Reduced sludge production in a membrane bioreactor by uncoupling metabolism and its effect on phosphorus accumulation in the biomass

Due to its limited recycling or reuse, treatment and disposal of excess waste activated sludge has been a major challenge. As a preemptive method, therefore, uncoupling metabolism for reduced sludge production has been investigated recently. In this study, we operated a pilot-scale A²O-membrane bioreactor (MBR) system incorporating an anaerobic sludge holding tank (SHT) in a sludge recycling line to induce uncoupling metabolism, and investigated sludge production and treatment efficiency. After operation for ≥1 year, the Y_obs value was estimated to be 0.041 g mixed liquor suspended solid (MLSS)/g chemical oxygen demand with 198.7 days of solids retention time (SRT). This Y_obs value was markedly lower than those reported previously. Since MBR can be operated with a relatively high MLSS and prolonged SRT, the greatest reduction was achieved by combination with uncoupling metabolism. Phosphate fractionation experiments of the MLSS from the pilot MBR suggested the total phosphate content of microorganisms was 47.0 mg P/g mixed liquor volatile suspended solid; 83% higher than that of the activated sludge process and 49% higher than that of the conventional A²O process. Of the increased phosphate contents, that of the acid-insoluble polyphosphate (AISP) fraction was greatest, suggesting that growth inhibition by uncoupling metabolism stimulates AISP synthesis, which can be utilized under growth-limiting conditions.

ABBREVIATIONS

AISP: acid-insoluble polyphosphate; ASP: acid-soluble polyphosphate; BNR: biological nutrients removal; EPS: extracellular polymeric substance; LMH: L/m² h; MBR: membrane bioreactor; OST: oxic-settling-anaerobic; PAO: phosphate accumulation organism; PCA: perchloric acid; SBR: sequencing batch reactor; SHT: sludge holding tank; SRT: solids retention time; TN: total nitrogen; TP: total phosphate; WAS: waste activated sludge.

The prevalence and impact of sarcopenia on degenerative lumbar spinal stenosis

AIMS

The purpose of this study was to investigate the prevalence of sarcopenia and to examine its impact on patients with degenerative lumbar spinal stenosis (DLSS).

PATIENTS AND METHODS

This case-control study included two groups: one group consisting of patients with DLSS and a second group of control subjects without low back or neck pain and related leg pain. Five control cases were randomly selected and matched by age and gender (n = 77 cases and n = 385 controls) for each DLSS case. Appendicular muscle mass, hand-grip strength, sit-to-stand test, timed up and go (TUG) test, and clinical outcomes, including the Oswestry Disability Index (ODI) scores and the EuroQol EQ-5D were compared between the two groups.

RESULTS

The prevalence of sarcopenia, as defined by hand-grip strength, was significantly higher in the DLSS group (24%) when compared with the age- and gender-matched control group (12%) (p = 0.004). In the DLSS group, the sarcopenia subgroup demonstrated inferior results for the TUG test and ODI scores when compared with the non-sarcopenia subgroup (p = 0.006 and p = 0.039, respectively) after adjusting for age and gender.

CONCLUSION

This study demonstrated a higher prevalence of sarcopenia in patients with DLSS and highlighted its negative effect on clinical outcomes. Cite this article: Bone Joint J 2016;98-B:1093-8.