Nutritional status and food intake of children with cow's milk allergy.

INTRODUCTION AND OBJECTIVES: Cow's milk allergy (CMA) is common, especially in children. The treatment is based on the exclusion of milk and dairy products and guidance regarding the exclusion diet. This study aimed to compare the anthropometric measurements and food intake of children with CMA with those of healthy controls, and to evaluate the serum concentrations of Vitamin A and 25(OH)D in children with CMA. METHODS: This is a cross-sectional study with 27 children in the CMA group and 30 in the control group. z-Scores of body mass index and height, skinfolds, food intake and serum concentrations of retinol, beta-carotene, lycopene, 25(OH)D, parathyroid hormone and high sensitivity C-reactive protein were evaluated. RESULTS: Mean age was four years (±1.9). The CMA group evidenced a lower height compared to those from the control group (p=0.0043). The CMA group showed a lower intake of calcium (p=0.0033) and lipids (p=0.0123). Low serum concentrations of retinol, beta-carotene, lycopene, 25(OH)D were found in 25.9%, 59.3%, 48.1% and 70.3% of the CMA group, respectively. CONCLUSIONS: Children with CMA consume smaller amounts of calcium and lipids and have shorter height compared to healthy controls. Insufficient levels of vitamins A and D were frequent in the CMA group, emphasizing the need for nutritional guidance and monitoring.

Predictors and outcomes of disseminated tuberculosis in an intermediate burden setting.

SETTING: University-affiliated hospital located in Porto, North Portugal, an area with a low to intermediate incidence of tuberculosis (TB). OBJECTIVE: To identify predictors and outcomes of disseminated TB (dTB). DESIGN: A cohort of patients diagnosed with TB between 2007 and 2013 was retrospectively analysed. Patients with dTB criteria were characterized and compared to single organ TB cases. Factors independently associated with dTB were determined by multivariate logistic regression analysis. RESULTS: A total of 744 patients were analysed, including 145 with dTB. Independent risk factors for dTB were pharmacological immunosuppression (OR 5.6, 95% CI 2.8-11.3), HIV infection (OR 5.1, 95% CI 3.1-8.3), chronic liver failure or cirrhosis (OR 2.3, 95% CI 1.4-4.1) and duration of symptoms (OR 2.3, 95% CI 1.4-3.8). Compared to single organ TB, the clinical presentation of dTB patients differed by the absence of haemoptysis (OR 3.2, 95% CI 1.3-8.4) and of dyspnoea (OR 1.9, 95% CI 1.2-3.1), presence of weight loss (OR 1.8, 95% CI 1.1-2.9), night sweats (OR 1.7, 95% CI 1.1-2.7) and bilateral lung involvement (OR 4.4, 95% CI 2.8-7.1). Mortality and time until culture conversion were higher for dTB patients, although not reaching statistical significance. CONCLUSION: Immunosuppressive conditions and chronic liver failure or cirrhosis were associated with increased risk of dTB. The haematogenous spread may be dependent on longer symptomatic disease and usually progresses with bilateral lung involvement.

Modelling of lead removal by an aquatic moss.

Aquatic bryophytes are frequently used as biomonitors for trace metals in aquatic ecosystems. Nevertheless, their special characteristics also allow using them as biosorbents to clean industrial wastewaters. As biosorption is a low cost and effective method for treating metal-bearing wastewaters, understanding the process kinetics is relevant for design purposes. In this study, the ability of the aquatic bryophyte Fontinalis antipyretica to remove lead from simulated wastewaters was evaluated. Three kinetic models (pseudo-first order, pseudo-second order and Elovich) were fitted to the experimental data and compared by the F-test. Previously, the effect on biosorption of parameters such as the initial solution pH, contact time and initial metal ion concentration was investigated. The initial pH of the solution was found to have an optimum value is in the range 4.0-6.0. The equilibrium sorption capacity of lead by Fontinalis antipyretica increased with the initial metal concentration. For an initial metal concentration of 10 mg L⁻¹, the uptake capacity at equilibrium was 4.8 mg g⁻¹. Nevertheless, when the initial concentration increased up to 100 mg L⁻¹, the uptake of lead was 10 times higher. The pseudo-second order biosorption kinetic model provided the better correlation with the experimental data (R²=1.00). The applicability of the Langmuir and Freundlich adsorption isotherms to the present system was also assessed. The maximum lead sorption capacity by Fontinalis antipyretica was 68 mg g⁻¹.

Optimisation of reactive dye degradation by laccase using Box-Behnken design.

A three-level Box-Behnken factorial design with three factors and the Response Surface Methodology were used to optimise the colour removal of the reactive textile dye, Colour Index (C.I.) reactive red 180, by commercial laccase. A mathematical model was developed to study the effect of temperature, pH, enzyme concentration and their interactions on the decolourisation. Enzyme concentration and pH as well as their interaction were the principal factors that affected the decolourisation. The dye degradation was independent of temperature. The model estimated that the highest decolourisation (> 92%) was obtained for 27 degrees C, pH 7.5 and 85 U l(-1). This predicted value was experimentally validated, obtaining dye colour removal (540 nm) of 93 +/- 1.5%.

Natural waste materials containing chitin as adsorbents for textile dyestuffs: batch and continuous studies.

In this work three natural waste materials containing chitin were used as adsorbents for textile dyestuffs, namely the Anodonta (Anodonta cygnea) shell, the Sepia (Sepia officinalis) and the Squid (Loligo vulgaris) pens. The selected dyestuffs were the Cibacron green T3G-E (CI reactive green 12), and the Solophenyl green BLE 155% (CI direct green 26), both from CIBA, commonly used in cellulosic fibres dyeing, the most used fibres in the textile industry. Batch equilibrium studies showed that the materials' adsorption capacities increase after a simple and inexpensive chemical treatment, which increases their porosity and chitin relative content. Kinetic studies suggested the existence of a high internal resistance in both systems. Fixed bed column experiments performed showed an improvement in adsorbents' behaviour after chemical treatment. However, in the column experiments, the biodegradation was the main mechanism of dyestuff removal, allowing the materials' bioregeneration. The adsorption was strongly reduced by the pore clogging effect of the biomass. The deproteinised Squid pen (grain size 0.500-1.41 mm) is the adsorbent with highest adsorption capacity (0.27 and 0.037 g/g, respectively, for the reactive and direct dyestuffs, at 20 degrees C), followed by the demineralised Sepia pen and Anodonta shell, behaving like pure chitin in all experiments, but showing inferior performances than the granular activated carbon tested in the column experiments.

Viability and release of complexing compounds during accumulation of heavy metals by a brewer's yeast.

Saccharomyces cerevisiae NCYC 1190 cells accumulated (after 1 h) lead and cadmium at similar levels, and to a lesser degree also copper. During heavy metal accumulation, there was a considerable loss of viability of copper-treated cells (about 99% in the first 20 min of contact with the metal), and a less pronounced lethal effect on cadmium- and lead-treated cells (about 66% and 46% after 1 h of contact with cadmium or lead, respectively) was detected. During copper accumulation, a leakage of UV-absorbing compounds and inorganic phosphate was observed; this did not occur with lead, whereas with cadmium a small amount of leakage of inorganic phosphate was detected. The filtrates of copper-treated cells contained copper-binding molecules. The copper-binding capacity of the filtrates increased with time according to the release of inorganic phosphate and UV-absorbing compounds. These compounds can bind an appreciable quantity of metal ions, making them unavailable for cell uptake and thus reducing the efficiency of heavy metals removal by yeast cells.

Kinetics of chromium removal from spent tanning liquors using acetylene production sludge.

The removal of Cr(III) present in spent leather tanning baths by precipitation with acetylene production sludge (APS) is studied. The hydroxide and carbonate contents in APS were 1.05 and 0.10 g of CaCO3/g of dry sludge, respectively, and the Cr concentration in the tanning bath was 2467 mg/L. The experimental work was carried out at 15, 20, 25, 30, and 35 degrees C using APS samples of different grain size (89, 178, and 356 microm). Percent removals after 180-min reaction time using 356-microm APS particles range from 99.0 to 99.9 as temperature increased from 15 to 35 degrees C. Similar or higher removal rates are obtained when using smaller APS particles. Chromium removal efficiencies using APS as precipitant are comparable with those obtained with NaOH, CaO, or MgO. The Cr conversion X increases with time t and is related to the particle radius and the absolute temperature T by the expression X/1 - X= r0(-0.22) exp(45.45-13401/T)t. The average activation energy for the reaction is 111.4 kJ mol(-1). Despite some deviations observed for the finer particles and the lower temperature (15 degrees C), the model describes adequately the results obtained for all APS particle sizes at 20 degrees C.

Sediments as monitors of heavy metal contamination in the Ave river basin (Portugal): multivariate analysis of data.

The concentrations of heavy metals (Cd, Cr, Cu, Ni, Pb, Zn) were determined in river sediments collected at the Ave river basin (Portugal) to obtain a general classification scenery of the pollution in this highly polluted region. Multivariate data analysis techniques of clustering, principal components and eigenvector projections were used in this classification. Five general areas with different polluting characteristics were detected and several individual heavy metal concentration abnormalities were detected in restricted areas. A good correlation between the overall metal contamination determined by multivariate analysis and metal pollution indexes for all sampling stations was obtained. Some preliminary experiments showed that the metal concentrations normalised to the volatile matter content in the sediment fraction with grain size <63 microm seems to be an adequate method for assessing metal pollution.

Trout farm effluents: characterization and impact on the receiving streams.

Effluents from three rainbow trout (Oncorhynchus mykiss) farms located in Northern Portugal were characterized and their impact on the receiving streams was evaluated. Mean fish productions in the studied fish farms were 15, 55 and 500 t of trout per year, respectively. The feeding water was abstracted from Fornelo, Inha and Coura Rivers, at flow rates ranging from 1.2 (15 t year(-1) fish farm) to 4.8 litre s(-1) per ton annual fish production (500 t year(-1) fish farm). As the water flows through the farms, net variations in the chemical characteristics were observed: a mean reduction in the dissolved oxygen (DO) concentration between 0.7 and 2.4 mg litre(-1); mean increases between 1.9 and 3.2 mg CaCO3 litre(-1) for total alkalinity, between 0.9 and 14 mg litre(-1) for BOD5, between 0.27 and 1.46 mg litre(-1) for ammonia nitrogen (NH4-N), between 0.060 and 0.579 mg litre(-1) for soluble phosphorus (PO4-P) and less than 16 mg litre(-1) for suspended solids; variations in the pH value and nitrate nitrogen concentration were not statistically significant (p<0.05). At the 500 t year(-1) fish farm it was also possible to detect net increases of total hardness (3.2 mg CaCO3 litre(-1)), electric conductivity (19 mS cm(-1)) and permanganate value (3.6 mgO2 litre(-1)). At the other farms net variations in these parameters were not significant. Net mass flow variations reported to the annual fish production are presented. The DO mass flow decreased, on average, between 255 and 549 g t(-1) of fish per day. The mean daily BOD5 increase ranged from 353 to 1510 g t(-1) of fish. The corresponding ranges for the other parameters were 105-157 g t(-1) for NH4-N, 24-62 g t(-1) for PO4-P, 348-1035 g CaCO3 t(-1) for total alkalinity and 224 x 10(6)-506 x 10(6) t(-1) for mesophilic bacteria. Daily net variations of suspended solids, total hardness, electric conductivity and permanganate value were below 1753 g t(-1), 342 g CaCO3 t(-1), 2081 mS cm t(-1) and 392 gO2 t(-1), respectively. Longitudinal concentration profiles for the most relevant parameters show the impact of the effluent discharges on the physico-chemical and bacteriological river water quality downstream from the trout farms. Analyzing the situations from a purely chemical point of view, the polluted stretches were 3, 5 and 12 km long downstream from the effluent discharges, respectively. The microbiological contamination extended over longer distances.

Biofilm reactors: an experimental and modeling study of wastewater denitrification in fluidized-bed reactors of activated carbon particles.

A fluidized-bed biofilm reactor using activated carbon particles of 1.69 mm diameter as the support for biomass growth and molasses as the carbon source is used for wastewater denitrification.The start-up of the reactor was successfully achieved in 1 week by using a liquor from garden soil leaching as the inoculum and a superficial velocity u(0) = 5u(mf). Typical biofilm thickness is 800 mum; therefore covered activated carbon particles have 3.3 mm in diameter.Reactor hydrodynamics was studied by tracer (KCl solution) experiments. The analysis based on residence time distribution theory involved a model with axial dispersion flow and tracer diffusion with linear adsorption inside the biofilm. Peclet numbers higher than 100 were found, allowing the plug flow assumption for the reactor model.Experimental profiles of nitrate and nitrite species were explained by a kinetic model of two consecutive zero-order reactions coupled with substrate diffusion inside the biofilm. Under the operating conditions used thick biofilms were obtained working in a diffusion-controlled regime.Comparison is made with results obtained in the same reactor with sand particles as the support for biomass growth. Activated carbon as the support has the following advantages: good adsorptive characteristics, homogeneous biofilm thickness along the reactor, and easy restart-up of the reactor.