Primary and digested sludge-derived char as a Cd sorbent: feasibility of local utilisation.

Cadmium (Cd) is a highly toxic metal, occurring in municipal wastewater and stormwater as well as in wastewater from various industries. Char derived from the pyrolysis of municipal sewage sludge has the potential to be a low-cost sorption media for the removal of Cd. However, the balance between possible local char production and demand has not been assessed previously. In this study, the Cd sorption capacities of chars derived from primary (PSC) and secondary sludge (DSC), as well as the feasibility of char production for Cd sorbent purposes, and the pyrolysis energy balance were evaluated. Results showed that the sorption capacity of PSC (9.1 mg/g; 800 °C, 70 min) was superior to that of DSC (6.0 mg/g; 800 °C, 70 min), and increased with a higher pyrolysis temperature. Pyrolysis of primary sludge had a more favourable energy balance compared with the pyrolysis of digested sludge; however, when accounting for loss of biogas production the energy balance of primary sludge pyrolysis was negative. Assessment of the regional demand (Västerås, Sweden) indicated that PSC or DSC may cover the local Cd sorbent demand. However, it was estimated that large char volumes would be required, thus making the use of DSC/PSC less feasible.

Parent Training Tailored to Parents With ADHD: Development of the Improving Parenting Skills Adult ADHD (IPSA) Program.

OBJECTIVE: To describe the development of the Improving Parenting Skills Adult ADHD (IPSA) parent training (PT) program, designed for parents with ADHD. METHOD: IPSA was developed using an iterative co-creation approach, involving parents with ADHD from the initial knowledge mobilization phase onwards. The program prototype was evaluated by 16 parents with ADHD, in an open trial of program feasibility. RESULTS: IPSA was deemed feasible in terms of acceptability and levels of active participation, with no evidence of unintended harm. All but one participant completed the program, attending on average 84% of sessions. Pre-to-post within-group comparisons of targeted skills and outcomes revealed changes in the expected direction regarding, for example, use of introduced parenting skills (Cohen's d = 1.3). CONCLUSION: The program prototype was found acceptable, accessible, and safe. Findings support the potential value of adapting PT protocols for parents with ADHD and warrant further evaluation of IPSA in a randomized controlled trial.

Existing evidence related to soil retention of phosphorus from on-site wastewater treatment systems in boreal and temperate climate zones: a systematic map.

BACKGROUND: In Sweden there are nearly one million soil-based on-site wastewater treatment systems (OWTSs). OWTSs may contribute to eutrophication of surface waters, due to the discharge of phosphorus (P). Hence, in certain cases, a high P removal rate (up to 90%) of OWTSs is required by Swedish authorities. Since these requirements may have costly consequences to property owners, it is debated whether they are too strict. In this debate, it is often claimed that the soil retention of P occurring in the natural environments may be underestimated by authorities. Soil retention is the inhibition of the transport of P through the ground, due to different chemical, physical and biological processes occurring there. These processes make the P transport slower, which may reduce the unwanted impact on receiving water bodies. However, the efficiency of soil retention of P remains unclear. The objective of this systematic map was to collect, code, organise and elucidate the relevant evidence related to the topic, to be able to guide stakeholders through the evidence base, and to support future research synthesising, commissioning, and funding. The systematic map was carried out in response to needs declared by the Swedish Agency for Marine and Water Management but the conclusions should be valid for a wider range of countries across boreo-temperate regions. METHODS: Searches were made for peer-reviewed and grey literature using bibliographic databases, search engines, specialist websites, and stakeholder contacts. The references were screened for relevance according to a predefined set of eligibility criteria. A detailed database of the relevant studies was compiled. Data and metadata that enable evaluation and discussion of the character and quality of the evidence base were extracted and coded. Special focus was placed on assessing if existing evidence could contribute to policy and practice decision making. Descriptive information about the evidence base was presented in tables and figures. An interactive evidence atlas and a choropleth were created, displaying the locations of all studies. REVIEW FINDINGS: 234 articles out of 10,797 screened records fulfilled the eligibility criteria. These articles contain 256 studies, performed in the field or in the laboratory. Six different study types were identified, based on where the measurements were conducted. Most studies, including laboratory studies, lack replicates. Most field studies are observational case studies. CONCLUSIONS: It is not possible to derive valid generic measures of the efficiency of soil retention of P occurring in the natural soil environment from available research. Neither does the evidence base allow for answering the question of the magnitude of the potential impact of OWTSs on the P concentration in recipients on a general basis, or under what conditions OWTSs generally have such an impact. A compilation of groundwater studies may provide examples of how far the P may reach in x years, but the number of groundwater studies is insufficient to draw any general conclusions, given the complexity and variability of the systems. Future research should strive for replicated study designs, more elaborate reporting, and the establishment of a reporting standard.

Midwives' communication with non-Swedish-speaking women giving birth: A survey from a multicultural setting in Sweden.

INTRODUCTION: The European Union faces challenges related to migration, cultural diversity and health. Immigration to Sweden has increased and a third of all women giving birth were born outside Sweden. A higher risk for negative pregnancy outcomes is seen among foreign-born women and one of the explanations given is inadequate communication. Midwives in Sweden have responsibility for normal birth. This study aimed to investigate labor ward midwives' experiences of caring for and communicating with women who do not speak and understand the Swedish language. METHODS: A questionnaire based on the Migrant Friendly Hospital questionnaire was distributed to all 46 midwives working on the Södertälje Hospital labor and postpartum ward in 2018 and 32 completed it (70%). RESULTS: Most of the midwives thought communication and giving support to non-Swedish speaking women during birth was difficult or very difficult (n=31; 97%). The quality of the professional interpreters' work was reported as good or very good by most of the midwives (n=31; 97%). However, the most common resource for facilitating communication during labor was an adult relative (always/often: n=25; 83%). Increased availability was the most common response for improving the interpreter service (n=22; 69%), as well as increasing the number of languages available for interpreter services (n=8; 25%). CONCLUSIONS: When women are giving birth, it is of the highest priority to improve communication between midwives and non-Swedish-speaking women. Better strategies for improving communication must be implemented in order to comply adequately with Swedish law and achieve equitable care of high quality for all, regardless of linguistic background.

Metal retention on pine bark and blast furnace slag--on-site experiment for treatment of low strength landfill leachate.

Treatment of landfill leachate using blast furnace slag and pine bark as reactive sorbents was studied in an in situ column experiment at the Lilla Nyby landfill site in Eskilstuna, Sweden. The columns were filled with approximately 101 of each sorbent and leachate was supplied at three different flow rates during a period of 4 months. Samples of inflow and outflow were collected three times a week and were analyzed for physical and chemical parameters, including concentrations of some metals, and toxicity. It was found that pine bark removed metals more efficiently than did the blast furnace slags; that Zn was most efficiently retained in the filters and that both retention time and initial concentration played an important role in the sorption process. It was also observed that the pine bark column did not release COD. No toxicity of the untreated or the treated leachate was found with the test organisms and test responses used.

Substrates for phosphorus removal-potential benefits for on-site wastewater treatment?

A large number of substrates potential for removal of phosphorus (P) in wastewater has been reviewed. The substrates consist of natural materials, industrial by-products and man-made products. Most substrates have been investigated in batch and column studies in the laboratory; others have also been tested in field trials. The results from these investigations vary, but a few substrates, e.g. wollastonite, slag material and, to some extent, light weight aggregate products, have demonstrated promising properties with regard to P-sorption capacity and hydraulics. The problems of normalisation of data are discussed, as well as the substrates potential benefits for on-site wastewater treatment.

Filter materials for metal removal from mine drainage--a review.

A large number of filter materials, organic and inorganic, for removal of heavy metals in mine drainage have been reviewed. Bark, chitin, chitosan, commercial ion exchangers, dairy manure compost, lignite, peat, rice husks, vegetal compost, and yeast are examples of organic materials, while bio-carbons, calcareous shale, dolomite, fly ash, limestone, olivine, steel slag materials and zeolites are examples of inorganic materials. The majority of these filter materials have been investigated in laboratory studies, based on various experimental set-ups (batch and/or column tests) and different conditions. A few materials, for instance steel slag materials, have also been subjects to field investigations under real-life conditions. The results from these investigations show that steel slag materials have the potential to remove heavy metals under different conditions. Ion exchange has been suggested as the major metal removal mechanisms not only for steel slag but also for lignite. Other suggested removal mechanisms have also been identified. Adsorption has been suggested important for activated carbon, precipitation for chitosan and sulphate reduction for olivine. General findings indicate that the results with regard to metal removal vary due to experimental set ups, composition of mine drainage and properties of filter materials and the discrepancies between studies renders normalisation of data difficult. However, the literature reveals that Fe, Zn, Pb, Hg and Al are removed to a large extent. Further investigations, especially under real-life conditions, are however necessary in order to find suitable filter materials for treatment of mine drainage.

Effect of organic load on phosphorus and bacteria removal from wastewater using alkaline filter materials.

The organic matter released from septic tanks can disturb the subsequent step in on-site wastewater treatment such as the innovative filters for phosphorus removal. This study investigated the effect of organic load on phosphorus (P) and bacteria removal by reactive filter materials under real-life treatment conditions. Two long-term column experiments were conducted at very short hydraulic residence times (average ~5.5 h), using wastewater with high (mean ~120 mg L(-1)) and low (mean ~20 mg L(-1)) BOD7 values. Two alkaline filter materials, the calcium-silicate material Polonite and blast furnace slag (BFS), were tested for the removal capacity of total P, total organic carbon (TOC) and Enterococci. Both experiments showed that Polonite removed P significantly (p < 0.01) better than BFS. An increase in P removal efficiency of 29.3% was observed for the Polonite filter at the lower concentration of BOD7 (p < 0.05). Polonite was also better than BFS with regard to removal of TOC, but there were no significant differences between the two filter materials with regard to removal of Enterococci. The reduction in Enterococci was greater in the experiment using wastewater with high BOD7, an effect attributable to the higher concentration of bacteria in that wastewater. Overall, the results demonstrate the importance of extensive pre-treatment of wastewater to achieve good phosphorus removal in reactive bed filters and prolonged filter life.