Risk control of heavy metal in waste incinerator ash by available solidification scenarios in cement production based on waste flow analysis.

Incineration is a common method in municipal solid waste management, which has several advantages such as reducing the volume of waste, but with concerns about exhaust gas and ash management. In this study, heavy metals in bottom ash, secondary furnace ash and fly ash of two waste incinerators in Tehran and Nowshahr were analyzed and its control in cement production was investigated. For this purpose, twelve monthly samples of three types of incinerator ash were analyzed. By combining the studied ashes in the raw materials, the quantity of metals in the cement was analyzed. Finally, by investigating four scenarios based on quantitative variations in the routes of municipal solid waste, ash quantity and the related risk caused by its heavy metals were studied. The results showed that the concentration of heavy metals in the three ash samples of the studied incinerators was 19,513-23,972 µg/g and the composition of the metals included Hg (less than 0.01%), Pb (2.93%), Cd (0.59%), Cu (21.51%), Zn (58.7%), As (less than 0.01%), Cr (15.88%), and Ni (0.91%). The best quality of produced cement included 20% ash and 10% zeolite, which was the basis of the next calculations. It was estimated that the reduction of the release of metals into the environment includes 37 gr/day in best scenario equal to 10.6 tons/year. Ash solidification can be considered as a complementary solution in waste incinerator management.

Effect of formalin percentage, incubation time and temperature on Clostridium chauvoei culture inactivation and immunogenicity.

OBJECTIVES: In order to find the optimal inactivation conditions for Clostridium chauvoei culture, different factors were investigated and the immunogenicity of inactivated cultures was studied. METHODS: C. chauvoei was cultured with different formalin percentages (0.3, 0.5 or 0.7% V/V), inactivation temperatures (37 °C or room temperature) and incubation times (one or two weeks). Sterility tests were performed and residual formaldehyde and pH were measured. Rabbits were immunized twice with inactivated cultures and sera were used for detection of immune response. RESULTS: In the one-week experiment, 0.5 and 0.7% formalin inactivated the bacteria after one week, and the percentage of 0.3 inactivated after three weeks. The residual formaldehyde at weeks 1 and 8 was not significantly different. In the two-week experiment, cultures treated with 0.3 and 0.5% formalin were inactivated after four weeks, and those with 0.7% formalin were inactivated after three weeks. Residual formaldehyde at week 8 differed significantly from that of week 1. Residual formaldehyde was affected by incubation temperature since it was lower at 37 °C than in room temperature. Also, a significant effect was observed for formalin on pH, as higher formalin contents led to lower pH values of the cultures. ELISA showed the lowest antibody titer achieved by 0.7% formalin group. Antibody titer was not different between 0.3 and 0.5% formalin. CONCLUSIONS: The best condition for inactivation of C. chauvoei was considered as one-week incubation with 0.5% formalin at 37 °C, leading to a high antibody response.

Immobilization of polypyrrole on waste face masks using a novel in-situ-surface polymerization method: removal of Cr(VI) from electroplating wastewater.

In this work, polypyrrole (PPy) was synthesized on the surface of waste surgical face masks (SFM) with a novel environmentally-friendly in-situ-surface polymerization approach and used as an adsorbent for removing hexavalent chromium (Cr(VI)). In this method, the SFM surface was activated using KMnO4, resulting in the immobilization of porous MnO2, on which pyrrole can be polymerized efficiently. The novelty of this method is the presence of the oxidant on the surface before the polymerization step, which results in a better surface modification with polypyrrole. This method provides adsorbents with higher adsorption capacity compared to the conventional polymerization method with ammonium persulfate (APS). The adsorbent prepared at the mass ratios of 1.0 and 2.0; respectively, for KMnO4/SFM and pyrrole/SFM showed the highest performance. The adsorbent characterization revealed the successful polymerization of pyrrole on the surface of SFM. Reusability of the KMnO4 and pyrrole solutions were successful with remarkable results, showing the advantage of this technique compared to the conventional polymerization method with APS. The effect of different factors on the adsorption process was investigated. The removal rate was around 98% under the optimum conditions (pH, 2; adsorbent dosage, 3 g L-1; contact time, 60 min). The equilibrium data were well fitted by Langmuir isotherm (R2 = 0.9999). Kinetic investigations revealed that the adsorption process fitted well with the pseudo-second-order model. The adsorbent was regenerated for up to five cycles. One of the most important advantages of the proposed method compared to other methods is the reduction of wastewater during the synthesis process.

Solid-Phase Reference Baths for Fiber-Optic Distributed Sensing.

Observations from Raman backscatter-based Fiber-Optic Distributed Sensing (FODS) require reference sections of the fiber-optic cable sensor of known temperature to translate the primary measured intensities of Stokes and anti-Stokes photons to the secondary desired temperature signal, which also commonly forms the basis for other derived quantities. Here, we present the design and the results from laboratory and field evaluations of a novel Solid-Phase Bath (SoPhaB) using ultrafine copper instead of the traditional mechanically stirred liquid-phase water bath. This novel type is suitable for all FODS applications in geosciences and industry when high accuracy and precision are needed. The SoPhaB fully encloses the fiber-optic cable which is coiled around the inner core and surrounded by tightly interlocking parts with a total weight of 22 kg. The SoPhaB is thermoelectrically heated and/or cooled using Peltier elements to control the copper body temperature within ±0.04 K using commercially available electronic components. It features two built-in reference platinum wire thermometers which can be connected to the distributed temperature sensing instrument and/or external measurement and logging devices. The SoPhaB is enclosed in an insulated carrying case, which limits the heat loss to or gains from the outside environment and allows for mobile applications. For thermally stationary outside conditions the measured spatial temperature differences across SoPhaB parts touching the fiber-optic cable are <0.05 K even for stark contrasting temperatures of ΔT> 40 K between the SoPhaB's setpoint and outside conditions. The uniform, stationary known temperature of the SoPhaB allows for substantially shorter sections of the fiber-optic cable sensors of less than <5 bins at spatial measurement resolution to achieve an even much reduced calibration bias and spatiotemporal uncertainty compared to traditional water baths. Field evaluations include deployments in contrasting environments including the Arctic polar night as well as peak summertime conditions to showcase the wide range of the SoPhaB's applicability.

Determining the appropriate mixing ratio in a multi-substrate anaerobic digestion of organic solid wastes employing Taguchi method.

The current research proposed a method for optimally combining feed input ratios in order to improve the quantity and quality of daily biogas production through optimizing the variable response level in the Taguchi method. The anaerobic digestion (AD) process of an existing plant in Iran was simulated through a set of two-stage pilot reactors under mesophilic temperature conditions in order to achieve optimal operational performance. Three common substrates (organic fraction of municipal solid wastes, fruit and vegetable wastes, and horse manure) along with two recirculated materials; the post-digestion sludge and the secondary digester slurry, were investigated in 16 experimental runs based on four different pre-surface hypotheses. Comparison of the results of daily biogas energy (J/d/g-VS) in Run#9, to which the actual yield of hydrogen sulfide was minimal in parallel to a methane yield above 100 mL/g-VS, with the result of the optimal run with the ratios provided by the model, showed that the daily biogas energy was improved by 50% comparing to the control Run that had similar conditions to which was being applied in the full-scale existing AD plant.

Optimizing the effect of hydrochar on anaerobic digestion of organic fraction municipal solid waste for biogas and methane production.

Background: Anaerobic digestion (AD) is the biological waste treatment method for the organic fraction of municipal solid waste (OFMSW). AD is notable for its ability to reduce volume and produce biogas from waste. However, the conventional AD of OFMSW has a low degradation rate. In recent years, some treatment method has been used to promote the biogas and methane production of AD. One of these methods is hydrothermal carbonization (HTC). Purpose: This study aimed to evaluate the effect of hydrothermal carbonization (HTC) temperature and hydrochar: OFMSW ratio as factors on biogas production, methane production, and methane content of anaerobic digestion (AD) as responses was investigated. Methods: This study determined the biomethane potential of raw and pretreated OFMSW (hydrochars) in 118 ml serum glass bottles. Based on the Hansen method, all tests were conducted at mesophilic temperature (37 ± 1 °C) in an incubator for 45 days. The response surface method and central composite model were used for designing experimental conditions. Quadratic models were used to estimate the correlation between factors and responses. Also, the optimal conditions for maximizing responses were determined. Results: Biogas production of mixing hydrochar and OFMSW was 41% more than control groups which contained OFMSW and inoculum. The optimal operating conditions to maximize all responses were applied in HTC temperature and hydrochar: OFMSW ratio of 179.366 °C and 2.406, respectively. In this condition, the maximum biogas production, methane production, and methane content were 394 mL/g VS, 284.351 mL/g VS, and 73.176%, respectively. Conclusion: As an OFMSW HTC pretreatment for AD, hydrochar additive has a significantly positive and negative effect on biogas production, methane production, and methane content of biogas depending on operating conditions. Therefore. It is necessary to consider the individual and interaction effects of the temperature and hydrochar: OFMSW ratio, obtain the optimal conditions and determine responses.

Serum neurofilament light chain predicts long term clinical outcomes in multiple sclerosis.

Serum neurofilament light chain (NfL) is emerging as an important biomarker in multiple sclerosis (MS). Our objective was to evaluate the prognostic value of serum NfL levels obtained close to the time of MS onset with long-term clinical outcomes. In this prospective cohort study, we identified patients with serum collected within 5 years of first MS symptom onset (baseline) with more than 15 years of routine clinical follow-up. Levels of serum NfL were quantified in patients and matched controls using digital immunoassay (SiMoA HD-1 Analyzer, Quanterix). Sixty-seven patients had a median follow-up of 18.9 years (range 15.0-27.0). The median serum NfL level in patient baseline samples was 10.1 pg/mL, 38.5% higher than median levels in 37 controls (7.26 pg/mL, p = 0.004). Baseline NfL level was most helpful as a sensitive predictive marker to rule out progression; patients with levels less 7.62 pg/mL were 4.3 times less likely to develop an EDSS score of ≥ 4 (p = 0.001) and 7.1 times less likely to develop progressive MS (p = 0.054). Patients with the highest NfL levels (3rd-tertile, > 13.2 pg/mL) progressed most rapidly with an EDSS annual rate of 0.16 (p = 0.004), remaining significant after adjustment for sex, age, and disease-modifying treatment (p = 0.022). This study demonstrates that baseline sNfL is associated with long term clinical disease progression. sNfL may be a sensitive marker of subsequent poor clinical outcomes.

Neurotoxicity after hematopoietic stem cell transplant in multiple sclerosis.

OBJECTIVE: Accelerated brain volume loss has been noted following immunoablative autologous hematopoietic stem cell transplantation (IAHSCT) for multiple sclerosis. As with other MS treatments, this is often interpreted as 'pseudoatrophy', related to reduced inflammation. Treatment-related neurotoxicity may be contributory. We sought objective evidence of post-IAHSCT toxicity by quantifying levels of Neurofilament Light Chain (sNfL) and Glial Fibrillary Acidic Protein (sGFAP) before and after treatment as markers of neuroaxonal and glial cell damage. METHODS: Sera were collected from 22 MS patients pre- and post-IAHSCT at 3, 6, 9, and 12 months along with 28 noninflammatory controls. sNfL and sGFAP quantification was performed using the SiMoA single-molecule assay. RESULTS: Pre-IAHSCT levels of sNfL and sGFAP were elevated in MS patients compared with controls (geometric mean sNfL 21.8 vs. 6.4 pg/mL, sGFAP 107.4 vs. 50.7 pg/mL, P = 0.0001 for both). Three months after IAHSCT, levels of sNfL and sGFAP increased from baseline by 32.1% and 74.8%, respectively (P = 0.0029 and 0.0004). sNfL increases correlated with total busulfan dose (P = 0.034), EDSS score worsening at 6 months (P = 0.041), and MRI grey matter volume loss at 6 months (P = 0.0023). Subsequent NfL levels reduced to less than baseline (12-month geometric mean 11.3 pg/mL P = 0.0001) but were still higher than controls (P = 0.0001). sGFAP levels reduced more slowly but at 12 months were approaching baseline levels (130.7 pg/mL). INTERPRETATION: There is direct evidence of transient CNS toxicity immediately after IAHSCT which may be chemotherapy mediated and contributes to transient increases in MRI atrophy.

Can we predict benign multiple sclerosis? Results of a 20-year long-term follow-up study.

Benign multiple sclerosis (MS) is a discussed clinical entity, with variable reported prevalence (6-64%) requiring at least 5-10 years of clinical observation. Moreover, many benign patients progress with time becoming no longer benign (NLB). The objective of this study is to compare benign MS patients (EDSS ≤3, 10 years from disease onset) who still fulfilled the definition at 20 years to those NLB. In our retrospective study based on Ottawa Hospital MS Clinic database, 175 benign patients fulfilled the inclusion criteria (clinically definite MS, EDSS ≤3 at 10 years, disease onset from 1983 to 1993, and clinical assessments performed at 10 ± 1 and 20 ± 1 years from onset). Out of the identified patients, 66.3% remained benign at 20 years; however, by changing the definition for benign to EDSS ≤2 or ≤1 at 10 years, they increased to 71.9 and 81.6%, respectively. Female sex, EDSS ≤1 at 10 years, and a pure sensory onset were associated with a benign course, while a pure motor onset with an NLB condition. According to multivariate analysis, an EDSS ≤2 at 10 years predicted a long-term benign course. Our study questions the current definition of "benign" MS, suggesting a more stringent EDSS cutoff at 10 years to predict long-term benign prognosis.

The effects of co-substrate and thermal pretreatment on anaerobic digestion performance.

The influence of anaerobic co-digestion of leachate and sludge with organic fraction of municipal solid waste (OFMSW) under mesophilic condition in three batch digesters of 5 L capacity has been studied. OFMSW was mixed with leachate and sludge at three different ratios. Experimental results illustrated that the digester with a ratio of 2000/2500 (leachate (mL) or sludge/OFMSW (mL)) had significantly higher performance. Furthermore, this study compared the performance of anaerobic digestion of different substrates with three different mixing ratios with and without thermal pretreatment at low temperature (65°C) in terms of biogas production, chemical oxygen demand (COD) elimination as well as hydraulic retention time. In addition, to predict the biogas yield and evaluate the kinetic parameters, the modified Gompertz model was applied. Based on the results, the maximum biogas yield from adding different leachate and sludge ratios to OFMSW was recorded to be 0.45 and 0.38 m3 kg-1 COD which was higher about 7% in comparison with co-digestion original OFMSW without thermal pretreatment. In addition, thermal pretreatment accelerated the hydrolysis step. Moreover, the total COD elimination was relatively stable in the range of 52-60% at all types of substrate mixtures. Also, the modified Gompertz model demonstrated a good fit to the experimental results. ABBREVIATIONS: AD: anaerobic digester; BOD: biochemical oxygen demand; COD: chemical oxygen demand; FAAS: flame atomic absorption spectroscopy; HS: high solids; HRT: hydraulic retention time; LS: low solids; MS: medium solids; OFMSW: organic fraction of municipal solid waste; TCD: thermal conductivity detector; TS: total solid; TSS: total suspended solids.

The evaluation of MRI diffusion values of active demyelinating lesions in multiple sclerosis.

BACKGROUND: Gadolinium (Gd) enhancement of lesions is the main radiologic marker for detection of activity in Multiple Sclerosis (MS). This study compares Diffusion weighted imaging (DWI) characteristics and enhancement to determine whether DWI can be used as an alternative to Gd administration. METHODS: A retrospective study of 72 patients who had MRI with Gd and DWI. Visual assessment and comparison of the Apparent Diffusion Coefficient (ADC) values on Gd+ lesions, all lesions showing restricted diffusion, 2 Gd- lesions and 1 area of normal-appearing white matter (NAWM) in each MRI were performed. RESULTS: DWI values were measured on 275 T2 lesions, 68 Gd+ and 207 Gd- lesions, as well as 104 NAWM. 34 Gd+ lesions showed restricted diffusion. The median ADC-minimum of Gd+ lesions was significantly lower than NAWM and even lower than Gd- lesions. Most DWI restricted lesions were also Gd+(specificity≥94%), however many Gd+ lesions did not show visually detectable restriction in DWI (sensitivity≤34%). The median ADC-minimum of symptomatic lesions was lower than asymptomatic lesions. CONCLUSION: While Gd+ lesions have lower ADC-minimum, visual DWI assessment cannot replace Gd administration for identifying active lesions. Gd+ lesions showing restricted diffusion are clinically important as they are more likely associated with neurological symptoms.

Stimulation of the hydrolytic stage for biogas production from cattle manure in an electrochemical bioreactor.

Electrical current in the hydrolytic phase of the biogas process might affect biogas yield. In this study, four 1,150 mL single membrane-less chamber electrochemical bioreactors, containing two parallel titanium plates were connected to the electrical source with voltages of 0, -0.5, -1 and -1.5 V, respectively. Reactor 1 with 0 V was considered as a control reactor. The trend of biogas production was precisely checked against pH, oxidation reduction potential and electrical power at a temperature of 37 ± 0.5°C amid cattle manure as substrate for 120 days. Biogas production increased by voltage applied to Reactors 2 and 3 when compared with the control reactor. In addition, the electricity in Reactors 2 and 3 caused more biogas production than Reactor 4. Acetogenic phase occurred more quickly in Reactor 3 than in the other reactors. The obtained results from Reactor 4 were indicative of acidogenic domination and its continuous behavior under electrical stimulation. The results of the present investigation clearly revealed that phasic electrical current could enhance the efficiency of biogas production.

Neuro-oncology dilemma: Tumour or tumefactive demyelinating lesion.

Tumefactive demyelinating lesions (TDLs) are not an uncommon manifestation of demyelinating disease but can pose diagnostic challenges in patients without a pre-existing diagnosis of multiple sclerosis (MS) as well as in known MS patients. Brain tumours can also arise in MS patients and can be seen in chronic MS patients as co-morbidities. Delayed diagnosis or unnecessary intervention or treatment will affect the ultimate prognosis of these patients. In this article, we will review some typical cases illustrating the dilemma and review the information that helps to differentiate the two conditions. The intention is not to present an extensive differential diagnosis of both entities, but to examine some typical examples when the decision arises to decide between the two. We take a somewhat different approach, by presenting the cases in "real time", allowing the readers to consider in their own minds which diagnosis they favour, discussing in detail some of the pertinent literature, then revealing later the actual diagnosis. We would urge readers to consider re-visiting their first thoughts about each case after reading the discussion, before reading the follow-up of each case. The overall objective is to highlight the real possibility of being forced to decide between these two entities in clinical practise, present a reasonable approach to help differentiate them and especially to focus on the possibility of TDLs in order to avoid unnecessary biopsy.

Neurosarcoidosis as an MS Mimic: The trials and tribulations of making a diagnosis.

The clinical presentation of neurosarcoidosis is varied as multiple levels of the neuraxis may be affected. When central nervous system involvement occurs, making an accurate diagnosis of the condition can be challenging, especially given the current definition for definite neurosarcoidosis requires histologic confirmation of the affected tissue (brain biopsy). This article will review our current knowledge and manifestations of neurosarcoidosis, discuss the current diagnostic approach as well as the challenges associated with a condition requiring histologic confirmation, discuss the current treatment approach, and highlight the challenges of this diagnosis with a few real-life clinical cases. We also highlight the selected differential diagnosis of neurosarcoidosis as well as multiple sclerosis which could mimic each other.

Evaluating response to disease-modifying therapy in relapsing multiple sclerosis.

Despite the broadening range of available treatments, the response of multiple sclerosis patients to disease-modifying therapies remains quite heterogeneous, thus a scheme is required in order to flag individuals achieving a suboptimal treatment response, so that they may switch to a different, possibly more effective disease-modifying therapy. There are several treatment outcomes that can be defined as surrogate markers for continued treatment efficacy and can be used for optimizing disease-modifying therapy. As no single marker is validated, we must make use of all available potential surrogates to help predict the future course of the disease. Only by putting all of the outcome measures together can a true picture be derived that will indicate an optimal response to treatment.

Attenuation of municipal landfill leachate through land treatment.

The treatment of municipal landfill's leachate is considered as one of the most significant environmental issues. In this study a laboratory experiment was conducted through land treatment, achieving an efficient and economical method by using Vetiver plant. Moreover, the effects of land treatment of leachate of municipal landfills on the natural reduction of organic and inorganic contaminants in the leachate after the pre-treatment in the Aradkouh disposal center are invested. Three pilots including the under-investigation region's soil planted by Vetiver plant, the region's intact soil pilot and the artificial composition of the region's soil including the natural region's soil, sand, and rock stone are used. The leachate, having passed its initial treatment, passed through the soil and to the pilot. It was collected in the end of the pilots and its organic and inorganic contaminants were measured. However, the land treatment of leachate was conducted in a slow rate at various speeds. According to the results, in order to remove COD, BOD5, TDS, TSS, TOC the best result was obtained in the region's soil planted with Vetiver plant and at the speed of 0.2 ml per minute which resulted 99.1%, 99.7%, 52.4%, 98.8%, 94.9% removal efficiencies, respectively. It also can be concluded that the higher the organic rate load is, the lower the efficiency of the removal would be. In addition, EC & pH were measured and the best result was obtained in the region's soil planted with Vetiver plant and at the speed of 0.2 ml/min.

A performance-based method for calculating the design thickness of compacted clay liners exposed to high strength leachate under simulated landfill conditions.

Compacted clay liners (CCLs) when feasible, are preferred to composite geosynthetic liners. The thickness of CCLs is typically prescribed by each country's environmental protection regulations. However, considering the fact that construction of CCLs represents a significant portion of overall landfill construction costs; a performance based design of liner thickness would be preferable to 'one size fits all' prescriptive standards. In this study researchers analyzed the hydraulic behaviour of a compacted clayey soil in three laboratory pilot scale columns exposed to high strength leachate under simulated landfill conditions. The temperature of the simulated CCL at the surface was maintained at 40 ± 2 °C and a vertical pressure of 250 kPa was applied to the soil through a gravel layer on top of the 50 cm thick CCL where high strength fresh leachate was circulated at heads of 15 and 30 cm simulating the flow over the CCL. Inverse modelling using HYDRUS-1D indicated that the hydraulic conductivity after 180 days was decreased about three orders of magnitude in comparison with the values measured prior to the experiment. A number of scenarios of different leachate heads and persistence time were considered and saturation depth of the CCL was predicted through modelling. Under a typical leachate head of 30 cm, the saturation depth was predicted to be less than 60 cm for a persistence time of 3 years. This approach can be generalized to estimate an effective thickness of a CCL instead of using prescribed values, which may be conservatively overdesigned and thus unduly costly.

Characterization of oily sludge from a Tehran oil refinery.

In this study, oily sludge samples generated from a Tehran oil refinery (Pond I) were evaluated for their contamination levels and to propose an adequate remediation technique for the wastes. A simple, random, sampling method was used to collect the samples. The samples were analyzed to measure Total petroleum hydrocarbon (TPH), polyaromatic hydrocarbon (PAH) and heavy metal concentrations in the sludge. Statistical analysis showed that seven samples were adequate to assess the sludge with respect to TPH analyses. The mean concentration of TPHs in the samples was 265,600 mg kg⁻¹. A composite sample prepared from a mix of the seven samples was used to determine the sludge's additional characteristics. Composite sample analysis showed that there were no detectable amounts of PAHs in the sludge. In addition, mean concentrations of the selected heavy metals Ni, Pb, Cd and Zn were 2700, 850, 100, 6100 mg kg⁻¹, respectively. To assess the sludge contamination level, the results from the analysis above were compared with soil clean-up levels. Due to a lack of national standards for soil clean-up levels in Iran, sludge pollutant concentrations were compared with standards set in developed countries. According to these standards, the sludge was highly polluted with petroleum hydrocarbons. The results indicated that incineration, biological treatment and solidification/stabilization treatments would be the most appropriate methods for treatment of the sludges. In the case of solidification/stabilization, due to the high organic content of the sludge, it is recommended to use organophilic clays prior to treatment of the wastes.