Simultaneous removal of antibiotic resistance genes and improved dewatering ability of waste activated sludge by Fe(II)-activated persulfate oxidation.

Waste activated sludge properties vary widely with different regions due to the difference in living standards and geographical distribution, making a big challenge to developing a universally effective sludge dewatering technique. The Fe(II)-activated persulfate (S2O82-) oxidation process shows excellent ability to disrupt sludge cells and extracellular polymeric substances (EPS), and release bound water from sludge flocs. In this study, the discrepancies in the physicochemical characteristics of sludge samples from seven representative cities in China (e.g., dewaterability, EPS composition, surface charge, microbial community, relative abundance of antibiotic resistance genes (ARGs), etc.) were investigated, and the role of Fe(II)-S2O82- oxidation in enhancing removal of antibiotic resistance genes and dewatering ability were explored. The results showed significant differences between the EPS distribution and chemical composition of sludge samples due to different treatment processes, effluent sources, and regions. The Fe(II)-S2O82- oxidation pretreatment had a good enhancement of sludge dewatering capacity (up to 76 %). Microbial analysis showed that the microbial community in each sludge varied significantly depending on the types of wastewater, the wastewater treatment processes, and the regions, but Fe(II)-S2O82- oxidation was able to attack and rupture the sludge zoogloea indiscriminately. Genetic analysis further showed that a considerable number of ARGs were detected in all of these sludge samples and that Fe(II)-S2O82- oxidation was effective in removing ARGs by higher than 90 %. The highly active radicals (e.g., SO4-·, ·OH) produced in this process caused drastic damage to sludge microbial cells and DNA stability while liberating the EPS/cell-bound water. Co-occurrence network analysis highlighted a positive correlation between population distribution and ARGs abundance, while variations in microbial communities were linked to regional differences in living standards and level of economic development. Despite these variations, the Fe(II)-S2O82- oxidation consistently achieved excellent performance in both ARGs removal and sludge dewatering. The significant modularity of associations between different microbial communities also confirms its ability to reduce horizontal gene transfer (HGT) by scavenging microbes.

Biomethane recovery from Egeria densa in a microbial electrolysis cell-assisted anaerobic system: Performance and stability assessment.

Renewable energy recovery from submerged aquatic plants such as Egeria densa (E. densa) via continuous anaerobic digestion (AD) represents a bottleneck because of process instability. Here, a single-chamber membrane-free microbial electrolysis cell (MEC) equipped with a pair of Ti/RuO2 mesh electrodes (i.e. the combined MEC-AD system) was implemented at different applied voltages (0-1.0 V) to evaluate the potential effects of bioelectrochemical stimulation on methane production and process stability of E. densa fermentation. The application of MEC effectively stabilized E. densa fermentation and upgraded overall process performance, especially solid matters removal. E. densa AD process was operated steadily throughout bioelectrochemical process without any signs of imbalance. The solubilization-removal of solid matters and methane conversion efficiency gradually increased with increasing applied voltage, with an average methane yield of approximately 248.2 ± 21.0 mL L(-1) d(-1) at 1.0 V. Whereas, the stability of the process became worse immediately once the external power was removed, with weaken solid matters removal along with methane output, evidencing the favorable and indispensable role in maintaining process stability. The stabilizing effect was further quantitatively demonstrated by statistical analysis using standard deviation (SD), coefficient of variance (CV) and box-plots. The syntrophic and win-win interactions between fermenting bacteria and electroactive bacteria might have contributed to the improved process stability and bioenergy recovery.

Characteristics of health IT outage and suggested risk management strategies: an analysis of historical incident reports in China.

BACKGROUND: The healthcare industry has become increasingly dependent on using information technology (IT) to manage its daily operations. Unexpected downtime of health IT systems could therefore wreak havoc and result in catastrophic consequences. Little is known, however, regarding the nature of failures of health IT. OBJECTIVE: To analyze historical health IT outage incidents as a means to better understand health IT vulnerabilities and inform more effective prevention and emergency response strategies. METHODS: We studied news articles and incident reports publicly available on the internet describing health IT outage events that occurred in China. The data were qualitatively analyzed using a deductive grounded theory approach based on a synthesized IT risk model developed in the domain of information systems. RESULTS: A total of 116 distinct health IT incidents were identified. A majority of them (69.8%) occurred in the morning; over 50% caused disruptions to the patient registration and payment collection functions of the affected healthcare facilities. The outpatient practices in tertiary hospitals seem to be particularly vulnerable to IT failures. Software defects and overcapacity issues, followed by malfunctioning hardware, were among the principal causes. CONCLUSIONS: Unexpected health IT downtime occurs more and more often with the widespread adoption of electronic systems in healthcare. Risk identification and risk assessments are essential steps to developing preventive measures. Equally important is institutionalization of contingency plans as our data show that not all failures of health IT can be predicted and thus effectively prevented. The results of this study also suggest significant future work is needed to systematize the reporting of health IT outage incidents in order to promote transparency and accountability.