This study examines the prevalence, awareness, treatment, and control of hypertension in Ulaanbaatar, Mongolia, using both the American Heart Association and conventional thresholds (130/80 and 140/90 mm Hg, respectively). In this randomized cross-sectional study, two-stage cluster sampling was used to obtain a sample of 4515 individuals aged ≥20 years. Hypertension was defined by the use of antihypertensives in the last 2 weeks or a blood pressure at or above the thresholds of 140/90 and 130/80 mm Hg. The mean age of the participants was 41.1 ± 14.0 years and 54.5% were women. Hypertension prevalence was 25.6% (using 140/90 mm Hg) and 46.5% (using 130/80 mm Hg). Prevalence increased with age and below 50 years men were consistently more likely to be hypertensive. Among hypertensive participants, the rates of awareness, treatment, and control were 69.7%, 46.8%, and 24.0% (using 140/90 mm Hg) and 49.1%, 25.8%, and 6.4% (using 130/80 mm Hg, respectively).Men had lower rates of awareness, treatment, and control compared with women, with the most pronounced differences at younger ages. This study shows that awareness, treatment, and control rates in Ulaanbaatar are better than in most low-and middle-income countries but are still suboptimal. The largest "care gap" was in young men where a regulatory requirement for annual workplace blood pressure screening has the potential to enhance care. A major hypertension control program has just been initiated in Ulaanbaatar.
An osmotically driven membrane process was proposed for seawater pretreatment in a multi-stage flashing (MSF) thermal plant. Brine reject from the MSF plant was the draw solution (DS) in the forward osmosis (FO) process in order to reduce chemical use. The purpose of FO is the removal of divalent ions from seawater prior the thermal desalination. In this study, seawater at 80 g/L and 45 g/L concentrations were used as the brine reject and seawater, respectively. The temperature of the brine reject was 40 °C and of seawater was 25 °C. Commercial thin-film composite (TFC) and cellulose triacetate (CTA) membranes were evaluated for the pretreatment of seawater in the FO and the pressure-assisted FO (PAFO) processes. Experimental results showed 50% more permeation flux by increasing the feed pressure from 1 to 4 bar, and permeation flux reached 16.7 L/m2h in the PAFO process with a TFC membrane compared to 8.3 L/m2h in the PAFO process with CTA membrane. TFC membrane experienced up to 15% reduction in permeation flux after cleaning with DI water while permeation flux reduction in the CTA membrane was >6%. The maximum recovery rate was 11.5% and 8.8% in the PAFO process with TFC and CTA membrane, respectively. The maximum power consumption for the pretreatment of seawater was 0.06 kWh/m3 and 0.1 kWh/m3 for the PAFO process with a TFC and CTA membrane, respectively.
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