produced by thermal activation of activation time with 30 min at 800 degrees C. The adsorption process conditions were determined with the statistical optimization followed by central composite design. A developed polynomial model for operating conditions of adsorption process indicated that the optimum conditions for maximum adsorption of phenolic compound were: agitation rate of 100 r/min, contact time of 8 h, initial adsorbate concentration of 250 mg/L and pH 4. Adsorption isotherms were conducted to evaluate biosorption process. Langmuir isotherm was more favorable (R2 = 0.93) for removal of 2,4-dichlorophenol by the activated carbon rather than Freundlich isotherm (R2 = 0.88).

Matched MeSH terms: Waste Disposal, Fluid/methods
Biological treatment of sewage treatment plant sludge by pure bacterial culture with optimum process conditions in a stirred tank bioreactor

Alam MZ, Muyibi SA, Jamal P

J Environ Sci Health A Tox Hazard Subst Environ Eng, 2007 Sep;42(11):1671-9.
PMID: 17849310

Biological treatment of sewage treatment plant (STP) sludge by potential pure bacterial culture (Bacillus sp.) with optimum process conditions for effective biodegradation and bioseparation was carried out in the laboratory. The effective and efficient bioconversion was evaluated with the treatment of pure bacterial culture and existing microbes (uninnoculated) in sludge. The optimum process conditions i.e., temperature, 40 degrees C; pH, 6; inoculum, 5% (v/v); aeration, 1 vvm; agitation speed, 50 rpm obtained from the previous studies with chemical oxygen demand COD at 30 mgL(-1) were applied for the biological treatment of sludge. The results indicated that pure bacterial culture (Bacillus sp.) showed higher degradation and separation of treated sludge compared to treatment with the existing mixed microbes in a stirred tank bioreactor. The treated STP sludge by potential pure bacterial culture and existing microbes gave 30% and 11%; 91.2% and 59.1; 88.5% and 52.3%; 98.4% and 51.3%; 96.1% and 75.2%; 99.4% and 72.8% reduction of total suspended solids (TSS, biosolids), COD, soluble protein, turbidity, total dissolved solids (TDS) and specific resistance to filtration (SRF), respectively within 7 days of treatment. The pH was observed at 6.5 and 4 during the treatment of sludge by pure culture and existing microbes, respectively.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Removal of phenol by activated carbons prepared from palm oil mill effluent sludge

Alam MZ, Muyibi SA, Mansor MF, Wahid R

J Environ Sci (China), 2006;18(3):446-52.
PMID: 17294638

The study was attempted to produce activated carbons from palm oil mill effluent (POME) sludge. The adsorption capacity of the activated carbons produced was evaluated in aqueous solution of phenol. Two types of activation were followed, namely, thermal activation at 300, 500 and 800 degrees C, and physical activation at 15 degrees C (boiling treatment). A control (raw POME sludge) was used to compare the adsorption capacity of the activated carbons produced. The results indicated that the activation temperature of 800 degrees C showed maximum absorption capacity by the activated carbon (POME 800) in aqueous solution of phenol. Batch adsorption studies showed an equilibrium time of 6 h for the activated carbon of POME 800. It was observed that the adsorption capacity was higher at lower values of pH (2-3) and higher value of initial concentration of phenol (200-300 mg/L). The equilibrium data were fitted by the Langmuir and Freundlich adsorption isotherms. The adsorption of phenol onto the activated carbon POME 800 was studied in terms of pseudo- first and second order kinetics to predict the rate constant and equilibrium capacity with the effect of initial phenol concentrations. The rate of adsorption was found to be better correlation for the pseudo-second order kinetics compared to the first order kinetics.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Liquid state bioconversion of sewage treatment plant sludge in batch fermenter and shake flask

Alam MZ, Fakhru'l-Razi A

Artif Cells Blood Substit Immobil Biotechnol, 2004;32(3):485-500.
PMID: 15508283

A study on liquid state bioconversion of sewage treatment plant (STP) sludge was assisted to evaluate the performance of batch fermenter compared to shake flask in a laboratory. Bioconversion of STP sludge was highly influenced by the mixed fungal culture of Penicillium corylophilum and Aspergillus niger after 4 days of treatment. The results showed that about 24.9 g kg(-1) dry sludge cake (DSC) was produced with enrichment of fungal biomass protein in fermenter while 20.1 g kg(-1) in shake flask after 4 days of fungal treatment. The effective biodegradation of STP sludge was recorded in both fermenter and shake flask experiment compared to control (uninnoculated sample). The results presented in this study revealed that the overall performance of fermenter in terms of sludge cake (biosolids) accumulation and biodegradation of STP sludge was higher than the shake flask.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Biosorption of phenol from aqueous solution by biosolids

Alam MZ

Med J Malaysia, 2004 May;59 Suppl B:216-7.
PMID: 15468895

Studies on the removal of phenol from aqueous solutions by adsorption on sewage treatment plant biosolids (BS) as low-cost adsorbent were carried out with an aim to obtain information on treating phenol-containing wastewater from different industries. A series of experiments were undertaken in a batch adsorption technique to access the effect of the process variables i.e. initial phenol concentration, contact time, initial pH and adsorbent dose. The results showed that the adsorption capacity of BS in aqueous solution increased with the decrease in initial concentration and pH, and increase in contact time and dose of adsorbent. The experimental results were fitted by Langmuir and Freundlich isotherms to describe the biosorption processes.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Treatment and biodegradation kinetics of microbially treated domestic wastewater sludge

Alam MZ, Fakhru'l-Razi A, Molla AH

J Environ Sci Health A Tox Hazard Subst Environ Eng, 2004;39(8):2059-70.
PMID: 15332668

A laboratory-scale study was undertaken to evaluate the liquid state bioconversion (LSB) in terms of biodegradation of microbially treated domestic wastewater sludge (biosolids) as well as its kinetics. The potential fungal strains and process factors developed from previous studies were used throughout the study. The results presented in this study showed that an effective biodegradation occurred with the biosolids (sludge cake) accumulated. The maximum biosolids (sludge cake) accumulated (93.8 g/kg of liquid sludge) enriched with the biomass protein (30.2 g/kg of dry biosolids), was achieved which improved the effluent quality by enhancing the removal of chemical oxygen demand (COD), reducing sugar (RS), soluble protein (SP), total dissolved solids (TDS), and total suspended solids (TSS). The higher reduction of specific resistance to filtration (SRF) was observed during bioconversion process. The kinetics results showed that the experimental data were better fitted for the biodegradation efficiency, and biosolids accumulation and biodegradation rate.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Bioconversion of domestic wastewater sludge by immobilized mixed culture of penicillum Corylophilum WWZA1003 and Aspergillus niger SCahmA103

Alam MZ, Fakhru'l-Razi A, Idris A, Abd-Aziz S

Artif Cells Blood Substit Immobil Biotechnol, 2002 Jul;30(4):307-18.
PMID: 12227649

The bioconversion of domestic wastewater sludge by immobilized mixed culture of filamentous fungi was investigated in a laboratory. The potential mixed culture of Penicillium corylophilum WWZA1003 and Aspergillus niger SCahmA103 was isolated from its local habitats (wastewater and sludge cake) and optimized on the basis of biodegradability and dewaterability of treated sludge. The observed results in this study showed that the sludge treatment was highly influenced by the effect of immobilized mixed fungi using liquid state bioconversion (LSB) process. The maximum production of dry filter cake (DFC) was enriched with fungal biomass to about 20.05 g/kg containing 23.47 g/kg of soluble protein after 4 days of fungal treatment. The reduction of COD, TSS, turbidity (optical density against distilled water, 660 nm), reducing sugar and protein in supernatant and filtration rate of treated sludge were influenced by the fungal mixed culture as compared to control (uninnoculated). After these processes, 99.4% of TSS, 98.05% of turbidity, 76.2% of soluble protein, 98% of reducing sugar and 92.4% of COD in supernatant of treated sludge were removed. Filtration time was decreased tremendously by the microbial treatment after 2 days of incubation. The effect of fungal strain on pH was also studied and presented. Effective bioconversion was observed after 4 days of fungal treatment.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Treatment of wastewater sludge by liquid state bioconversion process

Alam MZ, Fakhru'l-Razi A, Molla AH, Roychoudhury PK

J Environ Sci Health A Tox Hazard Subst Environ Eng, 2001;36(7):1237-43.
PMID: 11545349

This study was conducted to evaluate the effect of an eminent decay fungus, Phanerocheate chrysosporium of organic residues on wastewater sludge for its improvement through decomposition and separation of waste particles by Liquid State Bioconversion (LSB). The effect of fungal treatment was compared to uninoculated (Control) at three different harvests 7, 14 and 21 days after inoculation (DAI). The observed results showed that the weight loss and solid content of wastewater sludge were significantly influenced by Phanerocheate chrysosporium. Both parameters were highly influenced at 7 DAI. The COD and pH of wastewater sludge were also highly influenced by fungal treatment.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Effect of agitation and aeration on bioconversion of domestic wastewater sludge in a batch fermenter

Alam MZ, Fakhru'l-Razi A

J Environ Sci Health A Tox Hazard Subst Environ Eng, 2002;37(6):1087-97.
PMID: 12090282

Effects of agitation and aeration rate on microbial treatment of domestic wastewater sludge were investigated in a batch fermenter using mixed culture of Penicillium corylophilum and Aspergillus niger. It was found that liquid state bioconversion (LSB) of wastewater sludge was highly influenced by the effects of agitation and aeration. The maximum production of sludge cake and reduction of organic substances in treated sludge were recorded at 150-200 rpm of agitation speed and 0.5 vvm of aeration rate after 72 h of treatment. No effective results were observed at higher rate of agitation (300 rpm) and aeration (1.5 vvm) as compared to optimum values. The results showed that the minimum level of air saturation (pO2) was adequate to maintain the bioconversion process.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Evaluation of fungal potentiality for bioconversion of domestic wastewater sludge

Alam MZ, Fakhru'l-Razi A, Molla AH

J Environ Sci (China), 2004;16(1):132-7.
PMID: 14971468

This study was undertaken to screen the filamentous fungi isolated from its relevant habitats(wastewater, sewage sludge and sludge cake) for the bioconversion of domestic wastewater sludge. A total of 35 fungal strains were tested against wastewater sludge (total suspended solids, TSS 1%-5% w/w) to evaluate its potentiality for enhancing the biodegradability and dewaterability using liquid state bioconversion(LSB) process. The strains were divided into five groups i.e. Penicillium, Aspergillus, Trichoderma, Basidiomycete and Miscellaneous, respectively. The strains WWZP1003, SCahmA103, SCahmT105 and PC-9 among their respective groups of Penicillium, Aspergillus, Trichoderma and Basidiomycete played potential roles in terms of separation (formation of pellets/flocs/filaments), biodegradation(removal of COD) and filtration (filterability) of treated domestic wastewater sludge. The Miscellaneous group was not considered due to its unsatisfactory results as compared to the other groups. The pH value was also influenced by the microbial treatment during fermentation process. The filterability of treated sludge was improved by fungal treatment, and lowest filtration time was recorded for the strain WWZP1003 and SCahmA103 of Penicillium and Aspergillus groups respectively compared with other strains.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Production of bioethanol by direct bioconversion of oil-palm industrial effluent in a stirred-tank bioreactor

Alam MZ, Kabbashi NA, Hussin SN

J Ind Microbiol Biotechnol, 2009 Jun;36(6):801-8.
PMID: 19294441 DOI: 10.1007/s10295-009-0554-7

The purpose of this study was to evaluate the feasibility of producing bioethanol from palm-oil mill effluent generated by the oil-palm industries through direct bioconversion process. The bioethanol production was carried out through the treatment of compatible mixed cultures such as Thrichoderma harzianum, Phanerochaete chrysosporium, Mucor hiemalis, and yeast, Saccharomyces cerevisiae. Simultaneous inoculation of T. harzianum and S. cerevisiae was found to be the mixed culture that yielded the highest ethanol production (4% v/v or 31.6 g/l). Statistical optimization was carried out to determine the operating conditions of the stirred-tank bioreactor for maximum bioethanol production by a two-level fractional factorial design with a single central point. The factors involved were oxygen saturation level (pO(2)%), temperature, and pH. A polynomial regression model was developed using the experimental data including the linear, quadratic, and interaction effects. Statistical analysis showed that the maximum ethanol production of 4.6% (v/v) or 36.3 g/l was achieved at a temperature of 32 degrees C, pH of 6, and pO(2) of 30%. The results of the model validation test under the developed optimum process conditions indicated that the maximum production was increased from 4.6% (v/v) to 6.5% (v/v) or 51.3 g/l with 89.1% chemical-oxygen-demand removal.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Optimization of lignin peroxidase production and stability by Phanerochaete chrysosporium using sewage-treatment-plant sludge as substrate in a stirred-tank bioreactor

Alam MZ, Mansor MF, Jalal KC

J Ind Microbiol Biotechnol, 2009 May;36(5):757-64.
PMID: 19259713 DOI: 10.1007/s10295-009-0548-5

A laboratory-scale study was carried out to produce lignin peroxidase (ligninase) by white rot fungus (Phanerochaete chrysosporium) using sewage-treatment-plant (STP) sludge as the major substrate. The optimization was done using full-factorial design (FFD) with agitation and aeration as the two parameters. Nine experiments indicated by the FFD were fermented in a stirred-tank bioreactor for 3 days. A second-order quadratic model was developed using the regression analysis of the experimental results with the linear, quadratic, and interaction effects of the parameters. Analysis of variance (ANOVA) showed a high coefficient of determination (R (2)) value of 0.972, thus indicating a satisfactory fit of the quadratic model with the experimental data. Using statistical analysis, the optimum aeration and agitation rates were determined to be 2.0 vvm and 200 rpm, respectively, with a maximum activity of 225 U l(-1) in the first 3 days of fermentation. The validation experiment showed the maximum activity of lignin peroxidase was 744 U l(-1) after 5 days of fermentation. The results for the tests of the stability of lignin peroxidase showed that the activity was more than 80% of the maximum for the first 12 h of incubation at an optimum pH of 5 and temperature of 55 degrees C.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Biosolids accumulation and biodegradation of domestic wastewater treatment plant sludge by developed liquid state bioconversion process using a batch fermenter

Alam MZ, Fakhru'l-Razi A, Molla AH

Water Res, 2003 Sep;37(15):3569-78.
PMID: 12867323

The biosolids accumulation and biodegradation of domestic wastewater treatment plant (DWTP) sludge by filamentous fungi have been investigated in a batch fermenter. The filamentous fungi Aspergillus niger and Penicillium corylophilum isolated from wastewater and DWTP sludge was used to evaluate the treatment performance. The optimized mixed inoculum (A. niger and P. corylophilum) and developed process conditions (co-substrate and its concentration, temperature, initial pH, inoculum size, and aeration and agitation rate) were incorporated to accelerate the DWTP sludge treatment process. The results showed that microbial treatment of higher strength of DWTP sludge (4% w/w of TSS) was highly influenced by the liquid state bioconversion (LSB) process. In developed bioconversion processes, 93.8 g/kg of biosolids was enriched with fungal biomass protein of 30 g/kg. Enrichment of nutrients such as nitrogen (N), phosphorous (P), potassium (K) in biosolids was recorded in 6.2% (w/w), 3.1% (w/w) and 0.15% (w/w) from its initial values of 4.8% (w/w), 2.0% (w/w) and 0.08% (w/w) respectively after 10 days of fungal treatment. The biodegradation results revealed that 98.8% of TSS, 98.2% of TDS, 97.3% of turbidity, 80.2% of soluble protein, 98.8% of reducing sugar and 92.7% of COD in treated DWTP sludge supernatant were removed after 8 days of microbial treatment. The specific resistance to filtration (SRF) in treated sludge (1.4x10(12) m/kg) was decreased tremendously by the microbial treatment of DWTP sludge after 6 days of fermentation compared to untreated sample (85x10(12) m/kg).

Matched MeSH terms: Waste Disposal, Fluid/methods*
Enhanced settleability and dewaterability of fungal treated domestic wastewater sludge by liquid state bioconversion process

Alam MZ, Fakhru'l-Razi A

Water Res, 2003 Mar;37(5):1118-24.
PMID: 12553987

A study was conducted to evaluate the settleability and dewaterability of fungal treated and untreated sludge using liquid state bioconversion process. The fungal mixed culture of Aspergillus niger and Penicillium corylophilum was used for fungal pretreatment of wastewater sludge. The fungal strains immobilized/entrapped on sludge particles with the formation of pellets and enhanced the separation process. The results presented in this study showed that the sludge particles (pellets) size of 2-5mm of diameter were formed with the microbial treatment of sludge after 2 days of fermentation that contained maximum 33.7% of total particles with 3-3.5mm of diameter. The settling rate (measured as total suspended solids (TSS) concentration, 130 mg/l) was faster in treated sludge than untreated sludge (TSS concentration, 440 mg/l) after 1 min of settling time. In 1 min of settling operation, 86.45% of TSS was settled in treated sludge while 4.35% of TSS settled in raw sludge. Lower turbidity was observed in treated sludge as compared to untreated sludge. The results to specific resistance to filtration (SRF) revealed that the fungal inoculum had significant potentiality to reduce SRF by 99.8% and 98.7% for 1% w/w and 4% w/w of TSS sludge, respectively. The optimum fermentation period recorded was 3 days for 1% w/w sludge and 6 days for 4% w/w sludge, respectively, for dewaterability test.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Multi-metals column adsorption of lead(II), cadmium(II) and manganese(II) onto natural bentonite clay

Alexander JA, Surajudeen A, Aliyu EU, Omeiza AU, Zaini MAA

Water Sci Technol, 2017 Oct;76(7-8):2232-2241.
PMID: 29068353 DOI: 10.2166/wst.2017.391

The present work was aimed at evaluating the multi-metals column adsorption of lead(II), cadmium(II) and manganese(II) ions onto natural bentonite. The bentonite clay adsorbent was characterized for physical and chemical properties using X-ray diffraction, X-ray fluorescence, Brunauer-Emmett-Teller surface area and cation exchange capacity. The column performance was evaluated using adsorbent bed height of 5.0 cm, with varying influent concentrations (10 mg/L and 50 mg/L) and flow rates (1.4 mL/min and 2.4 mL/min). The result shows that the breakthrough time for all metal ions ranged from 50 to 480 minutes. The maximum adsorption capacity was obtained at initial concentration of 10 mg/L and flow rate of 1.4 mL/min, with 2.22 mg/g of lead(II), 1.71 mg/g of cadmium(II) and 0.37 mg/g of manganese(II). The order of metal ions removal by natural bentonite is lead(II) > cadmium(II) > manganese(II). The sorption performance and the dynamic behaviour of the column were predicted using Adams-Bohart, Thomas, and Yoon-Nelson models. The linear regression analysis demonstrated that the Thomas and Yoon-Nelson models fitted well with the column adsorption data for all metal ions. The natural bentonite was effective for the treatment of wastewater laden with multi-metals, and the process parameters obtained from this work can be used at the industrial scale.

Matched MeSH terms: Waste Disposal, Fluid/methods
Treatment of Terasil Red R and Cibacron Red R wastewater using extracted aluminum from red earth: factorial design

Alkarkhi AF, Lim HK, Yusup Y, Teng TT, Abu Bakar MA, Cheah KS

J Environ Manage, 2013 Jun 15;122:121-9.
PMID: 23570974 DOI: 10.1016/j.jenvman.2013.03.010

The ability of aluminum coagulant extracted from red earth to treat Terasil Red R (disperse) and Cibacron Red R (reactive) synthetic dye wastewater was studied. The effects of extractant concentration, soil-to-volume of extractant ratio, and the types of extracting agents (NaOH vs. KCl) on the concentration of aluminum extracted were also investigated. In addition, the efficiency of extracted aluminum was compared with aluminum sulfate, in terms of its capability to reduce the chemical oxygen demand (COD) and to remove synthetic color. Factorial design was applied to determine the effect of selected factors on the amount of aluminum extracted from red earth (i.e., pH, dose of coagulant, type of coagulant on COD reduction, and color removal). It was found that only selected factors exhibited a significant effect on the amount of aluminum extracted from red earth. It was also determined that all factors and their interactions exhibited a significant effect on COD reduction and color removal when applying the extracted aluminum in a standard coagulation process. The results were also compared to aluminum sulfate. Furthermore, NaOH was found to be a better extractant of aluminum in red earth than KCl. Therefore, the best extracting conditions for both extractants were as follows: 2 M NaOH and in a 1:5 (soil/volume of extractant) ratio; 1 M KCl and 1:5 ratio. In treating synthetic dye wastewater, the extracted coagulant showed comparable treatment efficiency to the commercial coagulant. The extracted coagulant was able to reduce the COD of the dispersed dye by 85% and to remove 99% of the color of the dispersed dye, whereas the commercial coagulant reduced 90% of the COD and removed 99% of the color of the dispersed dye. Additionally, the extracted coagulant was able to reduce the COD of the reactive dye by 73% and to remove 99% of the color of the reactive dye. However, the commercial coagulant managed to reduce the COD of the reactive dye by 94% and to remove 96% of the color for the reactive dye.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Parenteral cytotoxic drug wastage at a tertiary hospital in Kuala Lumpur: How much and why?

Ang ZY, Cheah KY, Abdullah NB, Samsuri SB, Lee SH, Yem AW, et al.

J Oncol Pharm Pract, 2020 Sep;26(6):1306-1317.
PMID: 31810422 DOI: 10.1177/1078155219891209

PURPOSE: To identify the cost and reasons of returned parenteral chemotherapy regimens at a tertiary hospital in Kuala Lumpur, Malaysia.
METHODS: Data were retrospectively extracted from all the Chemotherapy Return Forms in 2016, which is a compulsory documentation accompanying each return of parenteral chemotherapy regimen. The following data were extracted: patient's diagnosis, gender, location of treatment (i.e. ward/daycare clinic), start date of chemotherapy regimen, type of cytotoxic drug returned, dose of cytotoxic drug returned, number of cytotoxic drug preparations returned and reason for return as well as whether the returned cytotoxic drug preparations could be re-dispensed. The cost of wastage was calculated based on the cost per mg (or per unit) of the particular returned cytotoxic drug.
RESULTS: One hundred and fifty-nine cases of returned chemotherapy regimen comprising of 231 parenteral cytotoxic drug preparations were analysed. The total cost of returned chemotherapy regimen for 2016 was €3632, with €756 (20.8%) worth of chemotherapy regimens returned due to preventable reasons and €2876 (79.2%) worth of chemotherapy regimens returned due to non-preventable reasons. Approximately 50% of cases returned chemotherapy regimen were due to deterioration of patient's clinical condition and another 24.5% of cases of returned chemotherapy regimen were attributed to adverse drug reactions.
CONCLUSION: Wastage associated to non-preventable reasons such as adverse drug reactions and preventable causes like refusal of patients can be further reduced by using newer healthcare innovations and establishment of written institutional protocols or standard operating procedures as references for in-charge healthcare personnel when cytotoxic drug-related issues occur. Adoption of cost-saving strategies that have been proven by studies could further improve current cost containment strategies.

Matched MeSH terms: Waste Disposal, Fluid/methods*
Analysing the accuracy of machine learning techniques to develop an integrated influent time series model: case study of a sewage treatment plant, Malaysia

Ansari M, Othman F, Abunama T, El-Shafie A

Environ Sci Pollut Res Int, 2018 Apr;25(12):12139-12149.
PMID: 29455350 DOI: 10.1007/s11356-018-1438-z

The function of a sewage treatment plant is to treat the sewage to acceptable standards before being discharged into the receiving waters. To design and operate such plants, it is necessary to measure and predict the influent flow rate. In this research, the influent flow rate of a sewage treatment plant (STP) was modelled and predicted by autoregressive integrated moving average (ARIMA), nonlinear autoregressive network (NAR) and support vector machine (SVM) regression time series algorithms. To evaluate the models' accuracy, the root mean square error (RMSE) and coefficient of determination (R2) were calculated as initial assessment measures, while relative error (RE), peak flow criterion (PFC) and low flow criterion (LFC) were calculated as final evaluation measures to demonstrate the detailed accuracy of the selected models. An integrated model was developed based on the individual models' prediction ability for low, average and peak flow. An initial assessment of the results showed that the ARIMA model was the least accurate and the NAR model was the most accurate. The RE results also prove that the SVM model's frequency of errors above 10% or below - 10% was greater than the NAR model's. The influent was also forecasted up to 44 weeks ahead by both models. The graphical results indicate that the NAR model made better predictions than the SVM model. The final evaluation of NAR and SVM demonstrated that SVM made better predictions at peak flow and NAR fit well for low and average inflow ranges. The integrated model developed includes the NAR model for low and average influent and the SVM model for peak inflow.

Matched MeSH terms: Waste Disposal, Fluid/methods*

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