Medical Treatment Facilities Research Articles

Risc management: the medical support system in contemporary armed conflict

Introduction. Contemporary armed conflicts are characterized by a multifaceted blend of combat strategies, encompassing conventional and unconventional weaponry, regular and irregular forces, terrorist actions and acts of organized crime, indiscriminate violence and outside international law.
 Material and methods. A retrospective bibliographic study was conducted on the evolution of combat strategies employed by the U.S. Armed Forces, NATO member countries, and international UN Peacekeeping Operations over the past 25 years.
 Results. The way of organizing and providing medical assistance in local military conflict differs from the principles governing medical support in major armed conflicts. The staging of the treatment system and the evacuation of the wounded follows a crucial time-based framework known as the '10-1-2(+2)' rule: "10"– immediate measures to stop bleeding within 10 minutes of the injury; "1" – evacuation to the medical treatment facility capable of performing resuscitation and stabilizing vital functions.; "2" – timely transfer to a medical formation equipped for Damage Control Surgery and Resuscitation within 2 hours of the injury; "+2" – performing the surgical intervention, stabilization of vital functions, and diagnostic preparations for strategic evacuation within 4 hours of the injury.
 Conclusions. Resulting from the specific particularities of the local military conflict, the planning of medical support as well as the complex of treatment and evacuation measures, force health protection, medical logistics, require adaptation to the real tactical and medical situation created.

French Military Neurosurgery: At Home and Abroad.

The origins of military neurosurgery are closely linked to those of neurosurgery in France and more particularly in Paris. The history of the field starts with its origins by 2 men, Thierry de Martel and Clovis Vincent. The first note about the creation of military neurosurgery was in 1942, when Marcel David was reassigned from the Sainte Anne Hospital to practice at the Val-de-Grâce Military Hospital. David trained the first military neurosurgeon. The field of military neurosurgery was subsequently developed at the Val-de-Grâce Military Hospital, at Sainte Anne Military Teaching Hospital in Toulon in 1990 and then at Percy Military Teaching Hospital in 1996. Over 29 military neurosurgeons were trained in these institutions. Since 2000, French military neurosurgeons have been deployed from France in the Mobile Neurosurgical Unit. This Mobile Neurosurgical Unit represents 12% of all medical evacuation of casualties categorized as the high dependency level. Neurosurgeons were able to adapt to asymmetrical wars, such as in the Afghanistan campaign where they were deployed in the Role 3 medical treatment facility, and more recently in sub-Saharan conflicts where they were deployed in forward surgical roles. To manage the increasing craniocerebral war casualties in the forward surgical team, the French Military Health Service Academy established a training course referred to as the "Advanced Course for Deployment Surgery" providing neurosurgical damage control skills to general surgeons. Finally, military neurosurgery is reinventing itself to adapt to future conflicts through the enhancement of surgical practices via the addition of head, face, and neck surgeons.

Changes in Surgical Volume in Military Medical Treatment Facilities and Military Surgeon Clinical Combat Readiness During the COVID-19 Pandemic.

Mini-abstract In this retrospective study, we evaluated changes in measures of surgeon clinical combat readiness within the military health system during the COVID-19 pandemic. We found a 36% reduction in surgical knowledge and skills as compared to pre-COVID. Sizable reductions were encountered for surgery for colectomy (-50%) and aneurysm repair (-61%).

The Absence of the Employee due to the Medical or Diagnostic Examination of His or Her Child

According to the current Slovak legislation, which also determines the conditions for important personal obstacles at work, the employer is obliged to excuse the absence of an employee for the reason of accompanying his or her child to a medical facility for examination or treatment. The scientific paper deals with situations where it is necessary for an employee to accompany a child to various other diagnostic examinations which are not carried out in medical institutions. These obligations are imposed by specific legislation and must be fulfilled by the employee as the legal representative of minors in compulsory schooling or pre-primary education in relation to establishments operating under the education regulations. However, there is no excuse for the absence of an employee in the Labour Code or in other legislation in the area of education. Since these cases cannot be explicitly covered by any statutory regulation of personal obstacles to work on the part of the employee, a dispute arises in application practice between the employee and the employer as to the justification for the employee’s absence from work. This is also based on incorrect information provided by the education’s authorities who instruct the legal representatives that the employer must excuse the absence, as their child is undergoing certain examinations.

Characterizing military medical evacuation dispatching and delivery policies via a self-exciting spatio-temporal Hawkes process model

The military medical evacuation (MEDEVAC) system is the primary method to evacuate time-sensitive combat casualties from the battlefield to appropriately staffed and equipped medical treatment facilities (MTFs). The intent of this paper is to analyze how MTF capability and capacity impact MEDEVAC system performance. We develop a self-exciting spatio-temporal Hawkes process model as well as a notional, synthetically generated MEDEVAC scenario of the post-Bosnian War to evaluate and compare eight distinct MEDEVAC dispatching and delivery policies within a high-intensity combat environment. The results garnered from this paper highlight the substantial impact MTFs have on MEDEVAC systems and should be considered in future research.

Enrichment of dishes with the vitamin and mineral complex "GS-3093" according to the therapeutic diet

The article presents the basic information about the deficient concentrations of vitamins and minerals in the existing diets of patients in medical and preventive treatment facilities. The analysis of the current therapeutic diets showed deviations in vitamins A, B1, B2, PP, and C, as well as in macro- and microelements: Na, K, Ca, Mg, Zn, I, P, and Fe. When conducting studies of the state of the body in patients of health care facilities, a deficiency of vitamin D, B vitamins, and carotenoids, and in some categories of patients, a deficiency of antioxidant vitamins A and E, is found. This deficiency is aggravated against the background of drug therapy. In order to compensate for the deficient states of the body, it is recommended to enrich the therapeutic diet with a vitamin and mineral complex at a concentration of 50-100% of the daily norm of vitamins and minerals. The diet was enriched with GS-3093 premixes. The discrepancies between the content of the vitamin and mineral complex in the existing diet and the recommended, enriched with GS- 3093 premix, for four especially deficient minerals and the studied vitamins A and group B range from -0.59 to -675.215 mg. The defi ciency of vitamins A (37%), B2 (14%), and C (52%), minerals Ca (26%), Zn (21%), and I (65%) compared to the recommended daily intake should be noted. With a five-time meal, the calorie content of the diet according to the therapeutic diet is from 2500 to 3000 kcal and includes 1.5–2 liters of fluid per day. This will ensure compliance with the requirements for conducting evidence-based dietary nutrition for 800 patients of the health care facility of the SBHI Moscow Regional Clinical Research Institute named after M.F. Vladimirsky (MONIKI), who were prescribed the main variant of the standard (therapeutic) diet.

Finding the bleeding edge: 24-hour mortality by unit of blood product transfused in combat casualties from 2002-2020.

Transfusion studies in civilian trauma patients have tried to identify a general futility threshold. We hypothesized that in combat settings there is no general threshold where blood product transfusion becomes unbeneficial to survival in hemorrhaging patients. We sought to assess the relationship between the number of units of blood products transfused and 24-hour mortality in combat casualties. A retrospective analysis of the Department of Defense Trauma Registry supplemented with data from the Armed Forces Medical Examiner. Combat casualties who received at least one unit of blood product at US military medical treatment facilities (MTFs) in combat settings (2002-2020) were included. The main intervention was the total units of any blood product transfused, which was measured from the point of injury until 24 hours after admission from the first deployed MTF. The primary outcome was discharge status (alive, dead) at 24 hours from time of injury. Of 11,746 patients included, the median age was 24 years, and most patients were male (94.2%) with penetrating injury (84.7%). The median injury severity score was 17 and 783 (6.7%) patients died by 24 hours. Median units of blood products transfused was 8. Most blood products transfused were red blood cells (50.2%), followed by plasma (41.1%), platelets (5.5%), and whole blood (3.2%). Among the 10 patients who received the most units of blood product (164 units to 290 units), 7 survived to 24 hours. The maximum amount of total blood products transfused to a patient who survived was 276 units. Of the 58 patients who received over 100 units of blood product, 20.7% died by 24 hours. While civilian trauma studies suggest the possibility of futility with ultra-massive transfusion, we report that the majority (79.3%) of combat casualties who received transfusions greater than 100 units survived to 24 hours. These results do not support a threshold for futility of blood product transfusion. Further analysis as to predictors for mortality will help in situations of blood product and resource constraints. Prognostic and Epidemiological; Level IV.

Haemostatic resuscitation in practice: a descriptive analysis of blood products administered during Operation HERRICK, Afghanistan

IntroductionLife-threatening haemorrhage is the leading cause of potentially survivable injury in battlefield casualties. During Operation HERRICK (Afghanistan), mortality rates improved year on year due to a number of advances in...

Medical Equipment Maintenance Management System

Maintenance management is an orderly and systematic approach for planning, organizing, monitoring, and evaluating maintenance activities and their costs. A good maintenance management system coupled with knowledgeable and capable maintenance staff can prevent health and safety problems and environmental damage; yield longer asset life with fewer breakdowns, and result in lower operating costs and a higher quality of life. The medical equipment maintenance could be either preventive or corrective. The medical equipment management professionals ensure that equipment used in the patients care is operational, safe, and properly configured to meet the mission of the medical treatment facility and continue to function effectively in a good working condition. For example, proper maintenance can extend the life of equipment. This is essential for providing good health services and saving the scarce resources. A comprehensive review on the subject of medical devices maintenance management system has been done to give an overview of the development of this system in the hospitals and to shine what could be enhanced and improved in this system to promote the patient's healthcare.

Особенности организации режима в лечебно-профилактических учреждениях уголовно- исполнительной системы

В статье исследуются особенности организации режима в лечебно-профилактических учреждениях уголовно-исполнительной системы. Обозначены специфика применения основных средств обеспечения режима, проблемы применения мер взыскания к нарушителям режима отбывания наказания, внесены предложения в действующее уголовно-исполнительное законодательство. Анализируются статистические данные в этой сфере, приводятся примеры из правоприменительной практики деятельности лечебно-профилактических учреждений. The article considers organization of regime in medical treatment and preventive care facilities. It outlines the specifics of applying key means of ensuring the regime and problems of applying penalties to regime violators, as well as proposes amendment to the current penal legislation. Statistical data in this area are analyzed and examples from the law enforcement practice of the activities of medical treatment and preventive care facilities are given.

Elevated Serum Tau and UCHL-1 Concentrations Within 12 Months of Injury Predict Neurobehavioral Functioning 2 or More Years Following Traumatic Brain Injury: A Longitudinal Study.

Blood-based biomarkers have received considerable attention for their diagnostic and prognostic value in the acute and postacute period following traumatic brain injury (TBI). The purpose of this study was to examine whether blood-based biomarker concentrations within the first 12 months of TBI can predict neurobehavioral outcome in the chronic phase of the recovery trajectory. Inpatient and outpatient wards from 3 military medical treatment facilities. A total of 161 service members and veterans classified into 3 groups: ( a ) uncomplicated mild TBI (MTBI; n = 37), ( b ) complicated mild, moderate, severe, penetrating TBI combined (STBI; n = 46), and ( c ) controls (CTRL; n = 78). Prospective longitudinal. Participants completed 6 scales from the Traumatic Brain Injury Quality of Life (ie, Anger, Anxiety, Depression, Fatigue, Headaches, and Cognitive Concerns) within 12 months (baseline) and at 2 or more years (follow-up) post-injury. Serum concentrations of tau, neurofilament light, glial fibrillary acidic protein, and UCHL-1 at baseline were measured using SIMOA. Baseline tau was associated with worse anger, anxiety, and depression in the STBI group at follow-up ( R2 = 0.101-0.127), and worse anxiety in the MTBI group ( R2 = 0.210). Baseline ubiquitin carboxyl-terminal hydrolase L1 (UCHL-1) was associated with worse anxiety and depression at follow-up in both the MTBI and STBI groups ( R2 Δ = 0.143-0.207), and worse cognitive concerns in the MTBI group ( R2 Δ = 0.223). A blood-based panel including these biomarkers could be a useful tool for identifying individuals at risk of poor outcome following TBI.

Refrigerated human mesenchymal stromal cells as an alternative to cryostorage for use in clinical investigation.

Mesenchymal stromal cells (MSCs) and other therapeutic cells show efficacy for cardiac damage, neurological disease, chronic lung disease, pediatric graft versus host disease, and several inflammatory conditions. Based on their anti-inflammatory and immune-modulatory activities, responsiveness, and secretion of beneficial factors, cellular therapeutics may provide benefits in acute and chronic traumatic injury. However, the use of live cells presents logistical challenges, especially for military trauma. MSCs are generally shipped and stored frozen but require sterile handling before infusion. This requires skilled personnel and equipment not readily available in a forward medical treatment facility or even a small community hospital. Commercial human bone marrow- and adipose-derived MSCs from multiple donors were cultured under standard conditions, harvested and stored at 4°C in solution for up to 21 days. Cell viability, ATP content, apoptosis, proliferation capability, immunomodulation activity, and responsiveness were assessed after different amounts of time. Human MSCs can be stored at 4°C in MSC culture medium for 14 days while maintaining a reasonable level of viability and function. Both viability and function are reduced when MSCs are stored in crystalloid solutions. This approach makes it feasible to prepare cellular therapeutic agents in a laboratory or commercial facility and ship them under refrigerated conditions. Once they reach their destination, they can be stored at 4°C under conditions similar to blood products. Cells prepared and stored this way could also be used directly with minimal handling, making them more practical for both civilian and military trauma.

Employment Arrangements, Labour Conditions, and Job Satisfaction Among the Women Workers Employed in the Pencil Village of India (Pulwama, Kashmir)

The expansion of industry in India necessitates the continual advancement of manufacturing workers. Employees encounter several obstacles that jeopardise their health, comfort, and access to important services. Such limits can be reduced by establishing legislation that prioritises the appropriate execution of particular workplace practises and allows individuals to work in a pleasant atmosphere. The Indian Factories Act of 1948 is one such legislation that attempts to guarantee the safety and well-being of all industrial employees in India. We examined the actual implementation of this Act, notably its welfare provisions, in Pulwama’s pencil factories. Despite women’s lack of education and ability, pencil makers offered individuals the possibility to work and earn a livelihood, but their earnings were insufficient. Though employers and the government are making efforts to recruit and assist women workers at pencil factories, we have discovered that they were ignoring their medical treatment facilities and some basic amenities. Women workers received insufficient pre- and post-natal care, which has led to frequent employment turnover following marriage. The majority of women workers were uninformed of their rights under the Factories Act and hence were unlikely to approach anybody or any organisation to enforce its responsibilities.

Conceptual Design and Operation Plan of Floating Medical Wastes Treatment Facility for Archipelagic Area: A Case Study of Maluku and Papua

Indonesia has been facing considerable challenges in medical wastes management. In 2020, the medical wastes reached 294.66 tons/day, but the total capacity of the aggregate wastes treatment facilities nationally was only 224.23 tons/day. Maluku and Papua are Indonesia’s largest archipelagic region consisting of four provinces, which are included in the region with the lowest index of medical wastes management as well as the minimum number of medical wastes treatment facilities. The existing wastes treatment in Maluku and Papua does not meet the standards, it is carried out by open-air burning and open dumping. Therefore, the objective of this study is to create the conceptual design and operation plan of floating medical wastes treatment for archipelagic area. By using a multi-port relay operating pattern for each province, the medical wastes transport started from the hub point which was determined by using the centre of gravity method. Considering the number of medical wastes in each province so that the nonlinear programming method was used to determine the most optimum main dimensions of floating facility. The result obtained that the number of floating facilities required was four SPCB-type with costs overall by 63.14 billion IDR/year.

Mitigation of SARS-CoV-2 by Using Transition Metal Nanozeolites and Quaternary Ammonium Compounds as Antiviral Agents in Suspensions and Soft Fabric Materials.

The coronavirus disease 2019 (COVID-19) pandemic has demonstrated the need for novel, affordable, and efficient reagents to help reduce viral transmission, especially in high-risk environments including medical treatment facilities, close quarters, and austere settings. We examined transition-metal nanozeolite suspensions and quaternary ammonium compounds as an antiviral surface coating for various textile materials. Zeolites are crystalline porous aluminosilicate materials, with the ability of ion-exchanging different cations. Nanozeolites (30 nm) were synthesized and then ion-exchanged with silver, zinc and copper ions. Benzalkonium nitrate (BZN) was examined as the quaternary ammonium ion (quat). Suspensions of these materials were tested for antiviral activity towards SARS-CoV-2 using plaque assay and immunostaining. Suspensions of the nanozeolite and quat were deposited on polyester and cotton fabrics and the ability of these textiles towards neutralizing SARS-CoV-2 was examined. We hypothesized that transition metal ion containing zeolites, particularly silver and zinc (AM30) and silver and copper (AV30), would be effective in reducing the infectivity of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Additionally, AM30 and AV30 antiviral potency was tested when combined with a quaternary ammonium carrier, BZN. Our results indicate that exposure of SARS-CoV-2 to AM30 and/or AV30 suspensions reduced viral loads with time and exhibited dose-dependence. Antiviral activities of the combination of zeolite and BZN compositions were significantly enhanced. When used in textiles, AM30 and AV30-coated cotton and polyester fabrics alone or in combination with BZN exhibited significant antiviral properties, which were maintained even after various stress tests, including washes, SARS-CoV-2-repeated exposures, or treatments with soil-like materials. This study shows the efficacy of transition metal nanozeolite formulations as novel antiviral agents and establishes that nanozeolite with silver and zinc ions (AM30) and nanozeolite with silver and copper ions (AV30) when combined with benzalkonium nitrate (BZN) quickly and continuously inactivate SARS-CoV-2 in suspension and on fabric materials.

Trends in Traumatic Brain Injury Among U.S. Service Members Deployed in Iraq and Afghanistan, 2002–2016

Traumatic brain injury (TBI) is a major health issue for service members deployed and is more common in recent conflicts; however, a thorough understanding of risk factors and trends is not well described. This study aims to characterize the epidemiology of TBI in U.S. service members and the potential impacts of changes in policy, care, equipment, and tactics over the 15 years studied. Retrospective analysis of U.S. Department of Defense Trauma Registry data (2002-2016) was performed on service members treated for TBI at Role 3 medical treatment facilities in Iraq and Afghanistan. Risk factors and trends in TBI were examined in 2021 using Joinpoint regression and logistic regression. Nearly one third of 29,735 injured service members (32.4%) reaching Role 3 medical treatment facilities had TBI. The majority sustained mild (75.8%), followed by moderate (11.6%) and severe (10.6%) TBI. TBI proportion was higher in males than in females (32.6% vs 25.3%; p<0.001), in Afghanistan than in Iraq (43.8% vs 25.5%; p<0.001), and in battle than in nonbattle (38.6% vs 21.9%; p<0.001). Patients with moderate or severe TBI were more likely to have polytrauma (p<0.001). TBI proportion increased over time, primarily in mild TBI (p=0.02), slightly in moderate TBI (p=0.04), and most rapidly between 2005 and 2011, with a 2.48% annual increase. One third of injured service members at Role 3 medical treatment facilities experienced TBI. Findings suggest that additional preventive measures may decrease TBI frequency and severity. Clinical guidelines for field management of mild TBI may reduce the burden on evacuation and hospital systems. Additional capabilities may be needed for military field hospitals.

Solving the joint military medical evacuation problem via a random forest approximate dynamic programming approach

Members of the armed forces rely on having an effective and efficient medical evacuation (MEDEVAC) process for evacuating casualties from the battlefield to medical treatment facilities during combat operations. Determining which MEDEVAC units to task to respond to incoming requests for service, known as the MEDEVAC dispatching problem, is a natural sequential decision making problem and is the focus of this paper. Unlike previous research in this area, this paper incorporates triage classification errors and the possibility of having blood transfusion kits on board select MEDEVAC units. A discounted, infinite-horizon continuous-time Markov decision process model is formulated to examine the MEDEVAC dispatching problem and to compare generated dispatching policies to the currently practiced United States military policy. We utilize an approximate dynamic programming (ADP) technique that leverages a random forest value function approximation within an approximate policy iteration algorithmic framework to develop high-quality policies for both small-scale and large-scale problem instances. A representative planning scenario involving joint combat operations in South Korea is developed and utilized to investigate the differences between the various policies. Results from the analysis indicate that applying ADP techniques can improve current practices by as much as 29% with regard to a life-saving performance metric. This research is of particular interest to the military medical community and can inform the procedures of future military MEDEVAC operations.

A cross-sectional survey on fruit bat-human interaction in Pakistan; one health perspective

ObjectiveSeveral factors, such as residential area topography, population density, and lack of infrastructure, were hypothesized to contribute toward respondents’ knowledge, attitude, and practice regarding disease transmission. The present study was designed to investigate the knowledge, attitudes, and perception of human-fruit bat interaction by student respondents located in ten districts within the Punjab and Khyber Pakhtunkhwa provinces in Pakistan.MethodA cross-sectional survey was conducted by trained enumerators in academic institutions using a structured questionnaire among student respondents (n = 1466), living in two topographically distinct (Mountainous and Plain) residential regions of the Punjab and Khyber Pakhtunkhwa (KPK) provinces in Pakistan regarding their history of bat encounters.ResultsOur study revealed that 71.4% of the 1466 respondents had observed bats in their geographic region. 21% of our survey respondents reported bat bites incidents over their lifetime, but only 40% actively sought medical care for wound management despite reporting they had a close family member that had contracted rabies (27–35%). Our generalized linear models (GLMs) highlighted that a respondent residing in a residential region had a greater association with reporting a suspected bat bite over their lifetime and reported rabies victims in both near and extended family members (OR = −0,85, p-value = 0.03, 95% CI). This appeared to be due to delaying consulting a doctor or medical facility for treatment following a suspected bat bite in the topographic residential group as compared to the respondents in the provincial residential group (OR 1.12, p-value = 0.04, 95% CI).ConclusionOur findings indicate the necessity of a One Health comprehensive surveillance system in Pakistan for emerging and re-emerging zoonotic pathogens in Pteropodidae.

Strategi Pengelolaan Limbah Bahan Berbahaya dan Beracun Fasilitas Pelayanan Kesehatan Rumah Sakit X Mandau

Hospitals as health service institutions that carry out individual health services in a plenary manner, apart from having a positive impact, they also have a negative impact on the environment and public health by producing medical waste. As a health service provider, hospital managers are obliged to prevent environmental pollution and maintain public health. This can be achieved by carrying out proper and correct medical waste management in accordance with applicable regulations. X Mandau Hospital has implemented medical waste management even though it is not optimal and still has many shortcomings. This study aims to analyze medical waste management at X Mandau Hospital using a regulatory approach and the factors that are considered to influence medical waste management.This type of research is observational research by describing the medical waste management system from the input and process aspects to find out the problems that exist in medical waste management at X Mandau Hospital and to develop a medical waste management strategy based on factors that affect both internal and external use. SWOT analysis. The types of data used are primary data, secondary data and literature studies. The results of research at X Mandau Hospital show that the stages in medical waste management are still not in accordance with applicable regulations. In the reduction and sorting stage, the storage stage and the processing stage, serious violations were found. With an average medical waste generation of 88.98 kg / day and with the inoperable condition of medical waste treatment equipment, Hospital X is considered to be facing serious medical waste management problems. The main problem found in the input aspect is the absence of good planning in the budgeting process for system development, operation and maintenance, this then has an impact on handling the generation of medical waste. In the process aspect, operational techniques that have not met the applicable regulations have resulted in conflicts with the community which have resulted in the rejection of incinerator operations. On the other hand, the incinerator operation itself has not yet obtained a processing permit from the authorized agency. To deal with this problem, the management strategy that can be taken is to carry out efforts to develop and improve medical waste treatment facilities utilizing government support, availability of human resources, budget, facilities and infrastructure as well as the availability of technology to then take advantage of opportunities for collaboration with other parties in medical waste treatment.

An atmospheric microwave plasma-based distributed system for medical waste treatment.

Inadequate handling of infectious medical waste may promote the spread of the virus through secondary transmission during the transfer process. Microwave plasma, an ease-of-use, device-compact, and pollution-free technology, enables the on-site disposal of medical waste, thereby preventing secondary transmission. We developed atmospheric-pressure air-based microwave plasma torches with lengths exceeding 30cm to rapidly treat various medical wastes in situ with nonhazardous exhaust gas. The gas compositions and temperatures throughout the medical waste treatment process were monitored by gas analyzers and thermocouples in real time. The main organic elements in medical waste and their residues were analyzed by an organic elemental analyzer. The results showed that (i) the weight reduction ratio of medical waste achieved a maximum value of 94%; (ii) a water-waste ratio of 30% was beneficial for enhancing the microwave plasma treatment effect for medical wastes; and (iii) substantial treatment effectiveness was achievable under a high feeding temperature (≥ 600°C) and a high gas flow rate (≥ 40 L/min). Based on these results, we built a miniaturized and distributed pilot prototype for microwave plasma torch-based on-site medical waste treatment. This innovation could fill the gap in the field of small-scale medical waste treatment facilities and alleviate the existing issue of handling medical waste on-site.