Microbial granules on reactors performance during organic butyrate digestion: clean production.

This critical review for anaerobic degradation of complex organic compounds like butyrate using reactors has been enormously applied for biogas production. Biogas production rate has a great impact on: reactor granulation methanogenesis, nutrient content, shear velocity, organic loading and loss of nutrients taking place in the reactor continuously. Various technologies have been applied to closed anaerobic reactors to improve biogas production and treatment efficiency. Recent reviews showed that the application of closed anaerobic reactors can accelerate the degradation of organics like volatile fatty acid-butyrate and affect microbial biofilm formation by increasing the number of methanogens and increase methane production 16.5 L-1 CH4 L-1 POME-1. The closed anaerobic reactors with stable microbial biofilm and established organic load were responsible for the improvement of the reactor and methane production. The technology mentioned in this review can be used to monitor biogas concentration, which directly correlates to organic concentrations. This review attempts to evaluate interactions among the: degradation of organics, closed anaerobic reactors system, and microbial granules. This article provides a useful picture for the improvement of the degradation of organic butyrate for COD removal, biogas and methane production in an anaerobic closed reactor.

Recent reviews showed that the application of closed anaerobic reactors can accelerate the degradation of organic compounds, such as volatile fatty acid-butyrate, and affect microbial biofilm formation by increasing the number of methanogens, thus enhancing biogas production. The closed anaerobic reactors with stable microbial biofilm established the organic load and improved the performance of the reactor for methane production. The technology used involves monitoring biogas concentrations which correlates with organic concentrations. This review attempts to evaluate interactions among: the degradation of organics, closed anaerobic reactors system, and microbial granules. This review, therefore, provides a useful picture for the improvement of butyrate degradation for COD removal and methane production with the help of various anaerobic closed reactors. The performance of UASBR depends on granulation. The granulation process in UASB reactors can be divided into four steps: (1) Transport of cells to the surface of other cells; (2) Initial reversible adsorption by physicochemical forces; (3) Irreversible adhesion of the cells by microbial appendages and/or polymers; and (4) Multiplication of the cells and development of the granules. Any factor which can complement any one of the four steps will be able to accelerate the granulation process and shorten the startup time of UASB reactors.

IoT-based disease prediction using machine learning.

COVID-19 disrupted lives and livelihoods and affected various sectors of the economy. One such domain was the already overburdened healthcare sector, which faced fresh challenges as the number of patients rose exponentially and became difficult to deal with. In such a scenario, telemedicine, teleconsultation, and virtual consultation became increasingly common to comply with social distancing norms. To overcome this pressing need of increasing 'remote' consultations in the 'post-COVID' era, the Internet of Things (IoT) has the potential to play a pivotal role, and this present paper attempts to develop a novel system that implements the most efficient machine learning (ML) algorithm and takes input from the patients such as symptoms, audio recordings, available medical reports, and other histories of illnesses to accurately and holistically predict the disease that the patients are suffering from. A few of the symptoms, such as fever and low blood oxygen, can also be measured via sensors using Arduino and ESP8266. It then provides for the appropriate diagnosis and treatment of the disease based on its constantly updated database, which can be developed as an application-based or website-based platform.

Model for bioavailability and metal reduction from soil amended with petroleum wastewater by rye-grass L.

To assess the tolerance, the rye-grass L. grown on soil amended with petroleum wastewater (PWW) containing four metals lead, zinc, nickel and mercury. The PWW (25 to 50%) showed remarkable increase in length and biomass. Chlorophyll 'a and b' increased with an increase of PWW from 25-50% while such contents decreased on increasing the 75-100% compared to control. The mass balance performed on the system showed the removal of 90-97.6% lead, 85.5-92.9% zinc, 78.9-85.5% nickle and 47.6-27.5% mercury. The model for the maximum metal reduction rate (Rmax) was much better for Pb (89.5) and Zn (72.1) with respect to Ni (57.3) and Hg (32.4). Survival of rye-grass (30-days, statics, and renewal exposures) was increased by 50% as compared to control. The toxicity index Y of PWW showed 0-25% deficiency level, 25-50% tolerance level, 50-90% toxic level and 90-100% lethal level. The experimental data showing high correlation coefficient (R2 = 0.98).

Magnetic resonance T1 relaxation time of venous thrombus is determined by iron processing and predicts susceptibility to lysis.

BACKGROUND: The magnetic resonance longitudinal relaxation time (T1) changes with thrombus age in humans. In this study, we investigate the possible mechanisms that give rise to the T1 signal in venous thrombi and whether changes in T1 relaxation time are informative of the susceptibility to lysis. METHODS AND RESULTS: Venous thrombosis was induced in the vena cava of BALB/C mice, and temporal changes in T1 relaxation time correlated with thrombus composition. The mean T1 relaxation time of thrombus was shortest at 7 days following thrombus induction and returned to that of blood as the thrombus resolved. T1 relaxation time was related to thrombus methemoglobin formation and further processing. Studies in inducible nitric oxide synthase (iNOS(-/-))-deficient mice revealed that inducible nitric oxide synthase mediates oxidation of erythrocyte lysis-derived iron to paramagnetic Fe3+, which causes thrombus T1 relaxation time shortening. Studies using chemokine receptor-2-deficient mice (Ccr2(-/-)) revealed that the return of the T1 signal to that of blood is regulated by removal of Fe3+ by macrophages that accumulate in the thrombus during its resolution. Quantification of T1 relaxation time was a good predictor of successful thrombolysis with a cutoff point of <747 ms having a sensitivity and specificity to predict successful lysis of 83% and 94%, respectively. CONCLUSIONS: The source of the T1 signal in the thrombus results from the oxidation of iron (released from the lysis of trapped erythrocytes in the thrombus) to its paramagnetic Fe3+ form. Quantification of T1 relaxation time appears to be a good predictor of the success of thrombolysis.

A novel application of red mud-iron on granulation and treatment of palm oil mill effluent using upflow anaerobic sludge blanket reactor.

The performance of the upflow anaerobic sludge blanket reactor that used red mud-iron (RM-Fe) for methane production for the treatment of palm oil mill effluent (POME) at various hydraulic retention time (HRT) was determined. POME was used as the substrate carbon source. The biogas production rate was 1.7 l biogas/h with a methane yield of 0.78 l CH4/g CODremoved and chemical oxygen demand (COD) removal was 85% at POME concentration of 30 g COD/l at HRT 16 h. The reactor R2 showed average methane content of biogas and COD reduction of 78% and 85% at 400 mg/l RM-Fe. Significant increase in the granule diameter (up to 2900 µm) in R2 was compared to control R1 (up to 86 µm) at end of the experiment.

Patient safety perspectives: the impact of CPOE on nursing workflow.

The purpose of this review is to explore the impact of Computerized Physician Order Entry (CPOE) systems on patient safety from a nursing perspective. The paper discusses the importance of safety culture within nursing, nursing perceptions of CPOE, and the impact of CPOE on nursing workflow. The findings indicate that the implementation of CPOE negatively impacts nursing workflow when CPOE systems are inadequately designed. Future work is necessary to explore the impact of CPOE on nursing workflow and the direct impact on patient safety.

Sustainability for wastewater treatment: bioelectricity generation and emission reduction.

This review covers the technological measures of a self-sustainable anaerobic up-flow sludge blanket (UASB) system compared with an aerobic activated sludge process (ASP) for wastewater treatment plants (WWTPs). The ASP requires a huge amount of electricity and chemicals and also results in the emission of carbon. The UASB system, instead, is based on greenhouse gas (GHG) emission reduction and is associated with biogas production for cleaner electricity. WWTPs including the ASP system are not sustainable due to the massive financial power required for clean wastewater. When the ASP system was used, the amount of production was estimated to be 10658.98 tonnes CO2eq-d- of carbon dioxide. Whereas it was 239.19 tonnes CO2eq-d-1 with the UASB. The UASB system is advantageous over the ASP system as it has a high production of biogas, needs low maintenance, yields a low amount of sludge, and is also a source of electricity that can be used as a power source for the WWTPs. Also, the UASB system produces less biomass, and this helps in reducing costs and maintaining work. Moreover, the aeration tank of the ASP needs 60% of energy distribution; on the other hand, the UASB consumes less energy, approximately 3-11%.

Electrochemical process for petroleum refinery wastewater treatment to produce power and hydrogen using microbial electrolysis cell.

This research aims to assess the microbial electrolysis cell (MEC) fed with petroleum refinery wastewater (PRW) to produce power density and bio-electrochemical hydrogen. The MEC produces a maximum bio-electricity of 21.4 mA and a power density of 1200123.90 W/m2 with a loading of chemical oxygen demand (COD) of 17000 mg/L. Due to catalyzed oxidation of complex compounds in PRW with a maintained microbial biofilm growth was observed after 90 d of operation of MEC. Results showed that the oxidation of organic substances in PRW enhanced the size in the growth of microbial film which further increased the generation of electrons leading to current density of 5890 mA/m2. The COD removal efficiency of MEC was found to be 89.9%. The bio-electricity and hydrogen production of the MEC was estimated to be 24.5 mA and 19.2 L respectively when loaded with PRW having a COD of 17500 mg/L after 130 d. Present experiments demonstrate the efficiency of MEC technology efficiency in treating petroleum wastewater with the help of microbial biofilm.

Biodegradation of petroleum wastewater for the production of bioelectricity using activated sludge biomass.

Objective: This research is based on the treatment of petroleum wastewater (PWW) with pretreated activated sludge for the production of electricity and removal of chemical oxygen demand (COD) using microbial fuel cell (MFC). Methods: The application of the MFC system which uses activated sludge biomass (ASB) as a substrate resulted in the reduction of COD by 89.5% of the original value. It generated electricity equivalent to 8.18 mA/m2 which can be reused again. This would solve the majority of environmental crises which we are facing today. Results: This study discusses the application of ASB to enhance the degradation of PWW for the production of a power density of 1012.95 mW/m2 when a voltage of 0.75 V (voltage) is applied at 30:70% of ASB when MFC is operated in a continuous mode. Microbial biomass growth was catalyzed using activated sludge biomass. The growth of microbes was observed by scanning through an electron microscope. Through oxidation in the MFC system, bioelectricity is generated which is used in the cathode chamber. Furthermore, the MFC operated using ASB in a ratio of 35 with the current density, which decreased to 494.76 mW/m2 at 10% ASB. Application: Our experiments demonstrate that the efficiency of the MFC system can generate bioelectricity and treat petroleum wastewater by using activated sludge biomass.

Hematopoietic progenitor cells and restenosis after carotid endarterectomy.

BACKGROUND AND PURPOSE: Hematopoietic progenitor cells (HPCs) may attenuate the response to vascular injury by maintaining endothelial integrity and function. Our aim was to determine whether circulating HPC number and function correlate with restenosis after carotid endarterectomy. METHODS: HPC number (CD34(+)/CD133(+) cells), early colony-forming units, migratory capacity, and senescence were analyzed in blood collected preoperatively, 1 day, and 6 weeks postoperatively. Mobilizing cytokine levels were also measured. Stenosis was assessed by duplex scanning. RESULTS: HPC numbers (P<0.001) and early colony-forming unit count (P=0.001) fell rapidly 24 hours postoperatively. Restenosis at 6 months correlated negatively with the magnitude of postoperative falls in HPC numbers (R=-0.38, P=0.013) and early colony-forming unit counts (R=-0.42, P=0.008). The migratory capacity of preoperative HPCs correlated negatively with restenosis (R=-0.48, P=0.007). Preoperative SDF1 levels correlated with falls in HPC number (R=0.42, P=0.044) and early colony-forming unit counts (R=0.56, P=0.004). CONCLUSIONS: HPC function appears to be linked to the development of carotid artery restenosis after endarterectomy. These data support the concept that HPCs have a role in regulating remodeling of the injured arterial wall.

Leukocytes and the natural history of deep vein thrombosis: current concepts and future directions.

Observational studies have shown that inflammatory cells accumulate within the thrombus and surrounding vein wall during the natural history of venous thrombosis. More recent studies have begun to unravel the mechanisms that regulate this interaction and have confirmed that thrombosis and inflammation are intimately linked. This review outlines our current knowledge of the complex relationship between inflammatory cell activity and venous thrombosis and highlights new areas of research in this field. A better understanding of this relationship could lead to the development of novel therapeutic targets that inhibit thrombus formation or promote its resolution.

Phytoremediation of heavy metals and total petroleum hydrocarbon and nutrients enhancement of Typha latifolia in petroleum secondary effluent for biomass growth.

Phytoremediation is an innovative tool which can be used for the treatment of industrial and agricultural wastewater. Typha latifolia (T. latifolia) is an aquatic plant used for phytoremediation of heavy metals (HMs) like cadmium (Cd), cobalt (Co), manganese (Mn), and TPH (total petroleum hydrocarbon) for the treatment of petroleum secondary effluent (PSE). During this experiment, the growth of T. latifolia in biomass, nutrient concentrations, and heavy metals were studied. The results indicated that T. latifolia was more tolerant to Cd, Co, and Mn due to its transfer index (TI) which was found to be greater than 2.9. The enrichment coefficients of the metals, Cd and Co present in the root were found to be higher than 3.31 to 2.56 and 5.35 to 3.55, respectively unlike the stem of T. latifolia. But, the enrichment coefficient of Mn was found to be 1.98 which was expected to be 3.51 at 75%. Similarly, the enrichment coefficients of all the metals, except for Co, in roots of T. latifolia were higher than 5.36. (TI) for Co (2.95) and Mn (2.55) which is better as compared to the enrichment coefficients of Cd (2.35) and TPH (3.45) in PSE. Thus, there is a possibility that PSE could be a source of important nutrients.

The impacts of calcium oxide nanoparticles on the anaerobic granule formation: CO2 sequestration and dosing.

Lab experiments were conducted to investigate the effects of calcium oxide nanoparticles (CaO NPs) dosing on granule formation, granule development, and carbon oxide sequestration. The results showed that dosing CaO NPs adversely affected granulation due to the formation of precipitates and hydrolyzates with poor settleability. However, the optimal dosage of CaO NPs 4.5 g/l could benefit granule formation and stability by improving the embedded extracellular polymeric substances (EPS) and physical adhesion aggregation leads for CO2 sequestration. The network of granules like Methanosarcina and in pore size 0.55 mm obtained in the reactor was 6.25 mm in average diameter, had a wet density 46 cm2, sludge volume index 0.935 ml/g, and CO2 sequestration 96.7% at 4.5 g/l CaO NP. The proposed study can provide a good prediction for the growth of granules stable texture in regular, dense, rigid, upper part smooth with below surface rough and granule yield showed CH4 production 4.6 m3/d and CO2 sequestration 4.75 l/gVS granules (w/v) granules. This study is a useful tool for studying the growth of granule growth characteristics and the mechanism of anaerobic granules for CO2 sequestration from wastewater.

Pilot scale production of functional foods using red palm olein: Antioxidant, vitamins' stability and sensory quality during storage.

The objective of this research work was to produce acceptable quality functional foods, namely, extruded snacks, digestive biscuits and pan bread, on a pilot scale, using vitamin E and ß-carotene-rich red palm olein (RPOL) and red palm shortening (RPS). These products were evaluated for their chemical composition and sensory quality along with the antioxidants and vitamin contents during the six months of storage at room temperature (22 ±â€¯1 °C). Extruded snacks and digestive biscuits prepared with RPOL and RPS were found to be good sources of these antioxidant vitamins. The average ß-carotene content of the control and test snacks at the end of six months of storage ranged from 26.8 to 56.1 mg/kg fat, and from 430.9 to 468.9 mg/kg fat, respectively. The total vitamin E content in control and test snacks made in Plant No. 1 decreased after six months of storage from 786.1 to 704.4 mg/kg fat, and from 765.1 to 695.4 mg/kg fat, respectively. As expected, the total tocotrienol content was four to five times higher than the total tocopherols in control biscuits. The RPOL containing 600-750 ppm of carotenes (mainly α- and ß-carotenes), 710-774 ppm of vitamin E, was found to be suitable for industrial application in producing acceptable quality pan bread, digestive biscuits and snacks. These functional foods contained significant amounts of ß-carotene and total vitamin E, indicating the possibility of producing such foods rich in these two of the important antioxidant vitamins coming from a natural source. The research findings strongly indicate that good-quality pan bread, extruded snacks and digestive biscuits can successfully be produced to offer healthier eating choices to the consumers of this region, thereby promoting better health and productivity among the population.

TB Meningitis and TB Peritonitis: Abdominal Pseudocyst and VP-Shunt Link.

TB meningitis (TBM) carries high morbidity and mortality and is a relatively common extrapulmonary TB in the third world countries. TBM as thick exudative disease manifests on MRI and CT as nodular basal leptomeningitis, hydrocephalus, basal infarcts, and tuberculomas. Hydrocephalus is treated with ventriculoperitoneal shunting (VPS). Shunt malfunction and revision are common. We report a case of multidrug-resistant TBM with spinal involvement and dissemination of the disease via VPS causing TB peritonitis (TBP). TBP presented as a large abdominal pseudocyst around the catheter tip with shunt malfunction. There was no evidence for any other site of extra-CNS disease. TBP per se is relatively less common. This is the first case reporting VPS as a means of TB spread.

Bioavailability of zinc oxide nano particle with fly ash soil for the remediation of metals by Parthenium hysterophorus.

To investigate the interaction of zinc oxide nanoparticles (ZnO NPs) with fly ash soil (FAS) for the reduction of metals from FAS by Parthenium hysterophorus were studied. The average accumulation of metals by P. hysterophorus stem were Fe 79.6%; Zn 88.5%; Cu 67.5%; Pb 93.6%; Ni 43.5% and Hg 39.4% at 5.5 g ZnO NP. The concentration of ZnO NP at 1.5 g did not affect the metals accumulation, however at 5.5 g ZnO NP showed highest metal reduction was 96.7% and at 10.5-15.5 g ZnO NP of 19.8%. The metal reduction rate was R max for Fe 16.4; Zn 21.1; Pb 41.9; Hg 19.1 was higher than Ni 6.4 and Cu 11.3 from the FAS at 5.5 g ZnO NP whereas, the reduction rate of Pb showed highest. With doses of 5.5 g ZnO NP the biomass increased upto 78%; the metal reduced upto 98.7% with the share of 100% ZnO NP from FAS. Further investigation with phytotoxicity the plant reactive oxygen species (ROS) production were affected due was mainly due to the recovery of metals from FAS (R2 = 0.99).

Comparison of Some Molecular Markers for Tick Species Identification.

BACKGROUND: Ticks are obligate blood-sucking ectoparasites of vertebrates. Since many tick identification studies are based on the analysis of 16S rDNA, 12S rDNA and ITS-1, 2 rDNA genes, we aimed to compare the performance of these molecular markers of common use for the identification of ticks, under a diagnostic laboratory environment. METHODS: Overall, 192 tick specimens were collected through the state of Texas from January 2014 to August 2015 and the species was determined by both morphology and molecular amplification using the 16S rDNA, 12S rDNA, ITS1 and ITS2. RESULTS: The species collected were identified by molecular techniques as Dermacentor albipictus, D. variabilis, Amblyomma americanum, Ixodes scapularis, A. cajennense, Rhipicephalus sanguineus and Carios capensis. ITS1 and ITS2 were not able to prove consistent amplification and therefore have been considered as potential markers for tick identification. CONCLUSION: The use of mitochondrial genes in tick identification showed to provide more consistent results in the diagnostic environment.

Iatrogenic (Traumatic) Occipital Artery Pseudoaneurysm - Rare Complication of Ventriculoperitoneal Shunt in an Infant: Case Report and Review of the Literature.

Although ventriculoperitoneal shunt (VPS) is the most common procedure performed by pediatric neurosurgeons, it is still associated with frustrating complications, most common of which are obstruction and infection. Traumatic occipital artery pseudoaneurysm is a very rare complication of VPS procedure. To the best of our knowledge, there is no similar case reported in the English language literature. A 12-month-old patient suffered posthemorrhagic hydrocephalus of prematurity, and multiple other complications due to extreme prematurity, including immature lung disease, retinopathy of prematurity, necrotizing enterocolitis, bowel perforation, short bowel syndrome resulting in total parenteral nutrition-dependence, and hydrocephalus which was treated by insertion of VPS. Four weeks after the shunt, a slowly enlarging pulsatile swelling distal to the valve under the catheter altering the shunt function was noted. The swelling was diagnosed as a pseudoaneurysm of the occipital artery and treated by excision of the aneurysm. The child developed isolated dilated fourth ventricle, which was treated by endoscopic fourth ventriculostomy. Traumatic occipital artery pseudoaneurysm as a result of tunneling of VPS catheter is a very rare complication of VPS. Clinical and radiological imaging is diagnostic of the aneurysm. Surgical repair should be considered in such cases. This case report is aimed to raise the awareness among physicians about this rare complication.

Accuracy of Specimen Radiography in Assessing Complete Local Excision with Breast-Conservation Surgery

Objective: The aim of this study was to evaluate the accuracy of "X- ray examination of surgically resected specimen'' in assessing complete local excision (CLE). Materials and Methods: In this retrospective cross sectional study, data were collected for all female breast cancer cases who underwent breast-conserving surgery after needle localization of mammographically visible disease. Males, patients with mammographically invisible disease and cases with benign or inconclusive histopathology, those undergoing modified radical mastectomy and individuals with dense breast parenchyma were excluded. We evaluated radiography of resected specimens to assess margin spiculation, distance of mass/microcalcification from the excised margin, presence of a mass, and presence of any adjacent microcalcification, Other features including mass size, nuclear grade and patient's age were also recorded and all were analyzed for any association with CLE. Results: Absence of adjacent microcalcification and the presence of a mass on radiographs showed significant associations with CLE, but no links were evident with other features. Specimen radiography was found to be a sufficient tool to predict CLE with a positive predictive value of 83.3%, a sensitivity of 80.7% and a specificity of 81%. Conclusion: Specimen radiography is an important and sensitive tool to predict CLE.