Metal Contamination of Water and Sediments of the Vieira River, Montes Claros, Brazil.

Vieira River is the main recipient of domestic and industrial wastewater in the city of Montes Claros, MG, Brazil. Until 2010, domestic sewage was dumped in it without any kind of treatment. Concentrations of arsenic (As), chrome (Cr), copper (Cu), nickel (Ni), lead (Pb), and zinc (Zn) were determined in water and sediment samples in eight locations along the Vieira River during the dry season of 2015. Concentrations of Cu, Ni, and Zn detected in the water at some sites along the Vieira River were superior to the reference limits for toxicity. The concentration of Cu and Ni restricts the use of water for irrigation in some sites of the river. The level of sediment contamination was assessed by five approaches, including contamination factor (CF), pollution load index (PLI), geo-accumulation index (Igeo), cluster analysis (CA), and principal component analysis/factor analysis (PCA/FA). The results showed that Cr and the downstream sampling site nearest to the Wastewater Treatment Plant of the city of Montes Claros had the highest values of PLI, Igeo, and CF, which reinforces the influence of domestic and industrial wastewater discharge in pollution of the Vieira River. In addition, CA and PCA/FA reinforced the assumption that Cr comes from anthropogenic pollution sources.

Biogas from aquatic plants: A bioenergetics incentive for constructed wetlands usage.

Our study demonstrated the energy gains when using biomass from three macrophyte, used commonly in constructed wetlands for wastewater treatment, the water hyacinth, cattail, and dwarf papyrus, as a substrate for biogas generation. The biochemical methane potential for the three biomass was evaluated in batch and at bench at 37 °C. A kinetic analysis of anaerobic digestion was also conducted for these substrates, evaluating the biogas composition and energy potential. Anaerobic digestion resulted in 94.27, and 25 mLCH4/gVSsubstrate of dry mass; and 19,569.65, 5617.88, and 6068.45 kJ/t of cattail, water hyacinth, and dwarf papyrus, respectively. Biomass from water hyacinth did sustain the fastest degradation, indicating that models considering the lag phase are more adequate to evaluate the anaerobic digestion of this type of substrate. Higher digestion speed resulted in the generation of 2901.88 kJ/t more energy with biomass from water hyacinth versus cattail, highlighting its value for use in constructed wetlands.

Psychiatric comorbidities of chronic migraine in community and tertiary care clinic samples.

Although the association between episodic migraine and psychiatric comorbidities is well documented, few studies have focused on the comorbidity with chronic migraine (CM) and discrepancies exist between population-based and clinic-based data. The objective of this study is to compare demographic and psychiatric comorbidity correlates between CM samples drawn from the community and tertiary care. All inhabitants from a city borough were interviewed for the presence of headaches occurring 15 or more days per month. CM was diagnosed after subjects had been interviewed and examined by a headache doctor. Participants were also assessed with a structured interview by a psychiatrist, who assigned diagnoses based on the DSM-IV. The same investigators assessed all patients consecutively seen in a university-based outpatient headache center over a 4-month period. The samples consist of 41 individuals from the community and 43 from the headache center. Sociodemographic profiles were similar between groups with the exception of the mean number of years of formal education. Among individuals from the community, psychiatric diagnoses were present in 65.9 % of cases, relative to 83.7 % in those from the headache center (p = 0.06). Phobias (41.9 vs. 29.3 %) and depression (32.6 vs. 29.3 %) were more frequent in patients from the headache center, but this difference did not reach statistical significance. Thus the frequency of psychiatric disorders in patients with CM was elevated in both settings, being higher in the specialty care clinic.

Effect of initial pH and substrate concentration on the lactic acid production from cassava wastewater fermentation by an enriched culture of acidogenic microorganisms.

Recently, cassava processing wastewater has been considered an alternative substrate for lactic acid production due to its appreciable carbohydrate levels. The authors carried out different batch reactor trials aiming to favor the production of lactic acid through the fermentation of non-sterilized cassava wastewater by an enriched culture of acidogenic microorganisms. To this end, the impact of different initial pHs (4.5, 5.0, 5.7, 6.5, and 7.0) and different initial substrate concentrations (10, 15.8, 30, 44.2, and 50 g/L) in terms of glucose on lactic acid production yield (Y) was evaluated by applying the design of experiment (DoE) known as central composite rotatable design (CCRD). The highest rate of lactic acid production (40 g/L) occurred with an initial pH of 6.5 and an initial substrate concentration of 50 g/L. The maximum yield was higher in trials T1, T2, T4, T5, and T8, reaching values of 0.80, 0.62, 0.60, 0.96, and 0.70 g/g, respectively. The maximum lactic acid productivity (P), of 0.60 and 0.73 g L-1  hr-1 , was observed in trials T5 and T8, respectively. The enriched culture of acidogenic microorganisms was shown to favor the production of lactic acid, since the production of other acids, such as acetic and propionic acid, did not exceed 3.5 and 4.5 g/L, respectively. © 2020 Water Environment Federation PRACTITIONER POINTS: Cassava wastewater presented potential to lactic acid production. The CCRD showed that highest lactic acid concentrations (40 g/L). The adoption of cassava wastewater or manipueira as a substrate resulted in important information on the tendency to obtain value-added products such as lactic acid.

Chronic headache and comorbidities: a two-phase, population-based, cross-sectional study.

BACKGROUND: Studies using resources of a public family health program to estimate the prevalence of chronic daily headaches (CDH) are lacking. OBJECTIVES: To estimate the 1-year prevalence of CDH, as well as the presence of associated psychiatric and temporomandibular disorders (TMD) comorbidities, on the entire population of a city representative of the rural area of Brazil. METHODS: This was a cross-sectional, population-based, 2-phase study. In the first phase, health agents interviewed all individuals older than 10 years, in a rural area of Brazil. In the second stage, all individuals who reported headaches on 4 or more days per week were then evaluated by a multidisciplinary team. CDH were classified according to the second edition of the International Classification of Headache Disorders (ICHD-2). Medication overuse headache was diagnosed, as per the ICHD-2, after detoxification trials. Psychiatric comorbidities and TMD were diagnosed based on the DSM-IV and on the Research Diagnostic Criteria for Temporomandibular Disorders criteria, respectively. RESULTS: A total of 1631 subjects participated in the direct interviews. Of them, 57 (3.6%) had CDH. Chronic migraine was the most common of the CDH (21, 36.8%). Chronic tension-type headache (10, 17.5%), medication overuse headache (13, 22.8%) and probable medication overuse headache (10, 17.5%) were also common. Psychiatric disorders were observed in 38 (67.3%) of the CDH subjects. TMD were seen in 33 (58.1)% of them. CONCLUSIONS: The prevalence of CDH in the rural area of Brazil is similar to what has been reported in previous studies. A significant proportion of them have psychiatric comorbidities and/or TMD. In this sample, comorbidities were as frequent as reported in convenience samples from tertiary headache centers.

Enriched microbial consortia for dark fermentation of sugarcane vinasse towards value-added short-chain organic acids and alcohol production.

The role of sugarcane vinasse as a nutrient source and the impacts of different inoculum pretreatment methods (acid-thermal and thermal treatment) were assessed in acidogenic systems aiming to produce value-added short-chain organic acids (SCOA) and alcohols. In-depth microbiome characterization was also conducted by high-throughput sequencing of the 16S rRNA gene using the Miseq Illumina platform. SCOA production was 47.3 % higher in vinasse-fed reactors, with isobutyric (up to 10.3 g L-1) and butyric (up to 10.6 g L-1) acids as the primary metabolites most likely resulting from lactate conversion. Ethanol comprised the main product from solventogenic pathways in all conditions, with values ranging between 2.7 and 5.2 g L-1, whereas no butanol was detected. Microbial analyses revealed high relative abundance values for the Clostridium, Lactobacillus, Bacillus and Ruminococcus genera, with the predominance of the Clostridium genus (17%) in acid-thermal treatment reactors and the Lactobacillus genus (37%) in thermal treatment reactors. Overall, vinasse proved to be a suitable substrate for value-added SCOA production, which characterizes a potential management approach to this wastewater stream. In this sense, the biochemical production of butyrate from vinasse could diversify the product portfolio of sugarcane biorefineries, also minimizing bioenergy losses by converting residual carbon fractions.

Ophthalmoplegic migraine: a case with recurrent palsy of the abducens nerve.

Ophthalmoplegic migraine (OM) is a rare disorder characterized by recurrent episodes of migraine-like headaches associated with extrinsic ocular musculature palsy. In this article, we report a patient with OM that presented recurrent palsy of the abducens nerve and other atypical features. Case reports of OM with abducens nerve palsy were also reviewed.

Bioavailability and dosing strategies of mineral in anaerobic mono-digestion of maize straw.

The influence of the bonding form distribution of Fe, Ni, Co and Mn and their potential bioavailability during the anaerobic degradation of maize straw was investigated. Two reactors were operated over 117 days at 37°C and different dosage strategies of mineral were studied in reactor (R2). Control reactor (R1) was metal-limited over time. mineral supplementation (1 g L-1) once a week reported the highest methane yield (257 mL g-1 VS) with 30% of increment. Ni and Co predominated in their oxidizable bonding forms and Fe mainly existed as residual and oxidizable fractions. The potential bioavailability (Mn ˃˃ Co ≈ Ni ˃ Fe) of R2 was higher comparing to R1. Metal deprivation in R1 led to depletion of both sequential extraction fractions and total metal concentrations until the end of the process. This study confirmed that the dosage strategy of mineral has a stimulatory effect on methane production from crop maize waste.

[Characteristics of the communication in individuals with fragile X syndrome]. / Características da comunicaço em indivíduos com a síndrome do X frágil.

The aim of this study was to make a characterization of the communication in a group with fragile X syndrome (FXS), based on normal development scale. The sample has 10 boys, between 6 and 13 years and with FXS. All of them were submitted to language evaluation. The most part of them had the communication in linguistic form (80%), until 3 years old. It was considered that the data confirmed the significant delay in the acquisition and development of the communication, being necessary an early and specialized intervention.

[The functional evaluation of dysphagia in the neonatal intensive care unit]. / Avaliação funcional da disfagia de lactentes em UTI neonatal.

BACKGROUND: The objectives of this study were: 1) to detect clinical criteria on the evaluation of dysphagy in preterm newborns; 2) to analyze the association between the functional and the videoendoscopy findings and 3) to show the relevance of the joint work of the Speech Therapist and the Otolaryngologist criteria on the evaluation of dysphagy in preterm syndromic and pathologic newborns. METHODS: The sample comprised fifteen infants born in Maternity Campinas Hospital, Campinas-SP, to whom was requested a Speech Therapist evaluation by the Neonatologist. All the infants were evaluated once by the same Speech Therapist and the Otolaryngologist. The functional evaluation of swallowing considered: a) the extra oral tactile sensibility, b) the intra oral tactile sensibility, c) the nauseous reflex and d) the buccinator movement. The evaluation of the videoendoscopy swallowing analyzed a) the sensibility in the arytenoid cartilage, b) the crying, c) the aspiration, d) desaturation and e) the penetration. The exact test of Fisher was applied for small samples and each hypothesis was tested with significance level of 0.05. RESULTS: At the end of the study, a statistically dependence relation between the variants was noticed: 1) aspiration after pharyngeal phase and penetration (high and low) and 2) extra oral sensibility on the cheeks and the sensibility on the arytenoid cartilage. CONCLUSION: This last result shows the association between a functional finding obtained by the Speech Therapist and a videoendoscopy finding achieved by the Otolaryngologist, that shows clearly the relevance of the team work among these two health professionals.