Social Stigma Toward Individuals with Schizophrenia in a Lebanese Population.

Background: Schizophrenia has been recognized as the most stigmatized mental disorder, imposing a substantial burden on affected individuals. However, no prior studies have investigated social stigma toward individuals with schizophrenia in Lebanon. Purpose: We aimed to examine three components of social stigma including knowledge, attitude, and behavior toward individuals with schizophrenia in a Lebanese population and to explore associated factors with the level of social stigma. Patients and Methods: A cross-sectional online survey was administered, and data from 469 participants were gathered from January 31, 2023, to February 18, 2023. We used previously validated questionnaires to assess the knowledge, attitude (Social Distance Scale), and behavior (Reported and Intended Behavior Scale) of participants toward individuals with schizophrenia. The score for each section was calculated and used to explore the associations between sociodemographic factors and the levels of stigma in each domain. Results: The study participants had a moderate understanding of schizophrenia. However, a substantial proportion showed negative attitudes and unfavorable behaviors toward individuals with schizophrenia. We identified several sociodemographic factors associated with the knowledge, attitude, and behavior scores. Notably, a higher knowledge score and more positive attitudes were positively correlated with improved intended behaviors. Conclusion: This study highlights the pervasive stigma encompassing issues in knowledge, attitudes, and behavior surrounding schizophrenia in a Lebanese population. Our study suggests a pressing need for targeted interventions to increase public awareness and decrease the social stigma of schizophrenia in Lebanon.

A new treatment step of bioelectrochemically treated leachate using natural clay adsorption towards sustainable leachate treatment.

Standalone and combined leachate treatment mechanisms suffer from low treatment efficiencies due to leachate's complex, toxic, and recalcitrant nature. Bioelectrochemical system (BES) was used for the first time to investigate the treatment of leachate mixed wastewater (WW) (i.e., diluted leachate, DL) (DL ≈ L:WW = 1:4) to minimize these complexities. A natural clay (palygorskite) was used as adsorbent material for further treatment on the BES effluent (EBES) while using two different masses and sizes (i.e., 3 g and 6 g of raw crushed clay (RCC) and 75 µ of sieved clay (75 µSC)). According to bioelectrochemical performance, BES, when operated with low external resistance (Rext = 1 Ω) (BES 1), showed a high removal of COD and NH3-N with 28% and 36%, respectively. On the other hand, a high Rext (100 Ω, BES 100) resulted in low removal of NH3-N with 10% but revealed high COD removal by 78.26%. Moreover, the 6 g doses of 75 µSC and RCC showed the maximum COD removals of 62% and 38% and showed the maximum removal of NH3-N with an average range of 40% for both sizes. After efficient desorption, both clay sizes resulted in regeneration performance which was observed with high COD (75%) and NH3-N (34%) on EBES. Therefore, when BES and clay adsorption technique sequentially treated and achieved with combined removal of ~ 98% for COD and ~ 80% of NH3-N, it demonstrated an efficient treatment method for DL treatment.

A Study of Voice Handicap and Acoustic Measures in Arab Kuwaiti Prospective Professional Singers.

INTRODUCTION: Despite its clinical significance, few studies have explored the applicability of the validated Arabic version of the Voice Handicap Index (VHI-Arab) in professional voice users, especially singers. The correlation between VHI-Arab scores and acoustic measures in this targeted group remains unclear. The aim of this study was to explore Arab Kuwaiti prospective professional singers' perception of voice handicap using the validated VHI-Arab. Additionally, we examined the association between VHI-Arab scores and acoustic measures such as fundamental frequency (F0), shimmer, jitter, and signal-to-noise ratio. METHODS: VHI-Arab scores and acoustic measures of 100 adult prospective professional singers (50 females and 50 males) were compared with those of 100 adult controls (50 females and 50 males). RESULTS: Female prospective professional singers differed significantly from female controls in terms of functional and physical subscale scores, total VHI-Arab scores, and shimmer and jitter values. Male prospective professional singers showed significant differences neither in VHI-Arab scores nor in acoustic measures; however, their shimmer values showed significant a difference. There was no correlation between VHI-Arab scores and acoustic measures. CONCLUSION: Kuwaiti prospective professional singers did not perceive their voice as handicapped. Female prospective professional singers had a better perception of their voice compared with female controls. The results of the current study suggest that the perception of voice handicap and acoustic measures are different attributes that do not correlate.

Groundwater contamination in the Gulf Cooperation Council (GCC) countries: a review.

Groundwater quality levels are currently deteriorating in Gulf Cooperation Council (GCC) countries due to excessive surface and subsurface human activities. Agricultural and industrial activities, landfill seepage and seawater intrusion have been attributed to the deterioration of groundwater quality in GCC states. Such a deterioration of groundwater quality could affect water security in the region, including human health and the ecosystem. Therefore, this review aims to identify the key causes of groundwater contamination across the GCC countries from the published literature. In addition, the review summarizes the major components of the groundwater contaminants across the GCC countries. The results have shown that heavy metals, several cations and anions are the leading cause of groundwater pollution. In most cases, the level of metals and ion contaminants exceeds both the local and international water quality standards. The results have observed the presence of high levels of coliform and radioactive elements in groundwater, especially Uranium and Radium, thereby posing additional risk to human health through consumption. Considering the scarcity of freshwater resources in GCC, urgent actions are required from the decision-makers and relevant regulatory bodies to set up and implement long-term mitigation strategies and stringent policies that will protect the groundwater resources from the adverse effects of anthropogenic activities.

Sustainable risk-based analysis towards remediation of an aquifer impacted by crude oil spills.

Uncontrolled release of hydrocarbons from pipelines results in soil and groundwater contamination. However, due to the geo-environmental properties of the contaminated area, the remediation strategies might vary by light non-aqueous phase liquid (LNAPL) behaviors. In this study, a contaminated area with spilled oil from a pipeline was monitored. In the initial investigation in the 1980s, the contamination was reported in some citizen wells (CIZs), which resulted in drilling of 15 boreholes (BHs) across the Site from February 2001 to February 2007. Additionally, an area of around 0.24 km2 encompassing the LNAPL was inferred. The extension of plume in 2016-7 was monitored in this study, in which new farms were impacted by the contamination. Further, a conceptual model based on the previous information and current measured data was developed to better understand the behavior of the plume. The model showed that the Site is very complex, dipping towards the south, and the groundwater contains light hydrocarbons. Pumping tests, as a part of LNAPL remedial technology, were conducted by using three pumping wells (PWs), each accompanied by a monitoring well. Accordingly, a risk-based corrective action was implemented to eliminate and control unacceptable risks in a safe and timely manner. From the remediation approach, a monitoring plan in BHs and CIZs was suggested. In the case of receptors (humans and farms), clean-up of wells, tanks, and water channels as well as replacement of contaminated soils were highly regarded. Although the recent investigation and clean up monitoring wells showed that the LNAPL was very minimal, further steps in the receptor side should be taken prior to irrigation applications.

Sphincter of Oddi Dysfunction: A Perplexing Presentation.

Sphincter of Oddi dysfunction is caused by stenosis or dyskinesia of the sphincter of Oddi, leading to blockage of bile drainage from the common bile duct. We present the case of a 16-year-old female with chronic abdominal pain who underwent laparoscopic cholecystectomy for cholelithiasis but continued to experience abdominal pain, nausea, and vomiting along with persistently elevated ALT and AST levels. Postoperative abdominal ultrasound was nondiagnostic. Esophagogastroduodenoscopy showed mild reflux esophagitis and mild chronic Helicobacter pylori-negative gastritis. Omeprazole was started, but it did not decrease the frequency and severity of the abdominal symptoms. Magnetic resonance cholangiopancreatography did not reveal any pathology. Endoscopic retrograde cholangiopancreatography with manometry confirmed an elevated biliary sphincter pressure. Biliary sphincterotomy was performed, and the symptoms improved.