Social Acceptance of Greywater Reuse in Rural Areas.

Like many countries, Palestine suffers from water scarcity. Here, treated greywater is considered an essential nonconventional water resource. We aim to identify some wastewater reuse and disposal practices in rural areas and assess the acceptance level of different reuses of greywater. We conducted a survey analysis in four villages with a strong agricultural activity of the western Bethlehem Governorate. The level of acceptance of greywater reuse was generally independent of demographic variables like family size, income, or water bill, with a few exceptions regarding gender, age, and level of education. Centralized treatment was more valued than treatment at home, which presented similar acceptance levels than no treatment and might indicate a lack of trust in this alternative. The only reuse alternative trusted across treatments was bush irrigation (3.53-3.86 on a five-point Likert scale), but other options without clear, direct human contact like crop irrigation (3.14-3.62), stone cutting (3.19-3.36), and construction (3.12-3.42) also received considerable support. Reused perceived as having direct contact with humans was rejected, as it was the flushing of public toilets (2.59-2.7), aquaculture (1.98-2.37), olive pressing (1.85-1.94), and drinking (1.62-1.72). Relatively new reuse, car washing (2.95-3.17), was somewhere in between, partially because of its novelty. To increase this and other reuses, we strongly encourage local authorities to inform the population about the potentialities of greywater reuse.

The conservative treatment of longstanding adductor-related groin pain syndrome: a critical and systematic review.

Longstanding (chronic) adductor-related groin pain syndrome is a widely common problem for athletes in many sports activities which often drastically reduces player activity and performance. The first choice in therapeutic treatment is conservative therapy. The objective of this study is to provide a systematic review regarding conservative treatment for longstanding adductor-related groin pain syndrome present in literature today. Furthermore, this study aims to give a critical vision of the current state of the art of the considered topic. After screening 234 articles, 19 studies following the inclusion criteria were included and summarized in this current systematic review and seven different types of therapeutic interventions were described. Compression clothing therapy, manual therapy together with strengthening exercise and prolotherapy were the therapeutic interventions which showed both the greatest level of strength of evidence (Moderate) and grade of recommendation (D). The remaining four types of therapeutic interventions i.e.: corticoid injection, platelet rich plasma therapy, intra-tissue percutaneous electrolysis and pulse-dose radiofrequency, showed both lower levels of strength of evidence (Conflicting) and grade of recommendation (C). In conclusion the literature available on the conservative treatment for longstanding adductor-related groin pain syndrome is limited and characterized by a low level of evidence. Therefore, our recommendation is to refer only to the few studies with higher level of evidence and at the same time to encourage further research in this area. The intervention showing the greater level of strength of evidence, and the greater grade of recommendation are compression clothing therapy, manual therapy and strengthening exercise, and prolotherapy. Other therapeutic interventions such as intra-tissue percutaneous electrolysis and pulse-dose radiofrequency seem promising but require further studies to confirm their efficacy.