The intervention dilemma and high burden of children with autism in Guizhou province, Southwest China.

Background: Autism spectrum disorder (ASD) is a highly disabling neurodevelopmental disorder, and the burden is high. Data on the burden of ASD are limited in China, especially in the southwest. Therefore, the aims of this study were to investigate the intervention status and burden of children with ASD in Southwest China. Materials and methods: Families of children with ASD were recruited from hospitals, special education schools, and private rehabilitation centers; they participated in the survey and completed the questionnaire. Descriptive analysis was conducted on the questionnaire results, which included basic demographic characteristics, rehabilitation status, and burden. Multivariate analysis was used to analyze the association of basic family demographic characteristics, rehabilitation status, and costs of ASD. Results: A total of 231 families of children with ASD participated in this survey, and 78.35% (181/231) of the children with ASD were male. The mean age was 4.34 ± 2.09 years. A total of 55.84% (129/231) of the children with ASD had an intellectual disability. Only 46.32% (107/231) started receiving intervention within 1 month after diagnosis. The institutions for rehabilitation interventions for children with ASD were mainly tertiary hospitals (39.39%), special education schools (29.87%) and private rehabilitation institutions (21.64%). For a total of 42.86% (99/231) of the children with ASD, the duration of the intervention was less than 10 h per week. A total of 74.89% (173/231) of the children with ASD received a rehabilitation intervention at home. A total of 66.67% of the parents were satisfied with the treatment. The monthly cost of medical intervention for the patients of children with autism was 7,225 ± 474 RMB ($1,134 ± 74), and the non-medical intervention cost was 2,133 ± 107 RMB ($334 ± 17). The annual burden of patients with autism was 86,700 ± 5,688 RMB ($13,596 ± 892). The estimated total annual burden of ASD was 5.548 billion RMB ($870 million) in Guizhou province. Conclusion: The results revealed that rehabilitation resources are limited and that the burden of ASD is high in Guizhou province; therefore, improving the rehabilitation status and easing the burden of children with ASD is urgent in these regions.

Incorporation of Biosolids as Water Replacement in a Two-Step Renewable Hydrocarbon Process: Hydrolysis of Brown Grease with Biosolids.

ABSTRACT: The accumulating volumes of biosolids in lagoons worldwide have intensified the need to develop innovative wastewater treatment strategies. Here, we provide proof-of-concept for the incorporation of biosolids into the hydrolysis step of a two-step thermal conversion of lipids for production of renewable hydrocarbons, which can be utilized as renewable fuels. Brown grease was hydrolysed with biosolids or water at 260-280 °C for 60 min at a mass ratio of 1:1 feed to water or biosolids. The feedstock and products were characterized using various analytical techniques to compare the performance of biosolids to water. The results indicated that there was no significant difference in the degree of hydrolysis of brown grease when biosolids was used as water replacement. The fatty acids composition after hydrolysis when biosolids was used as a water replacement also remained largely unchanged. Hydrolysis of brown grease with biosolids could be achieved at pH ranging from 3.3 to 8.9, and at a lower than previously established temperature. Significantly, the rapid settling of solid material in biosolids observed after thermal hydrolysis of brown grease may reduce the necessity of biosolids settling lagoons. Thus, incorporation of biosolids into a lipid hydrolysis-pyrolysis process may simultaneously benefit the biofuel and waste management sectors.

Accelerating settling rates of biosolids lagoons through thermal hydrolysis.

Although the improved dewaterability and digestibility of primary biosolids subjected to thermal hydrolysis has been studied for decades, there are a surprisingly small number of studies exploring the use of this thermal treatment for digested biosolids that are typically left to settle in large settling lagoons. This is likely because of the high capital and operating costs associated with thermal hydrolysis, coupled with the limited applications and value of the resulting products. However, due to the anticipated increases in the amount of generated biosolids combined with issues surrounding potential environmental release and the limited availability of land for additional lagoons, other biosolids management strategies are being explored. Here, we show that thermal hydrolysis at 280 °C for 1 h resulted in 78.2 ±â€¯0.8% settling after 2 h. Furthermore, addition of phosphoric acid to lower the pH of the hydrolysate to pH 3 resulted in increased settling rates, but the final volume of unsettled material after 2 h was statistically similar to the thermally hydrolyzed material without pH adjustment (75.7 ±â€¯2.3%). Remarkably, when the pH of the digested biosolids was adjusted to 3 prior to thermal hydrolysis, a settling rate of 87.3 ±â€¯1.1% was observed after just 15 min. Significantly, the dewaterability of thermally hydrolyzed biosolids was measured in our experiments through natural settling, without the use of external mechanics. Taken together, the data presented in this paper demonstrate that high temperature thermal hydrolysis is a promising method for accelerating the settling rates of digested biosolids and may represent a viable alternative to building and maintaining biosolids lagoons.