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1.
Water Res ; 257: 121691, 2024 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-38705069

RESUMO

The wastewater industry and the energy system are undergoing significant transformations to address climate change and environmental pollution. Green hydrogen, which will be mainly obtained from renewable electricity water electrolysis (Power-to-Hydrogen, PtH), has been considered as an essential energy carrier to neutralize the fluctuations of renewable energy sources. PtH, or Power-to-X (PtX), has been allocated to multiple sectors, including industry, transport and power generation. However, considering its large potential for implementation in the wastewater sector, represented by Water Resource Recovery Facilities (WRRFs), the PtX concept has been largely overlooked in terms of planning and policymaking. This paper proposes a concept to implement PtX at WRRFs, where sourcing of water, utilization of the oxygen by-product, and PtX itself can be sustainable and diversified strategies. Potential value chains of PtX are presented and illustrated in the frame of a WWRF benchmark simulation model, highlighting the applications of oxygen from PtX through pure oxygen aeration and ozone disinfection. Opportunities and challenges are highlighted briefly, and so is the prospective outlook to the future. Ultimately, it is concluded that 'coupling PtX to WRRFs' is a promising solution, which will potentially bring sustainable opportunities for both WRRFs and the energy system. Apart from regulatory and economic challenges, the limitations in coupling PtX to WRRFs mainly come from energy efficiency concerns and the complexity of the integration of the water framework and the energy system.


Assuntos
Águas Residuárias , Águas Residuárias/química , Recursos Hídricos , Purificação da Água , Eliminação de Resíduos Líquidos/métodos , Oxigênio , Conservação dos Recursos Hídricos
2.
Sci Total Environ ; 856(Pt 1): 158980, 2023 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-36174687

RESUMO

Membrane Aerated Biofilm Reactors (MABR) are gaining more and more acceptance in the plethora of wastewater process intensification technologies. Mathematical modelling has contributed to show their feasibility in terms of reduced energy consumption and footprint. Nevertheless, most simulation studies published until now are still focused on analyzing MABR as single units and not fully integrated within the flow diagram of the water treatment plant (WWTP). In this paper, the prediction capabilities of an integrated modelling approach is tested using full-scale data from Ejby Mølle WWTP+MABR site (Odense, Denmark). Mass balances, data reconciliation methods, process simulation and the different evaluation criteria were used to adjust influent, effluent and process indicators. Results show 10 % mismatch between flow, COD, N and P predictions and measurements in different plant locations. Using the adopted hydraulic retention time (HRT), nitrogen load (NL), membrane surface area (MA) and oxygen transfer rate (OTR), it was possible to predict nitrification rates (NR) within the interquartile range. This has been done under two different MABR operational conditions: with (#S2) and without (#S1) external aeration (EA) in the bulk liquid. The model provides additional process insights about biofilm structure, substrate gradients, weak acid base chemistry and precipitation potential. More specifically, simulations suggest the potential undesirable effects of sulfate (SRB) and iron reducing bacteria (IRB) on both microbial activity and composition of the biofilm. The latter may have a strong impact on ammonium (NHx), sulfate (SOx) and ferrous ion (Fe+2) conversion processes. The change of operational strategy in the scenario analysis highlights that the denitrifying activity of phosphorus accumulating organisms (PAOs) can enhance nutrient removal in MABR tanks. In addition, it was possible to assess the chance of success (in terms of energetic cost of nitrogen removal) of adding several MABR units in one tank of the WWTP under study before full-scale implementation.


Assuntos
Biofilmes , Reatores Biológicos , Reatores Biológicos/microbiologia , Águas Residuárias/química , Nitrificação , Nitrogênio , Sulfatos , Eliminação de Resíduos Líquidos/métodos
3.
Water Sci Technol ; 86(9): 2045-2058, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36378165

RESUMO

A modelling study is under way in preparation for a planned upgrade of the capacity of the kwaMashu WWTP in eThekwini, South Africa, from 50 to 80 ML/d. When the configuration of an existing plant is to be changed, the most critical part of the model calibration is the influent wastewater fractionation. However, the constantly varying characteristics of wastewater make experimental determination of an adequately representative set of components difficult, time-consuming and expensive, which constitutes significant barriers to the adoption of modelling by many municipalities. Compliance and process monitoring generate large sets of influent measurements of chemical oxygen demand (COD), free and saline ammonia (FSA), total suspended solids (TSS), etc., but these are insufficient for modelling purposes. In particular, biodegradability is not routinely measured. However, since influent fractionation is designed to predict the fate of material in the wastewater treatment process, it should be possible to infer the fractionation from a combination of influent and plant measurements. This case study demonstrates the application of a pair of modelling tools, a probabilistic influent fractionator and a simplified steady­state plant­wide model, to estimate the influent fractionation, together with certain unmeasured or unreliable operational parameters.


Assuntos
Águas Residuárias , Purificação da Água , Análise da Demanda Biológica de Oxigênio , Eliminação de Resíduos Líquidos , Esgotos/análise
4.
Eur J Appl Physiol ; 122(12): 2585-2596, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36088588

RESUMO

PURPOSE: Athlete's heart encompasses multiple physiological cardiac adaptations, although less is known at atrial level. How sex may influence the type and extent of atrial adaptations to exercise stimuli is also unknown. Our objective was to compare gender differences of echocardiographic atrial function indices in response to exercise in endurance athletes (EAs). METHODS: Highly trained (> 10 h/week) endurance athletes performed a maximal cardiopulmonary exercise test (CPET). Echocardiographic evaluation was performed at rest and immediately after exercise. Atria analysis consisted of standard and speckle-tracking echocardiographic assessment of atrial dimensions and contractile, reservoir, and conduit functions with myocardial deformation. RESULTS: 80 EAs (55% women) were enrolled and performed excellent CPET (129.6% of predicted VO2 maximal consumption). At rest, left atrial (LA) volumes and strain were similar between men and women. Women had lower right atrial (RA) volumes (26.7 vs 32.9 ml/m2, p < 0.001) and higher reservoir and conduit strain absolute values. After exercise, women exhibited a larger improvement in reservoir and conduit LA strain, and the same trend was observed for the RA. In EAs with LA dilatation on baseline (~ 50%), women persistently showed higher increase in reservoir and conduit strain profile with exercise compared to men. CONCLUSION: In highly trained EAs, women have similar or even lower atrial dimensions remodelling compared to men, but better function based on reservoir and conduit strain values both at rest and in response to exercise. This phenomenon should be confirmed in larger studies and its potential role in the development of supraventricular arrhythmias, addressed in a specifically designed protocol.


Assuntos
Função Atrial , Átrios do Coração , Masculino , Humanos , Feminino , Átrios do Coração/diagnóstico por imagem , Função Atrial/fisiologia , Ecocardiografia , Exercício Físico , Atletas
5.
Water Res ; 223: 118997, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-36029698

RESUMO

The use of mathematical models is a well-established procedure in the field of (waste) water engineering to "virtually" evaluate the feasibility of novel process modifications. In this way, only options with the highest chance of success are further developed to be implemented at full-scale, while less interesting proposals can be disregarded at an early stage. Nevertheless, there is still lack of studies, where different plant-wide model predictions (effluent quality, process economics, and technical aspects) are comprehensibly verified in the field with full-scale data. In this work, a set of analysis/evaluation tools are used to assess alternative retrofitting options in the largest industrial wastewater treatment plant in Northern Europe. A mechanistic mathematical model is simulated to reproduce process behavior (deviation < 11%). Multiple criteria are defined and verified with plant data (deviation < 5%). The feasibility of three types of scenarios is tested: (1) stream refluxing, (2) change of operational conditions and (3) the implementation of new technologies. Experimental measurements and computer simulations show that the current plant´s main revenues are obtained from the electricity produced by the biogas engine (54%) and sales of the inactivated bio-solids for off-site biogas production (33%). The main expenditures are the discharge fee (39%), and transportation and handling of bio-solids (30%). Selective treatment of bio-solid streams strongly modifies the fate of COD and N compounds within the plant. In addition, it increases revenues (+3%), reduces cost (-9%) and liberates capacity in both activated sludge (+25%) and inactivation reactors (+50%). Better management of the buffer tank promotes heterotrophic denitrification instead of dissimilatory nitrate conversion to ammonia. In this way, 11% of the incoming nitrogen is removed within the anaerobic water line and does not overload the activated sludge reactors. Only a marginal increase in process performance is achieved when the anaerobic granular sludge reactor operates at full capacity. The latter reveals that influent biodegradability is the main limiting factor rather than volume. Usage of either NaOH or heat (instead of CaO) as inactivation agents allows anaerobic treatment of the reject water, which substantially benefits revenues derived from higher electricity recovery (+44%). However, there is a high toll paid on chemicals (+73%) or heat recovery (-19%) depending on the inactivation technology. In addition, partial nitration/Anammox and a better poly-aluminum chloride (PAC) dosage strategy is necessary to achieve acceptable (< 2%) N and P levels in the effluent. The scenarios are evaluated from a sustainability angle by using life cycle impact assessment (LCIA) in form of damage stressors grouped into three categories: human health, ecosystems quality, and resource scarcity. The presented decision support tool has been used by the biotech company involved in the study to support decision-making on how to handle future expansions.


Assuntos
Esgotos , Purificação da Água , Cloreto de Alumínio , Amônia , Anaerobiose , Biocombustíveis , Reatores Biológicos , Ecossistema , Humanos , Nitratos , Nitrogênio , Esgotos/química , Hidróxido de Sódio , Eliminação de Resíduos Líquidos/métodos , Águas Residuárias , Água , Purificação da Água/métodos
6.
Water Res ; 215: 118223, 2022 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-35276577

RESUMO

In this study, a plant-wide model describing the fate of C, N and P compounds, upgraded to account for (on-site/off-site) greenhouse gas (GHG) emissions, was implemented within the International Water Association (IWA) Benchmarking Simulation Model No. 2 (BSM2) framework. The proposed approach includes the main biological N2O production pathways and mechanistically describes CO2 (biogenic/non-biogenic) emissions in the activated sludge reactors as well as the biogas production (CO2/CH4) from the anaerobic digester. Indirect GHG emissions for power generation, chemical usage, effluent disposal and sludge storage and reuse are also included using static factors for CO2, CH4 and N2O. Global and individual mass balances were quantified to investigate the fluxes of the different components. Novel strategies, such as the combination of different cascade controllers in the biological reactors and struvite precipitation in the sludge line, were proposed in order to obtain high plant performance as well as nutrient recovery and mitigation of the GHG emissions in a plant-wide context. The implemented control strategies led to an overall more sustainable and efficient plant performance in terms of better effluent quality, reduced operational cost and lower GHG emissions. The lowest N2O and overall GHG emissions were achieved when ammonium and soluble nitrous oxide in the aerobic reactors were controlled and struvite was recovered in the reject water stream, achieving a reduction of 27% for N2O and 9% for total GHG, compared to the open loop configuration.


Assuntos
Gases de Efeito Estufa , Dióxido de Carbono , Efeito Estufa , Metano/análise , Óxido Nitroso/análise , Nutrientes , Recursos Hídricos
7.
Sci Total Environ ; 822: 153678, 2022 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-35131239

RESUMO

This study presents an extensive plant-wide model-based assessment of four alternative activated sludge (AS) configurations for biological nitrogen (N) and phosphorus (P) removal under uncertain influent loads and characteristics. Zeekoegat wastewater treatment plant (WWTP) in South Africa was chosen as case study due to its flexible design that enables operation in four different AS configurations: 3-stage Bardenpho (A2O), University of Cape Town (UCT), UCT modified (UCTM), and Johannesburg (JHB). A metamodeling based global sensitivity analysis was performed on a steady-state plant-wide simulation model using Activated Sludge Model No. 2d with the latest extension of physico-chemical processes describing the plant-wide P transformations. The simulation results showed that the predictions of effluent chemical oxygen demand (COD), N and P using the proposed approach fall within the interquartile range of measured data. The study also revealed that process configuration can affect: 1) how influent uncertainty is reflected in model predictions for effluent quality and cost related performances, and 2) the parameter rankings based on variance decomposition, particularly for effluent phosphate, sludge disposal and methane production. The results identified UCT and UCTM as more robust configurations for P removal (less propagated uncertainty and less sensitivity to N load) in the expense of incomplete denitrification. Moreover, based on the results of Monte-Carlo based scenario analysis, the balanced SRT for N and P removal is more sensitive to influent load variation/uncertainty for the A2O and JHB configurations. This gives a more operational flexibility to UCT and UCTM, where a narrow SRT range can ensure both N and P removal.


Assuntos
Esgotos , Eliminação de Resíduos Líquidos , Reatores Biológicos , Nitrogênio , Nutrientes , Fósforo/química , Esgotos/química , África do Sul , Incerteza , Eliminação de Resíduos Líquidos/métodos
9.
Biotechnol Adv ; 50: 107766, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33965529

RESUMO

Harnessing the potential of biocatalytic conversion of renewable biomass into value-added products is still hampered by unfavorable process economics. This has promoted the use of biofilms as an alternative to overcome the limitations of traditional planktonic systems. In this paper, the benefits and challenges of biofilm fermentations are reviewed with a focus on the production of low-value bulk chemicals and fuels from waste biomass. Our study demonstrates that biofilm fermentations can potentially improve productivities and product yields by increasing biomass retention and allowing for continuous operation at high dilution rates. Furthermore, we show that biofilms can tolerate hazardous environments, which improve the conversion of crude biomass under substrate and product inhibitory conditions. Additionally, we present examples for the improved conversion of pure and crude substrates into bulk chemicals by mixed microbial biofilms, which can benefit from microenvironments in biofilms for synergistic multi-species reactions, and improved resistance to contaminants. Finally, we suggest the use of mathematical models as useful tools to supplement experimental insights related to the effects of physico-chemical and biological phenomena on the process. Major challenges for biofilm fermentations arise from inconsistent fermentation performance, slow reactor start-up, biofilm carrier costs and carrier clogging, insufficient biofilm monitoring and process control, challenges in reactor sterilization and scale-up, and issues in recovering dilute products. The key to a successful commercialization of the technology is likely going to be an interdisciplinary approach. Crucial research areas might include genetic engineering combined with the development of specialized biofilm reactors, biofilm carrier development, in-situ biofilm monitoring, model-based process control, mixed microbial biofilm technology, development of suitable biofilm reactor scale-up criteria, and in-situ product recovery.


Assuntos
Biofilmes , Modelos Teóricos , Biocatálise , Biomassa , Reatores Biológicos , Fermentação
10.
J Environ Manage ; 293: 112806, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34029977

RESUMO

Chemical conditioning prior to disposal is a common practice in biotech companies to stabilize the biological waste generated during production. Nevertheless, the state of the art models used to analyze management strategies in water treatment systems (WTS) do not include the effect of high alkaline conditions during bio-solids processing. In this paper, the prediction capabilities of a novel model-based approach describing the effect of quicklime addition (CaO) on the waste streams of an industrial WTS is assessed. Two measuring campaigns were carried out taking samples of TSS, VSS and total/soluble COD, N, P, S and multiple metals before and after chemical stabilization, and dewatering under and overflow. Mass balances were set up and Sankey diagrams were generated to represent the occurrence, transformation and fate of the major compounds within the studied facility. A simulation model was used to predict plant at different locations. Next, a scenario analysis was carried out in order to assess potential alternatives to the current operational practice. The resulting mass balances show a mismatch between the system's input and output up to 17%. It was also possible to identify different types of compound-behavior depending on the effect that high pH induced on the soluble and particulate fractions: hydrolysis, precipitation and unaltered. Model predictions and measurements differed 9.6% (steady state) and 12.4% (dynamic state) respectively. Finally, in the scenario analysis, the model suggested that the change from quicklime to sodium hydroxide (NaOH) would increase the quantity of organics in the dewatered cake (+23%), but with a considerable increase in chemical consumption (+50%). The selective stabilization of the incoming streams has the lowest use of chemicals (-30%) and reduces the load of CODsol (-13%) and TNsol (-14%) recirculated to the water line of the WWTP.


Assuntos
Resíduos Industriais , Purificação da Água , Hidrólise , Esgotos , Eliminação de Resíduos Líquidos , Águas Residuárias , Água
11.
Sci Total Environ ; 779: 146366, 2021 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-33752004

RESUMO

Membrane-aerated biofilm reactor (MABR) technology is an exciting alternative to conventional activated sludge, with promising results in bench and pilot-scale systems. Nevertheless, there is still a lack of long-term and full-scale data under different operational conditions. This study aims to report the performance of a full-scale hybrid MABR located in the North of Europe. Influent, effluent, and exhaust data were collected for 1 year (September 2019 to September 2020) using online sensors/gas-analyzers and off-line laboratory analysis. Next, oxygen transfer rate (OTR), oxygen transfer efficiency (OTE), and nitrification rates (NR) were quantified as process indicators. Finally, multivariate methods were used to find patterns among monitored variables. Observations revealed that lower airflows achieved higher OTE at the same values of OTR and OTR was strongly correlated to ammonia/um concentration in the MABR tank (NHx,eff). The dynamics between oxygen concentration in the exhaust (O2,exh) and NHx,eff indicated that a nitrifying biofilm was established within 3 weeks. Average NR were calculated using four different methods and ranged between 1 and 2 g N m-2d-1. Principal component analysis (PCA) explained 81.4% of the sample variance with the first three components and cluster analysis (CA) divided the yearly data into five distinctive periods. Hence, it was possible to identify typical Nordic episodes with high frequency of heavy rain, low temperature, and high variations in pollution load. The study concludes that nitrification capacity obtained with MABR is robust during cold weather conditions, and its volumetric value is comparable to other well-established biofilm-based technologies. Moreover, the aeration efficiency (AE) obtained in this study, 5.8 kg O2 kW h-1, would suppose an average reduction in energy consumption of 55% compared to fine pore diffused aeration and 74% to the existing surface aeration at the facility.


Assuntos
Reatores Biológicos , Águas Residuárias , Biofilmes , Europa (Continente) , Nitrogênio , Oxigênio , Eliminação de Resíduos Líquidos
12.
Water Res ; 190: 116714, 2021 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-33307375

RESUMO

The objective of this paper is to use plant-wide modeling to assess the net impacts of varying sludge management strategies. Special emphasis is placed on effluent quality, operational cost and potential resource recovery (energy, nutrients). The study is particularly focused on a centralized bio-solids beneficiation facility (BBF), which enables larger, more capital intensive sludge management strategies. Potential barriers include the ability to process reject streams from multiple donor plants in the host plant. Cape Flats (CF) wastewater treatment works (WWTW) (Cape Town, South Africa) was used as a relevant test case since it is currently assessing to process sludge cake from three nearby facilities (Athlone, Mitchells Plain and Wildevoelvlei). A plant-wide model based on the Benchmark Simulation Model no 2 (BSM2) extended with phosphorus transformations was adapted to the CF design / operational conditions. Flow diagram and model parameters were adjusted to reproduce the influent, effluent and process characteristics. Historical data between January 2014 and December 2019 was used to compare full-scale measurements and predictions. Next, different process intensification / mitigation technologies were evaluated using multiple criteria. Simulation values for COD, TSS, VSS/TSS ratio, TN, TP, NH4+/NH3, HxPO43-x, NOx alkalinity and pH fall within the interquartile ranges of measured data. The effects of the 2017 severe drought on influent variations and biological phosphorus removal are successfully reproduced for the entire period with dynamic simulations. Indeed, 80% of all dynamically simulated values are included within the plant measurement uncertainty ranges. Sludge management analysis reveals that flow diagrams with thermal hydrolysis pre-treatment (THP) result in a better energy balance in spite of having higher heat demands. The flow diagram with THP is able to i) increase biodegradability/solubility, ii) handle higher sludge loads, iii) change methanogenic microbial population and iv) generate lower solids volumes to dispose by improving sludge dewaterability. The study also reveals the importance of including struvite precipitation and harvesting (SPH) technology, and the effect that pH in the AD and the use of chemicals (NaOH, MgO) may have on phosphorus recovery. Model-based results indicate that the current aerobic volume in the water line (if properly aerated) would be able to handle the returns from the sludge line and the contribution of a granular partial nitritation/Anammox (PN/ANX) reactor on the overall nitrogen removal would be marginal. However autotrophic N denitrification generates a much lower sludge production and therefore increases AD treatment capacity. The study shows for the very first time in Africa how the use of a (calibrated) plant-wide model could assist water utilities to decide between competing plant layouts when upgrading a WWTW.


Assuntos
Esgotos , Purificação da Água , Reatores Biológicos , Nitrogênio , África do Sul , Eliminação de Resíduos Líquidos , Águas Residuárias
13.
Sci Total Environ ; 751: 141706, 2021 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-33181990

RESUMO

Industrial parks have a high potential for recycling and reusing resources such as water across companies by creating symbiosis networks. In this study, we introduce a mathematical optimization framework for the design of water network integration in industrial parks formulated as a large-scale standard mixed-integer non-linear programming (MINLP) problem. The novelty of our approach relies on i) developing a multi-level incremental optimization framework for water network synthesis, ii) including prior knowledge of water demand growth and projected water scarcity to evaluate the significance of water-saving solutions, iii) incorporating a comprehensive formulation of the water network synthesis problem including multiple pollutants and different treatment units and iv) performing a multi-objective optimization of the network including freshwater savings and relative cost of the network. The significance of the proposed optimization framework is illustrated by applying it to an existing industrial park in a water-scarce region in Kenya. Firstly, we illustrated the benefits of including prior knowledge to prevent an over-design of the network at the early stages. In the case study, we achieved a more flexible and expandable water network with 36% lower unit cost at the early stage and 15% lower unit cost at later stages for overall maximum freshwater savings of 25%. Secondly, multi-objective analysis suggests an optimum freshwater savings of 14% to reduce the unit cost of the network by half. Moreover, the significance of symbiosis networks is highlighted by showing that intra-company connections can only achieve a maximum freshwater savings of 17% with significantly higher unit cost (+45%). Finally, we showed that the values of symbiosis connectivity index in the Pareto front correspond to higher freshwater savings, indicating the significant role of the symbiosis network in the industrial park under study. This is the first study, where all the above elements have been taken into account simultaneously for the design of a water reuse network.

14.
Sci Total Environ ; 725: 138420, 2020 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-32304967

RESUMO

Many small- or medium-sized communities in Northern Europe employ only primary wastewater treatment plants (WWTPs) and effluent discharges can be a relevant source of pollution. The current study combines monitoring and modelling approaches to investigate concentrations, influent patterns, size distribution and removal of 20 elements for the two primary WWTPs (Ladehammeren, LARA; Høvringen, HØRA) serving Trondheim, the third largest city in Norway. Element concentrations were determined in raw influent wastewater, effluents and biosolids, and diurnal inflow patterns were assessed. The elemental distribution in particulate, colloidal and dissolved fractions of untreated wastewater was characterized using filtration separation and electron microscopy. An influent generator model and multivariate statistical analyses were used to determine release patterns and to predict the (co-)occurrence of selected elements. Raw influent wastewater concentrations for most elements were similar in the two WWTPs, with only Ca, Mn, Fe, Co and Ba being significantly higher (p < 0.05) in HØRA (which receives more household and hospital discharges). Removal efficiencies varied between elements, but in most cases reflected their association with particulates. Nanosized particles of several elements were detected, with Cu/Zn being most common. Measured concentrations of most elements followed typical diurnal wastewater discharge patterns and enrichment factors calculated for biosolids confirmed the importance of anthropogenic sources for P, Cu, Zn, Cd, As, Cr, Ni, Pb, V, Co and Fe. Elemental concentrations generally correlated well with total suspended solid (TSS) concentrations at HØRA, while this was less pronounced in LARA (possibly due to higher industrial contributions). In one of its first applications for WWTP influent pattern examination, principal component analysis was found to be instrumental for source identification of target elements, showing significant differences between LARA and HØRA influents. The combined experimental, statistical and modelling approaches used herein allowed for improved understanding of element sources, patterns of discharge and fate in primary WWTPs.

15.
ERJ Open Res ; 6(1)2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32055630

RESUMO

BACKGROUND: Current continuous positive airway pressure (CPAP) devices can be monitored remotely; however, in-person visits are kept for clinical follow-up in order to promote CPAP use and resolve potential side-effects. Mobile health is a promising way to provide remote and easy clinical control for CPAP follow-up and support. We aimed to evaluate the feasibility and acceptance by obstructive sleep apnoea (OSA) patients and healthcare professionals of a newly designed mobile app (Appnea-Q) to promote clinical control through a self-monitoring tool for patients with CPAP supervised by sleep professionals. METHODS: Appnea-Q incorporates a simple follow-up questionnaire with automated responses, together with frequent problems and lifestyle recommendations sections. Feasibility, acceptance and usefulness were assessed. First, an internal validation was performed during outpatient CPAP follow-up visits with sleep professionals from various sleep units. Second, an external validation was performed in a subgroup of 15 patients at home. RESULTS: Most patients (n=75) considered the app useful and were willing to use it and recommend it (72-88%). Up to 64.87% agreed on its capacity to reduce hospital visits. Appnea-Q was rated as acceptable (79.37±19.29) by the system usability score. Sleep professionals (n=30) concurred on its usefulness for OSA patient follow-up, particularly during the first month of CPAP therapy. The external validation showed its feasibility among 11 out of 15 patients and their data were received accordingly on the professionals' web platform. CONCLUSIONS: According to our validation process, and the viewpoints of the patients and professionals, our new mobile app is a feasible and well-received tool for personal OSA management. Future clinical trials should substantiate its performance and cost-effectiveness in the clinical arena.

16.
Eur J Prev Cardiol ; 27(14): 1504-1514, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-31801048

RESUMO

BACKGROUND: The mechanisms underlying the high interindividual variability demonstrated for right-ventricular (RV) adaptation to exercise have not yet been identified, but different pulmonary vascular adaptations among individuals could be involved. Pulmonary transit of agitated saline (PTAS) during exercise has been demonstrated to be a good estimator of vascular reserve. AIM: The aim of this study was to evaluate the presence of PTAS among endurance athletes (EAs) of both sexes and its influence on RV adaptation to exercise. METHODS: A total of 100 highly trained EAs performed a maximal cardiopulmonary exercise test. Bi-ventricular functional and structural characteristics as well as PTAS were evaluated at baseline and at peak exercise. Athletes were distributed between two groups based on the amount of PTAS during exercise as high (HTPAS; >12 bubbles) and low (LPTAS; ≤12 bubbles). RESULTS: Overall, 11 EAs exhibited an intra-cardiac shunt at rest and 1 met the criteria for chronic pulmonary disease and were excluded from the study. Among the remaining 88 EAs (51% women), 47 (53%) athletes were classified as HPTAS and 41 (47%) as LPTAS. HPTAS capability was associated with significantly larger RV contractile reserve, larger pulmonary vascular reserve and an enhanced maximal exercise capacity. On multivariate analysis, females were the only independent correlate of the HPTAS capability. CONCLUSION: In highly trained endurance athletes, a HPTAS capability during exercise corresponded to an increase in pulmonary vascular and RV contractile reserves as well as an enhanced maximal exercise capacity. The long-term clinical or performance implications of the absence or presence of pulmonary shunting, and the subsequent RV afterload increase while performing exercise, remains to be determined.


Assuntos
Adaptação Fisiológica , Atletas , Tolerância ao Exercício/fisiologia , Pulmão/fisiologia , Contração Miocárdica/fisiologia , Função Ventricular Esquerda/fisiologia , Função Ventricular Direita/fisiologia , Adulto , Teste de Esforço , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
17.
Biotechnol Bioeng ; 115(11): 2726-2739, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30063244

RESUMO

The objective of this paper is to present the model-based optimization results of an anaerobic granular sludge internal circulation reactor. The International Water Association Anaerobic Digestion Model No. 1 extended with phosphorus (P), sulfur (S), and ethanol is used to describe the main biological and physico-chemical processes. The high-rate conditions within the reactor are simulated using a flow + reactor model comprised of a series of continuous stirred tank reactors followed by an ideal total suspended solids separation unit. Following parameter estimation by least squares on the measured data, the model had a relative mean error of 13 and 15% for data set #1 and data set #2, respectively. Response surfaces show that the reactor performance index (a metric combining energy recovery in the form of heat and electricity, as well as chemicals needed for pH control) could be improved by 45% when reactor pH is reduced down to 6.8. Model-based results reveal that influent S does not impose sufficient negative impacts on energy recovery (+5.7%, in MWh/day,+0.20 M€/year when influent S is removed) to warrant the cost of its removal (3.58 M€/year). In fact, the process could handle even higher S loads (ensuring the same degree of conversion) as long as the pH is maintained above 6.8. Nevertheless, a higher S load substantially increases the amount of added NaOH to maintain the desired operational pH (>25%) due to the acidic behavior of HS - . CO 2 stripping decreases the buffer capacity of the system and hence use of chemicals for pH control. Finally, the paper discusses the possibilities and limitations of the proposed approach, and how the results of this study will be put into practice.


Assuntos
Reatores Biológicos/microbiologia , Esgotos/microbiologia , Purificação da Água/métodos , Anaerobiose , Meios de Cultura/química , Concentração de Íons de Hidrogênio , Fósforo/metabolismo , Enxofre/metabolismo
18.
Water Res ; 141: 19-31, 2018 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-29753974

RESUMO

Due to their widespread application in consumer products, elemental titanium (e.g., titanium dioxide, TiO2) and silver (Ag), also in nanoparticulate form, are increasingly released from households and industrial facilities to urban wastewater treatment plants (WWTPs). A seven-day sampling campaign was conducted in two full-scale WWTPs in Trondheim (Norway) employing only primary treatment. We assessed the occurrence and elimination of Ti and Ag, and conducted size-based fractionation using sequential filtration of influent samples to separate particulate, colloidal and dissolved fractions. Eight-hour composite influent samples were collected to assess diurnal variations in total Ti and Ag influx. Measured influent Ti concentrations (up to 290 µg L-1) were significantly higher than Ag (<0.15-2.1 µg L-1), being mostly associated with suspended solids (>0.7 µm). Removal efficiencies ≥70% were observed for both elements, requiring for one WWTP to account for the high Ti content (∼2 g L-1) in the flocculant. Nano- and micron-sized Ti particles were observed with scanning transmission electron microscopy (STEM) in influent, effluent and biosolids, while Ag nanoparticles were detected in biosolids only. Diurnal profiles of influent Ti were correlated to flow and pollutant concentration patterns (especially total suspended solids), with peaks during the morning and/or evening and minima at night, indicating household discharges as predominant source. Irregular profiles were exhibited by influent Ag, with periodic concentration spikes suggesting short-term discharges from one or few point sources (e.g., industry). Influent Ti and Ag dynamics were reproduced using a disturbance scenario generator model, and we estimated per capita loads of Ti (42-45 mg cap-1 d-1) and Ag (0.11 mg cap-1 d-1) from households as well as additional Ag load (14-22 g d-1) from point discharge. This is the first study to experimentally and mathematically describe short-term release dynamics and dry-weather sources of emissions of Ti and Ag in municipal WWTPs and receiving environments.


Assuntos
Nanopartículas Metálicas/análise , Prata/análise , Titânio/análise , Poluentes Químicos da Água/análise , Monitoramento Ambiental , Nanopartículas Metálicas/ultraestrutura , Microscopia Eletrônica de Transmissão e Varredura , Noruega , Eliminação de Resíduos Líquidos , Águas Residuárias/análise
19.
Water Res ; 100: 169-183, 2016 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-27187049

RESUMO

The focus of modelling in wastewater treatment is shifting from single unit to plant-wide scale. Plant-wide modelling approaches provide opportunities to study the dynamics and interactions of different transformations in water and sludge streams. Towards developing more general and robust simulation tools applicable to a broad range of wastewater engineering problems, this paper evaluates a plant-wide model built with sub-models from the Benchmark Simulation Model No. 2-P (BSM2-P) with an improved/expanded physico-chemical framework (PCF). The PCF includes a simple and validated equilibrium approach describing ion speciation and ion pairing with kinetic multiple minerals precipitation. Model performance is evaluated against data sets from a full-scale wastewater treatment plant, assessing capability to describe water and sludge lines across the treatment process under steady-state operation. With default rate kinetic and stoichiometric parameters, a good general agreement is observed between the full-scale datasets and the simulated results under steady-state conditions. Simulation results show differences between measured and modelled phosphorus as little as 4-15% (relative) throughout the entire plant. Dynamic influent profiles were generated using a calibrated influent generator and were used to study the effect of long-term influent dynamics on plant performance. Model-based analysis shows that minerals precipitation strongly influences composition in the anaerobic digesters, but also impacts on nutrient loading across the entire plant. A forecasted implementation of nutrient recovery by struvite crystallization (model scenario only), reduced the phosphorus content in the treatment plant influent (via centrate recycling) considerably and thus decreased phosphorus in the treated outflow by up to 43%. Overall, the evaluated plant-wide model is able to jointly describe the physico-chemical and biological processes, and is advocated for future use as a tool for design, performance evaluation and optimization of whole wastewater treatment plants.


Assuntos
Fósforo/química , Eliminação de Resíduos Líquidos , Minerais , Esgotos/química , Águas Residuárias/química
20.
Water Res ; 95: 370-82, 2016 05 15.
Artigo em Inglês | MEDLINE | ID: mdl-27107338

RESUMO

This paper proposes a series of extensions to functionally upgrade the IWA Anaerobic Digestion Model No. 1 (ADM1) to allow for plant-wide phosphorus (P) simulation. The close interplay between the P, sulfur (S) and iron (Fe) cycles requires a substantial (and unavoidable) increase in model complexity due to the involved three-phase physico-chemical and biological transformations. The ADM1 version, implemented in the plant-wide context provided by the Benchmark Simulation Model No. 2 (BSM2), is used as the basic platform (A0). Three different model extensions (A1, A2, A3) are implemented, simulated and evaluated. The first extension (A1) considers P transformations by accounting for the kinetic decay of polyphosphates (XPP) and potential uptake of volatile fatty acids (VFA) to produce polyhydroxyalkanoates (XPHA) by phosphorus accumulating organisms (XPAO). Two variant extensions (A2,1/A2,2) describe biological production of sulfides (SIS) by means of sulfate reducing bacteria (XSRB) utilising hydrogen only (autolithotrophically) or hydrogen plus organic acids (heterorganotrophically) as electron sources, respectively. These two approaches also consider a potential hydrogen sulfide ( [Formula: see text] inhibition effect and stripping to the gas phase ( [Formula: see text] ). The third extension (A3) accounts for chemical iron (III) ( [Formula: see text] ) reduction to iron (II) ( [Formula: see text] ) using hydrogen ( [Formula: see text] ) and sulfides (SIS) as electron donors. A set of pre/post interfaces between the Activated Sludge Model No. 2d (ASM2d) and ADM1 are furthermore proposed in order to allow for plant-wide (model-based) analysis and study of the interactions between the water and sludge lines. Simulation (A1 - A3) results show that the ratio between soluble/particulate P compounds strongly depends on the pH and cationic load, which determines the capacity to form (or not) precipitation products. Implementations A1 and A2,1/A2,2 lead to a reduction in the predicted methane/biogas production (and potential energy recovery) compared to reference ADM1 predictions (A0). This reduction is attributed to two factors: (1) loss of electron equivalents due to sulfate [Formula: see text] reduction by XSRB and storage of XPHA by XPAO; and, (2) decrease of acetoclastic and hydrogenotrophic methanogenesis due to [Formula: see text] inhibition. Model A3 shows the potential for iron to remove free SIS (and consequently inhibition) and instead promote iron sulfide (XFeS) precipitation. It also reduces the quantities of struvite ( [Formula: see text] ) and calcium phosphate ( [Formula: see text] ) that are formed due to its higher affinity for phosphate anions. This study provides a detailed analysis of the different model assumptions, the effect that operational/design conditions have on the model predictions and the practical implications of the proposed model extensions in view of plant-wide modelling/development of resource recovery strategies.


Assuntos
Fósforo , Enxofre , Anaerobiose , Ferro , Esgotos/química
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