Knowledge, attitude and practice towards bio-medical waste management among healthcare workers: a northern Saudi study.

Background: Health care workers (HCWs) involved in day-to-day care and other healthcare activities play a significant role in biomedical waste (BMW) management. The World Health Organization stated some of the causes for the failure of BMW management, namely, lack of awareness of the health hazards related to BMW and inadequate trained HCWs in BMW management. The present study assessed knowledge, attitude, and practice (KAP) towards BMW management among the HCWs in northern Saudi Arabia. Methodology: The present study assessed KAP through a self-administered and validated questionnaire. Using a multistage probability sampling method, 384 HCWs from different healthcare facilities participated in this survey. We performed binomial logistic regression analysis to find association between KAP subscales and sociodemographic characteristics. Spearman's correlation test was performed to find the strength and direction of correlation (rho) between KAP scores. Results: Of the population studied, high knowledge, attitude, and practice scores were found in 47.1%, 65.1%, and 49.5% of the HCWs, respectively. The present study found that knowledge score was significantly higher among the age group from 30 to 39 years (ref: age less than 30 years: AOR = 2.25, 95% CI [1.05-4.85], p = 0.04) and non- Saudi nationals (ref: Saudi: AOR = 2.84, 95% CI [1.63-4.94], p < 0.001) The attitude score towards BMW management was significantly lower among the HCWs working in tertiary care settings (ref: PHC: AOR = 0.38, 95% CI [0.12-0.69], p = 0.01). Regarding the practice score, the male categories had a significantly higher score (ref: female: AOR = 1.82, 95% CI [1.19 -2.99], p = 0.02), while pharmacist (ref: physicians: AOR = 0.39, 95% CI [0.18-0.58], p = 0.02) and lab technicians (ref: physicians: AOR = 0.31, 95% CI [0.11-0.53], p = 0.02) had a significant lower practice score. The test results revealed a weak positive correlation of knowledge with the attitude scores (rho = 0.249, p = 0.001), and a moderately strong positive correlation was found between attitude and practice scores (rho = 0.432, p = 0.001). Conclusion: This study suggests that a regular training program for the HCWs on BMW management is necessary through symposiums, role play, interactive lectures, and other feasible training methods. Furthermore, a multicentric prospective exploratory study is to be conducted in other regions of the KSA to understand the region-specific training needs of HCWs.

Coherence control of entanglement dynamics of two-mode Gaussian state via Raman driven quantum beat laser using Simon's criterion.

We study the entanglement dynamics of two-mode Gaussian state (TMGS) in a quantum beat laser driven by two classical fields in Raman configuration using Simon's criterion of quantum state separability. The two modes of the cavity field are considered initially in general single-mode Gaussian states. The effect of the non-classicality, purity, and relative phase of the cavity modes on the entanglement phenomenon is studied thoroughly. We show that in the presence of cavity decay rates, the higher the non-classicality of the initial states, the higher is the inseparability of the evolved TMGS of the cavity field. The inseparability, on the other side, is independent of the purity of the initial states. Moreover, the time scale of the entangled state increases with the relative intensity of the driving fields, whereas the relative phase switches the entangled state into the disentangled state of the cavity field and vice versa. The quantum statistics of the mean photons number of the cavity field is analyzed.

Determination of the risk associated with the natural and anthropogenic radionuclides from the soil of Skardu in Central Karakoram.

The radioactivity levels were determined in 39 soil samples from six towns of Skardu using gamma-ray spectrometry. The samples were collected at an average altitude of 2293 m above sea level in Central Karakoram. The activity concentration data were analysed by principal component analysis for outlier detection and data structure elucidation and for frequency distributions. The median activity concentrations of (226)Ra, (232)Th, (40)K and (137)Cs were found to be 49.8 ± 12.6, 80.9 ± 18.7, 977 ± 91 and 4.37 ± 4.08 Bq kg(-1), respectively. An uncertainty analysis showed that the main contribution to uncertainty budget was from the counting statistics and uncertainty in the reference activity of standard. The activity concentration data showed a positive significant correlation between (226)Ra and (232)Th. Three hazard indices named the radium equivalent activity, external hazard index and internal hazard index were calculated. In the total activity concentration, (40)K accounted for the most (87.5 %), whilst in the radium equivalent activity, (232)Th contributed the most (48.5 %). In the Skardu samples, the air-absorbed dose rate was found to be 112 ± 17 nGy h(-1), annual effective dose rate from terrestrial to be 243 ± 38 µSv y(-1), effective dose rate due to the deposition of (137)Cs on soil to be 1.1 ± 2.4 µSv y(-1) and dose rate from the cosmic radiations to be 1371 ± 107 µSv y(-1). The ratio of mass fractions of Th/U was 4.8 ± 0.6.The results were compared with the similar measurements made in other parts of the world. A comparison with the other cities of Pakistan revealed that the soil in Skardu presented the highest external exposure rate.

Soil radioactivity levels and radiological risk assessment in the highlands of Hunza, Pakistan.

This paper deals with the determination of (226)Ra, (232)Th, (40)K and (137)Cs in 42 soil samples collected from eight towns of Hunza district, at an average altitude of 2267 m, using gamma-ray spectrometry. The activity concentration data were analysed for frequency distribution and other descriptive measures. Risk assessment was done by calculating the hazard indices, air absorbed dose rate and external annual effective dose rate due to cosmic radiations, terrestrial radionuclides and (137)Cs deposited on the surface of the earth. Both indoor and outdoor occupancy factors were taken into account. The average dose rate due to cosmic radiation was estimated as 828 ± 87 µSv y(-1), from external terrestrial radiation as 97 ± 20 µSv y(-1) and from (137)Cs as 1.05 µSv y(-1) for a total annual effective dose rate of 926 ± 92 µSv. The results of the present study were discussed and compared with other similar studies performed in East Asia. The present study indicates that Hunza can be ranked among those areas having a high level of dose rate not only from cosmic rays but also from terrestrial radionuclides. This paper also proposes another measure of radiation hazard called 'radium equivalent for internal exposure'.

Determination of the natural and anthropogenic radioactivity in the soil of Gilgit--a town in the foothills of Hindukush range.

The activity concentration of terrestrial (226Ra, 232Th, and 40K) and anthropogenic gamma-emitting radionuclide (137Cs) have been analyzed in 48 soil samples collected from Gilgit, a famous city for mountaineers and tourists in northern Pakistan, at an average altitude of 1,550 m, using gamma-ray spectrometry. The data analysis includes descriptive statistics, radium equivalent activity and its principal component analysis, air absorbed dose rate, annual effective dose rate, and collective effective dose equivalent. It is found that the level of cosmic exposure is high in Gilgit relative to the world average values, but the average outdoor annual effective dose rate from terrestrial radionuclides is lower as compared to its value in the soil of Punjab, Pakistan, and the world average values found in United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) for the general public. The median annual effective dose rate produced by 137Cs was 0.11 microSv y-1.