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With growing interest in resource recovery and/or reuse, waste materials have been considered a promising alternative for phosphorus (P) adsorption because they are low-cost and easily accessible. Crushed autoclaved aerated concrete (CAAC), as representative construction waste, has been extensively studied for P removal in ecological technologies such as treatment wetlands. However, most of the previous studies focused on the adsorption of orthophosphate, namely reactive phosphorus, and lacked attention to non-reactive phosphorus (NRP) which is widely present in sewage. This study presents the first investigation on the potential and mechanism of CAAC removing four model NRP compounds. Adsorption isotherm and kinetics of NRP onto CAAC indicate that the removal of NRP was a chemisorption process and also involved a two-step pore diffusion process. The desorption experiment shows that different NRP species showed varying degrees of desorption. Most NRP was irreversibly adsorbed on CAAC. Among the model compounds considered in this study, the adsorption capacity and hydrolysis rate of organophosphorus were much less than that of inorganic phosphorus. Moreover, the adsorption of different NRP species by CAAC in the mesocosm study was different from the results of laboratory adsorption experiments, and the possible biodegradation was essential for the conversion and removal of NRP. The findings confirmed the validity of CAAC for NRP removal and the potential advantages of CAAC in terms of costs and environmental impact. This study will contribute to a better understanding of NRP conversion and environmental fate and that can be the basis for a refined risk assessment.
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Fósforo , Áreas Alagadas , Adsorção , Biodegradação Ambiental , Cinética , Eliminação de Resíduos Líquidos/métodosRESUMO
Metal-dielectric heterostructures have shown great application potentials in physics, chemistry and material science. In this work, we have designed and manufactured ordered metal-dielectric multiple heterostructures with tunable optical properties, which can be as large as the order of square centimeters in size. We experimentally realized that the surface-enhanced Raman scattering signal of the periodic multiple heterostructures increased 50 times compared with the silicon nanodisk-gold film arrays, which is attributed to the large-scale hotspots and high efficient coupling between the optical cavities and surface plasmon resonance modes. More importantly, the substrate also features a good uniformity and an excellent reproducible fabrication, which is very promising for practical applications.
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Rural domestic wastewater (RDW), one of the non-point pollution sources, has become a significant object related to sanitation improvement and water pollution control in Taihu Lake Basin, China. Current research on RDW characteristics and management with source separation is limited. In this study, a source-separated investigation into the characteristics of RDW was conducted, and the management suggestions were proposed. The results showed that the average RDW production coefficient was 94.1 ± 31.6 (range: 71.8-143.0) liters per capita (person) per day. Household-level wastewater generation peaked two or three times daily, and the synchronous fluctuation could cause hydraulic loading shocks to treatment facilities. The population equivalents of chemical oxygen demand, ammonium nitrogen (NH4+-N), total nitrogen (TN), and total phosphorus (TP) in RDW were 78.7, 3.7, 4.12, and 0.8 g/(cap·d), respectively. Blackwater from water closet source accounted for 30.4% of the total wastewater amount, contributing 93.0%, 81.7%, and 67.3% to loads of NH4+-N, TN, and TP, respectively. Graywater from the other sources with low nutrient-related pollutant concentrations and loads, accounting for 69.6% of the total wastewater amount, was a considerable alternative water resource. The quantitative and qualitative characteristics indicated that GW and BW had the potential of being reused in relation to water and nutrients, respectively.
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Águas Residuárias , Poluentes Químicos da Água , China , Monitoramento Ambiental , Humanos , Nitrogênio/análise , Fósforo/análise , Poluentes Químicos da Água/análiseRESUMO
We present a detailed study of a three-mode-coupling cavity optomechanical system where one mechanical mode and two optical whispering-gallery modes are coupled together. We extend the earlier investigation of regular optomechanically induced transparency (OMIT) [Science330, 1520 (2010)SCIEAS0036-807510.1126/science.1195596] in a more general case. A complete analytical description of the present system is obtained, and quantitative analyses of the Fano-shape OMIT spectrum are provided. It is clearly shown that a sharp and asymmetric Fano-shape OMIT lineshape, which is decided by the phase difference between the probe field and the mechanical driving, can be observed from the probe output.
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The presence of non-reactive phosphorus (NRP) in environmental waters presents a potential risk of eutrophication and poses challenges for the removal of all phosphorus (P) fractions. This study presents the first investigation on the removal performance and mechanism of three model NRP compounds, sodium tripolyphosphate (STPP), adenosine 5'-monophosphate (AMP) and 2-phosphonobutane-1,2,4-tricarboxylic acid (PBTC), in the sediment microbial fuel cell-floating treatment wetland (SMFC-FTW). Coupling SMFC with plants proved to be effective at removing NRP via electrochemical oxidation and plant uptake, particularly the challenging-to-degrade phosphonates that contain C-P bonds. Compared with the control group, the removal efficiencies of the model NRP in SMFC were observed to increase by 11.9%-20.8%. SMFC promoted the conversion of NRP to soluble reactive phosphorus (sRP) and the transfer of P to sediment. Furthermore, the electrochemical process enhanced both plant growth and P uptake, and increased P assimilation by 72.6%. The presence of plants in the bioelectrochemical system influenced the occurrence and fate of P by efficiently assimilating sRP and supporting microbial transformation of NRP. Consequently, plants enhanced the removal efficiencies of all P fractions in the overlying water. This study demonstrated that SMFC-FTW is a promising technology to remove various NRP species in environmental waters.
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Fontes de Energia Bioelétrica , Sedimentos Geológicos , Fósforo , Poluentes Químicos da Água , Áreas Alagadas , Poluentes Químicos da Água/metabolismo , Poluentes Químicos da Água/análise , Sedimentos Geológicos/química , Biodegradação Ambiental , Eutrofização , Eliminação de Resíduos Líquidos/métodosRESUMO
Two interrelated problems exist: the non-renewability of phosphate rock as a resource and the excess phosphate in the water system lead to eutrophication. Removal and recovery of phosphorus (P) from waste streams at wastewater treatment plants (WWTPs) is one of the promising solutions. This paper reviews strategies for P recovery from waste streams in WWTPs are reviewed, and the main P recovery processes were broken down into three parts: enrichment, extraction, and crystallization. On this basis, the present P recovery technology was summarized and compared. The choice of P recovery technology depends on the process of sewage treatment and sludge treatment. Most P recovery processes can meet the financial requirements since the recent surge in phosphate rock prices. The safety requirements of P recovery products add a high cost to toxic substance removal, so it is necessary to control the discharge of toxic substances such as heavy metals and persistent organic pollutants from the source.
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Fósforo , Purificação da Água , Fósforo/química , Eliminação de Resíduos Líquidos/métodos , Cristalização , Esgotos/química , Fosfatos , Purificação da Água/métodosRESUMO
A pilot-scale anaerobic-anoxic/nitrifying/induced crystallization (A2N-IC) process was established for phosphorus (P) recovery and nutrient removal from municipal wastewater with a treatment capacity of 80 m3d-1. Results show that the A2N-IC process can operate stably on a pilot scale; the recovery efficiency of influent P reached 62.2%, and the total P removal efficiency of the IC section was 65.4%. The IC section had little effect on the removal of chemical oxygen demand (COD) and nitrogen (N), and the P removal efficiency was improved. Soluble non-reactive P (sNRP) was the key factor affecting P recovery efficiency. Although P recovery increases the construction and maintenance costs, the process can be profitable if a market for P recovery products is established. To improve the P recovery efficiency, attention should be paid to the effects of sNRP and dissolved organic matter (DOM) on P recovery, and P-rich sludge should be considered.
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Fósforo , Eliminação de Resíduos Líquidos , Humanos , Anaerobiose , Eliminação de Resíduos Líquidos/métodos , Cristalização , Reatores Biológicos , Esgotos/química , Hipóxia , Nitrogênio/análiseRESUMO
The COVID-19 pandemic influenced emotional experiences globally. We examined daily positive and negative affect between May/June 2020 and February 2021 (N = 151,049; 3,509,982 observations) using a convenience sample from a national mobile application-based survey that asked for daily affect reports. Four questions were examined: (1) How did people in the United States feel from May/June 2020 to February 2021?; (2) What demographic variables are related to positive and negative affect?; (3) What is the relationship between experienced stressors and daily affect?; and (4) What is the relationship between daily affect and preventive behavior? Positive affect increased, and negative decreased over time. Demographic differences mirrored those from before the pandemic (e.g., younger participants reported more negative and less positive affect). Stressors such as feeling unwell, experiencing COVID-19 symptoms, exposure to COVID-19, and lack of sleep were associated with less positive and more negative affect. Exercising protective behaviors predicted future affect, and affect also predicted future protective behaviors (e.g., less protective behavior when happy but more when grateful and thoughtful). The implications for public health communication were discussed.
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SARS-CoV-2 vaccines are useful tools to combat the Coronavirus Disease 2019 (COVID-19) pandemic, but vaccine reluctance threatens these vaccines' effectiveness. To address COVID-19 vaccine reluctance and ensure equitable distribution, understanding the extent of and factors associated with vaccine acceptance and uptake is critical. We report the results of a large nationwide study in the US conducted December 2020-May 2021 of 36,711 users from COVID-19-focused smartphone-based app How We Feel on their willingness to receive a COVID-19 vaccine. We identified sociodemographic and behavioral factors that were associated with COVID-19 vaccine acceptance and uptake, and we found several vulnerable groups at increased risk of COVID-19 burden, morbidity, and mortality were more likely to be reluctant to accept a vaccine and had lower rates of vaccination. Our findings highlight specific populations in which targeted efforts to develop education and outreach programs are needed to overcome poor vaccine acceptance and improve equitable access, diversity, and inclusion in the national response to COVID-19.
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Vacinas contra COVID-19 , COVID-19 , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , SARS-CoV-2 , Transporte Biológico , EscolaridadeRESUMO
Objective: Electronic health record (EHR) systems contain a wealth of clinical data stored as both codified data and free-text narrative notes, covering hundreds of thousands of clinical concepts available for research and clinical care. The complex, massive, heterogeneous, and noisy nature of EHR data imposes significant challenges for feature representation, information extraction, and uncertainty quantification. To address these challenges, we proposed an efficient Aggregated naRrative Codified Health (ARCH) records analysis to generate a large-scale knowledge graph (KG) for a comprehensive set of EHR codified and narrative features. Methods: The ARCH algorithm first derives embedding vectors from a co-occurrence matrix of all EHR concepts and then generates cosine similarities along with associated p-values to measure the strength of relatedness between clinical features with statistical certainty quantification. In the final step, ARCH performs a sparse embedding regression to remove indirect linkage between entity pairs. We validated the clinical utility of the ARCH knowledge graph, generated from 12.5 million patients in the Veterans Affairs (VA) healthcare system, through downstream tasks including detecting known relationships between entity pairs, predicting drug side effects, disease phenotyping, as well as sub-typing Alzheimer's disease patients. Results: ARCH produces high-quality clinical embeddings and KG for over 60,000 EHR concepts, as visualized in the R-shiny powered web-API (https://celehs.hms.harvard.edu/ARCH/). The ARCH embeddings attained an average area under the ROC curve (AUC) of 0.926 and 0.861 for detecting pairs of similar EHR concepts when the concepts are mapped to codified data and to NLP data; and 0.810 (codified) and 0.843 (NLP) for detecting related pairs. Based on the p-values computed by ARCH, the sensitivity of detecting similar and related entity pairs are 0.906 and 0.888 under false discovery rate (FDR) control of 5%. For detecting drug side effects, the cosine similarity based on the ARCH semantic representations achieved an AUC of 0.723 while the AUC improved to 0.826 after few-shot training via minimizing the loss function on the training data set. Incorporating NLP data substantially improved the ability to detect side effects in the EHR. For example, based on unsupervised ARCH embeddings, the power of detecting drug-side effects pairs when using codified data only was 0.15, much lower than the power of 0.51 when using both codified and NLP concepts. Compared to existing large-scale representation learning methods including PubmedBERT, BioBERT and SAPBERT, ARCH attains the most robust performance and substantially higher accuracy in detecting these relationships. Incorporating ARCH selected features in weakly supervised phenotyping algorithms can improve the robustness of algorithm performance, especially for diseases that benefit from NLP features as supporting evidence. For example, the phenotyping algorithm for depression attained an AUC of 0.927 when using ARCH selected features but only 0.857 when using codified features selected via the KESER network[1]. In addition, embeddings and knowledge graphs generated from the ARCH network were able to cluster AD patients into two subgroups, where the fast progression subgroup had a much higher mortality rate. Conclusions: The proposed ARCH algorithm generates large-scale high-quality semantic representations and knowledge graph for both codified and NLP EHR features, useful for a wide range of predictive modeling tasks.
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Excess phosphorus (P) in surface runoff has significant deleterious impacts on water quality through eutrophication. Commonly, P is transported via non-point pollution and the proportion of easily plant-available reactive P (RP) among other P forms may vary significantly. Non-reactive P (NRP) can potentially contribute to the eutrophication of waterbodies, however the cleavage into bio-available P forms and eventually their biological uptake remains uncertain. This holds also true for floating treatment wetlands (FTWs) which became established as nutrient mitigation measures for surface waters in recent years. However, little information is available about the conversion and removal of NRP in FTWs. In this study, the conversion and removal of different forms of P in FTWs were investigated. Experiments were operated in batch mode and treatments consisted of (1) two concentration levels: a high P concentration of 3.0 mg/L and a low P concentration of 1.0 mg/L, and (2) four mesocosm treatments: (a) artificial roots only, (b) substrates only, (c) plants only, (d) plants and substrates. The results showed that RP removal mainly depended on sedimentation, substrate sorption, and biological assimilation. The removal of NRP mainly depended on hydrolysis, microbial-mediated conversion, and biological absorption. The combination of plant and substrate provided stable and efficient phosphorus removal performance in high P conditions, while plants were important for P removal in low P conditions. Living plants were indispensable and greatly affected the performance of FTWs. The specific enrichment and culling of microorganisms by plants resulted in the formation of specific rhizosphere microbial communities and promoted the removal of NRP. Pseudomonas, Enterobacter, Acidovorax might be responsible for P mineralization in the FTWs. Comprehensive analysis indicated that the conversion and removal pathways of P in the FTWs were not mutually independent, and the plant-microbe-substrate interactions cannot be underestimated.
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Poluentes Químicos da Água , Áreas Alagadas , Nitrogênio/análise , Fósforo , Plantas , Poluentes Químicos da Água/análiseRESUMO
Single-molecule imaging is a powerful method for unveiling precise molecular mechanisms. Particularly, single-molecule analysis with total internal reflection fluorescence (TIRF ) microscopy has been successfully applied to the characterization of molecular mechanisms in ncRNA studies. Tracing interactions at the single-molecule level have elucidated the intermediate states of the reaction, which are hidden by ensemble averaging in combinational biochemical approaches, and clarified the key steps of the interaction. However, applying a single-molecule technique to ncRNA analysis still remains a challenge, requiring laborious trial and error to identify a suitable glass surface passivation method. In this chapter, we revisit the major glass surface passivation methods using polyethylene glycol (PEG) treatment and summarize a detailed protocol for single-molecule analysis of the dicing process of Dcr-2, which may apply piRNA studies in the future.
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Vidro , Imagem Individual de Molécula , Vidro/química , Microscopia de Fluorescência/métodos , Nanotecnologia , Polietilenoglicóis/química , Imagem Individual de Molécula/métodosRESUMO
Recovery of phosphorus (P) from wastewater can help establish a new P cycle. However, there are many P forms in wastewater, not always in reactive forms, which are the most suitable for direct recovery. The enhanced biological phosphorus removal process with sidestream phosphorus recovery (EBPR-SPR) is an effective way to remove and recover P resources in wastewater, but there is a lack of research on the transformation and fate of non-reactive phosphorus (NRP) in it. This study selected four model NRP to investigate their transformation and fate in an EBPR-SPR process. The transformation of NRP in pure water and activated sludge under anaerobic and aerobic conditions were compared. The effects of Ca/P ratio and pH on NRP recovery were studied, and the recovery products of NRP were characterized. It was found that NRP containing phosphoanhydride and phosphoester bonds were more easily hydrolyzed to reactive P (RP) than that containing PC bonds. NRP will be adsorbed and accumulated by activated sludge, and activated sludge will accelerate the conversion of NRP to RP. Tripolyphosphate can form complex precipitation with Ca2+. When multiform P co-existed, Ca2+ preferably complexed with polyphosphate, which harmed RP recovery. The conversion of NRP should be strengthened to recover more P in wastewater. The effect of NRP should be considered when recovering P from wastewater.
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Fósforo , Esgotos , Reatores Biológicos , Fósforo/química , Esgotos/química , Águas Residuárias , ÁguaRESUMO
Recovery of phosphorus from sewage can help establish a new phosphorus cycle and hydroxyapatite (HAP) crystallization is a promising way. HAP crystallization is an amorphous calcium phosphate (ACP) mediated process, and its induction time reflects the rate of HAP nucleation, and seriously affects the efficiency of phosphorus recovery. In this study, the effects of different types of dissolved organic matter (DOM) on the induction time and phosphorus recovery performance of ACP-mediated HAP phosphorus recovery were studied, and the mechanism was analyzed by X-Ray Diffraction, Fourier transform infrared spectroscopy, and scanning electron micrograph with energy dispersive spectrometry. The results show that DOM greatly prolongs the induction time of ACP-mediated HAP crystallization and leads to an increase in the yield of microcrystals, thus leading to a decrease in phosphorus recovery efficiency. DOM inhibits ACP-mediated HAP crystallization by complexing lattice ions and occupying active growth sites on the crystal surface. Pre-removal of DOM can not only improve the speed and efficiency of phosphorus recovery by the HAP crystallization process but also improve product quality.
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Durapatita , Fósforo , Cristalização , Matéria Orgânica Dissolvida , Durapatita/química , Fósforo/química , Esgotos , Espectroscopia de Infravermelho com Transformada de FourierRESUMO
The illustration of the correlation between lipid droplets (LDs) variation and nonalcoholic fatty liver disease (NAFLD) is a challenging and important work in biomedical research. Herein, a red emission fluorophore LD-HW containing donor-π-bridge-acceptor (D-π-A) structure was readily constructed and systematically investigated. It was found that LD-HW could selectively identify polarity variation accompanying with an obvious blue-shift (around 80 nm) in fluorescence spectra, and a sharp enhancement (about 440-fold) in fluorescence quantum yield (QY) over the solvent polarity ranging from water (polarity parameter Δf = 0.3200) to 1,4-dioxane (Δf = 0.0205). In addition, probe LD-HW could precisely light up LDs within a short time (≤5 min) through a wash-free procedure and real-time monitor the dynamic behavior of cellular LDs. More importantly, LD-HW exhibited an excellent performance in differentiating fatty liver through in vivo imaging the change of cellular LDs. The in situ fluorescence spectra of corresponding tissue section proved that polarity level in the liver of NAFLD mice was lower than that in normal mice. Taken together, probe LD-HW presented great potential in non-invasive diagnosis of fatty liver through in vivo imaging.
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Técnicas Biossensoriais , Hepatopatia Gordurosa não Alcoólica , Animais , Corantes Fluorescentes/química , Ionóforos , Gotículas Lipídicas/química , Camundongos , Hepatopatia Gordurosa não Alcoólica/diagnóstico por imagem , Solventes , Água/análiseRESUMO
The oncogenic fusion protein BCR-ABL is the driving force of leukemogenesis in chronic myeloid leukemia (CML). Despite the great advance in CML treatment through the application of tyrosine kinase inhibitors (TKIs) against BCR-ABL, disease recurrence after TKI discontinuation and clinical resistance mainly due to BCR-ABL mutations continue to be an issue. Herein we report our efforts to synthesize a novel series of CRBN-recruiting proteolysis-targeting chimeras (PROTACs) targeting BCR-ABL based on the allosteric inhibitor asciminib. Our efforts have led to the discovery of compound 30 (SIAIS100) through extensive SAR studies by the optimization of linker parameters as well as linker attachment points of both target-binding warhead and CRBN ligands, which exhibited the most potent degradative activity with a DC50 value of 2.7 nM and Dmax of 91.2% against BCR-ABL and has an IC50 value of 12 nM in BCR-ABL + K562 cells. The binding model and the stability evaluation of 30-induced ternary complex formation were also elucidated through computational simulations. Furthermore, 30 induced sustained and robust BCR-ABL degradation and maintained the efficacy for 96 h post-washout. Moreover, the proteomics analysis showed that 30 degraded BCR-ABL and three CRBN's neo-substrates, including IKZF1, IKZF3, and ZFP91. Additionally, 30 also exerted degradative activity against a panel of clinically relevant resistance-conferring mutations of BCR-ABL, including gatekeeper mutation T315I, several single mutations associated with TKI resistance, and certain highly resistant compound mutations. Our study provided a deeper understanding of the development of PROTACs targeting BCR-ABL and novel potential therapeutic agents for CML treatment.
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Leucemia Mielogênica Crônica BCR-ABL Positiva , Inibidores de Proteínas Quinases , Humanos , Inibidores de Proteínas Quinases/química , Resistencia a Medicamentos Antineoplásicos , Proteínas de Fusão bcr-abl , Leucemia Mielogênica Crônica BCR-ABL Positiva/tratamento farmacológico , Leucemia Mielogênica Crônica BCR-ABL Positiva/metabolismo , Células K562 , Mutação , Ubiquitina-Proteína LigasesRESUMO
Most water bodies around the world suffer from pollution to varying degrees. Floating treatment wetlands (FTWs) are a simple and efficient ecological treatment technology and have been widely studied and applied as a sustainable solution for different source waters. Based on the analysis of abundant literature in the last ten years, this paper systematically reviews the history and the latest development of FTWs. Meanwhile, the treatment performance and pollutant removal mechanisms of FTWs on the natural water, stormwater, domestic wastewater, industrial wastewater, and agricultural runoff are analyzed. In particular, very interesting information is provided, such as water depth, water surface coverage, the ratio of dissolved to total phosphorous (DRP/TP), the ratio of nitrogen to phosphorous (N/P), BOD/COD ratio, and its effects on the efficiency and removal mechanisms of FTWs. This information will provide useful references and guidance for optimizing the design of FTW and pollutant treatment efficiency of different source waters. This paper also provides an objective review of the limitations of FTWs. Subsequently, the enhancements of FTW technology which are recognized to be effective, including aeration, adding functional fillers or obligate degrading bacteria, and construction of hybrid FTWs, are summarized and recommendations are made for further research.
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Poluentes Químicos da Água , Áreas Alagadas , Biodegradação Ambiental , Nitrogênio/análise , Fósforo , Eliminação de Resíduos Líquidos , Poluentes Químicos da Água/análiseRESUMO
The depletion of phosphorus resources and the excess discharge of phosphorus into waste streams are contrasting problems. The key to solving both problems is to recover phosphorus from the waste streams. Current phosphorus recovery technologies require high phosphorus concentrations and lack the ability to separate toxic substances from recovered phosphorus products. Membrane separation processes such as nanofiltration, forward osmosis, and electrodialysis are examples of effective methods for solving some of these issues. In this paper, the mechanisms, performance, and influential factors affect phosphorus recovery from membrane separation are reviewed. Membrane fouling, energy consumption, and the selectivity of toxic substances in membrane separation processes were evaluated. This work will serve as a basis for future research and development of phosphorus recovery by membrane separation processes and as a response to the increasingly pressing issues of eutrophication and the growing depletion of phosphorus resources.
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SARS-CoV-2 vaccines are powerful tools to combat the COVID-19 pandemic, but vaccine hesitancy threatens these vaccinesâ™ effectiveness. To address COVID-19 vaccine hesitancy and ensure equitable distribution, understanding the extent of and factors associated with vaccine acceptance and uptake is critical. We report the results of a large nationwide study conducted December 2020-May 2021 of 34,470 users from COVID-19-focused smartphone-based app How We Feel on their willingness to receive a COVID-19 vaccine. Nineteen percent of respondents expressed vaccine hesitancy, the majority being undecided. Of those who were undecided or unlikely to get a COVID-19 vaccine, 86% reported they ultimately did receive a COVID-19 vaccine. We identified sociodemographic and behavioral factors that were associated with COVID-19 vaccine hesitancy and uptake, and we found several vulnerable groups at increased risk of COVID-19 burden, morbidity, and mortality were more likely to be vaccine hesitant and had lower rates of vaccination. Our findings highlight specific populations in which targeted efforts to develop education and outreach programs are needed to overcome vaccine hesitancy and improve equitable access, diversity, and inclusion in the national response to COVID-19.
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Substrates are the main factor influencing the performance of constructed wetlands (CWs), and especially play an important role in enhancing the removal of nitrogen and phosphorus from CWs. In the recent 10 years, based on the investigation of emerged substrates used in CWs, this paper summarizes the removal efficiency and mechanism of nitrogen and phosphorus by a single substrate in detail. The simultaneous removal efficiency of nitrogen and phosphorus by different combined substrates is emphatically analyzed. Among them, the reuse of industrial and agricultural wastes as water treatment substrates is recommended due to the efficient pollutant removal efficiency and the principle of waste minimization, also more studies on the environmental impact and risk assessment of the application, and the subsequent disposal of saturated substrates are needed. This work serves as a basis for future screening and development of substrates utilized in CWs, which is helpful to enhance the synchronous removal of nitrogen and phosphorus, as well as improve the sustainability of substrates and CWs. Moreover, further studies on the interaction between different types of substrates in the wetland system are desperately needed.