Monitoring operational and leachate characteristics of an aerobic simulated landfill bioreactor.

Long-term biodegradation of MSW in an aerobic landfill bioreactor was monitored as a function of time during 510 days of operation. Operational characteristics such as air importation, temperature and leachate recirculation were monitored. The oxygen utilization rates and biodegradation of organic matter rates showed that aerobic biodegradation was feasible and appropriate to proceed in aerobic landfill bioreactor. Leachate analyses showed that the aerobic bioreactor could remove above 90% of chemical oxygen demand (COD) and close to 100% of biochemical oxygen demand (BOD5) from leachate. Ammonium (NH4+), nitrate (NO3-) and sulphate (SO4(2-)) concentrations of leachate samples were regularly measured. Results suggest that nitrification and denitrification occurred simultaneously, and the increase in nitrate did not reach the levels predicted stoichiometrically, suggesting that other processes were occurring. Leachate recirculation reduced the concentrations of heavy metals because of the effect of the high pH of the leachate, causing heavy metals to be retained by processes such as sorption on MSW, carbonate precipitation, and hydroxide precipitation. Furthermore, the compost derived from the aerobic biodegradation of the organic matter of MSW may be considered as soil improvement in the agricultural plant production. Bio-essays indicated that the ecotoxicity of leachate from the aerobic bioreactor was not toxic at the end of the experiment. Finally, after 510 days of degradation, waste settlement reached 26% mainly due to the compost of the organic matter.

A high fidelity tissue-based cardiac surgical simulator.

OBJECTIVE: Issues concerning the training and certification of surgical specialists have taken on great significance in the last decade. A realistic computer-assisted, tissue-based simulator developed for use in the training of cardiac surgical residents in the conduct of a variety of cardiac surgical procedures in a low-volume cardiothoracic surgery unit of a typical developing country is described. The simulator can also be used to demonstrate the function of technology specific to cardiac surgical procedures in a way that previously has only been possible via the conduct of a procedure on a live animal or human being. METHODS: A porcine heart in a novel simulated operating theatre environment with real-time simulated haemodynamic monitoring and coronary blood flow, in arrested and beating-heart modes, is used as a training tool for surgical residents. RESULTS: Standard and beating-heart coronary arterial bypass, aortic valve replacement, aortic homograft replacement and pulmonary autograft procedures can be simulated with high degrees of realism and with the superimposition of adverse clinical scenarios requiring valid decision making and clinical judgments to be made by the trainees. CONCLUSIONS: The cardiac surgical simulation preparation described here would appear to be able to contribute positively to the training of residents in low-volume centres, as well as having the potential for application in other settings as a training tool or clinical skills assessment or accreditation device. Collaboration with larger centres is recommended in order to accurately assess the utility of this preparation as an adjunctive cardiothoracic surgical training aid.