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1.
Soc Sci Med ; 324: 115863, 2023 05.
Artículo en Inglés | MEDLINE | ID: mdl-37030097

RESUMEN

OBJECTIVE: During the pandemic healthcare professionals and political leaders routinely used traditional and new media outlets to publicly respond to COVID-19 myths and inaccuracies. We examine how variations in the sources and messaging strategies of these public statements affect respondents' beliefs about the safety of COVID-19 vaccines. METHODS: We analyzed the results of an experiment embedded within a multi-wave survey deployed to US and UK respondents in January-February 2022 to examine these effects. We employ a test-retest between-subjects experimental protocol with a control group. Respondents were randomly assigned to one of four experimental conditions reflecting discrete pairings of message source (political authorities vs. healthcare professionals) and messaging strategy (debunking misinformation vs. discrediting mis-informants) or a control condition. We use linear regression to compare the effects of exposure to treatment conditions on changes in respondent beliefs about the potential risks associated with COVID-19 vaccination. RESULTS: In the UK sample, we observe a statistically significant decrease in beliefs about the risks of COVID-19 vaccines among respondents exposed to debunking messages by healthcare professionals. We observe a similar relationship in the US sample, but the effect was weaker and not significant. Identical messages from political authorities had no effect on respondents' beliefs about vaccine risks in either sample. Discrediting messages critical of mis-informants likewise had no influence on respondent beliefs, regardless of the actor to which they were attributed. Political ideology moderated the influence of debunking statements by healthcare professionals on respondent vaccine attitudes in the US sample, such that the treatment was more effective among liberals and moderates than among conservatives. CONCLUSIONS: Brief exposure to public statements refuting anti-vaccine misinformation can help promote vaccine confidence among some populations. The results underscore the joint importance of message source and messaging strategy in determining the effectiveness of responses to misinformation.


Asunto(s)
COVID-19 , Vacunas , Humanos , Vacunas contra la COVID-19/efectos adversos , COVID-19/prevención & control , Personal de Salud , Modelos Lineales , Medios de Comunicación de Masas , Vacunación , Comunicación
2.
Biotechnol Bioeng ; 118(3): 1305-1316, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33305821

RESUMEN

A microbial fuel cell (MFC) system containing modular half-submerged biocathode was operated for 6 months in an 800 L flow-through system with domestic wastewater. For the first time, spatial and temporal differences in biofilm communities were examined on large three-dimensional electrodes in a wastewater MFC. Biocathode microbial community analysis showed a specialized biofilm community with electrogenic and electrotrophic taxa forming during operation, suggesting potentially opposing electrode reactions. The anodic community structure shifted during operation, but no spatial differences were observed along the length of the electrode. Power output from the system was most strongly influenced by pH. Higher power densities were associated with the use of solids-dewatering filtrate with increased organic matter, conductivity, and pH. The results show that the biocathode was the rate-limiting step and that future MFC design should consider the effect of size, shape, and orientation of biocathodes on their community assembly and electrotrophic ability.


Asunto(s)
Fuentes de Energía Bioeléctrica , Biopelículas , Microbiota , Aguas Residuales/microbiología , Electrodos
3.
Paediatr Anaesth ; 30(12): 1340-1347, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33010105

RESUMEN

OBJECTIVES: Both parental and child factors have been previously associated with persistent or recurrent postoperative pain in children. Yet, little is known about the relative contribution of parent factors or whether child symptom factors might impact the association between parent factors and long-term pain. The aim of this study was to explore the associations between parent factors, child symptomology, and the child's long-term pain outcomes after surgery. METHODS: This prospective, longitudinal study included parents and their children who were scheduled to undergo spinal fusion for underlying scoliosis. Parents completed baseline surveys about their pain history, pain relief preferences (ie, preference to relieve their child's pain vs avoid analgesic risks), and pain catastrophizing (ie, beliefs about their child's pain). Children were classified previously into high vs low symptom profiles at baseline based on their self-reported pain, catastrophizing, fatigue, depression, and anxiety. Children were assessed 1-year after surgery for their long-term pain interference scores and analgesic use. Serial regression modeling was used to explore whether associations between parent factors and the outcomes were changed when accounting for child factors. RESULTS: Seventy-six parent/child dyads completed all surveys. Parental preferences and catastrophizing were atemporally associated with the child's baseline psychological-somatic symptom profile. Though parent and child factors were both associated with the long-term pain outcomes, when all three factors were accounted for, the associations between parent factors and long-term pain was fully attenuated by the child's profile. DISCUSSION: These findings suggest that the relationship between parent factors and long-term postoperative pain outcomes may be dependent on the child's symptom profile at baseline. Since there may be bidirectional relationships between parent and child factors, interventions to mitigate long-term pain should address child symptoms as well as parental factors.


Asunto(s)
Analgésicos , Padres , Analgésicos/uso terapéutico , Niño , Humanos , Estudios Longitudinales , Dimensión del Dolor , Dolor Postoperatorio/tratamiento farmacológico , Estudios Prospectivos , Encuestas y Cuestionarios
4.
Waste Manag ; 104: 82-93, 2020 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-31972456

RESUMEN

Thermal hydrolysis pretreatments (THP) coupled to anaerobic digestion (AD) are implemented to treat municipal solids, but limited study indicates whether THP-AD materials merit different land application rates than AD biosolids without THP. Three AD biosolids types with either no pretreatment, THP, or two-hour fermentation were evaluated for differences in leachable dissolved organic matter (DOM), DOM decomposition, and nitrogen (N) releases in biosolids incubated in sandy loam soil. DOM characterizations of size exclusion chromatography, FTIR, and fluorescence maxima > Ex: 400 nm indicated similarities in among AD-DOM that contrasted waste activated sludge Milorganite and Suwannee River Organic Matter (SRNOM). Fluorescence peak picking was a more adaptable analysis for shifted leachate spectra than fluorescence regional integration (FRI). Peak ratio analysis is recommended over FRI for biosolids-DOM. The 3-month net inorganic N produced in biosolids-soil incubations was 155 ± 12.1, 149 ± 18.2, 140 ± 17.4, and 354 ± 15.1 mg N/kg for AD biosolids with no pretreatment, fermentation-AD, THP-AD, and Milorganite respectively. Overall, there was limited evidence of differences in leachable organic matter quality or net mineral N release after 105 days for AD solids with or without THP. Red-shifted fluorescence of leachates decayed by day 45 in aerobic biosolids-soil incubations, suggesting that larger, complex carbon sources liberated during solids stabilization may decompose readily in soils. Overall, other variables (source material, AD operation) may have a greater influence on final nutrient releases and organic matter quality than full-scale pretreatments to AD alone. Critical and targeted application of DOM spectroscopy specific to biosolid-leachates will improve use in advanced stabilization studies.


Asunto(s)
Biosólidos , Nitrógeno , Hidrólisis , Aguas del Alcantarillado , Suelo
5.
Artículo en Inglés | MEDLINE | ID: mdl-29775422

RESUMEN

The fate of four phthalate plasticizers during wastewater treatment processes at six different wastewater treatment plants (WWTPs) was investigated. Concentrations of benzyl butyl phthalate (BBP), di(2-ethylhexyl) phthalate (DEHP), diisononyl phthalate (DiNP), and diisodecyl phthalate (DiDP) were determined prior to either aerobic or anaerobic (conventional and advanced) treatment, after treatment, and in final, dewatered solids. Despite their elevated use worldwide, the fate of DiNP and DiDP during wastewater treatment have not been well characterized. DEHP was readily degraded during aerobic treatments while anaerobic digestion resulted in either no significant change in concentrations or an increase in concentration, in the case of more advanced anaerobic processes (thermal hydrolysis pretreatment and a two-phase acid/gas process). Impacts of the various treatment systems on DiNP, DiDP, and BBP concentrations were more varied - anaerobic digestion led to significant decreases, increases, or no significant change for these compounds, depending on the treatment facility, while aerobic treatment was generally effective at degrading the compounds. Additionally, thermal hydrolysis pretreatment of sludge prior to anaerobic digestion resulted in increases in DiNP, DiDP, and BBP concentrations. The predicted environmental concentrations for all four compounds in soils after a single biosolids application were calculated and the risk quotients for DEHP in soils were determined. The estimated toxicity risk for DEHP in soils treated with a single application of sludge from any of the six studied WWTPs is lower than the level of concern for acute and chronic risk, as defined by the US EPA.


Asunto(s)
Ácidos Ftálicos , Plastificantes , Aguas del Alcantarillado/química , Aguas Residuales/química , Contaminantes Químicos del Agua , Purificación del Agua/métodos , Dietilhexil Ftalato/química , Dietilhexil Ftalato/aislamiento & purificación , Dietilhexil Ftalato/farmacocinética , Humanos , Ácidos Ftálicos/química , Ácidos Ftálicos/aislamiento & purificación , Ácidos Ftálicos/farmacocinética , Plastificantes/química , Plastificantes/aislamiento & purificación , Plastificantes/farmacocinética , Instalaciones de Eliminación de Residuos , Contaminantes Químicos del Agua/química , Contaminantes Químicos del Agua/aislamiento & purificación , Contaminantes Químicos del Agua/farmacocinética
6.
Waste Manag ; 78: 43-50, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32559930

RESUMEN

Biosolids are the solid by-product of wastewater treatment and contain high-organic matter and nutrient content, which can be utilized in food production and gardening. In 2014, this study's target nutrient recovery facility (NRF) in the Mid-Atlantic region of the U.S. adopted thermal hydrolysis pretreatment (THP) and anaerobic digestion (AD) to upgrade biosolids from Class B (lime-stabilized) to Class A. The pathogen, nutrients, and metals contents were compared with that of Class B biosolids from the same facility throughout a one-year period. Following optimization and equilibrium, stable biosolids were produced that satisfied all Environmental Protection Agency (EPA) Class A biosolids standards. Class A biosolids produced had fecal coliform density consistently below the 1000 MPN/g d.w. limit set by the EPA, at 35.85 ±â€¯81.10 MPN/g d.w. (n = 301). Metal concentrations were greater in Class A than Class B biosolids as a result of biosolids mass reduction, but these levels were substantially lower than regulatory limits. Metal concentrations were (in mg/kg d.w.): As = 6.43 ±â€¯0.400 (n = 141), Cd = 3.39 ±â€¯0.117 (n = 147), Cr = 88.4 ±â€¯2.00 (n = 148), Cu = 401 ±â€¯9.81 (n = 148), Pb = 68.1 ±â€¯2.19 (n = 148), Hg = 1.21 ±â€¯0.116 (n = 148), Mo = 14.9 ±â€¯0.321 (n = 148), Ni = 23.8 ±â€¯0.911 (n = 146), Se = 10.0 ±â€¯0.573 (n = 140), Zn = 778 ±â€¯14.9 (n = 148), K = 850 ±â€¯21.7 (n = 134). In addition, Class A biosolids were rich in total nitrogen (N) and higher in total phosphorus (TP), but low in potassium (K) content. Concentration of K was 850 ±â€¯21.7 mg/kg d.w. (n = 134), TKN was 52,000 ±â€¯13,300 mg/kg d.w. (n = 43), TP was 34,500 ±â€¯6130 mg/kg d.w. (n = 42), and ammonia-N was 7860 ±â€¯1350 mg/kg d.w. (n = 43).

7.
Otol Neurotol ; 39(1): 119-126, 2018 01.
Artículo en Inglés | MEDLINE | ID: mdl-29227456

RESUMEN

HYPOTHESIS: Microtopographical patterns generated by photopolymerization of methacrylate polymer systems will direct growth of neurites from adult neurons, including spiral ganglion neurons (SGNs). BACKGROUND: Cochlear implants (CIs) provide hearing perception to patients with severe to profound hearing loss. However, their ability to encode complex auditory stimuli is limited due, in part, to poor spatial resolution caused by spread of the electrical currents in the inner ear. Directing the regrowth of SGN peripheral processes towards stimulating electrodes could help reduce current spread and improve spatial resolution provided by the CI. Previous work has demonstrated that micro- and nano-scale patterned surfaces precisely guide the growth of neurites from a variety of neonatal neurons including SGNs. Here, we sought to determine the extent to which adult neurons likewise respond to these topographical surface features. METHODS: Photopolymerization was used to fabricate methacrylate polymer substrates with micropatterned surfaces of varying amplitudes and periodicities. Dissociated adult dorsal root ganglion neurons (DRGNs) and SGNs were cultured on these surfaces and the alignment of the neurite processes to the micropatterns was determined. RESULTS: Neurites from both adult DRGNs and SGNs significantly aligned to the patterned surfaces similar to their neonatal counterparts. Further DRGN and SGN neurite alignment increased as the amplitude of the microfeatures increased. Decreased pattern periodicity also improved neurite alignment. CONCLUSION: Microscale surface topographic features direct the growth of adult SGN neurites. Topographical features could prove useful for guiding growth of SGN peripheral axons towards a CI electrode array.


Asunto(s)
Implantes Cocleares , Regeneración Tisular Dirigida/métodos , Regeneración Nerviosa , Neuritas , Animales , Células Cultivadas , Ganglios Espinales/crecimiento & desarrollo , Polímeros , Ganglio Espiral de la Cóclea/crecimiento & desarrollo
8.
Environ Res ; 161: 17-25, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-29096316

RESUMEN

Benchtop bioreactors were run aerobically with activated sludge samples collected from a large municipal wastewater treatment plant (WWTP) to understand how increased hydraulic retention time (HRT), sludge retention time (SRT), and varying treatment temperatures (21°C and 30°C) impact concentrations of the endocrine disrupting antimicrobials triclosan (TCS), triclocarban (TCC), and their transformation products. Samples from the reactors were collected periodically over a 122-196h period and the solid and liquid fraction were separately quantitated for TCS, TCC, and methyltriclosan (MeTCS) and scanned qualitatively for six other transformation products. Results indicated that TCS, TCC and MeTCS were predominately associated with the solids fraction of the activated sludge with only nominal concentrations in the liquids fraction. TCS was degraded in the solids fraction, with increased rates at 30°C (-0.0224 ± 0.007h-1) when compared to reactors run at 21°C (- 0.0170 ± 0.003h-1). Conversely, TCC concentrations did not significantly change in solids samples from reactors run at 21°C, while an increase in reactor temperature to 30°C resulted in TCC degradation at an average rate of - 0.0158 ± 0.012h-1. Additionally, MeTCS formation in the solids fraction was observed in three out of four reactors run - indicating a notable transformation of TCS. Qualitative appearance of 2,4-dichlorophenol and 4-chloroanaline was observed in the liquids fraction of all reactor samples. The remaining four qualitatively scanned compounds were not detected. These experiments demonstrate that increased HRT, SRT, and temperature result in enhanced removal of TCS and TCC from wastewater during the activated sludge process. Furthermore, a substantial formation of TCS into MeTCS was observed.


Asunto(s)
Reactores Biológicos , Carbanilidas , Triclosán , Carbanilidas/química , Aguas del Alcantarillado , Triclosán/química
9.
Environ Sci Pollut Res Int ; 25(1): 222-232, 2018 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-29027081

RESUMEN

Triclocarban [N-(4-chlorophenyl)-N-(3,4-dichlorophenyl) urea] (TCC) is an antimicrobial agent utilized in a variety of consumer products. It is commonly released into domestic wastewaters and upon treatment, it is known to accumulate in biosolids. This study examines the occurrence of TCC in biosolids and its long-term fate in biosolid-treated soils. TCC levels in the biosolids from a large waste water treatment plant (WWTP) over 2 years showed little variability at 18,800 ± 700 ng g-1 dry wt. (mean ± SEM). Surface soil samples (top 10 cm) were collected from 26 commercial farms located in northern VA, US that had received biosolid applications from the WWTP. Samples were grouped as farms receiving no biosolids, farms with a single biosolid application, and those receiving multiple biosolid applications from 1992 to 2006. Our results illustrate that TCC soil residues remained years after biosolid application. The two most important parameters controlling TCC topsoil concentrations were the biosolid application rate and the period since the last application. No TCC removal was observed in farms where the time since biosolid application was between 7 and 9 months. TCC concentration analyzed 7 and 8 years after biosolid applications were 45.8 ± 6.1 and 72.4 ± 15.3 ng g-1 dry wt., respectively, showing its persistence in soils and build-up upon multiple biosolid applications. A soil TCC half-life of 287.5 ± 45.5 days was estimated.


Asunto(s)
Agricultura/métodos , Carbanilidas/análisis , Monitoreo del Ambiente/métodos , Contaminantes del Suelo/análisis , Suelo/química , Aguas Residuales/química , Estados Unidos
10.
ACS Appl Mater Interfaces ; 9(37): 31488-31496, 2017 Sep 20.
Artículo en Inglés | MEDLINE | ID: mdl-28841276

RESUMEN

Cochlear Implants (CIs) suffer from limited tonal resolution due, in large part, to spatial separation between stimulating electrode arrays and primary neural receptors. In this work, a combination of physical and chemical micropatterns, formed on acrylate polymers, are used to direct the growth of primary spiral ganglion neurons (SGNs), the inner ear neurons. Utilizing the inherent temporal and spatial control of photopolymerization, physical microgrooves are fabricated using a photomask in a single step process. Biochemical patterns are generated by adsorbing laminin, a cell adhesion protein, to acrylate polymer surfaces followed by irradiation through a photomask with UV light to deactivate protein in exposed areas and generate parallel biochemical patterns. Laminin deactivation was shown increase as a function of UV light exposure while remaining adsorbed to the polymer surface. SGN neurites show alignment to both biochemical and physical patterns when evaluated individually. Competing biochemical and physical patterns were also examined. The relative guiding strength of physical cues was varied by independently changing both the amplitude and the band spacing of the microgrooves, with higher amplitudes and shorter band spacing providing cues that more effective guide neurite growth. SGN neurites aligned to laminin patterns with lower physical pattern amplitude and thus weaker physical cues. Alignment of SGNs shifted toward the physical pattern with higher amplitude and lower periodicity patterns which represent stronger cues. These results demonstrate the ability of photopolymerized microfeatures to modulate alignment of inner ear neurites even in the presence of conflicting physical and biochemical cues laying the groundwork for next generation cochlear implants and neural prosthetic devices.


Asunto(s)
Ganglio Espiral de la Cóclea , Células Cultivadas , Laminina , Neuritas , Neuronas , Polímeros
11.
Chemosphere ; 186: 151-159, 2017 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-28772182

RESUMEN

Electronic noses have been widely used in the food industry to monitor process performance and quality control, but use in wastewater and biosolids treatment has not been fully explored. Therefore, we examined the feasibility of an electronic nose to discriminate between treatment conditions of alkaline stabilized biosolids and compared its performance with quantitative analysis of key odorants. Seven lime treatments (0-30% w/w) were prepared and the resultant off-gas was monitored by GC-MS and by an electronic nose equipped with ten metal oxide sensors. A pattern recognition model was created using linear discriminant analysis (LDA) and principal component analysis (PCA) of the electronic nose data. In general, LDA performed better than PCA. LDA showed clear discrimination when single tests were evaluated, but when the full data set was included, discrimination between treatments was reduced. Frequency of accurate recognition was tested by three algorithms with Euclidan and Mahalanobis performing at 81% accuracy and discriminant function analysis at 70%. Concentrations of target compounds by GC-MS were in agreement with those reported in literature and helped to elucidate the behavior of the pattern recognition via comparison of individual sensor responses to different biosolids treatment conditions. Results indicated that the electronic nose can discriminate between lime percentages, thus providing the opportunity to create classes of under-dosed and over-dosed relative to regulatory requirements. Full scale application will require careful evaluation to maintain accuracy under variable process and environmental conditions.


Asunto(s)
Contaminantes Atmosféricos/análisis , Nariz Electrónica , Monitoreo del Ambiente/métodos , Odorantes/análisis , Eliminación de Residuos Líquidos , Compuestos de Calcio , Análisis Discriminante , Cromatografía de Gases y Espectrometría de Masas/métodos , Óxidos , Análisis de Componente Principal
12.
Chemosphere ; 171: 609-616, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28056447

RESUMEN

The growing concern worldwide regarding the presence of emerging contaminants in biosolids calls for a better understanding of how different treatment technologies at water resource recovery facilities (WRRFs) can influence concentrations prior to biosolids land application. This study focuses on the influence of solids treatment via the Cambi Thermal Hydrolysis Process™ in conjunction with anaerobic digestion (TH-AD) on concentrations of triclosan (TCS), triclocarban (TCC), and their transformation products in biosolids and sludges. Concentrations of the target analytes in biosolids from the TH-AD process (Class A), sludges from the individual TH-AD treatment steps, and limed biosolids (Class B) from the same WRRF were compared. TCC concentrations were significantly lower in Class A biosolids than those in the Class B product - a removal that occurred during thermal hydrolysis. Concentrations of TCS, methyl triclosan, and 2,4-dichlorophenol, conversely, increased during anaerobic digestion, leading to significantly higher concentrations of these compounds in Class A biosolids when compared to Class B biosolids. Implementation of the TH-AD process had mixed effect on contaminant concentrations.


Asunto(s)
Carbanilidas/análisis , Clorofenoles/análisis , Triclosán/análisis , Eliminación de Residuos Líquidos/métodos , Anaerobiosis , Compuestos de Calcio , Carbanilidas/química , Carbanilidas/metabolismo , Clorofenoles/química , Clorofenoles/metabolismo , Calor , Hidrólisis , Óxidos , Triclosán/análogos & derivados , Triclosán/química , Triclosán/metabolismo , Aguas Residuales
13.
Environ Pollut ; 222: 412-422, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28104345

RESUMEN

Polybrominated diphenyl ethers (PBDEs) may enter the environment because of accumulation in biosolids followed by application to agricultural lands. No published dissipation studies are available for PBDEs in agricultural soils after biosolids application. Therefore, we conducted a 3-year study to examine the fate of PBDEs in a small-scale 0.24-ha continuously cropped field after a single biosolids application at 72.3 wet tons/ha and determined dissipation half-lives for BDE-47+BDE-99 and BDE-209. In addition, we conducted a large-scale survey of soils from 26 mostly pasture fields at 10 farms with detailed information on timing and rate of biosolids applications. In the small-scale experiment, maximum soil PBDE concentrations of 43.7 ± 42.7 µg kg-1 d.w. for BDE-209 and 6.05 ± 7.15 µg kg-1 d.w. for BDE-47+BDE-99 were reached 1 year after application. We hypothesized that PBDEs were slowly released from the biosolids matrix into the soil over the first year. After 3 years, median BDE-47+BDE-99 concentrations were approximately equal to preapplication levels, whereas median BDE-209 concentrations remained ∼129% above preapplication levels. The estimated residence time from the small-scale experiment was 342 d for BDE-47+BDE-99 and 861 d for BDE-209. In the large-scale study, a subset of fields that received a single biosolids application was used to generate another estimate of residence time: 704 d for BDE-47+BDE-99 and 1440 d for BDE-209. These longer residence time estimates were used in three different first-order decay dissipation scenarios (continuous, limited, and no dissipation) to predict PBDE concentration in fields with single and multiple biosolids applications. Results indicate that dissipation occurs primarily in the first 2 years after application, but residues remaining in the soil after this period are likely to be much more tightly bound and less available for degradation.


Asunto(s)
Monitoreo del Ambiente , Éteres Difenilos Halogenados/análisis , Aguas del Alcantarillado/química , Contaminantes del Suelo/análisis , Suelo/química , Factores de Tiempo
14.
J Nurs Adm ; 46(12): 630-635, 2016 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-27851703

RESUMEN

OBJECTIVE: The aim of this study is to evaluate the effect of 2 hospital-wide interventions on achieving a discharge-before-noon rate of 40%. BACKGROUND: A multidisciplinary team led by administrative and physician leadership developed a plan to diminish capacity constraints by minimizing late afternoon hospital discharges using 2 patient flow management techniques. METHODS: The study was a preintervention/postintervention retrospective analysis observing all inpatients discharged across 19 inpatient units in a 484-bed, academic teaching hospital measuring calendar month discharge-before-noon percentage, patient satisfaction, and readmission rates. Patient satisfaction and readmission rates were used as baseline metrics. RESULTS: The discharge-before-noon percentage increased from 14% in the 11-month preintervention period to an average of 24% over the 11-month postintervention period, whereas patient satisfaction scores and readmission rates remained stable. CONCLUSIONS: Implementation of the 2 interventions successfully increased the percentage of discharges before noon yet did not achieve the goal of 40%. Patient satisfaction and readmission rates were not negatively impacted by the program.


Asunto(s)
Creación de Capacidad/normas , Equipos de Administración Institucional/organización & administración , Alta del Paciente/normas , Creación de Capacidad/métodos , Creación de Capacidad/organización & administración , Eficiencia Organizacional , Hospitales de Enseñanza/organización & administración , Hospitales de Enseñanza/normas , Humanos , Equipos de Administración Institucional/normas , Comunicación Interdisciplinaria , Estudios de Casos Organizacionales , Alta del Paciente/estadística & datos numéricos , Readmisión del Paciente/estadística & datos numéricos , Satisfacción del Paciente/estadística & datos numéricos , Factores de Tiempo , Gestión de la Calidad Total/métodos , Gestión de la Calidad Total/organización & administración , Gestión de la Calidad Total/normas
15.
J Environ Manage ; 165: 88-95, 2016 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-26413802

RESUMEN

While the recycling of wastewater biosolids via land-application is a sustainable practice for nutrient recovery and soil reclamation that has become increasingly common worldwide, concerns remain that this practice may become a source of toxic, persistent organic pollutants to the environment. This study concentrates on assessing the presence and the temporal trends of 12 perfluoroalkyl substances (PFASs), pollutants of global consequence, in limed Class B biosolids from a municipal water resource recovery facility (WRRF), also know as a wastewater treatment plant. PFASs are of significant concern due to their extensive presence and persistence in environmental and biotic samples worldwide, most notably human blood samples. Class B biosolids were collected from the WRRF, prior to land-application, approximately every two to three months, from 2005 to 2013. Overall, this study found that concentrations of the 7 detectable PFAS compounds remained unchanged over the 8-year period, a result that is consistent with other temporal studies of these compounds in sewage sludges. From these analyzed compounds, the highest mean concentrations observed over the study period were 25.1 ng/g dw, 23.5 ng/g dw, and 22.5 ng/g dw for perfluorononanoic acid (PFNA), perfluorooctanoic acid (PFOA), and perfluorooctanesulfonic acid (PFOS), respectively, and these compounds were detected at concentrations 2.5-5 times higher than the remaining, detectable PFASs. Furthermore, it was observed that PFOS, while demonstrating no overall change during the study, exhibited a visible spike in concentration from late 2006 to early 2007. This study indicates that concentrations of PFASs in WRRFs have been stagnant over time, despite regulation. This study also demonstrates that the use of glass jars with polytetrafluoroethylene-lined lids, a common storage method for environmental samples, will not influence PFOA and PFNA concentrations in archived biosolids samples.


Asunto(s)
Ácidos Alcanesulfónicos/análisis , Caprilatos/análisis , Contaminantes Ambientales/análisis , Fluorocarburos/análisis , Eliminación de Residuos Líquidos/métodos , Residuos/análisis , Compuestos de Calcio , Monitoreo del Ambiente/métodos , Humanos , Mid-Atlantic Region , Óxidos , Aguas del Alcantarillado , Suelo , Manejo de Especímenes/métodos , Recursos Hídricos
16.
J Hazard Mater ; 282: 68-74, 2015 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-25282513

RESUMEN

In the US, land application of biosolids has been utilized in government-regulated programs to recycle valuable nutrients and organic carbon that would otherwise be incinerated or buried in landfills. While many benefits have been reported, there are concerns that these practices represent a source of organic micropollutants to the environment. In this study, biosolids samples from a wastewater treatment plant in the Mid-Atlantic region of the US were collected approximately every 2 months over a 7-year period and analyzed for brominated diphenyl ethers (BDE-47, BDE-99, and BDE-209), triclosan, and triclocarban. During the collection period of 2005-2011, concentrations of the brominated diphenyl ethers BDE-47+BDE-99 decreased by 42%, triclocarban decreased by 47%, but BDE-209 and triclosan remained fairly constant. Observed reductions in contaminant concentrations could not be explained by different seasons or by volumetric changes of wastewaters arriving at the treatment plant and instead may be the result of the recent phaseout of BDE-47 and BDE-99 as well as potential reductions in the use of triclocarban.


Asunto(s)
Carbanilidas/análisis , Éteres Difenilos Halogenados/análisis , Aguas del Alcantarillado/análisis , Triclosán/análisis , Contaminantes Químicos del Agua/análisis , Monitoreo del Ambiente , Mid-Atlantic Region , Eliminación de Residuos Líquidos
17.
Artículo en Inglés | MEDLINE | ID: mdl-24521417

RESUMEN

Although most composting studies report pathogen concentrations, little is known about the fate of Endocrine Disruptor Chemicals (EDCs) during composting. In this study, a positively aerated polyethylene bag composting system was filled with a mixture of woodchips and limed biosolids from a large Waste Water Treatment Plant (WWTP) to study the removal efficiency of two different groups of EDCs. Two antibacterial compounds, Triclocarban (TCC) and Triclosan (TCS), and a TCS byproduct, Methyltriclosan (MeTCS), as well as seven congeners of flame retardants known as PBDEs (Polybrominated Diphenyl Ethers) were studied during two phases of composting: 1) a thermophilic phase, in which positive mechanical aeration, pushing air into and through the materials matrix, was conducted for 2 months; and 2) a curing and stabilization phase in which no mechanical aeration was provided and the bag was opened to ambient passive aeration to simulate storage conditions for seven months. Our results showed that while TCC concentrations remained constant, TCS degradation took place during both phases. The degradation of TCS was corroborated by the formation of MeTCS in both phases. The TCS concentrations decreased from 18409 ± 1,877 to 11955 ± 288 ng g(-1) dry wt. during the thermophilic phase and declined from 11,955 ± 288 to 7,244 ± 909. ng g(-1) dry wt. by the end of the curing phase. Thus, slightly greater TCS transformation occurred during the second than during the first (35.1 vs. 39.4%). MeTCS concentrations increased from 189.3 ± 8.6 to 364.6 ± 72.5 ng g(-1) dry wt. during the first phase and reached 589.0 ± 94.9 ng g(-1) dry wt. at the end of the second phase. PBDEs concentrations were below quantification limits for all but two of the congeners analyzed (BDE-47 and BDE-99). PBDE concentrations were measured at the end of the first phase only and were comparable to initial concentrations.


Asunto(s)
Disruptores Endocrinos/análisis , Aguas del Alcantarillado/química , Suelo/química , Aguas Residuales/química , Purificación del Agua/métodos , Carbanilidas/análisis , Disruptores Endocrinos/aislamiento & purificación , Retardadores de Llama/análisis , Éteres Difenilos Halogenados/análisis , Ensilaje , Contaminantes del Suelo/análisis , Triclosán/análisis , Aguas Residuales/microbiología
18.
Water Res ; 47(13): 4519-27, 2013 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-23764601

RESUMEN

Triclocarban (TCC) and Triclosan (TCS) are two antibacterial chemicals present in household and personal care products. Methyltriclosan is a biodegradation product of TCS formed under aerobic conditions. TCC and TCS are discharged to Waste Water Treatment Plants (WWTP) where they are removed from the liquid phase mainly by concentrating in the solids. This study presents a thorough investigation of TCC, TCS and MeTCS concentrations in the liquid phase (dissolved + particulate) as well as solid phases within a single, large WWTP in the U.S. Total TCC and TCS concentrations decreased by >97% with about 79% of TCC and 64% of TCS transferred to the solids. The highest TCC and TCS removal rates from the liquid phase were reached in the primary treatment mainly though sorption and settling of solids. The TCC mass balances showed that TCC levels remain unchanged through the secondary treatment (activated sludge process) and about an 18% decrease was observed through the nitrification-denitrification process. On the other hand, TCS levels decreased in both processes (secondary and nitrification-denitrification) by 10.4 and 22.6%, respectively. The decrease in TCS levels associated with observed increased levels of MeTCS in secondary and nitrification-denitrification processes providing evidence of TCS biotransformation. Dissolved-phase concentrations of TCC and TCS remained constant during filtration and disinfection. TCC and TCS highest sludge concentrations were analyzed in the primary sludge (13.1 ± 0.9 µg g(-1) dry wt. for TCC and 20.3 ± 0.9 µg g(-1) dry wt. for TCS) but for MeTCS the highest concentrations were analyzed in the secondary sludge (0.25 ± 0.04 µg g(-1) dry wt.). Respective TCC, TCS and MeTCS concentrations of 4.15 ± 0.77; 5.37 ± 0.97 and 0.058 ± 0.003 kg d(-1) are leaving the WWTP with the sludge and 0.13 ± 0.01; 0.24 ± 0.07 and 0.021 ± 0.002 kg d(-1) with the effluent that is discharged.


Asunto(s)
Carbanilidas/aislamiento & purificación , Aguas del Alcantarillado/química , Triclosán/análogos & derivados , Triclosán/aislamiento & purificación , Aguas Residuales/química , Purificación del Agua/métodos , Marcaje Isotópico , Límite de Detección , Control de Calidad
19.
Artículo en Inglés | MEDLINE | ID: mdl-23485235

RESUMEN

This study analyzes the effect of liming on levels of triclocarban (TCC), triclosan (TCS), estrone (E1), and progesterone (P), two antimicrobial agents and two natural hormones, respectively. Factors studied include lime particle size, mixing time, and overall lime contact time. The study results suggest that coarse lime may be more active than fine lime due to less interaction with surrounding air. Both TCS and TCC concentrations were lower in coarse limed samples versus unlimed samples and the decrease was a function of time. A similar, but statistically insignificant trend in TCC and TCS levels was observed in fine lime samples with respect to unlimed samples. Liming was also found to decrease apparent E1 levels, with more notable decreases in samples amended with coarse lime. P-levels significantly increased after 1-day of contact time, stabilizing over the next 14 days of the study period. This increase and stabilization of P-levels was attributed to the pH and moisture-driven conversion of more chemically complex steroids into P.


Asunto(s)
Antibacterianos/análisis , Compuestos de Calcio/química , Fertilizantes/análisis , Hormonas/química , Óxidos/química , Aguas Residuales , Antibacterianos/química , Carbanilidas/análisis , Carbanilidas/química , Estrona/análisis , Estrona/química , Hormonas/análisis , Concentración de Iones de Hidrógeno , Tamaño de la Partícula , Progesterona/análisis , Progesterona/química , Factores de Tiempo , Triclosán/análisis , Triclosán/química , Aguas Residuales/análisis , Aguas Residuales/química
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