Biogranulation technology is an emerging biological process in treating various wastewater. However, the development of biogranules requires an extended period of time when treating wastewaters with high oil and grease (O&G) content. A study was therefore conducted to assess the formation of biogranules through bioaugmentation with the Serratia marcescens SA30 strain, in treating real anaerobically digested palm oil mill effluent (AD-POME), with O&G of about 4600 mg/L. The biogranules were developed in a lab-scale sequencing batch reactor (SBR) system under alternating anaerobic and aerobic conditions. The experimental data were assessed using the modified mass transfer factor (MMTF) models to understand the mechanisms of biosorption of O&G on the biogranules. The system was run with variable organic loading rates (OLR) of 0.69-9.90 kg/m3d and superficial air velocity (SAV) of 2 cm/s. After 60 days of being bioaugmented with the Serratia marcescens SA30 strain, the flocculent biomass transformed into biogranules with excellent settleability with improved treatment efficiency. The biogranules showed a compact structure and good settling ability with an average diameter of about 2 mm, a sludge volume index at 5 min (SVI5) of 43 mL/g, and a settling velocity (SV) of 81 m/h after 256 days of operation. The average removal efficiencies of O&G increased from 6 to 99.92%, respectively. The application of the MMTF model verified that the resistance to O&G biosorption is controlled via film mass transfer. This research indicates successful bioaugmentation of biogranules using the Serratia marcescens SA30 strain for enhanced biodegradation of O&G and is capable to treat real AD-POME.
Violence against healthcare workers recently became a growing public health concern and has been intensively investigated, particularly in the tertiary setting. Nevertheless, little is known of workplace violence against healthcare workers in the primary setting. Given the nature of primary healthcare, which delivers essential healthcare services to the community, many primary healthcare workers are vulnerable to violent events. Since the Alma-Ata Declaration of 1978, the number of epidemiological studies on workplace violence against primary healthcare workers has increased globally. Nevertheless, a comprehensive review summarising the significant results from previous studies has not been published. Thus, this systematic review was conducted to collect and analyse recent evidence from previous workplace violence studies in primary healthcare settings. Eligible articles published in 2013-2023 were searched from the Web of Science, Scopus, and PubMed literature databases. Of 23 included studies, 16 were quantitative, four were qualitative, and three were mixed method. The extracted information was analysed and grouped into four main themes: prevalence and typology, predisposing factors, implications, and coping mechanisms or preventive measures. The prevalence of violence ranged from 45.6% to 90%. The most commonly reported form of violence was verbal abuse (46.9-90.3%), while the least commonly reported was sexual assault (2-17%). Most primary healthcare workers were at higher risk of patient- and family-perpetrated violence (Type II). Three sub-themes of predisposing factors were identified: individual factors (victims' and perpetrators' characteristics), community or geographical factors, and workplace factors. There were considerable negative consequences of violence on both the victims and organisations. Under-reporting remained the key issue, which was mainly due to the negative perception of the effectiveness of existing workplace policies for managing violence. Workplace violence is a complex issue that indicates a need for more serious consideration of a resolution on par with that in other healthcare settings. Several research gaps and limitations require additional rigorous analytical and interventional research. Information pertaining to violent events must be comprehensively collected to delineate the complete scope of the issue and formulate prevention strategies based on potentially modifiable risk factors to minimise the negative implications caused by workplace violence.
This study was to develop biogranules using a sequencing batch reactor (SBR) and to evaluate the effect of pineapple wastewater (PW) as a co-substrate for treating real textile wastewater (RTW). The biogranular system cycle was 24 h (2 stages of phase), with an anaerobic phase (17.8 h) followed by an aerobic phase (5.8 h) for every stage of the phase. The concentration of pineapple wastewater was the main factor studied in influencing COD and color removal efficiency. Pineapple wastewater with different concentrations (7, 5, 4, 3, and 0% v/v) makes a total volume of 3 L and causes the OLRs to vary from 2.90 to 0.23 kg COD/m3day. The system achieved 55% of average color removal and 88% of average COD removal at 7%v/v PW concentration during treatment. With the addition of PW, the removal increased significantly. The experiment on the treatment of RTW without any added nutrients proved the importance of co-substrate in dye degradation.