Making waves: The NORMAN antibiotic resistant bacteria and resistance genes database (NORMAN ARB&ARG)-An invitation for collaboration to tackle antibiotic resistance.

With the global concerns on antibiotic resistance (AR) as a public health issue, it is pivotal to have data exchange platforms for studies on antibiotic resistant bacteria (ARB) and antibiotic resistance genes (ARGs) in the environment. For this purpose, the NORMAN Association is hosting the NORMAN ARB&ARG database, which was developed within the European project ANSWER. The present article provides an overview on the database functionalities, the extraction and the contribution of data to the database. In this study, AR data from three studies from China and Nepal were extracted and imported into the NORMAN ARB&ARG in addition to the existing AR data from 11 studies (mainly European studies) on the database. This feasibility study demonstrates how the scientific community can share their data on AR to generate an international evidence base to inform AR mitigation strategies. The open and FAIR data are of high potential relevance for regulatory applications, including the development of emission limit values / environmental quality standards in relation to AR. The growth in sharing of data and analytical methods will foster collaboration on risk management of AR worldwide, and facilitate the harmonization in the effort for identification and surveillance of critical hotspots of AR. The NORMAN ARB&ARG database is publicly available at: https://www.norman-network.com/nds/bacteria/.

Effect of microplastics on urban wastewater disinfection and impact on effluent reuse: Sunlight/H2O2 vs solar photo-Fenton at neutral pH.

The interference of three types of microplastics (MPs) on the inactivation of Escherichia coli (E. coli) by advanced oxidation processes (AOPs) (namely, sunlight/H2O2 and solar photo-Fenton (SPF) with Ethylenediamine-N,N'-disuccinic acid (EDDS)), in real secondary treated urban wastewater was investigated for the first time. Inactivation by sunlight/H2O2 treatment decreased as MPs concentration and H2O2 dose were increased. Noteworthy, an opposite behaviour was observed for SPF process where inactivation increased as MPs concentration was increased. Biofilm formation and microbial attachment on surfaces of post-treated MPs were observed on polyethylene (PE) and polyvinyl chloride (PVC) MPs by field emission scanning electron microscopy. In presence of PE MPs, a complete inactivation of E. Coli was achieved by SPF with EDDS (Fe:EDDS = 1:2) after 90 min treatment unlike of sunlight/H2O2 treatment (∼4.0 log reduction, 40 mg/L H2O2 dose, 90 min treatment). The lower efficiency of sunlight/H2O2 process could be attributed to the blocking/scattering effect of MPs on sunlight, which finally reduced the intracellular photo Fenton effect. A reduced E. coli regrowth was observed in presence of MPs. SPF (Fe:EDDS = 1:1) with PE MPs was less effective in controlling bacterial regrowth (∼120 CFU/100 mL) than sunlight/H2O2 (∼10 CFU/100 mL) after 48 h of post-treatment. These results provide useful information about possible interference of MPs on urban wastewater disinfection by solar driven AOPs and possible implications for effluent reuse.

Urban wastewater disinfection by iron chelates mediated solar photo-Fenton: Effects on seven pathogens and antibiotic resistance transfer potential.

The effects of solar photo-Fenton (SPF) process mediated by the iron chelate Fe3+ imminodisuccinic acid (Fe:IDS) on both the inactivation of seven relevant pathogens and the potential for antibiotic resistance transfer (degradation of antibiotic resistance genes (ARGs) and after treatment regrowth), in real secondary treated urban wastewater, were investigated for the first time. A comparison with results obtained by sunlight/H2O2 process and Fe3+ ethylenediaminedisuccinic acid (Fe:EDDS) SPF was also carried out. ARGs were quantified by polymerase chain reaction (PCR) in samples before and after (3 h) the treatment. The persistence of the selected pathogens and ARGs was also evaluated in regrowth tests (72 h) under environmentally mimicking conditions. Fe:IDS SPF resulted to be more effective (from 1.4 log removal for Staphylococcus spp. to 4.3 log removal for Escherichia coli) than Fe:EDDS SPF (from 0.8 log removal for Pseudomonas aeruginosa to 2.0 log removal for Total coliphages) and sunlight/H2O2 (from 1.2 log removal for Clostridium perfringens to 3.3 log removal for E. coli) processes for the seven pathogens investigated. Potential pathogens regrowth was also severely affected, as no substantial regrowth was observed, both in presence and absence of catalase. A similar trend was observed for ARGs removal too (until 0.001 fold change expression for qnrS after 3 h). However, a poor effect and a slight increase in fold change was observed after treatment especially for gyrA, mefA and intl1. Overall, the effect of the investigated processes on ARGs was found to be ARG dependent. Noteworthy, coliphages can regrow after sunlight/H2O2 treatment unlike SPF processes, increasing the risk of antibiotic resistance transfer by transduction mechanism. In conclusion, Fe:IDS SPF is an attractive solution for tertiary treatment of urban wastewater in small wastewater treatment plants as it can provide effective disinfection and a higher protection against antibiotic resistance transfer than the other investigated processes.

Mitigating risks and maximizing sustainability of treated wastewater reuse for irrigation.

Scarcity of freshwater for agriculture has led to increased utilization of treated wastewater (TWW), establishing it as a significant and reliable source of irrigation water. However, years of research indicate that if not managed adequately, TWW may deleteriously affect soil functioning and plant productivity, and pose a hazard to human and environmental health. This review leverages the experience of researchers, stakeholders, and policymakers from Israel, the United-States, and Europe to present a holistic, multidisciplinary perspective on maximizing the benefits from municipal TWW use for irrigation. We specifically draw on the extensive knowledge gained in Israel, a world leader in agricultural TWW implementation. The first two sections of the work set the foundation for understanding current challenges involved with the use of TWW, detailing known and emerging agronomic and environmental issues (such as salinity and phytotoxicity) and public health risks (such as contaminants of emerging concern and pathogens). The work then presents solutions to address these challenges, including technological and agronomic management-based solutions as well as source control policies. The concluding section presents suggestions for the path forward, emphasizing the importance of improving links between research and policy, and better outreach to the public and agricultural practitioners. We use this platform as a call for action, to form a global harmonized data system that will centralize scientific findings on agronomic, environmental and public health effects of TWW irrigation. Insights from such global collaboration will help to mitigate risks, and facilitate more sustainable use of TWW for food production in the future.

Overcoming the IOTLB wall for multi-100-Gbps Linux-based networking.

This article explores opportunities to mitigate the performance impact of IOMMU on high-speed network traffic, as used in the Linux kernel. We first characterize IOTLB behavior and its effects on recent Intel Xeon Scalable & AMD EPYC processors at 200 Gbps, by analyzing the impact of different factors contributing to IOTLB misses and causing throughput drop (up to 20% compared to the no-IOMMU case in our experiments). Secondly, we discuss and analyze possible mitigations, including proposals and evaluation of a practical hugepage-aware memory allocator for the network device drivers to employ hugepage IOTLB entries in the Linux kernel. Our evaluation shows that using hugepage-backed buffers can completely recover the throughput drop introduced by IOMMU. Moreover, we formulate a set of guidelines that enable network developers to tune their systems to avoid the "IOTLB wall", i.e., the point where excessive IOTLB misses cause throughput drop. Our takeaways signify the importance of having a call to arms to rethink Linux-based I/O management at higher data rates.

The Ability to Look Beyond: The Treatment of Peripheral Arterial Disease.

This paper offers a practical overview of the contemporary management of patients with peripheral arterial disease presenting intermittent claudication (IC), including clinical and instrumental diagnosis, risk factors modification, medical management, and evidence-based revascularization indications and techniques. Decision making represents a crucial element in the management of the patient with IC; for this, we think a review of this type could be very useful, especially for non-vascular specialists.

Improving organic matter and nutrients removal and minimizing sludge production in landfill leachate pre-treatment by Fenton process through a comprehensive response surface methodology approach.

Landfill leachate (LL) represents a very complex effluent difficult to treat and to manage which usually requires a chemical pre-treatment. In this study, response surface methodology (RSM) was used to identify the optimum operating conditions of the Fenton process as a pre-treatment of LL in order to reduce the high organic content and simultaneously optimize the BOD5:TN:TP ratio. The dosages of Fenton process reagents, namely Fe2+ and H2O2, were used as variables for the implementation of RSM. Chemical oxygen demand (COD), five-days biochemical oxygen demand (BOD5), total nitrogen (TN), total phosphorus (TP) removals (and simultaneously BOD5:TN:TP ratio), sludge-to-iron ratio (SIR) and organic removal-to-sludge ratio (ORSR) were selected as target responses. This approach considered the SIR and ORSR parameters which are a useful tool for assessing sludge formation during the process along with organic matter removal. The variables (H2O2 and Fe2+ concentrations) significantly affected the responses, as the role of oxidation mechanism is dominant with respect to coagulation one. The pH for the process was fixed to 2.8 while the treatment time was set to 2 h. The optimum operational conditions obtained by perturbation and 3D surface plot, were found to be 4262 mg/L and 5104 mg/L for Fe2+ and H2O2, respectively (H2O2/Fe2+ molar ratio = 2) with COD, BOD5, TN and TP removals of 70%, 67%, 84% and 96% respectively, while SIR and ORSR final values were 1.15 L/mol and 33.79 g/L respectively, in accordance with models-predicted values. Moreover, the initial unbalanced BOD5:TN:TP ratio (9:1:1) was significantly improved (100:6:1), making the effluent suitable for a subsequent biological treatment. The investigated approach allowed to optimize the removal of organic load and nutrients as well as to minimize the sludge formation in Fenton process, providing a useful tool for the operation and management of LL pre-treatment.

Chelating agents supported solar photo-Fenton and sunlight/H2O2 processes for pharmaceuticals removal and resistant pathogens inactivation in quaternary treatment for urban wastewater reuse.

In this work, Fe3+-iminodisuccinic acid (Fe:IDS) based solar photo Fenton (SPF), an Italian patented method, was investigated in quaternary treatment of real urban wastewater and compared to Fe3+-ethylenediamine-N,N'-disuccinic acid (Fe:EDDS) for the first time. Three pharmaceuticals (PCs) (sulfamethoxazole, carbamazepine and trimethoprim) and four pathogens (Escherichia coli, somatic and F-plus coliphages, Clostridium perfringens, consistently with the new EU regulation for wastewater reuse (2020/741)), were chosen as target pollutants. SPF with Fe:EDDS was more effective in PCs removal (80%, 10 kJ L-1) than the SPF with Fe:IDS (58%), possibly due to the higher capability of generating hydroxyl radicals. On the contrary, Fe:IDS was more effective (4.3 log inactivation for E. coli) than Fe:EDDS (1.9 log) in pathogens inactivation, possibly due to a lower iron precipitation and turbidity which finally promoted an improved intracellular photo-Fenton mechanism. Fe:L based SPF was subsequently coupled to sunlight/H2O2. Interestingly, while its combination with Fe:EDDS based SPF slightly increased disinfectant efficacy (2.3 vs 1.9 log inactivation for E. coli), the combination with Fe:IDS decreased inactivation efficiency (3.4 vs 4.3 log reduction). In conclusion, due to the good compromise between PCs removal and disinfection efficiency, Fe:IDS SPF alone is an attractive option for quaternary treatment for urban wastewater reuse.

Landfill leachate treatment by a combination of a multiple plant hybrid constructed wetland system with a solar photoFenton process in a raceway pond reactor.

The sustainable and green treatment of landfill leachate (LL), produced by municipal solid waste, represents one of the most relevant challenges in the integrated waste management systems. Accordingly, in this work a green solution was investigated by coupling an innovative hybrid constructed wetland (HCW) to a solar photo-Fenton (SPF) process. A multiple layers HCW pilot plant including different medium substrates (sand, solid compost and carriers) and plant species (Phragmites australis, Arundo donax and A. plinii) was designed. The HCW was functionalised with compost tea solution to simultaneously provide high nutrient content for plants and increase the microorganism biodiversity. Process efficiency was investigated using different real LLs (young and mature) in terms of chemical oxygen demand (COD), nitrogen compounds, chlorides and metals. Removals in the range 75-95% were observed for all the parameters after ten days of leachate recirculation in the pilot plant. Subsequently, the SPF process was carried out in a raceway pond reactor (RPR) as polishing step, significantly improving COD removal (further 49%). HCW combined with SPF in RPR would allow to meet the corresponding limits according to the final use/fate of the effluent by modulating the main parameters of the process.

Co-treatment of landfill leachate with urban wastewater by chemical, physical and biological processes: Fenton oxidation preserves autochthonous bacterial community in the activated sludge process.

The impact of Fenton oxidation (FO) and Air stripping (AS) pre-treatments on the bacterial community of a biological activated sludge (B-AS) process for the co-treatment of mature landfill leachate (MLL) and urban wastewater (UWW) was assessed. In this work high-throughput sequencing was used to identify changes in the composition of the bacterial communities when exposed to different landfill leachate's pre-treatments. The combination of FO and AS to increase biodegradability (BOD5/COD) and reduce ammonia concentration (NH3) respectively, allowed to successfully operate the B-AS and effectively treat MLL. In particular, BOD5/COD resulted to be the key factor for bacterial community shifting. The microbiological community of the B-AS, mainly composed by the phylum Bacteroidota (Saprospiraceae, PHOS-HE51, Chitinophagaceae) after FO pre-treatment, shifted to Pseudomonadota (Caulobacteraceae and Hyphomicrobiaceae) when FO was not used. At the same time a drastic reduction in BOD5 removal was observed (90%-58%). On the other hand, high NH3 concentration affected the abundance of the family Saprospiraceae, known to play a key role in the degradation of complex organic compounds in B-AS. The results obtained suggest that a suitable combination of pre-treatments can reduce the negative effect of MLL on the B-AS process, reducing the pressure on autochthonous bacteria and therefore the acclimatization time of the biological process.

Adolescents with Neuropsychiatric Disorders during the COVID-19 Pandemic: Focus on Emotional Well-Being and Parental Stress.

(1) Introduction: The aim of our research was to explore emotional/behavioral changes in adolescents with neuropsychiatric conditions during the COVID-19 pandemic, and parental stress levels through a standardized assessment, comparing the data collected before and during the first months of lockdown. Moreover, an additional goal was to detect a possible relationship between emotional/behavioural symptoms of adolescents and the stress levels of their parents. (2) Methods: We enrolled 178 Italian adolescents aged between 12-18 that were referred to the Child Neuropsychiatry Unit of the University Hospital of Salerno with different neuropsychiatric diagnoses. Two standardized questionnaires were provided to all parents for the assessment of parental stress (PSI-Parenting Stress Index-Short Form) and the emotional/behavioral problems of their children (Child Behaviour Check List). The data collected from questionnaires administered during the six months preceding the pandemic, as is our usual clinical practice, were compared to those recorded during the pandemic. (3) Results: The statistical comparison of PSI and CBCL scores before/during the pandemic showed a statistically significant increase in all subscales in the total sample. The correlation analysis highlighted a significant positive relationship between Parental Stress and Internalizing/Externalizing symptoms of adolescent patients. Age and gender did not significantly affect CBCL and PSI scores, while the type of diagnosis could affect behavioral symptoms and parental stress. (4) Conclusions: our study suggests that the lockdown and the containment measures adopted during the COVID-19 pandemic could have aggravated the emotional/behavioral symptoms of adolescents with neuropsychiatric disorders and the stress of their parents. Further studies should be conducted in order to monitor the evolution of these aspects over time.

Surgical treatment of two post-traumatic pseudoaneurysms of genicular artery.

Pseudoaneurysms of the genicular arteries represent an extremely rare clinical occurrence. Nevertheless, young and athletic subjects, who are frequently exposed to direct joint trauma and subsequent reconstructive orthopedic surgery, are especially prone to developing these lesions. The aim of the present report was to describe two cases of a genicular artery pseudoaneurysm observed in young and healthy athletic male patients and successfully managed by surgical excision.

Assessment of a novel microalgae-cork based technology for removing antibiotics, pesticides and nitrates from groundwater.

Groundwater pollution has increased in recent years due to the intensification of agricultural and livestock activities. This results in a significant reduction in available freshwater resources. Here, we have studied the long term assessment of a green technology (1-4 L/day) based on a photobioreactor (PBR) containing immobilised microalgae-bacteria in polyurethane foam (PF) followed by a cork filter (CF) for removing nitrates, pesticides (atrazine and bromacil), and antibiotics (sulfamethoxazole and sulfacetamide) from groundwater. The prototype was moderately effective for removing nitrates (58%) at an HRT of 8 days, while its efficiency decreased at a HRT of 4 and 2 days (<20% removal). The combined use of PBR-CF enabled antibiotics and pesticides to be attenuated by up to 95% at an HRT of 8 days, but their attenuation decreased with shorter HRT, with pesticides being the compounds most affected (reducing from 97 to 98% at an HRT of 8 days to 23-45% at an HRT of 2 days). Pesticide transformation products were identified after the CF, supporting biodegradation as the main attenuation process. A gene-based metataxonomic assessment linked the attenuation of micropollutants to the presence of specific pesticide biodegradation species (e.g. genus Phenylobacterium, Sphingomonadaceae, and Caulobacteraceae). Therefore, the results highlighted the potential use of microalgae and cork to treat polluted groundwater.

Simultaneous disinfection and microcontaminants elimination of urban wastewater secondary effluent by solar advanced oxidation sequential treatment at pilot scale.

The effect of different times of Fe:Ethylenediamine-N, N'-disuccinic acid (EDDS) dosing and H2O2 as well as different Fe:EDDS concentrations in the sequential treatment sunlight/H2O2 followed by sunlight/H2O2/Fe:EDDS at circumneutral pH was investigated for the first time focusing both in contaminants of emerging concern (CECs) and bacteria removal in urban wastewater treatment plant effluents. Process efficiency was evaluated in terms of (i) degradation of five CECs (namely caffeine, carbamazepine, diclofenac, sulfamethoxazole and trimethoprim) at the initial concentration of 100 µgL-1 each and (ii) bacteria inactivation (Escherichia coli (E. coli) and Salmonella spp). The effect of H2O2, Fe and EDDS concentration and Fe:EDDS dosing time was evaluated. 60% removal of the sum of total CECs and pathogens inactivation below the detection limit (DL) were observed by the sequential treatment with Fe:EDDS additions at 60 min and 45 min in simulated urban wastewater effluent. Sequential treatment was validated in actual urban wastewater effluent, being able to remove 60% of the target CECs and inactivate bacteria below the DL. Increasing EDDS concentration negatively affected Salmonella spp inactivation. Sequential treatment based on 120 min of sunlight/H2O2 (50 mg L-1) and subsequent SPF with Fe:EDDS (0.1:0.1 mM) was chosen as best operation conditions for full scale treatment in urban wastewater treatment plants.

Factors Affecting the Outcome of Symptomatic Carotid Stenosis Surgical Treatment in a Single Center Series.

BACKGROUND: The aim of this study is to evaluate the role of preoperative ischemic brain lesion (IBL) volume, assessed by Diffusion-weighted magnetic resonance brain imaging (DW-MRI) with RAPID® processing, and surgery timing in predicting post-operative neurological outcomes in symptomatic carotid stenosis (SCS) patients treated with carotid endarterectomy (CEA). MATERIALS AND METHODS: All patients with SCS who underwent CEA between January 2010 and June 2020 were considered. IBLs ipsilateral to the stenosis were identified in the preoperative magnetic resonance brain (MRI). The volume was quantified in mL and correlated with 30-day rates of stroke and stroke/death by χ2 and receiver operating characteristic (ROC) curve. RESULTS: One hundred thirty-four patients were surgically treated for SCS during the entire study period. CEA procedures were defined as emergent, urgent, or elective if performed within 48 hr, between 48 hr and 14 days, or after 14 days from symptoms onset, respectively. Cumulative new ipsilateral stroke rate was 4,5%, with a statistically higher neurological complications in emergent patients compared to urgent and elective patients (10,6%, 1,47% and 0% respectively, P 0,039). ROC curve analysis showed a volume of 10 mL was predictive of postoperative stroke with 100% sensitivity and 80% specificity. An IBL volume >10 mL was an independent risk factor for postoperative stroke. In fact, the perioperative neurological complication rate was significantly different in high-IBL volume patients (>10 mL) compared with low-IBL volume patients (<10 mL) (P 0,003) CONCLUSIONS: The present study suggests that the optimal timing for CEA is between 48 hr and 14 days. Furthermore, the present study suggests that the presence of the IBL, by itself, is not definitively related with an unsatisfactory neurological outcome. However, an IBL higher than 10 mL should be as a reliable threshold value adverse neurological result in SCS patients.

Neutrophil-to-Lymphocyte Ratio Could Predict Outcome in Patients Presenting with Acute Limb Ischemia.

INTRODUCTION: Acute limb ischemia (ALI), classified according to Rutherford's classification (RC), is a vascular emergency burdened by high rates of mortality and morbidity. The need of new and different prognostic values for ALI has emerged, and, among all, the neutrophil-to-lymphocyte ratio (NLR) has been proven as a strong outcome predictor in vascular disease. The aim of this study is to investigate the role of preoperative NLR in predicting clinical outcomes in patients presenting acute limb ischemia. MATERIAL AND METHODS: A single-center retrospective study was conducted between January 2015 and December 2019. Demographic and clinical characteristics, procedural technical aspects, postoperative and early (up to 30-day) outcomes were recorded. All enrolled patients were categorized into low- and high-NLR at baseline, using a cut-off value of 5. Study outcomes were 30-day all-cause mortality and amputation rates. RESULTS: A total of 177 ALI patients were included in the final analysis (6 RC I, 44 RC IIA, 108 RC IIB, and 19 RC III), 115 males (65%), mean age 78.9 ± 10.4 years. Mean NLR at hospital presentation was 6.65 ± 6.75 (range 0.5-35.4), 108 (61.1%) patients presented a low-NLR, 69 (38.9%) a high-NLR. Immediate technical success was achieved in 90.1% of cases. At 30 days, freedom from amputation and freedom from death rates were 87.1% and 83.6%, respectively. At the univariate analysis, amputation (p < 0.0001, OR: 9.65, 95%CI: 3.7-25.19), mortality (p = 0.0001, OR: 9.88, 95%CI: 3.19-30.57), and cumulative event rates (p < 0.001, OR: 14.45, 95%CI: 6.1-34.21), were significantly different between the two groups according to NLR value. Multivariate analysis showed that a high baseline NLR value was an independent predictor of unfavorable outcomes in all enrolled patients. Consistently, at ROC analysis, a preoperative NLR > 5 was strongly associated with all outcome occurrences. CONCLUSION: Preoperative NLR value seems to be strongly related to ALI outcomes in this unselected population. The largest series should be evaluated to confirm present results.

Sunlight advanced oxidation processes vs ozonation for wastewater disinfection and safe reclamation.

Solar processes (sunlight/H2O2, solar photo-Fenton with EDDS at neutral pH) were compared to a consolidated technology (ozonation) in the inactivation of target bacteria (E. coli, Salmonella spp. and Enterococcus spp.) under realistic conditions (real secondary treated urban wastewater (WW), pilot scale reactors, natural sunlight) to evaluate their possible industrial application. The highest bacteria inactivation rate (all the target pathogens were inactivated below the detection limit (DL) (100 CFU/100 mL) within 45 min treatment) was observed for ozonation (83 mgO3/L h). Similar inactivation behavior for all bacteria was observed for sunlight/H2O2 (50 mg/L) and solar photo-Fenton (SPF) with EDDS (1:1 molar ratio, 0.1 mM of Fe and 50 mg/L of H2O2). Although the DL was not reached, faster inactivation kinetics (0.007, 0.013 and 0.002 1/min for E. coli, Salmonella spp. and Enterococcus spp., respectively) and lower bacterial concentration after a 180 min treatment were observed for sunlight/H2O2 process compared to SPF (0.005, 0.01 1/min and no inactivation, respectively), Enterococcus spp. being the higher resistance microorganism. The negative effect of carbonates on disinfection performance was also evaluated. Quantitative microbial risk assessment for the ingestion of lettuce irrigated with untreated and treated WW was estimated. Disinfection by ozonation and sunlight/H2O2 processes were found to drastically decrease the associated microbiological risk (the mean risk of illness decreased from 0.10 (untreated) to 1.35 × 10-4 (treated) for E. coli and from 0.03 to 2.21 × 10-6 for Salmonella).

Simultaneous removal of contaminants of emerging concern and pathogens from urban wastewater by homogeneous solar driven advanced oxidation processes.

Simultaneous removal of contaminants of emerging concern and bacteria inactivation in simulated municipal wastewater effluent (SMWW) through solar advanced oxidation processes, namely sunlight/H2O2 and solar photo-Fenton with Ethylenediamine-N,N'-disuccinic acid (EDDS) at neutral pH was investigated. Process efficiency was evaluated in terms of (i) degradation of five contaminants of emerging concern (CECs, namely caffeine, carbamazepine, diclofenac, sulfamethoxazole and trimethoprim) at the initial concentration of 100 µgL-1 each and (ii) bacteria inactivation (E. coli, S. enteritidis and E. faecalis), at the initial concentration of 103 CFU mL-1 each. Solar photo-Fenton process was first investigated at lab scale in a solar simulator to evaluate the effect of iron concentration (0.1 mM and 0.05 mM) and Fe:EDDS ratio (1:2 and 1:1). Subsequently, sunlight/H2O2 and solar photo-Fenton with EDDS (molar ratio 1:1, Fe(III) 0.1 mM) at neutral pH were singularly and sequentially investigated at pilot scale in a raceway pond reactor. Sunlight/H2O2 (50 mg L-1) tests resulted in total bacteria inactivation in 60 min (0.69 kJ L-1) but low CECs removal efficiency. On the opposite, solar photo-Fenton was effective in the removal of the total CECs (87% removal after 20 min and 0.14 kJ L-1) but not in E. faecalis inactivation (the initial concentration did not change even after 180 min). However, when the two processes were operated sequentially, a complete bacteria inactivation was observed in 15 min (0.17 kJ L-1), 20 min (0.23 kJ L-1) and 60 min (0.70 kJ L-1) of treatment for E. coli, S. enteritidis and E. faecalis, respectively and 80% removal of total CECs was achieved after 10 min of Fe:EDDS addition. Sequential combination of sunlight/H2O2 and solar photo-Fenton would be an effective solution for simultaneous CECs removal and bacteria inactivation in the same photo-reactor.

Effect of the aqueous matrix on the inactivation of E. coli by permaleic acid.

In this work permaleic acid (PMA) was investigated as possible disinfecting agent and compared to peracetic acid (PAA) in real tap water and wastewater. Preliminary tests in lysogeny broth (LB) were also performed. PMA was synthesized from maleic anhydride and hydrogen peroxide and, for the first time, its antimicrobial activity was evaluated with respect to the growth inhibition of E. coli. The effect of the pH and bivalent ions, typically occurring in real water matrices (namely, Mg2+ and Ca2+), was also investigated. pKa values for PMA were calculated for the first time by DFT calculations. The concentration of bivalent ions strongly affected disinfection efficiency with PMA (Ca2+=0.33 mgL-1 and Mg2+=0.35 mgL-1: 100% E. coli reduction > log 5; Ca2+=13.3 mg L-1 and Mg2+=25.6 mg L-1: E. coli reduction < log 1, after 60 min), and such results were supported by DFT modelling outcomes (pKa2 of PMA 7.3) and disinfection tests in presence of EDTA chelating agent. More alkaline pH conditions drastically decreased PMA disinfection (pH = 5: > log 5 E.coli reduction; pH = 9: < log 1 E.coli reduction, after 60 min). PMA disinfection efficiency is strongly affected by the target water quality, the concentration of metal bivalent ions and the initial pH.

Combination of flow cytometry and molecular analysis to monitor the effect of UVC/H2O2 vs UVC/H2O2/Cu-IDS processes on pathogens and antibiotic resistant genes in secondary wastewater effluents.

The efficiency of a new Advanced Oxidation Process (AOP), namely the photo Fenton like process UV-C/H2O2/IDS-Cu, in removing determinants of antibiotic resistance and pathogenic bacteria was compared to a consolidated AOP (namely UV-C/H2O2) in a secondary treated municipal WasteWater (WW). A reductionist experimental laboratory-based approach was applied on real WW and the parameters were collected by an alternative integrated approach using (i) flow cytometry to enumerate bacteria and test for the fitness of the bacterial communities and (ii) molecular analyses to define the community composition (16S rRNA amplicon sequencing) and the abundances of Antibiotic Resistance Genes (ARGs) and of the class 1 integron (intI1 gene) (by quantitative PCR). The same approach was applied also to post-treatment regrowth tests (24 h) to define the potential persistence of the tested parameters. These experiments were performed in both, human pathogens favorable conditions (HPC, in rich medium and 37°C) and in environmental mimicking conditions (EMC, original WW and 20°C). UV-C/H2O2/IDS-Cu process resulted to be more effective than the UV-C/H2O2in inactivating bacterial cells in the EMC post-treatment regrowth experiments. Both AOPs were efficiently abating potential human pathogenic bacteria and ARGs in the HPC regrowth experiments, although this trend could not be detected in the measurements taken immediately after the disinfection. In comparison with the UV-C/H2O2, the UV-C/H2O2/IDS-Cu process did not apparently offer significant improvements in the abatement of the tested parameters in the WW effluent but, by evaluating the results of the regrowth experiments it was possible to extrapolate more complex trends, suggesting contrasting efficiencies visible only after a few hours. This study offers a detailed view on the abatement efficiency of microbiological/genetic parameters for the UV-C/H2O2/IDS-Cu process, calling for technical adjustments for this very promising technology. At the same time, our results clearly demonstrated the inadequacy of currently applied methodologies in the evaluation of specific parameters (e.g. determinants of antibiotic resistance and pathogenic bacteria) in WW.