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1.
Clin Radiol ; 75(11): 880.e5-880.e12, 2020 11.
Article in English | MEDLINE | ID: mdl-32888653

ABSTRACT

AIM: To compare the performance of multi-echo chemical-shift-encoded (MECSE) magnetic resonance imaging (MRI) proton density fat fraction (PDFF) estimation, considering three different fat frequency peak combinations, for the quantification of steatosis in patients with non-alcoholic fatty liver disease (NAFLD). MATERIALS AND METHODS: The present study was a prospective cross-sectional research of 121 patients with metabolic syndrome and evidence of hepatic steatosis on ultrasound, who underwent a 3 T MRI examination. All patients were studied with a multifrequency MECSE sequence. The PDFF was calculated using six peaks (MECSEp123456), three peaks (MECSEp456), and a single peak (MECSEp5) model. The two simpler fat peak models were compared to the six peaks model, which was considered the reference standard. Linearity was evaluated using linear regression while agreement was described using Bland-Altman analysis. RESULTS: The mean age was 47 (±9) years and BMI was 29.9 (±2.9) kg/m2. Steatosis distribution was 15%/31%/54% (S1/S2/S3, respectively). Compared to MECSEp123456, both models provided linear PDFF measurements (R2= 0.99 and 0.97, MECSEp456 and MECSEp5 respectively). Regression slope (0.92; p<0.001) and mean Bland-Altman bias (-1.5%; 95% limits of agreement: -3.19%, 0.22%) indicated minimal underestimation by using PDFF-MECSEp456. Nonetheless, mean differences in PDFF estimations varied from -1.5% (MECSEp456,p=0.006) to -2.2% (MECSEp5,p<0.001) when compared to full six fat frequencies model. CONCLUSION: Although simpler spectral fat MECSE analysis shows a linear relationship with the standard six peaks model, their variation in estimated PDFF values introduces a low but clinically significant bias in fat quantification and steatosis grading in NAFLD patients.


Subject(s)
Liver/diagnostic imaging , Magnetic Resonance Imaging , Non-alcoholic Fatty Liver Disease/diagnostic imaging , Adipose Tissue/diagnostic imaging , Adipose Tissue/pathology , Cross-Sectional Studies , Fatty Liver/diagnostic imaging , Fatty Liver/pathology , Female , Humans , Liver/pathology , Male , Middle Aged , Non-alcoholic Fatty Liver Disease/pathology , Prospective Studies
2.
Abdom Radiol (NY) ; 45(11): 3557-3568, 2020 11.
Article in English | MEDLINE | ID: mdl-32857259

ABSTRACT

Magnetic resonance (MR) identification and grading of subjects with liver fibrosis and inflammation represents a clinical challenge. MR elastography plays a well-defined role in fibrosis estimation, but its use is not widely available in clinical settings. Given that liver MR is becoming the reference standard for fat and iron quantitation, there is a need to clarify whether there is any role for MR imaging in the concomitant evaluation of fibrosis and inflammation in this setting. This review summarizes the diagnostic estimations of different MR imaging parameters obtained from conventional non-contrast-enhanced multiple b values diffusion-weighted acquisitions, variable flip angles T1 relaxation maps and STIR images. Although some derived parameters have shown a significant correlation to histological scores, a small magnitude of effect with wide overlap across severity grades is the rule. Contrary to fat and iron quantification, the low precision and reproducibility of MR imaging metrics limits its clinical relevance in fibrosis and inflammation assessment. In a sequential clinical approach combining different methodologies, MR imaging has no applicability for ruling-out and low accuracy for ruling-in advanced fibrosis. Thereby, MR elastography remains as the only image method with high diagnostic accuracy for the detection of advanced fibrosis. Until date, inflammation remains in a gray zone where biopsy cannot be replaced, and further investigations are needed. The present review offers an in-depth discuss of the MR imaging diagnostic performance for the evaluation of liver fibrosis and inflammation, highlighting the need for scientific improvements.


Subject(s)
Elasticity Imaging Techniques , Liver Cirrhosis , Humans , Inflammation/diagnostic imaging , Inflammation/pathology , Liver/pathology , Liver Cirrhosis/diagnostic imaging , Liver Cirrhosis/pathology , Magnetic Resonance Imaging , Reproducibility of Results
3.
J Small Anim Pract ; 61(10): 617-623, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32715489

ABSTRACT

OBJECTIVES: To determine the influence of several factors on respiratory system compliance in volume-controlled mechanically ventilated healthy anaesthetised dogs. MATERIALS AND METHODS: Review of 100 dogs anaesthetised for elective surgeries between 2015 and 2016. Dogs were mechanically ventilated with a respiratory rate adjusted to maintain normocapnia and a fraction of inspired oxygen of 50%. Body weight, body condition score, age, thoracic shape, time in spontaneous ventilation before volume-controlled ventilation, time with a fraction of inspired oxygen of 100% until starting mechanical ventilation, type of surgery and patient position were recorded. Respiratory system compliance, expressed per kg of bodyweight, was recorded every 15 minutes following initiation of volume-controlled ventilation. RESULTS: Baseline respiratory system compliance was 1.3 ± 0.3 mL/cmH2 O/kg and was reduced by high body condition score and barrel-shaped thorax but not by age, type of surgery or patient position, time in spontaneous ventilation nor time with a fraction of inspired oxygen of 100%. CLINICAL SIGNIFICANCE: Respiratory system compliance is lower in overweight and barrel-chested dogs and should be taken into account during monitoring of lung function and ventilation management under general anaesthesia.


Subject(s)
Respiration, Artificial , Respiratory System , Anesthesia, General/veterinary , Animals , Dogs , Oxygen , Respiration, Artificial/veterinary , Retrospective Studies
4.
Sci Total Environ ; 699: 134365, 2020 Jan 10.
Article in English | MEDLINE | ID: mdl-31677459

ABSTRACT

Methane production from microalgae can be enhanced through anaerobic co-digestion with carbon-rich substrates and thus mitigate the inhibition risk associated with its low C:N ratio. Acclimated microbial communities for microalgae disruption can be used as a source of natural enzymes in bioenergy production. However, co-substrates with a certain microbial diversity such as primary sludge might shift the microbial structure. Substrates were generated in a Water Resource Recovery Facility (WRRF) and combined as follows: Scenedesmus or Chlorella digestion and microalgae co-digestion with primary sludge. The study was performed using two lab-scale Anaerobic Membrane Bioreactors (AnMBR). During three years, different feedstocks scenarios for methane production were evaluated with a special focus on the microbial diversity of the AnMBR. 57% of the population was shared between the different feedstock scenarios, revealing the importance of Anaerolineaceae members besides Smithella and Methanosaeta genera. The addition of primary sludge enhanced the microbial diversity of the system during both Chlorella and Scenedesmus co-digestion and promoted different microbial structures. Aceticlastic methanogen Methanosaeta was dominant in all the feedstock scenarios. A more remarkable role of syntrophic fatty acid degraders (Smithella, Syntrophobacteraceae) was observed during co-digestion when only microalgae were digested. However, no significant changes were observed in the microbial composition during anaerobic microalgae digestion when feeding only Chlorella or Scenedesmus. This is the first work revealing the composition of complex communities for semi-continuous bioenergy production from WRRF streams. The stability and maintenance of a microbial core over-time in semi-continuous AnMBRs is here shown supporting their future application in full-scale systems for raw microalgae digestion or co-digestion.


Subject(s)
Microalgae , Waste Disposal, Fluid/methods , Biofuels , Bioreactors , Chlorella , Longitudinal Studies , Microbiota , Scenedesmus
5.
Water Res ; 169: 115238, 2020 Feb 01.
Article in English | MEDLINE | ID: mdl-31707179

ABSTRACT

A membrane photobioreactor (MPBR) plant was operated continuously for 3 years to evaluate the separate effects of different factors, including: biomass and hydraulic retention times (BRT, HRT), light path (Lp), nitrification rate (NOxR), nutrient loading rates (NLR, PLR) and others. The overall effect of all these parameters which influence MPBR performance had not previously been assessed. The multivariate projection approach chosen for this study provided a good description of the collected data and facilitated their visualisation and interpretation. Forty variables used to control and assess MPBR performance were evaluated during three years of continuous outdoor operation by means of principal component analysis (PCA) and partial least squares (PLS) analysis. The PCA identified the photobioreactor (PBR) light path as the factor with the largest influence on data variability. Other important factors were: nitrogen and phosphorus recovery rates (NRR, PRR), biomass productivity (BP), optical density of 680 nm (OD680), ammonium and phosphorus effluent concentration (NH4, P), HRT, BRT, air flow rate (Fair) and nitrogen and phosphorus loading rates (NLR and PLR). The MPBR performance could be adequately estimated by a PLS model based on all the recorded variables, but this estimation worsened appreciably when only the controlled variables (Lp, Fair, HRT and BRT) were used as predictors, which underlines the importance of the non-controlled variables on MPBR performance. The microalgae cultivation process could thus only be partially controlled by the design and operating variables. A high nitrification rate was found to be inadvisable, since it showed an inverse correlation with NRR. In this respect, temperature and microalgae biomass concentration appeared to be the main factors to mitigate nitrifying bacteria activity.


Subject(s)
Microalgae , Photobioreactors , Anaerobiosis , Biomass , Membranes, Artificial , Wastewater
6.
Int J Colorectal Dis ; 34(6): 1053-1059, 2019 Jun.
Article in English | MEDLINE | ID: mdl-30963247

ABSTRACT

BACKGROUND AND OBJECTIVE: To determine the impact of non-adherence to 5-Aminosalicylates (5-ASA) on the risk of flares and to identify risk factors of non-adherence. METHODS: Observational, cohort study of ulcerative colitis (UC) patients in clinical remission at least 6 months on 5-ASA monotherapy maintenance prescribed by an electronic management program. Adherence was considered when 80% of the prescribed 5-ASA had been dispensed at the pharmacy. The study analyzed the existence and degree of 5-ASA adherence, disease course, UC phenotypic expression, and 5-ASA dose and regimen, and consumption of non-UC chronic drugs during 2-year follow-up. RESULTS: The study included 274 patients, 49% males with a median age of 38 (27-49) years old. Overall, 41% of patients were non-adherent to 5-ASA. Risk of flares was reduced in the adherent group (36% vs 54%; OR = 0,484; p = 0,004), mainly the mild ones (26% vs 38%; OR = 0,559; p = 0,031). Non-adherence was associated with younger age at diagnosis (32 (26-45) vs 41.5 (21-50), p = 0.000) and no-consumption of other chronic treatments (1.1 vs 2.1; OR = 1709; p = 0,048). CONCLUSION: Non-adherence to 5-ASA evaluated by the pharmaceutical management system was at 41% with a higher risk of relapse. Younger patients and patients who do not receive non-UC chronic treatments showed lower adherence rate.


Subject(s)
Colitis, Ulcerative/drug therapy , Electronic Prescribing , Medication Adherence , Mesalamine/therapeutic use , Adult , Female , Humans , Male , Mesalamine/pharmacology , Middle Aged , Proportional Hazards Models , Recurrence , Risk Factors , Time Factors
7.
Sci Total Environ ; 672: 88-96, 2019 Jul 01.
Article in English | MEDLINE | ID: mdl-30954828

ABSTRACT

Practical recovery of a non-renewable nutrient, such as phosphorus (P), is essential to support modern agriculture in the near future. The high P content of urine, makes it an attractive source for practicing the recovery of this crucial nutrient. This paper presents the experimental results at pilot-plant scale of struvite crystallisation from a source-separated urine stream using two different magnesium sources, namely magnesium chloride and seawater. The latter was chosen as sustainable option to perform P-recovery in coastal areas. Real seawater was used to assess in a more realistic way its efficiency to precipitate P as struvite, since its composition (with noticeable concentration of ions such as Ca2+, SO42-, Na+, …) could lead to the formation of impurities and other precipitates. 0.99 g of struvite was obtained per litre of urine irrespective of the operational conditions tested. In all tested conditions, precipitation efficiencies exceeded 90% and recovery efficiencies were higher than 87%, with an average struvite crystal size higher than 110 µm (and up to 320 µm, depending on the experimental conditions) in the harvested struvite samples. Almost pure struvite was obtained when MgCl2 was used as precipitant, while amorphous calcium phosphate and other impurities appeared in the precipitates using seawater as magnesium source. However, the lower settling velocity of the amorphous precipitates in comparison with the struvite precipitates suggests that their separation at industrial scale could be relatively straightforward.


Subject(s)
Conservation of Natural Resources/methods , Magnesium Chloride/chemistry , Phosphorus/chemistry , Waste Disposal, Fluid/methods , Water Pollutants, Chemical/chemistry , Seawater/chemistry , Struvite/chemistry
8.
Water Sci Technol ; 78(9): 1925-1936, 2018 Dec.
Article in English | MEDLINE | ID: mdl-30566096

ABSTRACT

This research work proposes an innovative water resource recovery facility (WRRF) for the recovery of energy, nutrients and reclaimed water from sewage, which represents a promising approach towards enhanced circular economy scenarios. To this aim, anaerobic technology, microalgae cultivation, and membrane technology were combined in a dedicated platform. The proposed platform produces a high-quality solid- and coliform-free effluent that can be directly discharged to receiving water bodies identified as sensitive areas. Specifically, the content of organic matter, nitrogen and phosphorus in the effluent was 45 mg COD·L-1, 14.9 mg N·L-1 and 0.5 mg P·L-1, respectively. Harvested solar energy and carbon dioxide biofixation in the form of microalgae biomass allowed remarkable methane yields (399 STP L CH4·kg-1 CODinf) to be achieved, equivalent to theoretical electricity productions of around 0.52 kWh per m3 of wastewater entering the WRRF. Furthermore, 26.6% of total nitrogen influent load was recovered as ammonium sulphate, while nitrogen and phosphorus were recovered in the biosolids produced (650 ± 77 mg N·L-1 and 121.0 ± 7.2 mg P·L-1).


Subject(s)
Bioreactors , Conservation of Water Resources/methods , Sewage , Water Purification/methods , Water Resources , Nitrogen , Sulfates , Waste Disposal, Fluid/methods , Wastewater
9.
Water Sci Technol ; 77(11-12): 2566-2577, 2018 Jun.
Article in English | MEDLINE | ID: mdl-29944122

ABSTRACT

The aim of this study was to evaluate the effect of light intensity and phosphorus concentration on biomass growth and nutrient removal in a microalgae culture and their effect on their competition. The photobioreactor was continuously fed with the effluent from an anaerobic membrane bioreactor pilot plant treating real wastewater. Four experimental periods were carried out at different light intensities (36 and 52 µmol s-1 m-2) and phosphorus concentrations (around 6 and 15 mgP L-1). Four green algae - Scenedesmus, Chlorella, Monoraphidium and Chlamydomonas- and cyanobacterium were detected and quantified along whole experimental period. Chlorella was the dominant species when light intensity was at the lower level tested, and was competitively displaced by a mixed culture of Scenedesmus and Monoraphidium when light was increased. When phosphorus concentration in the photobioreactor was raised up to 15 mgP L-1, a growth of cyanobacterium became the dominant species in the culture. The highest nutrient removal efficiency (around 58.4 ± 15.8% and 96.1 ± 16.5% of nitrogen and phosphorus, respectively) was achieved at 52 µmol s-1 m-2 of light intensity and 6.02 mgP L-1 of phosphorus concentration, reaching about 674 ± 86 mg L-1 of volatile suspended solids. The results obtained reveal how the light intensity supplied and the phosphorus concentration available are relevant operational factors that determine the microalgae species that is able to predominate in a culture. Moreover, changes in microalgae predominance can be induced by changes in the growth medium produced by the own predominant species.


Subject(s)
Biotechnology/methods , Chlorophyta/growth & development , Microalgae/growth & development , Phosphorus/metabolism , Wastewater/chemistry , Biomass , Chlorophyta/metabolism , Light , Microalgae/metabolism , Nitrogen/metabolism , Photobioreactors , Waste Disposal, Fluid/instrumentation , Waste Disposal, Fluid/methods
10.
J Environ Manage ; 218: 425-434, 2018 Jul 15.
Article in English | MEDLINE | ID: mdl-29709811

ABSTRACT

Anaerobic digestion of indigenous Scenedesmus spp. microalgae was studied in continuous lab-scale anaerobic reactors at different temperatures (35 °C and 55 °C), and sludge retention time - SRT (50 and 70 days). Mesophilic digestion was performed in a continuous stirred-tank reactor (CSTR) and in an anaerobic membrane bioreactor (AnMBR). Mesophilic CSTR operated at 50 days SRT only achieved 11.9% of anaerobic biodegradability whereas in the AnMBR at 70 days SRT and 50 days HRT reached 39.5%, which is even higher than the biodegradability achieved in the thermophilic CSTR at 50 days SRT (30.4%). Microbial analysis revealed a high abundance of cellulose-degraders in both reactors, AnMBR (mainly composed of 9.4% Bacteroidetes, 10.1% Chloroflexi, 8.0% Firmicutes and 13.2% Thermotogae) and thermophilic CSTR (dominated by 23.8% Chloroflexi and 12.9% Firmicutes). However, higher microbial diversity was found in the AnMBR compared to the thermophilic CSTR which is related to the SRT. since high SRT promoted low growth-rate microorganisms, increasing the hydrolytic potential of the system. These results present the membrane technology as a promising approach to revalue microalgal biomass, suggesting that microalgae biodegradability and consequently the methane production could be improved operating at higher SRT.


Subject(s)
Bioreactors , Scenedesmus , Wastewater , Anaerobiosis , Methane , Microalgae , Sewage , Temperature
11.
J Environ Manage ; 217: 788-796, 2018 Jul 01.
Article in English | MEDLINE | ID: mdl-29660704

ABSTRACT

Notorious changes in microbial communities were observed during and after the joint treatment of wastewater with Food Waste (FW) in an Anaerobic Membrane Bioreactor (AnMBR) plant. The microbial population was analysed by high-throughput sequencing of the 16S rRNA gene and dominance of Chloroflexi, Firmicutes, Synergistetes and Proteobacteria phyla was found. The relative abundance of these potential hydrolytic phyla increased as a higher fraction of FW was jointly treated. Moreover, whereas Specific Methanogenic Activity (SMA) rose from 10 to 51 mL CH4 g-1 VS, Methanosarcinales order increased from 34.0% over 80.0% of total Archaea, being Methanosaeta the dominant genus. The effect of FW over AnMBR biomass was observed during the whole experience, as methane production rose from 49.2 to 144.5 L CH4 · kg-1 influent COD. Furthermore, biomethanization potential was increased over 82% after the experience. AnMBR technology allows the established microbial community to remain in the bioreactor even after the addition of FW, improving the anaerobic digestion of urban wastewater.


Subject(s)
Bioreactors , Waste Disposal, Fluid , Anaerobiosis , Biofuels , Food Additives , Methane , RNA, Ribosomal, 16S , Wastewater
12.
Vet J ; 233: 49-54, 2018 03.
Article in English | MEDLINE | ID: mdl-29486879

ABSTRACT

The aim of this study was to compare the effects on mean arterial pressure (MAP) and ventilation of propofol total IV anaesthesia (TIVA) and isoflurane as anaesthetic maintenance in healthy dogs undergoing orthopaedic surgery, with epidural anaesthesia. Dogs were premedicated IM with dexmedetomidine (4µg/kg) and methadone (0.3mg/kg), induced with IV propofol (0.65-5mg/kg) and randomly assigned to be maintained with isoflurane (group I) or propofol (group P). Isoflurane end-tidal concentration (EtISO) and propofol infusion rate were adjusted during the surgery to maintain a suitable anaesthetic depth. All dogs received bupivacaine (1mg/kg) and morphine (0.1mg/kg) in the lumbosacral epidural space (total volume 0.2mL/kg). MAP was recorded every 5min during the procedure. Statistical analysis was performed using parametric (Student's t test) and nonparametric (Mann-Whitney U-test, chi-square) tests, as appropriate. Anaesthetic maintenance in groups I and P was accomplished by providing a mean EtISO of 1.12±0.15% and a mean propofol infusion rate of 15.0±4.7mg/kg/h, respectively. MAP was significantly higher in group P than in group I (92±17mmHg versus 78±10mmHg; P=0.021). Eleven dogs in group P and two dogs in group I reached an EtCO2>7.3kPa, requiring mechanical ventilation (P=0.001). In combination with epidural anaesthesia, propofol TIVA improved MAP and is a suitable alternative to isoflurane in orthopaedic surgery of the hind limb in healthy dogs. Nevertheless, since it was associated with increased respiratory depression, mechanical ventilation should be available.


Subject(s)
Anesthesia, Epidural/veterinary , Arterial Pressure/drug effects , Isoflurane/administration & dosage , Orthopedic Procedures/veterinary , Propofol/administration & dosage , Respiration, Artificial/veterinary , Anesthesia, Epidural/methods , Animals , Bupivacaine , Dogs , Female , Male , Orthopedic Procedures/methods , Prospective Studies , Respiration/drug effects
13.
Radiología (Madr., Ed. impr.) ; 60(1): 74-84, ene.-feb. 2018. tab, ilus
Article in Spanish | IBECS | ID: ibc-170440

ABSTRACT

La creciente prevalencia y la morbimortalidad de las enfermedades crónicas del hígado justifican la necesidad de identificar precozmente la fibrosis. El grado de fibrosis hepática determina el pronóstico y sus opciones terapéuticas. Actualmente, la biopsia hepática representa el patrón de referencia para la estadificación de la fibrosis. Sin embargo, sus limitaciones y complicaciones han forzado el desarrollo de distintos métodos incruentos para la cuantificación de la fibrosis in vivo. Por su precisión y fiabilidad, destacan las mediciones de biomarcadores derivados de la ecografía y la resonancia magnética. Este artículo realiza una revisión de las distintas técnicas actualmente empleadas en la evaluación de la fibrosis hepática, su rendimiento diagnóstico, su aplicabilidad y su uso clínico. Para interpretar correctamente sus resultados en el contexto clínico apropiado, es necesario comprender estas técnicas de imagen y sus parámetros de calidad, la estandarización y la validación de sus unidades, y las medidas de control de los problemas metodológicos (AU)


There is a need for early identification of patients with chronic liver diseases due to their increasing prevalence and morbidity-mortality. The degree of liver fibrosis determines the prognosis and therapeutic options in this population. Liver biopsy represents the reference standard for fibrosis staging. However, given its limitations and complications, different non-invasive methods have been developed recently for the in vivo quantification of fibrosis. Due to their precision and reliability, biomarkers’ measurements derived from Ultrasound and Magnetic Resonance stand out. This article reviews the different acquisition techniques and image processing methods currently used in the evaluation of liver fibrosis, focusing on their diagnostic performance, applicability and clinical value. In order to properly interpret their results in the appropriate clinical context, it seems necessary to understand the techniques and their quality parameters, the standardization and validation of the measurement units and the quality control of the methodological problems (AU)


Subject(s)
Humans , Biomarkers/analysis , Liver Cirrhosis/diagnostic imaging , Indicators of Morbidity and Mortality , Reproducibility of Results , Reproducibility of Results , Diagnostic Imaging/methods , Elasticity Imaging Techniques , Biopsy , Contrast Media/analysis
14.
Radiologia (Engl Ed) ; 60(1): 74-84, 2018.
Article in English, Spanish | MEDLINE | ID: mdl-29108657

ABSTRACT

There is a need for early identification of patients with chronic liver diseases due to their increasing prevalence and morbidity-mortality. The degree of liver fibrosis determines the prognosis and therapeutic options in this population. Liver biopsy represents the reference standard for fibrosis staging. However, given its limitations and complications, different non-invasive methods have been developed recently for the in vivo quantification of fibrosis. Due to their precision and reliability, biomarkers' measurements derived from Ultrasound and Magnetic Resonance stand out. This article reviews the different acquisition techniques and image processing methods currently used in the evaluation of liver fibrosis, focusing on their diagnostic performance, applicability and clinical value. In order to properly interpret their results in the appropriate clinical context, it seems necessary to understand the techniques and their quality parameters, the standardization and validation of the measurement units and the quality control of the methodological problems.


Subject(s)
Liver Cirrhosis/diagnostic imaging , Biomarkers/blood , Elasticity Imaging Techniques , Humans , Liver Cirrhosis/blood , Magnetic Resonance Imaging
15.
Waste Manag ; 62: 274-289, 2017 Apr.
Article in English | MEDLINE | ID: mdl-28237363

ABSTRACT

The aim of this study was to evaluate the feasibility of treating the kitchen food waste (FW) jointly with urban wastewater (WW) in a wastewater treatment plant (WWTP) by anaerobic membrane technology (AnMBR). The experience was carried out in six different periods in an AnMBR pilot-plant for a total of 536days, varying the SRT, HRT and the food waste penetration factor (PF) of food waste disposers. The results showed increased methane production of up to 190% at 70days SRT, 24h HRT and 80% PF, compared with WW treatment only. FW COD and biodegradability were higher than in WW, so that the incorporation of FW into the treatment increases the organic load and the methane production and reduces sludge production (0.142 vs 0.614kgVSSkgremovedCOD-1, at 70days SRT, 24h HRT and 80% PF, as compared to WW treatment only).


Subject(s)
Garbage , Waste Disposal, Fluid/methods , Cities , Methane/analysis , Wastewater/chemistry
17.
Rev. Soc. Esp. Dolor ; 24(1): 11-18, ene.-feb. 2017. tab, graf
Article in Spanish | IBECS | ID: ibc-159960

ABSTRACT

Objetivo: La terapia asistida con animales se está utilizando de diversas formas para mejorar la calidad de vida de las personas con dolor crónico. El objetivo de este trabajo fue realizar una revisión sistemática de las publicaciones disponibles y resumir lo que se sabe sobre esta forma de terapia complementaria. Material y métodos: Se realizó una búsqueda en las bases de datos MEDLINE (vía PubMed), CINAHL, PsycINFO, Web of Science Core Collection, Psychology and Behavioral Sciences Collection desde sus inicios hasta enero de 2016. Resultados: Se identificaron un total de 179 artículos, de los que se revisaron 135 para su potencial inclusión en este trabajo. Finalmente, se han incluido 7 trabajos. Los resultados de estos estudios muestran que, en general, las personas que han participado de estas terapias informan de una menor intensidad de dolor, mejor estado de ánimo y, en general, de mejor calidad de vida. Los trabajos publicados no describen detalladamente el tipo de intervención planteada ni sus componentes específicos; así son difíciles de replicar. Conclusiones: Aunque los estudios revisados muestran resultados positivos, las investigaciones han utilizado diseños poco elaborados y de escasa exigencia metodológica. En futuras investigaciones es de esperar un mayor rigor y control. También una mejor descripción de las intervenciones, detalle fundamental para identificar qué variables son las responsables últimas de los efectos beneficiosos de los que se informan (AU)


Objective: Animal-assisted therapy is used in various ways to improve the quality of life of people with chronic pain. The aim of this work was to conduct a systematic review of the literature, and summarize what is known about this form of complementary therapy. Methods: A search was conducted in the following databases MEDLINE (via PubMed), CINAHL, PsycINFO, Web of Science Core Collection, Psychology and Behavioral Sciences Collection, since its inception until January 2016. Results: A total of 179 items were found, and 135 were reviewed for potential inclusion in this study. Finally, we have included 7 articles. The results of the studies reported in these articles show that, in general, people who have participated in animal-assisted therapy report lower pain intensity, improved mood and overall better quality of life. Published reports do not provide detailed information about the type of intervention being used, nor its specific components, thus offering little possibility of replication. Conclusions: Reviewed studies show positive results, however these are based on poor designs. Future research with greater rigor and control is warranted. Future publications need to provide better descriptions of the interventions that are used, this is critical to identify which variables are ultimately responsible for the beneficial effects that are being reported (AU)


Subject(s)
Humans , Animals , Male , Female , Animal Assisted Therapy/methods , Chronic Pain/therapy , Quality of Life , Pain Management/instrumentation , Pain Management/methods , Bibliometrics , Dogs , Pain Management/standards , Pain Management , Chronic Disease/epidemiology , Chronic Disease/therapy
18.
J Affect Disord ; 206: 204-209, 2016 Dec.
Article in English | MEDLINE | ID: mdl-27475891

ABSTRACT

BACKGROUND: Several Computerized Adaptive Tests (CATs) have been proposed to facilitate assessments in mental health. These tests are built in a standard way, disregarding useful and usually available information not included in the assessment scales that could increase the precision and utility of CATs, such as the history of suicide attempts. METHODS: Using the items of a previously developed scale for suicidal risk, we compared the performance of a standard CAT and a decision tree in a support decision system to identify suicidal behavior. We included the history of past suicide attempts as a class for the separation of patients in the decision tree. RESULTS: The decision tree needed an average of four items to achieve a similar accuracy than a standard CAT with nine items. The accuracy of the decision tree, obtained after 25 cross-validations, was 81.4%. A shortened test adapted for the separation of suicidal and non-suicidal patients was developed. CONCLUSION: CATs can be very useful tools for the assessment of suicidal risk. However, standard CATs do not use all the information that is available. A decision tree can improve the precision of the assessment since they are constructed using a priori information.


Subject(s)
Decision Trees , Mental Disorders/psychology , Psychiatric Status Rating Scales , Suicidal Ideation , Suicide, Attempted/psychology , Adult , Diagnosis, Computer-Assisted , Female , Humans , Male , Risk Factors , Young Adult
19.
Waste Manag ; 56: 158-65, 2016 Oct.
Article in English | MEDLINE | ID: mdl-27436236

ABSTRACT

Food waste was characterized for its potential use as substrate for anaerobic co-digestion in a submerged anaerobic membrane bioreactor pilot plant that treats urban wastewater (WW). 90% of the particles had sizes under 0.5mm after grinding the food waste in a commercial food waste disposer. COD, nitrogen and phosphorus concentrations were 100, 2 and 20 times higher in food waste than their average concentrations in WW, but the relative flow contribution of both streams made COD the only pollutant that increased significantly when both substrates were mixed. As sulphate concentration in food waste was in the same range as WW, co-digestion of both substrates would increase the COD/SO4-S ratio and favour methanogenic activity in anaerobic treatments. The average methane potential of the food waste was 421±15mLCH4g(-1)VS, achieving 73% anaerobic biodegradability. The anaerobic co-digestion of food waste with WW is expected to increase methane production 2.9-fold. The settleable solids tests and the particle size distribution analyses confirmed that both treatment lines of a conventional WWTP (water and sludge lines) would be clearly impacted by the incorporation of food waste into its influent. Anaerobic processes are therefore preferred over their aerobic counterparts due to their ability to valorise the high COD content to produce biogas (a renewable energy) instead of increasing the energetic costs associated with the aeration process for aerobic COD oxidation.


Subject(s)
Biofuels/analysis , Garbage , Solid Waste/analysis , Wastewater/analysis , Anaerobiosis , Bioreactors , Membranes, Artificial
20.
Water Sci Technol ; 67(11): 2587-94, 2013.
Article in English | MEDLINE | ID: mdl-23752393

ABSTRACT

Ammonia-oxidizing bacteria (AOB) are very sensitive to environmental conditions and wastewater treatment plant operational parameters. One of the most important factors affecting their activity is pH. Its effect is associated with: NH3/NH4(+) and HNO2/NO2(-) chemical equilibriums and biological reaction rates. The aim of this study was to quantify and model the effect of pH and free nitrous acid (FNA) concentration on the activity of AOB present in a lab-scale partial nitritation reactor. For this purpose, two sets of batch experiments were carried out using biomass from this reactor. Fluorescent in situ hybridization analysis showed that Nitrosomona eutropha and Nitrosomona europaea species were dominant in the partial nitritation reactor (>94%). The experimental results showed that FNA inhibits the AOB activity. This inhibition was properly modelled by the non-competitive inhibition function and the half inhibition constant value was determined as 1.32 mg HNO2-N L(-1). The optimal pH for these AOB was found to be in the range 7.4-7.8. The pH inhibitory effect was stronger at high pH values than at low pH values. Therefore, an asymmetric inhibition function was proposed to represent the pH effect on these bacteria. A combination of two sigmoidal functions was able to reproduce the experimental results obtained.


Subject(s)
Bioreactors , Nitrous Acid/analysis , Ammonia/metabolism , Bacteria/metabolism , Bioreactors/microbiology , Hydrogen-Ion Concentration , Nitrates/analysis , Nitrites/analysis , Oxidation-Reduction , Quaternary Ammonium Compounds/analysis
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