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This study investigates the oxidation of municipal wastewater (WW) by complexation with natural polyphenols having radical scavenging activity, such as (3,4,5 tri-hydroxy-benzoic acid) gallic acid (GA) in alkaline pH (>7), under ambient O2 and temperature. Physicochemical and structural characteristics of GA-WW complex-forming are evaluated by UV/Vis spectroscopy. The comparative analysis among UV/Vis spectra of GA monomer, GA-GA polymer, WW compounds, and GA-WW complex reveals significant differences within 350-450 and 500-900 nm. According to attenuated total reflectance (ATR) spectroscopy and thermogravimetric analysis (TGA), these spectra differences correspond to distinct complexes formed. This study suggests a novel role of natural polyphenols on the degradation and humification of wastes.
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Radicales Libres/química , Aguas Residuales , Ácido Gálico , Oxidación-Reducción , Análisis EspectralRESUMEN
BACKGROUND: Current evidence indicates sub-optimal incidence of fertility preservation (FP) in eligible patients. We present herein our designated multidisciplinary program for FP in pediatric and adolescent population and present our data on FP in female patients. METHODS: Pediatric patients (age 0-18) who were candidate for highly gonadotoxic treatments were referred to FP program for a multidisciplinary discussion and gonadal risk-assessment followed by either oocyte cryopreservation or ovarian cryopreservation (OCP) for female patients, and sperm banking for male patients. The OCP protocol consists of aspiration of oocytes from small antral follicles and in-vitro maturation followed by cryopreservation, as well as ovarian tissue cryopreservation. RESULTS: The establishment of a designated FP program resulted in a significant increase in referral and subsequent FP procedures of all eligible patients. Sixty-two female patients were referred for FP discussion during a period of 36 months; 41 underwent OCP; 11 underwent oocyte cryopreservation and six were declined due to parental decision. The median age was 13.2y (range 18 months-18y). Thirty-two (51.6 %) were chemotherapy-naïve. Seventeen patients (27 %) had sarcoma, 16 patients (26 %) had acute leukemia. The mean number of mature oocytes that were eventually vitrified was significantly higher in chemotherapy-naïve patients compared with chemotherapy-exposed patients (mean 12 oocytes (1-42) versus 2 (0-7)). CONCLUSION: Multidisciplinary programs that encompass experts of all relevant fields, skilled laboratory resources and a facilitated path appear to maximize the yield. We observed a considerable higher referral rates following launching a designated program and earlier OCP in chemo-naïve patients that culminated in a better fertility preservation procedure.
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Preservación de la Fertilidad/métodos , Neoplasias , Adolescente , Antineoplásicos/efectos adversos , Niño , Preescolar , Femenino , Humanos , Lactante , Neoplasias/complicaciones , Neoplasias/terapiaRESUMEN
OBJECTIVE: To determine if adverse pregnancy outcomes are associated with atherothrombotic occlusive vascular disease (AOVD) in premenopausal women. DESIGN: Retrospective matched case-control study. SETTING: Tertiary, university-affiliated medical center. POPULATION: Women aged less than 50 years treated for an AOVD (primary cerebrovascular, myocardial, or peripheral arterial ischemic event) from 1995 to 2004. METHOD: The files were reviewed for classical risk factors for AOVD and complications of pregnancy (abortions, pregnancy-induced hypertension, preeclampsia, gestational diabetes, intrauterine growth restriction (IUGR), fetal loss and preterm delivery). Findings were compared with healthy women matched for age and body mass index. MAIN OUTCOME MEASURES: Past pregnancy complications in premenopausal women with AOVD. RESULTS: Of the 101 women with AOVD, 53 had a myocardial ischemic event, 33 a cerebrovascular event, and 15 a peripheral ischemic arterial event. On multivariate analysis, IUGR (OR 8.41, 95% CI 2.36-29.9, p=0.001) and more than one pregnancy complication (OR 13.7, 95% CI 1.56-120, p=0.02) were found to be independent significant variables associated with AOVD. CONCLUSION: IUGR and composite pregnancy complications are independent significant variables associated with AOVD in premenopausal period. Pregnancy outcome might serve as a means to identify patients who may require increased medical surveillance and preventive measures for later vascular disease.
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Aterosclerosis/complicaciones , Complicaciones Cardiovasculares del Embarazo , Resultado del Embarazo , Premenopausia , Trombosis/complicaciones , Adulto , Estudios de Casos y Controles , Diabetes Gestacional/etiología , Femenino , Retardo del Crecimiento Fetal/etiología , Humanos , Hipertensión Inducida en el Embarazo/etiología , Registros Médicos , Persona de Mediana Edad , Preeclampsia/etiología , Embarazo , Estudios Retrospectivos , Factores de RiesgoRESUMEN
One of the options to prevent membrane fouling is to implement air lifting that can improve the cake removal from the membrane surface. This study presents the results of tests that were carried out at the Institutes for Desert Research, Kiryat Sde-Boker, Israel, and focused on the influence of hydrodynamic conditions on fouling in a pilot-scale immersed membrane bioreactor (IMBR) using a hollow fiber membrane module of ZW-10 (Zenon Environmental, Canada) under ambient conditions. In this system, the cross-flow velocities across the membrane surface were induced by one conical and four cylindrical draft-tubes. The relationship between the crossflow velocity and the aeration intensity, the influence of the crossflow on fouling rate under various hydrodynamic conditions were investigated and optimal operating conditions were obtained. Optimal operating conditions were reached during the long-term experiment period (70 days) for the treatment of domestic wastewater. The system was stable without external chemical cleaning. The results showed that the permeate was of high quality, and the removal of COD and BOD was 94.0% and 98.8%, respectively. The crossflow near the membrane surface reveals a major contribution for minimizing membrane fouling, and could offer guidelines for future design of similar systems.
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Reactores Biológicos , Eliminación de Residuos Líquidos/métodos , Purificación del Agua/instrumentación , IsraelRESUMEN
There is an increasing trend to use greywater for irrigation in households. This is partly due to the notion that greywater is of better quality than wastewater and therefore does not need extensive treatment beyond addressing public health issues. The aim of the study was to evaluate the environmental impact and health risks associated with the use of greywater for irrigation on a small private farm. Over a three-year period, each of three plots on a farm was irrigated with either freshwater, fertilized water, or greywater. Irrigation water and soil from the plots were analyzed for a wide range of chemical and microbial variables. Results suggest that greywater may be of similar quality to wastewater in several parameters such as BOD and faecal coliforms. For some other variables such as boron and surfactants, greywater may even be of worse quality than wastewater. Long-term irrigation of arid loess soil with greywater may result in accumulation of salts, surfactants and boron in the soil, causing changes in soil properties and toxicity to plants. Faecal coliforms did not survive in the soil. Treating greywater before using it for irrigation is recommended, even in places where this is not a requirement.
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Agricultura/métodos , Ambiente , Microbiología del Suelo , Suelo/análisis , Eliminación de Residuos Líquidos , Contaminantes Químicos del Agua/análisis , Análisis de Varianza , Boro/análisis , Israel , Nitrógeno/análisis , Fósforo/análisis , Tensoactivos/análisisRESUMEN
In many regions dairy farms and milk processing industries discharge large quantities of their wastes to the surroundings posing serious environmental risks. This problem is mostly faced in small dairy farms and isolated communities lacking both central collection and conventional wastewater treatment systems. Dairy wastewater is characterized by high concentrations of organic matter, solids, nutrients, as well as fractions of dissolved inorganic pollutants, exceeding those levels considered typical for high strength domestic wastewaters. With the purpose of treating the combined dairy and domestic wastewater from a small dairy farm in the Negev Desert of Israel, the use of a recent emerging technology of Immersed Membrane BioReactor (IMBR) was evaluated over the course of 500 test hours, under a variety of wastewater feed quality conditions (during the test periods, the feed BOD5 ranged from 315 ppm up to 4,170 ppm). The overall performance of a pilot-scale Ultrafiltration (UF) IMBR process for a combined domestic and dairy wastewater was analyzed based on the Data Envelopment Analysis (DEA) method. The IMBR performance in terms of membrane performance (permeate flux, transmembrane pressure, and organic removal) and DEA model (Technical Efficiency) was acceptable. DEA is an empirically based methodology and the research approach has been found to be effective in the depiction and analysis for complex systems, where a large number of mutual interacting variables are involved.
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Reactores Biológicos , Industria Lechera , Eliminación de Residuos Líquidos/métodos , Purificación del Agua/métodos , Animales , Industria de Alimentos , Membranas Artificiales , LecheRESUMEN
Field experiments are in progress for secondary wastewater upgrading for unrestricted utilization for agricultural irrigation. The integrative approach of secondary effluent polishing is based on using a hybrid UltraFiltration (UF) and Reverse Osmosis (RO) membrane pilot system with a capacity of around 1 m3/hr. The UF effluent is used to feed the RO membranes. The RO permeate is subsequently applied for vegetable irrigation. Field results indicate the importance of the UF component in the removal of the organic matter and the pathogens that are still contained in the secondary effluent. Under specific conditions, when the dissolved solids content is relatively low, regarding sanitary and health aspects, the UF effluent can be applied for unrestricted irrigation. During the RO stage most nutrients are removed, allowing application of the effluent without jeopardizing the soil fertility and the aquifers. Preliminary economic assessment indicates that the extra cost for effluent polishing via the UF stage only is in the range of 5 to 15 US cents/m3. The extra cost for the RO stage is also assessed at 10 to 25 US cents/m3. The additional cost depends to a large extent on the quality of the incoming raw secondary effluent and local requirements of the command region.
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Conservación de los Recursos Naturales/economía , Membranas Artificiales , Eliminación de Residuos Líquidos/economía , Purificación del Agua/economía , Abastecimiento de Agua , Agricultura , Análisis Costo-Beneficio , Ósmosis , Cloruro de Sodio/análisis , Suelo/análisis , Ultrafiltración , Eliminación de Residuos Líquidos/métodos , Purificación del Agua/métodosRESUMEN
OBJECTIVES: The aim of the study was to examine the current attitudes and practices of gynecologists regarding the use of the levonorgestrel-releasing intrauterine system (LNG-IUS, Mirena, Schering AG, Germany) as a contraceptive device and for the treatment of menorrhagia in the premenopausal period. In addition, physician knowledge of patient satisfaction with the device was evaluated. METHODS: A written, self-administered questionnaire was given to 300 gynecologists actively employed in gynecological departments and outpatient clinics in urban centers in Israel. The items covered the indications for which the LNG-IUS was prescribed, the estimated rate of use of the LNG-IUS compared to copper intrauterine devices (IUDs), patient satisfaction with the LNG-IUS and previous knowledge about it, and demographic characteristics of the population using IUDs. All forms were completed on an anonymous basis. RESULTS: The questionnaire was returned, properly completed, by 298 physicians, yielding a response rate of 99.3%. Almost one-half of the physicians (n = 147, 49.3%) used the LNG-IUS only as a contraceptive device, 17.4% only as treatment for menorrhagia, and 33.2% for both indications. The vast majority of gynecologists (82.2%) reported a patient satisfaction rate of 70% or more. Among the gynecologists using the LNG-IUS as treatment for menorrhagia, the estimated overall patient satisfaction rate was more than 50%. Although most physicians expressed greater patient satisfaction with the LNG-IUS than with copper-releasing IUDs (p < 0.004), the majority of gynecologists still used the copper-releasing IUDs more frequently. Most considered the LNG-IUS as an appropriate method for endometrial protection in postmenopausal women using estrogen replacement therapy. CONCLUSIONS: Physicians should be made aware of the beneficial health effects of the LNG-IUS, particularly in premenopausal women with menorrhagia and for endometrial protection during hormone replacement.
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Actitud del Personal de Salud , Anticonceptivos Femeninos/uso terapéutico , Dispositivos Intrauterinos de Cobre/estadística & datos numéricos , Levonorgestrel/uso terapéutico , Menorragia/tratamiento farmacológico , Pautas de la Práctica en Medicina , Adulto , Femenino , Ginecología , Humanos , Israel , Persona de Mediana Edad , Encuestas y CuestionariosRESUMEN
A large variety of human pathogens are excreted in wastewater including bacteria, viruses, protozoan cysts and helminth eggs. In raw sewage, human pathogens reach high numbers, thereafter decreasing successively at each treatment step. However, the final effluents still contain a large fraction of these pathogens that may pose a serious public health. Among the various crops irrigated with effluents, vegetables are the most vulnerable to contamination. Vegetables, usually eaten raw (uncooked) or with rich dressings (causing regrowth of some pathogenic bacteria) pose the main threat to humans. The importance of microbiological and parasitological criteria for reused water has been repeatedly emphasized. Some microbiological recommendations based on epidemiological data have been established for untreated wastewater, there is still a need to define the criteria for effluent quality required for unrestricted crop irrigation. This paper presents a field study comparison of two irrigation methods: surface and subsurface of field crops (mainly vineyard) and follow-up of Cryptosporidium oocysts in soil at different depths (0 to 90 cm). Oocysts were isolated at all depths without a clear pattern of distribution (0 to 640 oocysts/g). In addition different vegetables irrigated with different effluent qualities were tested for the presence of Cryptosporidium oocysts and Giardia cysts. The highest prevalence of oocysts was found on zucchini that has a sticky and hairy outer surface (80 to 10,000 oocysts/0.5 kg).
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Cryptosporidium/aislamiento & purificación , Microbiología del Suelo , Abastecimiento de Agua , Agricultura , Animales , Monitoreo del Ambiente , Oocistos/aislamiento & purificación , Raíces de Plantas/microbiología , Prevalencia , VerdurasRESUMEN
A critical objective for any wastewater reuse program is to close the gap between supply of and demand for water and to minimize health and environmental hazards. Thus, the effects of treated effluent on crops, soils and community health must be considered carefully. When applying wastewater to soil-plant systems, it is to be noted that the passage of water through the soil reduces considerably the number of microorganisms carried out by the reclaimed wastewater. Nevertheless, there is a need to study the real rate of organism decay subject to water quality, soil and vegetable characteristics, and irrigation method. The aim of this work is to determine the fate of the fecal coliforms, coliphages F+ and CN13, and helminth eggs survival during the application of reclaimed wastewater in a vineyard orchard near the City of Arad (Israel) via onsurface and subsurface drip irrigation systems. Wastewater obtained from a stabilization pond, and soil samples were tested and an important decrease of microorganisms was reached in both cases, with the better values obtained with the sub-surface drip irrigation system.
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Agricultura/métodos , Productos Agrícolas , Medición de Riesgo , Eliminación de Residuos Líquidos/métodos , Administración de Residuos/métodos , Humanos , Israel , Salud Pública/normas , Suelo/normas , Microbiología del Suelo , Vitis/crecimiento & desarrollo , Microbiología del AguaRESUMEN
This study was carried out to compare the adsorption and survival of faecal coliforms, somatic coliphages and F-specific RNA phages in soil irrigated with wastewater. Adsorption isotherms showed that 3-10x more faecal coliforms than somatic coliphages were adsorbed from wastewater onto soil. The adsorption behavior of F-specific RNA phages was intermediate between those of these two microorganisms. In wastewater, the inactivation factor of somatic coliphages at 8-22 degrees C was 5-7 lower than those of faecal coliforms. F-specific RNA phages have a decrease close to faecal coliforms. In soil, at temperatures of 8-22 degrees C and at moistures of 15-35%, somatic coliphages survived longer than the two other microorganisms. These results seemed to be confirmed by the soil column experiments. The rate of inactivation of all microorganisms was lower in soil than in wastewater and depended extensively on soil temperature and moisture content. Survival was optimal at low temperature (8 degrees C) and low moisture content (15%). Thus, somatic coliphages seemed to be a better indicator of faecal contamination than faecal coliforms under our experimental conditions and based only on the two criteria tested (survival and adsorption). Somatic coliphages were able to contaminate the soil over greater distances and survive better in both wastewater and soil than faecal coliforms. These results need to be confirmed by studies on several soil columns using different kinds of soil and different kinds of wastewater.
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Colifagos , Enterobacteriaceae , Fagos ARN , Microbiología del Suelo , Eliminación de Residuos Líquidos , Adsorción , Agricultura , Conservación de los Recursos Naturales , Enterobacteriaceae/virología , Dinámica Poblacional , Temperatura , AguaRESUMEN
An outdoor experiment was conducted in miniponds to evaluate the performance of Lemna gibba, a duckweed species, as a domestic wastewater stripper. Duckweed is one of the floating plants with a high capability of ammonia uptake and assimilation rate into valuable protein. The results indicate that under adequate operational conditions, depending mainly on the organic loading, the effluent quality meets irrigation reuse criteria and protein yield of the duckweed may reach 12 ton/ha per year, far above other conventional field crops.
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Fish biomass (Tilapia sp.) were raised at high stocking density in 1-m(3) tanks containing 450 L of water. The water was changed continously by means of a jet flow regulator. The jet flow regulator maintained adequate dissolved oxygen (DO) and a low ammonia level, while the suspended solids were discarded. In such a system, an annual yield of above 15 kg/m(3) can be expected. The application of the jet flow regulator in aquaculture is discussed.
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Algae, bacteria, and zooplankton were counted in samples drawn from 120- and 150-m high-rate algae ponds (those used for wastewater treatment). The fraction of nondegraded organic matter was estimated by comparing the ratio of biological and chemical oxygen demands and the bacterial, algal, and zooplankton counts to volatile suspended solids. With pond effluent quality at an acceptable level (around 18 mg of dissolved biological oxygen demand), the algae/bacteria ratio was around 1:100 or even higher, the zooplankton count was negligible, and the bacterial concentration was approximately 10 cells per liter by direct count. The data for bacteria exceeded those of earlier studies by one to three orders of magnitude.