Search Results (20)

Background: The dirty utility room (DUR) plays a vital role in maintaining and optimizing the safety of patients and healthcare staff. A substantial gap exists in the literature concerning the current topic in terms of empirical studies and reviews. Therefore, this study aims to shed light on the subject and provide reliable evaluations. Methods: A qualitative case study design (observational) was used. We included the DURs of hospitals in multiple regions of the Kingdom of Saudi Arabia/in wards and units of each hospital. To achieve data saturation, visits across wards and ICUs were conducted until no new information was retrieved. NVivo Software version 14 was used for management and analysis of the data. We used our notes to initiate codes and then created themes involving the six steps of thematic analysis for the observational study. Results: Among several main hospitals in the central, western, eastern, southern, and northern geographical locations in Saudi Arabia that included DURs, a total of 24 DURs were explored to capture all relevant aspects related to the observations. Considering the range of items presented in DURs, the majority of hospitals exhibited a substantial lack of equipment. There were disagreements regarding the definition of DURs and the name of DURs. The observers agreed with the practice of urine disposal, which is performed by hand. The observers from all regions mutually agreed that stool disposal methods for patients involved diapers and the cleaning of patients manually with bed sheets. Several risks of infection control were observed related to DUR design and protocols. Conclusions: This national observational study of DURs in Saudi Arabian hospitals revealed major inadequacies in the design, equipment, and processes that are critical for infection control and healthcare quality, emphasizing the critical necessity for standardized methods and appropriate equipment. Full article

Phthalates are widely used plasticizers that can leach from consumer products and pose potential health risks, particularly to infants whose developing systems are vulnerable to environmental toxicants. While various exposure pathways have been identified, the contribution of dermal absorption from disposable diapers remains inadequately characterized. This study recruited 66 infants from Guangzhou, a representative city in southern China. Paired disposable diaper and urine samples were collected from each participant. Six phthalates in the diapers and nine metabolites in the urine were quantitatively analyzed. The predominant phthalate detected in the diapers was bis-2-ethylhexyl phthalate (DEHP, with a median concentration of 1670 ng/g, range: 678–5200 ng/g), followed by di-n-butyl phthalate (DnBP, 948 ng/g, range: 189–5980 ng/g), di-iso-butyl phthalate (DiBP, 333 ng/g, range: 16.1–4910 ng/g), and diethyl phthalate (DEP, 252 ng/g, range: 116–3350 ng/g). In urine, metabolites of DEHP (mEHP, mEHHP, and mEOHP) were the most abundant (87.1 ng/mL), followed by mnBP (metabolites of DnBP, 44.6 ng/mL), mEP (metabolites of DEP, 33.7 ng/mL), and miBP (metabolites of DiBP, 13.9 ng/mL). A positive correlation was observed between DnBP levels in diapers and mnBP levels in urine (r = 0.259, p = 0.035). Additionally, several urinary metabolites (miBP, mnBP, and mEP) were positively associated with a biomarker of DNA oxidative damage, 8-hydroxydeoxyguanosine (r = 0.265–0.316, p < 0.01). The estimated daily uptake of DEP, DiBP, DnBP, and DEHP through dermal absorption from diapers accounted for 44.9%, 19.5%, 15.1%, and 7.76% of total exposure to these phthalates, respectively. These findings suggest that dermal absorption from diapers is a significant exposure pathway for infants. Given that both the amount of exposure and the contribution of dermal uptake are higher in younger infants, further attention is warranted to understand the potential effects of transdermal phthalate exposure on infant growth and development. Full article

In developing countries, there is currently no established waste management plan that includes resource recovery from used disposable diapers (DDs) apart from incineration and landfilling. In low-income areas with limited storage space, the complex composition and odour of used DDs make it impossible to manage properly if not supported by effective waste management systems. In the absence of effective waste management, DDs are dumped in open spaces, burned or buried. These actions pose threats to the safety and health of humans, animals and the environment. Separation and collection of DDs are critical preliminary steps to landfilling, recycling or beneficiation. In this article, we describe a case study of two pilot collection projects in Langa township in Cape Town, South Africa, to determine whether and how a source-separated collection system can work in low-income, resource-constrained areas. The lessons learned highlighted the following: The eagerness of parents to participate for the benefit of their own and their children’s health; the complementarity of the two pilot collection models to serve the needs of the community; the important role non-government organisations play in the implementation of waste management projects; the significance of the possible job creation opportunities and the unintended benefits of enhancing social cohesion. The financial sustainability of these projects needs further exploration. Full article

Disposable diapers contribute to the generation of plastic waste globally, with more than 8 million tonnes of diapers ending up in landfills or incinerated each year. One strategy for reducing this waste while maintaining child and parent health and well-being is to increase reusable diaper use and reduce delays in toilet training. We outline a protocol for applying behavioural science to understand the factors influencing these behaviours and to generate intervention recommendations. The research will be conducted in two stages. Stage 1 involves semi-structured interviews and surveys, guided by the Capability, Opportunity, Motivation-Behaviour (COM-B) model, to explore factors influencing reusable diaper use and toilet training at 18–30 months. Data will be analyzed using quantitative (regression and ANOVA) and qualitative (deductive and inductive) methods. Stage 2 involves triangulating findings to identify key barriers and enablers. Intervention frameworks (Behaviour Change Wheel and BCT Taxonomy) will help identify potential behaviour change intervention strategies to target key barriers and enablers identified within COM-B domains. Interventions will be presented to multidisciplinary stakeholders and nominal group technique process will be used to agree on the most promising, feasible, and acceptable options for development and piloting. The findings will help generate recommendations for supporting UK government policy and practice change in this area. Full article

The equipment in a factory will gradually deteriorate during production, leading to the production of defective products. Without appropriate maintenance, the defect rate will increase over time. Consequently, the production cost will rise, the inventory quality will be affected, the profit will decrease, and the risk of carbon emissions will increase, leading to more customer complaints and damaging the corporate image. In addition to focusing on preventive maintenance to ensure the quality of products, companies should also take carbon emissions into consideration. Furthermore, the frequency of maintenance must be carefully considered, as both carbon emissions and maintenance costs will increase if the frequency is too high; conversely, if the maintenance frequency is too low or non-existent, the defect rate may increase cumulatively, or production may be suspended due to equipment failure. Therefore, this research explores preventive maintenance and inventory management issues within an imperfect production system and develops an extended economic production quantity model that incorporates defective products as well as taking carbon tax and preventive maintenance into consideration. The main purpose is to determine the optimal maintenance frequency, production, and replenishment cycle length, so as to maximize the total profit under the carbon tax policy. This study demonstrates a computing process with relatively impractical product data based on the actual business situation of a disposable diaper manufacturer. Furthermore, a sensitivity analysis is implemented to the model parameters in the proposed model. The managemental insights are illustrated based on the results of theoretical analysis to provide a reference to policy makers during decision making, hence, to secure the sustainability and green transitions of corporates. The results of this study not only help to reduce environmental impact but can also improve the competitiveness and sustainable development of enterprises. Full article

High-cost abatement measures to mitigate greenhouse gas emissions in the basic commodity industry is known to result in substantial increases in the production costs. Consequently, investments in such measures are lagging behind what is required to make deep emission cuts in line with the Paris Agreement. As high-cost abatement measures (such as Carbon Capture and Storage; CCS) are perceived as expensive for the basic commodity producer, this study investigates the impacts down-stream of the product value chain when assuming full cost pass-through (i.e., the cost increase related to basic commodity production is fully passed on down-stream of the product chain to the end-consumer). We investigate the effects on both costs, by means of a techno-economic assessment, and carbon footprints, using a Life Cycle Assessment (LCA), along the product value chain for the case of post-combustion CCS applied to the cement, pulp, Waste-to-Energy (WtE), and refinery industries, towards abating fossil- and process-related emissions and generating negative emissions. Here, we analyse the product value chains that involve cement to a high-speed railway, pulp to a disposable baby diaper, WtE in connection with housing and plastic products, and refineries to different transportation solutions (truck transport and air-freight). The results show that even though the costs for producing basic commodities can increase significantly (200% for cement, 75% for pulp, 230% for heat, and 6–37% for refinery products) when implementing CCS, the increases in prices for end-users are marginal (1% for the railway, 3% for the disposable baby diaper, 1% for the housing, 0.4% for truck transport and 2% for air-freight). Simultaneously, the carbon footprint associated with the end-use may be reduced by up to 36% for the railway, 31% for the diaper, 80% for the housing, and 3–23% for the refinery cases. Full article

Single-use disposable diapers have a major impact on climate change due to greenhouse gas emissions from landfills, especially those that are unlined, and particularly when such diapers are not well-managed and dumped in water courses and open spaces or burnt. The aim of this study was to explore the current usage and disposal practices of disposable diaper users in Samora Machel, a township in Cape Town, South Africa. The findings were to be used to inform the design and implementation of a pilot diaper collection model to follow. This urban/peri-urban area comprises lower-income, high-density communities in formal basic housing, with many backyarders and informal shacks. The dumping of diapers in open spaces and sewage systems causes severe problems. Therefore, we employed a theoretical socio-ecological system approach to guide the understanding of these complex environmental issues; the data collection methodology entailed a community-based participatory study process. Four hundred and eight (408) questionnaires consisting of quantitative and qualitative answers were codeveloped with members of the community and completed by trained community-based fieldworkers. A community walkabout and two focus groups provided rich data. The results show that complex waste streams such as disposable diapers and the related environmental issues are testing the limits of current management approaches; managing disposable diapers in underserved low-income communities creates a major burden for these already fragile communities. Single solutions will not suffice for these complex problems, so innovative waste management systems need to be codesigned with communities and relevant stakeholders to ensure sustainability, equality, and social justice. Full article

The elderly population in China is continuously increasing, and the disabled account for a large proportion of the elderly population. An effective solution is urgently needed for incontinence among disabled elderly people. Compared with disposable adult diapers, artificial sphincter implantation and medication for incontinence, the defecation pre-warning method is more flexible and convenient. However, due to the complex human physiology and individual differences, its development is limited. Based on the aging trend of the population and clinical needs, this paper proposes a bowel sound acquisition system and a defecation pre-warning method and system based on a semi-supervised generative adversarial network. A network model was established to predict defecation using bowel sounds. The experimental results show that the proposed method can effectively classify bowel sounds with or without defecation tendency, and the accuracy reached 94.4%. Full article

Disposable diapers are widely used by individuals with urinary incontinence. Diapers should be checked frequently for elderly, disabled, and hospital patients. Wet diapers that are not changed properly can cause health problems. The importance of electronic devices that provide warning in case of wetness is increasing in health monitoring. A disposable and wearable printed humidity sensor was designed and fabricated to detect wetness. The sensor was printed on polyamide-based taffeta label fabric by the inkjet printing method using specifically formulated PEDOT:PSS-based conductive polymer ink. The sensor sensitivity was tested under different relative humidity levels inside a controlled chamber. The resistance of the sensor decreased from 17.05 ± 0.05 MΩ to 2.09 ± 0.06 MΩ as the relative humidity increased from 35 to 100%, while the moisture value of the fabric increased from 4.8 to 23%. The response and recovery times were 42 s and 82 s. This sensor was integrated into the adult diaper to evaluate wetness. The sensor resistance change comparing to the dry state resistance (15.52 MΩ) was determined as 3.81 MΩ to 13.62 MΩ by dripping 0.1 mL to 100 mL salty water on the diaper. Due to its flexible structure and low-cost printability onto fabric, the wearable printed humidity sensor has the potential to be used as a disposable sensor for healthcare applications, particularly for urinary incontinence and capturing wetness in diapers. Full article

The paper presents results of field and laboratory studies of thermal characteristics to excavated landfill waste in Perm region, Russia. The peculiarity of the study includes the following aspects: waste composition with a high share of polymers, the climatic conditions of the territory and the lack of engineering infrastructure at the waste disposal facility. When determining the waste composition and thermal properties of waste, it is proposed to include a stage of removal of contamination from landfilled waste fraction, since their share of contamination can reach up to 33%. This stage will allow researchers to adjust the net calorific value of the excavated waste without overestimation, which may affect decision-making when implementing waste management technology. Among combustible components with the highest moisture content are waste paper (69.1%) and diapers (65.8%), whereas wood (11.2%), PET bottles (3.1%) and other 3D plastics (13.4%) have rather low ash content on a dry basis. Calculation of thermal properties and analysis of the energy potential of the waste samples was conducted based on the obtained data. The calorific value of the individual components and excavated waste depends not only on the moisture and ash content of the individual components, but also on the presence of contaminants. The average net calorific value of the excavated waste is 4.9 MJ/kg, and for the separate mixture of combustible components, it is 7.5 MJ/kg at a moisture content of 44%. Excavated landfill waste can be regarded as a resource for the manufacture of secondary fuel only after pretreatment that includes at least sorting and drying. The results of this study may be useful in developing technologies needed to eliminate old MSW dumps and old landfills, for the development of the concept of circular economy and prevention of environmental degradation problems. Full article

This study presents the application of one of the tools from the multicriteria decision analysis set (MCDA), the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS). Selected green analytical chemistry metrics were used to rank analytical procedures for the phthalate determination in disposable baby diapers. Nine analytical procedures were assessed in order to find one that has the lowest environmental impact and the best analytical figures of merit. Nine different criteria, where weighting was based on the experts’ evaluation, were used in the procedures’ assessment. With the use of TOPSIS, an easy and straightforward technique, selection of the most appropriate procedure was made. Full article

Sodium polyacrylate is the superabsorbent waterlock polymer used in disposable diapers, which are the third largest single consumer item in landfills. As diapers are difficult to recycle, their use produces an incredible amount of environmental waste. In the present article, we present a reliable and facile approach to transform sodium polyacrylate, the main constitute in the used diapers, in a carbon-based magnetic sorbent material, capable for use in environmental applications. A nanoporous carbon magnetic hybrid material was prepared by reacting NaPA with iron acetate species under chemical activation conditions. Analysis of the characterization results revealed, the creation of a nanoporous structure, with high specific surface area value (S_gBET = 611 m²/g), along with the formation of nanosized zero valent iron nanoparticles and iron carbide (Fe₃C), inside the carbon pore system. ⁵⁷Fe Mössbauer spectroscopy verified also the existence of these two main iron-bearing phases, as well as additional minor magnetic phases, such as Fe₃O₄ and γ-Fe₂O₃. Vibrating sample magnetometry (VSM) measurements of the obtained hybrid confirmed its ferromagnetic/ferrimagnetic behavior. The hybrid material demonstrated a rapid sorption of Cr(VI) ions (adsorption capacity: 90 mg/g, 24 h, pH = 3). The results showed highly pH-dependent sorption efficiency of the hybrids, whereas a pseudo-second-order kinetic model described their kinetics. Full article

Herein, core-superabsorbent polymer (CSAP) composites are prepared from oxidized starch (OS) via aqueous solution copolymerization using ammonium persulfate as the initiator, and 1,6-hexanediol diacrylate as the inner-crosslinker. The surface-crosslinking process is performed using various surface-crosslinkers, including bisphenol A diglycidyl ether (BADGE), poly(ethylene glycol) diglycidyl ether (PEGDGE), ethylene glycol diglycidyl ether (EGDGE), and diglycidyl ether (DGE). The structures of the CSAP composites and their surface-crosslinked SAPs (SSAPs) are characterized using Fourier transform infrared (FT-IR) spectroscopy, their absorption properties are measured via centrifuge retention capacity (CRC), absorbency under load (AUL), permeability, and re-swellability tests, and their gel strengths according to surface-crosslinker type and EGDGE content are examined via rheological analysis. The results indicate that an EGDGE content of 0.75 mol provides the optimum surface-crosslinking and SSAP performance, with a CRC of 34.8 g/g, an AUL of 27.2 g/g, and a permeability of 43 s. The surface-crosslinking of the CSAP composites using OS is shown to improve the gel strength, thus enabling the SAP to be used in disposable diapers. Full article

Carrying out exposure studies on children who are not toilet trained is challenging because of the difficulty of urine sampling. In this study, we optimized a protocol for urine collection from disposable diapers for the analysis of phthalate metabolites. The exposure of Swiss children (n = 113) between 6 months and 3 years of life to seven phthalates was assessed by gas chromatography–mass spectrometry measurements. The study showed limited exposures to phthalates, with only 22% of the samples containing some of the metabolites investigated. The three most frequently detected metabolites were monoethyl phthalate, mono-cyclohexyl phthalate, and mono-benzyl phthalate. We also detected mono-n-octyl phthalate and mono(3,5,5-trimethylhexyl) phthalate, which have rarely been observed in urine from infants and toddlers; therefore, di-n-octyl phthalate and bis(3,5,5-trimethylhexyl) phthalate can be considered as potentially new emerging phthalates. This study presents an initial snapshot of the Swiss children’s exposure to phthalates and provides a promising approach for further phthalate biomonitoring studies on young children using disposable diapers as urine sampling technique. Full article

This paper aims to investigate the usage of waste from Absorbent Hygienic Products (AHP) as a fuel for gasification or pyrolysis, two attractive routes to obtain valuable products and dispose of this kind of waste. The study experimentally investigated the devolatilization of coarsely shredded materials from diapers, in a laboratory-scale bubbling fluidized bed made of sand, as a representative preparatory step of the above-mentioned thermochemical conversions. Two versions of shredded materials were considered: as-manufactured diapers (AHPam, as a reference), and the cellulosic fraction of sterilized used diapers (AHPus). Results were presented, obtained from physical-chemical characterization of AHPam and AHPus (TGA, CHNS/O, proximate and ultimate analyses, XRF, ICP-AES, SEM-EDS), as well as from their devolatilizations at 500–600–700–800 °C under two different atmospheres (air plus nitrogen, or pure nitrogen as a reference). Generally, temperature influenced syngas composition the most, with better performances under pure nitrogen. At 700–800 °C under pure nitrogen, the highest syngas quality and yield were obtained. For AHPam and AHPus, respectively: (i) H₂ equaled 29.5 vol% and 23.7 vol%, while hydrocarbons equaled 14.8 vol% and 7.4 vol% on dry, dilution-free basis; (ii) 53.7 Nl and 46.0 Nl of syngas were produced, per 100 g of fuel. Overall, AHP emerged as an interesting fuel for thermochemical conversions. Full article