Case Report of Typhoid Fever (Salmonella typhi)

Typhoid fever is a major health problem globally. Typhoid fever is an enteric fever characterized by systemic illness along with abdominal pain and fever in a "step-ladder" pattern. Typhoid fever is one of the major causes of mortality and morbidity in overcrowded and unhygienic areas though comprehensive research and public health interventions have decreased the occurrence. Patient is having sign symptoms as gastrointestinal symptoms, malaise, hepatomegaly, and high liver enzymes presented with a two-week fever. As a differential diagnosis, a Widal test is done and two blood cultures were requested; both came out positive, confirming the diagnosis of typhoid fever caused by Salmonella typhi. Treatment with ceftriaxone and metronidazole was stared prior to confirmation of the diagnosis, with a partial response; later, pharmacological therapy was altered based on ciprofloxacin susceptibility testing, with a satisfactory clinical response. We look at how to diagnose and treat enteric fever, with an importance to typhoid fever. Symptoms or important clinical finding:- A 6 year old male was admitted in A.V.B.R.H on date 12/03/2021 with chief complaint of abdominal discomfort, malaise, problems such as fever since 2 weeks, gastrointestinal symptoms, lethargy, hepatomegaly, and an increased liver enzyme. Diagnosis therapeutic intervention and outcome: A case is diagnosed as Typhoid Fever. After physical examination and investigation, doctor was detected a case of 6 week. Therapeutic intervention and outcome: Also provide a calcium supplements and iron supplements present case was stable but according to ultrasonography finding. Outcome- Good sanitation, improved water supply, and a suitable sewage waste matter system, as well as the successful use of existing typhoid vaccinations, can all help to avoid typhoid fever. Nursing Perspective: Administration fluid replacement .i.e DNS and RL monitored vital signs per hourly. Maintained temperature chart 2 hourly strictly, maintained intake output chart properly. Tablet paracetamol, antibiotics given as per doctor’s order. Conclusion: Good sanitation, improved water supply, and a suitable sewage waste matter system, as well as the successful use of existing typhoid vaccinations, can all help to avoid typhoid fever.

Seasonal storage of residential exhaust air and sewage waste heat

Most Finnish residential buildings have been built before ventilation heat recovery options became mandatory. Exhaust air heat pumps are an effective way to reduce emissions, but they cannot cover all heating demand. Ground-source heat pumps can be designed to meet all loads, but they require corresponding amounts of space both above and below ground. This simulation study combines residential ventilation and sewage waste heat with a ground-source heat pump system to improve system sustainability and cost-effectiveness. A hybrid waste heat and ground-source heat pump system was shown to have 20% lower life cycle costs compared to a pure ground-source heat pump system. It also maintained sustainable ground temperature levels over the long term, while reducing above-ground space requirements by 95%.

Effective Sewage Treatment with Direct Current Ionization Technology

Sewage treatment is the process of removing contaminants from wastewater and household sewage, runoff effluents from domestic, commercial and institutional units. Various waste water treatment technologies have been compared for the Kullu, Manali area where there are about 50 Sewage Treatment Plan (STPs) installed and operated by various hotels, industries and 7 common STPs operated by the Irrigation and Public Health (IPH) Department for treatment of the sewage waste generated from the household and hotels in the three Municipal areas. The sewage load to the treatment plant installed by individual hotels is not available at a constant rate from the hotel industries. This variation in quantity and quality of the sewage generation during the tourist and non- tourist season disturb the whole mechanism based upon the biological methods. Thus there is a need to test a new technology to overcome these difficulties and which is easy to handle and operate and economical to run. Detailed study in association with Himachal Pradesh IPH Department in Manali Campus on new technology called the “Electro- Coagulation Technique” for treatment of the sewage waste was conducted by installing a demonstration study plant with a capacity of 60 Kilo- litre capacity per day ( 60 KLD). It has been concluded that this technology coagulates the suspended solids and settles into sludge, oxidizes organics and reduces soluble COD, and destroys pathogens