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        Patterns of Health-related Quality of Life in Men Who Inject Drugs: A Survey in Southeast Iran

        Nojomi Marzieh,Rezapour Maysam,Azar Neda Soleimanvandi,Darabi Mehdi,Asadi-Aliabadi Mehran 대한예방의학회 2024 예방의학회지 Vol.57 No.2

        Objectives: Understanding patterns of quality of life in people who inject drugs (PWID) can help healthcare providers plan and manage their health problems in a more focused manner. Therefore, the current study aimed to identify patterns of health-related quality of life in PWID in southeast Iran.Methods: This cross-sectional study was conducted in southeast Iran on men who had injected drugs at least once during the last year. We used convenience sampling in 2 drop-in centers and venue-based sampling at 85 venues. Demographic characteristics, high-risk behaviors, and health-related quality of life were evaluated using the 5-level EQ-5D version (EQ-5D-5L) questionnaire. Latent profile analysis was used to identify patterns of quality of life.Results: This study enrolled 398 PWID, who had a mean age of 34.1±11.4 years. About 47.9% reported a prison history in the last 10 years, 59.2% had injected drugs in the last month, and 31.6% had a history of sharing syringes. About 46.3% reported having 2 or more sexual partners in the last 6 months, and 14.7% had a history of sex with men. Out of the 5 EQ-5D-5L profiles, the fifth profile had the most people (36.6%). Most variations in quality of life were related to pain and discomfort.Conclusions: We showed that the pain and discomfort dimension of EQ-5D-5L had more variation in PWID. This finding will be useful for allocating appropriate interventions and resources to promote health-related quality of life in this population.

      • KCI등재

        Comparison of different fluid dynamics in activated sludge system for the treatment of a stimulated milk processing wastewater: Process analysis and optimization

        Ali Akbar Zinatizadeh Lorestani,Hojjatollah Bashiri,Azar Asadi,Hossein Bonakdari 한국화학공학회 2012 Korean Journal of Chemical Engineering Vol.29 No.10

        Wastewater from the milk industry usually undergoes activated sludge ahead of refining treatments, final discharge or reuse. To identify the most effective bioreactor hydraulic regime for the secondary treatment of wastewater resulting from the milk industry in an activated sludge system, two lab-scale activated sludge systems characterized by a different configuration and fluid dynamics (i.e., a compartmentalized activated sludge (CAS) with plug flow regime and a complete mixed activated sludge (AS)) were operated in parallel, inoculated with the same microbial consortium and fed with identical streams of a stimulated dairy wastewater. The effect of three process and operational variables--influent chemical oxygen demand (COD) concentration, sludge recycle ratio (R) and hydraulic retention time (HRT)--on the performance of the two systems were investigated. Experiments were conducted based on a central composite face-centered design (CCFD) and analyzed using response surface methodology (RSM). The region of exploration for treatment of the synthetic wastewater was taken as the area enclosed by the CODin (200, 1,000 mg/l), R (1, 5), and HRT (2, 5 h) boundaries. To evaluate the process, three parameters, COD removal efficiency (E), specific substrate utilization rate (U), and sludge volume index (SVI), were measured and calculated over the course of the experiments as the process responses. The change of the flow regime from complete-mix to plug flow resulted in considerable improvements in the COD removal efficiency of milk wastewater and sludge settling properties. SVI levels for CAS system (30-58 ml/g) were considerably smaller that for the AS system (50-145 ml/g). In addition, the biomass production yield could be reduced by about 10% compared to the AS system. The results indicated that for the wastewater, the design HRT of a CAS reactor could be shortened to 2-4 h.

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