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1.
Eur J Pediatr ; 180(3): 783-790, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32827275

RESUMO

During neonatal resuscitation in the delivery room, heart rate guides clinical intervention, and although different methods have been evaluated as auscultation, pulse oximetry, and electrocardiography, they have various limitations. This was a prospective observational study which aim was to evaluate the accuracy and speed of ultrasound for measuring neonatal heart rate compared with stethoscope, pulse oximetry, and electrocardiography. Simultaneous determinations of heart rate using stethoscope, ultrasound, pulse oximetry, and electrocardiography were performed. Fifty term newborns were included. There were no differences according to the turn on time of the ultrasound, pulse oximetry, and electrocardiography (p = 0.666), but the placement time and the detection time from birth were shorter for ultrasound (p < 0.001). A stronger positive correlation was detected between ultrasound and electrocardiography at 90 (Rho = 0.926), and 120 s (Rho = 0.920) with p < 0.001. The Bland-Altman analysis showed a bias of - 2.23 (p = 0.129) between ultrasound and electrocardiography at 90 s, and a bias of 0.44 (p = 0.092) at 120 s. Instead, the bias between auscultation and electrocardiography at 90 s was - 6.71 (p = 0.131), and at 120 s was of - 4.67 (p = 0.793).Conclusions: Ultrasound is a fast method to detect heart rate in the delivery room and has a good correlation with stethoscope and electrocardiography. What is Known: • During neonatal resuscitation in the delivery room, heart rate guides clinical intervention, and although different methods have been evaluated, they have various limitations. What is New: • Heart rate ultrasound is a good and fast method to detect HR in the delivery room with a good correlation with electrocardiography and stethoscope.


Assuntos
Salas de Parto , Ressuscitação , Eletrocardiografia , Feminino , Frequência Cardíaca , Humanos , Recém-Nascido , Oximetria , Gravidez
2.
Eur J Pediatr ; 179(12): 1913-1920, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32710304

RESUMO

This study aimed to investigate whether using lung ultrasound (LUS) scores in premature newborns with respiratory distress syndrome (RDS) allows for earlier surfactant therapy (within the first 3 h of life) than using FiO2 criteria. This was a randomised, non-blinded clinical trial conducted in a neonatal intensive care unit. The inclusion criteria were newborns with a gestational age of ≤ 32 weeks and RDS. Patients meeting the inclusion criteria were randomly assigned to two groups: the ultrasound group, administered surfactant based on LUS score and/or FiO2 threshold, and the control group, guided by FiO2 only. Fifty-six patients were included. The ultrasound group received surfactant earlier (1 h of life vs. 6 h, p < 0.001), with lower FiO2 (25% vs. 30%, p = 0.016) and lower CO2 (48 vs. 54, p = 0.011). After surfactant treatment, newborns in the ultrasound group presented a greater SpO2 (p = 0.001) and SpO2/FiO2 ratio (p = 0.012).Conclusions: LUS score allowed an earlier surfactant therapy, reduced oxygen exposure early in life and a better oxygenation after the treatment. This early surfactant replacement may lead to reduced oxygen exposure. What is Known: • Lung ultrasound scores predict the need for surfactant therapy in premature newborns. What is New: • This study shows that using lung ultrasound scores improves the timeliness of surfactant replacement compared with using FiO2 alone.


Assuntos
Surfactantes Pulmonares , Síndrome do Desconforto Respiratório do Recém-Nascido , Ultrassonografia de Intervenção , Humanos , Lactente , Recém-Nascido , Pulmão/diagnóstico por imagem , Surfactantes Pulmonares/uso terapêutico , Síndrome do Desconforto Respiratório do Recém-Nascido/diagnóstico por imagem , Síndrome do Desconforto Respiratório do Recém-Nascido/tratamento farmacológico , Tensoativos/uso terapêutico , Ultrassonografia
3.
Electrophoresis ; 38(18): 2331-2340, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28512733

RESUMO

Phospholipidosis and steatosis are two toxic effects, which course with overaccumulation of different classes of lipids in the liver. MS-based lipidomics has become a powerful tool for the comprehensive determination of lipids. LC-MS lipid profiling of HepG2 cells is proposed as an in vitro assay to study and anticipate phospholipidosis and steatosis. Cells with and without preincubation with a mixture of free fatty acids (FFA; i.e. oleic and palmitic) were exposed to a set of well-known steatogenic and phospholipidogenic compounds. The use of FFA preloading accelerated the accumulation of phospholipids, thus leading to a better discrimination of phospholipidosis, and magnified the lipidomic alterations induced by steatogenic drugs. Phospholipidosis was characterized by increased levels of phosphatidylcholines, phosphatidylethanolamines, phosphatidylserines, and phosphatidylinositols, while steatosis induced alterations in FA oxidation and triacylglyceride (TG) synthesis pathways (with changes in the levels of FFA, acylcarnitines, monoacylglycerides, diacylglycerides, and TG). Interestingly, palmitic and oleic acids incorporation into lipids differed. A characteristic pattern was observed in the fold of change of particular TG species in the case of steatosis (TG(54:3) > TG(52:2) > TG(50:1) > TG(48:0)). Based on the levels of those lipids containing only palmitic and/or oleic acid moieties a partial least squares-discriminant analysis model was built, which showed good discrimination among nontoxic, phospholipidogenic and steatogenic compounds. In conclusion, it has been shown that the use of FFA preincubation together with intracellular LC-MS based lipid profiling could be a useful approach to identify the potential of drug candidates to induce phospholipidosis and/or steatosis.


Assuntos
Doença Hepática Induzida por Substâncias e Drogas/metabolismo , Fígado Gorduroso/metabolismo , Lipidoses/metabolismo , Fosfolipídeos/análise , Cromatografia Líquida , Biologia Computacional , Células Hep G2 , Humanos , Análise dos Mínimos Quadrados , Espectrometria de Massas , Modelos Biológicos , Fosfolipídeos/metabolismo
4.
Rev Laryngol Otol Rhinol (Bord) ; 136(5): 171-9, 2015.
Artigo em Francês | MEDLINE | ID: mdl-29400041

RESUMO

Current health policies promote patient education, parti­cu­lar­ly in oncology. Therapeutic education program must be tailo­red to the characteristics, needs and expectations of the population. In the ENT Department of Head and Neck Surgery, Larrey Hospital in Toulouse, a therapeutic education program for patient with total laryngectomy has been experienced since 2011. But its propagation remains difficult. The aim of this study is to determine if social factors are nfluencing the parti­cipation of the laryngectomized population in the program. The brochure explaining this program and a registration form coupled with a survey questionnaire were distributed to the regio­nal population of patient with total laryngectomy. After two months of investigation we collected 42 responses. It is clear from their analysis that social factors underlie partici­pa­tion, particularly educational level, available financial resources level and the socio-professional group.


Assuntos
Laringectomia , Educação de Pacientes como Assunto , Participação do Paciente , Adulto , Idoso , Idoso de 80 Anos ou mais , Divórcio , Escolaridade , Feminino , França , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos
5.
Water Res ; 256: 121618, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38663208

RESUMO

The potential of nitrate electro-bioremediation has been fully demonstrated at the laboratory scale, although it has not yet been fully implemented due to the challenges associated with scaling-up bioelectrochemical reactors and their on-site operation. This study describes the initial start-up and subsequent stable operation of an electro-bioremediation pilot plant for the treatment of nitrate-contaminated groundwater on-site (Navata site, Spain). The pilot plant was operated under continuous flow mode for 3 months, producing an effluent suitable for drinking water in terms of nitrates and nitrites (<50 mg NO3- L-1; 0 mg NO2- L-1). A maximum nitrate removal rate of 0.9 ± 0.1 kg NO3- m-3 d-1 (efficiency 82 ± 18 %) was achieved at a cathodic hydraulic retention time (HRTcat) of 2.0 h with a competitive energy consumption of 4.3 ± 0.4 kWh kg-1 NO3-. Under these conditions, the techno-economic analysis estimated an operational cost of 0.40 € m-3. Simultaneously, microbiological analyses revealed structural heterogeneity in the reactor, with denitrification functionality concentrated predominantly from the centre to the upper section of the reactor. The most abundant groups were Pseudomonadaceae, Rhizobiaceae, Gallionellaceae, and Xanthomonadaceae. In conclusion, this pilot plant represents a significant advancement in implementing this technology on a larger scale, validating its effectiveness in terms of nitrate removal and cost-effectiveness. Moreover, the results validate the electro-bioremediation in a real environment and encourage further investigation of its potential as a water treatment.


Assuntos
Biodegradação Ambiental , Água Subterrânea , Nitratos , Poluentes Químicos da Água , Purificação da Água , Água Subterrânea/química , Nitratos/metabolismo , Projetos Piloto , Purificação da Água/métodos , Desnitrificação , Espanha , Reatores Biológicos
6.
Chemosphere ; 352: 141370, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38316275

RESUMO

Nitrate-contaminated groundwater is a pressing issue in rural areas, where up to 40 % of the population lacks access to safely managed drinking water services. The high costs and complexity of centralised treatment in these regions exacerbate this problem. To address this challenge, the present study proposes electro-bioremediation as a more accessible decentralised alternative. Specifically, the main focus of this study is developing and evaluating a compact reactor designed to accomplish simultaneous nitrate removal and groundwater disinfection. Significantly, this study has established a new benchmark for nitrate reduction rate within bioelectrochemical reactors, achieving the maximum reported rate of 5.0 ± 0.3 kg NO3- m-3NCC d-1 at an HRTcat of 0.7 h. Furthermore, thein-situ generation of free chlorine was effective for water disinfection, resulting in a residual concentration of up to 4.4 ± 1.1 mg Cl2 L-1 in the effluent at the same HRTcat of 0.7 h. These achievements enabled the treated water to meet the drinking water standards for nitrogen compounds (nitrate, nitrite, and nitrous oxide) as well as pathogens content (T. coliforms, E. coli, and Enterococcus). In conclusion, this study demonstrates the potential of the electro-bioremediation of nitrate-contaminated groundwater as a decentralised water treatment system in rural areas with a competitive operational cost of 1.05 ± 0.16 € m-3.


Assuntos
Água Potável , Água Subterrânea , Poluentes Químicos da Água , Nitratos/química , Biodegradação Ambiental , Escherichia coli , Desinfecção , Poluentes Químicos da Água/análise , Água Subterrânea/química
7.
Rev Esp Salud Publica ; 982024 Feb 21.
Artigo em Espanhol | MEDLINE | ID: mdl-38385502

RESUMO

OBJECTIVE: The COVID-19 pandemic has had a strong impact on other infectious diseases. The aim of this paper was to analyze the epidemiological changes that occurred during the pandemic in eight infectious diseases with different epidemiological patterns: influenza, respiratory syncytial virus, rotavirus, pneumococcus, Campylobacter, non-typhoid Salmonella, gonorrhea and herpes zoster. METHODS: From the Microbiological Surveillance Network, the time series of cases was traced from January 2017 to March 2023. Three periods were distinguished: reference, pandemic and beginning of the post-pandemic. The distribution by age and sex in these periods was analyzed. Incidence rates and rate ratios (RR) were calculated. These RRs and their 95% confidence intervals were estimated overall and by year of age in children under five years of age. RESULTS: Statistically significant differences were found in the impact that the pandemic had on each of these diseases. Some, after a period of epidemic silence, have revealed an intense post-pandemic rebound. The post-pandemic global RT increased for influenza (2.4), RSV (1.9) and gonorrhea (3.1); rotavirus recovered its pre-pandemic level (1.07); and pneumococcus (0.84), Campylobacter (0.83) and Salmonella (0.60) decreased. In children under 5 years of age, the patterns were specific and heterogeneous for each disease. CONCLUSIONS: The impact of the pandemic is very different in these diseases. Pediatric and respiratory-transmitted seasonal viral infections are the ones that are most affected, but with different patterns of recovery to normality. Gastrointestinal bacterial infections suffer fewer variations, except for rotavirus. Gonorrhea do not interrupt its increasing trend seen in the pre-pandemic. Shingles show a slight post-pandemic increase. Several diseases with different epidemiological patterns have been studied for a sufficient period to observe how the acute phase of the pandemic emerges.


OBJECTIVE: La pandemia de la COVID-19 ha tenido un fuerte impacto sobre otras enfermedades infecciosas. El objetivo de este trabajo fue analizar los cambios epidemiológicos acaecidos durante la pandemia en ocho enfermedades infecciosas con patrones epidemiológicos distintos: la gripe; virus respiratorio sincitial; rotavirus; neumococo; Campylobacter; Salmonella no tifoidea; gonococia; herpes zóster. METHODS: A partir de la Red de Vigilancia Microbiológica, se trazó la serie temporal de casos desde enero de 2017 a marzo de 2023. Se distinguieron tres periodos: prepandemia (referencia), pandemia e inicio de la pospandemia. Se analizó la distribución por edad y sexo en esos periodos. Se calcularon las tasas de incidencia y las razones de tasas (RT). Se estimaron esas RT globales y sus intervalos de confianza al 95% por cada año de edad en menores de cinco años. RESULTS: Se encontraron diferencias estadísticamente significativas en el impacto que la pandemia tuvo en cada una de esas enfermedades. Algunas, tras un periodo de silencio epidémico, revelaron un repunte intenso pospandémico. Incrementaron la RT global postpandémica la gripe (2,4), VRS (1,9) y gonococia (3,1); recuperó su nivel prepandémico el rotavirus (1,07); y disminuyeron el neumococo (0,84), Campylobacter (0,83) y Salmonella (0,60). En menores de cinco años, los patrones fueron específicos y heterogéneos para cada enfermedad. CONCLUSIONS: El impacto de la pandemia es muy diferente en estas enfermedades. Las infecciones víricas estacionales pediátricas y de transmisión respiratoria son las que más se ven afectadas, pero con patrones de recuperación de la normalidad distintos. Las infecciones bacterianas gastrointestinales sufren menos variaciones, salvo el rotavirus. La gonococia no interrumpe su tendencia al aumento avistada ya en la prepandemia. El herpes zóster muestra un ligero incremento pospandémico. Se han estudiado varias enfermedades con distinto patrón epidemiológico durante un periodo suficiente para observar cómo se produce la salida de la fase aguda de la pandemia.


Assuntos
Doenças Transmissíveis , Gonorreia , Herpes Zoster , Influenza Humana , Criança , Humanos , Pré-Escolar , Influenza Humana/epidemiologia , Pandemias , Gonorreia/epidemiologia , Espanha/epidemiologia , Doenças Transmissíveis/epidemiologia , Herpes Zoster/epidemiologia
8.
Environ Technol ; 34(9-12): 1385-92, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24191471

RESUMO

Grey water has long been considered a promising option for dealing with water scarcity and reuse. However, factors such as lack of macronutrients and low carbon content make its treatment challenging. The aim of this paper was to investigate the applicability of sequencing batch reactor (SBR) technology to on-site grey water treatment at a sports centre for reuse in irrigation. The results demonstrated that the regenerated water complied with microbiological parameters concerning restriction of solids and organic matter removal. Denitrification was not fully accomplished, but ammonium was totally oxidised and low concentrations of nitrates were achieved. Effluent with good appearance and no odour was used in an experimental study to irrigate a grid system containing natural and artificial grass sections. The conclusion is that SBR technology offers a promising treatment for grey water.


Assuntos
Reatores Biológicos , Reciclagem/métodos , Eliminação de Resíduos Líquidos/métodos , Purificação da Água/métodos , Irrigação Agrícola , Desinfecção , Nitrogênio/química , Esgotos/química , Esgotos/microbiologia
9.
Sci Total Environ ; 856(Pt 1): 159124, 2023 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-36179842

RESUMO

Microbial Electrosynthesis (MES) has been widely applied for acetic acid (HA) production from CO2 and electricity. Ethanol (EtOH) has a higher market value than HA, and wide application in industry and as a biofuel. However, it has only been obtained sporadically and at low concentrations, probably due to sub-optimal operating conditions. This study aimed at enhancing EtOH productivity in MES cells by jointly optimising key operation parameters, including pH, H2 and CO2 partial pressure (pH2 and pCO2), and HA concentration, to promote solventogenesis. Two H-type cells were operated in fed-batch mode at -0.8 V vs. SHE with CO2 as the sole carbon source. A mixed culture, enriched with Clostridium ljungdahlii was used as the biocatalyst. The combination of low pH (<4.5) and pCO2 (<0.3 atm), along with high HA concentration (about 6 g L-1) and pH2 (>3 atm), were mandatory conditions for maintaining an efficient solventogenic culture, dominated by Clostridium sp., capable of high-rate EtOH production. The maximum EtOH production rate was 10.95 g m-2 d-1, and a concentration of 5.28 g L-1 was achieved. Up to 30 % of the electrons and 15.2 % of the carbon provided were directed towards EtOH production, and 28.1 kWh were required for the synthesis of 1 kg of EtOH from CO2. These results highlight that strict conditions are required for a continuous, reliable, EtOH production in MES cells. Future investigation should focus on improving cell configuration to achieve EtOH production at higher current densities while minimizing the electric energy input.


Assuntos
Dióxido de Carbono , Etanol , Biocombustíveis , Eletricidade , Ácido Acético , Eletrodos
10.
Sci Total Environ ; 856(Pt 2): 159088, 2023 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-36181799

RESUMO

In the developed world, individuals spend most of their time indoors. Poor Indoor Air Quality (IAQ) has a wide range of effects on human health. The burden of disease associated with indoor air accounts for millions of premature deaths related to exposure to Indoor Air Pollutants (IAPs). Among them, CO2 is the most common one, and is commonly used as a metric of IAQ. Indoor CO2 concentrations can be significantly higher than outdoors due to human metabolism and activities. Even in presence of ventilation, controlling the CO2 concentration below the Indoor Air Guideline Values (IAGVs) is a challenge, and many indoor environments including schools, offices and transportation exceed the recommended value of 1000 ppmv. This is often accompanied by high concentration of other pollutants, including bio-effluents such as viruses, and the importance of mitigating the transmission of airborne diseases has been highlighted by the COVID-19 pandemic. On the other hand, the relatively high CO2 concentration of indoor environments presents a thermodynamic advantage for direct air capture (DAC) in comparison to atmospheric CO2 concentration. This review aims to describe the issues associated with poor IAQ, and to demonstrate the potential of indoor CO2 DAC to purify indoor air while generating a renewable carbon stream that can replace conventional carbon sources as a building block for chemical production, contributing to the circular economy.


Assuntos
Poluentes Atmosféricos , Poluição do Ar em Ambientes Fechados , COVID-19 , Humanos , Dióxido de Carbono/análise , Carbono , Pandemias , Poluição do Ar em Ambientes Fechados/análise , Poluentes Atmosféricos/análise , Monitoramento Ambiental
11.
Rev Mal Respir ; 40(5): 432-452, 2023 May.
Artigo em Francês | MEDLINE | ID: mdl-37080877

RESUMO

Patients with chronic cough experience major alteration in their quality of life. Given its numerous etiologies and treatments, this disease is a complex entity. To help clinicians involved in patient management of patients, guidelines have been issued by a group of French experts. They address definitions of chronic cough and initial management of patients with this pathology. We present herein the second-line tests that might be considered in patients whose coughing has persisted, notwithstanding initial management. The experts have also put forward a definition of unexplained or refractory chronic cough (URCC), the objective being to more precisely identify those patients whose cough persists despite optimal management. Lastly, these guidelines indicate the pharmacological and non-pharmacological interventions of use in URCC. Amitriptyline, pregabalin, gabapentin or morphine combined with speech and/or physical therapy are mainstays in treatment strategies. Other treatment options, such as P2X3 antagonists, are being developed and have generated high hopes among physicians and patients alike.


Assuntos
Tosse , Qualidade de Vida , Humanos , Adulto , Tosse/diagnóstico , Tosse/etiologia , Tosse/terapia , Doença Crônica , Gabapentina/uso terapêutico , Amitriptilina/uso terapêutico
12.
Mater Horiz ; 10(12): 5796-5804, 2023 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-37815428

RESUMO

The industrial adoption of low-carbon technologies and renewable electricity requires novel tools for electrifying unitary steps and efficient energy storage, such as the catalytic synthesis of valuable chemical carriers. The recently-discovered use of microwaves as an effective reducing agent of solid materials provides a novel framework to improve this chemical-conversion route, thanks to promoting oxygen-vacancy formation and O2-surface exchange at low temperatures. However, many efforts are still required to boost the redox properties and process efficiency. Here, we scrutinise the dynamics and the physicochemical dependencies governing microwave-induced redox transformations on solid-state ion-conducting materials. The reduction is triggered upon a material-dependent induction temperature, leading to a characteristically abrupt rise in electric conductivity. This work reveals that the released O2 yield strongly depends on the material's composition and can be tuned by controlling the gas-environment composition and the intensity of the microwave power. The reduction effect prevails at the grain surface level and, thus, amplifies for fine-grained materials, and this is ascribed to limitations in oxygen-vacancy diffusion across the grain compared to a microwave-enhanced surface evacuation. The precise cyclability and stability of the redox process will enable multiple applications like gas depuration, energy storage, or hydrogen generation in several industrial applications.

13.
Environ Sci Technol ; 46(4): 2309-15, 2012 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-22257136

RESUMO

The presence of elevated concentrations of nitrates in drinking water has become a serious concern worldwide. The use of autotrophic denitrification in microbial fuel cells (MFCs) for waters with low ionic strengths (i.e., 1000 µS·cm(-1)) has not been considered previously. This study evaluated the feasibility of MFC technology for water denitification and also identified and quantified potential energy losses that result from their usage. The low conductivity (<1600 µS·cm(-1)) of water limited the nitrogen removal efficiency and power production of MFCs and led to the incomplete reduction of nitrate and the nitrous oxide (N(2)O) production (between 4 and 20% of nitrogen removed). Cathodic overpotential was identified as the main energy loss factors (83-90% of total losses). That high overpotential was influenced by denitrification intermediates (NO(2)(-) and N(2)O) and the potential used by microorganisms for growth, activation, and maintenance.


Assuntos
Fontes de Energia Bioelétrica , Compostos de Nitrogênio/metabolismo , Poluentes Químicos da Água/metabolismo , Purificação da Água/métodos , Processos Autotróficos , Desnitrificação , Concentração Osmolar
14.
Bioresour Technol ; 365: 128161, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36272679

RESUMO

Human activities release more carbon dioxide (CO2) into the atmosphere than the natural process can remove. This study attempts to address the main challenges for the thermophilic (50 °C) bioelectrochemical conversion of CO2 into acetate. First, real gaseous emissions were tested with mixed microbial consortia, which had no substantial influence on production rates (difference of 2.5%). Subsequently, a bench-scale system (TRL 4-5) was designed and launched to control key operational variables. Fixing the current at 1.3 A m-2, CO2 was reduced at a rate of 2.21 kg CO2 kg-1 acetate, while the electricity consumption was 2.07 kWh kg-1, the most efficient value so far. The results suggest that the operation with real effluents is feasible and the proposed design is energy efficient, but the right balance between maximising current densities without compromising the biocompatibility with catalysts will determine the transition from laboratory scale towards its implementation in the market.


Assuntos
Dióxido de Carbono , Gases , Humanos , Eletricidade , Acetatos , Emissões de Veículos
15.
Bioresour Technol ; 354: 127181, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35447329

RESUMO

Anaerobic gas fermentation is a promising approach to transform carbon dioxide (CO2) into chemical building blocks. However, the main operational conditions to enhance the process and its selectivity are still unknown. The main objective of this study was to trigger chain elongation from a joint perspective of thermodynamic and experimental assessment. Thermodynamics revealed that acetic acid formation was the most spontaneous reaction, followed by n-caproic and n-butyric acids, while the doorway for alcohols production was bounded by the selected conditions. Best parameters combinations were applied in three 0.12 L fermenters. Experimentally, n-caproic acid formation was boosted at pH 7, 37 °C, Acetate:Ethanol mass ratio of 1:3 and low H2 partial pressure. Though these conditions did not match with those required to produce their main substrates, the unification of both perspectives yielded the highest n-caproic acid concentration (>11 g L-1) so far from simple substrates, accounting for 77 % of the total products.


Assuntos
Reatores Biológicos , Dióxido de Carbono , Etanol , Fermentação , Termodinâmica
16.
Sci Total Environ ; 806(Pt 1): 150433, 2022 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34560446

RESUMO

Electro bioremediation is gaining interest as a sustainable treatment for contaminated groundwater. Nevertheless, the investigation is still at the laboratory level, and before their implementation is necessary to overcome important drawbacks. A prevalent issue is the high groundwater hardness that generates scale deposition on electrodes that irreversibly affects the treatment effectiveness and their lifetime. For this reason, the present study evaluated a novel and sustainable approach combining electrochemical water softening as a preliminary step for electro bioremediation of nitrate-contaminated groundwater. Batch mode tests were performed at mL-scale to determine the optimum reactor configuration (single- or two-chambers) and the suitable applied cathode potential for electrochemical softening. A single-chamber reactor working at a cathode potential of -1.2 V vs. Ag/AgCl was chosen. Continuous groundwater softening under this configuration achieved a hardness removal efficiency of 64 ± 4% at a rate of 305 ± 17 mg CaCO3 m-2cathode h-1. The saturation index at the effluent of the main minerals susceptible to precipitate (aragonite, calcite, and brucite) was reduced up to 90%. Softening activity plummeted after 13 days of operation due to precipitate deposition (mostly calcite) on the cathode surface. Polarity reversal periods were considered to detach the precipitated throughout the continuous operation. Their implementation every 3-4 days increased the softening lifetime by 48%, keeping a stable hardness removal efficiency. The nitrate content of softened groundwater was removed in an electro bioremediation system at a rate of 1269 ± 30 g NO3- m-3NCC d-1 (97% nitrate removal efficiency). The energy consumption of the integrated system (1.4 kWh m-3treated) confirmed the competitiveness of the combined treatment and paves the ground for scaling up the process.


Assuntos
Água Subterrânea , Poluentes Químicos da Água , Biodegradação Ambiental , Nitratos/análise , Poluentes Químicos da Água/análise , Abrandamento da Água
17.
J Matern Fetal Neonatal Med ; 35(6): 1213-1218, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32216488

RESUMO

AIM: Cardiopulmonary bypass (CPB) generates a systemic capillary leak syndrome with pulmonary edema. Lung ultrasound (LUS) could be useful to monitor it. Primary objective was to compare sensitivity, specificity, positive and negative predictive values of chest X-ray and LUS to detect pulmonary edema using a new score (LUCAS). Secondary objectives were to evaluate correlation between LUCAS score and respiratory and inotropic support. METHODS: Prospective intervention study including patients <2 months admitted to the Pediatric Intensive Care Unit after CPB. LUS was performed with a lineal probe, screening 3 points in each lung (parasternal, anterolateral and posterior area), pre and post-CPB. Pulmonary edema was evaluated clinically, through LUCAS score and with X-ray. RESULTS: 17 patients were included. LUS achieved higher sensitivity than X-ray to detect pulmonary edema (91.7 versus 44.0%) and greater predictive negative value (88.2 versus 53.3%). There was correlation between higher LUCAS score prior to surgery and longer mechanical ventilation. High values of LUCAS score after surgery correlated with longer CPB time, inotropic support, and FiO2 need. CONCLUSION: LUS detected pulmonary edema better than chest X-ray, with greater sensitivity and negative predictive value. LUCAS score was useful to predict more inotropic support and longer mechanical ventilation.Key notesCardiopulmonary bypass during cardiac surgery, generates a systemic capillary leak syndrome with pulmonary edema.In this prospective study performed in the Pediatric Intensive Care Unit, lung ultrasound detected pulmonary edema better than X-ray, with greater sensitivity and negative predictive value.LUCAS score was useful to predict more inotropic support and longer mechanical ventilation.


Assuntos
Procedimentos Cirúrgicos Cardíacos , Edema Pulmonar , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Criança , Humanos , Pulmão/diagnóstico por imagem , Estudos Prospectivos , Edema Pulmonar/diagnóstico por imagem , Edema Pulmonar/etiologia , Ultrassonografia
18.
Sci Total Environ ; 845: 157236, 2022 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-35810909

RESUMO

Bioelectrochemical systems (BES) have proven their capability to treat nitrate-contaminated saline groundwater and simultaneously recover value-added chemicals (such as disinfection products) within a circular economy-based approach. In this study, the effect of the hydraulic retention time (HRT) on nitrate and salinity removal, as well as on free chlorine production, was investigated in a 3-compartment BES working in galvanostatic mode with the perspective of process intensification and future scale-up. Reducing the HRT from 30.1 ± 2.3 to 2.4 ± 0.2 h led to a corresponding increase in nitrate removal rates (from 17 ± 1 up to 131 ± 1 mgNO3--N L-1d-1), although a progressive decrease in desalination efficiency (from 77 ± 13 to 12 ± 2 %) was observed. Nitrate concentration and salinity close to threshold limits indicated by the World Health Organization for drinking water, as well as significant chlorine production were achieved with an HRT of 4.9 ± 0.4 h. At such HRT, specific energy consumption was low (6.8·10-2 ± 0.3·10-2 kWh g-1NO3--Nremoved), considering that the supplied energy supports three processes simultaneously. A logarithmic equation correlated well with nitrate removal rates at the applied HRTs and may be used to predict BES behaviour with different HRTs. The bacterial community of the bio-cathode under galvanostatic mode was dominated by a few populations, including the genera Rhizobium, Bosea, Fontibacter and Gordonia. The results provide useful information for the scale-up of BES treating multi-contaminated groundwater.


Assuntos
Água Subterrânea , Poluentes Químicos da Água , Biodegradação Ambiental , Reatores Biológicos/microbiologia , Cloro , Desnitrificação , Água Subterrânea/microbiologia , Nitratos/análise , Óxidos de Nitrogênio , Poluentes Químicos da Água/análise
19.
Water Sci Technol ; 64(4): 904-9, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22097078

RESUMO

Microbial fuel cells (MFCS) can be used in wastewater treatment and to simultaneously produce electricity (renewable energy). MFC technology has already been applied successfully in lab-scale studies to treat domestic wastewater, focussing on organic matter removal and energy production. However, domestic wastewater also contains nitrogen that needs to be treated before being discharged. The goal of this paper is to assess simultaneous domestic wastewater treatment and energy production using an air-cathode MFC, paying special attention to nitrogen compound transformations. An air-cathode MFC was designed and run treating 1.39 L d(-1) of wastewater with an organic load rate of 7.2 kg COD m(-3) d(-1) (80% removal efficiency) and producing 1.42 W m(-3). In terms of nitrogen transformations, the study demonstrates that two different processes took place in the MFC: physical-chemical and biological. Nitrogen loss was observed increasing in line with the power produced. A low level of oxygen was present in the anodic compartment, and ammonium was oxidised to nitrite and nitrate.


Assuntos
Fontes de Energia Bioelétrica , Poluentes Químicos da Água/isolamento & purificação , Nitrogênio/química , Poluentes Químicos da Água/química
20.
Bioresour Technol ; 321: 124423, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33260066

RESUMO

Renewable energies will represent an increasing share of the electricity supply, while flue and gasification-derived gases can be a promising CO2 feedstock with a heat load. In this study, microbial electrosynthesis of organic compounds from CO2 at high temperature was proposed as an alternative for valorising energy surplus and decarbonizing the economy. The unremitting fluctuation of renewable energy sources was assessed using two bioreactors at 50 °C, under circumstances of continuous and intermittent power supply (ON-OFF; 8-16 h), simulating an off-grid photovoltaic system. Results highlighted that maximum acetate production rate (43.27 g m-2 d-1) and columbic efficiency (98%) were achieved by working with an intermittent energy supply, while current density was reduced three times. This boosted the production of acetate per unit of electricity provided up to 138 g kWh-1 and reinforced the robustness of the technology by showing resilience to tolerate perturbations and returning to its initial state.


Assuntos
Dióxido de Carbono , Eletricidade , Reatores Biológicos , Eletrodos , Energia Renovável
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