The Relationship between Mortality from Cardiovascular Diseases and Total Drinking Water Hardness: Systematic Review with Meta-Analysis.

BACKGROUND: Interest in water chemical activity, its content, and its impact on human health has greatly increased throughout the last decade. Some studies suggest that drinking water with high hardness may have preventative effects on cardiovascular diseases. This study aims to investigate the association between drinking water hardness and cardiovascular disease (CVD) mortality. METHODS: The study selection process was designed to find the association between drinking water hardness and CVDs mortality. The search included both qualitative and quantitative research and was performed in three databases: Web of Science (Clarivate Analytics, Ann Arbor, MI, USA), PubMed (National Institute of Health, Bethesda, MA, USA), and Scopus (Elsevier, RELX Group plc, London, UK). The project was registered in the International Prospective Register of Systematic Reviews (PROSPERO), registration number: CRD42020213102. RESULTS: Seventeen studies out of a total of twenty-five studies qualitatively analyzed indicated a significant relation between total water hardness and protection from CVD mortality. The quantitative analysis concluded that high drinking water hardness has a significantly lowering effect on mortality from CVDs, however, the heterogeneity was high. CONCLUSIONS: This systematic literature review shows that total water hardness could affect CVD prevention and mortality. Due to the many confounding factors in the studies, more research is needed.

Protozoa and metazoa relations to technological conditions of non-woven textile filters for wastewater treatment.

The objective of this study was a preliminary identification of basic groups of micro-organisms in the cross-sectional profile of geotextile filters for septic tank effluent (STE) treatment and their relations to technological conditions. Reactors with textile filters treating wastewater were investigated on a semi-technical scale. Filters were vertically situated and STE was filtered through them under hydrostatic pressure at a wastewater surface height of 7-20 cm. Filters were made of four layers of non-woven TS 20 geotextile of 0.9 mm thickness. Various groups of organisms were observed; the most abundant group comprised free-swimming and crawling ciliates, less abundant were stalked ciliates and the least numerous were nematodes. The individual counts of all groups of micro-organisms investigated during the study were variable according to time and space. The high abundance of Opercularia, a commonly observed genus of stalked ciliates, was related to the high efficiency of wastewater treatment and dissolved oxygen concentration of about 1.0 g/m3. Numbers of free-swimming and crawling ciliates had a tendency to decrease in relation to the depth of filter cross-sectional profile. The variability in counts of particular groups of organisms could be related to the local stress conditions. No correlation between identified organism count and total mass concentration in the cross-sectional filter profile was found.

Bacteria in non-woven textile filters for domestic wastewater treatment.

The objective of this study was preliminary identification of heterotrophic and ammonia oxidizing bacteria (AOB) cell concentration in the cross-sectional profile of geotextile filters for wastewater treatment. Filters of thicknesses 3.6 and 7.2 mm, made of non-woven textile TS20, were supplied with septic tank effluent and intermittently dosed and filtered under hydrostatic pressure. The cumulative loads of chemical oxygen demand (COD) and total solids were about 1.36 and 1.06 kg/cm2, respectively. The filters under analysis reached a relatively high removal efficiency for organic pollution 70-90% for biochemical oxygen demand (BOD5) and 60-85% for COD. The ammonia nitrogen removal efficiency level proved to be unstable (15-55%). Biomass samples for dry mass identification were taken from two regions: continuously flooded with wastewater and intermittently flooded with wastewater. The culturable heterotrophic bacteria were determined as colony-forming units (CFUs) on microbiological-selective media by means of the plate method. AOB and nitrite oxidizing bacteria (NOB) were examined using the FISH technique. A relatively wide range of heterotrophic bacteria was observed from 7.4×10(5)/cm2 to 3.8×10(6)/cm2 in geotextile layers. The highest concentration of heterotrophic bacteria (3.8×10(6)/cm2) was observed in the first layer of the textile filter. AOB were identified occasionally--about 8-15% of all bacteria colonizing the last filter layer, but occasionally much higher concentrations and ammonia nitrogen efficiency were achieved. Bacteria oxidizing nitrite to nitrate were not observed. The relation of total and organic fraction of biomass to culturable heterotrophic bacteria was also found.

Performance of innovative textile biofilters for domestic wastewater treatment.

Two types of geotextile, TS 50 and TC/PP 300, were investigated as experimental filters. The raw wastewater, pre-treated in a septic tank, was intermittently dosed and filtered under hydrostatic pressure. At the beginning, the filter reactor comprised nine filters made of geotextiles (of three types: TS 10, TS 50 and TC/PP 300). At the end of the start-up period the TS 10 filters were removed due to their high outflow instability. After four months of working, the hydraulic capacities of the remaining filters were: 3.23 cm3/cm2/d for TS 50 and 4.14 cm3/cm2/d for TC/PP 300. The efficiencies of COD and BOD5 removal were similar for both types of geotextile (COD: 64%, BOD5: 80%). A small but statistically significant difference between ammonium nitrogen removal was observed (40% for TS 50 and 35% for TC/PP 300), most probably due to their different structure. Biological removal of P(tot) was relatively poor and similar for both geotextile types. The mean concentration of matter accumulated on the geotextiles was over one order of magnitude higher than conventional activated sludge concentrations. During the last weeks of the experiments the values of basic pollution indicators in the effluent were lower than the maximum permissible values (according to Polish law).

Preliminary study on filamentous particle distribution in septic tank effluent and their impact on filter cake development.

In this paper, the preliminary study on the impact of filamentous particles (FP) in the septic tank effluent (STE) on filter cake (FC) development was presented. The number, length and diameter (30 p./cm3, 451 and 121 microm, respectively, on average) of FPs were measured using microscope image analysis of STE samples condensed using a vacuum evaporation set. Results of this study showed, that 0.73% of volatile suspended solids (VSSs) mass from the STE occurs in the form of FPs. No correlation between FP total mass and VSS was found. An experiment with a layer of FPs simulated by ground toilet paper was conducted and showed the impact of this layer (4.89 mg/cm2) on wastewater hydraulic conductivity--for an FC with FPs (FC-FP), hydraulic conductivity was seven times lower than for the FC without the FP layer, and on outflow quality (lower concentration of organic matter expressed as chemical oxygen demand (COD) in effluent from the FC-FP filter than in the effluent from the FC filter: 618 and 732 gO2/m3, respectively). Despite a relatively small amount of FPs in STE solids (as volume fraction), they play an important role in FC development due to their relatively high length and low degradability. Probably relatively small pores of the FC containing FPs (FC-FP) caused a small particle blocking and a decrease in permeability.