Treating wastewater for microplastics to a level on par with nearby marine waters

Retention of microplastics (MPs) at the third largest wastewater treatment plant (WWTP) in Sweden was investigated. The plant is one of the most modern and advanced of its kind, with rapid sand filter for tertiary treatment in combination with mechanical, biological, and chemical treatment. It achieved a significantly high treatment efficiency, which brought the MP concentration in its discharge on par with concentrations measured in marine waters of the same region. This novel data shows that properly designed modern WWTPs can reduce the MP content of sewage down to background levels measured in the receiving aquatic environment. Opposite to current understanding of the retention of MP by WWTPs, a modern and well-designed WWTP does not have to be a significant point source for MP. MPs were quantified at all major treatment steps, including digester inlet and outlet sludge. MPs sized 10-500 µm were analyzed by a focal plane array based micro-Fourier transform infrared (FPA-µFTIR) microscopy, a hyperspectral imaging technique, while MPs above 500 µm were analyzed by Attenuated Total Reflectance-Fourier transform infrared (ATR-FTIR) spectroscopy. Mass was estimated from the hyperspectral images for MPs <500 µm and from microscope images >500 µm. The overall treatment efficiency was in terms of MP counts 99.98 %, with a daily input of 6.42 × 1010 and output of 1.04 × 107 particles. The mass removal efficiency was 99.99 %. The mechanical part of the treatment, the pre-treatment, and primary stages, reduced both the MP counts and mass by approximately 71 %. The combined biological treatment, secondary settling, and final polishing with rapid sand filtration removed nearly all the remaining 29 %. MPs became successively smaller as they passed the different treatment steps. The digester inlet received 1.04 × 1011 MPs daily, while it discharged 9.96 × 1010 MPs, causing a small but not significant decrease in MP counts, with a corresponding MP mass reduction of 9.56 %.

Evaluating the Effects of Water Balloons on High-Intensity Focused Ultrasound for Treating Uterine Fibroids

OBJECTIVE

In the treatment of uterine fibroids with ultrasound-guided high-intensity focused ultrasound (HIFU), water balloons are considered to be a valuable aid for improving safety and efficiency. However, the water balloons worsen the pathway for acoustic transmission, causing degraded performance both in ultrasound therapy and in ultrasound imaging. This study was aimed at establishing a protocol to evaluate the effects of the water balloon.

METHODS

Simulations and experiments were carefully conducted to quantitatively investigate the effects of water ballons on the efficiency of HIFU energy delivery and on the quality of ultrasound guiding images. More specifically, HIFU-induced temperature increases in the focal region, together with spatial resolution, contrast and signal-to-noise ratio in the ultrasound guiding images, were compared under the conditions with and without the water balloon.

RESULTS

Experiment results revealed that the use of water balloons led to decreases in temperature up to 10ºC within the focal region in some specific situations, but the quality of the guiding images was relatively less affected.

CONCLUSION

The study provided knowledge on what influence the water balloon could have in ultrasound-guided HIFU treatment; it also established a practical and standardized evaluation scheme for further optimizing the water balloon, for example, its material and internal liquid compositions. This study can potentially help improve the efficiency and safety of treating uterine fibroids with ultrasound-guided HIFU systems.

Occurrence of F-Specific Bacteriophages in Untreated and Treated Wastewaters in Mumbai

F + coliphages are considered as potential enteric viral indicators in water systems as a tool for on-site validation of wastewater treatment processes. The present study evaluated the occurrence of F + coliphages in wastewaters collected from three wastewater treatment plants (WWTPs) in Mumbai city, to assess this potential. The detection and enumeration of F + coliphages was carried out from WWTPs Z1, Z3 and Z5 using the ISO 10705-1 and U.S EPA 1601 methods. F + coliphages were majorly detected in untreated wastewater samples followed by a few secondary treated samples in WWTP-Z1 and Z3 and one tertiary treated sample from Z1, these differences were found to be statistically significant. The difference in F + coliphage levels between the treatment stages highlight their potential as indicators for monitoring the efficiency of wastewater treatment. The overall positivity of F + coliphage was 35.09% for Salmonella. typhimurium WG49 host (as per ISO 10705-1), was higher by 10.52% for Escherichia coli Famp HS host (as per U.S EPA 1601) (45.61%), highlighting the efficiency of the latter host over the former in F + coliphage detection. Significant difference in F + coliphage counts using the two bacterial hosts were observed in WWTP-Z3 (p = 0.001) and WWTP-Z1 (p = 0.047) but not in WWTP-Z5 (p = 0.332).

Supplementary Information

The online version contains supplementary material available at 10.1007/s12088-023-01181-7.

Total organic halogen (TOX) in drinking water: Occurrence, correlation analysis, and precursor removal during drinking water treatment

Total organic halogen (TOX) in drinking water provides a measurement of the overall organic halogenated disinfection by-products (DBPs) formed during disinfection. Yangtze River Delta is one of the regions with the highest population density, the fastest urbanization process, and the most severe water pollution in China. Collecting water samples from full-scale drinking water treatment plants (DWTPs) in this region, this study firstly surveyed TOX occurrence in drinking water. Besides, the correlation of TOX formation potential (TOXFP) and trihalomethane formation potential (THMFP) with general water quality parameters (e.g., dissolved organic carbon [DOC], UV254, and specific ultraviolet absorbance) and the removal efficiencies of TOX precursors by different water treatment processes were also investigated. TOX levels in DWTP effluents (i.e., finished water) ranged from 29 to 165 μg/L (median 67 μg/L), and those in simulated distribution system waters ranged from 101 to 276 μg/L (median 158 μg/L). There were generally higher linear regression coefficient values for raw water (R2 = 0.51-0.88) than for treated water (R2 = 0.33-0.64) in terms of the relationship between DBP formation potentials and general parameters. However, a relatively stronger correlation between THMFP and TOXFP was observed for treated water (R2 = 0.80, p < 0.001) than for raw water (R2 = 0.64, p < 0.001). The overall treatment efficiencies of investigated parameters in DWTPs generally followed the order of UV254 > DOC > TOX precursors > THM precursors. Notably, the overall removal rates of DOC and TOX precursors in summer (averaging 59 % and 54 %, respectively) were obviously higher than those in winter (averaging 39 % and 38 %, respectively), which was assumed to be related to the seasonal variation of bioactivity in sand filter. These results could expand the knowledge of TOX in drinking water, and provide valuable perspectives to water industry and DBP research.

Proton pencil beam scanning craniospinal irradiation (CSI) with a single posterior brain beam: Dosimetry and efficiency

This study explores the feasibility and potential dosimetric and time efficiency benefit of proton Pencil Beam Scanning (PBS) craniospinal irradiation with a single posterior-anterior (SPA) brain field. The SPA approach was compared to our current clinical protocol using Bilateral Posterior Oblique brain fields (BPO). Ten consecutive patients were simulated in the head-first supine position on a long BOS frame and scanned using 3 mm CT slice thickness. A customized thermoplastic mask immobilized the patient's head, neck, and shoulders. A vac-lock was used to secure the legs. PBS proton plans were robustly optimized with 3mm setup errors and 3.5% range uncertainties in the Eclipse V15.6 treatment planning system (n = 12 scenarios). In order to achieve a smooth gradient dose match at the junction area, at least 5 cm overlap region was maintained between the segments and 5 mm uncertainty along the cranial-cauda direction was applied to each segment independently as additional robust optimization scenarios. The brain doses were planned by SPA or BPO fields. All spine segments were planned with a single PA field. Dosimetric differences between the BPO and SPA approaches were compared, and the treatment efficiency was analyzed according to timestamps of beam delivery. Results: The maximum brain dose increases to 111.1 ± 2.1% for SPA vs. 109.0 ± 1.7% for BPO (p < 0.01). The dose homogeneity index (D5/D95) in brain CTV was comparable between techniques (1.037 ± 0.010 for SPA and 1.033 ± 0.008 for BPO). Lens received lower maximum doses by 2.88 ± 1.58 Gy (RBE) (left) and 2.23 ± 1.37 Gy (RBE) (right) in the SPA plans (p < 0.01). No significant cochlea dose change was observed. SPA reduced the treatment time by more than 4 minutes on average and ranged from 2 to 10 minutes, depending on the beam waiting and allocation time. SPA is dosimetrically comparable to BPO, with reduced lens doses at the cost of slightly higher dose inhomogeneity and hot spots. Implementation of SPA is feasible and can help to improve the treatment efficiency of PBS CSI treatment.

Abundance, characteristics, fate, and removal of microplastics during municipal wastewater treatment plant in the west of Iran: the case of Kermanshah city

The threat of microplastics (MPs) in aquatic systems is almost a new challenge in environmental management. The municipal wastewater treatment plants (WWTPs) act both as collectors of MPs from anthropic use and as a source to natural environments. This study is aimed to determine the abundance, characteristics, and removal of MPs in a municipal WWTP with conventional activated sludge process. Particle size/type, influent loads, and removal rate of MPs in bar screen, grit chamber, primary sedimentation, returned activated sludge, and secondary clarification units of this WWTP were studied by collecting composite samples from wastewater and sludge over a 3-month sampling campaign. Suspected MP particles were counted by light microscopy and characterized using SEM, EDS, FTIR, and TGA-DSC techniques. The mean total MPs, fibers, and fragment concentration after the grit chamber were 6608, 3594, and 3014 which were reduced to 1855, 802, and 1053 particles/L in the effluent, respectively. The sludge retention of total MPs, fibers, and fragments were 8001, 3277, and 4719 particles/L, respectively. The overall efficiency of WWTP with an activated sludge process to remove MPs was 64% and it removed 66.6% and 60% of fibers and fragments, respectively. Fibers were the dominant shape for the collected samples after the grit chamber and fragments were prevalent in the effluent. Polyethylene polymer was detected in most wastewater samples. Existing treatment processes are effective in the removal of MP particles but still act as a potential source to the aquatic ecosystem.

Biochar-assisted anaerobic membrane bioreactor towards high-efficient energy recovery from swine wastewater: Performances and the potential mechanisms

A high-efficient energy recovery system of biochar-assisted anaerobic membrane bioreactor (BC-AnMBR) was established for swine wastewater treatment. Comparing with a conventional AnMBR, biochar addition accelerated volatile fatty acids (VFA) degradation during start-up stage, thereby shortened start-up duration by 44.0 %. Under a high organic loading rate (OLR) of 21.1 gCOD/L/d, BC-AnMBR promoted COD removal efficiency from 90.1 % to 95.2 %, and maintained a high methane production rate of 4.8L CH₄/L/d. The relative abundance of Methanosaeta declined from 53.9 % in conventional AnMBR to 21.0 % in BC-AnMBR, whereas that of Methanobrevibacter dramatically increased from 10.3 % to 70.9 %, respectively. Metabolic pathway analysis revealed that biochar not only strengthened hydrogenotrophic methanogenesis pathway, but also upregulated the genes encoding electron transfer carriers and riboflavin metabolism, suggesting the role of biochar facilitating direct interspecies electron transfer for syntrophic methanogenesis. The excellent energy yield performances under high OLR confirmed BC-AnMBR as an advanced system for high-strength swine wastewater treatment.

In vivo efficiency of praziquantel treatment of single-sex Schistosoma japonicum aged three months old in mice

Schistosomiasis is a major neglected tropical disease mainly caused by Schistosoma haematobium, S. japonicum and S. mansoni, and results in the greatest disease burden. Mass drug administration (MDA) with praziquantel (PZQ), a single drug only available for the disease, has played a vital role in schistosomiasis control. Therefore, any possibility of selection of the parasites for PZQ resistance or low sensitivity may hamper the 2030's target of global disease elimination. We had experimentally demonstrated the long-term survival and reproductive potential of single-sex (of either sex) S. japonicum infections in definitive hosts mice. What has not yet been adequately addressed is whether the long live single-sex schistosomes remain sensitive to PZQ, and what reproduction potential for those schistosomes surviving treatment may have. We therefore performed experimental mice studies to explore the treatment effectiveness of PZQ (at total doses of 200 or 400 mg/kg, corresponding to the sub-standard or standard treatment doses in humans) for single-sex S. japonicum aged three months old. The results showed that no treatment efficiency was observed on female schistosomes, whereas on male schistosomes only at PZQ 400 mg/kg a significant higher efficiency in reducing worm burdens was observed. Moreover, either schistosome males or females surviving PZQ treatment remained their reproduction potential as normal. The results indicate that long (i.e., three months) live single-sex S. japonicum can easily survive the current treatment strategy, and moreover, any schistosomes, if with PZQ resistance or low sensitivity, could be easily transmitted in nature. Therefore, in order to realize the target for the national and the global schistosomiasis elimination, there is undoubtedly a great need for refining PZQ administration and dosage, looking for alternative therapies, and/or developing vaccines against schistosome.

Efficiency of various biofilm carriers and microbial interactions with substrate in moving bed-biofilm reactor for environmental wastewater treatment

In a moving bed-biofilm reactor (MBBR), the fluidization efficiency, immobilization of microbial cells, and treatment efficiency are directly influenced by the shape and pores of biofilm carriers. Moreover, the efficacy of bioremediation mainly depends on their interaction interface with microbes and substrate. This review aims to comprehend the role of different carrier properties such as material shapes, pores, and surface area on bioremediation productivity. A porous biofilm carrier with surface ridges containing spherical pores sizes > 1 mm can be ideal for maximum efficacy. It provides diverse environments for cell cultures, develops uneven biofilms, and retains various cell sizes and biomass. Moreover, the thickness of biofilm and controlled scaling shows a significant impact on MBBR performance. Therefore, the effect of these parameters in MBBR is discussed detailed in this review, through which existing literature and technical strategies that focus on the surface area as the primary factor can be critically assessed.

Performance evaluation of a visual guidance patient-controlled respiratory gating system for respiratory-gated magnetic-resonance image-guided radiation therapy

The performance of a visual guidance patient-controlled (VG-PC) respiratory gating system for magnetic-resonance (MR) image-guided radiation therapy (MR-IGRT) was evaluated through a clinical trial of patients with either lung or liver cancer. Patients can voluntarily control their respiration utilizing the VG-PC respiratory gating system. The system enables patients to view near-real-time cine planar MR images projected inside the bore of MR-IGRT systems or an external screen. Twenty patients who had received stereotactic ablative radiotherapy (SABR) for lung or liver cancer were prospectively selected for this study. Before the first treatment, comprehensive instruction on the VG-PC respiratory gating system was provided to the patients. Respiratory-gated MR-IGRT was performed for each patient with it in the first fraction and then without it in the second fraction. For both the fractions, the total treatment time, beam-off time owing to the respiratory gating, and number of beam-off events were analyzed. The average total treatment time, beam-off time, and number of beam-off events with the system were 1507.3 s, 679.5 s, and 185, respectively, and those without the system were 2023.7 s (p < 0.001), 1195.0 s (p < 0.001), and 380 times (p < 0.001), respectively. The VG-PC respiratory gating system improved treatment efficiency through a reduction in the beam-off time, the number of beam-off events, and consequently the total treatment time when performing respiratory-gated MR-IGRT for lung and liver SABR.

Treatability of hazardous substances in industrial wastewater: case studies for textile manufacturing and leather production sectors

Hazardous substances used and produced by different industrial activities pose a potential risk to the environment and to human health. Different physicochemical and/or biological processes are used in industrial wastewater treatment; these methods, however, may not be effective in removing these substances. This study was carried out to comparatively evaluate the removal of hazardous substances through conventional wastewater treatment processes that are used by major industries in Turkey. A four-season monitoring study was carried out in textile manufacturing and leather production sectors, representing industrial activities in Turkey. Samples were analyzed for 45 priority substances defined by the European Union and 250 specific pollutants listed in the Turkish Regulation on Surface Water Quality. For both wastewaters, where biological treatment was performed after pretreatment, their characteristics showed that organics were almost completely removed. except for dichloromethane (44-51% removals) and dioxin and dioxin-like compounds (64-69% removals). Additionally, different removal ratios (16-97%) were obtained for metals; the poorer removal was observed for B, Ba, Ag, Sb, and Si. The remaining metals (Cu, Pb, Sb, V, Si for textile; Cr, Cu, Sb, Si for leather effluents) in the treated wastewaters were still higher than environmental quality standards (EQS) of receiving water bodies. The study revealed that existing treatment processes were not adequate for efficient hazardous substance removal and there is an urgent need to improve them. Finally, advanced treatment technologies were suggested for specific pollutants together with their unit treatment costs.

Advances in pretreatment technology for handling the palm oil mill effluent: Challenges and prospects

The palm oil mill effluent (POME) from palm milling oil activities is discharged into various water bodies which poses several environmental problems including turbidity, increases COD and BOD, adds oil and grease, increases total nitrogen, and other pollutants. Therefore, it requires effective treatment to remove the pollutants before disposal. The objective was to critically discuss the performance of POME pretreatments along with their limitations. To offer a coverage on the present less efficient technologies, the opportunities and challenges of advanced pretreatments that combine magnetic materials and natural composites as adsorbents are comprehensively reviewed here. Moreover, potential of various magnetic materials for POME pretreatment has been described. Several existing pretreatment methods such as physical pretreatments, chemical pretreatments, coagulation-flocculation, and adsorption can remove pollutant content from POME with certain limitations and the use of magnetic composite adsorbents can enhance the treatment efficiency.

Degradation of hexavalent chromium and methyl orange by the synergistic system of graphitic carbon nitride and electron beam irradiation

Hexavalent chromium (Cr(VI)) and methyl orange (MO) are highly toxic and difficult to treat. Electron beam irradiation (EB) can produce ·OH, H·, ·O₂^-, hydrated electron (e_aq^-) and other active substances, which have strong redox ability to pollutants. However, the penetration capacity of EB is limited (the penetration depth of water is 10 cm). Therefore, the photocatalytic method of graphitic carbon nitride (CN) was used as the synergistic method of EB in this project to degrade Cr(VI) and MO. The results showed that the maximum treatment efficiency of 100 mg L^-1 Cr(VI) and 50 mg L^-1 MO with liquid surface height of 5 cm was 95.0% and 99.1%, respectively, which was much higher than that of single photocatalytic method (39.5%, 23.4%) and EB (79.6%, 92.1%), and the efficiency of synergistic treatment was higher under acidic condition. When the liquid depth increased to 30 cm, the efficiency of synergistic system decreased by 14.7% and 15.2% for the degradation of Cr(VI) and MO, respectively, less than the single EB treatment (47.2%, 45.7%). Additionally, the performance of the morphology, the light absorption performance, and the separation of photogenerated electron-hole pairs of the CN were evaluated before and after the synergistic system. Lastly, the mechanism illustrates that the electron and thermal effects of EB, e_aq^-, photogenerated electrons played key roles for the Cr(VI) reduction, and the electron and thermal effects of EB, ·O₂^-, photogenerated holes played key roles for the MO degradation. This study provides a new opportunity for the synergistic system of photocatalyst and EB in the treatment of pollutants.

Performance of conventional drinking water treatment following dispersant remediation of an oil spill in surface water

Physical remediation such as the use of booms has been applied for most oil-spill cleanup activities in surface water. The application of dispersants has been controversial primarily due to the unknown impacts on drinking water sources. This study investigated changes in surface water quality following dispersant application to crude oil spills and the subsequent impact on the efficiency of ballasted flocculation, a physicochemical treatment process applied in many drinking water treatment plants (DWTP). Contamination of surface water was performed in the presence of crude oil concentrations (109 ± 13 mg/L) with and without dispersants. Water quality parameters such as turbidity and UVA₂₅₄ were monitored and ballasted flocculation efficiency was assessed based on water quality as well as the removal of oil droplets, residual dispersant, and petroleum hydrocarbons as total organic carbon (TOC). Results showed that the measured water quality parameters except TOC are unsuitable indicators of petroleum hydrocarbon contamination in surface water. However, TOC lacked sensitivity when used in settled water to detect hydrocarbon contaminants. Although ballasted flocculation efficiency was not limited by the presence of crude oil and low dispersant concentrations when an optimized alum dose was applied (41 mg dry alum/L), the process was unable to remove other dispersant-related compounds that are not identifiable by the monitored water quality parameters. Measured concentrations of these compounds in settled waters were above the U.S. EPA's aquatic life benchmark (40 μg/L). Findings would be beneficial to DWTP in their efforts to upgrade their treatment processes and prepare oil-spill contingency plans.

Effect of carbon source on nitrous oxide emission characteristics and sludge properties during anoxic/aerobic wastewater treatment process

Carbon sources are an important parameter in wastewater treatment processes and are closely related to treatment efficiency and nitrous oxide (N₂O) emissions. In this study, three parallel sequencing batch reactors (SBRs) were processed with acetic acid, propionic acid, and a 1:1 mixture of both acids (calculated in COD) to study the effect of carbon sources on N₂O generation and sludge properties (including intracellular polymer content, extracellular polymeric substance (EPS) composition, particle size distribution, settleability, and microbial community structure). The results showed that the highest COD, NH₄⁺-N, and TP removal efficiencies (92.2%, 100%, and 82.3%, respectively) were achieved by the reactor with mixed acid as the carbon source, whereas the reactor using acetic acid had the highest TN removal rate (82.6%) and the lowest N₂O-N conversion rate (1.4%, based on TN removal). The reactor with the carbon source of mixed acid produced the highest polyhydroxyalkanoate (PHA) content, which led to an increase in N₂O generation from the aerobic denitrification pathway. The SBR with mixed acid carbon source also had the highest concentration of EPS, which resulted in the largest particle size and the lowest settleability of sludge flocs among the SBRs. Microbial analysis results revealed that the difference in carbon sources resulted in a variation in the microbial community as well as in the relative abundances of functional microbes involved in biological nitrogen removal processes. The mixed acid promoted the development of ammonia-oxidizing bacteria (AOB), which conducted the primary N₂O generation pathway of aerobic denitrification bioreactions. The carbon source of acetic acid promoted the growth of denitrifying bacteria (DNB), which led to the highest TN removal rate. This study provides a comprehensive understanding of the effects of carbon sources on N₂O generation and sludge properties for WWTPs.

Structure and indicators of electric energy consumption in dairy wastewater treatment plant

The aim of the research was to determine the indicators of electricity consumption in every stage of the dairy sewage treatment process in relation to the sewage flow and the load of removed organics (BOD₅, COD) and nutrients (TN, TP). The research was conducted in a dairy wastewater treatment plant (WWTP) consisting of mechanical treatment, averaging tank, dissolved air flotation (DAF) and biological treatment with sequence batch reactors (SBRs). Energy consumption was measured with the help of transducers. Indicators of unit electricity consumption were determined on the basis of 95 measurement series of energy consumption, sewage flow and removed load. The mean value of total unit energy consumption relating to the flow for the entire WWTP was 2.29 kWh·m^-3, while for biological treatment 1.17 kWh·m^-3 and 0.05 kWh·m^-3 for DAF. The mean values of indicators relating to removed pollutants load for the entire WWTP were: 1.89 kWh·kg_rem BOD₅^-1, 1.30 kWh·kg_rem COD^-1, 48.61 kWh·kg_rem TN^-1 and 160.01 kWh·kg_rem TP^-1. During biological treatment, energy consumption indicators were on average: 1.65 kWh·kg_rem BOD₅^-1 and 1.19 kWh·kg_rem COD^-1, 52.90 kWh·kg_rem TN^-1 and 141.26 kWh·kg_rem TP^-1, while for DAF: 0.12 kWh·kg_rem BOD₅^-1, 0.09 kWh·kg_rem COD ^-1, 3.85 kWh·kg_rem TN^-1 and 16.17 kWh·kg_rem TP^-1. It was found that the biological treatment in SBRs was responsible for 54.1% of the total energy consumption of dairy WWTP. Aerobic sewage sludge treatment accounted for 17.0% of total consumption, mechanical treatment 17.1%, deodorization 2.6%, and other (social, lighting etc.) 6.9%, while DAF only 2.3%. The real-time electricity metering system enabled the optimisation of the electricity consumption in the WWTP, taking into account its consumption in unit processes and the removed pollutants load. The application of this system enabled to make corrections that reduced energy consumption while maintaining the required treatment efficiency.

A study on the accuracy and efficiency of the improved numerical model for stent implantation using clinical data

BACKGROUND AND OBJECTIVES

Stent implantation procedure should be carefully planned and adapted to the particular patient in order to minimize possible complications. Numerical simulations can provide useful quantitative data about the state of the artery after the implantation, as well as information about the benefits of the intervention from the hemodynamical point of view.

METHODS

In this paper, a numerical model for stent implantation is presented. This numerical model simulates the stent expansion, the interaction of the stent with arterial wall and the deformation of the arterial wall under the influence of the stent. FE method was used to perform CFD simulations and the effects of stenting were analyzed by comparing the hemodynamic parameters before and after stent implantation.

RESULTS

Clinical data for overall 34 patients was used for the simulations, and for 9 of them data from follow up examinations was used to validate the results of simulations of stent implantation.

CONCLUSIONS

The good agreement of results (less than 4.1% of SD error for all the 9 validation cases) demonstrated the accuracy of the presented numerical model. The developed approach can be a valuable tool for the improvement of pre-operative planning and patient-specific treatment optimization.

The application status, development and future trend of nano-iron materials in anaerobic digestion system

Growing environment problem and emphasis of environmental protection motivate intense research efforts in exploring technology to improve treatment efficiency on refractory organic pollutants. Hence, finding a method to make up for the deficiency of anaerobic digestion (AD) is very attractive and challenging tasks. The recent spark in the interest for the usage of some nanomaterials as an additive to strengthen AD system. The adoption of iron compounds can influence the performance and stability in AD system. However, different iron species and compounds can influence AD system in significantly different ways, both positive and negative. Therefore, strengthening mechanism, treatment efficiency, microbial community changes in Nanoscale Zero Valent Iron (nZVI) and Fe₃O₄ nanoparticles (Fe₃O₄ NPs) added AD systems were summarized by this review. The strengthening effects of nZVI and Fe₃O₄ NPs in different pollutants treatment system were analyzed. Previous study on the effects of nZVI and Fe₃O₄ NPs addition on AD have reported the concentration of nZVI and Fe₃O₄ NPs, and the types and biodegradability of pollutants might be the key factors that determine the direction and extent of effect in AD system. This review provides a summary on the nZVI and Fe₃O₄ NPs added AD system to establish experiment systems and conduct follow-up experiments in future study.

Performance of two contrasting pilot swale designs for treating zinc, polycyclic aromatic hydrocarbons and glyphosate from stormwater runoff

Swales are a widespread stormwater management solution to reduce pollutant concentrations in runoff. An innovative pilot facility was constructed to evaluate the treatment efficiency of the two main types of water-quality swales, i.e. standard swales and filtering swales. Using stormwater roof runoff, without any additions or spiked with organic micropollutants, 12 runoff simulation runs mimicking frequent storm events were discharged longitudinally or laterally over the pilot swales. The performance of each swale was assessed for 4 micropollutants, i.e. zinc (Zn), glyphosate, pyrene and phenanthrene. These substances were mainly found in the dissolved phase of the stormwater runoff used to supply the pilot swales. The standard swale, constructed from a silt loam soil, partially managed stormwater runoff by infiltration. Micropollutant concentration reductions were higher in the infiltrated water (35-85%) than in the overflow (-13-66%). The filtering swale, made of a sandy central part bordered by silt loam embankments, completely managed stormwater runoff by infiltration, providing high micropollutant concentration reductions (65-100%). Mass load reductions were higher for the filtering swale (67-90% for Zn and ≥89% for organic micropollutants) than for the standard swale (33-73% for Zn, 19-67% for glyphosate and ≥50% for both pyrene and phenanthrene). For both swales, lateral inflow was often associated with significantly higher concentration and mass reductions than longitudinal inflow. Consequently, when designing swales for the treatment of micropollutants, practitioners should preferentially promote filtering swales and installations providing lateral diffuse inflow over the facility.

Abundance and removal characteristics of microplastics at a wastewater treatment plant in Zhengzhou

The widespread use of synthetic polymers has made microplastic (MP) a new type of contaminant that has attracted worldwide attention. Studies have shown that wastewater treatment plants (WWTPs) are an important source of MP collection in the natural environment. This study investigated the removal efficiency and migration characteristics of MPs by sampling the sewage from each treatment section of a WWTP in Zhengzhou, China. The results showed that the abundance of MPs in the influent water and primary, secondary, and tertiary treatment discharges was 16.0, 10.3, 4.5, and 2.9 MP/L, respectively, and the total removal rate of MPs from the influent to the final effluent reached 81.9%. The MPs in the WWTP were mainly small-sized (0.08-0.55 mm), followed by medium-sized (0.55-1.7 mm). Fibers were the dominant MP shape in both the water and sediment samples. Black (36%) and red (23%) were the dominant MP colors. Six different polymer types of MPs were detected, which were mainly polypropylene followed by polyethylene. In general, for the MPs in the WWTP, the removal rate of fragments can reach 97.08%, which is better than that of fibers (70.50%); the removal rate of small-sized can reach 95.86%, which is better than that of medium-sized (83.53%) and large-sized (70.00%). In this study, primary treatment has better effects in eliminating fragments and large-sized MPs; secondary treatment has better effects in eliminating fibers and small-sized MPs. Although WWTPs have a very good removal effect on MPs, 870 million MP/d are still discharged into nearby rivers from WWTPs with a treatment scale of 300,000 m³/day. Graphical Abstract.

Removal of metals and hydrocarbons from stormwater using coagulation and flocculation

As the understanding of how stormwater pollutants are fractioned and need for mitigation has increased, so has the investigation into more advanced treatment techniques. The present study investigated the treatment efficiency of coagulation/flocculation and sedimentation in semi-synthetic stormwater. Five coagulants were evaluated in terms of reducing particle content, organic carbon, total and dissolved metals, hydrocarbon oil index, and polycyclic aromatic hydrocarbons (PAHs). Changes in the resulting particle size distribution as a consequence of the coagulation treatment were also investigated. The pollutants in the semi-synthetic stormwater were predominantly in the particulate phase. The medium and longer chained hydrocarbons dominated the hydrocarbon oil index, while medium to high molecular weight PAHs were most abundant. Iron chloride was the only coagulant that affected particle size distribution post-treatment, shifting the distribution toward larger particles. In terms of total metal removal, the performance of the coagulants was similar, with over 90% removal on average. Concentration of zdissolved copper, one of the metals found in the dissolved phase, was reduced by 40% via coagulation treatment. The iron chloride coagulant increased dissolved Zn, a change attributed to a considerable drop in pH resulting in higher ion mobility. Similarly, the reduction in organic content (total organic carbon, oil, and PAHs) was over 90% for most coagulants.

A novel rabbit derived anti-HER2 antibody with pronounced therapeutic effectiveness on HER2-positive breast cancer cells in vitro and in humanized tumor mice (HTM)

Background

Antibody based cancer therapies have achieved convincing success rates combining enhanced tumor specificity and reduced side effects in patients. Trastuzumab that targets the human epidermal growth factor related receptor 2 (HER2) is one of the greatest success stories in this field. For decades, trastuzumab based treatment regimens are significantly improving the prognosis of HER2-positive breast cancer patients both in the metastatic and the (neo-) adjuvant setting. Nevertheless, ≥ 50% of trastuzumab treated patients experience de-novo or acquired resistance. Therefore, an enhanced anti-HER2 targeting with improved treatment efficiency is still aspired.

Methods

Here, we determined cellular and molecular mechanisms involved in the treatment of HER2-positive BC cells with a new rabbit derived HER2 specific chimeric monoclonal antibody called “B100″. We evaluated the B100 treatment efficiency of HER2-positive BC cells with different sensitivity to trastuzumab both in vitro and in the presence of a human immune system in humanized tumor mice.

Results

B100 not only efficiently blocks cell proliferation but more importantly induces apoptotic tumor cell death. Detailed in vitro analyses of B100 in comparison to trastuzumab (and pertuzumab) revealed equivalent HER2 internalization and recycling capacity, similar Fc receptor signaling, but different HER2 epitope recognition with high binding and treatment efficiency. In trastuzumab resistant SK-BR-3 based humanized tumor mice the B100 treatment eliminated the primary tumor but even more importantly eradicated metastasized tumor cells in lung, liver, brain, and bone marrow.

Conclusion

Overall, B100 demonstrated an enhanced anti-tumor activity both in vitro and in an enhanced preclinical HTM in vivo model compared to trastuzumab or pertuzumab. Thus, the use of B100 is a promising option to complement and to enhance established treatment regimens for HER2-positive (breast) cancer and to overcome trastuzumab resistance. Extended preclinical analyses using appropriate models and clinical investigations are warranted.

Optimizing nutrient removal of moving bed biofilm reactor process using response surface methodology

The potential of 3-stages process (anaerobic, anoxic and moving bed biofilm reactor (MBBR)) for organic matter and nutrient removals from secondary WWTP effluents at various hydraulic retention time (HRT) and nitrate recycle ratio (R) was investigated. Percentage removals of total nitrogen (%TNremoval) and phosphorous (%TPremoval) were optimized using response surface methodology (RSM). Under optimized conditions (HRTtotal = 12.8 hr and R = 1.5) significant chemical oxygen demand removal (%CODremoval), %TNremoval and %TPremoval of 95.5%, 96.2%, 94.70% were attained. The MMBR effectively reduced organic matter and nutrient under low HRT and R. %TNremoval was improved by increasing the HRTR2 up to 1.5 h at R ≤ 2. Bio-uptake of phosphorus and nitrate is controlled by release of secondary phosphorous. Reactors demonstrated stable biofilm characteristics except for a slight decrease in biofilm thickness due to flow-shear stress. The 3-stages process performed four times higher than suspended growth process and similar to 5-stage Bardenpho-MBBR.

Effects of mechanical vibrations on maxillary canine retraction and perceived pain: a pilot, single-center, randomized-controlled clinical trial

The aim of this study was to investigate the effect of mechanical vibratory stimulation on maxillary canine retraction and pain perception in adolescents undergoing full-fixed orthodontic treatment with extraction. A pilot randomized-controlled clinical trial was conducted in one university orthodontic clinic. Twenty-one healthy adolescents who underwent full-fixed orthodontic treatment with maxillary first-premolar extraction were recruited. Subjects were randomly assigned to the experimental group (N = 10) that used a mechanical vibration device (AcceleDent Aura, OrthoAccel Technologies, Inc.) or the control group (N = 11) that did not receive a vibration device. The evaluation timepoints were T₀ = day of initial canine retraction; T₁ = 4 weeks post-initiation; T₂ = 8 weeks post-initiation; and T₃ = 12 weeks post-initiation. Three-dimensional palatal landmark superimpositions were made to assess amount of tooth movement (mm) at each visit, monthly rate of tooth movement (mm), and perceived pain levels (VAS scores). The total amount of tooth movement was observed in the control versus experimental groups, respectively, as 1.12 ± 0.22 mm versus 1.39 ± 0.36 mm at 4 weeks (p = 0.058), 2.59 ± 0.37 mm versus 2.49 ± 0.76 mm at 8 weeks (p = 0.702), and 3.54 ± 0.23 mm versus 3.37 ± 1.37 mm at 12 weeks (p = 0.716). The rate of tooth movement was 1.21 ± 0.32 mm/month in the control and 1.12 ± 0.20 mm/month in the experimental groups, which was not statistically significant at any of the timepoints and neither was the level of pain. This study found no statistically significant differences in canine retraction and pain perception between the experimental and control groups. We propose that further optimization of accelerated tooth movement with mechanical vibration devices is necessary.

The value of delta neutrophil index in neonatal sepsis diagnosis, follow-up and mortality prediction

BACKGROUND

The complete blood cell count (CBC) and peripheral blood smear were the most commonly ordered tests for the diagnosis of neonatal sepsis. Delta neutrophil index (DNI) shows leucocyte differentiation and calculated while CBC is performed.

AIMS

We aimed to evaluate the value of DNI in neonatal sepsis.

STUDY DESIGN

DNI was measured with Siemens Advia 2120 and 2120i devices. DNI was calculated as (neutrophil and eosinophil count in myeloperoxidase channel)-(polymorphonuclear leucocyte count in nuclear lobularity channel).

RESULTS

Study population included 141 and 87 neonates in sepsis (110 proven, 31 clinical) and control groups. Demographic characters were similar between groups. Proven sepsis group had lower birthweight and higher late-onset sepsis rate than clinical sepsis and control groups. Median DNI (16.3 vs 1,4) and CRP (6.8 vs 0,03 mg/dl) were significantly higher in sepsis group. Proven sepsis group had significantly higher DNI level than clinical sepsis group (20.8 vs 9.1). Cut-off level of DNI was 4.6 with 85% sensitivity and 80% specificity. Cut-off level of CRP was 0.58 mg/dl with 81% sensitivity and 82% specificity. Combination of DNI and CRP gave 98% sensitivity and 76% specificity. Mortality rate in sepsis group was 39%. Median DNI level in patients with mortality was significantly higher (30.1 vs 9.6). Cut-off level of DNI for mortality prediction was 16.1 with 75% sensitivity and 65% specificity. Follow-up levels of DNI was significantly decreased in 6-10 days to normal levels (16.3 to 4.2).

CONCLUSIONS

DNI was found to be useful in the diagnose, follow-up and mortality prediction of neonatal sepsis without extra blood to CBC.

A novel spatiotemporally anaerobic/semi-aerobic bioreactor for domestic solid waste treatment in rural areas

To meet the requirements of domestic solid waste treatment and technological upgrading of bioreactors, a spatiotemporally anaerobic/semi-aerobic bioreactor (STASAB) was designed. The STASAB took full advantages of anaerobic and semi-aerobic bioreactors by the sequential alternation of anaerobic and semi-aerobic operation and by recirculation of mixed leachate from different-stage bioreactors. Results indicated that after the start-up stage, the pH of leachate in the STASAB always remained higher than 6.88, even in the hydrolysis and acidogenesis stage. The maximum total nitrogen concentration in the STASAB was 1461 mg·L^-1, which was merely half that of the sequentially anaerobic/semi-aerobic bioreactor (SASAB) and had no adverse effects on the anaerobic process. Nitrogen removal in the STASAB reached 92.3%-95.5% when operated in the semi-aerobic phase and even reached 49.4% when operated in the anaerobic phase. The peak concentration of chemical oxygen demand was much lower and the anaerobic digestion lag time was much shorter in the STASAB than in the SASAB. The period of rapid biogas production in the STASAB was double that of the SASAB, which resulted in a 70% increase in biogas generation. Moreover, leachate could be exhausted by evaporation in just 3-5 months during the semi-aerobic phase. Therefore, the STASAB can eliminate acidogenic and ammonia inhibition during solid waste treatment, enhance the rate and extent of organic waste decomposition, rapidly initiate methanogenesis, enhance methane generation, and achieve zero leachate discharge (excluding rainfall infiltration). The STASAB is an efficient and feasible technique for treating domestic solid waste in rural areas.

The fate of microplastics in an Italian Wastewater Treatment Plant

The emerged threat of microplastics (MPs) in aquatic ecosystems is posing a new challenges in environmental management, in particular the civil Wastewater Treatment Plants (WWTPs) which can act both as collectors of MPs from anthropic use and as a source to natural environments. In this study, MP fate was investigated in one of the biggest WWTPs of Northern Italy, built at the beginning of the 2000s and which serves a population equivalent of about 1,200,000, by evaluating their presence at the inlet (IN), the removal efficiency after the settler (SET) and at the outlet (OUT), and their transfer to sludge. Samples were collected in three days of a week and plastic debris was characterized in terms of shape, size and polymer composition using the Fourier Transform Infrared Microscope System (μFT-IR). The number of detected MPs was 2.5 ± 0.3 MPs/L in the IN, 0.9 ± 0.3 MPs/L after the SET and 0.4 ± 0.1 MPs/L in the OUT, indicating a total removal efficiency of 84%. However, considering that this WWTP treats about 400,000,000 L wastewaters/day, the potential release of MPs to the receiving aquatic system would be approximately 160,000,000 MPs/day, mainly polyesters (35%) and polyamide (17%). Furthermore, a great amount of MPs removed from wastewater was detected in the recycled activated sludge, with 113 ± 57 MPs/g sludge dry weight, corresponding to about 3,400,000,000 MPs deposited in the 30 tons of sludge daily produced by this WWTP. Given the possible re-use of WWTP sludge in fertilizers for agriculture, our results highlight that WWTPs could represent a potential source of MPs also to agroecosystems.

Specific approach for membrane fouling control and better treatment performance of an anaerobic submerged membrane bioreactor

This paper investigated a strategy to minimize membrane fouling and increase treatment efficiency through an investigation of a specific approach by adding sponges into a conventional submerged anaerobic membrane bioreactor (CAnSMBR). During the operation, the protein-based soluble microbial products as the main factor affecting the membrane fouling could be reduced by sponge addition in the CAnSMBR (SAnSMBR). Furthermore, reducing HRT from 18 h to 12 h could shorten the membrane fouling cycle to 62% and 87% in CAnSMBR and SAnSMBR, respectively. At the initial of COD/NO₃ ratio ranges from 5 to 4, only 88% of nitrogen in CAnSMBR was removed, while the SAnSMBR could remove more than 90%. TOC removal efficiency could reach more than 95% under a good stirring scenario. It is evident that the SAnSMBR is a promising solution for improving overall CAnSMBR performance and substantially mitigating membrane fouling.

Application of membrane distillation for the treatment of anaerobic membrane bioreactor effluent: An especial attention to the operating conditions

This study was carried out by applying the direct contact membrane distillation (DCMD) into the treatment of effluent from anaerobic membrane bioreactor. The treatment efficiency of DCMD was highly emphasized, which was expected to be improved through the optimization of operating conditions. Three operating conditions, including temperature difference, cross-flow velocity and membrane pore size, were considered. The relative flux (the ratio of actual flux to initial flux) increased from 0.50 to 0.98 as the operating conditions changed and that was enhanced by the increment of temperature difference and cross-flow velocity. Regarding the wastewater treatment efficiency, except for ammonia nitrogen, the interception ratio was greater than 90.0%, which even reached 99.0% for COD_Cr, protein and polysaccharide by optimizing operating conditions. In addition, the interception ratio of PO₄^3--P almost reached 100.0% under any operating condition. Further study about membrane fouling was carried out, and the crystallization fouling was found to be the main fouling type.

Effect of the micro-flocculation stage on the flocculation/sedimentation process: The role of shear rate

Dynamic analysis on the variation of particle size distribution (PSD) and the fractal characteristics of PSD (D_f) were investigated to better understand the continuous procedure of the floc growth and optimize the control of flocculation process. It was found that the flocculation process could be divided into three stages, i.e., the micro-flocculation stage, the growth stage and the steady (or breakage) stage. As the stage which is crucial to the morphology of micro-flocs (the building blocks of large flocs), the micro-flocculation stage plays an important role on flocculation/sedimentation process. The results showed that an increase in shear rate (11s^-1<G<30s^-1) during the micro-flocculation stage contributed to micro-flocs with larger size and more compact structure. As shear rate further increased (30s^-1<G<55s^-1), the micro-floc average size gently decreased from 13.61μm to 10.91μm, whereas two-dimension fractal dimension of micro-flocs gradually increased from 1.85 to 1.89. This indicated that further increase of shear rate during the micro-flocculation was incline to the formation of smaller micro-flocs with more compact structure. According to the results of final floc properties, the moderate shear rate (G=30s^-1) benefited to the micro-floc formation to form final flocs with desired properties, further improved the treatment efficiency in the whole process. Based on the kinetics in the micro-flocculation stage, a conceptual model was proposed to describe the micro-floc growth under different shear rates, further revealed the reason for the different properties of final flocs under various shear rate during the micro-flocculation stage. Combining the results with model, it was concluded that shear rate during the micro-flocculation stage mainly affected final flocs by the domination of micro-floc structure. This research gives indications both for theoretical and actual works to improve the efficiency in the solid/liquid process.

Improving domestic wastewater treatment efficiency with constructed wetland microbial fuel cells: Influence of anode material and external resistance

For the past few years, there has been an increasing interest in the operation of constructed wetlands as microbial fuel cells (CW-MFCs) for both the improvement of wastewater treatment efficiency and the production of energy. However, there is still scarce information on design and operation aspects to maximize CW-MFCs efficiency, especially for the treatment of real domestic wastewater. The aim of this study was to quantify the extent of treatment efficiency improvement carried out by membrane-less MFCs simulating a core of a shallow un-planted horizontal subsurface flow constructed wetland. The influence of the external resistance (50, 220, 402, 604 and 1000Ω) and the anode material (graphite and gravel) on treatment efficiency improvement were addressed. To this purpose, 6 lab-scale membrane-less MFCs were set-up and loaded in batch mode with domestic wastewater for 13weeks. Results showed that 220Ω was the best operation condition for maximising MFCs treatment efficiency, regardless the anode material employed. Gravel-based anode MFCs operated at closed circuit showed ca. 18%, 15%, 31% and 25% lower effluent concentration than unconnected MFCs to the COD, TOC, PO₄^-3 and NH₄⁺-N, respectively. Main conclusion of the present work is that constructed wetlands operated as MFCs is a promising strategy to improve domestic wastewater treatment efficiency. However, further studies at pilot scale under more realistic conditions (such as planted systems operated under continuous mode) shall be performed to confirm the findings here reported.

Failure patterns of different bracket systems and their influence on treatment duration: A retrospective cohort study

OBJECTIVES

To compare the failure pattern of four different bracket types and to assess its effect on treatment duration.

MATERIALS AND METHODS

A total of 78 white patients (28 male, 50 female) with a mean age of 12.6 years were included in this retrospective cohort study and treated for a mean period of 30.6 months. The patients were treated in a private practice with stainless steel conventionally ligated brackets, ceramic conventionally ligated brackets, stainless steel self-ligating brackets, or nickel-free self-ligating brackets. The loss of at least one bracket during the course of treatment was analyzed with Cox proportional hazards survival analyses and generalized linear regression.

RESULTS

The overall bracket failure rate at the tooth level was 14.1% (217 brackets), with significant differences according to tooth type (between 8.0%-23.4%) and bracket type (between 11.2%-20.0%). After taking confounders into account, patients treated with ceramic brackets lost more brackets (hazard ratio = 1.62; 95% confidence interval = 1.14-2.29; P = .007) than patients with stainless steel brackets. On average, treatment time increased by 0.6 months (95% confidence interval = 0.21-1.05; P = .004) for each additional failed bracket.

CONCLUSIONS

Bracket failure was more often observed with ceramic brackets and was associated with increased treatment duration.

Monitoring the effect of first line treatment in RAS/RAF mutated metastatic colorectal cancer by serial analysis of tumor specific DNA in plasma

BACKGROUND

Precision medicine calls for an early indicator of treatment efficiency. Circulating tumor DNA (ctDNA) is a promising marker in this setting. Our prospective study explored the association between disease development and change of ctDNA during first line chemotherapy in patients with RAS/RAF mutated metastatic colorectal cancer (mCRC).

METHODS

The study included 138 patients with mCRC receiving standard first line treatment. In patients with RAS/RAF mutated tumor DNA the same mutation was quantified in the plasma using droplet digital PCR. The fractional abundance of ctDNA was assessed in plasma before treatment start and at every treatment cycle until radiologically defined progressive disease.

RESULTS

RAS/RAF mutations were detected in the plasma from 77 patients. Twenty patients progressed on treatment and 57 stopped treatment without progression. The presence of mutated DNA in plasma was correlated with poor overall survival. A low level of ctDNA after the first cycle of chemotherapy was associated with a low risk of progression. On the other hand, a significant increase of ctDNA at any time during the treatment course was associated with a high risk of progression on continuous treatment. The first increase in ctDNA level occurred at a median of 51 days before radiologically confirmed progression.

CONCLUSIONS

The results indicate that the ctDNA level holds potential as a clinically valuable marker in first line treatment of mCRC. A rapid decrease was associated with a prolonged progression free interval, whereas a significant increase gave notice of early progression with a relevant lead time.

Characterization of titanium dioxide nanoparticle removal in simulated drinking water treatment processes

This study characterized the fate of nano-TiO₂ in both powder (TiO₂(P)) and suspension (TiO₂(S)) forms in simulated drinking water treatments. Nano-TiO₂ solutions of 0.1, 1.0, and 10mg/L were prepared with deionized water and raw waters from the Changxing and Fengshan Water Treatment Plants in Taiwan to assess the effects of water matrices on nano-TiO₂ behavior during water treatment. After the laboratory simulated water treatment, including pre-chlorination, coagulation, sedimentation, filtration and post-chlorination, the residual Ti concentration ranged from 2.7 to 47.4% in different treatment units and overall removal efficiency was between 52.6% and 97.3% in all cases except for nano-TiO₂ at concentration of 0.1mg/L. Overall removal efficiency for the TiO₂ at 10mg/L concentration ranged from 9.3 to 53.5%. Sedimentation (after coagulation) and filtration were the most important processes for removing nano-TiO₂ due in part to particle agglomeration, which was confirmed by size distribution and zeta potential measurements. The size of nano-TiO₂ increased from 21-36nm to 4490nm in the supernatant after sedimentation, and subsequent filtration treatment further removed all agglomerates at size >1μm. Zeta potential revealed interactions between nano-TiO₂ particles and anionic functional groups or negatively-charged natural organic matters, leading to a decrease in surface charge. After sedimentation and filtration, the zeta potential of supernatants and filtrates were close to zero, meaning the absence of nanoparticles. The highest Ti removal after sedimentation occurred in Fengshan raw water due to higher ionic strength and coagulant dosage applied. On the other hand, the surfactant additives in TiO₂(S) promoted dispersion of nano-TiO₂ particles, which in turn led to lower particle removal. SEM images of nanoparticles after chlorination or coagulation revealed the coverage of nano-TiO₂ particles by viscous substances and formation of colloidal structures.

Decrease of global current source density predicts successful treatment in absence and juvenile myoclonic epilepsies

OBJECTIVE

To investigate relationship between treatment efficiency and EEG background activity changes in absence epilepsy (AE) and juvenile myoclonic epilepsy (JME) patients.

PATIENTS AND METHODS

EEGs of 31 patients were analysed before treatment and after six months of treatment. Three minutes of artifact-free waking EEG background activity (without epileptiform potentials) were analysed for each patient in both conditions. All the EEG samples were processed to LORETA (Low Resolution Electromagnetic Tomography). Average of all the voxel-wise current source density (CSD) values within the 0.5-8.0Hz frequency range was computed for each EEG. Fischer's exact test was used to investigate association between the global CSD changes and the therapeutic outcome.

RESULTS

Tight connection was demonstrated between seizure freedom and decreased CSD, and between persisting seizures and increased CSD (p<0.001).

SIGNIFICANCE

An EEG-based biomarker that predicts successful drug treatment was described.

Torque differences due to the material variation of the orthodontic appliance: a finite element study

Background

Torque of the maxillary incisors is crucial to occlusal relationship and esthetics and can be influenced by many factors. The aim of this study was to assess the relative influence of the material of the orthodontic appliance (adhesive, bracket, ligature, and wire) on tooth displacements and developed stresses/strains after torque application.

Methods

A three-dimensional upper right central incisor with its periodontal ligament (PDL) and alveolus was modeled. A 0.018-in. slot discovery® (Dentaurum, Ispringen, Germany) bracket with a rectangular 0.018 x 0.025-in. wire was generated. The orthodontic appliance varied in the material of its components: adhesive (composite resin or resin-modified glass ionomer cement), bracket (titanium, steel, or ceramic), wire (beta-titanium or steel), and ligature (elastomeric or steel). A total of 24 models were generated, and a palatal root torque of 5° was applied. Afterwards, crown and apex displacement, strains in the PDL, and stresses in the bracket were calculated and analyzed.

Results

The labial crown displacement and the palatal root displacement of the tooth were mainly influenced by the material of the wire (up to 150% variation), followed by the material of the bracket (up to 19% variation). The magnitude of strains developed in the PDL was primarily influenced by the material of the wire (up to 127% variation), followed by the material of the bracket (up to 30% variation) and the ligature (up to 13% variation). Finally, stresses developed at the bracket were mainly influenced by the material of the wire (up to 118% variation) and the bracket (up to 59% variation).

Conclusions

The material properties of the orthodontic appliance and all its components should be considered during torque application. However, these in silico results need to be validated in vivo before they can be clinically extrapolated.

Electronic supplementary material

The online version of this article (doi:10.1186/s40510-017-0161-5) contains supplementary material, which is available to authorized users.

The association between treatment reactions and treatment efficiency of Hemoporfin-photodynamic therapy on port wine stains: A prospective double blind randomized controlled trial

BACKGROUND

Research has focused on treatment efficiency and/or treatment reactions of photodynamic therapy (PDT) on port-wine stain (PWS). But few studies reported the association between them. Hence, here we investigated the association between the treatment efficiency and treatment reactions after Hemoporfin (HMME) mediated photodynamic therapy (PDT) on PWS through a prospective study.

METHODS

Patients (n=50) with PWS were randomly assigned to the HMME group or the placebo group. Three quit after the first treatment, and forty-seven received two sessions of treatment at an 8-week interval. They were given the treatment at day 1 and evaluations were performed at day 1, day 4 and week 8 in each session. HMME group was treated with HMME while the placebo group was given normal saline instead in the first session, double-blindly. While in the second session, both groups received HMME-PDT treatment.

RESULTS

After a single treatment, swelling was more severe in younger patients (p<0.05) and the lesion far from centro-facial showed more severe pruritus and scab. Compared with a single treatment, burning sensation had a higher occurrence rate, while burning sensation and scab were less severe in the second treatment. Importantly, severity of scab and pain (5min after irradiation) were found possibly correlated with the treatment efficiency.

CONCLUSION

HMME-PDT on PWS induces several treatment reactions, including pruritus, burning sensation, pain, swelling, blisters and scab. Two sessions of treatments do not have any accumulation effects on treatment reactions. And there might be a positive correlation between treatment efficiency and the severity of scab or pain (at early stage of the therapy), which might help in regulating treatment modalities.

Do customized orthodontic appliances and vibration devices provide more efficient treatment than conventional methods?

The incorporation of technological advances in the field of clinical orthodontics to increase treatment efficiency has led to the development of customized appliances (Insignia®), archwires (Suresmile®), and the production of devices to enhance tooth movement (Acceledent®). This review presents a comprehensive study of the literature concerning these products, and analyzes the available evidence of their efficiency. To date, one pilot study has evaluated the efficiency of the Insignia® system, three retrospective studies have assessed the efficiency of the Suresmile® system, and a few Acceledent® reports have described its effect on treatment time. Critical appraisal of the reviewed papers revealed that the efficiency of the Insignia® system cannot be confirmed based on the available evidence, while the use of Suresmile® can reduce overall treatment time in simple cases. The acceleration of tooth movement by Acceledent® devices has not yet been confirmed.

A multi-center randomized controlled trial to compare a self-ligating bracket with a conventional bracket in a UK population: Part 1: Treatment efficiency

OBJECTIVE

To use a two-arm parallel trial to compare treatment efficiency between a self-ligating and a conventional preadjusted edgewise appliance system.

MATERIALS AND METHODS

A prospective multi-center randomized controlled clinical trial was conducted in three hospital orthodontic departments. Subjects were randomly allocated to receive treatment with either a self-ligating (3M SmartClip) or conventional (3M Victory) preadjusted edgewise appliance bracket system using a computer-generated random sequence concealed in opaque envelopes, with stratification for operator and center. Two operators followed a standardized protocol regarding bracket bonding procedure and archwire sequence. Efficiency of each ligation system was assessed by comparing the duration of treatment (months), total number of appointments (scheduled and emergency visits), and number of bracket bond failures.

RESULTS

One hundred thirty-eight subjects (mean age 14 years 11 months) were enrolled in the study, of which 135 subjects (97.8%) completed treatment. The mean treatment time and number of visits were 25.12 months and 19.97 visits in the SmartClip group and 25.80 months and 20.37 visits in the Victory group. The overall bond failure rate was 6.6% for the SmartClip and 7.2% for Victory, with a similar debond distribution between the two appliances. No significant differences were found between the bracket systems in any of the outcome measures. No serious harm was observed from either bracket system.

CONCLUSIONS

There was no clinically significant difference in treatment efficiency between treatment with a self-ligating bracket system and a conventional ligation system.

Performance evaluation and modeling of a submerged membrane bioreactor treating combined municipal and industrial wastewater using radial basis function artificial neural networks

Treatment process models are efficient tools to assure proper operation and better control of wastewater treatment systems. The current research was an effort to evaluate performance of a submerged membrane bioreactor (SMBR) treating combined municipal and industrial wastewater and to simulate effluent quality parameters of the SMBR using a radial basis function artificial neural network (RBFANN). The results showed that the treatment efficiencies increase and hydraulic retention time (HRT) decreases for combined wastewater compared with municipal and industrial wastewaters. The BOD, COD, [Formula: see text] and total phosphorous (TP) removal efficiencies for combined wastewater at HRT of 7 hours were 96.9%, 96%, 96.7% and 92%, respectively. As desirable criteria for treating wastewater, the TBOD/TP ratio increased, the BOD and COD concentrations decreased to 700 and 1000 mg/L, respectively and the BOD/COD ratio was about 0.5 for combined wastewater. The training procedures of the RBFANN models were successful for all predicted components. The train and test models showed an almost perfect match between the experimental and predicted values of effluent BOD, COD, [Formula: see text] and TP. The coefficient of determination (R(2)) values were higher than 0.98 and root mean squared error (RMSE) values did not exceed 7% for train and test models.

High rate biomethanation technology for solid waste management and rapid biogas production: An emphasis on reactor design parameters

A high rate biomethanation digester was designed and fabricated to study its real field treatment efficiency and simultaneous biogas generation. The major design parameters like self mixing, delinking hydraulic retention time and solid retention time etc. were considered for efficient performance. It was operated with an organic loading rate (OLR) of 1.5kg/m(3)d(-1) with composite food waste for about one year. The maximum treatment efficiency achieved with respect to total solid (TS) reduction and volatile solids (VS) reduction was 94.5% and 89.7%, respectively. Annual mean biogas of about 0.16m(3)/kgVSd(-1) was observed with methane content varying from 56% to 60% (v/v). The high competence of high rate digester is attributed to its specific design features and intermittent mixing of the digester contents and also due to the hydrodynamic principles involved in its operation.

Occurrence, fate and ecotoxicological assessment of pharmaceutically active compounds in wastewater and sludge from wastewater treatment plants in Chongqing, the Three Gorges Reservoir Area

The occurrence, removal and ecotoxicological assessment of 21 pharmaceutically active compounds (PhACs) including antibiotics, analgesics, antiepileptics, antilipidemics and antihypersensitives, were studied at four municipal wastewater treatment plants (WWTP) in Chongqing, the Three Gorges Reservoir Area. Individual treatment unit effluents, as well as primary and secondary sludge, were sampled and analyzed for the selected PhACs to evaluate their biodegradation, persistence and partitioning behaviors. PhACs were identified and quantified using high performance liquid chromatography/tandem mass spectrometry after solid-phase extraction. All the 21 analyzed PhACs were detected in wastewater and the target PhACs except acetaminophen, ibuprofen and gemfibrozil, were also found in sludge. The concentrations of the antibiotics and SVT were comparable to or even higher than those reported in developed countries, while the case of other target PhACs was opposite. The elimination of PhACs except acetaminophen was incomplete and a wide range of elimination efficiencies during the treatment were observed, i.e. from "negative removal" to 99.5%. The removal of PhACs was insignificant in primary and disinfection processes, and was mainly achieved during the biological treatment. Based on the mass balance analysis, biodegradation is believed to be the primary removal mechanism, whereas only about 1.5% of the total mass load of the target PhACs was removed by sorption. Experimentally estimated distribution coefficients (<500 L/kg, with a few exceptions) also indicate that biodegradation/transformation was responsible for the removal of the target PhACs. Ecotoxicological assessment indicated that the environment concentrations of single compounds (including sulfadiazine, sulfamethoxazole, ofloxacin, azithromycin and erythromycin-H2O) in effluent and sludge, as well as the mixture of the 21 detected PhACs in effluent, sludge and receiving water had a significant ecotoxicological risk to algae. Therefore, further control of PhACs in effluent and sludge is required before their discharge and application to prevent their introduction into the environment.

Inventory and treatment of compost maturation emissions in a municipal solid waste treatment facility

Emissions of volatile organic compounds (VOCs) from the compost maturation building in a municipal solid waste treatment facility were inventoried by solid phase microextraction and gas chromatography-mass spectrometry. A large diversity of chemical classes and compounds were found. The highest concentrations were found for n-butanol, methyl ethyl ketone and limonene (ppmv level). Also, a range of compounds exceeded their odor threshold evidencing that treatment was needed. Performance of a chemical scrubber followed by two parallel biofilters packed with an advanced packing material and treating an average airflow of 99,300 m(3) h(-1) was assessed in the treatment of the VOCs inventoried. Performance of the odor abatement system was evaluated in terms of removal efficiency by comparing inlet and outlet abundances. Outlet concentrations of selected VOCs permitted to identify critical odorants emitted to the atmosphere. In particular, limonene was found as the most critical VOC in the present study. Only six compounds from the odorant group were removed with efficiencies higher than 90%. Low removal efficiencies were found for most of the compounds present in the emission showing a significant relation with their chemical properties (functionality and solubility) and operational parameters (temperature, pH and inlet concentration). Interestingly, benzaldehyde and benzyl alcohol were found to be produced in the treatment system.