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BackgroundFever is a common cause of hospital admission in Bangladesh but causative agents, other than malaria, are not routinely investigated. Enteric fever is thought to be common.MethodsAdults and children admitted to Chittagong Medical College Hospital with a temperature of ≥38.0 °C were investigated using a blood smear for malaria, a blood culture, real-time PCR to detect Salmonella Typhi, S. Paratyphi A and other pathogens in blood and CSF and an NS1 antigen dengue ELISA.ResultsWe enrolled 300 febrile patients with a negative malaria smear between January and June 2012: 156 children (aged ≤15 years) and 144 adults with a median (interquartile range) age of 13 (5–31) years and median (IQR) illness duration before admission of five (2–8) days. Clinical enteric fever was diagnosed in 52 patients (17.3 %), lower respiratory tract infection in 48 (16.0 %), non-specific febrile illness in 48 (16.0 %), a CNS infection in 37 patients (12.3 %), urinary sepsis in 23 patients (7.7 %), an upper respiratory tract infection in 21 patients (7.0 %), and diarrhea or dysentery in 21 patients (7.0 %). Malaria was still suspected in seven patients despite a negative microscopy test. S. Typhi was detected in blood by culture or PCR in 34 (11.3 %) of patients. Of note Rickettsia typhi and Orientia tsutsugamushi were detected by PCR in two and one patient respectively. Twenty-nine (9 %) patients died during their hospital admission (15/160 (9.4 %) of children and 14/144 (9.7 %) adults). Two of 52 (3.8 %) patients with enteric fever, 5/48 (10.4 %) patients with lower respiratory tract infections, and 12/37 (32.4 %) patients with CNS infection died.ConclusionEnteric fever was confirmed in 11.3 % of patients admitted to this hospital in Bangladesh with non-malaria fever. Lower respiratory tract and CNS infections were also common. CNS infections in this location merit more detailed study due to the high mortality.

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Plasma‐polymerized reverse osmosis membranes were prepared by deposition of an allylamine plasma‐polymerized top layer onto a cellulose ester surface. Their separation performance was highly dependent on the formation of the top layer, which was itself determined by the plasma polymerization conditions. The density and the thickness of the plasma‐deposited polymer top layer influence the membrane flux, while the ability of the membrane to reject salt relies on the degree of polymer cross‐linking, which is in turns related to the transfer of plasma energy into monomer molecules during plasma polymerization. The separation efficiency of the multilayer reverse osmosis composite membrane can be optimized by choosing appopriate plasma conditions.magnified image

In this work, the polyamide (PA) membrane surface has been modified by coating of nanomaterials including graphene oxide (GO) and titanium dioxide (TiO2) to enhance membrane separation and antifouling properties. The influence of surface modification conditions on membrane characteristics has been investigated and compared with a base membrane. Membrane surface properties were determined through scanning electron microscope (SEM) images and Fourier transform infrared-attenuated total reflectance (FTIR-ATR) spectroscopy. Membrane separation performance was determined through the possibility for the removal of methylene blue (MB) in water. Membrane antifouling property was evaluated by the maintained flux ratios (%) after 120 minutes of filtration. The experimental results showed that the appearance of hydrophilic groups after coating of GO and TiO2 nanocomposite materials with or without UV irradiation onto membrane surface made an improvement in the separation property of the coated membranes. The membrane flux increased from 28% to 61%; meanwhile, the antifouling property of the coated membranes was improved clearly, especially for UV-irradiated PA/GO-TiO2 membrane.

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