Otitis media secretions from the nasopharynx into the normally sterile middle-ear space, the fluid may then become infected — usually with bacteria. The virus that caused the initial URI (upper respiratory infection) can itself be identified as the pathogen causing the infection. As its typical symptoms overlap with other conditions, such as acute external otitis, clinical history alone is not sufficient to predict whether acute otitis media is present; it has to be complemented by visualization of the tympanic membrane. Examiners use a pneumatic otoscope with a rubber bulb attached to assess the mobility of the tympanic membrane. In more severe cases,
Membrane operating conditions, cost and performance, it should prevented, and if necessary, removed. Optimizing the operation conditions is important to prevent fouling. However, if fouling has already taken place, it should be removed by using physical or chemical cleaning. Physical cleaning techniques for membrane include membrane relaxation and membrane backwashing. Chemical cleaning. Relaxation and backwashing effectiveness will decrease with operation time as more irreversible fouling accumulates on the membrane surface. Therefore, besides the physical cleaning, chemical cleaning may also be recommended. They include: Optimizing the operation condition. Several mechanisms can be carried out to optimize the operation conditions of the membrane