Characterization of suspended bacteria from processing units in an advanced drinking water treatment plant of China.

PubMed

Wang, Feng; Li, Weiying; Zhang, Junpeng; Qi, Wanqi; Zhou, Yanyan; Xiang, Yuan; Shi, Nuo

2017-05-01

For the drinking water treatment plant (DWTP), the organic pollutant removal was the primary focus, while the suspended bacterial was always neglected. In this study, the suspended bacteria from each processing unit in a DWTP employing an ozone-biological activated carbon process was mainly characterized by using heterotrophic plate counts (HPCs), a flow cytometer, and 454-pyrosequencing methods. The results showed that an adverse changing tendency of HPC and total cell counts was observed in the sand filtration tank (SFT), where the cultivability of suspended bacteria increased to 34%. However, the cultivability level of other units stayed below 3% except for ozone contact tank (OCT, 13.5%) and activated carbon filtration tank (ACFT, 34.39%). It meant that filtration processes promoted the increase in cultivability of suspended bacteria remarkably, which indicated biodegrading capability. In the unit of OCT, microbial diversity indexes declined drastically, and the dominant bacteria were affiliated to Proteobacteria phylum (99.9%) and Betaproteobacteria class (86.3%), which were also the dominant bacteria in the effluent of other units. Besides, the primary genus was Limnohabitans in the effluents of SFT (17.4%) as well as ACFT (25.6%), which was inferred to be the crucial contributors for the biodegradable function in the filtration units. Overall, this paper provided an overview of community composition of each processing units in a DWTP as well as reference for better developing microbial function for drinking water treatment in the future.

Portable brine evaporator unit, process, and system

DOEpatents

Hart, Paul John; Miller, Bruce G.; Wincek, Ronald T.; Decker, Glenn E.; Johnson, David K.

2009-04-07

The present invention discloses a comprehensive, efficient, and cost effective portable evaporator unit, method, and system for the treatment of brine. The evaporator unit, method, and system require a pretreatment process that removes heavy metals, crude oil, and other contaminates in preparation for the evaporator unit. The pretreatment and the evaporator unit, method, and system process metals and brine at the site where they are generated (the well site). Thus, saving significant money to producers who can avoid present and future increases in transportation costs.

40 CFR 63.680 - Applicability and designation of affected sources.

Code of Federal Regulations, 2014 CFR

2014-07-01

... for the treatment, recycling, or recovery of off-site material. Distillation means a process, either... equilibrium within the distillation unit. (ii) Fractionation process used for the treatment, recycling, or... process used for the treatment, recycling, or recovery of off-site material. Thin-film evaporation means a...

Multiple use of water in industry--the textile industry case.

PubMed

Rott, Ulrich

2003-08-01

The main aim of this article is to give a review on the state of the art of available processes for the advanced treatment of wastewater from Textile Processing Industry (TPI). After an introduction to the specific wastewater situation of the TPI the article reviews the options of process and production integrated measures. The available unit processes and examples of applied combinations of unit processes are described. A special place is given to the in-plant treatment, the reuse of the treated split flow or mixed wastewater and the recovery of textile auxiliaries and dyes.

40 CFR 63.1541 - Applicability.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., preliminary treatment, refining and casting operations, process fugitive sources, and fugitive dust sources... the blast furnace, electric smelting furnace with a converter or reverberatory furnace, and slag fuming furnace process units. The preliminary treatment process includes the drossing kettles and dross...

40 CFR 63.1541 - Applicability.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., preliminary treatment, refining and casting operations, process fugitive sources, and fugitive dust sources... the blast furnace, electric smelting furnace with a converter or reverberatory furnace, and slag fuming furnace process units. The preliminary treatment process includes the drossing kettles and dross...

40 CFR 63.1541 - Applicability.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., preliminary treatment, refining and casting operations, process fugitive sources, and fugitive dust sources... the blast furnace, electric smelting furnace with a converter or reverberatory furnace, and slag fuming furnace process units. The preliminary treatment process includes the drossing kettles and dross...

Water Treatment Technology - Flouridation.

ERIC Educational Resources Information Center

Ross-Harrington, Melinda; Kincaid, G. David

One of twelve water treatment technology units, this student manual on flouridation provides instructional materials for three competencies. (The twelve units are designed for a continuing education training course for public water supply operators.) The competencies focus on the following areas: purpose and process of flouridation, correct…

Water Treatment Technology - Chlorination.

ERIC Educational Resources Information Center

Ross-Harrington, Melinda; Kincaid, G. David

One of twelve water treatment technology units, this student manual on chlorination provides instructional materials for nine competencies. (The twelve units are designed for a continuing education training course for public water supply operators.) The competencies focus on the following areas: purpose and process of chlorination, chlorine…

Mass Balance. Operational Control Tests for Wastewater Treatment Facilities. Instructor's Manual [and] Student Workbook.

ERIC Educational Resources Information Center

Carnegie, John W.

This module describes the process used to determine solids mass and location throughout a waste water treatment plant, explains how these values are used to determine the solids mass balance around single treatment units and the entire system, and presents calculations of solids in pounds and sludge units. The instructor's manual contains a…

Municipal Wastewater Processes. Instructor Guide. Working for Clean Water: An Information Program for Advisory Groups.

ERIC Educational Resources Information Center

Stoltzfus, Lorna

Described is a one-hour overview of the unit processes which comprise a municipal wastewater treatment system. Topics covered in this instructor's guide include types of pollutants encountered, treatment methods, and procedures by which wastewater treatment processes are selected. A slide-tape program is available to supplement this component of…

Research on Treatment Technology and Device of Oily Sludge

NASA Astrophysics Data System (ADS)

Wang, J. Q.; Shui, F. S.; Li, Q. F.

2017-12-01

Oily sludge is a solid oily waste, which is produced during the process of oil exploitation, transportation, refining and treatment of oily sewage. It contains a great number of hazardous substance, and is difficult to handle with. To solve the problem of waste resources of oil sludge with high oil content and usually not easy to aggregate during the preparation of profile control agent, a new oily sludge treatment device was developed. This device consists of heat supply unit, flush and filter unit, oil removal unit and dehydration unit. It can effectively clean and filter out the waste from oily sludge, recycle the oil resources and reduce the water content of the residue. In the process of operation, the water and chemical agent are recycled in the device, eventually producing little sewage. The device is small, easy to move and has high degree of automation control. The experimental application shows that the oil removal rate of the oily sludge is up to 70%, and the higher the oil content rate the better the treatment.

Study on emission characteristics and reduction strategy of nitrous oxide during wastewater treatment by different processes.

PubMed

Sun, Shichang; Bao, Zhiyuan; Sun, Dezhi

2015-03-01

Given the inexorable increase in global wastewater treatment, increasing amounts of nitrous oxide are expected to be emitted from wastewater treatment plants and released to the atmosphere. It has become imperative to study the emission and control of nitrous oxide in the various wastewater treatment processes currently in use. In the present investigation, the emission characteristics and the factors affecting the release of nitrous oxide were studied via full- and pilot-scale experiments in anoxic-oxic, sequencing batch reactor and oxidation ditch processes. We propose an optimal treatment process and relative strategy for nitrous oxide reduction. Our results show that both the bio-nitrifying and bio-denitrifying treatment units in wastewater treatment plants are the predominant sites for nitrous oxide production in each process, while the aerated treatment units are the critical sources for nitrous oxide emission. Compared with the emission of nitrous oxide from the anoxic-oxic (1.37% of N-influent) and sequencing batch reactor (2.69% of N-influent) processes, much less nitrous oxide (0.25% of N-influent) is emitted from the oxidation ditch process, which we determined as the optimal wastewater treatment process for nitrous oxide reduction, given the current technologies. Nitrous oxide emissions differed with various operating parameters. Controlling the dissolved oxygen concentration at a proper level during nitrification and denitrification and enhancing the utilization rate of organic carbon in the influent for denitrification are the two critical methods for nitrous oxide reduction in the various processes considered.

Aerobic Digestion. Biological Treatment Process Control. Instructor's Guide.

ERIC Educational Resources Information Center

Klopping, Paul H.

This unit on aerobic sludge digestion covers the theory of the process, system components, factors that affect the process performance, standard operational concerns, indicators of steady-state operations, and operational problems. The instructor's guide includes: (1) an overview of the unit; (2) lesson plan; (3) lecture outline (keyed to a set of…

Changes in estrogenicity and micropollutant concentrations across unit processes in a biological wastewater treatment system.

PubMed

Chen, Jian Lin; Ravindran, Shanthinie; Swift, Simon; Singhal, Naresh

2018-03-01

The behavior of 10 micropollutants, i.e. four estrogens (estrone, 17β-estradiol, estriol, 17α-ethynylestradiol), carbamazepine (CBZ), sulfamethoxazole (SMX), triclosan, oxybenzone, 4-nonylphenol, and bisphenol A, was investigated in a typical domestic wastewater treatment plant. LC-MS and yeast estrogen screen bioassay were used to study the changes in micropollutants and estrogenicity across unit processes in the treatment system. Primary treatment via sedimentation showed that only 4-nonylphenol was removed, but led to no significant change in estrogenicity. Secondary treatment by the biological nitrification-dentrification process showed complete removal of oxybenzone and partial removal of the estrogens, which led to a decrease in estrogenic activity from 80 to 48 ng/L as estradiol equivalent (EEq). Ultraviolet treatment completely degraded the estrogens and triclosan, but failed to lower the concentrations of bisphenol A, SMX, and CBZ; a decrease in estrogenic activity from 48 to 5 ng/L EEq across the unit, a value that was only slightly larger than the observed EEq of 1 ng/L for the deionized control. Similarly, the anaerobic digestion of sludge completely degraded estrogens, oxybenzone, and SMX, but had no impact on bisphenol A, triclosan, and CBZ. The study emphasises the need to complement chemical analyses with estrogenic bioassays to evaluate the efficacy of waste water treatment plants.

[Health care for adolescents with gender dysphoria].

PubMed

Fernández, María; Guerra, Patricia; Martín, Eloya; Martínez, Noelia; Álvarez-Diz, Jose Antonio

2018-02-28

Dysphoria gender treatment in adolescents is recent. Studies of adolescents treated with analogs are reduced. To ensure the quality of care and safety of the child, follow-up studies are necessary. The aim of the present research was to describe the characteristics of the process of medical and psychological attention in adolescents with the DG in the Gender Identity Treatment Unit of Asturias in the period 2007-2015. The sample included 20 minors attended in the Gender Identity Treatment Unit of Asturias in the period 2007-2015. The clinical history was made to collect the variables. It was made descriptive analysis. 10% of adolescents abandoned in the process of psychological counseling, 80% began to be valued by endocrinology and 10% continued exclusively in psychological consultations. Of the medical treated adolescents, 13.3% were treated with analogues and 86.7% received cross-hormonal treatment (THC) directly. The most prevalent secondary effects were dermatological problems (40%), followed by mastodynia without galactorrhea (26.7%) and hot flashes (20%). 20% performed gender confirmation surgeries. The profile of the adolescent treated in the unit of Asturias is a subject that begins hormonal treatment after psychological accompaniment and endocrinological evaluation. The minor has adverse effects after treatment. Once the hormonal treatment has been established, they do not abandon the process.

Land Application of Treated Sewage Sludge in the United States: Regulatory Considerations for Risk Reduction and Determining Treatment Process Equivalency

EPA Science Inventory

In the United States, municipal wastewater includes discharges from households, commercial businesses and various industries. Microorganisms associated with these wastes can be concentrated in the solids (sludge) which are removed during treatment operations. Beneficial reuse a...

Cost unit accounting based on a clinical pathway: a practical tool for DRG implementation.

PubMed

Feyrer, R; Rösch, J; Weyand, M; Kunzmann, U

2005-10-01

Setting up a reliable cost unit accounting system in a hospital is a fundamental necessity for economic survival, given the current general conditions in the healthcare system. Definition of a suitable cost unit is a crucial factor for success. We present here the development and use of a clinical pathway as a cost unit as an alternative to the DRG. Elective coronary artery bypass grafting was selected as an example. Development of the clinical pathway was conducted according to a modular concept that mirrored all the treatment processes across various levels and modules. Using service records and analyses the process algorithms of the clinical pathway were developed and visualized with CorelTM iGrafix Process 2003. A detailed process cost record constituted the basis of the pathway costing, in which financial evaluation of the treatment processes was performed. The result of this study was a structured clinical pathway for coronary artery bypass grafting together with a cost calculation in the form of cost unit accounting. The use of a clinical pathway as a cost unit offers considerable advantages compared to the DRG or clinical case. The variance in the diagnoses and procedures within a pathway is minimal, so the consumption of resources is homogeneous. This leads to a considerable improvement in the value of cost unit accounting as a strategic control instrument in hospitals.

Produced Water Treatment Using the Switchable Polarity Solvent Forward Osmosis (SPS FO) Desalination Process: Preliminary Engineering Design Basis

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wendt, Daniel; Adhikari, Birendra; Orme, Christopher

Switchable Polarity Solvent Forward Osmosis (SPS FO) is a semi-permeable membrane-based water treatment technology. INL is currently advancing SPS FO technology such that a prototype unit can be designed and demonstrated for the purification of produced water from oil and gas production operations. The SPS FO prototype unit will used the thermal energy in the produced water as a source of process heat, thereby reducing the external process energy demands. Treatment of the produced water stream will reduce the volume of saline wastewater requiring disposal via injection, an activity that is correlated with undesirable seismic events, as well as generatemore » a purified product water stream with potential beneficial uses. This paper summarizes experimental data that has been collected in support of the SPS FO scale-up effort, and describes how this data will be used in the sizing of SPS FO process equipment. An estimate of produced water treatment costs using the SPS FO process is also provided.« less

Potential of Using Solar Energy for Drinking Water Treatment Plant

NASA Astrophysics Data System (ADS)

Bukhary, S. S.; Batista, J.; Ahmad, S.

2016-12-01

Where water is essential to energy generation, energy usage is integral to life cycle processes of water extraction, treatment, distribution and disposal. Increasing population, climate change and greenhouse gas production challenges the water industry for energy conservation of the various water-related operations as well as limiting the associated carbon emissions. One of the ways to accomplish this is by incorporating renewable energy into the water sector. Treatment of drinking water, an important part of water life cycle processes, is vital for the health of any community. This study explores the feasibility of using solar energy for a drinking water treatment plant (DWTP) with the long-term goal of energy independence and sustainability. A 10 MGD groundwater DWTP in southwestern US was selected, using the treatment processes of coagulation, filtration and chlorination. Energy consumption in units of kWh/day and kWh/MG for each unit process was separately determined using industry accepted design criteria. Associated carbon emissions were evaluated in units of CO2 eq/MG. Based on the energy consumption and the existing real estate holdings, the DWTP was sized for distributed solar. Results showed that overall the motors used to operate the pumps including the groundwater intake pumps were the largest consumers of energy. Enough land was available around DWTP to deploy distributed solar. Results also showed that solar photovoltaics could potentially be used to meet the energy demands of the selected DWTP, but warrant the use of a large storage capacity, and thus increased costs. Carbon emissions related to solar based design were negligible compared to the original case. For future, this study can be used to analyze unit processes of other DWTP based on energy consumption, as well as for incorporating sustainability into the DWTP design.

Wellbore manufacturing processes for in situ heat treatment processes

DOEpatents

Davidson, Ian Alexander; Geddes, Cameron James; Rudolf, Randall Lynn; Selby, Bruce Allen; MacDonald, Duncan Charles

2012-12-11

A method includes making coiled tubing at a coiled tubing manufacturing unit coupled to a coiled tubing transportation system. One or more coiled tubing reels are transported from the coiled tubing manufacturing unit to one or more moveable well drilling systems using the coiled tubing transportation system. The coiled tubing transportation system runs from the tubing manufacturing unit to one or more movable well drilling systems, and then back to the coiled tubing manufacturing unit.

Comparing removal of trace organic compounds and assimilable organic carbon (AOC) at advanced and traditional water treatment plants.

PubMed

Lou, Jie-Chung; Lin, Chung-Yi; Han, Jia-Yun; Tseng, Wei-Biu; Hsu, Kai-Lin; Chang, Ting-Wei

2012-06-01

Stability of drinking water can be indicated by the assimilable organic carbon (AOC). This AOC value represents the regrowth capacity of microorganisms and has large impacts on the quality of drinking water in a distribution system. With respect to the effectiveness of traditional and advanced processing methods in removing trace organic compounds (including TOC, DOC, UV(254), and AOC) from water, experimental results indicate that the removal rate of AOC at the Cheng Ching Lake water treatment plant (which utilizes advanced water treatment processes, and is hereinafter referred to as CCLWTP) is 54%, while the removal rate of AOC at the Gong Yuan water treatment plant (which uses traditional water treatment processes, and is hereinafter referred to as GYWTP) is 36%. In advanced water treatment units, new coagulation-sedimentation processes, rapid filters, and biological activated carbon filters can effectively remove AOC, total organic carbon (TOC), and dissolved organic carbon (DOC). In traditional water treatment units, coagulation-sedimentation processes are most effective in removing AOC. Simulation results and calculations made using the AutoNet method indicate that TOC, TDS, NH(3)-N, and NO(3)-N should be regularly monitored in the CCLWTP, and that TOC, temperature, and NH(3)-N should be regularly monitored in the GYWTP.

Summary Report: Pilot Study of an Innovative Biological Treatment Process for the Removal of Ammonia from a Small Drinking Water System

EPA Science Inventory

The use of biologically active filtration to oxidize ammonia as a full-scale drinking water treatment process has not been thoroughly considered in the United States. A number of concerns with biological water treatment exist including the potential release of excessive numbers o...

Trickling Filters. Student Manual. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Richwine, Reynold D.

The textual material for a unit on trickling filters is presented in this student manual. Topic areas discussed include: (1) trickling filter process components (preliminary treatment, media, underdrain system, distribution system, ventilation, and secondary clarifier); (2) operational modes (standard rate filters, high rate filters, roughing…

Integrating algaculture into small wastewater treatment plants: process flow options and life cycle impacts.

PubMed

Steele, Muriel M; Anctil, Annick; Ladner, David A

2014-05-01

Algaculture has the potential to be a sustainable option for nutrient removal at wastewater treatment plants. The purpose of this study was to compare the environmental impacts of three likely algaculture integration strategies to a conventional nutrient removal strategy. Process modeling was used to determine life cycle inventory data and a comparative life cycle assessment was used to determine environmental impacts. Treatment scenarios included a base case treatment plant without nutrient removal, a plant with conventional nutrient removal, and three other cases with algal unit processes placed at the head of the plant, in a side stream, and at the end of the plant, respectively. Impact categories included eutrophication, global warming, ecotoxicity, and primary energy demand. Integrating algaculture prior to activated sludge proved to be most beneficial of the scenarios considered for all impact categories; however, this scenario would also require primary sedimentation and impacts of that unit process should be considered for implementation of such a system.

Review of Solids Handling. Student Manual. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Carnegie, John W.

This student manual contains the textual material for a single-lesson unit which summarizes and reviews most of the solids handling processes in common use in municipal treatment plants. No attempt is made to detail the theory and operation of the processes. Topics discussed include: (1) sources of sludge; (2) the importance of sludge management;…

Reason-Giving and Medical Futility: Contrasting Legal and Social Discourse in the United States With the United Kingdom and Ontario, Canada.

PubMed

Bosslet, Gabriel T; Baker, Mary; Pope, Thaddeus M

2016-09-01

Disputes regarding life-prolonging treatments are stressful for all parties involved. These disagreements are appropriately almost always resolved with intensive communication and negotiation. Those rare cases that are not require a resolution process that ensures fairness and due process. We describe three recent cases from different countries (the United States, United Kingdom, and Ontario, Canada) to qualitatively contrast the legal responses to intractable, policy-level disputes regarding end-of-life care in each of these countries. In so doing, we define the continuum of clinical and social utility among different types of dispute resolution processes and emphasize the importance of public reason-giving in the societal discussion regarding policy-level solutions to end-of-life treatment disputes. We argue that precedential, publicly available, written rulings for these decisions most effectively help to move the social debate forward in a way that is beneficial to clinicians, patients, and citizens. This analysis highlights the lack of such rulings within the United States. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

Case report of a near medical event in stereotactic radiotherapy due to improper units of measure from a treatment planning system

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gladstone, D. J.; Li, S.; Jarvis, L. A.

2011-07-15

Purpose: The authors hereby notify the Radiation Oncology community of a potentially lethal error due to improper implementation of linear units of measure in a treatment planning system. The authors report an incident in which a patient was nearly mistreated during a stereotactic radiotherapy procedure due to inappropriate reporting of stereotactic coordinates by the radiation therapy treatment planning system in units of centimeter rather than in millimeter. The authors suggest a method to detect such errors during treatment planning so they are caught and corrected prior to the patient positioning for treatment on the treatment machine. Methods: Using pretreatment imaging,more » the authors found that stereotactic coordinates are reported with improper linear units by a treatment planning system. The authors have implemented a redundant, independent method of stereotactic coordinate calculation. Results: Implementation of a double check of stereotactic coordinates via redundant, independent calculation is simple and accurate. Use of this technique will avoid any future error in stereotactic treatment coordinates due to improper linear units, transcription, or other similar errors. Conclusions: The authors recommend an independent double check of stereotactic treatment coordinates during the treatment planning process in order to avoid potential mistreatment of patients.« less

A Guide for Developing Standard Operating Job Procedures for the Digestion Process Wastewater Treatment Facility. SOJP No. 10.

ERIC Educational Resources Information Center

Schwing, Carl M.

This guide describes standard operating job procedures for the digestion process of wastewater treatment facilities. This process is for reducing the volume of sludge to be treated in subsequent units and to reduce the volatile content of sludge. The guide gives step-by-step instructions for pre-startup, startup, continuous operating, shutdown,…

Secondary Waste Form Development and Optimization—Cast Stone

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sundaram, S. K.; Parker, Kent E.; Valenta, Michelle M.

2011-07-14

Washington River Protection Services is considering the design and construction of a Solidification Treatment Unit (STU) for the Effluent Treatment Facility (ETF) at Hanford. The ETF is a Resource Conservation and Recovery Act-permitted, multi-waste, treatment and storage unit and can accept dangerous, low-level, and mixed wastewaters for treatment. The STU needs to be operational by 2018 to receive secondary liquid wastes generated during operation of the Hanford Tank Waste Treatment and Immobilization Plant (WTP). The STU to ETF will provide the additional capacity needed for ETF to process the increased volume of secondary wastes expected to be produced by WTP.

Emergency recompression: clinical audit of service delivery at a national level.

PubMed

Ross, John As; Sayer, Martin Dj

2009-03-01

Clinical audit is an essential element to the maintenance or improvement of delivery of any medical service. During the development phase of a National Recompression Registration Service for Scotland, clinical audit was initiated to provide a standardised tool to monitor the quality of outcome with respect to the severity of presentation. A functional audit process was an essential consideration for planned future measurement of treatment efficacy at local (single hyperbaric unit) and national (multiple hyperbaric units) scales. The audit process was designed to be undemanding, robust and informative, irrespective of the experience of treatment centre and of the clinician in charge of treatment. The clinical records from 104 cases of divers with decompression illness were used to derive and evaluate measures of severity and clinical outcome that could be used for audit and quality assurance. The various measures of disease severity were examined against clinical outcome and days spent in care after admission to a hyperbaric unit. An initial version of the clinical audit format that was developed from this process is presented.

Decreasing laboratory turnaround time and patient wait time by implementing process improvement methodologies in an outpatient oncology infusion unit.

PubMed

Gjolaj, Lauren N; Gari, Gloria A; Olier-Pino, Angela I; Garcia, Juan D; Fernandez, Gustavo L

2014-11-01

Prolonged patient wait times in the outpatient oncology infusion unit indicated a need to streamline phlebotomy processes by using existing resources to decrease laboratory turnaround time and improve patient wait time. Using the DMAIC (define, measure, analyze, improve, control) method, a project to streamline phlebotomy processes within the outpatient oncology infusion unit in an academic Comprehensive Cancer Center known as the Comprehensive Treatment Unit (CTU) was completed. Laboratory turnaround time for patients who needed same-day lab and CTU services and wait time for all CTU patients was tracked for 9 weeks. During the pilot, the wait time from arrival to CTU to sitting in treatment area decreased by 17% for all patients treated in the CTU during the pilot. A total of 528 patients were seen at the CTU phlebotomy location, representing 16% of the total patients who received treatment in the CTU, with a mean turnaround time of 24 minutes compared with a baseline turnaround time of 51 minutes. Streamlining workflows and placing a phlebotomy station inside of the CTU decreased laboratory turnaround times by 53% for patients requiring same day lab and CTU services. The success of the pilot project prompted the team to make the station a permanent fixture. Copyright © 2014 by American Society of Clinical Oncology.

Operation of Wastewater Treatment Plants, Manual of Practice No. 11.

ERIC Educational Resources Information Center

Albertson, Orrie E.; And Others

This book is intended to be a reference or textbook on the operation of wastewater treatment plants. The book contains thirty-one chapters and three appendices and includes the description, requirements, and latest techniques of conventional unit process operation, as well as the symptoms and corrective measures regarding process problems. Process…

Human-centered design of a cyber-physical system for advanced response to Ebola (CARE).

PubMed

Dimitrov, Velin; Jagtap, Vinayak; Skorinko, Jeanine; Chernova, Sonia; Gennert, Michael; Padir, Taşkin

2015-01-01

We describe the process towards the design of a safe, reliable, and intuitive emergency treatment unit to facilitate a higher degree of safety and situational awareness for medical staff, leading to an increased level of patient care during an epidemic outbreak in an unprepared, underdeveloped, or disaster stricken area. We start with a human-centered design process to understand the design challenge of working with Ebola treatment units in Western Africa in the latest Ebola outbreak, and show preliminary work towards cyber-physical technologies applicable to potentially helping during the next outbreak.

Application of NASA-developed technology to the automatic control of municipal sewage treatment plants

NASA Technical Reports Server (NTRS)

Hiser, L. L.; Herrera, W. R.

1973-01-01

A search was made of NASA developed technology and commercial technology for process control sensors and instrumentation which would be applicable to the operation of municipal sewage treatment plants. Several notable items were found from which process control concepts were formulated that incorporated these items into systems to automatically operate municipal sewage treatment plants. A preliminary design of the most promising concept was developed into a process control scheme for an activated sludge treatment plant. This design included process control mechanisms for maintaining constant food to sludge mass (F/M) ratio, and for such unit processes as primary sedimentation, sludge wastage, and underflow control from the final clarifier.

Resource Conservation and Recovery Act (RCRA) Part B Permit Application for Production Associated Units at the Oak Ridge Y-12 Plant

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

This is the RCRA required permit application for Radioactive and Hazardous Waste Management at the Oak Ridge Y-12 Plant for the following units: Building 9206 Container Storage Unit; Building 9212 Container Storage Unit; Building 9720-12 Container Storage Unit; Cyanide Treatment Unit. All four of these units are associated with the recovery of enriched uranium and other metals from wastes generated during the processing of nuclear materials.

Complete physico-chemical treatment for coke plant effluents.

PubMed

Ghose, M K

2002-03-01

Naturally found coal is converted to coke which is suitable for metallurgical industries. Large quantities of liquid effluents produced contain a large amount of suspended solids, high COD, BOD, phenols, ammonia and other toxic substances which are causing serious pollution problem in the receiving water to which they are discharged. There are a large number of coke plants in the vicinity of Jharia Coal Field (JCF). Characteristics of the effluents have been evaluated. The present effluent treatment systems were found to be inadequate. Physico-chemical treatment has been considered as a suitable option for the treatment of coke plant effluents. Ammonia removal by synthetic zeolite, activated carbon for the removal of bacteria, viruses, refractory organics, etc. were utilized and the results are discussed. A scheme has been proposed for the complete physico-chemical treatment, which can be suitably adopted for the recycling, reuse and safe disposal of the treated effluent. Various unit process and unit operations involved in the treatment system have been discussed. The process may be useful on industrial scale at various sites.

Engineering Design and Operation Report: Biological Treatment Process for the Removal of Ammonia from a Small Drinking Water System in Iowa: Pilot to Full-Scale

EPA Science Inventory

Many regions in the United States have excessive levels of ammonia in their drinking water sources (e.g., ground and surface waters) as a result of naturally occurring processes, agricultural and urban runoff, concentrated animal feeding operations, municipal wastewater treatment...

Innovative Biological Treatment Process for the Removal of Ammonia, Arsenic, Iron and Manganese from a Small Drinking Water System in Gilbert, Iowa (Phase 1: Pilot Evaluation)

EPA Science Inventory

Many regions in the United States have excessive levels of ammonia in their drinking water sources (e.g., ground and surface waters) as a result of naturally occurring processes, agricultural and urban runoff, concentrated animal feeding operations, municipal wastewater treatment...

Lab Procedures. Sludge Treatment and Disposal Course #166. Instructor's Guide [and] Student Workbook.

ERIC Educational Resources Information Center

Carnegie, John W.

Laboratory tests used to determine status and to evaluate and/or maintain process control of the various sludge treatment processes are introduced in this lesson. Neither detailed test procedures nor explanations of how the tests should be applied to every unit are explained; this information is provided in other modules. The instructor's manual…

Using ArcObjects for automating fireshed assessments and analyzing wildfire risk

Treesearch

Alan A. Ager; Bernhard Bahro; Mark Finney

2006-01-01

Firesheds are geographic units used by the Forest Service to delineate areas with similar fire regimes, fire history, and wildland fire risk issues. Fireshed assessment is a collaborative process where specialists design fuel treatments to mitigate wildfire risk. Fireshed assessments are an iterative process where fuel treatments are proposed for specific stands based...

Stochastic modeling to identify requirements for centralized monitoring of distributed wastewater treatment.

PubMed

Hug, T; Maurer, M

2012-01-01

Distributed (decentralized) wastewater treatment can, in many situations, be a valuable alternative to a centralized sewer network and wastewater treatment plant. However, it is critical for its acceptance whether the same overall treatment performance can be achieved without on-site staff, and whether its performance can be measured. In this paper we argue and illustrate that the system performance depends not only on the design performance and reliability of the individual treatment units, but also significantly on the monitoring scheme, i.e. on the reliability of the process information. For this purpose, we present a simple model of a fleet of identical treatment units. Thereby, their performance depends on four stochastic variables: the reliability of the treatment unit, the respond time for the repair of failed units, the reliability of on-line sensors, and the frequency of routine inspections. The simulated scenarios show a significant difference between the true performance and the observations by the sensors and inspections. The results also illustrate the trade-off between investing in reactor and sensor technology and in human interventions in order to achieve a certain target performance. Modeling can quantify such effects and thereby support the identification of requirements for the centralized monitoring of distributed treatment units. The model approach is generic and can be extended and applied to various distributed wastewater treatment technologies and contexts.

Comparison of seven kinds of drinking water treatment processes to enhance organic material removal: a pilot test.

PubMed

Chen, Chao; Zhang, Xiaojian; He, Wenjie; Lu, Wei; Han, Hongda

2007-08-15

Organic matter in source water has presented many challenges in the field of water purification, especially for conventional treatment. A two-year-long pilot test comparing water treatment processes was conducted to enhance organic matter removal. The tested process combinations included the conventional process, conventional plus advanced treatment, pre-oxidation plus conventional process and pre-oxidation plus conventional plus advanced treatment. The efficiency of each kind of process was assayed with the comprehensive indices of COD(Mn), TOC, UV(254), AOC, BDOC, THMs, and HAAs and their formation potential. The results showed that the combination of the conventional process and O(3)-BAC provides integrated removal of organic matter and meets the required standards. It is the best performing treatment tested in this investigation for treating polluted source water in China. Moreover, much attention should be paid to organic removal before disinfection to control DBP formation and preserve biostability. This paper also reports the range of efficiency of each unit process to calculate the total efficiency of different process combinations in order to help choose the appropriate water treatment process.

Microbial Survey of a Full-Scale, Biologically Active Filter for Treatment of Drinking Water

EPA Science Inventory

Biological nitrification has been used as a reliable technology in wastewater treatment for decades. Implementing biological approaches to drinking water treatment has faced resistance in the United States due in part to the lack of understanding of microbial processes and conce...

RCRA, superfund and EPCRA hotline training module. Introduction to: Miscellaneous and other units (40 cfr part 264, subpart x and 40 cfr part 265, subparts p, q, and r) updated July 1996

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1996-07-01

The module describes the basic requirements and types of units of 40 CFR Part 264, Subpart X and standards for broadly defined treatment processes - Thermal treatment (Part 265, Subpart P); chemical, physical, and biological treatment (Subpart Q); and underground injection (Subpart R). Explains when corrective action applies to these subparts. It presents the relationship between Part 264, Subpart X, and Part 265, Subparts P, Q, and R.

A review of cyanobacteria and cyanotoxins removal/inactivation in drinking water treatment.

PubMed

Westrick, Judy A; Szlag, David C; Southwell, Benjamin J; Sinclair, James

2010-07-01

This review focuses on the efficiency of different water treatment processes for the removal of cyanotoxins from potable water. Although several investigators have studied full-scale drinking water processes to determine the efficiency of cyanotoxin inactivation, many of the studies were based on ancillary practice. In this context, "ancillary practice" refers to the removal or inactivation of cyanotoxins by standard daily operational procedures and without a contingency operational plan utilizing specific treatment barriers. In this review, "auxiliary practice" refers to the implementation of inactivation/removal treatment barriers or operational changes explicitly designed to minimize risk from toxin-forming algae and their toxins to make potable water. Furthermore, the best drinking water treatment practices are based on extension of the multibarrier approach to remove cyanotoxins from water. Cyanotoxins are considered natural contaminants that occur worldwide and specific classes of cyanotoxins have shown regional prevalence. For example, freshwaters in the Americas often show high concentrations of microcystin, anatoxin-a, and cylindrospermopsin, whereas Australian water sources often show high concentrations of microcystin, cylindrospermopsin, and saxitoxins. Other less frequently reported cyanotoxins include lyngbyatoxin A, debromoaplysiatoxin, and beta-N-methylamino-L-alanine. This review focuses on the commonly used unit processes and treatment trains to reduce the toxicity of four classes of cyanotoxins: the microcystins, cylindrospermopsin, anatoxin-a, and saxitoxins. The goal of this review is to inform the reader of how each unit process participates in a treatment train and how an auxiliary multibarrier approach to water treatment can provide safer water for the consumer.

Value choices and considerations when limiting intensive care treatment: a qualitative study.

PubMed

Halvorsen, K; Førde, R; Nortvedt, P

2009-01-01

To shed light on the values and considerations that affect the decision-making processes and the decisions to limit intensive care treatment. Qualitative methodology with participant observation and in-depth interviews, with an emphasis on eliciting the underlying rationale of the clinicians' actions and choices when limiting treatment. Informants perceived over-treatment in intensive care medicine as a dilemma. One explanation was that the decision-making base was somewhat uncertain, complex and difficult. The informants claimed that those responsible for taking decisions from the admitting ward prolonged futile treatment because they may bear guilt or responsibility for something that had gone wrong during the course of treatment. The assessments of the patient's situation made by physicians from the admitting ward were often more organ-oriented and the expectations were less realistic than those of clinicians in the intensive care unit who frequently had a more balanced and overall perspective. Aspects such as the personality and the speciality of those involved, the culture of the unit and the degree of interdisciplinary cooperation were important issues in the decision-making processes. Under-communicated considerations jeopardise the principle of equal treatment. If intensive care patients are to be ensured equal treatment, strategies for interdisciplinary, transparent and appropriate decision-making processes must be developed in which open and hidden values are rendered visible, power structures disclosed, employees respected and the various perspectives of the treatment given their legitimate place.

Efficacy of water treatment processes and endemic gastrointestinal illness - A multi-city study in Sweden.

PubMed

Tornevi, Andreas; Simonsson, Magnus; Forsberg, Bertil; Säve-Söderbergh, Melle; Toljander, Jonas

2016-10-01

Outbreaks of acute gastrointestinal illnesses (AGI) have been linked to insufficient drinking water treatment on numerous occasions in the industrialized world, but it is largely unknown to what extent public drinking water influences the endemic level of AGI. This paper aimed to examine endemic AGI and the relationship with pathogen elimination efficacy in public drinking water treatment processes. For this reason, time series data of all telephone calls to the Swedish National Healthcare Guide between November 2007 and February 2014 from twenty Swedish cities were obtained. Calls concerning vomiting, diarrhea or abdominal pain (AGI calls) were separated from other concerns (non-AGI calls). Information on which type of microbial barriers each drinking water treatment plant in these cities have been used were obtained, together with the barriers' theoretical pathogen log reduction efficacy. The total log reduction in the drinking water plants varied between 0.0 and 6.1 units for viruses, 0.0-14.6 units for bacteria and 0.0-7.3 units regarding protozoans. To achieve one general efficacy parameter for each plant, a weighted mean value of the log reductions (WLR) was calculated, with the weights based on how commonly these pathogen groups cause AGI. The WLR in the plants varied between 0.0 and 6.4 units. The effect of different pathogen elimination efficacy on levels of AGI calls relative non-AGI calls was evaluated in regression models, controlling for long term trends, population size, age distribution, and climatological area. Populations receiving drinking water produced with higher total log reduction was associated with a lower relative number of AGI calls. In overall, AGI calls decreased by 4% (OR = 0.96, CI: 0.96-0.97) for each unit increase in the WLR. The findings apply to both groundwater and surface water study sites, but are particularly evident among surface water sites during seasons when viruses are the main cause of AGI. This study proposes that the endemic level of gastroenteritis can indeed be reduced with more advanced treatment processes at many municipal drinking water treatment plants. Copyright © 2016 Elsevier Ltd. All rights reserved.

An Official ATS/AACN/ACCP/ESICM/SCCM Policy Statement: Responding to Requests for Potentially Inappropriate Treatments in Intensive Care Units.

PubMed

Bosslet, Gabriel T; Pope, Thaddeus M; Rubenfeld, Gordon D; Lo, Bernard; Truog, Robert D; Rushton, Cynda H; Curtis, J Randall; Ford, Dee W; Osborne, Molly; Misak, Cheryl; Au, David H; Azoulay, Elie; Brody, Baruch; Fahy, Brenda G; Hall, Jesse B; Kesecioglu, Jozef; Kon, Alexander A; Lindell, Kathleen O; White, Douglas B

2015-06-01

There is controversy about how to manage requests by patients or surrogates for treatments that clinicians believe should not be administered. This multisociety statement provides recommendations to prevent and manage intractable disagreements about the use of such treatments in intensive care units. The recommendations were developed using an iterative consensus process, including expert committee development and peer review by designated committees of each of the participating professional societies (American Thoracic Society, American Association for Critical Care Nurses, American College of Chest Physicians, European Society for Intensive Care Medicine, and Society of Critical Care). The committee recommends: (1) Institutions should implement strategies to prevent intractable treatment conflicts, including proactive communication and early involvement of expert consultants. (2) The term "potentially inappropriate" should be used, rather than futile, to describe treatments that have at least some chance of accomplishing the effect sought by the patient, but clinicians believe that competing ethical considerations justify not providing them. Clinicians should explain and advocate for the treatment plan they believe is appropriate. Conflicts regarding potentially inappropriate treatments that remain intractable despite intensive communication and negotiation should be managed by a fair process of conflict resolution; this process should include hospital review, attempts to find a willing provider at another institution, and opportunity for external review of decisions. When time pressures make it infeasible to complete all steps of the conflict-resolution process and clinicians have a high degree of certainty that the requested treatment is outside accepted practice, they should seek procedural oversight to the extent allowed by the clinical situation and need not provide the requested treatment. (3) Use of the term "futile" should be restricted to the rare situations in which surrogates request interventions that simply cannot accomplish their intended physiologic goal. Clinicians should not provide futile interventions. (4) The medical profession should lead public engagement efforts and advocate for policies and legislation about when life-prolonging technologies should not be used. The multisociety statement on responding to requests for potentially inappropriate treatments in intensive care units provides guidance for clinicians to prevent and manage disputes in patients with advanced critical illness.

SUPERFUND TREATABILITY CLEARINGHOUSE: SOIL STABILIZATION PILOT STUDY, UNITED CHROME NPL SITE PILOT STUDY AND HEALTH AND SAFETY PROGRAM, UNITED CHROME NPL SITE PILOT STUDY

EPA Science Inventory

This document is a project plan for a pilot study at the United Chrome NPL site, Corvallis, Oregon and includes the health and safety and quality assurance/quality control plans. The plan reports results of a bench-scale study of the treatment process as iieasured by the ...

Determination of the priority indexes for the oil refinery wastewater treatment process

NASA Astrophysics Data System (ADS)

Chesnokova, M. G.; Myshlyavtsev, A. V.; Kriga, A. S.; Shaporenko, A. P.; Markelov, V. V.

2017-08-01

The wastewater biological treatment intensity and effectiveness are influenced by many factors: temperature, pH, presence and concentration of toxic substances, the biomass concentration et al. Regulation of them allows controlling the biological treatment process. Using the Bayesian theorem the link between changes was determined and the wastewater indexes normative limits exceeding influence for activated sludge characteristics alteration probability was evaluated. The estimation of total, or aposterioric, priority index presence probability, which characterizes the wastewater treatment level, is an important way to use the Bayesian theorem in activated sludge swelling prediction at the oil refinery biological treatment unit.

[Criteria of quality of structure in rehabilitation units with inpatient treatment].

PubMed

Klein, K; Farin, E; Jäckel, W H; Blatt, O; Schliehe, F

2004-04-01

The structure of a rehabilitation unit is an important feature of the quality of care. Adequate and qualitatively good structures provide the basis for appropriate therapy offers and treatment and eventually, a better health for rehabilitants. The quality of structures is generally recorded without any evaluation of the aspects in particular. The definition of standards is the basis for such an evaluation. The project presented is aimed at the definition of relevant structural standards for rehab units with inpatient treatment for musculoskeletal, cardiac, neurological, gastroenterological, oncological, pneumological and dermatological diseases. Here, the distinction between basal criteria which have to be fulfilled by every rehab unit with inpatient treatment and criteria important for a well-aimed assignment of patients with specific needs ("assignment criteria") should be made. Apart from the documentation of structural attributes, the structural quality of a rehab unit can be described individually as well as in comparison with other units. Relevant structural criteria were defined in expert meetings by means of a modified Delphi-technique with five inquiries. Overall, 199 "basal criteria" and "assignment criteria" were defined. All criteria can be assigned to the two domains general structural characteristics (general characteristics and equipment of rooms; medical/technical equipment; therapy, education, care; staff) and process-related structures (conceptual frames; internal quality management; internal communication and personnel development). The structural standards are applicable to units for musculoskeletal, cardiac, neurological, oncological, gastroenterological, dermatological and pneumological rehabilitation financed by the two main providers of rehabilitation, the statutory pension insurance scheme and the statutory health insurance scheme for all other five indications. The definition of structural standards agreed by experts in a formal consensus process, provides comprehensive and concrete requirements for German rehab units with inpatient medical rehabilitation. If the two main providers of rehabilitation both use the standards this can be regarded as a hallmark on the path to a unitary programme for quality management. The results enable units to analyse their weak points not just on an individual basis but allow also for a comparison between units, along with contributing to optimizing the structural quality of rehab units.

A multi-disciplinary approach to the removal of emerging contaminants in municipal wastewater treatment plans in New York State, 2003-2004

USGS Publications Warehouse

Philips, Patrick J.; Stinson, Beverley; Zaugg, Steven D.; Furlong, Edward T.; Kolpin, Dana W.; Esposito, Kathleen; Bodniewicz, B.; Pape, R.; Anderson, J.

2005-01-01

The second phase of the study focused on one of the most common wastewater treatment processes operated in the United States, the Activated Sludge process. Using four controlled parallel activated sludge pilots, a more detailed assessment of the impact of Sludge Retention Time (SRT) on the reduction or removal of ECs was performed.

Concrete Solution

NASA Technical Reports Server (NTRS)

1998-01-01

A Space Act Agreement between Kennedy Space Center and Surtreat Southeast, Inc., resulted in a new treatment that keeps buildings from corroding away over time. Structural corrosion is a multi-billion dollar problem in the United States. The agreement merged Kennedy Space Center's research into electrical treatments of structural corrosion with chemical processes developed by Surtreat. Combining NASA and Surtreat technologies has resulted in a unique process with broad corrosion-control applications.

The effectiveness of removing precursors of chlorinated organic substances in pilot water treatment plant

NASA Astrophysics Data System (ADS)

Wolska, Małgorzata; Szerzyna, Sławomir; Machi, Justyna; Mołczan, Marek; Adamski, Wojciech; Wiśniewski, Jacek

2017-11-01

The presence of organic substances in the water intaken for consumption could be hazardous to human health due to the potential formation of disinfection by-products (TOX). The study were carried out in the pilot surface water treatment system consisting of coagulation, sedimentation, filtration, ozonation, adsorption and disinfection. Due to continuous operation of the system and interference with the parameters of the processes it was possible not only assess the effectiveness of individual water treatment processes in removing TOX, but also on factors participating on the course of unit processes.

Treatment of concentrated industrial wastewaters originating from oil shale and the like by electrolysis polyurethane foam interaction

DOEpatents

Tiernan, Joan E.

1990-01-01

Highly concentrated and toxic petroleum-based and synthetic fuels wastewaters such as oil shale retort water are treated in a unit treatment process by electrolysis in a reactor containing oleophilic, ionized, open-celled polyurethane foams and subjected to mixing and laminar flow conditions at an average detention time of six hours. Both the polyurethane foams and the foam regenerate solution are re-used. The treatment is a cost-effective process for waste-waters which are not treatable, or are not cost-effectively treatable, by conventional process series.

Design for application of the DETOX{sup SM} wet oxidation process to mixed wastes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bell, R.A.; Dhooge, P.M.

1994-04-01

Conceptual engineering has been performed for application of the DETOX{sup SM} wet oxidation process to treatment of specific mixed waste types. Chemical compositions, mass balances, energy balances, temperatures, pressures, and flows have been used to define design parameters for treatment units capable of destroying 5. Kg per hour of polychlorinated biphenyls and 25. Kg per hour of tributyl phosphate. Equipment for the units has been sized and materials of construction have been specified. Secondary waste streams have been defined. Environmental safety and health issues in design have been addressed. Capital and operating costs have been estimated based on the conceptualmore » designs.« less

A descriptive survey of types, spread and characteristics of substance abuse treatment centers in Nigeria.

PubMed

Onifade, Peter O; Somoye, Edward B; Ogunwobi, Olorunfemi O; Ogunwale, Adegboyega; Akinhanmi, Akinwande O; Adamson, Taiwo A

2011-09-18

Nigeria, the most populous country in Africa and the 8th most populous in the world with a population of over 154 million, does not have current data on substance abuse treatment demand and treatment facilities; however, the country has the highest one-year prevalence rate of Cannabis use (14.3%) in Africa and ranks third in Africa with respect to the one-year prevalence rate of cocaine (0.7%) and Opioids (0.7%) use. This study aimed to determine the types, spread and characteristics of the substance abuse treatment centers in Nigeria. The study was a cross sectional survey of substance abuse treatment centers in Nigeria. Thirty-one units were invited and participated in filling an online questionnaire, adapted from the European Treatment Unit/Program Form (June 1997 version). All the units completed the online questionnaire. A large proportion (48%) was located in the South-West geopolitical zone of the country. Most (58%) were run by Non-Governmental Organizations. Half of them performed internal or external evaluation of treatment process or outcome. There were a total of 1043 for all categories of paid and volunteer staff, with an average of 33 staff per unit. Most of the funding came from charitable donations (30%). No unit provided drug substitution/maintenance therapy. The units had a total residential capacity of 566 beds. New client admissions in the past one year totalled 765 (mean = 48, median = 26.5, min = 0, max = 147) and 2478 clients received services in the non-residential units in the past year. No unit provided syringe exchange services. The study revealed a dearth of substance abuse treatment units (and of funds for the available ones) in a country with a large population size and one of the highest prevalence rates of substance abuse in Africa. The available units were not networked and lacked a directory or an evaluation framework. To provide an environment for effective monitoring, funding and continuous quality improvement, the units need to be organized into a sustainable network.

Comparing student clinical self-efficacy and team process outcomes for a DEU, blended, and traditional clinical setting: A quasi-experimental research study.

PubMed

Plemmons, Christina; Clark, Michele; Feng, Du

2018-03-01

Clinical education is vital to both the development of clinical self-efficacy and the integration of future nurses into health care teams. The dedicated education unit clinical teaching model is an innovative clinical partnership, which promotes skill development, professional growth, clinical self-efficacy, and integration as a team member. Blended clinical teaching models are combining features of the dedicated education unit and traditional clinical model. The aims of this study are to explore how each of three clinical teaching models (dedicated education unit, blended, traditional) affects clinical self-efficacy and attitude toward team process, and to compare the dedicated education unit model and blended model to traditional clinical. A nonequivalent control-group quasi-experimental design was utilized. The convenience sample of 272 entry-level baccalaureate nursing students included 84 students participating in a dedicated education unit model treatment group, 66 students participating in a blended model treatment group, and 122 students participating in a traditional model control group. Perceived clinical self-efficacy was evaluated by the pretest/posttest scores obtained on the General Self-Efficacy scale. Attitude toward team process was evaluated by the pretest/posttest scores obtained on the TeamSTEPPS® Teamwork Attitude Questionnaire. All three clinical teaching models resulted in significant increases in both clinical self-efficacy (p=0.04) and attitude toward team process (p=0.003). Students participating in the dedicated education unit model (p=0.016) and students participating in the blended model (p<0.001) had significantly larger increases in clinical self-efficacy compared to students participating in the traditional model. These findings support the use of dedicated education unit and blended clinical partnerships as effective alternatives to the traditional model to promote both clinical self-efficacy and team process among entry-level baccalaureate nursing students. Copyright © 2017 Elsevier Ltd. All rights reserved.

Hygienization performances of innovative sludge treatment solutions to assure safe land spreading.

PubMed

Levantesi, C; Beimfohr, C; Blanch, A R; Carducci, A; Gianico, A; Lucena, F; Tomei, M C; Mininni, G

2015-05-01

The present research aims at the evaluation of the hygienization performances of innovative sludge treatment processes applied for the separated treatment of secondary sludge. Namely, two digestion pretreatments (sonication and thermal hydrolysis) and two sequential biological processes (mesophilic/thermophilic and anaerobic/aerobic digestion) were compared to the mesophilic (MAD) and thermophilic anaerobic digestion (TAD). Microbial indicators (Escherichia coli, somatic coliphages and Clostridium perfringens spores) and pathogens (Salmonella and enteroviruses), which show different resistances to treatment processes, were monitored in untreated and treated sludge. Overall, microbial load in secondary sludge was shown to be similar or lower than previously reported in literature for mixed sludge. Notably, the anaerobic/aerobic digestion process increased the removal of E. coli and somatic coliphages compared to the simple MAD and always achieved the hygienization requirement (2-log-unit removal of E. coli) proposed by EU Commission in the 3rd Working Document on sludge (April 2000) for the use of treated sludges in agriculture with restriction on their application. The microbial quality limits for the unrestricted use of sludge in agriculture (no Salmonella in 50 g wet weight (WW) and E. coli <500 CFU/g) were always met when thermal digestion or pretreatment was applied; however, the required removal level (6-log-unit removal of E. coli) could not be assessed due to the low level of this microorganism in raw sludge. Observed levels of indicator removal showed a higher resistance of viral particles to thermal treatment compared with bacterial cells and confirmed the suitability of somatic coliphages as indicators in thermal treatment processes.

[IMPLEMENTATION OF A QUALITY MANAGEMENT SYSTEM IN A NUTRITION UNIT ACCORDING TO ISO 9001:2008].

PubMed

Velasco Gimeno, Cristina; Cuerda Compés, Cristina; Alonso Puerta, Alba; Frías Soriano, Laura; Camblor Álvarez, Miguel; Bretón Lesmes, Irene; Plá Mestre, Rosa; Izquierdo Membrilla, Isabel; García-Peris, Pilar

2015-09-01

the implementation of quality management systems (QMS) in the health sector has made great progress in recent years, remains a key tool for the management and improvement of services provides to patients. to describe the process of implementing a quality management system (QMS) according to the standard ISO 9001:2008 in a Nutrition Unit. the implementation began in October 2012. Nutrition Unit was supported by Hospital Preventive Medicine and Quality Management Service (PMQM). Initially training sessions on QMS and ISO standards for staff were held. Quality Committee (QC) was established with representation of the medical and nursing staff. Every week, meeting took place among members of the QC and PMQM to define processes, procedures and quality indicators. We carry on a 2 months follow-up of these documents after their validation. a total of 4 processes were identified and documented (Nutritional status assessment, Nutritional treatment, Monitoring of nutritional treatment and Planning and control of oral feeding) and 13 operating procedures in which all the activity of the Unit were described. The interactions among them were defined in the processes map. Each process has associated specific quality indicators for measuring the state of the QMS, and identifying opportunities for improvement. All the documents associated with requirements of ISO 9001:2008 were developed: quality policy, quality objectives, quality manual, documents and records control, internal audit, nonconformities and corrective and preventive actions. The unit was certified by AENOR in April 2013. the implementation of a QMS causes a reorganization of the activities of the Unit in order to meet customer's expectations. Documenting these activities ensures a better understanding of the organization, defines the responsibilities of all staff and brings a better management of time and resources. QMS also improves the internal communication and is a motivational element. Explore the satisfaction and expectations of patients can include their view in the design of care processes. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

Seasonal bacterial community succession in four typical wastewater treatment plants: correlations between core microbes and process performance.

PubMed

Zhang, Bo; Yu, Quanwei; Yan, Guoqi; Zhu, Hubo; Xu, Xiang Yang; Zhu, Liang

2018-03-15

To understand the seasonal variation of the activated sludge (AS) bacterial community and identify core microbes in different wastewater processing systems, seasonal AS samples were taken from every biological treatment unit within 4 full-scale wastewater treatment plants. These plants adopted A2/O, A/O and oxidation ditch processes and were active in the treatment of different types and sources of wastewater, some domestic and others industrial. The bacterial community composition was analyzed using high-throughput sequencing technology. The correlations among microbial community structure, dominant microbes and process performance were investigated. Seasonal variation had a stronger impact on the AS bacterial community than any variation within different wastewater treatment system. Facing seasonal variation, the bacterial community within the oxidation ditch process remained more stable those in either the A2/O or A/O processes. The core genera in domestic wastewater treatment systems were Nitrospira, Caldilineaceae, Pseudomonas and Lactococcus. The core genera in the textile dyeing and fine chemical industrial wastewater treatment systems were Nitrospira, Thauera and Thiobacillus.

COMPUTER PROGRAM FOR CALCULATING THE COST OF DRINKING WATER TREATMENT SYSTEMS

EPA Science Inventory

This FORTRAN computer program calculates the construction and operation/maintenance costs for 45 centralized unit treatment processes for water supply. The calculated costs are based on various design parameters and raw water quality. These cost data are applicable to small size ...

Short-term belowground responses to thinning and burning treatments in southwestern ponderosa pine forests of the USA

Treesearch

Steven T. Overby; Stephen C. Hart

2016-01-01

Microbial-mediated decomposition and nutrient mineralization are major drivers of forest productivity. As landscape-scale fuel reduction treatments are being implemented throughout the fire-prone western United States of America, it is important to evaluate operationally how these wildfire mitigation treatments alter belowground processes. We quantified these important...

Withholding treatment, withdrawing treatment, and palliative care in the neonatal intensive care unit.

PubMed

Walther, Frans J

2005-12-01

Advances in pharmacology and technology have sharply reduced mortality of extremely preterm infants at the expense of an increasing number of survivors with handicaps and disabilities. The EURONIC study among neonatal intensive care units across Europe demonstrates that treatment of infants born at the limits of viability raises challenging ethical, moral, legal, and emotional dilemmas among neonatologists, nurses, and parents alike. When is it wise to withhold or withdraw intensive care and, if so, what are the needs of the nonviable or dying infant, family, and neonatal staff to provide a humane and compassionate death? This process begins with a thorough determination of diagnosis and prognosis, followed by decision making on the basis of futility of treatment or quality-of-life issues, and counseling of parents. Withholding or withdrawing of intensive care should be synonymous with palliative care. Perinatal audit and after-care of the family complete the process. The Dutch viewpoint and practice guidelines on withholding and withdrawing of neonatal intensive care are presented.

Post-Treatment-Free Solution-Processed Reduced Phosphomolybdic Acid Containing Molybdenum Oxide Units for Efficient Hole-Injection Layers in Organic Light-Emitting Devices.

PubMed

Ohisa, Satoru; Endo, Kohei; Kasuga, Kosuke; Suzuki, Michinori; Chiba, Takayuki; Pu, Yong-Jin; Kido, Junji

2018-02-19

We report the development of solution-processed reduced phosphomolybdic acid (rPMA) containing molybdenum oxide units for post-treatment-free hole-injection layers (HILs) in organic light-emitting devices (OLEDs). The physical and chemical properties of rPMA, including its structure, solubility in several solvents, film surface roughness, work function, and valence states, were investigated. The formation of gap states just below the Fermi level of rPMA was observed. Without any post-treatment after the formation of rPMA films, OLEDs employing rPMA as an HIL exhibited a very low driving voltage and a high luminous efficiency. The low driving voltage was attributed to the energy level alignment between the gap states formed by reduction and the HOMO level of the hole-transport layer material N,N'-bis(1-naphthyl)-N,N'-diphenyl-(1,1'-biphenyl)-4,4'-diamine.

Treatment of burns in the first 24 hours: simple and practical guide by answering 10 questions in a step-by-step form

PubMed Central

2012-01-01

Residents in training, medical students and other staff in surgical sector, emergency room (ER) and intensive care unit (ICU) or Burn Unit face a multitude of questions regarding burn care. Treatment of burns is not always straightforward. Furthermore, National and International guidelines differ from one region to another. On one hand, it is important to understand pathophysiology, classification of burns, surgical treatment, and the latest updates in burn science. On the other hand, the clinical situation for treating these cases needs clear guidelines to cover every single aspect during the treatment procedure. Thus, 10 questions have been organised and discussed in a step-by-step form in order to achieve the excellence of education and the optimal treatment of burn injuries in the first 24 hours. These 10 questions will clearly discuss referral criteria to the burn unit, primary and secondary survey, estimation of the total burned surface area (%TBSA) and the degree of burns as well as resuscitation process, routine interventions, laboratory tests, indications of Bronchoscopy and special considerations for Inhalation trauma, immediate consultations and referrals, emergency surgery and admission orders. Understanding and answering the 10 questions will not only cover the management process of Burns during the first 24 hours but also seems to be an interactive clear guide for education purpose. PMID:22583548

Development of natural treatment system consisting of black soil and Kentucky bluegrass for the post-treatment of anaerobically digested strong wastewater.

PubMed

Chen, Xiaochen; Fukushi, Kensuke

2016-03-01

To develop a sound post-treatment process for anaerobically-digested strong wastewater, a novel natural treatment system comprising two units is put forward. The first unit, a trickling filter, provides for further reduction of biochemical oxygen demand and adjustable nitrification. The subsequent soil-plant unit aims at removing and recovering the nutrients nitrogen (N), phosphorus (P) and potassium (K). As a lab-scale feasibility study, a soil column test was conducted, in which black soil and valuable Kentucky bluegrass were integrated to treat artificial nutrient-enriched wastewater. After a long-term operation, the nitrification function was well established in the top layers, despite the need for an improved denitrification process prior to discharge. P and K were retained by the soil through distinct mechanisms. Since they either partially or totally remained in plant-available forms in the soil, indirect nutrient reuse could be achieved. As for Kentucky bluegrass, it displayed better growth status when receiving wastewater, with direct recovery of 8%, 6% and 14% of input N, P and K, respectively. Furthermore, the indispensable role of Kentucky bluegrass for better treatment performance was proved, as it enhanced the cell-specific nitrification potential of the soil nitrifying microorganisms inhabiting the rhizosphere. After further upgrade, the proposed system is expected to become a new solution for strong wastewater pollution. Copyright © 2015. Published by Elsevier B.V.

Smart manufacturing of complex shaped pipe components

NASA Astrophysics Data System (ADS)

Salchak, Y. A.; Kotelnikov, A. A.; Sednev, D. A.; Borikov, V. N.

2018-03-01

Manufacturing industry is constantly improving. Nowadays the most relevant trend is widespread automation and optimization of the production process. This paper represents a novel approach for smart manufacturing of steel pipe valves. The system includes two main parts: mechanical treatment and quality assurance units. Mechanical treatment is performed by application of the milling machine with implementation of computerized numerical control, whilst the quality assurance unit contains three testing modules for different tasks, such as X-ray testing, optical scanning and ultrasound testing modules. The advances of each of them provide reliable results that contain information about any failures of the technological process, any deviations of geometrical parameters of the valves. The system also allows detecting defects on the surface or in the inner structure of the component.

Trickling Filters. Instructor's Guide. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Richwine, Reynold D.

This instructor's guide contains materials needed for teaching a two-lesson unit on trickling filters. These materials include: (1) an overview of the two lessons; (2) lesson plans; (3) lecture outline (keyed to a set of slides accompanying the unit); (4) overhead transparency masters; (5) student worksheet (with answers); and (6) two copies of a…

Stack gas treatment

DOEpatents

Reeves, Adam A.

1977-04-12

Hot stack gases transfer contained heat to a gravity flow of pebbles treated with a catalyst, cooled stacked gases and a sulfuric acid mist is withdrawn from the unit, and heat picked up by the pebbles is transferred to air for combustion or other process. The sulfuric acid (or sulfur, depending on the catalyst) is withdrawn in a recovery unit.

Monitoring and mass balance analysis of endocrine disrupting compounds and their transformation products in an anaerobic-anoxic-oxic wastewater treatment system in Xiamen, China.

PubMed

Ashfaq, Muhammad; Li, Yan; Wang, Yuwen; Qin, Dan; Rehman, Muhammad Saif Ur; Rashid, Azhar; Yu, Chang-Ping; Sun, Qian

2018-08-01

We investigated the occurrence, removal and mass balance of 8 endocrine disrupting compounds (EDCs), including estrone (E1), estradiol (E2), estriol (E3), ethinylestradiol (EE2), triclosan (TCS), triclocarbon (TCC), 4-n-nonyl phenol (NP) and 4-n-octyl phenol (OP), along with 5 of their transformation products (TPs), including 4-hydroxy estrone (4-OH E1), 4-hydroxy estradiol (4-OH E2), methyl triclosan (MeTCS), carbanilide (NCC), dichlorocarbanilide (DCC) in a wastewater treatment plant. Generally, E3 showed the highest concentrations in wastewater with median value of 514 ng/L in influent, while TCS and TCC showed highest level in sludge and suspended solids (SS) with median value of 960 and 724 μg/kg, respectively. Spatial variations were observed along each unit of the wastewater treatment processes for dissolved analytes in wastewater and adsorbed analytes in suspended solids and sludge. Special emphasis was placed to understand the mass load of EDCs and their TPs to the wastewater treatment unit and mass loss during the wastewater treatment processes. Mass loss based on both aqueous and suspended phase concentration revealed that majority of these chemicals were significantly removed during the treatment process except for TCS, TCC, and three of their TPs (MeTCS, NCC, DCC), which were released or generated during the treatment process. Mass load results showed that 42.4 g of these EDCs and their TPs entered this wastewater treatment system daily via influent, whereas 6.15 g and 7.60 g were discharged through effluent and sludge. Copyright © 2018 Elsevier Ltd. All rights reserved.

The effect of advanced secondary municipal wastewater treatment on the molecular composition of dissolved organic matter.

PubMed

Maizel, Andrew C; Remucal, Christina K

2017-10-01

There is a growing interest in water reuse and in recovery of nutrients from wastewater. Because many advanced treatment processes are designed to remove organic matter, a better understanding of the composition of dissolved organic matter (DOM) in wastewater is needed. To that end, we assessed DOM in the Nine Springs Wastewater Treatment Plant in Madison, Wisconsin by UV-visible spectroscopy and Fourier transform-ion cyclotron resonance mass spectrometry. Samples were collected from the influent and effluent of two different secondary treatment processes and their respective secondary clarifiers, the UV disinfection unit, and an Ostara treatment system, which produces struvite via chemical precipitation. The optical properties reveal that DOM throughout the plant is relatively aliphatic and is low in molecular weight compared to DOM in freshwater systems. Furthermore, the DOM is rich in heteroatoms (e.g., N, S, P, and Cl) and its molecular formulas are present in the lipid-, protein-, carbohydrate-, and lignin-like regions of van Krevelen diagrams. Secondary treatment produces DOM that is more aromatic and more complex, as shown by the loss of highly saturated formulas and the increase in the number of CHO, CHON, and CHOP formulas. The two secondary treatment processes produce DOM with distinct molecular compositions, while the secondary clarifiers and UV disinfection unit result in minimal changes in DOM composition. The Ostara process decreases the molecular weight of DOM, but does not otherwise alter its composition. The optical properties agree with trends in the molecular composition of DOM within the main treatment train of the Nine Springs plant. Copyright © 2017 Elsevier Ltd. All rights reserved.

Evaluation of components of residential treatment by Medicaid ICF-MR surveys: a validity assessment.

PubMed Central

Reid, D H; Parsons, M B; Green, C W; Schepis, M M

1991-01-01

We evaluated the proficiency of the federal Medicaid program's survey process for evaluating intermediate care facilities for the mentally retarded. In Study 1, an observational analysis of active treatment during leisure times in living units suggested that these surveys did not discriminate between certified and noncertified units. In Study 2, a reactivity analysis of a survey indicated that direct-care staff performed differently during the survey by increasing interactions with clients and decreasing nonwork behavior. Similarly, results of Study 3 showed increases in client access to leisure materials during a survey. In Study 4, questionnaire results indicated considerable variability among service providers' opinions on the consistency, accuracy, and objectivity with which survey teams determine agency standard compliance. Results are discussed regarding effects of the questionable proficiency of survey processes and the potential utility of behavioral assessment methodologies to improve such processes. PMID:1909696

Activated Sludge. Selected Instructional Activities and References. Instructional Resources Monograph Series.

ERIC Educational Resources Information Center

Shepard, Clinton L.; Walasek, James B.

This monograph contains a variety of selected materials related to wastewater treatment and water quality education and instruction. Part I presents a brief discussion of the activated sludge process in wastewater treatment operations. Part II, Instructional Units, contains selected portions of existing programs which may be utilized in…

Press fluid pre-treatment optimisation of the integrated generation of solid fuel and biogas from biomass (IFBB) process approach.

PubMed

Corton, John; Toop, Trisha; Walker, Jonathan; Donnison, Iain S; Fraser, Mariecia D

2014-10-01

The integrated generation of solid fuel and biogas from biomass (IFBB) system is an innovative approach to maximising energy conversion from low input high diversity (LIHD) biomass. In this system water pre-treated and ensiled LIHD biomass is pressed. The press fluid is anaerobically digested to produce methane that is used to power the process. The fibrous fraction is densified and then sold as a combustion fuel. Two process options designed to concentrate the press fluid were assessed to ascertain their influence on productivity in an IFBB like system: sedimentation and the omission of pre-treatment water. By concentrating press fluid and not adding water during processing, energy production from methane was increased by 75% per unit time and solid fuel productivity increased by 80% per unit of fluid produced. The additional energy requirements for pressing more biomass in order to generate equal volumes of feedstock were accounted for in these calculations. Copyright © 2014 Elsevier Ltd. All rights reserved.

Grand Junction projects office mixed-waste treatment program, VAC*TRAX mobile treatment unit process hazards analysis

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bloom, R.R.

1996-04-01

The objective of this report is to demonstrate that a thorough assessment of the risks associated with the operation of the Rust Geotech patented VAC*TRAX mobile treatment unit (MTU) has been performed and documented. The MTU was developed to treat mixed wastes at the US Department of Energy (DOE) Albuquerque Operations Office sites. The MTU uses an indirectly heated, batch vacuum dryer to thermally desorb organic compounds from mixed wastes. This process hazards analysis evaluated 102 potential hazards. The three significant hazards identified involved the inclusion of oxygen in a process that also included an ignition source and fuel. Changesmore » to the design of the MTU were made concurrent with the hazard identification and analysis; all hazards with initial risk rankings of 1 or 2 were reduced to acceptable risk rankings of 3 or 4. The overall risk to any population group from operation of the MTU was determined to be very low; the MTU is classified as a Radiological Facility with low hazards.« less

Styrene process condensate treatment with a combination process of UF and NF for reuse.

PubMed

Wang, Aijun; Liu, Guangmin; Huang, Jin; Wang, Lijuan; Li, Guangbin; Su, Xudong; Qi, Hong

2013-01-15

Aiming at reusing the SPC to save water resource and heat energy, a combination treatment process of UF/NF was applied to remove inorganic irons, suspended particles and little amount of organic contaminants in this article. To achieve the indexes of CODM≤5.00 mg L(-1), oil≤2.00 mg L(-1), conductivity≤10.00 μs cm(-1), pH of 6.0-8.0, the NF membrane process was adopted. It was necessary to employ a pretreatment process to reduce NF membrane fouling. Hence UF membrane as an efficient pretreatment unit was proposed to remove the inorganic particles, such as iron oxide catalyst, to meet the influent demands of NF. The effluent of UF, which was less than 0.02 mg L(-1) of total iron, went into a security filter and then was pumped into the NF process unit. High removal efficiencies of CODM, oil and conductivity were achieved by using NF process. The ABS grafting copolymerization experiment showed that the effluent of the combination process met the criteria of ABS production process, meanwhile the process could alleviate the environment pollution. It was shown that this combination process concept was feasible and successful in treating the SPC. Copyright © 2012 Elsevier B.V. All rights reserved.

Anaerobic Digestion. Instructor's Guide. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Carnegie, John W., Ed.

This instructor's guide contains materials needed to teach a four-lesson unit on anaerobic digestion control. These materials include: (1) unit overview; (2) lesson plans; (3) lecture outlines; (4) student worksheets for each lesson (with answers); and (5) two copies of a final quiz (with and without answers). Lesson 1 is a review of the theory of…

Activated Sludge. Instructor's Guide. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Boe, Owen K.

This instructor's guide contains the materials needed to teach a seven-lesson unit on activated sludge. These materials include an overview of the unit, lesson plans, lecture outlines (keyed to slides designed for use with the lessons), student worksheets for each of the seven lessons (with answers), and two copies of a final quiz (with and…

40 CFR 63.761 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... of hydrocarbon liquids or natural gas: after processing and/or treatment in the producing operations... point at which such liquids or natural gas enters a natural gas processing plant is a point of custody... dehydration unit is passed to remove entrained gas and hydrocarbon liquid. The GCG separator is commonly...

40 CFR 63.761 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... of hydrocarbon liquids or natural gas: after processing and/or treatment in the producing operations... point at which such liquids or natural gas enters a natural gas processing plant is a point of custody... dehydration unit is passed to remove entrained gas and hydrocarbon liquid. The GCG separator is commonly...

40 CFR 63.761 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... of hydrocarbon liquids or natural gas: after processing and/or treatment in the producing operations... point at which such liquids or natural gas enters a natural gas processing plant is a point of custody... dehydration unit is passed to remove entrained gas and hydrocarbon liquid. The GCG separator is commonly...

[Development, implementation, and analysis of a "collaborative decision-making for reasonable care" document in pediatric palliative care].

PubMed

Paoletti, M; Litnhouvongs, M-N; Tandonnet, J

2015-05-01

In France, a legal framework and guidelines state that decisions to limit treatments (DLT) require a collaborative decision meeting and a transcription of decisions in the patient's file. The do-not-attempt-resuscitation order involves the same decision-making process for children in palliative care. To fulfill the law's requirements and encourage communication within the teams, the Resource Team in Pediatric Palliative Care in Aquitaine created a document shared by all children's hospital units, tracing the decision-making process. This study analyzed the decision-making process, quality of information transmission, and most particularly the relevance of this new "collaborative decision-making for reasonable care" card. Retrospective study evaluating the implementation of a traceable document relating the DLT process. All the data sheets collected between January and December 2013 were analyzed. A total of 58 data sheets were completed between January and December 2013. We chose to collect the most relevant data to evaluate the relevance of the items to be completed and the transmission of the document, to draw up the patients' profile, and the contents of discussions with families. Of the 58 children for whom DLT was discussed, 41 data sheets were drawn up in the pediatric intensive care unit, seven in the oncology and hematology unit, five in the neonatology unit, four in the neurology unit, and one in the pneumology unit. For 30 children, one sheet was created, for 11 children, two sheets and for two children, three sheets were filled out. Thirty-nine decisions were made for withholding lifesaving treatment, 11 withdrawing treatment, and for five children, no limitation was set. Nine children survived after DLT. Of the 58 data sheets, only 31 discussions with families were related to the content of the data sheet. Of the 14 children transferred out of the unit with a completed data sheet, it was transmitted to the new unit for 11 children (79%). The number of data sheets collected in 1 year shows the value of this document. The participation of several pediatric specialities' referents in its creation, then its progressive presentation in the children's hospital units, were essential steps in introducing and establishing its use. Items describing the situation, management proposals, and adaptation of the children's supportive care were completed in the majority of cases. They correspond to a clinical description, the object of the discussion, and the daily caregiver's practices, respectively. On the other hand, discussions with families were related to the card's contents in only 53% of the cases. This can be explained by the time required to complete the DLT process. It is difficult for referring doctors to systematically, faithfully, and objectively transcribe discussions with parents. Although this process has been used for a long time in intensive care units, this document made possible an indispensable formalisation in the decision-making process. In other pediatric specialities, the sheet allowed introducing the palliative approach and was a starter and a tool for reflection on the do-not-attempt-resuscitation order, thus suggesting the need for anticipation in these situations. With the implementation of this new document, the DLT, data transmission, and continuity of care conditions were improved in the children's hospital units. Sharing this sheet with all professionals in charge of these children would support homogeneity and quality of management and care for children and their parents. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Evaluation of selected chemical processes for production of low-cost silicon, phase 3

NASA Technical Reports Server (NTRS)

Blocher, J. M., Jr.; Browning, M. F.; Seifert, D. A.

1981-01-01

A Process Development Unit (PDU), which consisted of the four major units of the process, was designed, installed, and experimentally operated. The PDU was sized to 50MT/Yr. The deposition took place in a fluidized bed reactor. As a consequences of the experiments, improvements in the design an operation of these units were undertaken and their experimental limitations were partially established. A parallel program of experimental work demonstrated that Zinc can be vaporized for introduction into the fluidized bed reactor, by direct induction-coupled r.f. energy. Residual zinc in the product can be removed by heat treatment below the melting point of silicon. Current efficiencies of 94 percent and above, and power efficiencies around 40 percent are achievable in the laboratory-scale electrolysis of ZnCl2.

Hanford facility dangerous waste permit application, general information portion. Revision 3

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sonnichsen, J.C.

1997-08-21

For purposes of the Hanford facility dangerous waste permit application, the US Department of Energy`s contractors are identified as ``co-operators`` and sign in that capacity (refer to Condition I.A.2. of the Dangerous Waste Portion of the Hanford Facility Resource Conservation and Recovery Act Permit). Any identification of these contractors as an ``operator`` elsewhere in the application is not meant to conflict with the contractors` designation as co-operators but rather is based on the contractors` contractual status with the U.S. Department of Energy, Richland Operations Office. The Dangerous Waste Portion of the initial Hanford Facility Resource Conservation and Recovery Act Permit,more » which incorporated five treatment, storage, and/or disposal units, was based on information submitted in the Hanford Facility Dangerous Waste Permit Application and in closure plan and closure/postclosure plan documentation. During 1995, the Dangerous Waste Portion was modified twice to incorporate another eight treatment, storage, and/or disposal units; during 1996, the Dangerous Waste Portion was modified once to incorporate another five treatment, storage, and/or disposal units. The permit modification process will be used at least annually to incorporate additional treatment, storage, and/or disposal units as permitting documentation for these units is finalized. The units to be included in annual modifications are specified in a schedule contained in the Dangerous Waste Portion of the Hanford Facility Resource Conservation and Recovery Act Permit. Treatment, storage, and/or disposal units will remain in interim status until incorporated into the Permit. The Hanford Facility Dangerous Waste Permit Application is considered to be a single application organized into a General Information Portion (this document, DOE/RL-91-28) and a Unit-Specific Portion. The scope of the Unit-Specific Portion is limited to individual operating treatment, storage, and/or disposal units for which Part B permit application documentation has been, or is anticipated to be, submitted. Documentation for treatment, storage, and/or disposal units undergoing closure, or for units that are, or are anticipated to be, dispositioned through other options, will continue to be submitted by the Permittees in accordance with the provisions of the Hanford Federal Facility Agreement and Consent Order. However, the scope of the General Information Portion includes information that could be used to discuss operating units, units undergoing closure, or units being dispositioned through other options. Both the General Information and Unit-Specific portions of the Hanford Facility Dangerous Waste Permit Application address the contents of the Part B permit application guidance documentation prepared by the Washington State Department of Ecology and the U.S. Environmental Protection Agency, with additional information needs defined by revisions of Washington Administrative Code 173-303 and by the Hazardous and Solid Waste Amendments. Documentation contained in the General Information Portion is broader in nature and could be used by multiple treatment, storage, and/or disposal units (i.e., either operating units, units undergoing closure, or units being dispositioned through other options).« less

Engineering design and test plan for demonstrating DETOX treatment of mixed wastes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Goldblatt, S.; Dhooge, P.

1995-03-01

DETOX is a cocatalyzed wet oxidation process in which the catalysts are a relatively great concentration of iron ions (typically as iron(III) chloride) in the presence of small amounts of platinum and ruthenium ions. Organic compounds are oxidized completely to carbon dioxide, water, and (if chlorinated) hydrogen chloride. The process has shown promise as a non-thermal alternative to incineration for treatment and/or volume reduction of hazardous, radioactive, and mixed wastes. Design and fabrication of a demonstration unit capable of destroying 25. Kg/hr of organic material is now in progress. This paper describes the Title 2 design of the demonstration unit,more » and the planned demonstration effort at Savannah River Site (SRS) and Weldon Spring Site Remedial Action Project (WSSRAP).« less

Linking performance benchmarking of refinery process chemicals to refinery key performance indicators

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cook, J.M.; Nieman, L.D.

In 1977 Solomon Associates, Inc. issued its first study of refining in the US entitled, Comparative Performance Analysis for Fuel Product Refineries, most commonly referred to as the Solomon Study, or the Fuels Study. In late 1993, both the Water and Waste Water Management, and Petroleum Divisions of Nalco Chemical Company came to the same conclusion; that they must have a better understanding of the Solomon Study process, and have some input to this system of measurement. The authors first approached Solomon Associates with the idea that a specific study should be done of specialty chemicals used in the refinery.more » They felt that this would result in two studies, one for water treatment applications, and one for process. The water treatment study came first, and was completed in 1993 with the United States Petroleum Refineries Water Treatment Performance Analysis for Operating Year 1993. The process study, entitled United States Petroleum Refinery Process Treatment Performance Analysis for Operating Years 1994--95 will be issued in the 2nd quarter of this year by Nalco/Exxon Energy Chemicals, L.P, which includes the combined resources of the former Petroleum Division of Nalco Chemical Company (including the petroleum related portions of most of its overseas companies), and the petroleum related specialty chemical operations of Exxon Chemical on a global basis. What follows is a recap of the process study focus, some examples of output, and comment on both the linkage to key refinery operating indicators, as well as the perception of the effect of such measurement on the supplier relationship of the future.« less

Challenges in Special Steel Making

NASA Astrophysics Data System (ADS)

Balachandran, G.

2018-02-01

Special bar quality [SBQ] is a long steel product where an assured quality is delivered by the steel mill to its customer. The bars have enhanced tolerance to higher stress application and it is demanded for specialised component making. The SBQ bars are sought for component making processing units such as closed die hot forging, hot extrusion, cold forging, machining, heat treatment, welding operations. The final component quality of the secondary processing units depends on the quality maintained at the steel maker end along with quality maintained at the fabricator end. Thus, quality control is ensured at every unit process stages. The various market segments catered to by SBQ steel segment is ever growing and is reviewed. Steel mills need adequate infrastructure and technological capability to make these higher quality steels. Some of the critical stages of processing SBQ and the critical quality maintenance parameters at the steel mill in the manufacture has been brought out.

Enhanced drinking water supply through harvested rainwater treatment

NASA Astrophysics Data System (ADS)

Naddeo, Vincenzo; Scannapieco, Davide; Belgiorno, Vincenzo

2013-08-01

Decentralized drinking water systems represent an important element in the process of achieving the Millennium Development Goals, as centralized systems are often inefficient or nonexistent in developing countries. In those countries, most water quality related problems are due to hygiene factors and pathogens. A potential solution might include decentralized systems, which might rely on thermal and/or UV disinfection methods as well as physical and chemical treatments to provide drinking water from rainwater. For application in developing countries, decentralized systems major constraints include low cost, ease of use, environmental sustainability, reduced maintenance and independence from energy sources. This work focuses on an innovative decentralized system that can be used to collect and treat rainwater for potable use (drinking and cooking purposes) of a single household, or a small community. The experimented treatment system combines in one compact unit a Filtration process with an adsorption step on GAC and a UV disinfection phase in an innovative design (FAD - Filtration Adsorption Disinfection). All tests have been carried out using a full scale FAD treatment unit. The efficiency of FAD technology has been discussed in terms of pH, turbidity, COD, TOC, DOC, Escherichia coli and Total coliforms. FAD technology is attractive since it provides a total barrier for pathogens and organic contaminants, and reduces turbidity, thus increasing the overall quality of the water. The FAD unit costs are low, especially if compared to other water treatment technologies and could become a viable option for developing countries.

Coagulation-Fenton coupled treatment for ecotoxicity reduction in highly polluted industrial wastewater.

PubMed

Perdigón-Melón, J A; Carbajo, J B; Petre, A L; Rosal, R; García-Calvo, E

2010-09-15

A coupled coagulation-Fenton process was applied for the treatment of cosmetic industry effluents. In a first step, FeSO(4) was used as coagulant and the non-precipitated Fe(2+) remaining in dissolution was used as catalyst in the further Fenton process. In the coagulation process a huge decrease in total organic carbon (TOC) was achieved, but the high concentration of phenol derivatives was not diminished. The decrease in TOC in the coagulation step significantly reduces the amount of H(2)O(2) required in the Fenton process for phenol depletion. The coupled process, using a H(2)O(2) dose of only 2 g l(-1), reduced TOC and total phenol to values lower than 40 and 0.10 mg l(-1), respectively. The short reaction period (less than 15 min) in TOC and phenol degradation bodes well for improving treatment in a continuous regime. The combination of both processes significantly reduced the ecotoxicity of raw effluent and markedly increased its biodegradability, thus allowing easier treatment by the conventional biological units in conventional sewage treatment plants (STPs). Copyright 2010 Elsevier B.V. All rights reserved.

The efficacy of potassium ferrate as a chemical disinfectant on E. coli, Vibrio cholera, human adenovirus, and Giardia lamblia - Abstract

EPA Science Inventory

Introduction: Drinking water and wastewater effluents go through numerous treatments to remove microorganisms and other contaminants in the United States. One of many processes along the treatment train is disinfection, and to date the most common disinfectants still remain chemi...

Biological Concepts. Student Manual. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Carnegie, John W.

This manual contains the textual material for a three-lesson unit which introduces students to the basic concepts applicable to all biological treatment systems. The general topic areas addressed in the lessons are: (1) the microorganisms found in biological systems; (2) the factors that affect the growth and health of biological systems; and (3)…

Satellite Image-based Estimates of Snow Water Equivalence in Restored Ponderosa Pine Forests in Northern Arizona

NASA Astrophysics Data System (ADS)

Sankey, T.; Springer, A. E.; O'Donnell, F. C.; Donald, J.; McVay, J.; Masek Lopez, S.

2014-12-01

The U.S. Forest Service plans to conduct forest restoration treatments through the Four Forest Restoration Initiative (4FRI) on hundreds of thousands of acres of ponderosa pine forest in northern Arizona over the next 20 years with the goals of reducing wildfire hazard and improving forest health. The 4FRI's key objective is to thin and burn the forests to create within-stand openings that "promote snowpack accumulation and retention which benefit groundwater recharge and watershed processes at the fine (1 to 10 acres) scale". However, little is known about how these openings created by restoration treatments affect snow water equivalence (SWE) and soil moisture, which are key parts of the water balance that greatly influence water availability for healthy trees and for downstream water users in the Sonoran Desert. We have examined forest canopy cover by calculating a Normalized Difference Vegetation Index (NDVI), a key indicator of green vegetation cover, using Landsat satellite data. We have then compared NDVI between treatments at our study sites in northern Arizona and have found statistically significant differences in tree canopy cover between treatments. The control units have significantly greater forest canopy cover than the treated units. The thinned units also have significantly greater tree canopy cover than the thin-and-burn units. Winter season Landsat images have also been analyzed to calculate Normalized Difference Snow Index (NDSI), a key indicator of snow water equivalence and snow accumulation at the treated and untreated forests. The NDSI values from these dates are examined to determine if snow accumulation and snow water equivalence vary between treatments at our study sites. NDSI is significantly greater at the treated units than the control units. In particular, the thinned forest units have significantly greater snow cover than the control units. Our results indicate that forest restoration treatments result in increased snow pack accumulation and this increase can be efficiently estimated at a landscape scale using satellite data.

Ozone processing of foods and beverages

USDA-ARS?s Scientific Manuscript database

Ozone has a long history of use as a disinfectant in food and beverage processing. In the United States, the application of ozone to disinfect bottled water was approved as Generally Recognized As Safe (GRAS) in 1982. Later it was approved as a sanitizing agent for bottled water treatment lines. Ozo...

Oxidation Ditches. Student Manual. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Nelsen, David

The textual material for a two-lesson unit on oxidation ditches is presented in this student manual. Topics discussed in the first lesson (introduction, theory, and components) include: history of the oxidation ditch process; various designs of the oxidation ditch; multi-trench systems; carrousel system; advantages and disadvantages of the…

40 CFR 63.146 - Process wastewater provisions-reporting.

Code of Federal Regulations, 2014 CFR

2014-07-01

... wastewater provisions—reporting. (a) For each waste management unit, treatment process, or control device... for Group 2 wastewater streams. This paragraph does not apply to Group 2 wastewater streams that are used to comply with § 63.138(g). For Group 2 wastewater streams, the owner or operator shall include...

40 CFR 63.146 - Process wastewater provisions-reporting.

Code of Federal Regulations, 2012 CFR

2012-07-01

... wastewater provisions—reporting. (a) For each waste management unit, treatment process, or control device... for Group 2 wastewater streams. This paragraph does not apply to Group 2 wastewater streams that are used to comply with § 63.138(g). For Group 2 wastewater streams, the owner or operator shall include...

40 CFR 63.146 - Process wastewater provisions-reporting.

Code of Federal Regulations, 2011 CFR

2011-07-01

... wastewater provisions—reporting. (a) For each waste management unit, treatment process, or control device... for Group 2 wastewater streams. This paragraph does not apply to Group 2 wastewater streams that are used to comply with § 63.138(g). For Group 2 wastewater streams, the owner or operator shall include...

40 CFR 63.146 - Process wastewater provisions-reporting.

Code of Federal Regulations, 2013 CFR

2013-07-01

... wastewater provisions—reporting. (a) For each waste management unit, treatment process, or control device... for Group 2 wastewater streams. This paragraph does not apply to Group 2 wastewater streams that are used to comply with § 63.138(g). For Group 2 wastewater streams, the owner or operator shall include...

Facultative Lagoons. Student Manual. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Andersen, Lorri

The textual material for a unit on facultative lagoons is presented in this student manual. Topic areas discussed include: (1) loading; (2) microbial theory; (3) structure and design; (4) process control; (5) lagoon start-up; (6) data handling and analysis; (7) lagoon maintenance (considering visual observations, pond structure, safety, odor,…

Anaerobic Digestion. Student Manual. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Carnegie, John W., Ed.

This student manual contains the textual material for a four-lesson unit on anaerobic digestion control. Areas addressed include: (1) anaerobic sludge digestion (considering the nature of raw sludge, purposes of anaerobic digestion, the results of digestion, types of equipment, and other topics); (2) digester process control (considering feeding…

Characteristics of greenhouse gas emission in three full-scale wastewater treatment processes.

PubMed

Yan, Xu; Li, Lin; Liu, Junxin

2014-02-01

Three full-scale wastewater treatment processes, Orbal oxidation ditch, anoxic/anaerobic/aerobic (reversed A2O) and anaerobic/anoxic/aerobic (A2O), were selected to investigate the emission characteristics of greenhouse gases (GHG), including carbon dioxide (CO2), methane (CH4) and nitrous oxide (N2O). Results showed that although the processes were different, the units presenting high GHG emission fluxes were remarkably similar, namely the highest CO2 and N2O emission fluxes occurred in the aerobic areas, and the highest CH4 emission fluxes occurred in the grit tanks. The GHG emission amount of each unit can be calculated from its area and GHG emission flux. The calculation results revealed that the maximum emission amounts of CO2, CH4 and N2O in the three wastewater treatment processes appeared in the aerobic areas in all cases. Theoretically, CH4 should be produced in anaerobic conditions, rather than aerobic conditions. However, results in this study showed that the CH4 emission fluxes in the forepart of the aerobic area were distinctly higher than in the anaerobic area. The situation for N2O was similar to that of CH4: the N2O emission flux in the aerobic area was also higher than that in the anoxic area. Through analysis of the GHG mass balance, it was found that the flow of dissolved GHG in the wastewater treatment processes and aerators may be the main reason for this phenomenon. Based on the monitoring and calculation results, GHG emission factors for the three wastewater treatment processes were determined. The A2O process had the highest CO2 emission factor of 319.3 g CO2/kg COD(removed), and the highest CH4 and N2O emission factors of 3.3 g CH4/kg COD(removed) and 3.6 g N2O/kg TN(removed) were observed in the Orbal oxidation ditch process.

An innovative sewage sludge reduction by using a combined mesophilic anaerobic and thermophilic aerobic process with thermal-alkaline treatment and sludge recirculation.

PubMed

Cho, Hyun Uk; Park, Sang Kyu; Ha, Jeong Hyub; Park, Jong Moon

2013-11-15

Lab-scale High Efficiency Digestion (HED) systems containing a Mesophilic Anaerobic Reactor (MAR), Thermophilic Aerobic Reactor (TAR), liquid/solid separation unit, and thermal-alkaline treatment were developed to evaluate the efficiencies of sludge reduction and methane production. The HED process was divided into three phases to examine the influence of sludge pretreatment and pretreated sludge recirculation using TCOD and VSS reduction, COD solubilization, and methane production. The VSS removal with a solid/liquid separation unit, sludge recirculation, and thermal-alkaline treatment drastically increased up to 95% compared to the feed concentration. In addition, the results of COD solubilization and VSS/TSS showed that the solubilization of cells and organic matters by the thermal-alkaline treatment was highly increased, which was also consistent with the SEM images. In particular, the methane production rate increased 24-fold when the feed sludge and recirculated sludge were pretreated together. Collectively, the HED experiments performed with sludge recirculation and thermal-alkaline treatment demonstrated that the HED systems can be successfully employed for highly efficient sewage sludge reduction and methane gas production. Copyright © 2013 Elsevier Ltd. All rights reserved.

Application of a combined process of moving-bed biofilm reactor (MBBR) and chemical coagulation for dyeing wastewater treatment.

PubMed

Shin, D H; Shin, W S; Kim, Y H; Han, Myung Ho; Choi, S J

2006-01-01

A combined process consisted of a Moving-Bed Biofilm Reactor (MBBR) and chemical coagulation was investigated for textile wastewater treatment. The pilot scale MBBR system is composed of three MBBRs (anaerobic, aerobic-1 and aerobic-2 in series), each reactor was filled with 20% (v/v) of polyurethane-activated carbon (PU-AC) carrier for biological treatment followed by chemical coagulation with FeCl2. ln the MBBR process, 85% of COD and 70% of color (influent COD = 807.5 mg/L and color = 3,400 PtCo unit) were removed using relatively low MLSS concentration and short hydraulic retention time (HRT = 44 hr). The biologically treated dyeing wastewater was subjected to chemical coagulation. After coagulation with FeCl2, 95% of COD and 97% of color were removed overall. The combined process of MBBR and chemical coagulation has promising potential for dyeing wastewater treatment.

Analysis and treatment of industrial wastewater through chemical coagulation-adsorption process-A case study of Clariant Pakistan limited

NASA Astrophysics Data System (ADS)

Ali Shah, Syed Farman; Shah, Abdul Karim; Mehdi, Ahmad; Memon, Aziza Aftab; Harijan, Khanji; Ali, Zeenat M.

2012-05-01

Textile dye manufacture processes are known as the most polluting chemical processes of industrial sectors of the world. Colored wastewaters along with many polluting agents are troublesome. They are heavily polluted with dyes, textile auxiliaries and chemicals. Current study applies a coupled technology for wastewater treatment. Combined coagulation-adsorption process was utilized for treatment of complex nature effluents of dyes, binder emulsion, pigments and textile chemicals plants at Clariant Pakistan. Cost effective coagulant and adsorbent was selected by using waste material from a power generation unit of Water and Power Development Authority (WAPDA), Pakistan. The treated effluent could be reused. Alum+ Activated Carbon, Ferrous sulfate+ Activated Carbon, Ferric chloride + Activated Carbon. Almost complete decolourization was achieved along with reduction in COD up to 65%. Pre and post treatment, TDS, COD, Turbidity and suspended solids were improved.

The Westgate Service and Related Referral, Assessment, and Treatment Processes.

PubMed

Bennett, Alice L

2015-12-01

The formerly named "Dangerous and Severe Personality Disorder" (DSPD) units are no longer standalone services within the criminal justice system in England and Wales. These sites now provide personality disorder treatment services in the high-security prison estate as part of the new national Offender Personality Disorder (OPD) Pathway Strategy. The OPD Pathway intends to take responsibility for the assessment, treatment, and management of offenders who are likely to have a personality disorder and who present a high risk of re-offending (men and women) and serious harm to others (men). Further PD treatment and progression services are being commissioned in lower security prisons and in the community as part of the new PD Strategy. While the suitability criteria for the two male high-security PD treatment sites are the same, the individual units have their own assessment and treatment methods. This article aims to communicate the referral, assessment, and treatment methods employed within the prison-based Westgate Personality Disorder Treatment Service, HMP Frankland. © The Author(s) 2014.

Treatment of silica effluents: ultrafiltration or coagulation-decantation.

PubMed

Ndiaye, P I; Moulin, P; Dominguez, L; Millet, J C; Charbit, F

2004-12-10

In the electronics industry, the preparation of silicon plates generates effluents that contain a great amount of colloidal silica. Two processes--decantation and ultrafiltration--are studied with in view the treatment of the effluents released by the firm Rockwood Electronic Materials. The feasibility of each of the two processes is studied separately and their operating parameters optimized. Both processes allow the recovery of a great proportion of the initial effluent (over 89%) as transparent and colorless water that can be reused at the start of a line. In view of the results and of the compared advantages and disadvantages of the two processes, ultrafiltration will be selected for the industrial unit.

Establishment and progress of the chest pain unit certification process in Germany and the local experiences of Mainz.

PubMed

Post, Felix; Gori, Tommaso; Senges, Jochen; Giannitsis, Evangelos; Katus, Hugo; Münzel, Thomas

2012-03-01

The establishment of chest pain units (CPUs) in the USA and UK has led to improvements in the prognosis of patients with chest pain and myocardial infarction, optimizing access to specialized diagnostic and therapeutic facilities and reducing costs. To establish a uniform implementation of this type of service in Germany, the German Cardiac Society (DGK) founded a 'CPU task force' in 2007, which developed a set of standard requirements and a nationwide certification programme. The recommendations for minimum standard requirements were published in 2008. As of November 2011, 132 CPUs were certified and 36 units were in the certification process. The aim of the DGK is to certify as many as 250 centres (units) throughout Germany within the next 2 years, to provide nationwide coverage. Applications from Switzerland are also being filed. Public awareness campaigns in cooperation with national league soccer teams were organized to raise awareness of the importance for early diagnosis and treatment of cardiac diseases and to publicize the existence of these new facilities. The German model of CPU certification allows nationwide and prospectively European-wide standardization of patient care and to improve adherence to international guidelines. Coupled with awareness campaigns and with the launch of a German CPU Registry, this process is aimed at improving the education and treatment of patients with chest pain and to provide scientific information about the quality of patient care.

Development of a novel wet oxidation process for hazardous and mixed wastes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Dhooge, P.M.

1994-12-31

Many DOE waste streams and remediates contain complex and variable mixtures of organic compounds, toxic metals, and radionuclides. These materials are often dispersed in organic or inorganic matrices, such as personal protective equipment, various sludges, soils, and water. The over all objective of the effort described here is to develop a novel catalytic wet oxidation process for the treatment of these multi-component wastes, with the aim of providing a versatile, non-thermal method which will destroy hazardous organic compounds while simultaneously containing and concentrating toxic and radioactive metals for recovery or disposal in a readily stabilized matrix. The DETOX process usesmore » a unique combination of metal catalysts to increase the rate of oxidation of organic materials. The metal catalysts are in the form of salts dissolved in a dilute acid solution. A typical catalyst composition is 60% ferric chloride, 3--4% hydrochloric acid, 0.13% platinum ions, and 0.13% ruthenium ions in a water solution. The catalyst solution is maintained at 423--473 K. Wastes are introduced into contact with the solution, where their organic portion is oxidized to carbon dioxide and water. If the organic portion is chlorinated, hydrogen chloride will be produced as a product. The process is a viable alternative to incineration for the treatment of organic mixed wastes. Estimated costs for waste treatment using the process are from $2.50/kg to $25.00/kg, depending on the size of the unit and the amount of waste processed. Process units can be mobile for on-site treatment of wastes. Results from phase 1 and 2, design and engineering studies, are described.« less

Estimation of GHG Emissions from Water Reclamation Plants in Beijing.

PubMed

Fan, Yupeng; Bai, Yanying; Jiao, Wentao

  A procedure for estimating Greenhouse gas (GHG) emissions from a wastewater reclamation plant in Beijing was developed based on the process chain model. GHG emissions under two typical water reclamation treatment processes, the coagulation-sedimentation-filtration traditional process and advanced biological treatment process, were examined. The total on-site GHG emissions were estimated to be 0.0056 kg/m 3 and 0.6765 kg/m 3 respectively, while total off-site GHG emissions were estimated to be 0.3699 kg/m 3 and 0.4816 kg/m 3 . The overall GHG emissions were 0.3755 kg/m 3 under the type 1 treatment, which is much lower than that under the type 2 of 1.1581 kg/m 3 . Emissions from both processes were lower than that from the tap water production. Wastewater reclamation and reuse should be promoted as it not only saves the water resources but also can reduce the GHG emissions. Energy consumption was the most significant source of GHG emissions. Biogas recovery should be employed as it can significantly reduce the GHG emissions, especially under the type 2 treatment process. Considering the wastewater treatment and reclamation process as a whole, the type 2 treatment process has advantages in reducing the GHG emissions per unit of pollutant. This paper provides scientific basis for decision making.

Analytic considerations and axiomatic approaches to the concept cell death and cell survival functions in biology and cancer treatment.

PubMed

Gkigkitzis, Ioannis; Haranas, Ioannis; Austerlitz, Carlos

2015-01-01

This study contains a discussion on the connection between current mathematical and biological modeling systems in response to the main research need for the development of a new mathematical theory for study of cell survival after medical treatment and cell biological behavior in general. This is a discussion of suggested future research directions and relations with interdisciplinary science. In an effort to establish the foundations for a possible framework that may be adopted to study and analyze the process of cell survival during treatment, we investigate the organic connection among an axiomatic system foundation, a predator-prey rate equation, and information theoretic signal processing. A new set theoretic approach is also introduced through the definition of cell survival units or cell survival units indicating the use of "proper classes" according to the Zermelo-Fraenkel set theory and the axiom of choice, as the mathematics appropriate for the development of biological theory of cell survival.

Cost effective modular unit for cleaning oil and gas field waste water

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zinberg, M.B.; Nenasheva, M.N.; Gafarov, N.A.

1996-12-31

Problems of environmental control involving conservation of water resources are vital for the development of giant oil and gas condensate fields near Caspian Sea (Russia) characterized by water shortages. One of the urgent tasks of oil production industry is to use all field waste water consisting of underground, processing and rain water. It was necessary to construct a new highly effective equipment which could be used in local waste water treatment. Now we have at our disposal a technology and equipment to meet the requirements to the treated water quality. Thus we have installed a modular unit of 100 m{supmore » 3}/a day capacity to clean waste water from oil products, suspended matter and other organic pollutants at Orenburg oil and gas condensate field, Russia. The unit provides with a full treatment of produced water and comprises a settling tank with adhesive facility, the number of sorption filters, Trofactor bioreactors and a disinfecting facility. The equipment is fitted into three boxes measuring 9 x 3.2 x 2.7 in each. The equipment is simple in design that enables to save money, time and space. Sorption filters, bioreactors as well as the Trofactor process are a part of know-how. While working on the unit construction we applied well known methods of settling and sorption. The process of mechanic cleaning is undergoing in the following succession: (1) the gravitational separation in a settling tank where the floated film oil products are constantly gathered and the sediment is periodically taken away, (2) the settled water treatment in sorption Filters of a special kind.« less

40 CFR 98.426 - Data reporting requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... municipal water/wastewater treatment. (3) Metal fabrication, including welding and cutting. (4) Greenhouse.... (13) Other. (g) Each production process unit that captures a CO2 stream for purposes of supplying CO2...

Radiation treatment for sterilization of packaging materials

NASA Astrophysics Data System (ADS)

Haji-Saeid, Mohammad; Sampa, Maria Helena O.; Chmielewski, Andrzej G.

2007-08-01

Treatment with gamma and electron radiation is becoming a common process for the sterilization of packages, mostly made of natural or synthetic plastics, used in the aseptic processing of foods and pharmaceuticals. The effect of irradiation on these materials is crucial for packaging engineering to understand the effects of these new treatments. Packaging material may be irradiated either prior to or after filling. The irradiation prior to filling is usually chosen for dairy products, processed food, beverages, pharmaceutical, and medical device industries in the United States, Europe, and Canada. Radiation effects on packaging material properties still need further investigation. This paper summarizes the work done by different groups and discusses recent developments in regulations and testing procedures in the field of packaging technology.

Closed Head Injury Patients: A Family Therapy Approach to the Rehabilitation Process.

ERIC Educational Resources Information Center

Zarski, John J.; And Others

1987-01-01

After recovering closed head injury (CHI) patients have obtained maximum benefit from the rehabilitation unit, they are usually returned to the home, with continued therapy services offered on an outpatient basis. Describes a family-focused assessment and treatment model which can be utilized during the home-based treatment phase of the CHI…

Engineering development and demonstration of DETOX{sup SM} wet oxidation for mixed waste treatment

DOE Office of Scientific and Technical Information (OSTI.GOV)

Dhooge, P.M.; Goldblatt, S.D.; Moslander, J.E.

1997-12-01

DETOX{sup SM}, a catalyzed chemical oxidation process, is under development for treatment of hazardous and mixed wastes at Department of Energy sites. To support this effort, developmental engineering studies have been formed for aspects of the process to help ensure safe and effective operation. Subscale agitation studies have been preformed to identify a suitable mixing head and speed for the primary reaction vessel agitator. Mechanisms for feeding solid waste materials to the primary reaction vessel have been investigated. Filtration to remove solid field process residue, and the use of various filtration aids, has been studied. Extended compatibility studies on themore » materials of construction have been performed. Due to a change to Rocky Flats Environmental Technology Site (RFETS) for the mixed waste portion of the demonstration, types of wastes suitable and appropriate for treatment at RFETS had to be chosen. A Prototype unit has been fabricated and will be demonstrated on hazardous and mixed wastes at Savannah River Site (SRS) and RFETS during 1997 and 1998. The unit is in shakedown testing at present. Data validation and an engineering evaluation will be performed during the demonstration.« less

Removal characteristics of pharmaceuticals and personal care products: Comparison between membrane bioreactor and various biological treatment processes.

PubMed

Park, Junwon; Yamashita, Naoyuki; Park, Chulhwi; Shimono, Tatsumi; Takeuchi, Daniel M; Tanaka, Hiroaki

2017-07-01

We investigated the concentrations of 57 target compounds in the different treatment units of various biological treatment processes in South Korea, including modified biological nutrient removal (BNR), anaerobic-anoxic-aerobic (A2O), and membrane bioreactor (MBR) systems, to elucidate the occurrence and removal fates of PPCPs in WWTPs. Biological treatment processes appeared to be most effective in eliminating most PPCPs, whereas some PPCPs were additionally removed by post-treatment. With the exception of the MBR process, the A2O system was effective for PPCPs removal. As a result, removal mechanisms were evaluated by calculating the mass balances in A2O and a lab-scale MBR process. The comparative study demonstrated that biodegradation was largely responsible for the improved removal performance found in lab-scale MBR (e.g., in removing bezafibrate, ketoprofen, and atenolol). Triclocarban, ciprofloxacin, levofloxacin and tetracycline were adsorbed in large amounts to MBR sludge. Increased biodegradability was also observed in lab-scale MBR, despite the highly adsorbable characteristics. The enhanced biodegradation potential seen in the MBR process thus likely plays a key role in eliminating highly adsorbable compounds as well as non-degradable or persistent PPCPs in other biological treatment processes. Copyright © 2017 Elsevier Ltd. All rights reserved.

DETOX{sup SM} catalyzed wet oxidation as a highly suitable pretreatment for vitrification

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rogers, T.W.; Dhooge, P.M.; Goldblatt, S.D.

1995-11-01

A catalyzed wet oxidation process has been developed which uses ferric iron in an acidic water solution to oxidize organic compounds in the presence of platinum ion and/or ruthenium ion catalysts. The process is capable of oxidizing a wide range of organic compounds to carbon dioxide and water with great efficiency. The process has been tested in the bench-scale with many different types of organics. Conceptual engineering for application of the process to treatment of liquid and solid organic waste materials has been followed by engineering design for a demonstration unit. Fabrication of the unit and demonstration on hazardous andmore » mixed wastes at two Department of Energy sites is planned in 1995 through 1997.« less

Factors in United States Forest Service district rangers' decision to manage a fire for resource benefit

Treesearch

Martha A. Williamson

2007-01-01

United States wildland fire policy and program reviews in 1995 and 2000 required both the reduction of hazardous fuel and recognition of fire as a natural process. Despite the fact that existing policy permits managing natural ignitions to meet resource benefits, or Wildland Fire Use (WFU), most fuel reduction projects rely on mechanical treatments and prescribed fire...

Owning the past, claiming the present: perspectives on the treatment of dissociative patients.

PubMed

Middleton, Warwick

2005-03-01

From the early 1990s there has been a growing awareness in Australia of dissociative processes and dissociative disorders. The objective in this paper is to provide a selective overview of the context and process of treatment based on the substantive dissociative disorders literature, ongoing clinical experience and research, and over 8 years as director of a trauma and dissociation unit at Belmont Hospital, Brisbane. The construct of individual selfhood is of direct relevance in illustrating the psychological damage sustained by patients who have relied on dissociative defences to survive, and in highlighting issues and areas that are a particular focus of informed treatment.

Initial antibiotic selection and patient outcomes: observations from the National Pneumonia Project.

PubMed

Bratzler, Dale W; Ma, Allen; Nsa, Wato

2008-12-01

Guidelines for empirical treatment of hospitalized patients with pneumonia provide specific recommendations for antibiotic selection that are primarily based on findings from observational studies. We conducted a retrospective study of 27,330 community-dwelling, immunocompetent Medicare patients (age, >65 years) with pneumonia who were hospitalized in 1998-1999 and 2000-2001. Associations between initial antimicrobial regimens and risk-adjusted mortality were assessed, accounting for differences in patient characteristics, comorbidities, illness severity, geographic location, and processes of care. Treatment with nonpseudomonal third-generation cephalosporin monotherapy constituted the reference group for comparisons. For patients not in the intensive care unit, initial treatment with fluoroquinolone monotherapy was associated with reduced in-hospital mortality, 14-day mortality, and 30-day mortality rates (adjusted odds ratio [AOR] for 30-day mortality, 0.7; 95% confidence interval [CI], 0.6-0.9; P = .001). The combination of a cephalosporin plus a macrolide was associated with reduced 14-day and 30-day mortality rates (AOR for 30-day mortality, 0.7; 95% CI, 0.6-0.9; P < .001). For intensive care unit patients, the combination of a cephalosporin and a macrolide was associated with reduced in-hospital mortality (AOR, 0.6; 95% CI, 0.3-0.9; P = .018). Initial antimicrobial treatment with the combination of a second- or third-generation cephalosporin and a macrolide or initial treatment with a fluoroquinolone was associated with a reduced 30-day mortality rate, compared with treatment with third-generation cephalosporin monotherapy, among non-intensive care unit patients. Although our results are consistent with other observational studies, controversy continues to exist about the use of nonexperimental cohort studies to demonstrate associations between processes of care, such as antibiotic selection, and patient outcomes.

Direct potable reuse microbial risk assessment methodology: Sensitivity analysis and application to State log credit allocations.

PubMed

Soller, Jeffrey A; Eftim, Sorina E; Nappier, Sharon P

2018-01-01

Understanding pathogen risks is a critically important consideration in the design of water treatment, particularly for potable reuse projects. As an extension to our published microbial risk assessment methodology to estimate infection risks associated with Direct Potable Reuse (DPR) treatment train unit process combinations, herein, we (1) provide an updated compilation of pathogen density data in raw wastewater and dose-response models; (2) conduct a series of sensitivity analyses to consider potential risk implications using updated data; (3) evaluate the risks associated with log credit allocations in the United States; and (4) identify reference pathogen reductions needed to consistently meet currently applied benchmark risk levels. Sensitivity analyses illustrated changes in cumulative annual risks estimates, the significance of which depends on the pathogen group driving the risk for a given treatment train. For example, updates to norovirus (NoV) raw wastewater values and use of a NoV dose-response approach, capturing the full range of uncertainty, increased risks associated with one of the treatment trains evaluated, but not the other. Additionally, compared to traditional log-credit allocation approaches, our results indicate that the risk methodology provides more nuanced information about how consistently public health benchmarks are achieved. Our results indicate that viruses need to be reduced by 14 logs or more to consistently achieve currently applied benchmark levels of protection associated with DPR. The refined methodology, updated model inputs, and log credit allocation comparisons will be useful to regulators considering DPR projects and design engineers as they consider which unit treatment processes should be employed for particular projects. Published by Elsevier Ltd.

Bioethanol production optimization: a thermodynamic analysis.

PubMed

Alvarez, Víctor H; Rivera, Elmer Ccopa; Costa, Aline C; Filho, Rubens Maciel; Wolf Maciel, Maria Regina; Aznar, Martín

2008-03-01

In this work, the phase equilibrium of binary mixtures for bioethanol production by continuous extractive process was studied. The process is composed of four interlinked units: fermentor, centrifuge, cell treatment unit, and flash vessel (ethanol-congener separation unit). A proposal for modeling the vapor-liquid equilibrium in binary mixtures found in the flash vessel has been considered. This approach uses the Predictive Soave-Redlich-Kwong equation of state, with original and modified molecular parameters. The congeners considered were acetic acid, acetaldehyde, furfural, methanol, and 1-pentanol. The results show that the introduction of new molecular parameters r and q in the UNIFAC model gives more accurate predictions for the concentration of the congener in the gas phase for binary and ternary systems.

Role of Conserved Oligomeric Golgi Complex in the Abnormalities of Glycoprotein Processing in Breast Cancer Cells

DTIC Science & Technology

2006-05-01

terminal oligosaccharide units serve as highly specific biological recognition molecules implicated in major regulatory processes of the cell...treatment or mock-treated for 9 days. To study the glycosylation process in COG complex depleted cells series of Pulse -Chase experiments have been...DAMD17-03-1-0243 TITLE: Role of the Conserved Oligomeric Golgi Complex in the Abnormalities of Glycoprotein Processing in Breast Cancer

Feasibility Study of the Geotextile Waste Filtration Unit.

DTIC Science & Technology

2000-02-10

Treatment Module 3-32 Figure 3-20. THE SCHEMATIC OF THE MOVING BED BIOFILM REACTOR ( MBBR ) 3൪ Figure 4-1. The Original Distributed Concept for WFUs...Moving Bed Biofilm Reactor ( MBBR ) process appears to be one of the most feasible processes available to meet Force Provider liquid waste stream...Moving Bed Biofilm Reactor ( MBBR ) process was then examined.31 In this system, both activated sludge and fixed-film processes occur in a bioreactor

Data regarding hydraulic fracturing distributions and treatment fluids, additives, proppants, and water volumes applied to wells drilled in the United States from 1947 through 2010

USGS Publications Warehouse

Gallegos, Tanya J.; Varela, Brian A.

2015-01-01

Comprehensive, published, and publicly available data regarding the extent, location, and character of hydraulic fracturing in the United States are scarce. The objective of this data series is to publish data related to hydraulic fracturing in the public domain. The spreadsheets released with this data series contain derivative datasets aggregated temporally and spatially from the commercial and proprietary IHS database of U.S. oil and gas production and well data (IHS Energy, 2011). These datasets, served in 21 spreadsheets in Microsoft Excel (.xlsx) format, outline the geographical distributions of hydraulic fracturing treatments and associated wells (including well drill-hole directions) as well as water volumes, proppants, treatment fluids, and additives used in hydraulic fracturing treatments in the United States from 1947 through 2010. This report also describes the data—extraction/aggregation processing steps, field names and descriptions, field types and sources. An associated scientific investigation report (Gallegos and Varela, 2014) provides a detailed analysis of the data presented in this data series and comparisons of the data and trends to the literature.

The comparison of greenhouse gas emissions in sewage treatment plants with different treatment processes.

PubMed

Masuda, Shuhei; Sano, Itsumi; Hojo, Toshimasa; Li, Yu-You; Nishimura, Osamu

2018-02-01

Greenhouse gas emissions from different sewage treatment plants: oxidation ditch process, double-circulated anoxic-oxic process and anoxic-oxic process were evaluated based on the survey. The methane and nitrous oxide characteristics were discussed based on the gaseous and dissolved gas profiles. As a result, it was found that methane was produced in the sewer pipes and the primary sedimentation tank. Additionally, a ventilation system would promote the gasification of dissolved methane in the first treatment units. Nitrous oxide was produced and emitted in oxic tanks with nitrite accumulation inside the sewage treatment plant. A certain amount of nitrous oxide was also discharged as dissolved gas through the effluent water. If the amount of dissolved nitrous oxide discharge is not included, 7-14% of total nitrous oxide emission would be overlooked. Based on the greenhouse gas calculation, electrical consumption and the N 2 O emission from incineration process were major sources in all the plants. For greenhouse gas reduction, oxidation ditch process has an advantage over the other advanced systems due to lower energy consumption, sludge production, and nitrogen removal without gas stripping. Copyright © 2017 Elsevier Ltd. All rights reserved.

[The cord blood bank at the Instituto Mexicano del Seguro Social].

PubMed

Peñaflor-Juárez, Karina; Guillén-Chan, Sonia Marilyn; Romero-Juárez, Yanín; Luna-Bautista, Fernando; Franco-Gutiérrez, Elizabeth; Arellano-Ocampo, Jesús Salvador; Ibáñez-Sánchez, Rocío; de Lourdes Domínguez-Contreras, María; Guerra-Márquez, Angel

2015-01-01

Hematopoietic stem cells have been used for over 50 years in the treatment of diverse diseases. Umbilical cord blood (UCB) has proved to be a viable source of hematopoietic stem cells for transplantation purposes. The aim was to report the contribution of the umbilical cord blood bank over the past 9 years, in the treatment of various diseases. Since 2005 the number of units of blood from the umbilical cord and their use for transplantation in diverse disease were analyzed. A selection of volunteer pregnant women in labor was performed. Umbilical cord blood was obtained from them, which underwent processing, cryopreservation and validation, as well as compatibility test before using for transplantation. Ten thousand and ninety nine candidates to donation were assessed, from whom 2481 unit of UCB were collected. Of these, 893 unit were processed and cryopreserved for transplantation. In 65% of cases there was histocompatibility between the cord cell and the receptors. Transplantation was done in 87 patients, 67% had hematologic neoplasias, who have received 140 units of UCB in 102 transplants. This Bank of UCB ranks second in the world in productivity according to the rate of utility of units in transplantation (3.3%). Our bank of UCB has been able to develop a cell line (hematopoietic stem cells) with international quality standards and has been beneficial for patients served by our institution with need of a transplant mainly in hemato-oncologic patients.

Examination of the operator and compensator tank role in urban wastewater treatment using activated sludge method.

PubMed

Mokhtari Azar, Akbar; Ghadirpour Jelogir, Ali; Nabi Bidhendi, Gholam Reza; Zaredar, Narges

2011-04-01

No doubt, operator is one of the main fundaments in wastewater treatment plants. By identifying the inadequacies, the operator could be considered as an important key in treatment plant. Several methods are used for wastewater treatment that requires spending a lot of cost. However, all investments of treatment facilities are usable when the expected efficiency of the treatment plant was obtained. Using experienced operator, this goal is more easily accessible. In this research, the wastewater of an urban community contaminated with moderated, diluted and highly concentrated pollution has been treated using surface and deep aeration treatment method. Sampling of these pilots was performed during winter 2008 to summer 2009. The results indicate that all analyzed parameters were eliminated using activated sludge and surface aeration methods. However, in activated sludge and deep aeration methods in combination with suitable function of operator, more pollutants could be eliminated. Hence, existence of operator in wastewater treatment plants is the basic principle to achieve considered efficiency. Wastewater treatment system is not intelligent itself and that is the operator who can organize even an inefficient system by its continuous presence. The converse of this fact is also real. Despite the various units and appropriate design of wastewater treatment plant, without an operator, the studied process cannot be expected highly efficient. In places frequently affected by the shock of organic and hydraulic loads, the compensator tank is important to offset the wastewater treatment process. Finally, in regard to microbial parameters, existence of disinfection unit is very useful.

A worldwide comparison of the management of surgical treatment of advanced oral cancer.

PubMed

Kansy, Katinka; Mueller, Andreas Albert; Mücke, Thomas; Koersgen, Friederike; Wolff, Klaus Dietrich; Zeilhofer, Hans-Florian; Hölzle, Frank; Pradel, Winnie; Schneider, Matthias; Kolk, Andreas; Smeets, Ralf; Acero, Julio; Haers, Piet; Ghali, G E; Hoffmann, Jürgen

2018-03-01

Microvascular surgery following tumor resection has become an important field of oral and maxillofacial surgery (OMFS). Following the results from management of T1/T2 floor-of-mouth and tongue squamous cell carcinoma (SCC) in German-speaking countries, Europe, and worldwide, this paper presents specific concepts for the management of resection and reconstruction of T3/T4 SCC of the maxillary and mandibular alveolar process and tongue. The DÖSAK questionnaire was distributed in three different phases to a growing number of maxillofacial units worldwide. Within this survey, clinical patient settings were presented to participants and center-specific treatment strategies were evaluated. A total of 188 OMFS units from 36 different countries documented their treatment strategies for T3/T4 maxillary and mandibular alveolar process and tongue SCC. The extent of surgical resections and subsequent reconstructions is more consistent than with T1/T2 tumors, although the controversy surrounding continuity resections and mandible-sparing procedures remains. For continuity resection of the mandible the fibula free flap is the most frequently used bone replacement, whereas maxilla reconstruction concepts are less consistent, ranging from locoregional coverage concepts and different microvascular reconstruction options to treatment via obturator prosthesis. Results from treatment strategies for T3/T4 tumors underline the limited evidence for the appropriate amount of resection and subsequent reconstruction process, especially in cases involving the mandible. Prospective randomized trials will be necessary in the long term to establish valid treatment guidelines. Copyright © 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Carbon footprint of aerobic biological treatment of winery wastewater.

PubMed

Rosso, D; Bolzonella, D

2009-01-01

The carbon associated with wastewater and its treatment accounts for approximately 6% of the global carbon balance. Within the wastewater treatment industry, winery wastewater has a minor contribution, although it can have a major impact on wine-producing regions. Typically, winery wastewater is treated by biological processes, such as the activated sludge process. Biomass produced during treatment is usually disposed of directly, i.e. without digestion or other anaerobic processes. We applied our previously published model for carbon-footprint calculation to the areas worldwide producing yearly more than 10(6) m(3) of wine (i.e., France, Italy, Spain, California, Argentina, Australia, China, and South Africa). Datasets on wine production from the Food and Agriculture Organisation were processed and wastewater flow rates calculated with assumptions based on our previous experience. Results show that the wine production, hence the calculated wastewater flow, is reported as fairly constant in the period 2005-2007. Nevertheless, treatment process efficiency and energy-conservation may play a significant role on the overall carbon-footprint. We performed a sensitivity analysis on the efficiency of the aeration process (alphaSOTE per unit depth, or alphaSOTE/Z) in the biological treatment operations and showed significant margin for improvement. Our results show that the carbon-footprint reduction via aeration efficiency improvement is in the range of 8.1 to 12.3%.

Rehabilitation of sucking and swallowing alterations in premature newborn at the neonatal intensive care unit.

PubMed

Aguilar-Vázquez, Edda; Pérez-Padilla, M Lucía; Martín-López, M de Lourdes; Romero-Hernández, Adriana Abigail

2018-01-01

Over the last 20 years, 640 premature newborns with alterations in suction-deglution have been taken care of in the neonatal intensive care unit at the Hospital Infantil de México Federico Gómez, using techniques for patients with immaturity, and neurological, gastrointestinal, cardiologic and respiratory pathologies. This descriptive study includes the treatment employed mainly in premature newborns during this period. Suction, swallowing and breathing coordination are some of the most complex abilities that premature newborns face, due to their anatomofunctional immaturity and improper sensoriomotor integration for the high energy requirements they must meet. Sucking and swallowing are voluntary and involuntary processes that guarantee the safe passage of food from mouth to stomach, and require the coordination of the cranial nerves, the brain stem and cerebral cortex and muscles of the mouth, pharynx and esophagus. The rehabilitation treatment consists in the positioning of the newborn and caretaker, adaptation of teat, regulation of muscle tone and progressive intake of milk. The feeding processing was reduced to 1.5 weeks in newborns submitted to treatment, whereas in those who did not receive the treatment, the proccess took up to 3 weeks. Copyright: © 2018 Permanyer.

Treatment of Bottled Liquid Waste During Remediation of the Hanford 618-10 Burial Ground - 13001

DOE Office of Scientific and Technical Information (OSTI.GOV)

Faulk, Darrin E.; Pearson, Chris M.; Vedder, Barry L.

2013-07-01

A problematic waste form encountered during remediation of the Hanford Site 618-10 burial ground consists of bottled aqueous waste potentially contaminated with regulated metals. The liquid waste requires stabilization prior to landfill disposal. Prior remediation activities at other Hanford burial grounds resulted in a standard process for sampling and analyzing liquid waste using manual methods. Due to the highly dispersible characteristics of alpha contamination, and the potential for shock sensitive chemicals, a different method for bottle processing was needed for the 618-10 burial ground. Discussions with the United States Department of Energy (DOE) and United States Environmental Protection Agency (EPA)more » led to development of a modified approach. The modified approach involves treatment of liquid waste in bottles, up to one gallon per bottle, in a tray or box within the excavation of the remediation site. Bottles are placed in the box, covered with soil and fixative, crushed, and mixed with a Portland cement grout. The potential hazards of the liquid waste preclude sampling prior to treatment. Post treatment verification sampling is performed to demonstrate compliance with land disposal restrictions and disposal facility acceptance criteria. (authors)« less

Targeting treatment technologies to address specific stormwater pollutants and numeric discharge limits.

PubMed

Clark, Shirley E; Pitt, Robert

2012-12-15

Stormwater treatment is entering a new phase with stormwater management systems being required to meet specific numeric objectives, as opposed to the historic approach of meeting guidance-document-provided percent removal rates. Meeting numeric discharge requirements will require designers to better understand and apply the physical, chemical, and biological processes underpinning these treatment technologies. This critical review paper focuses on the potential unit treatment operations available for stormwater treatment and outlines how to identify the most applicable treatment options based on the needed pollutant removal goals. Copyright © 2012 Elsevier Ltd. All rights reserved.

UV Light Inactivation of Human and Plant Pathogens in Unfiltered Surface Irrigation Water

PubMed Central

Jones, Lisa A.; Worobo, Randy W.

2014-01-01

Fruit and vegetable growers continually battle plant diseases and food safety concerns. Surface water is commonly used in the production of fruits and vegetables and can harbor both human- and plant-pathogenic microorganisms that can contaminate crops when used for irrigation or other agricultural purposes. Treatment methods for surface water are currently limited, and there is a need for suitable treatment options. A liquid-processing unit that uses UV light for the decontamination of turbid juices was analyzed for its efficacy in the treatment of surface waters contaminated with bacterial or oomycete pathogens, i.e., Escherichia coli, Salmonella enterica, Listeria monocytogenes, Clavibacter michiganensis subsp. michiganensis, Pseudomonas syringae pv. tomato, and Phytophthora capsici. Five-strain cocktails of each pathogen, containing approximately 108 or 109 CFU/liter for bacteria or 104 or 105 zoospores/liter for Ph. capsici, were inoculated into aliquots of two turbid surface water irrigation sources and processed with the UV unit. Pathogens were enumerated before and after treatment. In general, as the turbidity of the water source increased, the effectiveness of the UV treatment decreased, but in all cases, 99.9% or higher inactivation was achieved. Log reductions ranged from 10.0 to 6.1 and from 5.0 to 4.2 for bacterial pathogens and Ph. capsici, respectively. PMID:24242253

UV light inactivation of human and plant pathogens in unfiltered surface irrigation water.

PubMed

Jones, Lisa A; Worobo, Randy W; Smart, Christine D

2014-02-01

Fruit and vegetable growers continually battle plant diseases and food safety concerns. Surface water is commonly used in the production of fruits and vegetables and can harbor both human- and plant-pathogenic microorganisms that can contaminate crops when used for irrigation or other agricultural purposes. Treatment methods for surface water are currently limited, and there is a need for suitable treatment options. A liquid-processing unit that uses UV light for the decontamination of turbid juices was analyzed for its efficacy in the treatment of surface waters contaminated with bacterial or oomycete pathogens, i.e., Escherichia coli, Salmonella enterica, Listeria monocytogenes, Clavibacter michiganensis subsp. michiganensis, Pseudomonas syringae pv. tomato, and Phytophthora capsici. Five-strain cocktails of each pathogen, containing approximately 10(8) or 10(9) CFU/liter for bacteria or 10(4) or 10(5) zoospores/liter for Ph. capsici, were inoculated into aliquots of two turbid surface water irrigation sources and processed with the UV unit. Pathogens were enumerated before and after treatment. In general, as the turbidity of the water source increased, the effectiveness of the UV treatment decreased, but in all cases, 99.9% or higher inactivation was achieved. Log reductions ranged from 10.0 to 6.1 and from 5.0 to 4.2 for bacterial pathogens and Ph. capsici, respectively.

The structure-directed effect of Al-based metal–organic frameworks on fabrication of alumina by thermal treatment

DOE Office of Scientific and Technical Information (OSTI.GOV)

Liu, Dandan, E-mail: liudandan_upc@126.com; Dai, Fangna, E-mail: fndai@upc.edu.cn; Collage of Science, China University of Petroleum

2015-05-15

Highlights: • We use Al-MOFs as precursor in the fabrication process of mesoporous alumina by thermal treatment. • The obtained mesoporous alumina has dual pore system and five-fold aluminum. • The aluminum building units in the precursor show structure-directed effect on the formation of alumina. - Abstract: In this work, the block-shaped Al-based metal–organic frameworks (Al-MOFs) MIL-53 have been synthesized by hydrothermal method. To detect the correlation between the structure of Al-MOFs and the formation of alumina, the ligands are eliminated by thermal treatment. MIL-53 and the calcination products were characterized by X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR),more » scanning electron microscope (SEM), transmission electron microscopy (TEM), nitrogen adsorption–desorption and solid-state {sup 27}Al nuclear magnetic resonance ({sup 27}Al NMR). It was found that after calcination, the block-shaped Al-MOFs precursor turns into high-crystallinity mesoporous alumina nanosheets, and the thermal treatment product γ-alumina possesses a dual pore system and a large surface area (146 m{sup 2}/g), with five-fold aluminum. During the thermal treatment process, the structure of MIL-53 and its secondary building units have structure-directed effect in the formation of alumina.« less

Electric furnace dust: Can you bury the hazard?

DOE Office of Scientific and Technical Information (OSTI.GOV)

McManus, G.J.

1996-04-01

Electric furnace waste treatment is moving into high gear, but the exact direction is unclear. On one hand, there is a trend toward complete recycling of the dust captured in furnace baghouses. Iron units as well as zinc and other elements are being reclaimed. On the other side, recent actions by regulators indicate recycling may not be required at all. With the correct chemical stabilization, it appears, dust may simply be placed in ordinary landfill. This paper describes three processes for waste treatment of furnace dust: Super Detox, a process for zinc removal from galvanized scrap before melting, and themore » INMETCO process.« less

Integrating fuel treatment into ecosystem management: A proposed project planning process

Treesearch

Keith D. Stockmann; Kevin D. Hyde; J. Greg Jones; Dan R. Loeffler; Robin P. Silverstein

2010-01-01

Concern over increased wildland fire threats on public lands throughout the western United States makes fuel reduction activities the primary driver of many management projects. This single-issue focus recalls a management planning process practiced frequently in recent decades - a least-harm approach where the primary objective is first addressed and then plans are...

Comparison of microbial community shifts in two parallel multi-step drinking water treatment processes.

PubMed

Xu, Jiajiong; Tang, Wei; Ma, Jun; Wang, Hong

2017-07-01

Drinking water treatment processes remove undesirable chemicals and microorganisms from source water, which is vital to public health protection. The purpose of this study was to investigate the effects of treatment processes and configuration on the microbiome by comparing microbial community shifts in two series of different treatment processes operated in parallel within a full-scale drinking water treatment plant (DWTP) in Southeast China. Illumina sequencing of 16S rRNA genes of water samples demonstrated little effect of coagulation/sedimentation and pre-oxidation steps on bacterial communities, in contrast to dramatic and concurrent microbial community shifts during ozonation, granular activated carbon treatment, sand filtration, and disinfection for both series. A large number of unique operational taxonomic units (OTUs) at these four treatment steps further illustrated their strong shaping power towards the drinking water microbial communities. Interestingly, multidimensional scaling analysis revealed tight clustering of biofilm samples collected from different treatment steps, with Nitrospira, the nitrite-oxidizing bacteria, noted at higher relative abundances in biofilm compared to water samples. Overall, this study provides a snapshot of step-to-step microbial evolvement in multi-step drinking water treatment systems, and the results provide insight to control and manipulation of the drinking water microbiome via optimization of DWTP design and operation.

The toxicity of ammonia/ammonium to the vermifiltration wastewater treatment process.

PubMed

Hughes, R J; Nair, J; Ho, G

2008-01-01

This study was undertaken to assess the toxicity of ammonia/ammonium to key species within the vermifiltration process. The key species, the earthworm Eisenia fetida, was subjected to a series of tests in solid phase mesocosms and full-scale units. The solid phase tests showed a relatively low toxicity to ammonium with ammonium chloride having an LC50 for ammonium of 1.49 g/kg. Ammonium sulfate did not show an effect on mortality at 2 g/kg ammonium. The full-scale units showed that ammonia hydroxide can change the pH and concentration of ammonia in wastewater and while it caused some mortality to the worms its overall affect on system functioning was minimal with no significant difference in terms of worm survival found between treatments. The affect on nitrifying bacteria was also minimal with no linear trend shown with ammonia concentration. IWA Publishing 2008.

ED-WAVE tool design approach: Case of a textile wastewater treatment plant in Blantyre, Malawi

NASA Astrophysics Data System (ADS)

Chipofya, V.; Kraslawski, A.; Avramenko, Y.

The ED-WAVE tool is a PC based package for imparting training on wastewater treatment technologies. The system consists of four modules viz. Reference Library, Process Builder, Case Study Manager, and Treatment Adviser. The principles of case-based design and case-based reasoning as applied in the ED-WAVE tool are utilised in this paper to evaluate the design approach of the wastewater treatment plant at Mapeto David Whitehead & Sons (MDW&S) textile and garments factory, Blantyre, Malawi. The case being compared with MDW&S in the ED-WAVE tool is Textile Case 4 in Sri Lanka (2003). Equalisation, coagulation and rotating biological contactors is the sequencing of treatment units at Textile Case 4 in Sri Lanka. Screening, oxidation ditches and sedimentation is the sequencing of treatment units at MDW&S textile and garments factory. The study suggests that aerobic biological treatment is necessary in the treatment of wastewater from a textile and garments factory. MDW&S incorporates a sedimentation process which is necessary for the removal of settleable matter before the effluent is discharged to the municipal wastewater treatment plant. The study confirmed the practical use of the ED-WAVE tool in the design of wastewater treatment systems, where after encountering a new situation; already collected decision scenarios (cases) are invoked and modified in order to arrive at a particular design alternative. What is necessary, however, is to appropriately modify the case arrived at through the Case Study Manager in order to come up with a design appropriate to the local situation taking into account technical, socio-economic and environmental aspects.

Aeromedical Aspects of Findings from Aircraft-Assisted Pilot Suicides in the United States, 1993-2002

DTIC Science & Technology

2006-03-01

s us pe ct o f a rs on 10 - - - - - - U nd et er m in ed 11 Y - - - - - R es tra...assessment process. The most prevalent avenue for the treatment of depression is the use of Selective Serotonin Reuptake-Inhibitors ( SSRIs ...Aeromedical Aspects of Aircraft-Assisted Pilot Suicides in the United States, 1993-2002 7. Author( s ) 8. Performing Organization Report No. Johnson

The employee’s productivity in the health care sector in Poland and their impact on the treatment process of patients undergoing elective laparoscopic cholecystectomy

PubMed Central

Rosiek, Anna; Rosiek-Kryszewska, Aleksandra; Leksowski, Łukasz; Kornatowski, Tomasz; Leksowski, Krzysztof

2016-01-01

Background Increasing the engagement of employees in the treatment process of patients may benefit a hospital and employee productivity and may result in better patient care and satisfaction with medical services. Given this, the first step in improving the quality of patient care is better availability of doctors for patients in a hospital ward. Methods The research for this paper was conducted in six health care units in the Kuyavian-Pomeranian province in Poland. The research assessed how the elements relating to employees’ behavior and things characteristic to medical service influence patients’ willingness to recommend a hospital. Results Patients’ perception of services is linked with the behavior of medical employees and their engagement in the treatment process. Conclusion Our research indicates that individual employee recognition and collective recognition of hospital employees as a whole were identified as the most important factors in employee engagement in the treatment process (employee productivity) and patients’ satisfaction with medical service. PMID:27980396

A frontier analysis approach for benchmarking hospital performance in the treatment of acute myocardial infarction.

PubMed

Stanford, Robert E

2004-05-01

This paper uses a non-parametric frontier model and adaptations of the concepts of cross-efficiency and peer-appraisal to develop a formal methodology for benchmarking provider performance in the treatment of Acute Myocardial Infarction (AMI). Parameters used in the benchmarking process are the rates of proper recognition of indications of six standard treatment processes for AMI; the decision making units (DMUs) to be compared are the Medicare eligible hospitals of a particular state; the analysis produces an ordinal ranking of individual hospital performance scores. The cross-efficiency/peer-appraisal calculation process is constructed to accommodate DMUs that experience no patients in some of the treatment categories. While continuing to rate highly the performances of DMUs which are efficient in the Pareto-optimal sense, our model produces individual DMU performance scores that correlate significantly with good overall performance, as determined by a comparison of the sums of the individual DMU recognition rates for the six standard treatment processes. The methodology is applied to data collected from 107 state Medicare hospitals.

Evaluation of the Treatment Process of Landfill Leachate Using the Toxicity Assessment Method

PubMed Central

Qiu, Aifeng; Cai, Qiang; Zhao, Yuan; Guo, Yingqing; Zhao, Liqian

2016-01-01

Landfill leachate is composed of a complex composition with strong biological toxicity. The combined treatment process of coagulation and sedimentation, anaerobics, electrolysis, and aerobics was set up to treat landfill leachate. This paper explores the effect of different operational parameters of coagulation and sedimentation tanks and electrolytic cells, while investigating the combined process for the removal efficiency of physicochemical indices after processing the landfill leachate. Meanwhile, a battery of toxicity tests with Vibrio fischeri, zebrafish larvae, and embryos were conducted to evaluate acute toxicity and calculated the toxicity reduction efficiency after each treatment process. The combined treatment process resulted in a 100% removal efficiency of Cu, Cd and Zn, and a 93.50% and an 87.44% removal efficiency of Ni and Cr, respectively. The overall removal efficiency of chemical oxygen demand (COD), ammonium nitrogen (NH4+-N), and total nitrogen (TN) were 93.57%, 97.46% and 73.60%, respectively. In addition, toxicity test results showed that the acute toxicity of landfill leachate had also been reduced significantly: toxicity units (TU) decreased from 84.75 to 12.00 for zebrafish larvae, from 82.64 to 10.55 for zebrafish embryos, and from 3.41 to 0.63 for Vibrio fischeri. The combined treatment process was proved to be an efficient treatment method to remove heavy metals, COD, NH4+-N, and acute bio-toxicity of landfill leachate. PMID:28009808

Evaluation of the Treatment Process of Landfill Leachate Using the Toxicity Assessment Method.

PubMed

Qiu, Aifeng; Cai, Qiang; Zhao, Yuan; Guo, Yingqing; Zhao, Liqian

2016-12-21

Landfill leachate is composed of a complex composition with strong biological toxicity. The combined treatment process of coagulation and sedimentation, anaerobics, electrolysis, and aerobics was set up to treat landfill leachate. This paper explores the effect of different operational parameters of coagulation and sedimentation tanks and electrolytic cells, while investigating the combined process for the removal efficiency of physicochemical indices after processing the landfill leachate. Meanwhile, a battery of toxicity tests with Vibrio fischeri , zebrafish larvae, and embryos were conducted to evaluate acute toxicity and calculated the toxicity reduction efficiency after each treatment process. The combined treatment process resulted in a 100% removal efficiency of Cu, Cd and Zn, and a 93.50% and an 87.44% removal efficiency of Ni and Cr, respectively. The overall removal efficiency of chemical oxygen demand (COD), ammonium nitrogen (NH₄⁺-N), and total nitrogen (TN) were 93.57%, 97.46% and 73.60%, respectively. In addition, toxicity test results showed that the acute toxicity of landfill leachate had also been reduced significantly: toxicity units (TU) decreased from 84.75 to 12.00 for zebrafish larvae, from 82.64 to 10.55 for zebrafish embryos, and from 3.41 to 0.63 for Vibrio fischeri . The combined treatment process was proved to be an efficient treatment method to remove heavy metals, COD, NH₄⁺-N, and acute bio-toxicity of landfill leachate.

Sewage Treatment

NASA Technical Reports Server (NTRS)

1976-01-01

A million gallon-a-day sewage treatment plant in Huntington Beach, CA converts solid sewage to activated carbon which then treats incoming waste water. The plant is scaled up 100 times from a mobile unit NASA installed a year ago; another 100-fold scale-up will be required if technique is employed for widespread urban sewage treatment. This unique sewage-plant employed a serendipitous outgrowth of a need to manufacture activated carbon for rocket engine insulation. The process already exceeds new Environmental Protection Agency Standards Capital costs by 25% compared with conventional secondary treatment plants.

The Full-Scale Implementation of an Innovative

EPA Pesticide Factsheets

Across the United States, high levels of ammonia in drinking watersources can be found. Although ammonia in water does not posea direct health concern, ammonia nitrification can cause a numberof issues and reduce the effectiveness of some treatment processes.An innovative biological ammonia-removal drinking watertreatment process was developed and, after the success of a pilotstudy, a full-scale treatment system using the process was built ina small Iowa community. The treatment plant included a uniqueaeration contactor design that is able to consistently reduceammonia from 3.3 mg of nitrogen/L to nearly nondetectable aftera biofilm acclimation period. Close system monitoring wasperformed to avoid excess nitrite release during acclimation, andphosphate was added to enhance biological activity on the basisof pilot study findings. The treatment system is robust, reliable,and relatively simple to operate. The operations and effectivenessof the treatment plant were documented in the study.This dataset is associated with the following publication:Lytle , D., D. Williams , C. Muhlen , M. Pham , K. Kelty , M. Wildman, G. Lang, M. Wilcox, and M. Kohne. The Full-Scale Implementation of an Innovative Biological Ammonia Treatment Process. Journal AWWA. American Water Works Association, Denver, CO, USA, 107(12): E648-E665, (2015).

Optimizing biomass feedstock logistics for forest residue processing and transportation on a tree-shaped road network

Treesearch

Hee Han; Woodam Chung; Lucas Wells; Nathaniel Anderson

2018-01-01

An important task in forest residue recovery operations is to select the most cost-efficient feedstock logistics system for a given distribution of residue piles, road access, and available machinery. Notable considerations include inaccessibility of treatment units to large chip vans and frequent, long-distance mobilization of forestry equipment required to process...

77 FR 41075 - Delegation of National Emission Standards for Hazardous Air Pollutants for Source Categories...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-12

..., and Sulfur Recovery Units. VVV Publicly Owned X X X X Treatment Works. XXX Ferroalloys X X X X... Ceramics X X X X Manufacturing. LLLLL Asphalt Roofing X X X X and Processing. MMMMM Flexible X X X X... Source X Standards for Aluminum, Copper, and Other Nonferrous Foundries. AAAAAAA Asphalt X Processing and...

The United States Army Medical Department Journal. July - September 2011

DTIC Science & Technology

2011-09-01

compliance. Figure 1. Functional schematic of the flow path and treatment stages of the water treatment plant. Basin 5  Basin  4  Basin  3  Basin 2...that hindered optimal performance of the WTP. They were the flocculation treatment process and flow distribution through the WTP. Flocculation...designed to simulate the WTP at a flow of 1.5 MGD (the flow through the WTP at the time of jar testing). Jar test samples were collected after

GPU-based RFA simulation for minimally invasive cancer treatment of liver tumours.

PubMed

Mariappan, Panchatcharam; Weir, Phil; Flanagan, Ronan; Voglreiter, Philip; Alhonnoro, Tuomas; Pollari, Mika; Moche, Michael; Busse, Harald; Futterer, Jurgen; Portugaller, Horst Rupert; Sequeiros, Roberto Blanco; Kolesnik, Marina

2017-01-01

Radiofrequency ablation (RFA) is one of the most popular and well-standardized minimally invasive cancer treatments (MICT) for liver tumours, employed where surgical resection has been contraindicated. Less-experienced interventional radiologists (IRs) require an appropriate planning tool for the treatment to help avoid incomplete treatment and so reduce the tumour recurrence risk. Although a few tools are available to predict the ablation lesion geometry, the process is computationally expensive. Also, in our implementation, a few patient-specific parameters are used to improve the accuracy of the lesion prediction. Advanced heterogeneous computing using personal computers, incorporating the graphics processing unit (GPU) and the central processing unit (CPU), is proposed to predict the ablation lesion geometry. The most recent GPU technology is used to accelerate the finite element approximation of Penne's bioheat equation and a three state cell model. Patient-specific input parameters are used in the bioheat model to improve accuracy of the predicted lesion. A fast GPU-based RFA solver is developed to predict the lesion by doing most of the computational tasks in the GPU, while reserving the CPU for concurrent tasks such as lesion extraction based on the heat deposition at each finite element node. The solver takes less than 3 min for a treatment duration of 26 min. When the model receives patient-specific input parameters, the deviation between real and predicted lesion is below 3 mm. A multi-centre retrospective study indicates that the fast RFA solver is capable of providing the IR with the predicted lesion in the short time period before the intervention begins when the patient has been clinically prepared for the treatment.

Fully chip-embedded automation of a multi-step lab-on-a-chip process using a modularized timer circuit.

PubMed

Kang, Junsu; Lee, Donghyeon; Heo, Young Jin; Chung, Wan Kyun

2017-11-07

For highly-integrated microfluidic systems, an actuation system is necessary to control the flow; however, the bulk of actuation devices including pumps or valves has impeded the broad application of integrated microfluidic systems. Here, we suggest a microfluidic process control method based on built-in microfluidic circuits. The circuit is composed of a fluidic timer circuit and a pneumatic logic circuit. The fluidic timer circuit is a serial connection of modularized timer units, which sequentially pass high pressure to the pneumatic logic circuit. The pneumatic logic circuit is a NOR gate array designed to control the liquid-controlling process. By using the timer circuit as a built-in signal generator, multi-step processes could be done totally inside the microchip without any external controller. The timer circuit uses only two valves per unit, and the number of process steps can be extended without limitation by adding timer units. As a demonstration, an automation chip has been designed for a six-step droplet treatment, which entails 1) loading, 2) separation, 3) reagent injection, 4) incubation, 5) clearing and 6) unloading. Each process was successfully performed for a pre-defined step-time without any external control device.

Arsenic Species in the Ground Water

EPA Science Inventory

Abstract Arsenic concentrations in ground varies widely and regionally across the United States and exists as oxyanions having two oxidation states: As(+III) and As(+V). As(V) is effectively removed by most arsenic treatment processes whereas uncharged As(III) is poorly removed...

76 FR 14807 - Delegation of National Emission Standards for Hazardous Air Pollutants for Source Categories...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-18

... Reforming, and Sulfur Recovery Units. VVV Publicly Owned Treatment X X X Works. XXX Ferroalloys Production.... LLLLL Asphalt Roofing and X X X Processing. MMMMM Flexible Polyurethane X X X Foam Fabrication Operation...

Biogasification of Walt Disney World biomass waste blend. Annual report, January-December 1983

DOE Office of Scientific and Technical Information (OSTI.GOV)

Biljetina, R.; Chynoweth, D.P.; Janulis, J.

1984-09-01

The objective of this research is to develop efficient processes for conversion of biomass-waste blends to methane and other resources. To evaluate the technical and economic feasibility, an experimental test unit (ETU) was designed and installed at the Reedy Creek Wastewater Treatment Plant at Walt Disney World in Lake Buena Vista, Florida. The facility integrates a biomethanogenic conversion process with a wastewater treatment process employing water hyacinth ponds for secondary and tertiary treatment of sewage. Harvested water hyacinth is subsequently combined with sludge from the primary wastewater clarifier and fed at 1-wet-ton per day to the ETU digester. This resultsmore » in the production of methane and other useful byproducts. Design, procurement of equipment, and installation has been completed. Start-up of the ETU is in progress.« less

Centralized Drinking Water Treatment Operations Shape Bacterial and Fungal Community Structure.

PubMed

Ma, Xiao; Vikram, Amit; Casson, Leonard; Bibby, Kyle

2017-07-05

Drinking water microbial communities impact opportunistic pathogen colonization and corrosion of water distribution systems, and centralized drinking water treatment represents a potential control for microbial community structure in finished drinking water. In this article, we examine bacterial and fungal abundance and diversity, as well as the microbial community taxonomic structure following each unit operation in a conventional surface water treatment plant. Treatment operations drove the microbial composition more strongly than sampling time. Both bacterial and fungal abundance and diversity decreased following sedimentation and filtration; however, only bacterial abundance and diversity was significantly impacted by free chlorine disinfection. Similarly, each treatment step was found to shift bacterial and fungal community beta-diversity, with the exception of disinfection on the fungal community structure. We observed the enrichment of bacterial and fungal taxa commonly found in drinking water distribution systems through the treatment process, for example, Sphingomonas following filtration and Leptospirillium and Penicillium following disinfection. Study results suggest that centralized drinking water treatment processes shape the final drinking water microbial community via selection of community members and that the bacterial community is primarily driven by disinfection while the eukaryotic community is primarily controlled by physical treatment processes.

Acute toxicity and chemical evaluation of coking wastewater under biological and advanced physicochemical treatment processes.

PubMed

Dehua, Ma; Cong, Liu; Xiaobiao, Zhu; Rui, Liu; Lujun, Chen

2016-09-01

This study investigated the changes of toxic compounds in coking wastewater with biological treatment (anaerobic reactor, anoxic reactor and aerobic-membrane bioreactor, A1/A2/O-MBR) and advanced physicochemical treatment (Fenton oxidation and activated carbon adsorption) stages. As the biological treatment stages preceding, the inhibition effect of coking wastewater on the luminescence of Vibrio qinghaiensis sp. Nov. Q67 decreased. Toxic units (TU) of coking wastewater were removed by A1/A2/O-MBR treatment process, however approximately 30 % TU remained in the biologically treated effluent. There is a tendency that fewer and fewer residual organic compounds could exert equal acute toxicity during the biological treatment stages. Activated carbon adsorption further removed toxic pollutants of biologically treated effluent but the Fenton effluent increased acute toxicity. The composition of coking wastewater during the treatment was evaluated using the three-dimensional fluorescence spectra, gas chromatography-mass spectrometry (GC-MS). The organic compounds with high polarity were the main cause of acute toxicity in the coking wastewater. Aromatic protein-like matters in the coking wastewater with low biodegradability and high toxicity contributed mostly to the remaining acute toxicity of the biologically treated effluents. Chlorine generated from the oxidation process was responsible for the acute toxicity increase after Fenton oxidation. Therefore, the incorporation of appropriate advanced physicochemical treatment process, e.g., activated carbon adsorption, should be implemented following biological treatment processes to meet the stricter discharge standards and be safer to the environment.

LITERATURE REVIEWS TO SUPPORT ION EXCHANGE TECHNOLOGY SELECTION FOR MODULAR SALT PROCESSING

DOE Office of Scientific and Technical Information (OSTI.GOV)

King, W

2007-11-30

This report summarizes the results of literature reviews conducted to support the selection of a cesium removal technology for application in a small column ion exchange (SCIX) unit supported within a high level waste tank. SCIX is being considered as a technology for the treatment of radioactive salt solutions in order to accelerate closure of waste tanks at the Savannah River Site (SRS) as part of the Modular Salt Processing (MSP) technology development program. Two ion exchange materials, spherical Resorcinol-Formaldehyde (RF) and engineered Crystalline Silicotitanate (CST), are being considered for use within the SCIX unit. Both ion exchange materials havemore » been studied extensively and are known to have high affinities for cesium ions in caustic tank waste supernates. RF is an elutable organic resin and CST is a non-elutable inorganic material. Waste treatment processes developed for the two technologies will differ with regard to solutions processed, secondary waste streams generated, optimum column size, and waste throughput. Pertinent references, anticipated processing sequences for utilization in waste treatment, gaps in the available data, and technical comparisons will be provided for the two ion exchange materials to assist in technology selection for SCIX. The engineered, granular form of CST (UOP IE-911) was the baseline ion exchange material used for the initial development and design of the SRS SCIX process (McCabe, 2005). To date, in-tank SCIX has not been implemented for treatment of radioactive waste solutions at SRS. Since initial development and consideration of SCIX for SRS waste treatment an alternative technology has been developed as part of the River Protection Project Waste Treatment Plant (RPP-WTP) Research and Technology program (Thorson, 2006). Spherical RF resin is the baseline media for cesium removal in the RPP-WTP, which was designed for the treatment of radioactive waste supernates and is currently under construction in Hanford, WA. Application of RF for cesium removal in the Hanford WTP does not involve in-riser columns but does utilize the resin in large scale column configurations in a waste treatment facility. The basic conceptual design for SCIX involves the dissolution of saltcake in SRS Tanks 1-3 to give approximately 6 M sodium solutions and the treatment of these solutions for cesium removal using one or two columns supported within a high level waste tank. Prior to ion exchange treatment, the solutions will be filtered for removal of entrained solids. In addition to Tanks 1-3, solutions in two other tanks (37 and 41) will require treatment for cesium removal in the SCIX unit. The previous SCIX design (McCabe, 2005) utilized CST for cesium removal with downflow supernate processing and included a CST grinder following cesium loading. Grinding of CST was necessary to make the cesium-loaded material suitable for vitrification in the SRS Defense Waste Processing Facility (DWPF). Because RF resin is elutable (and reusable) and processing requires conversion between sodium and hydrogen forms using caustic and acidic solutions more liquid processing steps are involved. The WTP baseline process involves a series of caustic and acidic solutions (downflow processing) with water washes between pH transitions across neutral. In addition, due to resin swelling during conversion from hydrogen to sodium form an upflow caustic regeneration step is required. Presumably, one of these basic processes (or some variation) will be utilized for MSP for the appropriate ion exchange technology selected. CST processing involves two primary waste products: loaded CST and decontaminated salt solution (DSS). RF processing involves three primary waste products: spent RF resin, DSS, and acidic cesium eluate, although the resin is reusable and typically does not require replacement until completion of multiple treatment cycles. CST processing requires grinding of the ion exchange media, handling of solids with high cesium loading, and handling of liquid wash and conditioning solutions. RF processing requires handling and evaporation of cesium eluates, disposal of spent organic resin, and handling of the various liquid wash and regenerate solutions used. In both cases, the DSS will be immobilized in a low activity waste form. It appears that both technologies are mature, well studied, and generally suitable for this application. Technology selection will likely be based on downstream impacts or preferences between the various processing options for the two materials rather than on some unacceptable performance property identified for one material. As a result, the following detailed technical review and summary of the two technologies should be useful to assist in technology selection for SCIX.« less

Methods of producing alkylated hydrocarbons from an in situ heat treatment process liquid

DOEpatents

Roes, Augustinus Wilhelmus Maria [Houston, TX; Mo, Weijian [Sugar Land, TX; Muylle, Michel Serge Marie [Houston, TX; Mandema, Remco Hugo [Houston, TX; Nair, Vijay [Katy, TX

2009-09-01

A method for producing alkylated hydrocarbons is disclosed. Formation fluid is produced from a subsurface in situ heat treatment process. The formation fluid is separated to produce a liquid stream and a first gas stream. The first gas stream includes olefins. The liquid stream is fractionated to produce at least a second gas stream including hydrocarbons having a carbon number of at least 3. The first gas stream and the second gas stream are introduced into an alkylation unit to produce alkylated hydrocarbons. At least a portion of the olefins in the first gas stream enhance alkylation.

Malaria in the United Republic of Tanzania: cultural considerations and health-seeking behaviour.

PubMed Central

Oberländer, L.; Elverdan, B.

2000-01-01

Malaria is one of the biggest health problems in sub-Saharan Africa. Large amounts of resources have been invested to control and treat it. Few studies have recognized that local explanations for the symptoms of malaria may lead to the attribution of different causes for the disease and thus to the seeking of different treatments. This article illustrates the local nosology of Bondei society in the north-eastern part of the United Republic of Tanzania and shows how sociocultural context affects health-seeking behaviour. It shows how in this context therapy is best viewed as a process in which beliefs and actions are continuously debated and evaluated throughout the course of treatment. PMID:11143196

Combining Follicular Unit Extraction and Scalp Micropigmentation for the Cosmetic Treatment of Alopecias

PubMed Central

Pak, Jae; Kim, Jino

2017-01-01

Two relatively new modalities, follicular unit extraction (FUE) and scalp micropigmentation have changed the treatment of hair loss, to reduce the number of procedures and the total costs of the hair restoration process. These 2 modalities augment each other when treating patients with thinning hair and balding. The explosion of FUE procedures (which reflected 52.6% of the hair transplant procedures performed in 2016, up from 48.5%) and the appearance of more and more new physicians offering hair restoration technologies employing FUE have caused a 20% annual growth in this industry over the past few years. This article reviews the use of FUE and scalp micropigmentation when used in combination. PMID:29263945

Cord blood clinical processing, cryopreservation, and storage.

PubMed

Elmoazzen, Heidi; Holovati, Jelena L

2015-01-01

Allogeneic umbilical cord blood (UCB) hematopoietic stem cell transplantation has become a crucial advancement in the treatment for a variety of diseases including hematopoietic and non-hematopoietic malignancies, BM failure syndromes, hemoglobinopathies, and metabolic and immunodeficiency disorders. It has been well documented that the success of UCB engraftment is tied to UCB banking processes, and now there are established guidelines for standardization of collection, banking, processing, and cryopreservation for unrelated UCB units with purpose of achieving consistent production of high quality placental and UCB units for administration. In 2011, Canada's Ministry of Health has announced Canada's first national, publicly funded umbilical cord blood bank, which aims to provide altruistic donations for unrelated allogeneic hematopoietic stem cell transplant. In this chapter, we describe specific protocols for clinical processing, cryopreservation, and storage of UCB used by the Canadian Blood Services National Public Umbilical Cord Blood Bank.

Uncertainty after treatment for prostate cancer: definition, assessment, and management.

PubMed

Yu Ko, Wellam F; Degner, Lesley F

2008-10-01

Prostate cancer is the second most common type of cancer in men living in the United States and the most common type of malignancy in Canadian men, accounting for 186,320 new cases in the United States and 24,700 in Canada in 2008. Uncertainty, a component of all illness experiences, influences how men perceive the processes of treatment and adaptation. The Reconceptualized Uncertainty in Illness Theory explains the chronic nature of uncertainty in cancer survivorship by describing a shift from an emergent acute phase of uncertainty in survivors to a new level of uncertainty that is no longer acute and becomes a part of daily life. Proper assessment of certainty and uncertainty may allow nurses to maximize the effectiveness of patient-provider communication, cognitive reframing, and problem-solving interventions to reduce uncertainty after cancer treatment.

Septage unit treatment by sludge treatment reed beds for easy management and reuse: performance and design considerations.

PubMed

Kim, Boram; Bel, Thomas; Bourdoncle, Pascal; Dimare, Jocelyne; Troesch, Stéphane; Molle, Pascal

2018-01-01

Sustainable treatment and management of fecal sludge in rural areas require adapted solutions. Rustic and simple operating processes such as sludge treatment reed beds (STRB) have been increasingly considered for this purpose. The biggest full scale (2,600 m 2 of STRB) septage treatment unit in France had been built in Nègrepelisse with the final objectives of reusing treated sludge and leachates for agriculture spreading and tree irrigation, respectively. The aim of this investigation was to validate the treatment chain of this installation. The obtained field data showed firstly that the overall removal efficiencies of STRB were satisfactory and stable. Removal rates higher than 98% for chemical oxygen demand and suspended solids and a 95% for Kjeldahl nitrogen represented so far a beneficial septage treatment by STRB. The highlighted necessity of a suitable complementary leachate treatment (before tree irrigation) justified the presence of the second stage of vertical flow constructed wetland. The sludge deposit drying and mineralization efficiencies were on the right track. According to hydrotextural diagram analysis, surface deposit was however found to have high deformability probably due to the youth of the installation. An in-depth understanding of STRB system needs continuous long-term studies.

Membrane filtration of olive mill wastewater and exploitation of its fractions.

PubMed

Paraskeva, C A; Papadakis, V G; Kanellopoulou, D G; Koutsoukos, P G; Angelopoulos, K C

2007-04-01

Olive mill wastewater (OMW) produced from small units scattered in rural areas of Southern Europe is a major source of pollution of surface and subsurface water. In the present work, a treatment scheme based on physical separation methods is presented. The investigation was carried out using a pilot-plant unit equipped with ultrafiltration, nanofiltration, and reverse osmosis membranes. Approximately 80% of the total volume of wastewater treated by the membrane units was sufficiently cleaned to meet the standards for irrigation water. The concentrated fractions collected in the treatment concentrates were characterized by high organic load and high content of phenolic compounds. The concentrates were tested in hydroponic systems to examine their toxicity towards undesired herbs. The calculations of the cost of the overall process showed that fixed and operational costs could be recovered from the exploitation of OMW byproducts as water for irrigation and/or as bioherbicides.

GPU computing in medical physics: a review.

PubMed

Pratx, Guillem; Xing, Lei

2011-05-01

The graphics processing unit (GPU) has emerged as a competitive platform for computing massively parallel problems. Many computing applications in medical physics can be formulated as data-parallel tasks that exploit the capabilities of the GPU for reducing processing times. The authors review the basic principles of GPU computing as well as the main performance optimization techniques, and survey existing applications in three areas of medical physics, namely image reconstruction, dose calculation and treatment plan optimization, and image processing.

Medical Negligence Determinations, the "Right to Try," and Expanded Access to Innovative Treatments.

PubMed

Meyerson, Denise

2017-09-01

This article considers the issue of expanded access to innovative treatments in the context of recent legislative initiatives in the United Kingdom and the United States. In the United Kingdom, the supporters of legislative change argued that the common law principles governing medical negligence are a barrier to innovation. In an attempt to remove this perceived impediment, two bills proposed that innovating doctors sued for negligence should be able to rely in their defence on the fact that their decision to innovate was "responsible." A decision to innovate would be regarded as responsible if it followed a specified process. Although these changes to the law of medical negligence were not passed, this article argues that the idea of a process-based approach was sound. In the United States, a number of states have passed "Right to Try" laws that permit doctors to prescribe and companies to provide investigational products without the need for FDA approval. These laws do not purport to and nor are they able to alter the obligations of individuals and companies under federal law. They are consequently unlikely to achieve their stated aim of expanding access to investigational products. This article argues that they nevertheless have a cogent rationale in so far as they highlight the need for rights-based reform to federal regulations governing access.

[Investigation of burn rehabilitation development of China in 2014].

PubMed

Ao, M; Wu, J; Chen, J

2017-05-20

Objective: To further study the development of burn rehabilitation in China, so as to promote the development of burn rehabilitation in China. Methods: The questionnaire about the development of burn rehabilitation treatment was started by Specialized Committee of Burn Treatment and Rehabilitation Science of Chinese Association of Rehabilitation Medicine (hereinafter referred to as Specialized Committee) in the end of 2014, and 65 affiliations of Specialized Committee members participated in. There was a total of 26 questions, mainly focusing on problems as below: (1) General information of the burn department of the units, including the number of authorized beds, annual admitted burn patients, annual admitted patients with extremely severe burn, doctors, nurses, rehabilitation therapists, and the condition of rehabilitation area and rehabilitation beds, etc. (2) Development of burn rehabilitation treatment, including the development of rehabilitation treatment, the intervention time of rehabilitation treatment, the rehabilitation treatment carried out in intensive care unit (ICU), the composition of rehabilitation treating personnel, and the professional title and background, educational background, and division of responsibilities of rehabilitation therapists, etc. (3) Major problems affecting the development of burn rehabilitation treatment of the units. The burn treatment units were grouped according to the number of annual admitted patients. The units' situation of authorized beds, admitted patients, allocation of medical personnel and rehabilitation, and the ratio of beds to doctors, beds to nurses, beds to full-time burn rehabilitation treating personnel were recorded. Data were processed with t test, one-way analysis of variance, and chi-square test. Results: (1) A total of 65 questionnaires were sent, and 45 questionnaires (69.2%) were retrieved. Among the 45 units that replied the questionnaires, 35 units were burn treatment units. (2) The 35 burn treatment units were divided into less than 500 cases group ( n =8), 501-1 000 cases group ( n =11), 1 001-1 500 cases group ( n =10), and more than 1 500 cases group ( n =6) according to the number of annual admitted patients. The number of authorized beds of units in 1 001-1 500 cases group was significantly more than that in less than 500 cases group ( t =4.563, P <0.05). The number of authorized beds of units in more than 1 500 cases group was significantly more than that in the other 3 groups, respectively (with t values from 1.859 to 3.743, P values below 0.05). The number of annual admitted patients of units in 501-1 000 cases group, 1 001-1 500 cases group, and more than 1 500 cases group was dramatically more than that in less than 500 cases group (with t values from 6.027 to 12.684, P values below 0.05). The number of annual admitted patients of units in 1 001-1 500 cases group and more than 1 500 cases group was significantly more than that in 501-1 000 cases group (with t values respectively 7.408 and 6.980, P values below 0.05). The number of annual admitted patients of units in more than 1 500 cases group was significantly more than that in 1 001-1 500 cases group ( t =4.239, P <0.05). The number of annual admitted patients with extremely severe burn and the condition of rehabilitation area and rehabilitation beds of units in the 4 groups was similar ( F =0.820, with χ (2) values respectively 5.266 and 2.848, P values above 0.05). The number of doctors of units in more than 1 500 cases group was significantly more than that in less than 500 cases group ( t =2.836, P <0.05). The number of nurses of units in 1 001-1 500 cases group was significantly more than that in less than 500 cases group ( t =2.837, P <0.05). The number of nurses and that of rehabilitation therapists of units in more than 1 500 cases group were significantly more than those in the other 3 groups (with t values from 1.762 to 4.789, P values below 0.05). (3) The 35 burn treatment units were able to provide at least one rehabilitation treatment for patients, among which body positioning, motion of joint exercise, infrared ray irradiation, hydrotherapy, function training, activities of daily life training, scar massage, and drug injection in scar were carried out well, while psychological therapy, music therapy, occupational rehabilitation, and social rehabilitation were mostly not carried out. (4) Only 9 (25.7%) burn treatment units started rehabilitation treatment for patients within 3 days after injury. (5) Twenty-seven (77.1%) burn treatment units could carry out body positioning in ICU. (6) Twenty-three burn treatment units had full-time rehabilitation treating personnel, and the units were divided into less than 500 cases group ( n =1), 501-1 000 cases group ( n =8), 1 001-1 500 cases group ( n =9), and more than 1 500 cases group ( n =5) according to the number of annual admitted patients. The ratio of beds to doctors of units in more than 1 500 cases group was significantly higher than that in 501-1 000 cases group ( t =2.810, P <0.05) and the ratios of beds to doctors of units in 501-1 000 cases group and 1 001-1 500 cases group were similar ( t =1.506, P >0.05). The ratios of beds to nurses and beds to full-time burn rehabilitation treating personnel in 4 groups were similar (with F values respectively 0.783 and 0.434, P values above 0.05). (7) Twenty burn treatment units had rehabilitation therapists with rehabilitation treatment related professional background (a total of 73 person, account for 76.0%), 80.8% (59/73) rehabilitation therapists with rehabilitation and therapeutic professions, 60.3% (44/73) with bachelor degree or above, and 87.7% (64/73) with primary and intermediate titles. Besides, 39.7% (29/73) rehabilitation therapists did physical therapy; 12.3% (9/73) rehabilitation therapists did occupational therapy; 38.4% (28/73) rehabilitation therapists did not have specific duties. (8) During the development of burn rehabilitation treatment of 35 burn treatment units, the common problems were reflected in the authorized strength and professional technology level of rehabilitation treatment relating personnel, and the area and equipment for rehabilitation. There were also many problems in cooperation between burn surgeons and rehabilitation therapists and fund. The supports from hospital and department leaders were good. Conclusions: Through the development of several years, the general condition and the development of rehabilitation treatment of burn treatment units in China are improved; the beginning time of burn rehabilitation treatment is advanced; the number of rehabilitation treatment personnel is increased with their speciality improved; the burn rehabilitation work get great support from hospitals and departments.

[Training and experience in stroke units].

PubMed

Arenillas, J F

2008-01-01

The social and sanitary benefits provided by stroke units can not be achieved without an adequate training and learning process. This dynamic process consists of the progressive acquisition of: a) a greater degree of expertise in stroke management by the stroke team; b) better coordination between the stroke team, extrahospitalary emergency medical systems, and other in-hospital professionals involved in stroke assistance, and c) more human and technological resources dedicated to improve attention to stroke patients. The higher degree of experience in a stroke unit will have an effect: a) improving (time and quality) the diagnostic process in acute stroke patients; b) increasing the proportion of patients treated with thrombolysis; c) reducing extra and intrahospitalary latencies to stroke treatment, and d) improving stroke outcome in terms of reducing mortality and increasing functional independence. Finally, comprehensive stroke centers will achieve a higher degree of organizational complexity that will permit a global assessment of the most advanced aspects in stroke management, including education and research.

Performance indicators and indices of sludge management in urban wastewater treatment plants.

PubMed

Silva, C; Saldanha Matos, J; Rosa, M J

2016-12-15

Sludge (or biosolids) management is highly complex and has a significant cost associated with the biosolids disposal, as well as with the energy and flocculant consumption in the sludge processing units. The sludge management performance indicators (PIs) and indices (PXs) are thus core measures of the performance assessment system developed for urban wastewater treatment plants (WWTPs). The key PIs proposed cover the sludge unit production and dry solids concentration (DS), disposal/beneficial use, quality compliance for agricultural use and costs, whereas the complementary PIs assess the plant reliability and the chemical reagents' use. A key PI was also developed for assessing the phosphorus reclamation, namely through the beneficial use of the biosolids and the reclaimed water in agriculture. The results of a field study with 17 Portuguese urban WWTPs in a 5-year period were used to derive the PI reference values which are neither inherent to the PI formulation nor literature-based. Clusters by sludge type (primary, activated, trickling filter and mixed sludge) and by digestion and dewatering processes were analysed and the reference values for sludge production and dry solids were proposed for two clusters: activated sludge or biofilter WWTPs with primary sedimentation, sludge anaerobic digestion and centrifuge dewatering; activated sludge WWTPs without primary sedimentation and anaerobic digestion and with centrifuge dewatering. The key PXs are computed for the DS after each processing unit and the complementary PXs for the energy consumption and the operating conditions DS-determining. The PX reference values are treatment specific and literature based. The PI and PX system was applied to a WWTP and the results demonstrate that it diagnosis the situation and indicates opportunities and measures for improving the WWTP performance in sludge management. Copyright © 2016 Elsevier Ltd. All rights reserved.

Field efficacy and safety of fluralaner solution for administration in drinking water for the treatment of poultry red mite (Dermanyssus gallinae) infestations in commercial flocks in Europe.

PubMed

Thomas, Emmanuel; Chiquet, Mathieu; Sander, Björn; Zschiesche, Eva; Flochlay, Annie Sigognault

2017-10-09

Welfare concerns, production losses caused by Dermanyssus gallinae, the poultry red mite (PRM), and widespread mite resistance to environmentally applied acaricides continue to drive an urgent need for new and effective control measures. Fluralaner is a novel systemic acaricide developed to address that need. A series of field studies was initiated to investigate the safety and efficacy of a fluralaner solution (10 mg/ml) administered in drinking water at a dose rate of 0.5 mg/kg on two occasions with a 7-day interval, for treatment of natural PRM infestations in chickens. Blinded, negative-controlled studies were completed in Europe across eight layer, two breeder, and two replacement chicken farms. At each farm, two similar flocks were housed in similar PRM-infested units (either rooms within a building, or separate buildings) varying from 550 to 100,000 birds per unit. One unit at each farm was allocated to fluralaner treatment, administered in drinking water on Days 0 and 7. One unit remained untreated. Mite traps were placed throughout each unit on Days -1, 0 or 1, 3, 6, 9, and 13 or 14, then at weekly or two-weekly intervals, retrieved after 24 h and processed for mite counts. Efficacy at each farm was assessed by mean PRM count reductions from traps in treated units compared with those from control units. Production parameters and safety were also monitored. Efficacy was 95.3 to 99.8% on Day 3 and 97.8 to 100% on Day 9, thereafter remaining above 90% for 56 to 238 days after treatment initiation. Post-treatment improvement in egg-laying rate was greater by 0.9 to 12.6% in the treated group at 9 of the 10 layer or breeder farms. There were no treatment-related adverse events. Fluralaner administered at 0.5 mg/kg via drinking water twice, 7 days apart, was well tolerated and highly efficacious against the PRM in naturally infested chickens representing a range of production types and management systems. The results indicate that this novel treatment has potential to be the cornerstone of an integrated approach to reducing or eliminating the welfare and productivity costs of this increasingly threatening pest.

Air Emissions Damages from Municipal Drinking Water Treatment Under Current and Proposed Regulatory Standards.

PubMed

Gingerich, Daniel B; Mauter, Meagan S

2017-09-19

Water treatment processes present intersectoral and cross-media risk trade-offs that are not presently considered in Safe Drinking Water Act regulatory analyses. This paper develops a method for assessing the air emission implications of common municipal water treatment processes used to comply with recently promulgated and proposed regulatory standards, including concentration limits for, lead and copper, disinfection byproducts, chromium(VI), strontium, and PFOA/PFOS. Life-cycle models of electricity and chemical consumption for individual drinking water unit processes are used to estimate embedded NO x , SO 2 , PM 2.5 , and CO 2 emissions on a cubic meter basis. We estimate air emission damages from currently installed treatment processes at U.S. drinking water facilities to be on the order of $500 million USD annually. Fully complying with six promulgated and proposed rules would increase baseline air emission damages by approximately 50%, with three-quarters of these damages originating from chemical manufacturing. Despite the magnitude of these air emission damages, the net benefit of currently implemented rules remains positive. For some proposed rules, however, the promise of net benefits remains contingent on technology choice.

Superfund record of decision (EPA Region 4): T H Agriculture and Nutrition Site, Dougherty County, Albany, GA, April 26, 1996

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

This decision document (Record of Decision), presents the selected Remedial Action for the Operable Unit Two for the T H Agriculture & Nutrition (THAN) Site, Albany, Georgia. The second operable unit addresses the source of the contamination on the eastern parcel of the Site. The major components of the selected remedy for operable unit two include: the excavation of all soil contaminated with organics necessary to meet performance standards; the staging and preconditioning of soil for low temperature thermal desorption treatment; the treatment of excavated soil by low temperature thermal desorption; the placement of treated, decontaminated soil back to themore » site; periodic sampling of treated soil during the treatment process to verify the effectiveness of the remedy; air monitoring to ensure safety of nearby residents and workers; groundwater monitoring to ensure that metals contaminated remaining in the subsurface soil will not result in contaminated groundwater migrating offsite in concentrations which exceed groundwater protection standards; and deed restrictions to prevent residential use of the property.« less

Occurrences and behaviors of naphthenic acids in a petroleum refinery wastewater treatment plant.

PubMed

Wang, Beili; Wan, Yi; Gao, Yingxin; Zheng, Guomao; Yang, Min; Wu, Song; Hu, Jianying

2015-05-05

Naphthenic acids (NAs) are one class of compounds in wastewaters from petroleum industries that are known to cause toxic effects, and their removal from oilfield wastewater is an important challenge for remediation of large volumes of petrochemical effluents. The present study investigated occurrences and behaviors of total NAs and aromatic NAs in a refinery wastewater treatment plant, located in north China, which combined physicochemical and biological processes. Concentrations of total NAs were semiquantified to be 113-392 μg/L in wastewater from all the treatment units, and the percentages of aromatic NAs in total NAs was estimated to be 2.1-8.8%. The mass reduction for total NAs and aromatic NAs was 15±16% and 7.5±24% after the physicochemical treatment, respectively. Great mass reduction (total NAs: 65±11%, aromatic NAs: 86±5%) was observed in the biological treatment units, and antiestrogenic activities observed in wastewater from physicochemical treatment units disappeared in the effluent of the activated sludge system. The distributions of mass fractions of NAs demonstrated that biodegradation via activated sludge was the major mechanism for removing alicyclic NAs, aromatic NAs, and related toxicities in the plant, and the polycyclic NA congener classes were relatively recalcitrant to biodegradation, which is a complete contrast to the preferential adsorption of NAs with higher cyclicity (low Z value). Removal efficiencies of total NAs were 73±17% in summer, which were higher than those in winter (53±15%), and the seasonal variation was possibly due to the relatively high microbial biotransformation activities in the activated sludge system in summer (indexed by O3-NAs/NAs). The results of the investigations indicated that biotransformation of NA mixtures by the activated sludge system were largely affected by temperature, and employing an efficient adsorbent together with biodegradation processes would help cost-effectively remove NAs in petroleum effluents.

Review of cost versus scale: water and wastewater treatment and reuse processes.

PubMed

Guo, Tianjiao; Englehardt, James; Wu, Tingting

2014-01-01

The US National Research Council recently recommended direct potable water reuse (DPR), or potable water reuse without environmental buffer, for consideration to address US water demand. However, conveyance of wastewater and water to and from centralized treatment plants consumes on average four times the energy of treatment in the USA, and centralized DPR would further require upgradient distribution of treated water. Therefore, information on the cost of unit treatment processes potentially useful for DPR versus system capacity was reviewed, converted to constant 2012 US dollars, and synthesized in this work. A logarithmic variant of the Williams Law cost function was found applicable over orders of magnitude of system capacity, for the subject processes: activated sludge, membrane bioreactor, coagulation/flocculation, reverse osmosis, ultrafiltration, peroxone and granular activated carbon. Results are demonstrated versus 10 DPR case studies. Because economies of scale found for capital equipment are counterbalanced by distribution/collection network costs, further study of the optimal scale of distributed DPR systems is suggested.

Application of Six Sigma methodology to a cataract surgery unit.

PubMed

Taner, Mehmet Tolga

2013-01-01

The article's aim is to focus on the application of Six Sigma to minimise intraoperative and post-operative complications rates in a Turkish public hospital cataract surgery unit. Implementing define-measure-analyse-improve and control (DMAIC) involves process mapping, fishbone diagrams and rigorous data-collection. Failure mode and effect analysis (FMEA), pareto diagrams, control charts and process capability analysis are applied to redress cataract surgery failure root causes. Inefficient skills of assistant surgeons and technicians, low quality of IOLs used, wrong IOL placement, unsystematic sterilisation of surgery rooms and devices, and the unprioritising network system are found to be the critical drivers of intraoperative-operative and post-operative complications. Sigma level was increased from 2.60 to 3.75 subsequent to extensive training of assistant surgeons, ophthalmologists and technicians, better quality IOLs, systematic sterilisation and air-filtering, and the implementation of a more sophisticated network system. This article shows that Six Sigma measurement and process improvement can become the impetus for cataract unit staff to rethink their process and reduce malpractices. Measuring, recording and reporting data regularly helps them to continuously monitor their overall process and deliver safer treatments. This is the first Six Sigma ophthalmology study in Turkey.

Identifying changes in dissolved organic matter content and characteristics by fluorescence spectroscopy coupled with self-organizing map and classification and regression tree analysis during wastewater treatment.

PubMed

Yu, Huibin; Song, Yonghui; Liu, Ruixia; Pan, Hongwei; Xiang, Liancheng; Qian, Feng

2014-10-01

The stabilization of latent tracers of dissolved organic matter (DOM) of wastewater was analyzed by three-dimensional excitation-emission matrix (EEM) fluorescence spectroscopy coupled with self-organizing map and classification and regression tree analysis (CART) in wastewater treatment performance. DOM of water samples collected from primary sedimentation, anaerobic, anoxic, oxic and secondary sedimentation tanks in a large-scale wastewater treatment plant contained four fluorescence components: tryptophan-like (C1), tyrosine-like (C2), microbial humic-like (C3) and fulvic-like (C4) materials extracted by self-organizing map. These components showed good positive linear correlations with dissolved organic carbon of DOM. C1 and C2 were representative components in the wastewater, and they were removed to a higher extent than those of C3 and C4 in the treatment process. C2 was a latent parameter determined by CART to differentiate water samples of oxic and secondary sedimentation tanks from the successive treatment units, indirectly proving that most of tyrosine-like material was degraded by anaerobic microorganisms. C1 was an accurate parameter to comprehensively separate the samples of the five treatment units from each other, indirectly indicating that tryptophan-like material was decomposed by anaerobic and aerobic bacteria. EEM fluorescence spectroscopy in combination with self-organizing map and CART analysis can be a nondestructive effective method for characterizing structural component of DOM fractions and monitoring organic matter removal in wastewater treatment process. Copyright © 2014 Elsevier Ltd. All rights reserved.

Effects of fertilization on CO2 efflux in a two-year-old loblolly pine stand on the Virginia Piedmont

Treesearch

Michael Tyree; John Seiler; Thomas R. Fox

2006-01-01

Fertilization is becoming a common, cost effective treatment within managed forests of the Southeastern United States. However, there is little known about how fertilization will affect the belowground processes that drive soil CO2

40 CFR 463.1 - Applicability.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PLASTICS MOLDING AND FORMING POINT SOURCE CATEGORY General Provisions § 463.1 Applicability. (a) This part applies to any plastics molding and forming process that discharges or may discharge pollutants to waters of the United States or that introduces pollutants into a publicly owned treatment works. Plastics...

Power Up with Methane Gas: Struthers Water Pollution Control Facility

EPA Pesticide Factsheets

The city of Struthers received $5.4 million in ARRA funding from the Ohio’s CWSRF for a project that uses methane gas produced at the Struthers Water Pollution Control Facility to power unit treatment processes and offset the facility’s energy footprint.

PO*WW*ER mobile treatment unit process hazards analysis

DOE Office of Scientific and Technical Information (OSTI.GOV)

Richardson, R.B.

1996-06-01

The objective of this report is to demonstrate that a thorough assessment of the risks associated with the operation of the Rust Geotech patented PO*WW*ER mobile treatment unit (MTU) has been performed and documented. The MTU was developed to treat aqueous mixed wastes at the US Department of Energy (DOE) Albuquerque Operations Office sites. The MTU uses evaporation to separate organics and water from radionuclides and solids, and catalytic oxidation to convert the hazardous into byproducts. This process hazards analysis evaluated a number of accident scenarios not directly related to the operation of the MTU, such as natural phenomena damagemore » and mishandling of chemical containers. Worst case accident scenarios were further evaluated to determine the risk potential to the MTU and to workers, the public, and the environment. The overall risk to any group from operation of the MTU was determined to be very low; the MTU is classified as a Radiological Facility with low hazards.« less

Maintenance of CO2 level in a BLSS by controlling solid waste treatment unit

NASA Astrophysics Data System (ADS)

Dong, Yingying; Li, Leyuan; Liu, Hong; Fu, Yuming; Xie, Beizhen; Hu, Dawei; Liu, Dianlei; Dong, Chen; Liu, Guanghui

A bioregenerative life support system (BLSS) is an artificial closed ecosystem for providing basic human life support for long-duration, far-distance space explorations such as lunar bases. In such a system, the circulation of gases is one of the main factor for realizing a higher closure degree. O2 produced by higher plants goes to humans, as well as microorganisms for the treatment of inedible plant biomass and human wastes; CO2 produced by the crew and microorganisms is provided for plant growth. During this process, an excessively high CO2 level will depress plant growth and may be harmful to human health; and if the CO2 level is too low, plant growth will also be affected. Thus, keeping the balance between CO2 and O2 levels is a crucial problem. In this study, a high-efficiency, controllable solid waste treatment unit is constructed, which adopts microbial fermentation of the mixture of inedible biomass and human wastes. CO2 production during the fermentation process is controlled by adjusting fermentation temperature, aeration rate, moisture, etc., so as to meet the CO2 requirement of plants

Integration of biotechnological wastewater treatment units in textile finishing factories: from end of the pipe solutions to combined production and wastewater treatment units.

PubMed

Feitkenhauer, H; Meyer, U

2001-08-23

Increasing costs for water, wastewater and energy put pressure on textile finishing plants to increase the efficiency of wet processing. An improved water management can decrease the use of these resources and is a prerequisite for the integration of an efficient, anaerobic on-site pretreatment of effluents that will further cut wastewater costs. A two-phase anaerobic treatment is proposed, and successful laboratory experiments with model effluents from the cotton finishing industry are reported. The chemical oxygen demand of this wastewater was reduced by over 88% at retention times of 1 day or longer. The next step to boost the efficiency is to combine the production and wastewater treatment. The example of cotton fabric desizing (removing size from the fabric) illustrates how this final step of integration uses the acidic phase bioreactor as a part of the production and allows to close the water cycle of the system.

Development and operation of innovative scum to biodiesel pilot-system for the treatment of floatable wastewater scum.

PubMed

Anderson, Erik; Addy, Min; Chen, Paul; Ruan, Roger

2018-02-01

A novel process was developed for the biorefining of floatable wastewater scum and other waste oils from water treatment facilities into biodiesel and other value-added bio-products. To test the scalability and commercial potential of the technology, a 7000 l/year pilot-scale system was designed and built. Scum from a wastewater treatment facility, located in St. Paul, Mn, was collected and converted into methyl esters (biodiesel) according to the process chemistry. All of the incoming and outgoing process streams were sampled, tested, weighed and recorded to calculate both the process efficiency and product quality. Data from the pilot-scale system operation was compared to laboratory results and the theoretically expected values for each individual unit operation. The biodiesel was tested using a third party laboratory and confirmed it met all of the US EPA's test requirements for commercial-grade biodiesel. Copyright © 2017 Elsevier Ltd. All rights reserved.

Control of campylobacter in poultry industry from farm to poultry processing unit: A review.

PubMed

Umaraw, Pramila; Prajapati, A; Verma, Akhilesh K; Pathak, V; Singh, V P

2017-03-04

Campylobacter is an emerging zoonotic bacterial threat in the poultry industry. Most of the human cases of campylobacteriosis recorded have revealed their poultry origins. Various control measures have been employed both at the farm and processing levels to combat with it. The antibiotic treatment, phage therapy, competitive exclusion, and vaccination have been adapted at the farm level to reduce colonization of Campylobacter in poultry gut. While prevention of intestinal spillage, scheduled slaughter, logistic slaughter, chemical decontamination of carcasses are recommended to reduce contamination during processing. The postharvest interventions such as heat treatment, freezing, irradiation of contaminated carcass can effectively reduce Campylobacter contamination. Thus, integrated approaches are required to tackle infection of Campylobacter in humans.

Advanced Waste Treatment, Wastewater Technology: A Two-Year Post High School Instructional Program. An Instructor's Guide for Use of Instructional Material in Wastewater Technology Training Programs. Volume VI.

ERIC Educational Resources Information Center

Gearheart, Robert A.; And Others

This document is one in a series which outlines performance objectives and instructional modules for a course of study which explains the relationship and functions of the process units in a wastewater treatment plant. The modules are arranged in order appropriate for teaching students with no experience. The modules can also be rearranged and…

Methods of hydrotreating a liquid stream to remove clogging compounds

DOEpatents

Minderhoud, Johannes Kornelis [Amsterdam, NL; Nelson, Richard Gene [Katy, TX; Roes, Augustinus Wilhelmus Maria [Houston, TX; Ryan, Robert Charles [Houston, TX; Nair, Vijay [Katy, TX

2009-09-22

A method includes producing formation fluid from a subsurface in situ heat treatment process. The formation fluid is separated to produce a liquid stream and a gas stream. At least a portion of the liquid stream is provided to a hydrotreating unit. At least a portion of selected in situ heat treatment clogging compositions in the liquid stream are removed to produce a hydrotreated liquid stream by hydrotreating at least a portion of the liquid stream at conditions sufficient to remove the selected in situ heat treatment clogging compositions.

Self-mapping in treating suicide ideation: a case study.

PubMed

Robertson, Lloyd Hawkeye

2011-03-01

This case study traces the development and use of a self-mapping exercise in the treatment of a youth who had been at risk for re-attempting suicide. A life skills exercise was modified to identify units of culture called memes from which a map of the youth's self was prepared. A successful treatment plan followed the mapping exercise. The process of self-map construction is presented along with an interpretive analysis. It is suggested that therapists from a range of perspectives could use this technique in assessment and treatment.

Study on Surface Roughness of Modified Silicon Carbide Mirrors polished by Magnetorheological Finishing

NASA Astrophysics Data System (ADS)

Du, Hang; Song, Ci; Li, Shengyi

2018-01-01

In order to obtain high precision and high surface quality silicon carbide mirrors, the silicon carbide mirror substrate is subjected to surface modification treatment. In this paper, the problem of Silicon Carbide (SiC) mirror surface roughness deterioration by MRF is studied. The reasons of surface flaws of “Comet tail” are analyzed. Influence principle of MRF polishing depth and the surface roughness of modified SiC mirrors is obtained by experiments. On this basis, the united process of modified SiC mirrors is proposed which is combined MRF with the small grinding head CCOS. The united process makes improvement in the surface accuracy and surface roughness of modified SiC mirrors.

Quantitative and qualitative characteristics of grey water for reuse requirements and treatment alternatives: the case of Jordan.

PubMed

Ghunmi, Lina Abu; Zeeman, Grietje; van Lier, Jules; Fayyed, Manar

2008-01-01

The objective of this work is to assess the potentials and requirements for grey water reuse in Jordan. The results revealed that urban, rural and dormitory grey water production rate and concentration of TS, BOD(5), COD and pathogens varied between 18-66 L cap(-1)d(-1), 848-1,919, 200-1,056, and 560-2,568 mg L(-1) and 6.9E2-2.7E5 CFU mL(-1), respectively. The grey water compromises 64 to 85% of the total water flow in the rural and urban areas. Storing grey water is inevitable to meet reuse requirements in terms of volume and timing. All the studied grey waters need treatment, in terms of solids, BOD(5), COD and pathogens, before storage and reuse. Storage and physical treatment, as a pretreatment step should be avoided, since it produces unstable effluents and non-stabilized sludge. However, extensive biological treatment can combine storage and physical treatments. Furthermore, a batch-fed biological treatment system combining anaerobic and aerobic processes copes with the fluctuations in the hydrographs and pollutographs as well as the present nutrients. The inorganic content of grey water in Jordan is about drinking water quality and does not need treatment. Moreover, the grey water SAR values were 3-7, revealing that the concentrations of monovalent and divalent cations comply with agricultural demand in Jordan. The observed patterns in the hydrographs and pollutographs showed that the hydraulic load could be used for the design of both physical and biological treatment units for dormitories and hotels. For family houses the hydraulic load was identified as the key design parameter for physical treatment units and the organic load is the key design parameter for biological treatment units. Copyright IWA Publishing 2008.

Full Monte Carlo-Based Biologic Treatment Plan Optimization System for Intensity Modulated Carbon Ion Therapy on Graphics Processing Unit.

PubMed

Qin, Nan; Shen, Chenyang; Tsai, Min-Yu; Pinto, Marco; Tian, Zhen; Dedes, Georgios; Pompos, Arnold; Jiang, Steve B; Parodi, Katia; Jia, Xun

2018-01-01

One of the major benefits of carbon ion therapy is enhanced biological effectiveness at the Bragg peak region. For intensity modulated carbon ion therapy (IMCT), it is desirable to use Monte Carlo (MC) methods to compute the properties of each pencil beam spot for treatment planning, because of their accuracy in modeling physics processes and estimating biological effects. We previously developed goCMC, a graphics processing unit (GPU)-oriented MC engine for carbon ion therapy. The purpose of the present study was to build a biological treatment plan optimization system using goCMC. The repair-misrepair-fixation model was implemented to compute the spatial distribution of linear-quadratic model parameters for each spot. A treatment plan optimization module was developed to minimize the difference between the prescribed and actual biological effect. We used a gradient-based algorithm to solve the optimization problem. The system was embedded in the Varian Eclipse treatment planning system under a client-server architecture to achieve a user-friendly planning environment. We tested the system with a 1-dimensional homogeneous water case and 3 3-dimensional patient cases. Our system generated treatment plans with biological spread-out Bragg peaks covering the targeted regions and sparing critical structures. Using 4 NVidia GTX 1080 GPUs, the total computation time, including spot simulation, optimization, and final dose calculation, was 0.6 hour for the prostate case (8282 spots), 0.2 hour for the pancreas case (3795 spots), and 0.3 hour for the brain case (6724 spots). The computation time was dominated by MC spot simulation. We built a biological treatment plan optimization system for IMCT that performs simulations using a fast MC engine, goCMC. To the best of our knowledge, this is the first time that full MC-based IMCT inverse planning has been achieved in a clinically viable time frame. Copyright © 2017 Elsevier Inc. All rights reserved.

Pathogen and Particle Associations in Wastewater: Significance and Implications for Treatment and Disinfection Processes.

PubMed

Chahal, C; van den Akker, B; Young, F; Franco, C; Blackbeard, J; Monis, P

2016-01-01

Disinfection guidelines exist for pathogen inactivation in potable water and recycled water, but wastewater with high numbers of particles can be more difficult to disinfect, making compliance with the guidelines problematic. Disinfection guidelines specify that drinking water with turbidity ≥1 Nephelometric Turbidity Units (NTU) is not suitable for disinfection and therefore not fit for purpose. Treated wastewater typically has higher concentrations of particles (1-10NTU for secondary treated effluent). Two processes widely used for disinfecting wastewater are chlorination and ultraviolet radiation. In both cases, particles in wastewater can interfere with disinfection and can significantly increase treatment costs by increasing operational expenditure (chemical demand, power consumption) or infrastructure costs by requiring additional treatment processes to achieve the required levels of pathogen inactivation. Many microorganisms (viruses, bacteria, protozoans) associate with particles, which can allow them to survive disinfection processes and cause a health hazard. Improved understanding of this association will enable development of cost-effective treatment, which will become increasingly important as indirect and direct potable reuse of wastewater becomes more widespread in both developed and developing countries. This review provides an overview of wastewater and associated treatment processes, the pathogens in wastewater, the nature of particles in wastewater and how they interact with pathogens, and how particles can impact disinfection processes. Copyright © 2016 Elsevier Inc. All rights reserved.

Decision support systems in water and wastewater treatment process selection and design: a review.

PubMed

Hamouda, M A; Anderson, W B; Huck, P M

2009-01-01

The continuously changing drivers of the water treatment industry, embodied by rigorous environmental and health regulations and the challenge of emerging contaminants, necessitates the development of decision support systems for the selection of appropriate treatment trains. This paper explores a systematic approach to developing decision support systems, which includes the analysis of the treatment problem(s), knowledge acquisition and representation, and the identification and evaluation of criteria controlling the selection of optimal treatment systems. The objective of this article is to review approaches and methods used in decision support systems developed to aid in the selection, sequencing of unit processes and design of drinking water, domestic wastewater, and industrial wastewater treatment systems. Not surprisingly, technical considerations were found to dominate the logic of the developed systems. Most of the existing decision-support tools employ heuristic knowledge. It has been determined that there is a need to develop integrated decision support systems that are generic, usable and consider a system analysis approach.

Use of a fluidized bed for the thermal and chemicothermal treatment of metals

NASA Astrophysics Data System (ADS)

Varygin, N. N.; Ol'shanov, E. Ya.

1971-06-01

An investigation of the heat processes in a fluidized bed shows that this unit has a high heating rate and cooling rate, and allows direct control in the process of heat treatment; chemicothermal processing is speeded up 3-5 times. Examples of experimental-industrial and industrial use show the advantages of using the fluidized bed for rapid nonoxidative heating for thermal processing and pressure processing, and also for replacing expensive salt and metal baths. The use of the fluidized bed is promising for heating temperature-sensitive aluminum and other nonferrous alloys, and for heat processing refractory metals, and alloys [45], etc. It is desirable to use the fluidized bed as the cooling medium to achieve optimum cooling with reduced stresses in components of especially complex configuration. It would be promising to use the fluidized bed for carrying out chemicothermal processing and for creating new processes (including surface saturation with rare metals), especially with the application of electrical, and possibly strong magnetic, fields.

Facultative Lagoons. Instructor's Guide. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Andersen, Lorri

This instructor's guide contains materials needed to teach a two-lesson unit on the structure and components of facultative lagoons, the biological theory of their operation, and factors affecting their operation. Control testing recommendations, maintenance guidelines, and troubleshooting hints are also provided. These materials include: (1) an…

40 CFR 408.275 - Standards of performance for new sources.

Code of Federal Regulations, 2010 CFR

2010-07-01

... steamed and canned oyster processing facilities which utilize air flotation treatment systems to meet the....42 pH (1) (1) English units (lb/1,000 lb of product) BOD5 67 17 TSS 56 39 Oil and grease 0.64 0.42 pH...

Maintaining functional properties of shell eggs by ultrasound treatment.

PubMed

Caner, Cengiz; Yuceer, Muhammed

2015-11-01

Ultrasonic treatment is an emerging technique that could be an alternative to existing thermal processing techniques in foods. Ultrasonic treatments may also be used to extend the shelf life of egg during storage period in ambient temperature. The effectiveness of ultrasound treatment with different power levels (200 W, 300 W, 450 W) and treatment times (2 min and 5 min) was evaluated for enhancing the functional properties of eggs during storage at 24 ° C for 6 weeks. Ultrasound treatment power and treatment time had significant effects on Haugh unit, yolk index, albumen pH, dry matter, relative whipping capacity, and albumen viscosity resulting in extended shelf life. Attributes such as yolk index, Haugh unit, pH, whipping capacity, dry matter for 300 W and 450 W treatments were better than control and 200 W treatments. Longer treatment time and power showed a significant influence on functional properties. Power levels of 300 W and 450 W of ultrasound treatments had improved internal quality of fresh eggs during storage, but negative effect on shell strength. The study showed that ultrasound treatment could be an alternative and effective technique for maintaining the internal qualities of fresh eggs during long-term storage while Fourier transform near infrared spectroscopy could be used as a new tool for the assessment of freshness. © 2014 Society of Chemical Industry.

Patient Preferences and Surrogate Decision Making in Neuroscience Intensive Care Units

PubMed Central

Cai, Xuemei; Robinson, Jennifer; Muehlschlegel, Susanne; White, Douglas B.; Holloway, Robert G.; Sheth, Kevin N.; Fraenkel, Liana; Hwang, David Y.

2016-01-01

In the neuroscience intensive care unit (NICU), most patients lack the capacity to make their own preferences known. This fact leads to situations where surrogate decision makers must fill the role of the patient in terms of making preference-based treatment decisions, oftentimes in challenging situations where prognosis is uncertain. The neurointensivist has a large responsibility and role to play in this shared decision making process. This review covers how NICU patient preferences are determined through existing advance care documentation or surrogate decision makers and how the optimum roles of the physician and surrogate decision maker are addressed. We outline the process of reaching a shared decision between family and care team and describe a practice for conducting optimum family meetings based on studies of ICU families in crisis. We review challenges in the decision making process between surrogate decision makers and medical teams in neurocritical care settings, as well as methods to ameliorate conflicts. Ultimately, the goal of shared decision making is to increase knowledge amongst surrogates and care providers, decrease decisional conflict, promote realistic expectations and preference-centered treatment strategies, and lift the emotional burden on families of neurocritical care patients. PMID:25990137

Sono-leather technology with ultrasound: a boon for unit operations in leather processing - review of our research work at Central Leather Research Institute (CLRI), India.

PubMed

Sivakumar, Venkatasubramanian; Swaminathan, Gopalaraman; Rao, Paruchuri Gangadhar; Ramasami, Thirumalachari

2009-01-01

Ultrasound is a sound wave with a frequency above the human audible range of 16 Hz to 16 kHz. In recent years, numerous unit operations involving physical as well as chemical processes are reported to have been enhanced by ultrasonic irradiation. There have been benefits such as improvement in process efficiency, process time reduction, performing the processes under milder conditions and avoiding the use of some toxic chemicals to achieve cleaner processing. These could be a better way of augmentation for the processes as an advanced technique. The important point here is that ultrasonic irradiation is physical method activation rather than using chemical entities. Detailed studies have been made in the unit operations related to leather such as diffusion rate enhancement through porous leather matrix, cleaning, degreasing, tanning, dyeing, fatliquoring, oil-water emulsification process and solid-liquid tannin extraction from vegetable tanning materials as well as in precipitation reaction in wastewater treatment. The fundamental mechanism involved in these processes is ultrasonic cavitation in liquid media. In addition to this there also exist some process specific mechanisms for the enhancement of the processes. For instance, possible real-time reversible pore-size changes during ultrasound propagation through skin/leather matrix could be a reason for diffusion rate enhancement in leather processing as reported for the first time. Exhaustive scientific research work has been carried out in this area by our group working in Chemical Engineering Division of CLRI and most of these benefits have been proven with publications in valued peer-reviewed international journals. The overall results indicate that about 2-5-fold increase in the process efficiency due to ultrasound under the given process conditions for various unit operations with additional benefits. Scale-up studies are underway for converting these concepts in to a real viable larger scale operation. In the present paper, summary of our research findings from employing this technique in various unit operations such as cleaning, diffusion, emulsification, particle-size reduction, solid-liquid leaching (tannin and natural dye extraction) as well as precipitation has been presented.

Process engineering design of pathological waste incinerator with an integrated combustion gases treatment unit.

PubMed

Shaaban, A F

2007-06-25

Management of medical wastes generated at different hospitals in Egypt is considered a highly serious problem. The sources and quantities of regulated medical wastes have been thoroughly surveyed and estimated (75t/day from governmental hospitals in Cairo). From the collected data it was concluded that the most appropriate incinerator capacity is 150kg/h. The objective of this work is to develop the process engineering design of an integrated unit, which is technically and economically capable for incinerating medical wastes and treatment of combustion gases. Such unit consists of (i) an incineration unit (INC-1) having an operating temperature of 1100 degrees C at 300% excess air, (ii) combustion-gases cooler (HE-1) generating 35m(3)/h hot water at 75 degrees C, (iii) dust filter (DF-1) capable of reducing particulates to 10-20mg/Nm(3), (iv) gas scrubbers (GS-1,2) for removing acidic gases, (v) a multi-tube fixed bed catalytic converter (CC-1) to maintain the level of dioxins and furans below 0.1ng/Nm(3), and (vi) an induced-draft suction fan system (SF-1) that can handle 6500Nm(3)/h at 250 degrees C. The residence time of combustion gases in the ignition, mixing and combustion chambers was found to be 2s, 0.25s and 0.75s, respectively. This will ensure both thorough homogenization of combustion gases and complete destruction of harmful constituents of the refuse. The adequate engineering design of individual process equipment results in competitive fixed and operating investments. The incineration unit has proved its high operating efficiency through the measurements of different pollutant-levels vented to the open atmosphere, which was found to be in conformity with the maximum allowable limits as specified in the law number 4/1994 issued by the Egyptian Environmental Affairs Agency (EEAA) and the European standards.

Radionuclide Retention Mechanisms in Secondary Waste-Form Testing: Phase II

DOE Office of Scientific and Technical Information (OSTI.GOV)

Um, Wooyong; Valenta, Michelle M.; Chung, Chul-Woo

2011-09-26

This report describes the results from laboratory tests performed at Pacific Northwest National Laboratory (PNNL) for Washington River Protection Solutions (WRPS) to evaluate candidate stabilization technologies that have the potential to successfully treat liquid secondary waste stream effluents produced by the Hanford Tank Waste Treatment and Immobilization Plant (WTP). WRPS is considering the design and construction of a Solidification Treatment Unit (STU) for the Effluent Treatment Facility (ETF) at Hanford. The ETF, a multi-waste, treatment-and-storage unit that has been permitted under the Resource Conservation and Recovery Act (RCRA), can accept dangerous, low-level, and mixed wastewaters for treatment. The STU needsmore » to be operational by 2018 to receive secondary liquid waste generated during operation of the WTP. The STU will provide the additional capacity needed for ETF to process the increased volume of secondary waste expected to be produced by WTP. This report on radionuclide retention mechanisms describes the testing and characterization results that improve understanding of radionuclide retention mechanisms, especially for pertechnetate, {sup 99}TcO{sub 4}{sup -} in four different waste forms: Cast Stone, DuraLith alkali aluminosilicate geopolymer, encapsulated fluidized bed steam reforming (FBSR) product, and Ceramicrete phosphate bonded ceramic. These data and results will be used to fill existing data gaps on the candidate technologies to support a decision-making process that will identify a subset of the candidate waste forms that are most promising and should undergo further performance testing.« less

WTP Waste Feed Qualification: Glass Fabrication Unit Operation Testing Report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Stone, M. E.; Newell, J. D.; Johnson, F. C.

The waste feed qualification program is being developed to protect the Hanford Tank Waste Treatment and Immobilization Plant (WTP) design, safety basis, and technical basis by assuring waste acceptance requirements are met for each staged waste feed campaign prior to transfer from the Tank Operations Contractor to the feed receipt vessels inside the Pretreatment Facility. The Waste Feed Qualification Program Plan describes the three components of waste feed qualification: 1. Demonstrate compliance with the waste acceptance criteria 2. Determine waste processability 3. Test unit operations at laboratory scale. The glass fabrication unit operation is the final step in the processmore » demonstration portion of the waste feed qualification process. This unit operation generally consists of combining each of the waste feed streams (high-level waste (HLW) and low-activity waste (LAW)) with Glass Forming Chemicals (GFCs), fabricating glass coupons, performing chemical composition analysis before and after glass fabrication, measuring hydrogen generation rate either before or after glass former addition, measuring rheological properties before and after glass former addition, and visual observation of the resulting glass coupons. Critical aspects of this unit operation are mixing and sampling of the waste and melter feeds to ensure representative samples are obtained as well as ensuring the fabrication process for the glass coupon is adequate. Testing was performed using a range of simulants (LAW and HLW simulants), and these simulants were mixed with high and low bounding amounts of GFCs to evaluate the mixing, sampling, and glass preparation steps in shielded cells using laboratory techniques. The tests were performed with off-the-shelf equipment at the Savannah River National Laboratory (SRNL) that is similar to equipment used in the SRNL work during qualification of waste feed for the Defense Waste Processing Facility (DWPF) and other waste treatment facilities at the Savannah River Site. It is not expected that the exact equipment used during this testing will be used during the waste feed qualification testing for WTP, but functionally similar equipment will be used such that the techniques demonstrated would be applicable. For example, the mixing apparatus could use any suitable mixer capable of being remoted and achieving similar mixing speeds to those tested.« less

Review of Potential Candidate Stabilization Technologies for Liquid and Solid Secondary Waste Streams

DOE Office of Scientific and Technical Information (OSTI.GOV)

Pierce, Eric M.; Mattigod, Shas V.; Westsik, Joseph H.

2010-01-30

Pacific Northwest National Laboratory has initiated a waste form testing program to support the long-term durability evaluation of a waste form for secondary wastes generated from the treatment and immobilization of Hanford radioactive tank wastes. The purpose of the work discussed in this report is to identify candidate stabilization technologies and getters that have the potential to successfully treat the secondary waste stream liquid effluent, mainly from off-gas scrubbers and spent solids, produced by the Hanford Tank Waste Treatment and Immobilization Plant (WTP). Down-selection to the most promising stabilization processes/waste forms is needed to support the design of a solidificationmore » treatment unit (STU) to be added to the Effluent Treatment Facility (ETF). To support key decision processes, an initial screening of the secondary liquid waste forms must be completed by February 2010.« less

UV disinfection pilot plant study at the Savannah River Site

DOE Office of Scientific and Technical Information (OSTI.GOV)

Huffines, R.L.; Beavers, B.A.

1993-05-01

An ultraviolet light disinfection system pilot plant was operated at the Savannah River Site Central Shops sanitary wastewater treatment package plant July 14, 1992 through August 13, 1992. The purpose was to determine the effectiveness of ultraviolet light disinfection on the effluent from the small package-type wastewater treatment plants currently used on-site. This pilot plant consisted of a rack of UV lights suspended in a stainless steel channel through which a sidestream of effluent from the treatment plant clarifier was pumped. Fecal coliform analyses were performed on the influent to and effluent from the pilot unit to verify the disinfectionmore » process. UV disinfection was highly effective in reducing fecal coliform colonies within NPDES permit limitations even under process upset conditions. The average fecal coliform reduction exceeded 99.7% using ultraviolet light disinfection under normal operating conditions at the package treatment plants.« less

UV disinfection pilot plant study at the Savannah River Site

DOE Office of Scientific and Technical Information (OSTI.GOV)

Huffines, R.L.; Beavers, B.A.

1993-01-01

An ultraviolet light disinfection system pilot plant was operated at the Savannah River Site Central Shops sanitary wastewater treatment package plant July 14, 1992 through August 13, 1992. The purpose was to determine the effectiveness of ultraviolet light disinfection on the effluent from the small package-type wastewater treatment plants currently used on-site. This pilot plant consisted of a rack of UV lights suspended in a stainless steel channel through which a sidestream of effluent from the treatment plant clarifier was pumped. Fecal coliform analyses were performed on the influent to and effluent from the pilot unit to verify the disinfectionmore » process. UV disinfection was highly effective in reducing fecal coliform colonies within NPDES permit limitations even under process upset conditions. The average fecal coliform reduction exceeded 99.7% using ultraviolet light disinfection under normal operating conditions at the package treatment plants.« less

Pre-disinfection columns to improve the performance of the direct electro-disinfection of highly faecal-polluted surface water.

PubMed

Isidro, J; Llanos, J; Sáez, C; Lobato, J; Cañizares, P; Rodrigo, M A

2018-09-15

This work presents the design and evaluation of a new concept of pre-disinfection treatment that is especially suited for highly polluted surface water and is based on the combination of coagulation-flocculation, lamellar sedimentation and filtration into a single-column unit, in which the interconnection between treatments is an important part of the overall process. The new system, the so-called PREDICO (PRE-DIsinfection Column) system, was built with low-cost consumables from hardware stores (in order to promote in-house construction of the system in poor countries) and was tested with a mixture of 20% raw wastewater and 80% surface water (in order to simulate an extremely bad situation). The results confirmed that the PREDICO system helps to avoid fouling in later electro-disinfection processes and attains a remarkable degree of disinfection (3-4 log units), which supplements the removal of pathogens attained by the electrolytic cell (more than 4 log units). The most important sizing parameters for the PREDICO system are the surface loading rate (SLR) and the hydraulic residence time (HRT); SLR values under 20 cm min -1 and HRT values over 13.6 min in the PREDICO system are suitable to warrant efficient performance of the system. Copyright © 2018 Elsevier Ltd. All rights reserved.

1987 Oak Ridge model conference: Proceedings: Volume I, Part 3, Waste Management

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1987-01-01

A conference sponsored by the United States Department of Energy (DOE), was held on waste management. Topics of discussion were transuranic waste management, chemical and physical treatment technologies, waste minimization, land disposal technology and characterization and analysis. Individual projects are processed separately for the data bases. (CBS)

SUMMARY REPORT: CONTROL AND TREATMENT TECHNOLOGY FOR THE METAL FINISHING INDUSTRY: IN -PLANT CHANGES

EPA Science Inventory

This 30 - page Technology Transfer Report ummarizes how he metal finishing industry in the United States is subject to a variety of changing business conditions. wo of the most significant factors are the increasing costs of materials, such as plating chemicals and process water,...

Aerobic Digestion. Student Manual. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Klopping, Paul H.

This manual contains the textual material for a single-lesson unit on aerobic sludge digestion. Topic areas addressed include: (1) theory of aerobic digestion; (2) system components; (3) performance factors; (4) indicators of stable operation; and (5) operational problems and their solutions. A list of objectives, glossary of key terms, and…

Activated Sludge. Student Manual. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Boe, Owen K.; Klopping, Paul H.

This student manual contains the textual material for a seven-lesson unit on activated sludge. Topic areas addressed in the lessons include: (1) activated sludge concepts and components (including aeration tanks, aeration systems, clarifiers, and sludge pumping systems); (2) activated sludge variations and modes; (3) biological nature of activated…

Nationwide reconnaissance of contaminants of emerging concern in source and treated drinking waters of the United States: Pharmaceuticals

EPA Science Inventory

Mobile and persistent chemicals that are present in urban wastewater, such as pharmaceuticals, may survive on-site or municipal wastewater treatment and post-discharge environmental processes. These pharmaceuticals have the potential to reach surface and groundwaters, essential d...

Development of Mobile Tracer Correlation Method for Quantification of Emissions from Landfills and Other Large Area Sources

EPA Science Inventory

There is an emerging need to develop cost effective measurement methods for greenhouse gas and air pollutant emissions from large area sources such as landfills, waste water treatment ponds, open area processing units, agricultural operations, CO2 sequestration fields, and site r...

Development of Mobile Tracer Correlation Approach for Quantification of Emissions from Landfills and Other Large Area Sources

EPA Science Inventory

There is a recognized need to develop cost effective measurement methods for greenhouse gas and air pollutant emissions from large area sources such as landfills, waste water treatment ponds, open area processing units, agricultural operations, CO2 sequestration fields, and site ...

The Full-Scale Implementation of an Innovative Biological Ammonia Treatment Process

EPA Science Inventory

Across the United States, high levels of ammonia in drinking water sources can be found, including small communities like Palo, Iowa (approximate population of 1,026). Although ammonia in water does not pose a direct health concern, ammonia nitrification can cause a number of iss...

Oily Waste Water Treatment System

DTIC Science & Technology

1998-01-22

from three 6 series connected, ceramic membrane type of filtration units 82, 84 and 86 through a conduit 80. 7 The flow rate and pressure of the...hereinbefore described is of the silica-coated 4 P- ceramic membrane type through which effluent from the oil/water separator 20 may be processed

Aerated Lagoons. Student Manual. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Andersen, Lorri

This student manual contains the textual material for a unit which focuses on the structural and operationally unique features of aerated lagoons. Topic areas discussed include: (1) characteristics of completely mixed aerated lagoons; (2) facultative aerated lagoons; (3) aerated oxidation ponds; (4) effects of temperature on aerated lagoons; (5)…

OVERVIEW OF THE HISTORY, PRESENT STATUS, AND FUTURE DIRECTION OF SOLIDIFICATION/STABILIZATION TECHNOLOGIES FOR HAZARDOUS WASTE TREATMENT

EPA Science Inventory

Solidification/stabilization (S/S) technology processes are currently being utilized in the United States to treat inorganic and organic hazardous waste and radioactive waste. These wastes are generated from operating industry or have resulted from the uncontrolled management of ...

Distribution and persistence of fecal bacterial populations in liquid and dewatered sludge from a biological treatment plant.

PubMed

Vilanova, Xavier; Blanch, Anicet R

2005-12-01

The changes in composition and structure of fecal coliforms (FC) and enterococci (ENT) populations, as well as the elimination of spores of sulphite-reducing bacteria (SRB), were compared between municipal sewage and their derived sludge in a biological treatment plant in order to determine any selective reduction or adsorption to sludge during the treatment process. Additionally, the persistence of antibiotic-resistant enterococcal populations in two kinds of sludge was also considered to evaluate their potential elimination in the treatment process. Microbial indicators, vancomycin-resistant and erythromycin-resistant enterococci were enumerated. The structure and composition of FC and ENT populations were determined by biochemical fingerprinting and clustering analyses. Raw and treated sewage showed a concentration of FC 1 log unit higher than ENT and nearly 2 log units higher than spores of SRB. However, the three studied indicators showed similar concentrations in both types of sludge. Consequently, FC were eliminated in higher proportion than ENT and spores of SRB in sludge. FC and ENT populations showed high diversity and similarity population indexes for all kinds of samples. Antibiotic-resistant enterococci persisted in a similar proportion in respect to total enterococci not only in treated sewage but also in sludge. The persistence of antibiotic-resistant strains in sludge as well as in treated sewage should be considered if they are used for land disposal or for water reutilization, respectively.

Seasonal variations in the concentration and removal of nonylphenol ethoxylates from the wastewater of a sewage treatment plant.

PubMed

Gao, Dawen; Li, Zhe; Guan, Junxue; Liang, Hong

2017-04-01

In this study, we investigated the occurrence and fate of nonylphenol (NP), nonylphenol monoethoxylate (NP1EO) and nonylphenol diethoxylate (NP2EO) in a full scale sewage treatment plant, which applied an Anaerobic/Oxic process. Concentrations of NP, NP1EO and NP2EO in the wastewater were measured during the period spanning a whole year. The results showed remarkable seasonal variation in the concentrations of the compounds. The NPnEO compounds were most abundant in winter, with the total concentrations of influent NP, NP1EO and NP2EO ranging from 3900 to 7000ng/L, 4000 to 4800ng/L and 5200 to 7200ng/L, respectively. Regarding the total removal efficiencies of the three types of short-chain NPnEO compounds, different trends were exhibited according to different seasons. The average removal efficiency of NP for the different seasons ranked as follows: winter>summer>autumn>spring; NP2EO concentrations decreased as follows: summer>autumn>winter>spring, while NP1EO concentrations reduced according to: spring>summer>autumn>winter. We also investigated the contribution ratio of individual treatment units in the A/O process, with the findings suggesting that the anaerobic treatment unit plays an important role in the elimination of short-chain NPnEOs from the wastewater. Copyright © 2016. Published by Elsevier B.V.

An integrated treatment model for dual diagnosis of psychosis and addiction.

PubMed

Minkoff, K

1989-10-01

A model that integrates the treatment of patients with a dual diagnosis of psychosis and addiction has been developed on a general hospital psychiatric unit. The model emphasizes the parallels between the standard biopsychosocial illness-and-rehabilitation model for treatment of serious psychiatric disorders and the 12-step disease-and-recovery model of Alcoholics Anonymous for treatment of addiction. Dual-diagnosis patients are viewed as having two primary, chronic, biologic mental illnesses, each requiring specific treatment to stabilize acute symptoms and engage the patient in a recovery process. An integrated treatment program is described, as are the steps taken to alleviate psychiatric clinicians' concerns about patient involvement in AA and addiction clinicians' discomfort with patients' use of medication.

Occurrences and removal of pharmaceuticals and personal care products (PPCPs) in drinking water and water/sewage treatment plants: A review.

PubMed

Yang, Yi; Ok, Yong Sik; Kim, Ki-Hyun; Kwon, Eilhann E; Tsang, Yiu Fai

2017-10-15

In recent years, many of micropollutants have been widely detected because of continuous input of pharmaceuticals and personal care products (PPCPs) into the environment and newly developed state-of-the-art analytical methods. PPCP residues are frequently detected in drinking water sources, sewage treatment plants (STPs), and water treatment plants (WTPs) due to their universal consumption, low human metabolic capability, and improper disposal. When partially metabolized PPCPs are transferred into STPs, they elicit negative effects on biological treatment processes; therefore, conventional STPs are insufficient when it comes to PPCP removal. Furthermore, the excreted metabolites may become secondary pollutants and can be further modified in receiving water bodies. Several advanced treatment systems, including membrane filtration, granular activated carbon, and advanced oxidation processes, have been used for the effective removal of individual PPCPs. This review covers the occurrence patterns of PPCPs in water environments and the techniques adopted for their treatment in STP/WTP unit processes operating in various countries. The aim of this review is to provide a comprehensive summary of the removal and fate of PPCPs in different treatment facilities as well as the optimum methods for their elimination in STP and WTP systems. Copyright © 2017 Elsevier B.V. All rights reserved.

Controlling calcium precipitation in an integrated anaerobic-aerobic treatment system of a "zero-discharge" paper mill.

PubMed

van Lier, J B; Boncz, M A

2002-01-01

The pulp and paper industry uses significant amounts of water and energy for the paper production process. Closing the water cycles in this industry, therefore, promises large benefits for the environment and has the potential of huge cost savings for the industry. Closing the water cycle on the other hand also introduces problems with process water quality, quality of the end-product and scaling, owing to increased water contamination. An inline treatment system is discussed in which anaerobic-aerobic bioreactors perform a central role for removing both organic and inorganic pollutants from the process water cycle. In the proposed set-up, the organic compounds are converted to methane gas and reused for energy supply, while sulphur compounds are stripped from the process cycle and calcium carbonate is removed by precipitation. Improved control of the treatment system will direct the inorganic precipitates to a location where it does not adversely affect paper production and process water treatment. A simulation program for triggering and controlling CaCO3 precipitation was developed that takes both biological conversions and all relevant chemical equilibria in the system into account. Simulation results are in good agreement with data gathered in a full-scale "zero-emission" paper plant and indicate that control of CaCO3 precipitation can be improved, e.g. in the aerobic post-treatment. Alternatively, a separate precipitation unit could be considered.

Suspended biofilm carrier and activated sludge removal of acidic pharmaceuticals.

PubMed

Falås, P; Baillon-Dhumez, A; Andersen, H R; Ledin, A; la Cour Jansen, J

2012-03-15

Removal of seven active pharmaceutical substances (ibuprofen, ketoprofen, naproxen, diclofenac, clofibric acid, mefenamic acid, and gemfibrozil) was assessed by batch experiments, with suspended biofilm carriers and activated sludge from several full-scale wastewater treatment plants. A distinct difference between nitrifying activated sludge and suspended biofilm carrier removal of several pharmaceuticals was demonstrated. Biofilm carriers from full-scale nitrifying wastewater treatment plants, demonstrated considerably higher removal rates per unit biomass (i.e. suspended solids for the sludges and attached solids for the carriers) of diclofenac, ketoprofen, gemfibrozil, clofibric acid and mefenamic acid compared to the sludges. Among the target pharmaceuticals, only ibuprofen and naproxen showed similar removal rates per unit biomass for the sludges and biofilm carriers. In contrast to the pharmaceutical removal, the nitrification capacity per unit biomass was lower for the carriers than the sludges, which suggests that neither the nitrite nor the ammonia oxidizing bacteria are primarily responsible for the observed differences in pharmaceutical removal. The low ability of ammonia oxidizing bacteria to degrade or transform the target pharmaceuticals was further demonstrated by the limited pharmaceutical removal in an experiment with continuous nitritation and biofilm carriers from a partial nitritation/anammox sludge liquor treatment process. Copyright © 2011 Elsevier Ltd. All rights reserved.

Admission of the very elderly to the intensive care unit: family members' perspectives on clinical decision-making from a multicenter cohort study.

PubMed

Heyland, Daren K; Dodek, Peter; Mehta, Sangeeta; Cook, Deborah; Garland, Allan; Stelfox, Henry T; Bagshaw, Sean M; Kutsogiannis, Demetrios J; Burns, Karen; Muscedere, John; Turgeon, Alexis F; Fowler, Rob; Jiang, Xuran; Day, Andrew G

2015-04-01

Little is known about the perspectives and experiences of family members of very elderly patients who are admitted to the intensive care unit. To describe family members' perspectives about care provided to very elderly critically ill patients. Multicenter, prospective, cohort study. In total, 535 family members of patients aged 80 years or older admitted to 22 intensive care units for more than 24 h. Family members reported that the "patient be comfortable and suffer as little as possible" was their most important value and "the belief that life should be preserved at all costs" was their least important value considered in making treatment decisions. Most family members (57.9%) preferred that life support be used for their family member, whereas 24.1% preferred comfort measures only, and 14.4% were unsure of their treatment preferences. Only 57.3% reported that a doctor had talked to them about treatment options for the patient. Overall, 29.7% of patients received life-sustaining treatments for more than 7 days and 50.3% of these died in hospital. Families were most satisfied with the skill and competency of nurses and least satisfied with being included and supported in the decision-making process and with their sense of control over the patient's care. There is incongruity between family values and preferences for end-of-life care and actual care received for very elderly patients who are admitted to the intensive care unit. Deficiencies in communication and decision-making may be associated with prolonged use of life-sustaining treatments in very elderly critically ill patients, many of whom ultimately die. © The Author(s) 2015.

The Therapeutic use of Radon: A Biomedical Treatment in Europe; An “Alternative” Remedy in the United States

PubMed Central

Erickson, Barbra E.

2007-01-01

There is a growing recognition in the United States and Europe that health care is driven to a significant extent by an emphasis on consumer choice and demand. As consumers, people regularly choose their own solutions for health promotion and maintenance, solutions which may or may not be sanctioned by mainstream medicine. Radioactive radon therapy exemplifies a non-sanctioned treatment eagerly sought by certain patients, but scorned or dismissed by many physicians. This is certainly the case in the United States, where well-publicized Environmental Protection Agency (EPA) warnings portray radon as a potential carcinogen. Between 1997 and 2001, I worked with a population of arthritis sufferers who expose themselves to radon gas in Montana radon health mines in order to alleviate their symptoms. In this paper I discuss the decision-making process involved in using radon, and compare the Montana radon health mine facilities with selected radon mines and spas in Europe. PMID:18648554

Sustained health-economic effects after reorganisation of a Swiss hospital emergency centre: a cost comparison study

PubMed Central

Eichler, Klaus; Hess, Sascha; Chmiel, Corinne; Bögli, Karin; Sidler, Patrick; Senn, Oliver; Rosemann, Thomas; Brügger, Urs

2014-01-01

Background Emergency departments (EDs) are increasingly overcrowded by walk-in patients. However, little is known about health-economic consequences resulting from long waiting times and inefficient use of specialised resources. We have evaluated a quality improvement project of a Swiss urban hospital: In 2009, a triage system and a hospital-associated primary care unit with General Practitioners (H-GP-unit) were implemented beside the conventional hospital ED. This resulted in improved medical service provision with reduced process times and more efficient diagnostic testing. We now report on health-economic effects. Methods From the hospital perspective, we performed a cost comparison study analysing treatment costs in the old emergency model (ED, only) versus treatment costs in the new emergency model (triage plus ED plus H-GP-unit) from 2007 to 2011. Hospital cost accounting data were applied. All consecutive outpatient emergency contacts were included for 1 month in each follow-up year. Results The annual number of outpatient emergency contacts increased from n=10 440 (2007; baseline) to n=16 326 (2011; after intervention), reflecting a general trend. In 2007, mean treatment costs per outpatient were €358 (95% CI 342 to 375). Until 2011, costs increased in the ED (€423 (396 to 454)), but considerably decreased in the H-GP-unit (€235 (221 to 250)). Compared with 2007, the annual local budget spent for treatment of 16 326 patients in 2011 showed cost reductions of €417 600 (27 200 to 493 600) after adjustment for increasing patient numbers. Conclusions From the health-economic point of view, our new service model shows ‘dominance’ over the old model: While quality of service provision improved (reduced waiting times; more efficient resource use in the H-GP-unit), treatment costs sustainably decreased against the secular trend of increase. PMID:23850883

A Cross-Cultural Three-Step Process Model for Assessing Motivational Interviewing Treatment Fidelity in Thailand

PubMed Central

Koken, Juline A.; Naar-King, Sylvie; Umasa, Sanya; Parsons, Jeffrey T.; Saengcharnchai, Pichai; Phanuphak, Praphan; Rongkavilit, Chokechai

2013-01-01

The provision of culturally relevant yet evidence-based interventions has become crucial to global HIV prevention and treatment efforts. In Thailand, where treatment for HIV has become widely available, medication adherence and risk behaviors remain an issue for Thai youth living with HIV. Previous research on motivational interviewing (MI) has proven effective in promoting medication adherence and HIV risk reduction in the United States. However, to test the efficacy of MI in the Thai context a feasible method for monitoring treatment fidelity must be implemented. This article describes a collaborative three-step process model for implementing the MI Treatment Integrity (MITI) across cultures while identifying linguistic issues that the English-originated MITI was not designed to detect as part of a larger intervention for Thai youth living with HIV. Step 1 describes the training of the Thai MITI coder, Step 2 describes identifying cultural and linguistic issues unique to the Thai context, and Step 3 describes an MITI booster training and incorporation of the MITI feedback into supervision and team discussion. Throughout the process the research team collaborated to implement the MITI while creating additional ways to evaluate in-session processes that the MITI is not designed to detect. The feasibility of using the MITI as a measure of treatment fidelity for MI delivered in the Thai linguistic and cultural context is discussed. PMID:22228776

Nitrous oxide and methane emissions from different treatment processes in full-scale municipal wastewater treatment plants.

PubMed

Rena, Y G; Wang, J H; Li, H F; Zhang, J; Qi, P Y; Hu, Z

2013-01-01

Nitrous oxide (N2O) and methane (CH4) are two important greenhouse gases (GHG) emitted from biological nutrient removal (BNR) processes in municipal wastewater treatment plants (WWTP). In this study, three typical biological wastewater treatment processes were studied in WWTP of Northern China: pre-anaerobic carrousel oxidation ditch (A+OD) process, pre-anoxic anaerobic-anoxic-oxic (A-A/ A/O) process and reverse anaerobic-anoxic-oxic (r-A/ A/O) process. The N2O and CH4 emissions from these three different processes were measured in every processing unit of each WWTP. Results showed that N2O and CH4 were mainly discharged during the nitrification/denitrification process and the anaerobic/anoxic treatment process, respectively and the amounts of their formation and release were significantly influenced by different BNR processes implemented in these WWTP. The N2O conversion ratio of r-A/ A/O process was the lowest among the three WWTP, which were 10.9% and 18.6% lower than that of A-A/A/O process and A+OD process, respectively. Similarly, the CH4 conversion ratio of r-A/ A/O process was the lowest among the three WWTP, which were 89. I% and 80.8% lower than that of A-A/ A/O process and A+OD process, respectively. The factors influencing N2O and CH4 formation and emission in the three WWTP were investigated to explain the difference between these processes. The nitrite concentration and oxidation-reduction potential (ORP) value were found to be the dominant influencing factors affecting N2O and CH4 production, respectively. The flow-based emission factors of N2O and CH4 of the WWTP were figured out for better quantification of GHG emissions and further technical assessments of mitigation options.

[Reorganization of the interdisciplinary emergency unit at the university clinic of Göttingen].

PubMed

Blaschke, Sabine; Müller, Gerhard A; Bergmann, Günther

2008-04-01

Configuration of the interdisciplinary emergency unit within the university clinic of Göttingen was successfully reorganized during the past two years. All emergencies except traumatologic, gynecologic and pediatric emergencies are treated within this functional unit which is guided by the center of internal medicine. It is organized in a three shift operation manner over a period of 24 hours. Due to a close interdisciplinary collaboration between different departments patients receive optimal diagnostic and therapeutic treatment within a short period of time. To improve processes within the emergency department a series of measures were taken including the -establishment of an intermediate care unit for unstable patients, setting up of special diagnostic and therapeutic units for the acute coronary syndrome as well as stroke, implementation of standardized clinical pathways, establishment of an electronic data processing network in close communication with all diagnostic entities, introduction of a quality assurance system and reduction of medical costs. Reorganization measures lead to a substantial optimization and acceleration of emergency proceedings and thus, provides optimal patient care around the clock. In addition, medical costs could clearly be reduced at the interface between preclinical and clinical emergency medicine.

[The concept "a case in outpatient treatment" in military policlinic activity].

PubMed

Vinogradov, S N; Vorob'ev, E G; Shklovskiĭ, B L

2014-04-01

Substantiates the necessity of transition of military policlinics to the accounting system and evaluation of their activity on the finished cases of outpatient treatment. Only automating data-statistical processes can solve this problem. On the basis of analysis of the literature data, requirements of the guidance documents and observational results concludes that preliminarily should be done revisal (formalisation) of existing concepts of medical statistics from the position of information environment which in use - electronic databases. In this aspect specified the main features of outpatient treatment case as a unit of medical-statistical record, and formulated its definition.

Cleaner Landfills

NASA Technical Reports Server (NTRS)

2000-01-01

Osmotek, Inc. developed the Direct Osmosis treatment system through SBIR funding from Ames Research Center. Using technology originally developed for flight aboard the Space Station, the company brought it to their commercial water purification treatment system, Direct Osmosis. This water purification system uses a direct osmosis process followed by a reverse osmosis treatment. Because the product extracts water from a waste product, Osmotek is marketing the unit for use in landfills. The system can treat leachate (toxic chemicals leached into a water source), by filtering the water and leaving behind the leahcate. The leachate then becomes solidified into substance that can not seep into water.

Damage reduction to ponderosa pine seedlings from northern pocket gophers by vegetation management through grass seeding and herbicide treatment

USGS Publications Warehouse

Engeman, Richard M.; Barnes, V.G.; Anthony, R.M.; Krupa, Heather W.

1998-01-01

2,4-D herbicide treatment was applied to 2 treatment units to remove the forbs that are the preferred food of pocket gophers. One of these units also was seeded with grasses prior to the 2,4-D treatment. The effect of 2,4-D and grass seeding plus 2,4-D treatments were compared to an untreated control unit. Long-term monitoring (7 yr) was conducted on the 3 units for vegetative cover (7 yr), pocket gopher activity, and individual survival times and time until gopher damage for 2 cohorts of seedlings (5 and 6 yrs). The 2,4-D treatments greatly reduced vegetative cover of the forbs and seeding increased grass cover on the unit receiving that treatment. Pocket gopher activity was reduced somewhat on the unit receiving only the 2,4-D treatment and more so on the unit receiving grass seeding and 2,4-D, although gophers remained active to some degree throughout the study. Both cohorts of seedlings for both treatments units showed greater average times until gopher damage over seedlings on the control unit. However, seedling survival from all sources of mortality was not positively affected by the treatments for the first cohort of seedlings. The 2,4-D treatment appeared to have killed some of the seedlings; however, seedlings that survived the treatment were in a situation where they were less likely to be damaged by gophers and seemed to have improved growth rates.

Installation Restoration Program (IRP) Stage 3. McClellan Air Force Base. Operable Unit B. Preliminary Assessment Summary Report. Volume 2. Appendix B (Part 2)

DTIC Science & Technology

1991-10-01

the Industrial Wastewater Collection System (IWCS) for leaks and analyzed wastewater passing through the wastewater lines (the IWL) at McClellan AFB (EG...Wastewater Collection System (IWCS) is a system of underground pipes and lift stations used to collect the wastewater from the various base processes...and work areas for treatment at one centralized Industrial Wastewater Treatment Plant (IWTP) located in OU C McClellan AFB. Most of the system is

Anaerobic Membrane Bioreactors for Treatment of Wastewater at Contingency Locations

DTIC Science & Technology

2009-05-01

Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 Outline • Need for wastewater treatment • What is an MBR • Anaerobic Process • Characteristics of...Storm (deploymentlink.osd.mil, 2009) Existing Conditions, Nasiriyah Iraq All pictures (USAID, 2009) Defenselink.mil (2009) What is an MBR EffluentInfluent...Energy kWh/m3 3-7.3 (Liao, 2006) AnMBR Configurations - Submerged Parameter Units Submerged AnMBR Flux L/m2-h 15 Pressure kPA 15-50 Cross Flow

Treatment of concentrated industrial wastewaters originating from oil shale and the like by electrolysis polyurethane foam interaction

DOEpatents

Tiernan, Joan E.

1991-01-01

Highly concentrated and toxic petroleum-based and synthetic fuels wastewaters such as oil shale retort water are treated in a unit treatment process by electrolysis in a reactor containing oleophilic, ionized, open-celled polyurethane foams and subjected to mixing and l BACKGROUND OF THE INVENTION The invention described herein arose in the course of, or under, Contract No. DE-AC03-76SF00098 between the U.S. Department of Energy and the University of California.

Evaluation of Argonne 9-cm and 10-cm Annular Centrifugal Contactors for SHINE Solution Processing

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wardle, Kent E.; Pereira, Candido; Vandegrift, George

2015-02-01

Work is in progress to evaluate the SHINE Medical Technologies process for producing Mo-99 for medical use from the fission of dissolved low-enriched uranium (LEU). This report addresses the use of Argonne annular centrifugal contactors for periodic treatment of the process solution. In a letter report from FY 2013, Pereira and Vandegrift compared the throughput and physical footprint for the two contactor options available from CINC Industries: the V-02 and V-05, which have rotor diameters of 5 cm and 12.7 cm, respectively. They suggested that an intermediately sized “Goldilocks” contactor might provide a better balance between throughput and footprint tomore » meet the processing needs for the uranium extraction (UREX) processing of the SHINE solution to remove undesired fission products. Included with the submission of this letter report are the assembly drawings for two Argonne-design contactors that are in this intermediate range—9-cm and 10-cm rotors, respectively. The 9-cm contactor (drawing number CE-D6973A, stamped February 15, 1978) was designed as a single-stage unit and built and tested in the late 1970s along with other size units, both smaller and larger. In subsequent years, a significant effort to developed annular centrifugal contactors was undertaken to support work at Hanford implementing the transuranic extraction (TRUEX) process. These contactors had a 10-cm rotor diameter and were fully designed as multistage units with four stages per assembly (drawing number CMT-E1104, stamped March 14, 1990). From a technology readiness perspective, these 10-cm units are much farther ahead in the design progression and, therefore, would require significantly less re-working to make them ready for UREX deployment. Additionally, the overall maximum throughput of ~12 L/min is similar to that of the 9-cm unit (10 L/min), and the former could be efficiently operated over much of the same range of throughput. As a result, only the 10-cm units are considered here, though drawings are provided for the 9-cm unit for reference.« less

Fresenius AS.TEC204 blood cell separator.

PubMed

Sugai, Mikiya

2003-02-01

Fresenius AS.TEC204 is a third-generation blood cell separator that incorporates the continuous centrifugal separation method and automatic control of the cell separation process. Continuous centrifugation separates cell components according to their specific gravity, and different cell components are either harvested or eliminated as needed. The interface between the red blood cell and plasma is optically detected, and the Interface Control (IFC) cooperates with different pumps, monitors and detectors to harvest required components automatically. The system is composed of three major sections; the Front Panel Unit; the Pump Unit, and the Centrifuge Unit. This unit can be used for a wide variety of clinical applications including collection of platelets, peripheral blood stem cells, bone marrow stem cells, granulocytes, mononuclear cells, and exchange of plasma or red cells, and for plasma treatment.

Treating an aged pentachlorophenol- (PCP-) contaminated soil through three sludge handling processes, anaerobic sludge digestion, post-sludge digestion and sludge land application.

PubMed

Chen, S T; Berthouex, P M

2001-01-01

The extensive pentachlorophenol (PCP) contamination and its increasing treatment costs motivate the search for a more competitive treatment alternative. In a municipal wastewater treatment plant, anaerobic sludge-handling processes comprises three bio-processes, namely the anaerobic sludge digestion, post-sludge digestion and sludge land application, which reduce sludge organic content and make sludge a good fertilizer for land application. Availability and effectiveness make the anaerobic sludge handling processes potential technologies to treat PCP-contaminated soil. The technical feasibility of using anaerobic sludge bioprocesses was studied by treating PCP soil in two pilot digesters to simulate the primary sludge digestion, in serum bottles to mimic the post-sludge digestion, and in glass pans to represent the on-site sludge application. For primary digestion, the results showed that up to 0.98 and 0.6 mM of chemical and soil PCP, respectively, were treated at nearly 100% and 97.5% efficiencies. The PCP was transformed 95% to 3-MCP, 4.5% to 3,4-DCP, and 0.5% to 3,5-DCP. For post-digestion, 100% pure chemical PCP and greater than 95% soil PCP were removed in less than 6 months with no chlorophenol residues of any kind. Complete removal of PCP by-products makes this process a good soil cleanup method. For on-site treatment, PCP was efficiently treated by multiple sludge application; however, the PCP residue was observed due to the high initial PCP content in soil. Overall, more mass PCP per unit sludge per day was processed using the primary sludge digestion than the on-site soil treatment or post-sludge digestion. And, sludge acclimation resulted in better PCP treatment efficiencies with all three processes.

Cross-national study of attitudes towards seeking professional help: Jordan, United Arab Emirates (UAE) and Arabs in Israel.

PubMed

Al-Krenawi, Alean; Graham, John R; Dean, Yasmin Z; Eltaiba, Nada

2004-06-01

Help-seeking processes provide critical links between the onset of mental health problems and the provision of professional care. But little is known about these processes in the Arab world, and still less in transnational, comparative terms. This is the first study to compare help-seeking processes among Muslim Arab female students in Jordan, the United Arab Emirates and Israel. The present study compares the attitudes of Arab Muslim female students from Israel, Jordan and the United Arab Emirates (UAE) towards mental health treatment. A convenience sample of 262 female Muslim-Arab undergraduate university students from Jordan, United Arab Emirates (UAE) and Arab students in Israel completed a modified Orientation for Seeking Professional Help (OSPH) Questionnaire. Data revealed that nationality was not statistically significant as a variable in a positive attitude towards seeking professional help; year of study, marital status and age were found to be significant predictors of a positive attitude towards seeking help. High proportions of respondents among the nationalities referred to God through prayer during times of psychological distress. The discussion considers implications for professional service delivery and programme development. Future research could extrapolate findings to other Arab countries and to Arab peoples living in the non-Arab world.

PCDD/PCDF reduction by the co-combustion process.

PubMed

Lee, Vinci K C; Cheung, Wai-Hung; McKay, Gordon

2008-01-01

A novel process, termed the co-combustion process, has been developed and designed to utilise the thermal treatment of municipal solid waste (MSW) in cement clinker production and reduce PCDD/PCDF emissions. To test the conceptual design; detailed engineering design of the process and equipment was performed and a pilot plant was constructed to treat up to 40 tonnes MSW per day. The novel process features included several units external to the main traditional cement rotary kiln: an external calcinations unit in which the hot gas calcined the limestone thus making significant energy savings for this chemical reaction; the lime generated was used in a second chamber to act as a giant acid gas scrubber to remove SOx and particularly HCl (a source of chloride); an external rotary kiln and secondary combustion unit capable of producing a hot gas at 1200 degrees C; a gas cooler to simulate a boiler turbogenerator set for electricity generation; the incorporation of some of the bottom ash, calcined lime and dust collector solids into the cement clinker. A PCDD/PCDF inventory has been completed for the entire process and measured PCDD/PCDF emissions were 0.001 ng I-TEQ/Nm(3) on average which is 1% of the best practical means [Hong Kong Environmental Protection Department, 2001. A guidance note on the best practicable means for incinerators (municipal waste incineration), BPM12/1] MSW incineration emission limit values.

Oxidation Ditches. Instructor's Guide. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Nelsen, David

This instructor's guide contains materials needed for teaching a two-lesson unit on oxidation ditches. These materials include: (1) an overview of the two lessons; (2) lesson plans; (3) lecture outlines; (4) student worksheet (with answers); and (5) two copies of a final quiz (with and without answers). The first lesson: reviews the theory,…

Percutaneously implanted left ventricular assist device: establishing a program from implant to intensive care unit.

PubMed

Speiser, Bernadette S

2011-01-01

Cardiogenic shock is a critical disease process that claims lives every year. A new device on the market allows 2.5 L of cardiac output through the heart to assist in patient stabilization while attempting treatment options such as percutaneous coronary intervention to open closed coronary arteries.

Silvicultural Use of Wastewater Sludge

Treesearch

J.B. Hart; P.V. Nguyen; D.H. Urie; Dale G. Brockway

1988-01-01

Generation of wastewater sludge in the United States has become a problem of increasing proportion, with annual production at 4 million tons in 1970 (Walsh 1976) and 7 million tons currently(Maness 1987). While population and industrial growth have contributed to this problem, legislation requiring higher standards of treatment for wastewater processed in the 15,378...

South Asians in College Counseling

ERIC Educational Resources Information Center

Ahmad-Stout, David J.; Nath, Sanjay R.

2013-01-01

The goal of this article is to provide information on the assessment and treatment of South Asian college students for mental health practitioners. We provide a brief historical review of the cultures from which these students come and the process of migration to the United States and also make recommendations for work with these students in the…

Evaluation of Components of Residential Treatment by Medicaid ICF-MR Surveys: A Validity Assessment.

ERIC Educational Resources Information Center

Reid, Dennis H.; And Others

1991-01-01

Four studies found serious problems with components of the federal Medicaid program's survey process for evaluating intermediate care facilities for the mentally retarded--surveys did not discriminate between certified and noncertified units, direct-care staff behavior was very reactive to the survey's presence, and service providers had divergent…

ADVANCED OXIDATION PROCESSES IN THE TREATMENT OF CONTAMINANT CANDIDATE LIST (CCL) COMPOUNDS

EPA Science Inventory

The current (2nd) Contaminant Candidate List was completed in 2005 by the United States EPA as an update to the Safe Drinking Water Act. The list of 42 chemical contaminants spans a wide array of classes, from pesticides to pharmaceuticals to elements, all of which are anticipate...

Rotating Biological Contactors (RBC's). Student Manual. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Zickefoose, Charles S.

This student manual provides the textual material for a unit on rotating biological contactors (RBC's). Topic areas considered include: (1) flow patterns of water through RBC installations; (2) basic concepts (shaft and stage); (3) characteristics of biomass; (4) mechanical features (bearings, mechanical drive systems, and air drive systems); (5)…

40 CFR 141.720 - Inactivation toolbox components.

Code of Federal Regulations, 2014 CFR

2014-07-01

... treatment unit process with a measurable disinfectant residual level and a liquid volume. Under this... through reactor validation testing, as described in paragraph (d)(2) of this section. The UV dose values....0 12 11 143 (vii) 3.5 15 15 163 (viii) 4.0 22 22 186 (2) Reactor validation testing. Systems must...

[Legal aspects and the treatment procedure of gender dysphoria in Hungary].

PubMed

Kórász, Krisztián

2015-07-26

The legal process of gender transition in Hungary had previously been more developed as in most European countries, as the law enabled transsexual people to change their name and gender before or without a medical treatment, which was unique at the time. Over the years, however, lots of European countries developed legal frameworks and accepted international standards of care for the treatment of gender dysphoria that Hungary did not follow. Currently in Hungary there is no consistent legal framework of gender transition, there is no official regulation or guidelines regarding gender transition process, no institution with the obligation to accommodate the process, and there is no nominated specialist in the state health care system whose remit included dealing with transsexual patients. The information on gender transition options both to the professionals and to the patients is limited and incoherent. This paper reviews the legal aspects and clinical management process of gender dysphoria in Hungary. Some issues regarding the Hungarian practice and possible solutions based on examples from the United Kingdom are addressed within the paper.

Assessment of Primary Health Care in the Treatment of Tuberculosis in a Brazilian Locality of the International Triple Frontier.

PubMed

Silva-Sobrinho, Reinaldo Antonio; Wysocki, Anneliese Domingues; Scatena, Lúcia Marina; Pinto, Erika Simone Galvão; Beraldo, Aline Ale; Andrade, Rubia Laine Paula; Zilly, Adriana; Munhak da Silva, Rosane Meire; Gomes, Michela Prestes; Mayer, Paulo César Morales; Ruffino-Netto, Antonio; Villa, Tereza Cristina Scatena

2017-01-01

To evaluate the performance of Primary Health Care (PHC) in treatment of TB patients in a triple international border municipality. The present study was an evaluative survey of cross-sectional and quantitative approach conducted with 225 PHC healthcare professionals. Data was collected through a structured and validated instrument, which provided five indicators of "structure" and four indicators of "process" classified as unsatisfactory, regular or satisfactory. The "structure" component was unsatisfactory for the indicator of professionals involved in TB care and training, and regular for the indicator of connection between the units and other levels of care. The "process" component was regular for the indicators of TB information, directly observed treatment and reference and counter reference on TB, and unsatisfactory for external actions on TB control. The "structure" and "process" components points out some weaknesses in terms of management and organization of human resources. Low frequency of training and the turnover influenced the involvement of professionals. Elements of "structure" and "process" show the need for investing in the PHC team and improving the clinical management of cases.

Decentralisation of radiation therapy. Is it possible and beneficial to patients? Experience of the first 5 years of a satellite radiotherapy unit in the province of Tarragona, Spain

PubMed Central

Arenas, Meritxell; Gomez, David; Sabater, Sebastià; Rovirosa, Angeles; Biete, Albert; Colomer, Jordi

2014-01-01

Background The concept of satellite radiotherapy originates in countries whose populations are largely dispersed in order to treat homogenously the population by a unique fixed team. Aim This report describes the creation and management of a satellite radiotherapy unit in Spain (RUTE-Radiotherapy Unit, Terres de l’Ebre). It is managed by the Radiation Oncology Department at Hospital Universitari Sant Joan de Reus. We report the benefit gained in the comfort of patients and the economic benefit gained by reducing the expense of transport for the health care system. Materials and methods RUTE is equipped with a linear accelerator. A team of 10 physicians, specialised in different oncology pathologies, travel to RUTE on a rotational basis from the main Radiation Oncology Department. Simulation and planning of treatment is managed at the Radiation Oncology Department in Reus. Patients from RUTE only have to visit the centre in Reus once throughout the treatment process. Results Since August 2008, 1500 patients have completed treatment in the satellite unit. The implementation of RUTE has greatly improved the comfort of patients and along with that, there have been important savings in transport costs to the regional health care system. Conclusions Despite the high technological requirements of our speciality, decentralising radiotherapy is feasible. We can guarantee the highest standards of treatment with no differences from attending the main centre. It implies a clear benefit for the comfort of the patients and an economic benefit by decreasing transport costs. PMID:25859402

Process Interaction for Wastewater Facilities, Wastewater Technology: A Two-Year Post High School Instructional Program. An Instructor's Guide for Use of Instructional Material in Wastewater Technology Training Programs. Volume V.

ERIC Educational Resources Information Center

Gearheart, Robert A.; And Others

This document is one in a series which outlines performance objectives and instructional modules for a course of study which explains the relationships and functions of the process units in a wastewater treatment plant. The modules are arranged in an order appropriate for teaching students with no experience. The modules can also be rearranged and…

Healthcare Laundry and Textiles in the United States: Review and Commentary on Contemporary Infection Prevention Issues.

PubMed

Sehulster, Lynne M

2015-09-01

Healthcare professionals have questions about the infection prevention effectiveness of contemporary laundry processes for healthcare textiles (HCTs). Current industrial laundry processes achieve microbial reductions via physical, chemical, and thermal actions, all of which result in producing hygienically clean HCTs. European researchers have demonstrated that oxidative laundry additives have sufficient potency to meet US Environmental Protection Agency benchmarks for sanitizers and disinfectants. Outbreaks of infectious diseases associated with laundered HCTs are extremely rare; only 12 such outbreaks have been reported worldwide in the past 43 years. Root cause analyses have identified inadvertent exposure of clean HCTs to environmental contamination (including but not limited to exposure to dust in storage areas) or a process failure during laundering. To date, patient-to-patient transmission of infection has not been associated with hygienically clean HCTs laundered in accordance with industry process standards. Occupationally acquired infection involved mishandling of soiled HCTs and failure to use personal protective equipment properly. Laboratory studies of antimicrobial treatments for HCTs demonstrate a wide range of activity from 1 to 7 log10 reduction of pathogens under various experimental conditions. Clinical studies are needed to evaluate potential use of these treatments for infection prevention. Microbiological testing of clean HCTs for certification purposes is now available in the United States. Key features (eg, microbial sampling strategy, numbers of textiles sampled) and justification of the testing are discussed.

Current status of kilovoltage (kV) radiotherapy in the UK: installed equipment, clinical workload, physics quality control and radiation dosimetry.

PubMed

Palmer, Antony L; Pearson, Michael; Whittard, Paul; McHugh, Katie E; Eaton, David J

2016-12-01

To assess the status and practice of kilovoltage (kV) radiotherapy in the UK. 96% of the radiotherapy centres in the UK responded to a comprehensive survey. An analysis of the installed equipment base, patient numbers, clinical treatment sites, quality control (QC) testing and radiation dosimetry processes were undertaken. 73% of UK centres have at least one kV treatment unit, with 58 units installed across the UK. Although 35% of units are over 10 years old, 39% units have been installed in the last 5 years. Approximately 6000 patients are treated with kV units in the UK each year, the most common site (44%) being basal cell carcinoma. A benchmark of QC practice in the UK is presented, against which individual centres can compare their procedures, frequency of testing and acceptable tolerance values. We propose the use of internal "notification" and "suspension" levels for analysis. All surveyed centres were using recommended Codes of Practice for kV dosimetry in the UK; approximately the same number using in-air and in-water methodologies for medium energy, with two-thirds of all centres citing "clinical relevance" as the reason for choice of code. 64% of centres had hosted an external dosimetry audit within the last 3 years, with only one centre never being independently audited. The majority of centres use locally measured applicator factors and published backscatter factors for treatments. Monitor unit calculations are performed using software in only 36% of centres. A comprehensive review of current kV practice in the UK is presented. Advances in knowledge: Data and discussion on contemporary kV radiotherapy in the UK, with a particular focus on physics aspects.

Current status of kilovoltage (kV) radiotherapy in the UK: installed equipment, clinical workload, physics quality control and radiation dosimetry

PubMed Central

Pearson, Michael; Whittard, Paul; McHugh, Katie E; Eaton, David J

2016-01-01

Objective: To assess the status and practice of kilovoltage (kV) radiotherapy in the UK. Methods: 96% of the radiotherapy centres in the UK responded to a comprehensive survey. An analysis of the installed equipment base, patient numbers, clinical treatment sites, quality control (QC) testing and radiation dosimetry processes were undertaken. Results: 73% of UK centres have at least one kV treatment unit, with 58 units installed across the UK. Although 35% of units are over 10 years old, 39% units have been installed in the last 5 years. Approximately 6000 patients are treated with kV units in the UK each year, the most common site (44%) being basal cell carcinoma. A benchmark of QC practice in the UK is presented, against which individual centres can compare their procedures, frequency of testing and acceptable tolerance values. We propose the use of internal “notification” and “suspension” levels for analysis. All surveyed centres were using recommended Codes of Practice for kV dosimetry in the UK; approximately the same number using in-air and in-water methodologies for medium energy, with two-thirds of all centres citing “clinical relevance” as the reason for choice of code. 64% of centres had hosted an external dosimetry audit within the last 3 years, with only one centre never being independently audited. The majority of centres use locally measured applicator factors and published backscatter factors for treatments. Monitor unit calculations are performed using software in only 36% of centres. Conclusion: A comprehensive review of current kV practice in the UK is presented. Advances in knowledge: Data and discussion on contemporary kV radiotherapy in the UK, with a particular focus on physics aspects. PMID:27730839

Effect of pectin methyl esterase and Ca²⁺ ions treatment on antioxidant capacity, shelf-life and quality of minimally processed pomegranate (Punica granatum L.) arils.

PubMed

Kumar, Sunil; Kumar, Ramesh; Nambi, V E

2016-03-01

Pomegranate fruits are difficult to peel and once peeled, extracted arils have very short shelf-life. Therefore, present investigation was carried out to extend the shelf life of minimally processed pomegranate arils using pectin methyl esterase (PME) and CaCl2 treatment during refrigerated storage. The arils of freshly harvested pomegranate fruits (Punica granatum L.) were treated with different concentrations of food-grade PME (50-300 units) and calcium ions (0.5-2.0% CaCl₂) for a period of 5-30 min using response surface methodology. Treated and untreated arils were then packed in low density polyethylene bags (25 μ) and maintained under low temperature (5°C; 90% RH) for evaluating the physical, biochemical and microbial quality of pomegranate arils at four day interval. Physiological loss in weight increased during storage but no food-borne pathogens were found during 28 day of cold storage in treated arils. Color and firmness of both treated and untreated arils decreased during storage but it was better maintained in treated arils. The firmness was found to be 0.630 N in treated samples compared to untreated one (0.511 N) after 20 d of storage. Total antioxidant capacity, ferric reducing antioxidant power, polyphenol oxidase and lipoxygenase activities increased during storage. Treatment with 249.33 units of PME and 1.70% CaCl₂for an immersion time of 24.93 min was found to be most effective treatment for maintaining the quality of minimally processed arils for longer period. Sensory score was also higher in treated pomegranate arils that were quite acceptable even after 20 day of referigerated storage as against 12 day for untreated ones.

Environmental sustainability of the solar photo-Fenton process for wastewater treatment and pharmaceuticals mineralization at semi-industrial scale.

PubMed

Foteinis, Spyros; Monteagudo, Jose Maria; Durán, Antonio; Chatzisymeon, Efthalia

2018-01-15

The environmental sustainability of a semi-industrial solar photo-Fenton reactor, treating real effluents emanating from a pharmaceutical laboratory, is assessed herein. The life cycle assessment/analysis (LCA) methodology was employed and real life cycle inventory (LCI) data was collected from a ferrioxalate-assisted homogeneous solar photo-Fenton wastewater treatment plant (WWTP), at Ciudad Real, Spain. Electricity was provided by photovoltaic (PV) panels in tandem with a battery bank, making the plant autonomous from the local grid. The effective treatment of 1m 3 of secondary-treated pharmaceutical wastewater, containing antipyrine, was used as a functional unit. The main environmental hotspot was identified to be the chemical reagents used to enhance treatment efficiency, mainly hydrogen peroxide (H 2 O 2 ) and to a smaller degree oxalic acid. On the other hand, land use, PV panels, battery units, compound parabolic collectors (CPC), tanks, pipes and pumps, as materials, had a low contribution, ranging from as little as 0.06% up to about 2% on the total CO 2eq emissions. Overall, the solar photo-Fenton process was found to be a sustainable technology for treating wastewater containing micropollutants at semi-industrial level, since the total environmental footprint was found to be 2.71kgCO 2 m -3 or 272mPtm -3 , using IPCC 2013 and ReCiPe impact assessment methods, respectively. A sensitivity analysis revealed that if the excess of solar power is fed back into the grid then the total environmental footprint is reduced. Depending on the amount of solar power fed back into the grid the process could have a near zero total environmental footprint. Copyright © 2017 Elsevier B.V. All rights reserved.

Summary Report of Ecological Risk Assessment for the Operation of the Explosives Waste Treatment Facility at Site 300 of the Lawrence Livermore National Laboratory.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gallegos, Gretchen M.; Terusaki, Stan H.

2013-12-01

An ecological risk assessment is required as part of the Resource Recovery and Conservation Act (RCRA) permit renewal process for Miscellaneous Units subject to 22 CCR 66270.23. This risk assessment is prepared in support of the RCRA permit renewal for the Explosives Waste Treatment Facility (EWTF) at Site 300 of the Lawrence Livermore National Laboratory (LLNL). LLNL collected soil samples and used the resulting data to produce a scoping-level ecological risk assessment pursuant to the Department of Toxic Substances Control, Guidance for Ecological Risk Assessment at Hazardous Waste Sites and Permitted Facilities, Part A: Overview, July 4, 1996. The scoping-levelmore » ecological risk assessment provides a framework to determine the potential interaction between ecological receptors and chemicals of concern from hazardous waste treatment operations in the area of EWTF. A scoping-level ecological risk assessment includes the step of conducting soil sampling in the area of the treatment units. The Sampling Plan in Support of the Human Health and Ecological Risk Assessment for the Operation of the Explosives Waste Treatment Facility at Site 300 of the Lawrence Livermore National Laboratory, (Terusaki, 2007), outlines the EWTF project-specific soil sampling requirements. Soil samples were obtained and analyzed for constituents from four chemical groups: furans, explosives, semi-volatiles and metals. Analytical results showed that furans, explosives and semi-volatiles were not detected; therefore, no further analysis was conducted. The soil samples did show the presence of metals. Soil samples analyzed for metals were compared to site-wide background levels, which had been developed for site -wide cleanup activities pursuant to the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA). Total metal concentrations from 28 discrete soil samples obtained in the EWTF area were all below CERCLA-developed background levels. Therefore, following DTSC 1996 guidance, the EWTF hazardous waste treatment units exit the ecological risk evaluation process upon completion of the requirements of a scoping-level assessment report. This summary report documents that the requirements of a scoping-level assessment have been met.« less

Do wastewater treatment plants act as a potential point source of microplastics? Preliminary study in the coastal Gulf of Finland, Baltic Sea.

PubMed

Talvitie, Julia; Heinonen, Mari; Pääkkönen, Jari-Pekka; Vahtera, Emil; Mikola, Anna; Setälä, Outi; Vahala, Riku

2015-01-01

This study on the removal of microplastics during different wastewater treatment unit processes was carried out at Viikinmäki wastewater treatment plant (WWTP). The amount of microplastics in the influent was high, but it decreased significantly during the treatment process. The major part of the fibres were removed already in primary sedimentation whereas synthetic particles settled mostly in secondary sedimentation. Biological filtration further improved the removal. A proportion of the microplastic load also passed the treatment and was found in the effluent, entering the receiving water body. After the treatment process, an average of 4.9 (±1.4) fibres and 8.6 (±2.5) particles were found per litre of wastewater. The total textile fibre concentration in the samples collected from the surface waters in the Helsinki archipelago varied between 0.01 and 0.65 fibres per litre, while the synthetic particle concentration varied between 0.5 and 9.4 particles per litre. The average fibre concentration was 25 times higher and the particle concentration was three times higher in the effluent compared to the receiving body of water. This indicates that WWTPs may operate as a route for microplastics entering the sea.

Progressive freezing and sweating in a test unit

NASA Astrophysics Data System (ADS)

Ulrich, J.; Özoğuz, Y.

1990-01-01

Crystallization from melts is applied in several fields like waste water treatment, fruit juice or liquid food concentration and purification of organic chemicals. Investigations to improve the understanding, the performance and the control of the process have been carried out. The experimental unit used a vertical tube with a falling film on the outside. With an specially designed measuring technique process controlling parameters have been studied. The results demonstrate the dependency of those parameters upon each other and indicate the way to control the process by controlling the dominant parameter. This is the growth rate of the crystal coat. A further purification of the crystal layer can be achieved by introducing the procedure of sweating, which is a controlled partial melting of the crystal coat. Here again process parameters have been varied and results are presented. The strong effect upon the final purity of the product by an efficient executed sweating which is effectively tuned on the crystallization procedure should save crystallization steps, energy and time.

Disinfection of contaminated water by using solar irradiation.

PubMed

Caslake, Laurie F; Connolly, Daniel J; Menon, Vilas; Duncanson, Catriona M; Rojas, Ricardo; Tavakoli, Javad

2004-02-01

Contaminated water causes an estimated 6 to 60 billion cases of gastrointestinal illness annually. The majority of these cases occur in rural areas of developing nations where the water supply remains polluted and adequate sanitation is unavailable. A portable, low-cost, and low-maintenance solar unit to disinfect unpotable water has been designed and tested. The solar disinfection unit was tested with both river water and partially processed water from two wastewater treatment plants. In less than 30 min in midday sunlight, the unit eradicated more than 4 log10 U (99.99%) of bacteria contained in highly contaminated water samples. The solar disinfection unit has been field tested by Centro Panamericano de Ingenieria Sanitaria y Ciencias del Ambiente in Lima, Peru. At moderate light intensity, the solar disinfection unit was capable of reducing the bacterial load in a controlled contaminated water sample by 4 log10 U and disinfected approximately 1 liter of water in 30 min.

Right sensory-motor functional networks subserve action observation therapy in aphasia.

PubMed

Gili, Tommaso; Fiori, Valentina; De Pasquale, Giada; Sabatini, Umberto; Caltagirone, Carlo; Marangolo, Paola

2017-10-01

Recent studies have shown that the systematic and repetitive observation of actions belonging to the experiential human motor repertoire without verbal facilitation enhances the recovery of verbs in non fluent aphasia. However, it is still an open question whether this approach extends its efficacy also on discourse productivity by improving the retrieval of other linguistic units (i.e. nouns, sentences, content words). Moreover, nothing is known regarding the neural substrates which support the language recovery process due to action observation treatment.In the present study, ten non fluent aphasics were presented with two videoclips (real everyday life context vs. familiar pantomimed context), each video for six consecutive weeks (Monday to Friday, weekend off). During the treatment, they were asked to observe each video and to describe it without verbal facilitation from the therapist. In all patients, language measures were collected before and at the end of treatment. Before and after each treatment condition (real vs. pantomimed context), each subject underwent a resting state fMRI. After the treatment, significant changes in functional connectivity were found in right sensory-motor networks which were accompanied by a significant improvement for the different linguistic units in the real context condition. On the contrary, the language recovery obtained in the pantomimed context did not match any functional modification. The evidence for a recruitment of the sensory-motor cortices during the observation of actions embedded in real context suggests to potentially enhance language recovery in non fluent aphasia through a simulation process related to the sensory-motor properties of actions.

Management of sexually transmitted infections in New York State health care organizations: who is thinking about the quality of STI care?

PubMed

Janowski, John Patrick B; Garrett, William S; Feller, Daniel J; Hathaway, Rebecca; Kushner, John; Pelish, Matthew; Agins, Bruce D

2014-09-01

Rising rates of sexually transmitted infections (STIs) warrant a renewed focus on the management of STIs in health care organizations. The extent to which hospitals and community health centers (CHCs) have established processes and allocated staff for the management of STIs within their organizations remains poorly understood. A New York State Department of Health survey was distributed electronically through a closed state communication network to targeted administrators at New York State hospitals and CHCs. The survey asked if STI management in their facilities included the following: the ability to measure and report rates of STIs, a process to assess the quality of STI care and treatment outcomes, and a centralized person/unit to coordinate its work throughout the facility. Multivariate analysis was performed to identify whether organizational characteristics were associated with survey findings. Ninety-five percent (243/256) of hospitals and CHCs responded to the survey. Fifty percent of respondents had a person or unit to report rates of STIs; 30% reported an organization-wide process for monitoring the quality of STI care, which, according to the multivariate analysis, was associated with CHCs; only 23% reported having a centralized person or unit for coordinating STI management. Most facilities report STI cases to comply with public health surveillance requirements but do not measure infection rates, assess the quality of STI care, or coordinate its work throughout the facility. The development of this organizational capacity would likely decrease STI rates, improve treatment outcomes, and address local public health goals.

A combined electrochemical-irradiation treatment of highly colored and polluted industrial wastewater

NASA Astrophysics Data System (ADS)

Barrera-Díaz, C.; Ureña-Nuñez, F.; Campos, E.; Palomar-Pardavé, M.; Romero-Romo, M.

2003-07-01

This study reports on the attainment of optimal conditions for two electrolytic methods to treat wastewater: namely, electrocoagulation and particle destabilization of a highly polluted industrial wastewater, and electrochemically induced oxidation induced by in situ generation of Fenton's reactive. Additionally, a combined method that consisted of electrochemical treatment plus γ-irradiation was carried out. A typical composition of the industrial effluent treated was COD 3400 mg/l, color 3750 Pt/Co units, and fecal coliforms 21000 MPN/ml. The best removal efficiency was obtained with electrochemical oxidation induced in situ , that resulted in the reduction of 78% for the COD, 86% color and 99.9% fecal coliforms removal. A treatment sequence was designed and carried out, such that after both electrochemical processes, a γ-irradiation technique was used to complete the procedure. The samples were irradiated with various doses in an ALC γ-cell unit provided with a Co-60 source. The removal efficiency obtained was 95% for the COD values, 90% color and 99.9% for fecal coliforms.

Environmental Benign Process for Production of Molybdenum Metal from Sulphide Based Minerals

NASA Astrophysics Data System (ADS)

Rajput, Priyanka; Janakiram, Vangada; Jayasankar, Kalidoss; Angadi, Shivakumar; Bhoi, Bhagyadhar; Mukherjee, Partha Sarathi

2017-10-01

Molybdenum is a strategic and high temperature refractory metal which is not found in nature in free state, it is predominantly found in earth's crust in the form of MoO3/MoS2. The main disadvantage of the industrial treatment of Mo concentrate is that the process contains many stages and requires very high temperature. Almost in every step many gaseous, liquid, solid chemical substances are formed which require further treatment. To overcome the above drawback, a new alternative one step novel process is developed for the treatment of sulphide and trioxide molybdenum concentrates. This paper presents the results of the investigations on molybdenite dissociation (MoS2) using microwave assisted plasma unit as well as transferred arc thermal plasma torch. It is a single step process for the preparation of pure molybdenum metal from MoS2 by hydrogen reduction in thermal plasma. Process variable such as H2 gas, Ar gas, input current, voltage and time have been examined to prepare molybdenum metal. Molybdenum recovery of the order of 95% was achieved. The XRD results confirm the phases of molybdenum metal and the chemical analysis of the end product indicate the formation of metallic molybdenum (Mo 98%).

Inactivation of Staphylococcus aureus and native microflora in human milk by high pressure processing

NASA Astrophysics Data System (ADS)

Windyga, Bożena; Rutkowska, Małgorzata; Sokołowska, Barbara; Skąpska, Sylwia; Wesołowska, Aleksandra; Wilińska, Maria; Fonberg-Broczek, Monika; Rzoska, Sylwester J.

2015-04-01

The storage of unpreserved food, including breast milk, is associated with the growth of microorganisms, including pathogenic bacteria. It is therefore necessary to use suitable processes to eliminate pathogenic microorganisms and reduce the total microbial count in order to ensure product safety for consumers. In the present study, samples of milk obtained from volunteers donating to the human milk bank were artificially contaminated with Staphylococcus aureus ATCC 6538. This bacteria was the model microorganism of choice, being relatively resistant to high pressure as well as posing the most serious risk to infant health. The results obtained show that high pressure processing can reduce the count of S. aureus by about 5 log units at 4°C and about 8 log units at 50°C, and totally eliminate Enterobacteriaceae after 5 min of treatment, and result in a total microbial count reduction after 10 min treatment at 500 MPa at 20°C and 50°C. This suggests the possibility of this technology being applied to ensure the adequate safety and quality of human breast milk in human milk banks. This paper was presented at the LIIth European High Pressure Research Group (EHPRG 52) Meeting in Lyon (France), 7-12 September 2014.

GPU-BSM: A GPU-Based Tool to Map Bisulfite-Treated Reads

PubMed Central

Manconi, Andrea; Orro, Alessandro; Manca, Emanuele; Armano, Giuliano; Milanesi, Luciano

2014-01-01

Cytosine DNA methylation is an epigenetic mark implicated in several biological processes. Bisulfite treatment of DNA is acknowledged as the gold standard technique to study methylation. This technique introduces changes in the genomic DNA by converting cytosines to uracils while 5-methylcytosines remain nonreactive. During PCR amplification 5-methylcytosines are amplified as cytosine, whereas uracils and thymines as thymine. To detect the methylation levels, reads treated with the bisulfite must be aligned against a reference genome. Mapping these reads to a reference genome represents a significant computational challenge mainly due to the increased search space and the loss of information introduced by the treatment. To deal with this computational challenge we devised GPU-BSM, a tool based on modern Graphics Processing Units. Graphics Processing Units are hardware accelerators that are increasingly being used successfully to accelerate general-purpose scientific applications. GPU-BSM is a tool able to map bisulfite-treated reads from whole genome bisulfite sequencing and reduced representation bisulfite sequencing, and to estimate methylation levels, with the goal of detecting methylation. Due to the massive parallelization obtained by exploiting graphics cards, GPU-BSM aligns bisulfite-treated reads faster than other cutting-edge solutions, while outperforming most of them in terms of unique mapped reads. PMID:24842718

Using simulated historical time series to prioritize fuel treatments on landscapes across the United States: The LANDFIRE prototype project

USGS Publications Warehouse

Keane, Robert E.; Rollins, Matthew; Zhu, Zhi-Liang

2007-01-01

Canopy and surface fuels in many fire-prone forests of the United States have increased over the last 70 years as a result of modern fire exclusion policies, grazing, and other land management activities. The Healthy Forest Restoration Act and National Fire Plan establish a national commitment to reduce fire hazard and restore fire-adapted ecosystems across the USA. The primary index used to prioritize treatment areas across the nation is Fire Regime Condition Class (FRCC) computed as departures of current conditions from the historical fire and landscape conditions. This paper describes a process that uses an extensive set of ecological models to map FRCC from a departure statistic computed from simulated time series of historical landscape composition. This mapping process uses a data-driven, biophysical approach where georeferenced field data, biogeochemical simulation models, and spatial data libraries are integrated using spatial statistical modeling to map environmental gradients that are then used to predict vegetation and fuels characteristics over space. These characteristics are then fed into a landscape fire and succession simulation model to simulate a time series of historical landscape compositions that are then compared to the composition of current landscapes to compute departure, and the FRCC values. Intermediate products from this process are then used to create ancillary vegetation, fuels, and fire regime layers that are useful in the eventual planning and implementation of fuel and restoration treatments at local scales. The complex integration of varied ecological models at different scales is described and problems encountered during the implementation of this process in the LANDFIRE prototype project are addressed.

Risk assessment of Salmonella in Danish meatballs produced in the catering sector.

PubMed

Møller, Cleide O de A; Nauta, Maarten J; Schaffner, Donald W; Dalgaard, Paw; Christensen, Bjarke B; Hansen, Tina B

2015-03-02

A modular process risk model approach was used to assess health risks associated with Salmonella spp. after consumption of the Danish meatball product (frikadeller) produced with fresh pork in a catering unit. Meatball production and consumption were described as a series of processes (modules), starting from 1.3kg meat pieces through conversion to 70g meatballs, followed by a dose response model to assess the risk of illness from consumption of these meatballs. Changes in bacterial prevalence, concentration, and unit size were modelled within each module. The risk assessment was built using observational data and models that were specific for Salmonella spp. in meatballs produced in the catering sector. Danish meatballs are often pan-fried followed by baking in an oven before consumption, in order to reach the core temperature of 75°C recommended by the Danish Food Safety Authority. However, in practice this terminal heat treatment in the oven may be accidentally omitted. Eleven production scenarios were evaluated with the model, to test the impact of heat treatments and cooling rates at different room temperatures. The risk estimates revealed that a process comprising heat treatment of meatballs to core temperatures higher than 70°C, and subsequent holding at room temperatures lower than 20°C, for no longer than 3.5h, were very effective in Salmonella control. The current Danish Food Safety Authority recommendation of cooking to an internal temperature of 75°C is conservative, at least with respect to Salmonella risk. Survival and growth of Salmonella during cooling of meatballs not heat treated in oven had a significant impact on the risk estimates, and therefore, cooling should be considered a critical step during meatball processing. Copyright © 2014. Published by Elsevier B.V.

Integration of biological method and membrane technology in treating palm oil mill effluent.

PubMed

Zhang, Yejian; Yan, Li; Qiao, Xiangli; Chi, Lina; Niu, Xiangjun; Mei, Zhijian; Zhang, Zhenjia

2008-01-01

Palm oil industry is the most important agro-industry in Malaysia, but its by-product-palm oil mill effluent (POME), posed a great threat to water environment. In the past decades, several treatment and disposal methods have been proposed and investigated to solve this problem. A two-stage pilot-scale plant was designed and constructed for POME treatment. Anaerobic digestion and aerobic biodegradation constituted the first biological stage, while ultrafiltration (UF) and reverse osmosis (RO) membrane units were combined as the second membrane separation stage. In the anaerobic expanded granular sludge bed (EGSB) reactor, about 43% organic matter in POME was converted into biogas, and COD reduction efficiency reached 93% and 22% in EGSB and the following aerobic reactor, respectively. With the treatment in the first biological stage, suspended solids and oil also decreased to a low degree. All these alleviated the membrane fouling and prolonged the membrane life. In the membrane process unit, almost all the suspended solids were captured by UF membranes, while RO membrane excluded most of the dissolved solids or inorganic salts from RO permeate. After the whole treatment processes, organic matter in POME expressed by BOD and COD was removed almost thoroughly. Suspended solids and color were not detectable in RO permeate any more, and mineral elements only existed in trace amount (except for K and Na). The high-quality effluent was crystal clear and could be used as the boiler feed water.

Radioactive Water Treatment at a United States Environmental Protection Agency Superfund Site - 12322

DOE Office of Scientific and Technical Information (OSTI.GOV)

Beckman, John C.

2012-07-01

A water treatment system at a United States Environmental Protection Agency (USEPA) Superfund site impacted by radiological contaminants is used to treat water entering the site. The United States Army Corps of Engineers (USACE) is actively managing the remedial action for the USEPA using contracts to support the multiple activities on site. The site is where former gas mantle production facilities operated around the turn of the century. The manufacturing facilities used thorium ores to develop the mantles and disposed of off-specification mantles and ore residuals in the surrounding areas. During Site remedial actions, both groundwater and surface water comesmore » into contact with contaminated soils and must be collected and treated at an on-site treatment facility. The radionuclides thorium and radium with associated progeny are the main concern for treatment. Suspended solids, volatile organic compounds, and select metals are also monitored during water treatment. The water treatment process begins were water is pumped to a collection tank where debris and grit settle out. Stored water is pumped to a coagulant tank containing poly-aluminum chloride to collect dissolved solids. The water passes into a reaction tube where aspirated air is added or reagent added to remove Volatile Organic Compounds (VOC'S) by mass transfer and convert dissolved iron to a solid. The water enters the flocculent polymer tank to drop solids out. The flocculated water overflows to a fluidized bed contact chamber to increase precipitation. Flocculation is where colloids of material drop out of suspension and settle. The settled solids are periodically removed and disposed of as radioactive waste. The water is passed through filters and an ion exchange process to extract the radionuclides. Several million liters of water are processed each year from two water treatment plants servicing different areas of the remediation site. Ion exchange resin and filter material are periodically replaced and disposed of as radioactive waste. A total of 0.85 m{sup 3} of waste sludge per year requires disposal on average, in addition to another 6.6 m{sup 3} of waste cartridge filters. All water discharges are regulated by a state of New Jersey Pollutant Discharge Elimination System Permit implemented by the Federal Water Pollution Control Act (Clean Water Act). Laboratory analyses are required to satisfy requirements of the state NPDES permit. Specific monitoring parameters and discharge rates will be provided. Use of the water treatment systems drastically reduces the amount of contaminated water requiring solidification and water disposal to near zero. Millions of liters of potentially contaminated water from excavation activities is treated and released within permit limits. A small volume of solid radioactive waste (21 cubic meters) is generated annually from water treatment process operations. Management of ground and surface water is effectively controlled in remediation areas by the use of sumps, erosion control measures and pumping of water to storage vessels. Continued excavations can be made as water impacting the site is effectively controlled. (authors)« less

Application of chemical, biological and membrane separation processes in textile industry with recourse to zero effluent discharge--a case study.

PubMed

Nandy, T; Dhodapkar, R S; Pophali, G R; Kaul, S N; Devotta, S

2005-09-01

Environmental concerns associated with textile processing had placed the textile sector in a Southern State of India under serious threat of survival. The textile industries were closed under the orders of the Statutory Board for reason of inadequate compliance to environmental discharge norms of the State for the protection of the drinking water source of the State capital. In compliance with the direction of the Board for zero effluent discharge, advanced treatment process have been implemented for recovery of boiler feed quality water with recourse to effluent recycling/reuse. The paper describes to a case study on the adequacy assessment of the full scale effluent treatment plant comprising chemical, biological and filtration processes in a small scale textile industry. In addition, implementation of measures for discernable improvement in the performance of the existing units through effective operation & maintenance, and application of membrane separation processes leading to zero effluent discharge is also highlighted.

Conceptualizing Surrogate Decision-Making at End of Life in the Intensive Care Unit using Cognitive Task Analysis

PubMed Central

Dionne-Odom, J. Nicholas; Willis, Danny G.; Bakitas, Marie; Crandall, Beth; Grace, Pamela J.

2014-01-01

Background Surrogate decision-makers (SDMs) face difficult decisions at end of life (EOL) for decisionally incapacitated intensive care unit (ICU) patients. Purpose Identify and describe the underlying psychological processes of surrogate decision-making for adults at EOL in the ICU. Method Qualitative case study design using a cognitive task analysis (CTA) interviewing approach. Participants were recruited from October 2012 to June 2013 from an academic tertiary medical center’s ICU located in the rural Northeastern United States. Nineteen SDMs for patients who had died in the ICU completed in-depth semi-structured CTA interviews. Discussion The conceptual framework formulated from data analysis reveals that three underlying, iterative, psychological dimensions: gist impressions, distressing emotions, and moral intuitions impact a SDM’s judgment about the acceptability of either the patient’s medical treatments or his or her condition. Conclusion The framework offers initial insights about the underlying psychological processes of surrogate decision-making and may facilitate enhanced decision support for SDMs. PMID:25982772

Conceptualizing surrogate decision making at end of life in the intensive care unit using cognitive task analysis.

PubMed

Dionne-Odom, J Nicholas; Willis, Danny G; Bakitas, Marie; Crandall, Beth; Grace, Pamela J

2015-01-01

Surrogate decision makers (SDMs) face difficult decisions at end of life (EOL) for decisionally incapacitated intensive care unit (ICU) patients. To identify and describe the underlying psychological processes of surrogate decision making for adults at EOL in the ICU. Qualitative case study design using a cognitive task analysis interviewing approach. Participants were recruited from October 2012 to June 2013 from an academic tertiary medical center's ICU located in the rural Northeastern United States. Nineteen SDMs for patients who had died in the ICU completed in-depth semistructured cognitive task analysis interviews. The conceptual framework formulated from data analysis reveals that three underlying, iterative, psychological dimensions (gist impressions, distressing emotions, and moral intuitions) impact an SDM's judgment about the acceptability of either the patient's medical treatments or his or her condition. The framework offers initial insights about the underlying psychological processes of surrogate decision making and may facilitate enhanced decision support for SDMs. Copyright © 2015 Elsevier Inc. All rights reserved.

Bio-conversion of apple pomace into ethanol and acetic acid: Enzymatic hydrolysis and fermentation.

PubMed

Parmar, Indu; Rupasinghe, H P Vasantha

2013-02-01

Enzymatic hydrolysis of cellulose present in apple pomace was investigated using process variables such as enzyme activity of commercial cellulase, pectinase and β-glucosidase, temperature, pH, time, pre-treatments and end product separation. The interaction of enzyme activity, temperature, pH and time had a significant effect (P<0.05) on release of glucose. Optimal conditions of enzymatic saccharification were: enzyme activity of cellulase, 43units; pectinase, 183units; β-glucosidase, 41units/g dry matter (DM); temperature, 40°C; pH 4.0 and time, 24h. The sugars were fermented using Saccharomyces cerevisae yielding 19.0g ethanol/100g DM. Further bio-conversion using Acetobacter aceti resulted in the production of acetic acid at a concentration of 61.4g/100g DM. The present study demonstrates an improved process of enzymatic hydrolysis of apple pomace to yield sugars and concomitant bioconversion to produce ethanol and acetic acid. Copyright © 2012 Elsevier Ltd. All rights reserved.

Compliance of clinical microbiology laboratories in the United States with current recommendations for processing respiratory tract specimens from patients with cystic fibrosis.

PubMed

Zhou, Juyan; Garber, Elizabeth; Desai, Manisha; Saiman, Lisa

2006-04-01

Respiratory tract specimens from patients with cystic fibrosis (CF) require unique processing by clinical microbiology laboratories to ensure detection of all potential pathogens. The present study sought to determine the compliance of microbiology laboratories in the United States with recently published recommendations for CF respiratory specimens. Microbiology laboratory protocols from 150 of 190 (79%) CF care sites were reviewed. Most described the use of selective media for Burkholderia cepacia complex (99%), Staphylococcus aureus (82%), and Haemophilus influenzae (89%) and identified the species of all gram-negative bacilli (87%). Only 52% delineated the use of agar diffusion assays for susceptibility testing of Pseudomonas aeruginosa. Standardizing laboratory practices will improve treatment, infection control, and our understanding of the changing epidemiology of CF microbiology.

Patterns in Nature Forming Patterns in Minds: An Evaluation of an Introductory Physics Unit

NASA Astrophysics Data System (ADS)

Sheaffer, Christopher Ryan

Educators are increasingly focused on the process over the content. In science especially, teachers want students to understand the nature of science and investigation. The emergence of scientific inquiry and engineering design teaching methods have led to the development of new teaching and evaluation methods that concentrate on steps in a process rather than facts in a topic. Research supports the notion that an explicit focus on the scientific process can lead to student science knowledge gains. In response to new research and standards many teachers have been developing teaching methods that seem to work well in their classrooms, but lack the time and resources to test them in other classroom environments. A high school Physics teacher (Bradford Hill) has developed a unit called Patterns in Nature (PIN) with objectives relating mathematical modeling to the scientific process. Designed for use in his large public school classroom, the unit was taken and used in a charter school with small classes. This study looks at specifically whether or not the PIN unit effectively teaches students how to graph the data they gather and fit an appropriate mathematical pattern, using that model to predict future measurements. Additionally, the study looks at the students' knowledge and views about the nature of science and the process of scientific investigation as it is affected by the PIN unit. Findings show that students are able to identify and apply patterns to data, but have difficulties explaining the meaning of the math. Students' show increases in their knowledge of the process of science, and the majority develop positive views about science in general. A major goal of this study is to place this unit in the cyclical process of Design-Based Research and allow for Pattern in Nature's continuous improvement, development and evaluation. Design-Based Research (DBR) is an approach that can be applied to the implementation and evaluation of classroom materials. This method incorporates the complexities of different contexts and changing treatments into the research methods and analysis. From the use of DBR teachers can understand more about how the designed materials affect the students. Others may be able to use the development and analysis of PIN study as a guide to look at similar aspects of science units developed elsewhere.

Microbial community and treatment ability investigation in AOAO process for the optoelectronic wastewater treatment using PCR-DGGE biotechnology.

PubMed

Chen, Hsi-Jien; Lin, Yi-Zi; Fanjiang, Jen-Mao; Fan, Chihhao

2013-04-01

This study aimed to explore the microbial community variation and treatment ability of a full-scale anoxic-aerobic-anoxic-aerobic (AOAO) process used for optoelectronic wastewater treatment. The sludge samples in the biological treatment units were collected and subsequently subjected to polymerase chain reaction (PCR) amplification and denaturing gradient gel electrophoresis identification and the wastewater components such as BOD5 and NH3-N were evaluated during the processes. The group specific primers selected were targeting at the kingdom Bacteria, the Acidobacterium, the α-proteobacteria, the β-proteobacteria ammonia oxidizers, Actinobacteria and methyllotrophs, and the 16S rDNA clone libraries were established. Ten different clones were obtained using the Bacteria primers and eight different clones were obtained using the β-proteobacteria ammonia oxidizer primers. Over 95 % of BOD5 and 90 % of NH3-N were removed from the system. The microbial community analysis showed that the Janthinobacterium sp. An8 and Nitrosospira sp. were the dominant species throughout the AOAO process. Across the whole clone library, six clones showed closely related to Janthinobacterium sp. and these species seemed to be the dominant species with more than 50 % occupancy of the total population. Nitrosospira sp. was the predominant species within the β-proteobacteria and occupied more than 30 % of the total population in the system. These two strains were the novel species specific to the AOAO process for optoelectronic treatment, and they were found strongly related to the system capability of removing aquatic contaminants by inspecting the wastewater concentration variation across the system.

Forward osmosis niches in seawater desalination and wastewater reuse.

PubMed

Valladares Linares, R; Li, Z; Sarp, S; Bucs, Sz S; Amy, G; Vrouwenvelder, J S

2014-12-01

This review focuses on the present status of forward osmosis (FO) niches in two main areas: seawater desalination and wastewater reuse. Specific applications for desalination and impaired-quality water treatment and reuse are described, as well as the benefits, advantages, challenges, costs and knowledge gaps on FO hybrid systems are discussed. FO can play a role as a bridge to integrate upstream and downstream water treatment processes, to reduce the energy consumption of the entire desalination or water recovery and reuse processes, thus achieving a sustainable solution for the water-energy nexus. FO hybrid membrane systems showed to have advantages over traditional membrane process like high pressure reverse osmosis and nanofiltration for desalination and wastewater treatment: (i) chemical storage and feed water systems may be reduced for capital, operational and maintenance cost, (ii) water quality is improved, (iii) reduced process piping costs, (iv) more flexible treatment units, and (v) higher overall sustainability of the desalination and wastewater treatment process. Nevertheless, major challenges make FO systems not yet a commercially viable technology, the most critical being the development of a high flux membrane, capable of maintaining an elevated salt rejection and a reduced internal concentration polarization effect, and the availability of appropriate draw solutions (cost effective and non-toxic), which can be recirculated via an efficient recovery process. This review article highlights the features of hybrid FO systems and specifically provides the state-of-the-art applications in the water industry in a novel classification and based on the latest developments toward scaling up these systems. Copyright © 2014 Elsevier Ltd. All rights reserved.

Activated Biological Filters (ABF Towers). Instructor's Guide. Biological Treatment Process Control.

ERIC Educational Resources Information Center

Wooley, John F.

This instructor's manual contains materials needed to teach a two-lesson unit on activated bio-filters (ABF). These materials include: (1) an overview of the two lessons; (2) lesson plans; (3) lecture outlines (keyed to a set of slides designed for use with the lessons); (4) overhead transparency masters; (5) worksheets for each lesson (with…

SUPERFUND TREATABILITY CLEARINGHOUSE: ABSTRACT ON-SITE INCINERATION TESTING OF SHIRCO INFRARED SYSTEMS PORTABLE DEMONSTRATION UNIT-CONTAMINATED SOILS TREATABILITY STUDY

EPA Science Inventory

In August of 1986, Shirco was contracted by Dekonta GmbH, a Vest German hazardous waste treatment company, to perform treatability studies at one of the largest dioxin-contaminated sites in the world. The Shirco Infrared process was selected by Dekonta after a two year stud...

Voices for Women. 1980 Report of the President's Advisory Committee for Women.

ERIC Educational Resources Information Center

President's Advisory Committee for Women, Washington, DC.

This report presents the recommendations of the President's Advisory Committee for Women, a blueprint for action to complete the unfinished business of bringing equality and fair treatment to the women of the United States. The report is divided into six chapters. Chapter I describes the Committee's mandate, its tasks, and the process that led…

40 CFR 63.143 - Process wastewater provisions-inspections and monitoring of operations.

Code of Federal Regulations, 2014 CFR

2014-07-01

... separator that receives, manages, or treats a Group 1 wastewater stream, a residual removed from a Group 1 wastewater stream, a recycled Group 1 wastewater stream, or a recycled residual removed from a Group 1... of this subpart. (b) For each design steam stripper and biological treatment unit used to comply with...

Using the Precaution Adoption Process Model to Describe a Disaster Preparedness Intervention among Low-Income Latinos

ERIC Educational Resources Information Center

Glik, Deborah C.; Eisenman, David P.; Zhou, Qiong; Tseng, Chi-Hong; Asch, Steven M.

2014-01-01

Only 40-50% of households in the United States are currently disaster prepared. In this intervention study, respondent-driven sampling was used to select a sample (n = 187) of low income, Latino residents of Los Angeles County, randomly assigned into two treatment conditions: (i) household preparedness education received through…

Attention Deficit/Hyperactivity Disorder: Perspectives of Participants in the Identification and Treatment Process.

ERIC Educational Resources Information Center

Davison, Judy C.

2001-01-01

Questions the rising incidence of Attention Deficit/Hyperactivity Disorder (AD/HD) diagnosis in the United States. Suggests that AD/HD is a socially constructed phenomenon rather than biologically based. Urges educators, medical personnel, and parents to take a holistic view of each child, with a serious examination of the wide range of causation…

Susceptibility of Tribolium castaneum and Trogoderma variabile larvae and adults exposed to methoprene-treated woven packaing material

USDA-ARS?s Scientific Manuscript database

Methoprene is an insect growth regulator (IGR) registered in the United States for direct application to stored raw grains, as an aerosol or residual contact insecticide, or for use as a packaging treatment for protection of bagged processed food products. A series of tests were conducted to determi...

Influences on USFS District Rangers' Decision to Authorize Wildland Fire Use

Treesearch

Martha A. Williamson

2006-01-01

United States wildland fire policy and program reviews in 1995 and 2000 required reduction of hazardous fuel and recognition of fire as a natural process. Although an existing policy, Wildland Fire Use (WFU), permitted managing natural ignitions to meet resource benefits, most fuel reduction is still achieved through mechanical treatments and prescribed burning....

Sowing seeds: transperineal implantation.

PubMed

Amerine, E; Nagle, G M; Bollinger, J R

2000-02-01

Prostate cancer, the second leading cause of male deaths in the United States, has increased by 126% since 1987 (Stephenson, 1998). Early diagnosis is attributed to public awareness and technologic advances. Multiple options for definitive treatment with equally positive outcomes dramatically influence the patient's decision-making process. One popular option for these patients is transperineal implantation of radioactive seeds into the prostate.

Nitrous Oxide Production at a Fully Covered Wastewater Treatment Plant: Results of a Long-Term Online Monitoring Campaign.

PubMed

Kosonen, Heta; Heinonen, Mari; Mikola, Anna; Haimi, Henri; Mulas, Michela; Corona, Francesco; Vahala, Riku

2016-06-07

The nitrous oxide emissions of the Viikinmäki wastewater treatment plant were measured in a 12 month online monitoring campaign. The measurements, which were conducted with a continuous gas analyzer, covered all of the unit operations of the advanced wastewater-treatment process. The relation between the nitrous oxide emissions and certain process parameters, such as the wastewater temperature, influent biological oxygen demand, and ammonium nitrogen load, was investigated by applying online data obtained from the process-control system at 1 min intervals. Although seasonal variations in the measured nitrous oxide emissions were remarkable, the measurement data indicated no clear relationship between these emissions and seasonal changes in the wastewater temperature. The diurnal variations of the nitrous oxide emissions did, however, strongly correlate with the alternation of the influent biological oxygen demand and ammonium nitrogen load to the aerated zones of the activated sludge process. Overall, the annual nitrous oxide emissions of 168 g/PE/year and the emission factor of 1.9% of the influent nitrogen load are in the high range of values reported in the literature but in very good agreement with the results of other long-term online monitoring campaigns implemented at full-scale wastewater-treatment plants.

Planning of Eka Hospital Pekanbaru wastewater recycling facility

NASA Astrophysics Data System (ADS)

Jecky, A.; Andrio, D.; Sasmita, A.

2018-04-01

The Ministry of Public Works No. 06 2011 required the large scale of water to conserve the water resource, Eka Hospital Pekanbaru have to improve the sewage treatment plant through the wastewater recycling. The effluent from the plant can be used to landscape gardening and non-potable activities. The wastewater recycling design was done by analyzing the existing condition of thesewage treatment plant, determine the effluent quality standards for wastewater recycling, selected of alternative technology and processing, design the treatment unit and analyze the economic aspects. The design of recycling facility by using of combination cartridge filters processing, ultrafiltration membranes, and desinfection by chlorination. The wastewater recycling capacity approximately of 75 m3/day or 75% of the STP effluent. The estimated costs for installation of wastewater recycling and operation and maintenance per month are Rp 111,708,000 and Rp 2,498,000 respectively.

VA Residential Provider Perceptions of Dissuading Factors to the Use of Two Evidence-Based PTSD Treatments

PubMed Central

Cook, Joan M.; Dinnen, Stephanie; Simiola, Vanessa; Thompson, Richard; Schnurr, Paula P.

2014-01-01

Providers (N = 198) from 38 Department of Veterans Affairs residential posttraumatic stress disorder treatment programs across the United States completed qualitative interviews regarding implementation of 2 evidence-based treatments: prolonged exposure and cognitive processing therapy. As part of this investigation, providers were asked how they decide which patients are appropriate for these treatments. Many indicated that they did not perceive any patient factors that dissuade their use of either evidence-based treatment. However, 3 broad categories emerged surrounding reasons that patients were perceived to be less suitable candidates for the treatments: the presence of psychiatric comorbidities, cognitive limitations, and low levels of patient motivation. Interestingly, providers’ perceived reasons for limited or nonuse of a treatment did not correspond entirely to those espoused by treatment developers. Possible solutions to address provider concerns, including educational and motivational interventions, are noted. PMID:25309031

The Energy, Greenhouse Gas Emissions, and Cost Implications of Municipal Water Supply & Wastewater Treatment

NASA Astrophysics Data System (ADS)

Rodriguez-Winter, Thelma

All man-made structures and materials have a design life. Across the United States there is a common theme for our water and wastewater treatment facilities and infrastructure. The design life of many of our mid 20 th century water and wastewater infrastructures in the United States have reached or are reaching life expectancy limits (ASCE, 2010). To compound the financial crisis of keeping up with the degradation, meeting and exceeding quality standards has never been more important in order to protect local fresh water supplies. This thesis analyzes the energy consumption of a municipal water and wastewater treatment system from a Lake Erie intake through potable treatment and back through wastewater treatment then discharge. The system boundary for this thesis includes onsite energy consumed by the treatment system and distribution/reclamation system as well as the energy consumed by the manufacturing of treatment chemicals applied during the study periods. By analyzing energy consumption, subsequent implications from greenhouse gas emissions and financial expenditures were quantified. Through the segregation of treatment and distribution processes from non-process energy consumption, such as heating, lighting, and air handling, this study identified that the potable water treatment system consumed an annual average of 2.42E+08 kBtu, spent 5,812,144 for treatment and distribution, and emitted 28,793 metric tons of CO2 equivalent emissions. Likewise, the wastewater treatment system consumed an annual average of 2.45E+08 kBtu, spent 3,331,961 for reclamation and treatment, and emitted 43,780 metric tons of CO2 equivalent emissions. The area with the highest energy usage, financial expenditure, and greenhouse gas emissions for the potable treatment facility and distribution system was from the manufacturing of the treatment chemicals, 1.10E+08 kBtu, 3.7 million, and 17,844 metric tons of CO2 equivalent, respectively. Of the onsite energy (1.4E-03 kWh per gallon treated) 74% is process energy and 26% is non-process energy. Sixty-six percent of the process energy is consumed by the main treatment facility and high service distribution. When analyzing seasonal variations, the highest amount of process energy treated the largest amount of potable water with the maxiμm revealing four Btu used per gallon treated while utilizing 54% of the design capacity. Compared to the periods when the lowest amount of the design capacity was utilized, 32 - 33%, the facility consumed the seasonal high in energy, approximately 6.7 Btu per gallon treated. For the wastewater treatment and reclamation side, secondary treatment dominates all 3 categories by consuming 81,701,764 kBtu, 1.1 million, and 32,395 metric tons of CO2 equivalent. The total onsite energy was 2.79E-03 kWh per gallon treated, of which 43% was process energy, and the remainder was consumed by natural gas heating and `other non-process and process' energy, 34% and 23%, respectively. Most significantly during the months of April and May, when the influent flow of wastewater doubles and is diluted due to the addition of seasonal rain water, the amount of energy spent per gallon of treated wastewater decreases by 48% and 34% from the maximum (5.03E-03 kWh/gallon). By functioning closer to a forecasted design capacity, the efficiency of the potable water treatment facility could be dramatically improved. This can be achieved by implementing additional storage of ready-to-use potable water and/or by expanding the customer base and collaborating with other regional potable water utilities. For example, a county-wide approach to potable water planning falls into agreement with sustainable planning methods, providing regions of the county that have maximized treatment capacity of potable water and giving this region the opportunity to operate closer to the intended design capacity. On the wastewater treatment side, it is apparent that the more dense the BOD concentration in influent waters the more energy is spent in secondary treatment trying to remove it. Exploring more effective screening and pre-precipitation methods could also prove to save a significant amount in energy spent in the secondary treatment step, reducing the organic load prior to aeration. Coupling this with aeration blower and diffuser improvements can offer significant energy savings. Further water quality data and energy use data needs to be collected and analyzed on the individual wastewater treatment processes, especially regarding the impact and effectiveness of the preliminary and primary treatment steps on secondary treatment.

Combining sun-based technologies (microalgae and solar disinfection) for urban wastewater regeneration.

PubMed

Gutiérrez-Alfaro, Sergio; Rueda-Márquez, Juan J; Perales, José A; Manzano, Manuel A

2018-04-01

Solar disinfection (SODIS) of urban wastewater can be a suitable technology for improving the microbiological quality of reclaimed water as a complement to other extensive and environmentally friendly technologies such as microalgae biotreatment. The objective of this work is to evaluate the feasibility of incorporating the SODIS technology at the end of a pilot scale urban wastewater treatment plant (WWTP) where the processes are based on microalgae biotechnology and comprising three Upflow Anaerobic Sludge Blanket (UASB, 20m 3 each one) reactor, six High Rate Algal Ponds (HRAP, 32m 2 each one), and a Dissolved Air Flotation (DAF, 1m 3 ) unit. E. coli concentration was monitored at the effluent of the different units (UASB, HRAP, DAF) of the pilot WWTP. The efficiency of the SODIS process was studied for the inactivation of three of the commonly employed indicator microorganisms (Escherichia coli, Enterococcus spp. and Clostridium perfringens) using a compound parabolic collector (CPC) for five months under various conditions of irradiance and temperature. E. coli and Enterococcus spp. were more effectively disinfected by the SODIS unit (2.9 and 2.5 logarithms of reduction on average, respectively) than by the HRAP (2 and 1.1) or the DAF (0.9 and 0.1). On the contrary, the DAF technology achieved better reduction rates of C. perfringens (1.7) than the SODIS (0.9) and the HRAP (0.1). No regrowth of any microorganisms was detected during dark storage after the SODIS treatment. Incorporating a SODIS unit after the non-conventional WWTP processes substantially increases the possibilities for reuse of the treated water after receiving a cumulative UV radiation dose of 25W·h/m 2 (50min of normalized time of solar illumination). The surface requirement of the SODIS equipment would be 3.5 times smaller than the HRAP's surface. Copyright © 2017 Elsevier B.V. All rights reserved.

Methods and apparatus for catalytic hydrothermal gasification of biomass

DOEpatents

Elliott, Douglas C.; Butner, Robert Scott; Neuenschwander, Gary G.; Zacher, Alan H.; Hart, Todd R.

2012-08-14

Continuous processing of wet biomass feedstock by catalytic hydrothermal gasification must address catalyst fouling and poisoning. One solution can involve heating the wet biomass with a heating unit to a temperature sufficient for organic constituents in the feedstock to decompose, for precipitates of inorganic wastes to form, for preheating the wet feedstock in preparation for subsequent separation of sulfur contaminants, or combinations thereof. Treatment further includes separating the precipitates out of the wet feedstock, removing sulfur contaminants, or both using a solids separation unit and a sulfur separation unit, respectively. Having removed much of the inorganic wastes and the sulfur that can cause poisoning and fouling, the wet biomass feedstock can be exposed to the heterogeneous catalyst for gasification.

Electro-peroxone pretreatment for enhanced simulated hospital wastewater treatment and antibiotic resistance genes reduction.

PubMed

Zheng, He-Shan; Guo, Wan-Qian; Wu, Qu-Li; Ren, Nan-Qi; Chang, Jo-Shu

2018-06-01

Hospital wastewater is one of the possible sources responsible for antibiotic resistant bacteria spread into the environment. This study proposed a promising strategy, electro-peroxone (E-peroxone) pretreatment followed by a sequencing batch reactor (SBR) for simulated hospital wastewater treatment, aiming to enhance the wastewater treatment performance and to reduce antibiotic resistance genes production simultaneously. The highest chemical oxygen demand (COD) and total organic carbon (TOC) removal efficiency of 94.3% and 92.8% were obtained using the E-peroxone-SBR process. The microbial community analysis through high-throughput sequencing showed that E-peroxone pretreatment could guarantee microbial richness and diversity in SBR, as well as reduce the microbial inhibitions caused by antibiotic and raise the amount of nitrification and denitrification genera. Specially, quantitative real-time PCRs revealed that E-peroxone pretreatment could largely reduce the numbers and contents of antibiotic resistance genes (ARGs) production in the following biological treatment unit. It was indicated that E-peroxone-SBR process may provide an effective way for hospital wastewater treatment and possible ARGs reduction. Copyright © 2018 Elsevier Ltd. All rights reserved.

77 FR 42621 - Irradiation Treatment; Location of Facilities in the Southern United States

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-20

.... APHIS-2009-0100] RIN 0579-AD35 Irradiation Treatment; Location of Facilities in the Southern United... amending the phytosanitary treatment regulations to provide generic criteria for new irradiation treatment facilities in the Southern States of the United States. This action will allow irradiation facilities to be...

Proceedings: Demilitarization and Disposal Technology Conference (2nd) Held at Salt Lake City, Utah on April 24, 25, 26, 1979,

DTIC Science & Technology

1979-04-01

AAP contains a wet scrubber system. The scrubber is a combination spray chamber/ venturi / marble bed unit capable of attaining a 21" WG pressure drop...requirements until the feed rates are reduced considerably. Water quality data from the scrubber show that the heavy metals and low pH to be the major water...demilitarized using this method. The process water, scrubber water, and all clean-up water are treated by a water treatment system. This treatment

Synergistic effect of ultrasonic pre-treatment combined with UV irradiation for secondary effluent disinfection.

PubMed

Jin, Xin; Li, Zifu; Xie, Lanlan; Zhao, Yuan; Wang, Tingting

2013-11-01

The ultraviolet (UV) disinfection efficiency is often affected by suspended solids (SS). Given their high concentration or large particle size, SS can scatter UV light and provide shielding for bacteria. Thus, ultrasound is often employed as a pre-treatment process to improve UV disinfection. This work investigated the synergistic effect of ultrasound combined with UV for secondary effluent disinfection. Bench-scale experiments were conducted in using samples obtained from secondary sedimentation tanks. These tanks belonged to three wastewater treatment plants in Beijing that use different kinds of biological treatment methods. Several parameters may contribute to the changes in the efficiency of ultrasound and UV disinfection. Thus, the frequency and energy density of ultrasound, as well as the SS, were investigated. Results demonstrated that samples which have relatively higher SS concentrations or higher percentages of larger particles have less disinfection efficiency using UV disinfection alone. However, the presence of ultrasound could improve the disinfection efficiency because it has synergistic effect. Changes in the particle size distribution and SS concentration notably affected the efficiency of UV disinfection. The efficiency of Escherichia coli elimination can be decreased by 1.2 log units as the SS concentration increases from 16.9 mg/l to 25.4 mg/l at a UV energy density of 40 mJ/cm(2). UV disinfection alone reduced the E. coli population by 3.4 log units. However, the synergistic disinfection of ultrasound and UV could reach 5.4 log units during the reduction of E. coli at a 40 kHz frequency and an energy density of 2.64 kJ/l. The additional synergistic effect is 1.1 log units. Copyright © 2013 Elsevier B.V. All rights reserved.

Removal of Triclocarban and Triclosan during Municipal Biosolid Production

PubMed Central

Ogunyoku, Temitope A.; Young, Thomas M.

2014-01-01

The antimicrobial compounds triclosan (TCS) and triclocarban (TCC) accumulate in sludges produced during municipal wastewater treatment and persist through sludge treatment processes into finished biosolids. The objective of this research was to determine the extent to which conventional sludge processing systems such as aerobic digestion, anaerobic digestion, and lime stabilization were able to remove TCC and TCS. Sludge and biosolid samples were collected from 10 municipal wastewater treatment plants in the United States. The concentrations of TCC and TCS in sludge and biosolid samples were determined via heated solvent extraction and analysis with liquid chromatography electrospray ionization mass spectrometry. Dry weight concentrations of TCC and TCS frequently were higher in finished biosolids than in the source sludges because of sludge mass reduction during digestion. The removal of TCC and TCS in municipal biosolid processing systems was determined from the measured concentration change after correcting for reductions in solid mass during sludge treatment. Removal in the digester systems ranged from 15 – 68 % for TCC and 20 – 75 % for TCS. Increased solid retention times during sludge treatment operations were correlated with higher removals of TCC and TCS. Apparent first order degradation rates for TCC ranged from 0.015–0.08 1/d and for TCS were between 0.003–0.15 1/d. PMID:24734467

The study of potable water treatment process in Algeria (boudouaou station) -by the application of life cycle assessment (LCA).

PubMed

Mohamed-Zine, Messaoud-Boureghda; Hamouche, Aksas; Krim, Louhab

2013-12-19

Environmental impact assessment will soon become a compulsory phase in future potable water production projects, in algeria, especially, when alternative treatment processes such sedimentation ,coagulation sand filtration and Desinfection are considered. An impact assessment tool is therefore developed for the environmental evaluation of potable water production. in our study The evaluation method used is the life cycle assessment (LCA) for the determination and evaluation of potential impact of a drink water station ,near algiers (SEAL-Boudouaoua).LCA requires both the identification and quantification of materials and energy used in all stages of the product's life, when the inventory information is acquired, it will then be interpreted into the form of potential impact " eco-indicators 99" towards study areas covered by LCA, using the simapro6 soft ware for water treatment process is necessary to discover the weaknesses in the water treatment process in order for it to be further improved ensuring quality life. The main source shown that for the studied water treatment process, the highest environmental burdens are coagulant preparation (30% for all impacts), mineral resource and ozone layer depletion the repartition of the impacts among the different processes varies in comparison with the other impacts. Mineral resources are mainly consumed during alumine sulfate solution preparation; Ozone layer depletion originates mostly from tetrachloromethane emissions during alumine sulfate production. It should also be noted that, despite the small doses needed, ozone and active Carbone treatment generate significant impacts with a contribution of 10% for most of the impacts.Moreover impacts of energy are used in producing pumps (20-25 GHC) for plant operation and the unitary processes (coagulation, sand filtration decantation) and the most important impacts are localized in the same equipment (40-75 GHC) and we can conclude that:- Pre-treatment, pumping and EDR (EDR: 0.-6 0 kg CO2 eq. /produced m3) are the process-units with higher environmental impacts.- Energy consumption is the main source of impacts on climate change.- Chemicals consumption (e.g. coagulants, oxidants) are the principle cause of impacts on the ozone layer depletion.- Conventional plants: pre-treatment has high GHG emissions due to chemicals consumption.

Application of H2O and UV/H2O2 processes for enhancing the biodegradability of reactive black 5 dye.

PubMed

Kalpana, S Divya; Kalyanaraman, Chitra; Gandhi, N Nagendra

2011-07-01

Leather processing is a traditional activity in India during which many organic and inorganic chemicals are added while part of it is absorbed by the leather, the remaining chemicals are discharged along with the effluent. The effluent contains both easily biodegradable and not easily biodegradable synthetic organics like dyes, syntans. Easily biodegradable organics are removed in the existing biological treatment units whereas synthetic organics present in the wastewater are mostly adsorbed over the microbes. As the tannery effluent contains complex chemicals, it is difficult to ascertain the degradation of specific pollutants. To determine the increase in the biodegradability, one of the complex and synthetic organic chemical like dye used in the tanning operation was selected for Advanced Oxidation Process (AOPs) treatment for cleaving complex organics and its subsequent treatment in aerobic process. In the present study, Reactive Black 5 Dye used in the tanning operation was selected for Hydrogen Peroxide (H2O2) and UV/H2O2 pre-treatment for different operating conditions like pH, contact time and different volume of H2O2. A comparison was made between the untreated, Hydrogen Peroxide (H2O2) and UV/H2O2 treated effluent in order to ascertain the influence of AOP on the improvement of biodegradability of effluent. An increase in the BOD5/COD ratio from 0.21 to 0.435 was achieved in the UV/H2O2 pre-treatment process. This pre-treated effluent was further subjected to aerobic process. Biochemical Oxygen Demand (BOD5) and Chemical Oxygen Demand (COD) removal efficiency of the UV/H2O2 pre-treated dye solution in the aerobic process was found to be 86.39% and 77.82% when compared to 52.43% of BOD5 and 51.55% of COD removal efficiency without any pre-treatment. Hence from these results, to increase the biodegradability of Reactive Black 5 dye pre-treatment methods like H2O2 and UV/H2O2 can be used prior to biological treatment process.

Biological treatment of whey by Tetrahymena pyriformis and impact study on laboratory-scale wastewater lagoon process.

PubMed

Bonnet, J L; Bogaerts, P; Bohatier, J

1999-06-01

A procedure based on a biological treatment of whey was tested as part of research on waste treatment at the scale of small cheesemaking units. We studied the potential biodegradation of whey by a protozoan ciliate, Tetrahymena pyriformis, and evaluated the functional, microbiological and physiological disturbances caused by crude whey and the biodegraded whey in laboratory-scale pilots mimicking a natural lagoon treatment. The results show that T. pyriformis can strongly reduce the pollutant load of whey. In the lagoon pilots serving as example of receptor media, crude whey gradually but completely arrested operation, whereas with the biodegraded whey adverse effects were only temporary, and normal operation versus a control was gradually recovered in a few days.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Osmanlioglu, Ahmet Erdal

Pre-treatment of radioactive waste is the first step in waste management program that occurs after waste generation from various applications in Turkey. Pre-treatment and characterization practices are carried out in Radioactive Waste Management Unit (RWMU) at Cekmece Nuclear Research and Training Center (CNRTC) in Istanbul. This facility has been assigned to take all low-level radioactive wastes generated by nuclear applications in Turkey. The wastes are generated from research and nuclear applications mainly in medicine, biology, agriculture, quality control in metal processing and construction industries. These wastes are classified as low- level radioactive wastes. Pre-treatment practices cover several steps. In thismore » paper, main steps of pre-treatment and characterization are presented. Basically these are; collection, segregation, chemical adjustment, size reduction and decontamination operations. (author)« less

Relevance of stroke code, stroke unit and stroke networks in organization of acute stroke care--the Madrid acute stroke care program.

PubMed

Alonso de Leciñana-Cases, María; Gil-Núñez, Antonio; Díez-Tejedor, Exuperio

2009-01-01

Stroke is a neurological emergency. The early administration of specific treatment improves the prognosis of the patients. Emergency care systems with early warning for the hospital regarding patients who are candidates for this treatment (stroke code) increases the number of patients treated. Currently, reperfusion via thrombolysis for ischemic stroke and attention in stroke units are the bases of treatment. Healthcare professionals and health provision authorities need to work together to organize systems that ensure continuous quality care for the patients during the whole process of their disease. To implement this, there needs to be an appropriate analysis of the requirements and resources with the objective of their adjustment for efficient use. It is necessary to provide adequate information and continuous training for all professionals who are involved in stroke care, including primary care physicians, extrahospital emergency teams and all physicians involved in the care of stroke patients within the hospital. The neurologist has the function of coordinating the protocols of intrahospital care. These organizational plans should also take into account the process beyond the acute phase, to ensure the appropriate application of measures of secondary prevention, rehabilitation, and chronic care of the patients that remain in a dependent state. We describe here the stroke care program in the Community of Madrid (Spain). (c) 2009 S. Karger AG, Basel.

Characterization of Natural Organic Matter in Conventional Water Treatment Processes and Evaluation of THM Formation with Chlorine

PubMed Central

Özdemır, Kadir

2014-01-01

This study investigates the fractions of natural organic matter (NOM) and trihalomethane (THM) formation after chlorination in samples of raw water and the outputs from ozonation, coagulation-flocculation, and conventional filtration treatment units. All the water samples are passed through various ultrafiltration (UF) membranes. UF membranes with different molecular size ranges based on apparent molecular weight (AMW), such as 1000, 3000, 10,000, and 30,000 Daltons (Da), are commonly used. The NOM fraction with AMW < 1000 Da (1 K) is the dominant fraction within all the fractionated water samples. Its maximum percentage is 85.86% after the filtration process and the minimum percentage is 65.01% in raw water samples. The total THM (TTHM) yield coefficients range from 22.5 to 42 μg-TTHM/mg-DOC in all fractionated samples, which is related to their specific ultraviolet Absorbance (SUVA) levels. As the molecular weight of the fractions decreased, the TTHM yield coefficients increased. The NOM fractions with AMW values less than 1 K had lower SUVA values (<3 L/mg·m) for all treatment stages and also they had higher yield of TTHM per unit of DOC. The NOM fraction with AMW < 1 K for chlorinated raw water samples has the highest yield coefficient (42 μg-TTHM/mg-DOC). PMID:24558323

A comparison of the environmental impact of different AOPs: risk indexes.

PubMed

Giménez, Jaime; Bayarri, Bernardí; González, Óscar; Malato, Sixto; Peral, José; Esplugas, Santiago

2014-12-31

Today, environmental impact associated with pollution treatment is a matter of great concern. A method is proposed for evaluating environmental risk associated with Advanced Oxidation Processes (AOPs) applied to wastewater treatment. The method is based on the type of pollution (wastewater, solids, air or soil) and on materials and energy consumption. An Environmental Risk Index (E), constructed from numerical criteria provided, is presented for environmental comparison of processes and/or operations. The Operation Environmental Risk Index (EOi) for each of the unit operations involved in the process and the Aspects Environmental Risk Index (EAj) for process conditions were also estimated. Relative indexes were calculated to evaluate the risk of each operation (E/NOP) or aspect (E/NAS) involved in the process, and the percentage of the maximum achievable for each operation and aspect was found. A practical application of the method is presented for two AOPs: photo-Fenton and heterogeneous photocatalysis with suspended TiO2 in Solarbox. The results report the environmental risks associated with each process, so that AOPs tested and the operations involved with them can be compared.

Process wastewater treatability study for Westinghouse fluidized-bed coal gasification

DOE Office of Scientific and Technical Information (OSTI.GOV)

Winton, S.L.; Buvinger, B.J.; Evans, J.M.

1983-11-01

In the development of a synthetic fuels facility, water usage and wastewater treatment are major areas of concern. Coal gasification processes generally produce relatively large volumes of gas condensates. These wastewaters are typically composed of a variety of suspended and dissolved organic and inorganic solids and dissolved gaseous contaminants. Fluidized-bed coal gasification (FBG) processes are no exception to this rule. The Department of Energy's Morgantown Energy Technology Center (METC), the Gas Research Institute (GRI), and the Environmental Protection Agency (EPA/IERLRTP) recognized the need for a FBG treatment program to provide process design data for FBG wastewaters during the environmental, health,more » and safety characterization of the Westinghouse Process Development Unit (PDU). In response to this need, METC developed conceptual designs and a program plan to obtain process design and performance data for treating wastewater from commercial-scale Westinghouse-based synfuels plants. As a result of this plan, METC, GRI, and EPA entered into a joint program to develop performance data, design parameters, conceptual designs, and cost estimates for treating wastewaters from a FBG plant. Wastewater from the Westinghouse PDU consists of process quench and gas cooling condensates which are similar to those produced by other FBG processes such as U-Gas, and entrained-bed gasification processes such as Texaco. Therefore, wastewater from this facility was selected as the basis for this study. This paper outlines the current program for developing process design and cost data for the treatment of these wastewaters.« less

Proteostasis and Diseases of the Motor Unit.

PubMed

Rinaldi, Carlo; Mäger, Imre; Wood, Matthew J

2016-01-01

The accumulation in neurons of aberrant protein species, the pathological hallmark of many neurodegenerative diseases, results from a global impairment of key cellular processes governing protein synthesis/degradation and repair mechanisms, also known as the proteostasis network (PN). The growing number of connections between dysfunction of this intricate network of pathways and diseases of the motor unit, where both motor neurons and muscle are primarily affected, has provided momentum to investigate the muscle- and motor neuron-specific response to physiological and pathological stressors and to explore the therapeutic opportunities that manipulation of this process may offer. Furthermore, these diseases offer an unparalleled opportunity to deepen our understanding of the molecular mechanisms behind the intertissue communication and transfer of signals of proteostasis. The most compelling aspect of these investigations is their immediate potential for therapeutic impact: targeting muscle to stem degeneration of the motor unit would represent a dramatic paradigm therapeutic shift for treating these devastating diseases. Here we will review the current state of the art of the research on the alterations of the PN in diseases of the motor unit and its potential to result in effective treatments for these devastating neuromuscular disorders.

Effects of UV/Ag-TiO2/O3 advanced oxidation on unicellular green alga Dunaliella salina: implications for removal of invasive species from ballast water.

PubMed

Wu, Donghai; You, Hong; Du, Jiaxuan; Chen, Chuan; Jin, Darui

2011-01-01

The UV/Ag-TiO2/O3 process was investigated for ballast water treatment using Dunaliella salina as an indicator. Inactivation curves were obtained, and the toxicity of effluent was determined. Compared with individual unit processes using ozone or UV/Ag-TiO2, the inactivation efficiency of D. salina by the combined UV/Ag-TiO2/O3 process was enhanced. The presence of ozone caused an immediate decrease in chlorophyll a (chl-a) concentration. Inactivation efficiency and ch1-a removal efficiency were positively correlated with ozone dose and ultraviolet intensity. The initial total residual oxidant (TRO) concentration of effluent increased with increasing ozone dose, and persistence of TRO resulted in an extended period of toxicity. The results suggest that UV/Ag-TiO2/O3 has potential for ballast water treatment.

Treatment time and occlusal outcome of orthognathic therapy in the East of England region.

PubMed

Jeremiah, Huw G; Cousley, Richard R; Newton, Tim; Abela, Stefan

2012-09-01

To evaluate the process of combined orthognathic and orthodontic care. To identify factors that affect treatment time and percentage Peer Assessment Rating (PAR) reduction, and the PAR efficiency factor for such cases. Retrospective multi centre study of patients who underwent orthognathic treatment in the East of England region. Analysis of consecutive cases that underwent orthognathic surgery in 2008. Inclusion criteria included pre- and post-surgery orthodontic treatment. Ten orthodontic units submitted data for a total of 118 patients. Within the sample, 64% were class III, 35% class II/1 and 1% class II/2. Overall extraction rate, excluding third molars, was 58%. Median age at bond up was 17 years. Mean total number of orthodontic attendances was 23. Median length of pre-surgical orthodontics was 23 months and post-surgical orthodontics was 7 months. Median length of total treatment was 29 months. Mean wait for surgery was 3·6 months. Diagnosis of incisor relationship and skeletal base, transfer of operator, total number of visits, tooth extraction and treatment unit affected treatment duration. Median pre- and post-treatment PAR scores were 43 and 4, respectively. Median change in PAR score was 38·5. Median per cent reduction in PAR was 90·6%. The median PAR efficiency factor (reduction in PAR score divided by treatment time in months) was 1·24. Diagnosis of incisor relationship and skeletal base correlated with percentage reduction in PAR score. Combined orthognathic treatment was effective. Factors affecting treatment duration and percentage reduction in PAR have been established.

Full-scale effects of addition of sludge from water treatment stations into processes of sewage treatment by conventional activated sludge.

PubMed

Luiz, Marguti André; Sidney Seckler, Ferreira Filho; Passos, Piveli Roque

2018-06-01

An emerging practice for water treatment plant (WTP) sludge is its disposal in wastewater treatment plants (WWTP), an alternative that does not require the installation of sludge treatment facilities in the WTP. This practice can cause both positive and negative impacts in the WWTP processes since the WTP sludge does not have the same characteristics as domestic wastewater. This issue gives plenty of information in laboratory and pilot scales, but lacks data from full-scale studies. The main purpose of this paper is to study the impact of disposing sludge from the Rio Grande conventional WTP into the ABC WWTP, an activated sludge process facility. Both plants are located in São Paulo, Brazil, and are full-scale facilities. The WTP volumetric flow rate (4.5 m³/s) is almost three times that of WWTP (1.6 m³/s). The data used in this study came from monitoring the processes at both plants. The WWTP liquid phase treatment analysis included the variables BOD, COD, TSS, VSS, ammonia, total nitrogen, phosphorus and iron, measured at the inlet, primary effluent, mixed liquor, and effluent. For the WWTP solids treatment, the parameters tested were total and volatile solids. The performance of the WWTP process was analyzed with and without sludge addition: 'without sludge' in years 2005 and 2006 and 'with sludge' from January 2007 to March 2008. During the second period, the WTP sludge addition increased the WWTP removal efficiencies for solids (93%-96%), organic matter (92%-94% for BOD) and phosphorus (52%-88%), when compared to the period 'without sludge'. These improvements can be explained by higher feed concentrations combined to same or lower effluent concentrations in the 'with sludge' period. No critical negative impacts occurred in the sludge treatment facilities, since the treatment units absorbed the extra solids load from the WTP sludge. Copyright © 2018 Elsevier Ltd. All rights reserved.

Identification of specific organic contaminants in different units of a chemical production site.

PubMed

Dsikowitzky, L; Botalova, O; al Sandouk-Lincke, N A; Schwarzbauer, J

2014-07-01

Due to the very limited number of studies dealing with the chemical composition of industrial wastewaters, many industrial organic contaminants still escape our view and consequently also our control. We present here the chemical characterization of wastewaters from different units of a chemical complex, thereby contributing to the characterization of industrial pollution sources. The chemicals produced in the investigated complex are widely and intensively used and the synthesis processes are common and applied worldwide. The chemical composition of untreated and treated wastewaters from the chemical complex was investigated by applying a non-target screening which allowed for the identification of 39 organic contaminants. According to their application most of them belonged to four groups: (i) unspecific educts or intermediates of industrial syntheses, (ii) chemicals for the manufacturing of pharmaceuticals, (iii) educts for the synthesis of polymers and resins, and (iv) compounds known as typical constituents of municipal sewage. A number of halogenated compounds with unknown toxicity and with very high molecular diversity belonged to the second group. Although these compounds were completely removed or degraded during wastewater treatment, they could be useful as "alarm indicators" for industrial accidents in pharmaceutical manufacturing units or for malfunctions of wastewater treatment plants. Three potential branch-specific indicators for polymer manufacturing were found in the outflow of the complex. Among all compounds, bisphenol A, which was present in the leachate water of the on-site waste deposit, occurred in the highest concentrations of up to 20 000 μg L(-1). The comparison of contaminant loads in the inflow and outflow of the on-site wastewater treatment facility showed that most contaminants were completely or at least significantly removed or degraded during the treatment, except two alkylthiols, which were enriched during the treatment process. The chemical composition of the inflow samples showed a very heterogenic composition and strongly varied, reflecting that large scale industrial synthesis is carried out in batches. The outflow contained mainly unspecific chlorinated educts or intermediates of industrial syntheses as well as compounds which are known as typical constituents of municipal wastewaters.

[Opinion of professionals in an intensive care unit on the limitations of therapeutic effort].

PubMed

González-Castro, A; Azcune, O; Peñasco, Y; Rodríguez, J C; Domínguez, M J; Rojas, R

2016-01-01

To determine the opinion held by professionals in an intensive care unit on the limitation of therapeutic effort process at the end-of-life (LTE). To collect this information, and then use it to improve the basic aspects that the LTE have on the quality of care by intensive care unit staff. A prospective descriptive study was carried out in the Intensive Care Unit of a third level public university hospital. A questionnaire was prepared that included questions on their demographic profile and others to provide an ethical valuation profile, as well as to find out the knowledge and information that the professional had on the LTE. Descriptive study of the sample and comparative statistics were performed using the chi-squared statistical test. A total of 65 valid questionnaires were obtained from a convenience sample of 70 professionals. Almost all of them (98%) were in favour of the limitation of therapeutic effort. The LTE was considered as some kind of euthanasia (active or passive) in up to 28% of the replies, valuations by professional categories is shown in. More than three-quarters (77%) had the belief that not to start treatment was not the same as withdrawing an already established treatment. Just over half (52%) of the respondents believe the value that should have more weight when considering LET would be the prognosis of the current illness of the patient, and 46% the future quality of life of the patient. The economic cost of treatment to be applied was not considered in any case. The LTE is approved by the majority of professionals in our Intensive Care Unit. Although a non-negligible percentage understood it as a form of euthanasia. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

Separation of swine wastewater into different concentration fractions and its contribution to combined anaerobic-aerobic process.

PubMed

Yang, Di; Deng, Liangwei; Zheng, Dan; Wang, Lan; Liu, Yi

2016-03-01

There are two problems associated with treatment of swine wastewater, low efficiency of anaerobic digestion during winter and poor performance for aerobic treatment of digested effluent. A strategy employing unbalanced distributions of the pollutant mass and wastewater volumes in anaerobic and aerobic units was proposed. To accomplish this, swine wastewater was separated into high content liquid (HCL) and low content liquid (LCL). Three separation ratios of HCL to LCL (v/v), 1:9 (S1), 2:8 (S2), and 3:7 (S3), were evaluated. Anaerobically digestion of the HCL accounted for only 10%, 20% and 30% of the total volume of raw wastewater, but produced 63.38%, 73.79% and 76.61% of the total methane output for S1, S2 and S3, respectively. The mixed liquid of digested effluents of HCL and LCL were treated aerobically using sequencing batch reactors. S2 generated the best performance, with removal efficiencies of 96.98% for COD, 98.95% for NH3-N, 91.69% for TN and 74.71% for TP. The results obtained for S1 were not as good as those for S2, but were better than those for S3. Based on methane output from the anaerobic unit and pollutants removal in the aerobic unit, S2 was the most suitable system for the treatment of swine wastewater. Additionally, the anaerobic digestion efficiency of S2 was 282% higher than that of previous techniques employing balanced distribution. Taken together, these findings indicate that unbalanced distribution could improve the efficiency of the anaerobic unit remarkably, while ensuring good performance of the aerobic unit. Copyright © 2015. Published by Elsevier Ltd.

Sustained health-economic effects after reorganisation of a Swiss hospital emergency centre: a cost comparison study.

PubMed

Eichler, Klaus; Hess, Sascha; Chmiel, Corinne; Bögli, Karin; Sidler, Patrick; Senn, Oliver; Rosemann, Thomas; Brügger, Urs

2014-10-01

Emergency departments (EDs) are increasingly overcrowded by walk-in patients. However, little is known about health-economic consequences resulting from long waiting times and inefficient use of specialised resources. We have evaluated a quality improvement project of a Swiss urban hospital: In 2009, a triage system and a hospital-associated primary care unit with General Practitioners (H-GP-unit) were implemented beside the conventional hospital ED. This resulted in improved medical service provision with reduced process times and more efficient diagnostic testing. We now report on health-economic effects. From the hospital perspective, we performed a cost comparison study analysing treatment costs in the old emergency model (ED, only) versus treatment costs in the new emergency model (triage plus ED plus H-GP-unit) from 2007 to 2011. Hospital cost accounting data were applied. All consecutive outpatient emergency contacts were included for 1 month in each follow-up year. The annual number of outpatient emergency contacts increased from n=10 440 (2007; baseline) to n=16 326 (2011; after intervention), reflecting a general trend. In 2007, mean treatment costs per outpatient were €358 (95% CI 342 to 375). Until 2011, costs increased in the ED (€423 (396 to 454)), but considerably decreased in the H-GP-unit (€235 (221 to 250)). Compared with 2007, the annual local budget spent for treatment of 16 326 patients in 2011 showed cost reductions of €417 600 (27 200 to 493 600) after adjustment for increasing patient numbers. From the health-economic point of view, our new service model shows 'dominance' over the old model: While quality of service provision improved (reduced waiting times; more efficient resource use in the H-GP-unit), treatment costs sustainably decreased against the secular trend of increase. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Basewide Groundwater Operable Unit. Groundwater Operable Unit Remedial Investigation/Feasibility Study Report. Volume 3

DTIC Science & Technology

1994-06-01

technologies were organized into five categories: * In Situ Biological Treatment * In Situ Physical/Chemical Treatment * Ex Situ Biological Groundwater...Technology FIGURE 11-3 PRIMARY SCORING SUMMARY EX SITU BIOLOGICAL GROUNDWATER TREATMENT TECHNOLOGIES GROUNDWATER OPERABLE UNIT RIIFS McCLELLAN AIR FORCE... Biological Treatment CometabolicAnaerobic Anaerobic/Aerobic In Situ Physical/Chemical Treatment Sparging/Soil Vapor Extraction Ex Situ Biological

Assessment of Primary Health Care in the Treatment of Tuberculosis in a Brazilian Locality of the International Triple Frontier

PubMed Central

Silva-Sobrinho, Reinaldo Antonio; Wysocki, Anneliese Domingues; Scatena, Lúcia Marina; Pinto, Erika Simone Galvão; Beraldo, Aline Ale; Andrade, Rubia Laine Paula; Zilly, Adriana; Munhak da Silva, Rosane Meire; Gomes, Michela Prestes; Mayer, Paulo César Morales; Ruffino-Netto, Antonio; Villa, Tereza Cristina Scatena

2017-01-01

Objective: To evaluate the performance of Primary Health Care (PHC) in treatment of TB patients in a triple international border municipality. Methods: The present study was an evaluative survey of cross-sectional and quantitative approach conducted with 225 PHC healthcare professionals. Data was collected through a structured and validated instrument, which provided five indicators of "structure" and four indicators of "process" classified as unsatisfactory, regular or satisfactory. Results: The "structure" component was unsatisfactory for the indicator of professionals involved in TB care and training, and regular for the indicator of connection between the units and other levels of care. The "process" component was regular for the indicators of TB information, directly observed treatment and reference and counter reference on TB, and unsatisfactory for external actions on TB control. Conclusion: The "structure" and "process" components points out some weaknesses in terms of management and organization of human resources. Low frequency of training and the turnover influenced the involvement of professionals. Elements of "structure" and "process" show the need for investing in the PHC team and improving the clinical management of cases. PMID:29204229

Transformation of arsenic in the presence of cow dung and arsenic sludge disposal and management strategy in Bangladesh

NASA Astrophysics Data System (ADS)

Rahman, Mohammad Azizur; Jalil, Md. Abdul; Ali, M. Ashraf

2014-10-01

With increasing use of arsenic (As) removal units for treatment of As-contaminated groundwater in rural Bangladesh, concerns have been raised regarding safe disposal of the As-rich wastes from such units and possible contamination of the environment. In the absence of any clear guideline for safe disposal of wastes generated from As removal units, the wastes are usually disposed of in the open environment, often on cow dung beds in the backyard. Short term (up to 6 weeks) batch experiments performed in this study suggest that bio-chemical (e.g., bio-methylation) processes in the presence of only fresh cow dung may lead to a significant removal of As, both from aqueous solution and As-rich treatment wastes. Arsenic removal appears to increase with decreasing As to cow dung weight ratio. This study also suggests that arsenate transforms to arsenite before removal from aqueous As solution in the presence of cow dung. In most cases majority of As removal takes place during first few days. Removal of As under cap-open (to facilitate aerobic condition) and cap-closed conditions (to facilitate aerobic condition) were found to be similar. No significant variation was observed in the removal As from aqueous solution and from treatment wastes (As bound to iron solids). This study concludes that disposal of As-rich treatment wastes to cow dung pits could be an effective option of As sludge disposal and management in rural areas of Bangladesh.

In vitro resistance to fracture of two nickel-titanium rotary instruments made with different thermal treatments.

PubMed

Miccoli, Gabriele; Gaimari, Gianfranco; Seracchiani, Marco; Morese, Antonio; Khrenova, Tatyana; Di Nardo, Dario

2017-01-01

Aim of the study was to evaluate effectiveness of different heat treatments in improving Ni-Ti endodontic rotary instruments' resistance to fracture. 24 new NiTi instruments similar in length and shape: 12 M3 instruments, tip size 25 and .06 taper (United Dental, Shanghai, China), and 12 M3 Pro Gold instruments tip size 25 and .06 taper (United Dental, Shanghai, China), were tested in a 60° curved artificial root canal. Each group received a different heat treatment. Cycles to fracture were calculated for each instrument. Differences among groups were evaluated with an analysis of variance test (significance level was set at P<0.05.). Statistical analysis found significant differences (p<0.0213) between groups. The M3 Pro Gold instruments were significantly more resistant to fatigue (mean values = 1012, SD +/- 77) than M3 instruments (mean values = 748, SD +/- 62). No statistically significant differences were found between fragments' lengths (p>0,05). An increased flexibility and the reduction of internal defects produced by heat treatments during or after manufacturing processes, may be responsible for improving resistance to cyclic fatigue and flexural stresses.

Practical performance and its efficiency of arsenic removal from groundwater using Fe-Mn binary oxide.

PubMed

Chang, Fangfang; Qu, Jiuhui; Liu, Ruiping; Zhao, Xu; Lei, Pengju

2010-01-01

A treatment unit packed by granular adsorbent of Fe-Mn binary oxide incorporated into diatomite (FMBO(1:1)-diatomite) was studied to remove arsenic from anaerobic groundwater without any pre-treatment or post-treatment. The raw anaerobic groundwater containing 35-45 microg/L of arsenic was collected from suburb of Beijing. Arsenic (III) constituted roughly 60%-80% of the total arsenic content. Approximately 7,000 bed volumes (ratio of effluent volume to adsorbent volume) treated water with arsenic concentration below 10 microg/L were produced in the operation period of four months. The regeneration of FMBO (1:1)-diatomite had been operated for 15 times. In the first stage, the regeneration process significantly improved the adsorption capacity of FMBO (1:1)-diatomite. With increased loading amount of Fe-Mn binary oxide, the adsorption capacity for arsenic decreased 20%-40%. Iron and manganese in anaerobic groundwater were oxidized and adsorptive filtrated by FMBO (1:1)-diatomite efficiently. The final concentrations of iron and manganese in effluents were nearly zero. The continued safe performance of the treatment units proved that adsorbent FMBO (1:1)-diatomite had high oxidation ability and exhibited strong adsorptive filtration.

Food irradiation—US regulatory considerations

NASA Astrophysics Data System (ADS)

Morehouse, Kim M.

2002-03-01

The use of ionizing radiation in food processing has received increased interest as a means of reducing the level of foodborne pathogens. This overview discusses the regulatory issues connected with the use of this technology in the United States. Several recent changes in the FDA's review process are discussed. These include the current policy that utilizes an expedited review process for petitions seeking approval of additives and technologies intended to reduce pathogen levels in food, and the recent USDA rule that eliminates the need for a separate rulemaking process by USDA for irradiation of meat and poultry. Recently promulgated rules and pending petitions before the FDA associated with the use of ionizing radiation for the treatment of foods are also discussed along with the current FDA labeling requirements for irradiated foods and the 1999 advanced notice of proposed rule on labeling. Another issue that is presented is the current status of the approval of packaging materials intended for food contact during irradiation treatment of foods.

Who cares for involuntary clients?

PubMed

Soliman, Soheil; Pollack, Harold A; Alexander, Jeffrey A

2009-01-01

The objectives of this study were to compare characteristics of outpatient substance abuse treatment (OSAT) units that serve high proportions of involuntary clients (ICs) with those that serve a low percentage of such clients. The authors analyze unit-level 1995-2005 data from the National Drug Abuse Treatment System Survey (NDATSS). Approximately 1/6 of OSAT units draw the dominant majority of their clients from involuntary referrals. OSAT units that treat a high proportion of ICs are less likely to be accredited by professional organizations, have fewer treatment staff with advanced degrees, and have shorter average treatment duration than do OSAT units that serve few ICs. OSAT units that serve ICs are more likely to offer legal and domestic violence services but are less likely to offer mental health services or aftercare. OSAT units that serve ICs are less likely to be hospital-affiliated than are other units. Clients at such facilities are more likely to be convicted of driving while intoxicated (DWI), are younger, are less likely to have received prior treatment, are more likely to remain abstinent after treatment, but are more likely to be remanded back to courts. The authors conclude that ICs are an important market niche in OSAT care. DWI is by far the most common offense reported in units that specialize in ICs. Aside from legal and domestic violence services, units with a high proportion of ICs appear to offer somewhat less intensive and professionalized services than do other facilities; however, clients at these units are more likely to be abstinent at the end of treatment and but more likely to be remanded back to the courts.

How Stress Treatments Influence the Performance of Biodegradable Poly(Butylene Succinate)-Based Copolymers with Thioether Linkages for Food Packaging Applications

PubMed Central

Genovese, Laura

2017-01-01

Biodegradable poly(butylene succinate) (PBS)-based random copolymers containing thioether linkages (P(BSxTDGSy)) of various compositions have been investigated and characterized from the gas barrier, thermal, and mechanical point of view, after food contact simulants or thermal and photoaging processes. Each stress treatment was performed on thin films and the results obtained have been compared to the same untreated film, used as a standard. Barrier properties with different gases (O2 and CO2) were evaluated, showing that the polymer chemical composition strongly influenced the permeability behavior. The relationships between the diffusion coefficients (D) and solubility (S) with polymer composition were also investigated. The results highlighted a correlation between polymer chemical structure and treatment. Gas transmission rate (GTR) mainly depending on the performed treatment, as GTR increased with the increase of TDGS co-unit amount. Thermal and mechanical tests allowed for the recording of variations in the degree of crystallinity and in the tensile properties. An increase in the crystallinity degree was recorded after contact with simulant liquids and aging treatments, together with a molecular weight decrease, a slight enhancement of the elastic modulus and a decrement of the elongation at break, proportional to the TDGS co-unit content. PMID:28867806

Reduction of nutrients, microbes, and personal care products in domestic wastewater by a benchtop electrocoagulation unit

PubMed Central

Symonds, E. M.; Cook, M. M.; McQuaig, S. M.; Ulrich, R. M.; Schenck, R. O.; Lukasik, J. O.; Van Vleet, E. S.; Breitbart, M.

2015-01-01

To preserve environmental and human health, improved treatment processes are needed to reduce nutrients, microbes, and emerging chemical contaminants from domestic wastewater prior to discharge into the environment. Electrocoagulation (EC) treatment is increasingly used to treat industrial wastewater; however, this technology has not yet been thoroughly assessed for its potential to reduce concentrations of nutrients, a variety of microbial surrogates, and personal care products found in domestic wastewater. This investigation's objective was to determine the efficiency of a benchtop EC unit with aluminum sacrificial electrodes to reduce concentrations of the aforementioned biological and chemical pollutants from raw and tertiary-treated domestic wastewater. EC treatment resulted in significant reductions (p < 0.05, α = 0.05) in phosphate, all microbial surrogates, and several personal care products from raw and tertiary-treated domestic wastewater. When wastewater was augmented with microbial surrogates representing bacterial, viral, and protozoan pathogens to measure the extent of reduction, EC treatment resulted in up to 7-log10 reduction of microbial surrogates. Future pilot and full-scale investigations are needed to optimize EC treatment for the following: reducing nitrogen species, personal care products, and energy consumption; elucidating the mechanisms behind microbial reductions; and performing life cycle analyses to determine the appropriateness of implementation. PMID:25797885

How Stress Treatments Influence the Performance of Biodegradable Poly(Butylene Succinate)-Based Copolymers with Thioether Linkages for Food Packaging Applications.

PubMed

Siracusa, Valentina; Genovese, Laura; Munari, Andrea; Lotti, Nadia

2017-08-30

Biodegradable poly(butylene succinate) (PBS)-based random copolymers containing thioether linkages (P(BSxTDGSy)) of various compositions have been investigated and characterized from the gas barrier, thermal, and mechanical point of view, after food contact simulants or thermal and photoaging processes. Each stress treatment was performed on thin films and the results obtained have been compared to the same untreated film, used as a standard. Barrier properties with different gases (O₂ and CO₂) were evaluated, showing that the polymer chemical composition strongly influenced the permeability behavior. The relationships between the diffusion coefficients ( D ) and solubility ( S ) with polymer composition were also investigated. The results highlighted a correlation between polymer chemical structure and treatment. Gas transmission rate ( GTR ) mainly depending on the performed treatment, as GTR increased with the increase of TDGS co-unit amount. Thermal and mechanical tests allowed for the recording of variations in the degree of crystallinity and in the tensile properties. An increase in the crystallinity degree was recorded after contact with simulant liquids and aging treatments, together with a molecular weight decrease, a slight enhancement of the elastic modulus and a decrement of the elongation at break, proportional to the TDGS co-unit content.

Reduction of nutrients, microbes, and personal care products in domestic wastewater by a benchtop electrocoagulation unit.

PubMed

Symonds, E M; Cook, M M; McQuaig, S M; Ulrich, R M; Schenck, R O; Lukasik, J O; Van Vleet, E S; Breitbart, M

2015-03-23

To preserve environmental and human health, improved treatment processes are needed to reduce nutrients, microbes, and emerging chemical contaminants from domestic wastewater prior to discharge into the environment. Electrocoagulation (EC) treatment is increasingly used to treat industrial wastewater; however, this technology has not yet been thoroughly assessed for its potential to reduce concentrations of nutrients, a variety of microbial surrogates, and personal care products found in domestic wastewater. This investigation's objective was to determine the efficiency of a benchtop EC unit with aluminum sacrificial electrodes to reduce concentrations of the aforementioned biological and chemical pollutants from raw and tertiary-treated domestic wastewater. EC treatment resulted in significant reductions (p < 0.05, α = 0.05) in phosphate, all microbial surrogates, and several personal care products from raw and tertiary-treated domestic wastewater. When wastewater was augmented with microbial surrogates representing bacterial, viral, and protozoan pathogens to measure the extent of reduction, EC treatment resulted in up to 7-log10 reduction of microbial surrogates. Future pilot and full-scale investigations are needed to optimize EC treatment for the following: reducing nitrogen species, personal care products, and energy consumption; elucidating the mechanisms behind microbial reductions; and performing life cycle analyses to determine the appropriateness of implementation.

Reduction of nutrients, microbes, and personal care products in domestic wastewater by a benchtop electrocoagulation unit

NASA Astrophysics Data System (ADS)

Symonds, E. M.; Cook, M. M.; McQuaig, S. M.; Ulrich, R. M.; Schenck, R. O.; Lukasik, J. O.; van Vleet, E. S.; Breitbart, M.

2015-03-01

To preserve environmental and human health, improved treatment processes are needed to reduce nutrients, microbes, and emerging chemical contaminants from domestic wastewater prior to discharge into the environment. Electrocoagulation (EC) treatment is increasingly used to treat industrial wastewater; however, this technology has not yet been thoroughly assessed for its potential to reduce concentrations of nutrients, a variety of microbial surrogates, and personal care products found in domestic wastewater. This investigation's objective was to determine the efficiency of a benchtop EC unit with aluminum sacrificial electrodes to reduce concentrations of the aforementioned biological and chemical pollutants from raw and tertiary-treated domestic wastewater. EC treatment resulted in significant reductions (p < 0.05, α = 0.05) in phosphate, all microbial surrogates, and several personal care products from raw and tertiary-treated domestic wastewater. When wastewater was augmented with microbial surrogates representing bacterial, viral, and protozoan pathogens to measure the extent of reduction, EC treatment resulted in up to 7-log10 reduction of microbial surrogates. Future pilot and full-scale investigations are needed to optimize EC treatment for the following: reducing nitrogen species, personal care products, and energy consumption; elucidating the mechanisms behind microbial reductions; and performing life cycle analyses to determine the appropriateness of implementation.

Treatment of Wastewater From Car Washes Using Natural Coagulation and Filtration System

NASA Astrophysics Data System (ADS)

Al-Gheethi, A. A.; Mohamed, R. M. S. R.; Rahman, M. A. A.; Johari, M. R.; Kassim, A. H. M.

2016-07-01

Wastewater generated from carwash is one of the main wastewater resources, which contribute effectively in the increasing of environmental contamination due to the chemical characteristics of the car wastes. The present work aimed to develop an integrated treatment system for carwash wastewater based on coagulation and flocculation using Moringa oleifera and Ferrous Sulphate (FeSO4.7H2O) as well as natural filtration system. The carwash wastewater samples were collected from carwash station located at Parit Raja, Johor, Malaysia. The treatment system of car wash wastewater was designed in the lab scale in four stages included, aeration, coagulation and flocculation, sedimentation and filtration. The coagulation and flocculation unit was carried out using different dosage (35, 70, 105 and 140 mg L-1) of M. oleifera and FeSO4.7H2O, respectively. The efficiency of the integrated treatment system to treat carwash wastewater and to meet Environmental Quality Act (EQA 1974) was evaluated based on the analysis of pH, dissolved oxygen (DO), chemical oxygen demand (COD) and turbidity (NTU). The integrated treatment system was efficient for treatment of raw carwash wastewater. The treated carwash wastewaters meet EQA 1974 regulation 2009 (Standards A) in the term of pH and DO while, turbidity and COD reduced in the wastewater to meet Standards B. The integrated treatment system designed here with natural coagulant (M. oleifera) and filtration unit were effective for primary treatment of carwash wastewater before the final disposal or to be reused again for carwash process.

Treating the sibling subsystem: an adjunct of divorce therapy.

PubMed

Schibuk, M

1989-04-01

Sibling therapy, frequently overlooked as a method of treatment, is particularly appropriate in situations that require a deliberate focus on the "unit of continuity," or the subsystem that remains intact during a process of family reorganization. For this and other reasons it can be an effective tool in treating children of divorce. A case illustrating this use of sibling therapy is presented.

Progress Towards a Uniform U.S. Government Patent Policy for Universities and Non-Profit Organizations.

ERIC Educational Resources Information Center

Latker, Norman J.

The Constitution of the United States specifically addresses the question of intellectual property rights. This provision is not only noble but also practical, since it recognizes that the whole of society is best served when the creators are singled out and given special treatment. In the process of industrialization of this country, resources…

Children's Rights and Youth Justice: 20 Years of No Progress

ERIC Educational Resources Information Center

Smith, Roger

2010-01-01

The adoption of the United Nations Convention on the Rights of the Child (UNCRC) in 1989 and its ratification by the UK government two years later came at a time of considerable progress in youth justice. The Convention itself set clear standards of treatment, in terms of both processes and disposals, which appeared at the time to provide positive…

Hydrothermal liquefaction of separated dairy manure for production of bio-oils with simultaneous waste treatment.

PubMed

Theegala, Chandra S; Midgett, Jason S

2012-03-01

A bench scale hydrothermal liquefaction (HTL) system was tested using dairy manure to explore biooil production and waste treatment potential. Carbon monoxide was used as the process gas and sodium carbonate (Na(2)CO(3)) as catalyst. At a 350°C process temperature, the HTL unit produced 3.45 g (± 0.21) of acetone soluble oil fractions (ASF), with an average Higher Heating Value of 32.16 (± 0.23) MJ kg(-1). A maximum ASF yield of 4.8 g was produced at a process temperature of 350°C and 1g of catalyst. The best ASF yield corresponded to 67.6% of energy contained in the raw manure. GC-MS analysis of ASF indicated that the highest quantities of phenolic compounds were formed when 1g catalyst was used. Chemical Oxygen Demand (COD) reduction in the dischargeable slurry was as high as 75%. The results point to an alternative dairy waste treatment technology with a potential to generate transportable biooils. Copyright © 2011 Elsevier Ltd. All rights reserved.

Waste Encapsulation and Storage Facility (WESF) Dangerous Waste Training Plan (DWTP)

DOE Office of Scientific and Technical Information (OSTI.GOV)

SIMMONS, F.M.

2000-03-29

This Waste Encapsulation Storage Facility (WESF) Dangerous Waste Training Plan (DWTP) applies to personnel who perform work at, or in support of WESF. The plan, along with the names of personnel, may be given to a regulatory agency inspector upon request. General workers, subcontractors, or visiting personnel who have not been trained in the management of dangerous wastes must be accompanied by an individual who meets the requirements of this training plan. Dangerous waste management includes handling, treatment, storage, and/or disposal of dangerous and/or mixed waste. Dangerous waste management units covered by this plan include: less-than-90-day accumulation area(s); pool cellsmore » 1-8 and 12 storage units; and process cells A-G storage units. This training plan describes general requirements, worker categories, and provides course descriptions for operation of the WESF permitted miscellaneous storage units and the Less-than-90-Day Accumulation Areas.« less

40 CFR Appendix E to Part 63 - Monitoring Procedure for Nonthoroughly Mixed Open Biological Treatment Systems at Kraft Pulp...

Code of Federal Regulations, 2012 CFR

2012-07-01

.... II. Definitions Biological treatment unit = wastewater treatment unit designed and operated to... last zone in the series and ending with the first zone. B. Data Collection Requirements This method is based upon modeling the nonthoroughly mixed open biological treatment unit as a series of well-mixed...

77 FR 58470 - Irradiation Treatment; Location of Facilities in the Southern United States; Technical Amendment

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-21

.... APHIS-2009-0100] RIN 0579-AD35 Irradiation Treatment; Location of Facilities in the Southern United... things, allow for irradiation treatment of mangoes from India upon arrival in the mainland United States... 20, 2012, we amended the regulations in Sec. 319.56-46 to allow for irradiation treatment of mangoes...

NMR Guided Design of Endcaps With Improved Oxidation Resistance

NASA Technical Reports Server (NTRS)

Meador, Mary Ann B.; Frimer, Aryeh A.

2002-01-01

A polyimide is a polymer composed of alternating units of diamine and dianhydride, linked to each other via an imide bond. PMR polyimides, commonly used in the aerospace industry, are generally capped at each end by a norbornene endcap which serves a double function: (1) It limits the number of repeating units and, hence, the average molecular weight of the various polymer chains (oligomers), thereby improving processibility; (2) Upon further treatment (curing), the endcap crosslinks the various oligomer strands into a tough heat-resistant piece. Norbornenyl-end capped PMR polyimide resins' are widely used as polymer matrix composite materials for aircraft engine applications,2 since they combine ease of processing with good oxidative stability up to 300 C. PMR resins are prepared by a twestep approach involving the initial formation of oligomeric pre-polymers capped at both ends by a latent reactive end cap. The end cap undergoes cross-linking during higher temperature processing, producing the desired low density, high specific strength materials, as shown for PMR-15.

The pilot plant for electron beam food processing

NASA Astrophysics Data System (ADS)

Migdal, W.; Walis, L.; Chmielewski, A. G.

1993-07-01

In the frames of the national programme on the application of irradiation for food preservation and hygienization an experimental plant for electron beam processing has been established in INCT. The pilot plant has been constructed inside an old fort what decreases significantly the cost of the investment. The pilot plant is equipped with a small research accelerator Pilot (10 MeV, 1 kW) and an industrial unit Elektronika (10 MeV, 10 kW). This allows both laboratory and full technological scale testing of the elaborated process to be conducted. The industrial unit is being equipped with e-/X conversion target, for high density products irradiation. On the basis of the research there were performed at different scientific institutions in Poland, health authorities have issued permissions for permanent treatment of spices, garlic, onions and temporary permissions for mushrooms, and potatoes. Dosimetric methods have been elaborated for the routine use at the plant. In the INCT laboratory methods for the control of e-/X treated food have been established.

Implementation of Electronic Checklists in an Oncology Medical Record: Initial Clinical Experience

PubMed Central

Albuquerque, Kevin V.; Miller, Alexis A.; Roeske, John C.

2011-01-01

Purpose: The quality of any medical treatment depends on the accurate processing of multiple complex components of information, with proper delivery to the patient. This is true for radiation oncology, in which treatment delivery is as complex as a surgical procedure but more dependent on hardware and software technology. Uncorrected errors, even if small or infrequent, can result in catastrophic consequences for the patient. We developed electronic checklists (ECLs) within the oncology electronic medical record (EMR) and evaluated their use and report on our initial clinical experience. Methods: Using the Mosaiq EMR, we developed checklists within the clinical assessment section. These checklists are based on the process flow of information from one group to another within the clinic and enable the processing, confirmation, and documentation of relevant patient information before the delivery of radiation therapy. The clinical use of the ECL was documented by means of a customized report. Results: Use of ECL has reduced the number of times that physicians were called to the treatment unit. In particular, the ECL has ensured that therapists have a better understanding of the treatment plan before the initiation of treatment. An evaluation of ECL compliance showed that, with additional staff training, > 94% of the records were completed. Conclusion: The ECL can be used to ensure standardization of procedures and documentation that the pretreatment checks have been performed before patient treatment. We believe that the implementation of ECLs will improve patient safety and reduce the likelihood of treatment errors. PMID:22043184

Electrolytic pretreatment unit gaseous effluent conditioning

NASA Technical Reports Server (NTRS)

Colombo, G. V.; Putnam, D. F.

1976-01-01

The electrolytic pretreatment of urine is an advanced process that eliminates the need for handling and storing the highly corrosive chemicals that are normally used in water reclamation systems. The electrolytic pretreatment process also converts the organic materials in urine to gases (N2 and O2) that can be used to replenish those lost to space by leakage, venting, and air lock operations. The electrolytic process is more than a pretreatment, since it decreases the urine solids content by approximately one third, thus reducing the load and eventual solids storage requirements of the urine processing system. The evolved gases from the pretreatment step cannot, however, be returned directly to the atmosphere of a spacecraft without first removing several impurities including hydrogen, chlorine, and certain organic compounds. A treatment concept was developed that would decrease the impurities in the gas stream that emanates from an electrolysis unit to levels sufficiently low to allow the conditioned gas stream to be safely discharged to a spacecraft atmosphere. Two methods were experimentally demonstrated that can accomplish the desired cleanup. The bases of the two methods are, repectively: (1) raw urine scrubbing and (2) silica gel sorption.

Disinfection of Contaminated Water by Using Solar Irradiation

PubMed Central

Caslake, Laurie F.; Connolly, Daniel J.; Menon, Vilas; Duncanson, Catriona M.; Rojas, Ricardo; Tavakoli, Javad

2004-01-01

Contaminated water causes an estimated 6 to 60 billion cases of gastrointestinal illness annually. The majority of these cases occur in rural areas of developing nations where the water supply remains polluted and adequate sanitation is unavailable. A portable, low-cost, and low-maintenance solar unit to disinfect unpotable water has been designed and tested. The solar disinfection unit was tested with both river water and partially processed water from two wastewater treatment plants. In less than 30 min in midday sunlight, the unit eradicated more than 4 log10 U (99.99%) of bacteria contained in highly contaminated water samples. The solar disinfection unit has been field tested by Centro Panamericano de Ingenieria Sanitaria y Ciencias del Ambiente in Lima, Peru. At moderate light intensity, the solar disinfection unit was capable of reducing the bacterial load in a controlled contaminated water sample by 4 log10 U and disinfected approximately 1 liter of water in 30 min. PMID:14766599

Low Quality Natural Gas Sulfur Removal and Recovery CNG Claus Sulfur Recovery Process

DOE Office of Scientific and Technical Information (OSTI.GOV)

Klint, V.W.; Dale, P.R.; Stephenson, C.

1997-10-01

Increased use of natural gas (methane) in the domestic energy market will force the development of large non-producing gas reserves now considered to be low quality. Large reserves of low quality natural gas (LQNG) contaminated with hydrogen sulfide (H{sub 2}S), carbon dioxide (CO{sub 2}) and nitrogen (N) are available but not suitable for treatment using current conventional gas treating methods due to economic and environmental constraints. A group of three technologies have been integrated to allow for processing of these LQNG reserves; the Controlled Freeze Zone (CFZ) process for hydrocarbon / acid gas separation; the Triple Point Crystallizer (TPC) processmore » for H{sub 2}S / C0{sub 2} separation and the CNG Claus process for recovery of elemental sulfur from H{sub 2}S. The combined CFZ/TPC/CNG Claus group of processes is one program aimed at developing an alternative gas treating technology which is both economically and environmentally suitable for developing these low quality natural gas reserves. The CFZ/TPC/CNG Claus process is capable of treating low quality natural gas containing >10% C0{sub 2} and measurable levels of H{sub 2}S and N{sub 2} to pipeline specifications. The integrated CFZ / CNG Claus Process or the stand-alone CNG Claus Process has a number of attractive features for treating LQNG. The processes are capable of treating raw gas with a variety of trace contaminant components. The processes can also accommodate large changes in raw gas composition and flow rates. The combined processes are capable of achieving virtually undetectable levels of H{sub 2}S and significantly less than 2% CO in the product methane. The separation processes operate at pressure and deliver a high pressure (ca. 100 psia) acid gas (H{sub 2}S) stream for processing in the CNG Claus unit. This allows for substantial reductions in plant vessel size as compared to conventional Claus / Tail gas treating technologies. A close integration of the components of the CNG Claus process also allow for use of the methane/H{sub 2}S separation unit as a Claus tail gas treating unit by recycling the CNG Claus tail gas stream. This allows for virtually 100 percent sulfur recovery efficiency (virtually zero SO{sub 2} emissions) by recycling the sulfur laden tail gas to extinction. The use of the tail gas recycle scheme also deemphasizes the conventional requirement in Claus units to have high unit conversion efficiency and thereby make the operation much less affected by process upsets and feed gas composition changes. The development of these technologies has been ongoing for many years and both the CFZ and the TPC processes have been demonstrated at large pilot plant scales. On the other hand, prior to this project, the CNG Claus process had not been proven at any scale. Therefore, the primary objective of this portion of the program was to design, build and operate a pilot scale CNG Claus unit and demonstrate the required fundamental reaction chemistry and also demonstrate the viability of a reasonably sized working unit.« less

Inactivation of Gram-negative and Gram-positive bacteria in red cell concentrates using INACTINE PEN110 chemistry.

PubMed

Zavizion, B; Serebryanik, D; Chapman, J; Alford, B; Purmal, A

2004-10-01

The risk of transfusion-transmitted bacterial infections as a result of the presence of bacteria in blood is one of the major concerns in transfusion medicine. The purpose of this study was to investigate whether bacteria inoculated into red blood cell concentrates can be inactivated by the INACTINE PEN110 pathogen-reduction process. Four bacterial species were chosen for the study: anaerobic Gram-positive Clostridium perfringens and Propionibacterium acnes, known to be transfusion-transmitted; and two Gram-negative species, Acinetobacter johnsonii and Acinetobacter lwoffii, recently reported to be a common cause of transfusion-associated infections in Europe. Identical units of leucoreduced red cell concentrates were inoculated with A. johnsonii, A. lwoffii, C. perfringens, or P. acnes. The 4 degrees C control units were put on storage immediately after receiving the spike. The test units were subjected to PEN110 treatment and then stored. The bacterial titre in all units was monitored during a 6-week storage period. The PEN110 inactivation of all tested bacterial strains was time- and titre-dependent. For A. johnsonii and A. lwoffii, no viable bacteria were detected in the units spiked with up to 10(4) colony-forming units (CFU)/ml and treated with PEN110. For red cell units spiked with 10(4)-10(5) CFU/ml of C. perfringens and P. acnes, no viable bacteria were detected in the units treated with PEN110. In control units, there was a gradual decrease in A. johnsonii, A. lwoffii and C. perfringens titres during cold storage, while P. acnes titres remained stable. The PEN110 pathogen-reduction process was demonstrated to inactivate high titres of A. johnsonii, A. lwoffii, C. perfringens and P. acnes in red cell concentrates.

Pharmaceutical residues in the drinking water supply: modeling residue concentrations in surface waters of drugs prescribed in the United States.

PubMed

Guerrero-Preston, Rafael; Brandt-Rauf, Paul

2008-09-01

Pharmaceutical residues and other organic wastewater contaminants (OWC) have been shown to survive conventional water-treatment processes and persist in potable water supplies. To estimate the geographical distribution of the Predicted Environmental Concentration (PEC) of selected drugs prescribed by office based physicians in the United States (US), after non-metabolized residues have been excreted and processed in wastewater treatment plants. The geographical distribution of the PEC in surface waters of pharmaceutical residues was calculated, in four regions of the US. Prescription drug data was obtained from the National Ambulatory Medical Care Survey (NAMCS). The PEC of three drugs prescribed by office based physicians in the US between 1998 and 2000 was compared to the concentrations of these pharmaceuticals found in a surface water characterization project conducted by the United States Geological Survey between 1999 and 2000. There were 803,185,420 medications prescribed by office-based physicians in the US between 1998 and 2000. Relief of pain, hormonal, cardiovascular and antimicrobial medications followed very similar prescription patterns, both in terms of quantity and geographical distribution. Together these four types of medications account for more than half of the medications prescribed between 1998 and 2000. The concentration of pharmaceutical residues found in the drinking water supply was not significantly correlated to the PEC of pharmaceuticals prescribed by office-based physicians. The geographical distribution of medications prescribed by office based physicians in the US underlines the need to implement effective public health strategies.

Method for determining virus inactivation during sludge treatment processes.

PubMed Central

Traub, F; Spillmann, S K; Wyler, R

1986-01-01

A simple and reliable method is described which allows determination of virus inactivation rates during sludge treatment processes in situ. Bacteriophage f2 was adsorbed onto an electropositive membrane filter which was then sandwiched between two polycarbonate membranes with pores smaller than the virus diameter. The resulting sandwich was fixed in an open filter holder, and several such devices were connected before being exposed in sludge-digesting tanks. The device described prevented uncontrolled virus escape, but allowed direct contact of the various inactivating or stabilizing substances present in the environment tested with the virus adsorbed to the carrier membrane. After exposure to an environment, the surviving fraction of virus was eluted from the inner filter and determined by plaque counting. By using polycarbonate membranes without pores for sandwiching, the influence of temperature alone on virus inactivation could be measured. Thermophilic fermentation at 60 degrees C and at 65 kPa pressure led to a bacteriophage f2 titer reduction of 3.5 log10 units per h, whereas during thermophilic digestion at 54.5 degrees C titers decreased 1.2 log10 units per h. During mesophilic digestion an inactivation rate of only 0.04 log10 units per h was observed. Under these latter conditions, temperature had only a minor effect (19%) on virus inactivation, whereas at 54.5 degrees C during thermophilic digestion heat accounted for 32% of the total inactivation, and during thermophilic fermentation at 60 degrees C temperature and pressure were 100% responsible for virus denaturation. PMID:3532955

Integrated horizontal-flow anaerobic and radial-flow aerobic reactors for the removal of organic matter and nitrogen from domestic sewage.

PubMed

Vieira, L G T; Fazolo, A; Zaiat, M; Foresti, E

2003-01-01

This paper presents the conception and discusses the results obtained from the operation of an integrated biological anaerobic/aerobic/anaerobic system composed of horizontal-flow anaerobic and radial-flow aerobic reactors for domestic sewage treatment. The performance of a horizontal-flow anaerobic immobilized biomass reactor, with five stages,followed by a radial-flow aerobic immobilized biomass reactor was evaluated along 22 weeks. After the 14th week, the last stage of the HAIB reactor was used as a denitrifying unit. Polyurethane foam cubic matrices with 1-cm sides were used as support for biomass immobilization in all the units. The influent domestic sewage presented mean chemical oxygen demand of 365 +/- 71 mg. 1(-1) and the temperature was 23 +/- 3degrees C. The integrated system achieved COD removal efficiency of 90% while the maximum ammonium removal efficiency was 97% in the aerobic post-treatment unit. The nitrification process was found to be better represented by first-order reactions in series model. The apparent first-order kinetic coefficient for nitrate formation was about 50 times higher than that estimated for the nitrite formation. The denitrification process was well represented by a Monod-type kinetic model. The maximum specific denitrifying rate and the half-saturation coefficient were 2.9 x 10(-4) mg NO(3)(-)-N mg(-1) VSS h(-1) and 19.4 mg NO(3)(-)-N 1(-1), respectively.

Implementation of an Inpatient Pediatric Sepsis Identification Pathway.

PubMed

Bradshaw, Chanda; Goodman, Ilyssa; Rosenberg, Rebecca; Bandera, Christopher; Fierman, Arthur; Rudy, Bret

2016-03-01

Early identification and treatment of severe sepsis and septic shock improves outcomes. We sought to identify and evaluate children with possible sepsis on a pediatric medical/surgical unit through successful implementation of a sepsis identification pathway. The sepsis identification pathway, a vital sign screen and subsequent physician evaluation, was implemented in October 2013. Quality improvement interventions were used to improve physician and nursing adherence with the pathway. We reviewed charts of patients with positive screens on a monthly basis to assess for nursing recognition/physician notification, physician evaluation for sepsis, and subsequent physician diagnosis of sepsis and severe sepsis/septic shock. Adherence data were analyzed on a run chart and statistical process control p-chart. Nursing and physician pathway adherence of >80% was achieved over a 6-month period and sustained for the following 6 months. The direction of improvements met standard criteria for special causes. Over a 1-year period, there were 963 admissions to the unit. Positive screens occurred in 161 (16.7%) of these admissions and 38 (23.5%) of these had a physician diagnosis of sepsis, severe sepsis, or septic shock. One patient with neutropenia and septic shock had a negative sepsis screen due to lack of initial fever. Using quality improvement methodology, we successfully implemented a sepsis identification pathway on our pediatric unit. The pathway provided a standardized process to identify and evaluate children with possible sepsis requiring timely evaluation and treatment. Copyright © 2016 by the American Academy of Pediatrics.

Results of Steam-Water-Oxygen Treatment of the Inside of Heating Surfaces in Heat-Recovery Steam Generators of the PGU-800 Power Unit at the Perm' District Thermal Power Station

NASA Astrophysics Data System (ADS)

Ovechkina, O. V.; Zhuravlev, L. S.; Drozdov, A. A.; Solomeina, S. V.

2018-05-01

Prestarting, postinstallation steam-water-oxygen treatment (SWOT) of the natural circulation/steam reheat heat-recovery steam generators (HRSG) manufactured by OAO Krasny Kotelshchik was performed at the PGU-800 power unit of the Perm District Thermal Power Station (GRES). Prior to SWOT, steam-oxygen cleaning, passivation, and preservation of gas condensate heaters (GCH) of HRSGs were performed for 10 h using 1.3MPa/260°C/70 t/h external steam. After that, test specimens were cut out that demonstrated high strength of the passivating film. SWOT of the inside of the heating surfaces was carried out during no-load operation of the gas turbine unit with an exhaust temperature of 280-300°C at the HRSG inlet. The steam turbine was shutdown, and the generated steam was discharged into the atmosphere. Oxygen was metered into the discharge pipeline of the electricity-driven feed pumps and downcomers of the evaporators. The behavior of the concentration by weight of iron compounds and the results of investigation of cutout specimens by the drop or potentiometric method indicate that the steam-water-oxygen process makes it possible to remove corrosion products and reduce the time required to put a boiler into operation. Unlike other processes, SWOT does not require metal-intensive cleaning systems, temporary metering stations, and structures for collection of the waste solution.

[Clinical practice guidelines for assessment and treatment of transsexualism. SEEN Identity and Sexual Differentiation Group (GIDSEEN)].

PubMed

Moreno-Pérez, Oscar; Esteva De Antonio, Isabel

2012-01-01

Transsexual patients can only be diagnosed and treated at functional gender identity Units with provision of high quality care, development of clinical practice guidelines, and interdisciplinary working groups. The therapeutic process has three mainstays: initial psychological diagnostic evaluation and psychotherapy, endocrinological evaluation and hormone therapy, and sex reassignment surgery. Cross-sex hormone therapy is essential for the anatomical and psychological transition process in duly selected patients. Hormones help optimize real-life sex identity, improve quality of life, and limit psychiatric co-morbidities often associated to lack of treatment. Development of this clinical practice guideline addresses the need for implementing a coordinated action protocol for comprehensive health care for transgender people in the National Health System. Copyright © 2012 SEEN. Published by Elsevier Espana. All rights reserved.

The environmental footprint of a membrane bioreactor treatment process through Life Cycle Analysis.

PubMed

Ioannou-Ttofa, L; Foteinis, S; Chatzisymeon, E; Fatta-Kassinos, D

2016-10-15

This study includes an environmental analysis of a membrane bioreactor (MBR), the objective being to quantitatively define the inventory of the resources consumed and estimate the emissions produced during its construction, operation and end-of-life deconstruction. The environmental analysis was done by the life cycle assessment (LCA) methodology, in order to establish with a broad perspective and in a rigorous and objective way the environmental footprint and the main environmental hotspots of the examined technology. Raw materials, equipment, transportation, energy use, as well as air- and waterborne emissions were quantified using as a functional unit, 1m(3) of urban wastewater. SimaPro 8.0.3.14 was used as the LCA analysis tool, and two impact assessment methods, i.e. IPCC 2013 version 1.00 and ReCiPe version 1.10, were employed. The main environmental hotspots of the MBR pilot unit were identified to be the following: (i) the energy demand, which is by far the most crucial parameter that affects the sustainability of the whole process, and (ii) the material of the membrane units. Overall, the MBR technology was found to be a sustainable solution for urban wastewater treatment, with the construction phase having a minimal environmental impact, compared to the operational phase. Moreover, several alternative scenarios and areas of potential improvement, such as the diversification of the electricity mix and the material of the membrane units, were examined, in order to minimize as much as possible the overall environmental footprint of this MBR system. It was shown that the energy mix can significantly affect the overall sustainability of the MBR pilot unit (i.e. up to 95% reduction of the total greenhouse gas emissions was achieved with the use of an environmentally friendly energy mix), and the contribution of the construction and operational phase to the overall environmental footprint of the system. Copyright © 2016 Elsevier B.V. All rights reserved.

Imposed Thermal Fatigue and Post-Thermal-Cycle Wear Resistance of Biomimetic Gray Cast Iron by Laser Treatment

NASA Astrophysics Data System (ADS)

Sui, Qi; Zhou, Hong; Zhang, Deping; Chen, Zhikai; Zhang, Peng

2017-08-01

The present study aims to create coupling biomimetic units on gray cast iron substrate by laser surface treatment (LST). LSTs for single-step (LST1) and two-step (LST2) processes, were carried out on gray cast iron in different media (air and water). Their effects on microstructure, thermal fatigue, and post-thermal-cycle wear (PTW) resistance on the specimens were studied. The tests were carried out to examine the influence of crack-resistance behavior as well as the biomimetic surface on its post-thermal-cycle wear behavior and different units, with different laser treatments for comparison. Results showed that LST2 enhanced the PTW behaviors of gray cast iron, which then led to an increase in its crack resistance. Among the treated cast irons, the one treated by LST2 in air showed the lowest residual stress, due to the positive effect of the lower steepness of the thermal gradient. Moreover, the same specimen showed the best PTW performance, due to its superior crack resistance and higher hardness as a result of it.

Treatment of toxic epidermal necrolysis with moisture-retentive ointment: a case report and review of the literature.

PubMed

Atiyeh, Bishara S; Dham, Ruwayda; Yassin, M Fayez; El-Musa, Kusai A

2003-02-01

Toxic epidermal necrolysis (TEN) is a rare condition that was described by Lyell in 1956. It is a severe, acute, adverse, primarily drug-induced, potentially fatal, cutaneous reaction that is characterized by large areas of skin desquamation and sloughing, similar in many aspects to second-degree burns. The treatment of cutaneous drug reactions rests essentially on immediate diagnosis and recognition of the disease process, accurate history, thorough physical examination, prompt discontinuation of the offending drug, and supportive care. TEN patients are best managed in specialized burn units. Nevertheless, the management remains very much individualized, based on the clinical setting. Topical wound care remains an essential factor in the treatment of burn-like syndromes and is a main determining parameter for morbidity and mortality. As the value of moist environment in wound healing is being fully appreciated, we report on the use of a newly introduced ointment, the Moist Exposed Burn Ointment (Julphar; Gulf Pharmaceutical industries, Ras El-Khaymah, United Arab of Emirutes), a moisture-retentive ointment, in the successful management of a case of TEN.

An institutional analysis of HIV prevention efforts by the nation's outpatient drug abuse treatment units.

PubMed

D'Aunno, T; Vaughn, T E; McElroy, P

1999-06-01

Drawing from an institutional-theory perspective on innovations in organizations, this paper examines the use of human immunodeficiency virus (HIV) prevention practices by the nation's outpatient substance abuse treatment units during a critical period from 1988 to 1995. An institutional perspective argues that organizations adopt new practices not only for technical reasons, but also because external actors actively promote or model the use of particular practices. We examine the extent to which treatment units use several practices to prevent HIV infection among their clients and among drug-users not in treatment. Results from random-effects regression analyses of national survey data show that treatment units significantly increased their use of HIV prevention practices from 1988 to 1995. Further, the results show that treatment units' use of prevention practices was related to clients' risk for HIV infection, unit resources available to support these practices, and organizational support for the practices. Implications are discussed for an institutional view of organizational innovation as well as for research on HIV prevention.

Therapy for Specific Problems: Youth Tobacco Cessation

PubMed Central

Curry, Susan J.; Mermelstein, Robin J.; Sporer, Amy K.

2010-01-01

Cigarette smoking is the leading cause of premature morbidity and mortality in the United States. The majority of children smoke their first cigarette in early adolescence, and many older teens have well-established dependence on nicotine. Efforts to promote and support smoking cessation among these youth smokers are critical. The available experimental studies of youth cessation interventions find that behavioral interventions increase the chances of youth smokers achieving successful cessation. Currently there is insufficient evidence for the effectiveness of pharmacological treatments with youth smokers. Many innovative studies have been compromised by challenges in recruiting sufficient numbers of youth, obtaining approval for waivers of parental consent, and high attrition in longitudinal studies. Key areas for future work include bridging the fields of adolescent development and treatment design, matching treatments to developmental trajectories of smoking behavior, better understanding treatment processes and treatment moderators, and building demand for evidence-based cessation treatments. PMID:19035825

SU-E-J-129: A Strategy to Consolidate the Image Database of a VERO Unit Into a Radiotherapy Management System

DOE Office of Scientific and Technical Information (OSTI.GOV)

Yan, Y; Medin, P; Yordy, J

2014-06-01

Purpose: To present a strategy to integrate the imaging database of a VERO unit with a treatment management system (TMS) to improve clinical workflow and consolidate image data to facilitate clinical quality control and documentation. Methods: A VERO unit is equipped with both kV and MV imaging capabilities for IGRT treatments. It has its own imaging database behind a firewall. It has been a challenge to transfer images on this unit to a TMS in a radiation therapy clinic so that registered images can be reviewed remotely with an approval or rejection record. In this study, a software system, iPump-VERO,more » was developed to connect VERO and a TMS in our clinic. The patient database folder on the VERO unit was mapped to a read-only folder on a file server outside VERO firewall. The application runs on a regular computer with the read access to the patient database folder. It finds the latest registered images and fuses them in one of six predefined patterns before sends them via DICOM connection to the TMS. The residual image registration errors will be overlaid on the fused image to facilitate image review. Results: The fused images of either registered kV planar images or CBCT images are fully DICOM compatible. A sentinel module is built to sense new registered images with negligible computing resources from the VERO ExacTrac imaging computer. It takes a few seconds to fuse registered images and send them to the TMS. The whole process is automated without any human intervention. Conclusion: Transferring images in DICOM connection is the easiest way to consolidate images of various sources in your TMS. Technically the attending does not have to go to the VERO treatment console to review image registration prior delivery. It is a useful tool for a busy clinic with a VERO unit.« less

Integration of an innovative biological treatment with physical or chemical disinfection for wastewater reuse.

PubMed

De Sanctis, Marco; Del Moro, Guido; Levantesi, Caterina; Luprano, Maria Laura; Di Iaconi, Claudio

2016-02-01

In the present paper, the effectiveness of a Sequencing Batch Biofilter Granular Reactor (SBBGR) and its integration with different disinfection strategies (UV irradiation, peracetic acid) for producing an effluent suitable for agricultural use was evaluated. The plant treated raw domestic sewage, and its performances were evaluated in terms of the removal efficiency of a wide group of physical, chemical and microbiological parameters. The SBBGR resulted really efficient in removing suspended solids, COD and nitrogen with an average effluent concentration of 5, 32 and 10 mg/L, respectively. Lower removal efficiency was observed for phosphorus with an average concentration in the effluent of 3 mg/L. Plant effluent was also characterized by an average electrical conductivity and sodium adsorption ratio of 680 μS/cm and 2.9, respectively. Therefore, according to these gross parameters, the SBBGR effluent was conformed to the national standards required in Italy for agricultural reuse. Moreover, disinfection performances of the SBBGR was higher than that of conventional municipal wastewater treatment plants and met the quality criteria suggested by WHO (Escherichia coli<1000 CFU/100 mL) for agricultural reuse. In particular, the biological treatment by SBBGR removed 3.8±0.4 log units of Giardia lamblia, 2.8±0.8 log units of E. coli, 2.5±0.7 log units of total coliforms, 2.0±0.3 log units of Clostridium perfringens, 2.0±0.4 log units of Cryptosporidium parvum and 1.7±0.7 log units of Somatic coliphages. The investigated disinfection processes (UV and peracetic acid) resulted very effective for total coliforms, E. coli and somatic coliphages. In particular, a UV radiation and peracetic acid doses of 40 mJ/cm(2) and 1 mg/L respectively reduced E. coli content in the effluent below the limit for agricultural reuse in Italy (10 CFU/100 mL). Conversely, they were both ineffective on C.perfringens spores. Copyright © 2015 Elsevier B.V. All rights reserved.

Determination of optimum parameters of the technological process for plates forming from V95 and V-1461 alloys in creep applied in aircrafts constructed by “Sukhoi design bureau”

NASA Astrophysics Data System (ADS)

Raevskaya, G. A.; Zakharchenko, K.; Larichkin, A.

2017-10-01

The research is devoted to the scientific justification of metal processing by pressure with the help of thick monolithic plates forming (thickness 40 mm) from the V95 (analog 7475) (Al-Zn-Mg-Cu) and V-1461 (analog 2099) (Al-Cu-Li-Zn) alloys in creep and close-to-superplasticity. Optimum parameters of the technological process of plate forming are described. The effect of temperature on the magnitude of mechanical stresses (relaxation) during the tests of materials on pure bending is experimentally determined. Forming of thick plates (40 mm) on the UFP-1M unit, and the control of the obtained surface, in comparison with the given electronic model, made it possible to experimentally determine the time and number of forming stages. Mechanical properties of the material after the technological process and heat treatment are preliminary evaluated. The efficiency of using the obtained parameters of the technological process and treatment of metals by pressure in such methods in general is shown.

Implementation of an evaporative oxidation process for treatment of aqueous mixed wastes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bounini, L.; Stelmach, J.

1995-12-31

The US Department of Energy and Rust Geotech conducted treatability tests for mixed wastes with a pilot-scale evaporative oxidation unit known as the mini-PO*WW*ER unit. In the evaporative oxidation process, water and volatile organic compounds are vaporized and passed through a catalytic oxidizer to destroy the organic compounds. Nonvolatiles are concentrated into a brine that may be solidified. Ten experiment runs were made. The oxidation of the unit was calculated using total organic carbon analyses of feed and composite product condensate samples. These data indicate that the technology is capable of achieving oxidation efficiencies as high as 99.999 percent onmore » mixed wastes when the bed temperature is near 600 C, residence times are about 0.2 seconds, and adequate oxygen flow is maintained. Concentrations of the tested volatile organic compounds in the product-condensate composite samples were well below standards for wastewaters. Combined gross alpha and beta radioactivity levels in the samples were below detection limites of 12.5 pico-Cu/l, so the liquid would not qualify as a radioactive waste. Thus, the product condensate process by the process is not restricted as either hazardous or mixed waste and is suitable for direct disposal. The brines produced were not considered mixed waste and could be handled and disposed of as radioactive waste.« less

Study on Power Ultrasound Optimization and Its Comparison with Conventional Thermal Processing for Treatment of Raw Honey

PubMed Central

2017-01-01

Summary The present study was done to optimize the power ultrasound processing for maximizing diastase activity of and minimizing hydroxymethylfurfural (HMF) content in honey using response surface methodology. Experimental design with treatment time (1-15 min), amplitude (20-100%) and volume (40-80 mL) as independent variables under controlled temperature conditions was studied and it was concluded that treatment time of 8 min, amplitude of 60% and volume of 60 mL give optimal diastase activity and HMF content, i.e. 32.07 Schade units and 30.14 mg/kg, respectively. Further thermal profile analyses were done with initial heating temperatures of 65, 75, 85 and 95 ºC until temperature of honey reached up to 65 ºC followed by holding time of 25 min at 65 ºC, and the results were compared with thermal profile of honey treated with optimized power ultrasound. The quality characteristics like moisture, pH, diastase activity, HMF content, colour parameters and total colour difference were least affected by optimized power ultrasound treatment. Microbiological analysis also showed lower counts of aerobic mesophilic bacteria and in ultrasonically treated honey than in thermally processed honey samples complete destruction of coliforms, yeasts and moulds. Thus, it was concluded that power ultrasound under suggested operating conditions is an alternative nonthermal processing technique for honey. PMID:29540991

Bench scale demonstration and conceptual engineering for DETOX{sup SM} catalyzed wet oxidation

DOE Office of Scientific and Technical Information (OSTI.GOV)

Moslander, J.; Bell, R.; Robertson, D.

1994-06-01

Laboratory and bench scale studies of the DETOX{sup SM} catalyzed wet oxidation process have been performed with the object of developing the process for treatment of hazardous and mixed wastes. Reaction orders, apparent rates, and activation energies have been determined for a range of organic waste surrogates. Reaction intermediates and products have been analyzed. Metals` fates have been determined. Bench scale units have been designed, fabricated, and tested with solid and liquid organic waste surrogates. Results from the laboratory and bench scale studies have been used to develop conceptual designs for application of the process to hazardous and mixed wastes.

Evaluation of five antibiotic resistance genes in wastewater treatment systems of swine farms by real-time PCR.

PubMed

Tao, Chi-Wei; Hsu, Bing-Mu; Ji, Wen-Tsai; Hsu, Tsui-Kang; Kao, Po-Min; Hsu, Chun-Po; Shen, Shu-Min; Shen, Tzung-Yu; Wan, Terng-Jou; Huang, Yu-Li

2014-10-15

Antibiotics are widely used in livestock for infection treatment and growth promotion. Wastes from animal husbandry are a potential environmental source of antibiotic-insensitive pathogens, and the removal efficiency of the resistance genotypes in current wastewater treatment plants (WWTPs) is unknown. In this study, quantitative PCR was used for evaluating antibiotic resistance genes in wastewater treatment processes. Six wastewater treatment plants in different swine farms were included in this study, and five antibiotic resistance genes (ARGs) were tested for each treatment procedure. All of the tested ARGs including tetA, tetW, sulI, sulII, and blaTEM genes were detected in six swine farms with considerable amounts. The results showed that antibiotic resistance is prevalent in livestock farming. The ARG levels were varied by wastewater treatment procedure, frequently with the highest level at anaerobic treatment tank and lowest in the activated sludge unit and the effluents. After normalizing the ARG levels to 16S rRNA gene copies, the results showed that ARGs in WWTP units fluctuated partly with the quantity of bacteria. Regardless of its importance in biodegradation, the anaerobic procedure may facilitate bacterial growth thus increasing the sustainability of the antibiotic resistance genotypes. After comparing the copy numbers in influx and efflux samples, the mean removal efficiency of ARGs ranged between 33.30 and 97.56%. The results suggested that treatments in the WWTP could partially reduce the spread of antibiotic-resistant bacteria, and additional procedures such as sedimentation may not critically affect the removal efficiency. Copyright © 2014 Elsevier B.V. All rights reserved.

Negotiated dying: a grounded theory of how nurses shape withdrawal of treatment in hospital critical care units.

PubMed

Long-Sutehall, Tracy; Willis, Helen; Palmer, Rachel; Ugboma, Debra; Addington-Hall, Julia; Coombs, Maureen

2011-12-01

The process of withdrawal of treatment in critical care environments has created ethical and moral dilemmas in relation to end of life care in the UK and elsewhere. Common within this discourse is the differing demands made on health professionals as they strive to provide care for the dying patient and family members. Despite reports that withdrawal of treatment is a source of tension between those nurses and doctors involved in the process, the role of the nurse in facilitating withdrawal of treatment has received relatively little attention. To illustrate how differing dying trajectories impact on decision-making underpinning withdrawal of treatment processes, and what nurses do to shape withdrawal of treatment. Qualitative methods of enquiry using clinical vignettes and applying Charmaz's grounded theory method. Single audio-recorded qualitative interviews with thirteen critical care nurses from four intensive care specialities: cardiac; general; neurological and renal were carried out. Interviews were facilitated by an end-of-life vignette developed with clinical collaborators. Across critical care areas four key dying trajectories were identified. These trajectories were shaped by contested boundaries associated with delayed or stalled decision-making around how withdrawal of treatment should proceed. Nurses provided end of life care (including collaborative and action-oriented skills) to shape the dying trajectory of patients so as to satisfy the wishes of the patient and family, and their own professional aims. Differing views as to when withdrawal of treatment should commence and how it should be operationalised appeared to be underpinned by the requirements of the role that health professionals fulfil, with doctors focusing on making withdrawal of treatment decisions, and nurse's being tasked with operationalising the processes that constitute it. Multidisciplinary teams need a 'shared' understanding of each other's roles, responsibilities, aims, and motivations when planning and implementing the dying trajectory of withdrawal of treatment. 2011 Elsevier Ltd. All rights reserved.

Psychodynamics in child psychiatry in Sweden, 1945-85: from political vision to treatment ideology.

PubMed

Nelson, Karin Zetterqvist; Sandin, Bengt

2013-09-01

In this article, changing treatment ideologies and policies in child psychiatric outpatient services in Sweden from 1945 to 1985 are examined. The aim is to discuss the role played by psychoanalytic and psychodynamic thinking in this process of change. When mental health services for children were introduced in the mid-1940s, psychoanalytic thinking was intertwined with the social democratic vision of the Swedish welfare state in which children symbolized the future. In practice, however, treatment ideology was initially less influenced by psychoanalytic thinking. From the early 1960s, child psychiatric services expanded and the number of units increased. By then, the political vision had disappeared, but a treatment ideology began to evolve based on psychodynamic theories, which became dominant in the 1970s.

Examining attrition rates at one specialty addiction treatment provider in the United States: a case study using a retrospective chart review.

PubMed

Loveland, David; Driscoll, Hilary

2014-09-25

Engaging individuals who have a substance use disorder (SUD) in treatment continues to be a challenge for the specialty addiction treatment field. Research has consistently revealed high rates of missed appointments at each step of the enrollment process: 1. between calling for services and assessment, 2. between assessment and enrollment, and 3. between enrollment and completion of treatment. Extensive research has examined each step of the process; however, there is limited research examining the overall attrition rate across all steps. A single case study of a specialty addiction treatment agency was used to examine the attrition rates across the first three steps of the enrollment process. Attrition rates were tracked between August 1, 2011 and July 31, 2012. The cohort included 1822 unique individuals who made an initial request for addiction treatment services. Monthly retrospective reviews of medical records, phone logs, and billing data were used to calculate attrition rates. Attrition rates reported in the literature were collected and compared to the rates found at the target agency. Median time between request for treatment and assessment was 6 days (mean 7.5) and between assessment and treatment enrollment was 8 days (mean 12.5). An overall attrition rate of 80% was observed, including 45% between call and assessment, 32% between assessment and treatment enrollment (another 17% could not be determined), and 37% left or were removed from treatment before 30 days. Women were less likely to complete 30 days of treatment compared to men. No other demographics were related to attrition rates. One out of every five people who requested treatment completed a minimum of 30 days of a treatment. The attrition rate was high, yet similar to rates noted in the literature. Limitations of the single case study are noted. Attrition rates in the U.S. are high with approximately 75% to 80% of treatment seekers disengaging at one of the multiple stages of the enrollment and treatment process. Significant changes in the system are needed to improve engagement rates.

Continuous quality improvement for the clinical decision unit.

PubMed

Mace, Sharon E

2004-01-01

Clinical decision units (CDUs) are a relatively new and growing area of medicine in which patients undergo rapid evaluation and treatment. Continuous quality improvement (CQI) is important for the establishment and functioning of CDUs. CQI in CDUs has many advantages: better CDU functioning, fulfillment of Joint Commission on Accreditation of Healthcare Organizations mandates, greater efficiency/productivity, increased job satisfaction, better performance improvement, data availability, and benchmarking. Key elements include a database with volume indicators, operational policies, clinical practice protocols (diagnosis specific/condition specific), monitors, benchmarks, and clinical pathways. Examples of these important parameters are given. The CQI process should be individualized for each CDU and hospital.

Myasthenic decrement and myasthenic myopathy. A study on the effects of thymectomy.

PubMed Central

Pinelli, P; Arrigo, A; Moglia, A

1975-01-01

Motor unit action potentials, M responses to repetitive nerve stimulation, and anticholinesterase tests were investigated in 12 myasthenic patients before and after thymectomy. In six of them the endarterial acetylcholine test was also carried out. Responsiveness to ACTH or to prednisone treatment was evaluated before and after thymectomy. The typical myasthenic presynaptic disorders were improved by thymectomy, while signs of myasthenic myopathy (according to Rowland's definition) were apparently increased. This process of 'functional myopathophanerosis' is discussed and explained in terms of a previous presynaptic disorder blocking the voluntary recruitment threshold of those motor units which are most affected at both presynaptic and postsynaptic level. Images PMID:168321

Endotoxin contamination and control in surface water sources and a drinking water treatment plant in Beijing, China.

PubMed

Can, Zhang; Wenjun, Liu; Wen, Sun; Minglu, Zhang; Lingjia, Qian; Cuiping, Li; Fang, Tian

2013-07-01

In this paper, endotoxin contamination was determined in treated water following each unit of a drinking water treatment plant (WTP) in Beijing, China and its source water (SW) from a long water diversion channel (Shijiazhuang-Beijing) originating from four reservoirs in Hebei province, China. The total-endotoxin activities in SW ranged from 21 to 41 EU/ml at five selected cross sections of the diversion channel. The total-endotoxin in raw water of the WTP ranged from 11 to 16 EU/ml due to dilution and pretreatment during water transportation from Tuancheng Lake to the WTP, and finished water of the WTP ranged from 4 to 10 EU/ml, showing a 49% decrease following the full-scale treatment process at the WTP. Compared with the 31% removal of free-endotoxin, the WTP removed up to 71% of bound-endotoxin in raw water. The traditional treatment processes (coagulation, sedimentation and filtration) in the WTP removed substantial amounts of total-endotoxin (up to 63%), while endotoxin activities increased after granular activated carbon (GAC) adsorption and chlorination. The total-endotoxin in the actual water was composed of free-endotoxin and bound-endotoxin (endotoxin aggregates, bacteria-bound endotoxins and particle-attached endotoxins). The endotoxin aggregates, bacteria-bound endotoxins and particle-attached endotoxins co-exist as suspended particles in water, and only the bacteria-bound endotoxins were correlated with bacterial cells suspended in water. The particle distribution of endotoxin aggregates in ultrapure water was also tested and the results showed that the majority (64-89%) of endotoxin aggregates had diameters <2 μm. The endotoxin contamination and control in treated water following each unit of the WTP processes and its SW from reservoirs are discussed and compared with regard to bacterial cell counts and particle characteristics, which were dependent, to a certain extent, on different flow rates and turbulence of the water environments. Copyright © 2013 Elsevier Ltd. All rights reserved.

An investigation of multidisciplinary complex health care interventions - steps towards an integrative treatment model in the rehabilitation of People with Multiple Sclerosis

PubMed Central

2012-01-01

Background The Danish Multiple Sclerosis Society initiated a large-scale bridge building and integrative treatment project to take place from 2004–2010 at a specialized Multiple Sclerosis (MS) hospital. In this project, a team of five conventional health care practitioners and five alternative practitioners was set up to work together in developing and offering individualized treatments to 200 people with MS. The purpose of this paper is to present results from the six year treatment collaboration process regarding the development of an integrative treatment model. Discussion The collaborative work towards an integrative treatment model for people with MS, involved six steps: 1) Working with an initial model 2) Unfolding the different treatment philosophies 3) Discussing the elements of the Intervention-Mechanism-Context-Outcome-scheme (the IMCO-scheme) 4) Phrasing the common assumptions for an integrative MS program theory 5) Developing the integrative MS program theory 6) Building the integrative MS treatment model. The model includes important elements of the different treatment philosophies represented in the team and thereby describes a common understanding of the complexity of the courses of treatment. Summary An integrative team of practitioners has developed an integrative model for combined treatments of People with Multiple Sclerosis. The model unites different treatment philosophies and focuses on process-oriented factors and the strengthening of the patients’ resources and competences on a physical, an emotional and a cognitive level. PMID:22524586

Clinical presentation and initial management of Black men and White men with prostate cancer in the United Kingdom: the PROCESS cohort study

PubMed Central

Evans, S; Metcalfe, C; Patel, B; Ibrahim, F; Anson, K; Chinegwundoh, F; Corbishley, C; Gillatt, D; Kirby, R; Muir, G; Nargund, V; Popert, R; Wilson, P; Persad, R; Ben-Shlomo, Y

2009-01-01

Background: In the United States, Black men have a higher risk of prostate cancer and worse survival than do White men, but it is unclear whether this is because of differences in diagnosis and management. We re-examined these differences in the United Kingdom, where health care is free and unlikely to vary by socioeconomic status. Methods: This study is a population-based retrospective cohort study of men diagnosed with prostate cancer with data on ethnicity, prognostic factors, and clinical care. A Delphi panel considered the appropriateness of investigations and treatments received. Results: At diagnosis, Black men had similar clinical stage and Gleason scores but higher age-adjusted prostate-specific antigen levels (geometric mean ratio 1.41, 95% confidence interval (95% CI): 1.15–1.73). Black men underwent more investigations and were more likely to undergo radical treatment, although this was largely explained by their younger age. Even after age adjustment, Black men were more likely to undergo a bone scan (odds ratio 1.37, 95% CI: 1.05–1.80). The Delphi analysis did not suggest differential management by ethnicity. Conclusions: This UK-based study comparing Black men with White men found no evidence of differences in disease characteristics at the time of prostate cancer diagnosis, nor of under-investigation or under-treatment in Black men. PMID:19935788

Remediation by Natural Attenuation Treatability Study for Operable Unit 5

DTIC Science & Technology

1997-12-01

remaining as a result of all attenuation processes is equivalent to the fraction of contaminant remaining as a result of non - destructive attenuation...Alternative 1-- RNA Combined with LTM, Institutional Controls , Air Sparging Along Main Street, and Groundwater Extraction and Treatment Near Well Pair MW137...MW138 .............................. 6-4 6.3.2 Alternative 2 -- RNA, LTM, Institutional Controls , Air Sparging along Main Street, Groundwater

Improving proton therapy accessibility through seamless electronic integration of remote treatment planning sites.

PubMed

Belard, Arnaud; Dolney, Derek; Zelig, Tochner; McDonough, James; O'Connell, John

2011-06-01

Proton radiotherapy is a relatively scarce treatment modality in radiation oncology, with only nine centers currently operating in the United States. Funded by Public Law 107-248, the University of Pennsylvania and the Walter Reed Army Medical Center have developed a remote proton radiation therapy solution with the goals of improving access to proton radiation therapy for Department of Defense (DoD) beneficiaries while minimizing treatment delays and time spent away from home/work (time savings of up to 3 weeks per patient). To meet both Health Insurance Portability and Accountability Act guidelines and the more stringent security restrictions imposed by the DoD, our program developed a hybrid remote proton radiation therapy solution merging a CITRIX server with a JITIC-certified (Joint Interoperability Test Command) desktop videoconferencing unit. This conduit, thoroughly tested over a period of 6 months, integrates both institutions' radiation oncology treatment planning infrastructures into a single entity for DoD patients' treatment planning and delivery. This telemedicine solution enables DoD radiation oncologists and medical physicists the ability to (1) remotely access a proton therapy treatment planning platform, (2) transfer patient plans securely to the University of Pennsylvania patient database, and (3) initiate ad-hoc point-to-point and multipoint videoconferences to dynamically optimize and validate treatment plans. Our robust and secure remote treatment planning solution grants DoD patients not only access to a state-of-the-art treatment modality, but also participation in the treatment planning process by Walter Reed Army Medical Center radiation oncologists and medical physicists. This telemedicine system has the potential to lead to a greater integration of military treatment facilities and/or satellite clinics into regional proton therapy centers.

Broiler performance, body weight variance, feed and water intake, and carcass quality at different stocking densities.

PubMed

Feddes, J J R; Emmanuel, E J; Zuidhoft, M J

2002-06-01

The effects of four stocking and water nipple densities on broiler performance and carcass traits were measured in two trials. The stocking densities of 23.8, 17.9, 14.3, and 11.9 birds/m2 corresponded to 260, 195, 156, and 130 birds per pen, respectively. The water nipple densities were 5, 10, 15, and 20 birds per water nipple. Birds in Trial 1 were processed at Day 39 and those in Trial 2 were processed at Day 42. Water and feed were provided ad libitum and light was provided 23 h/ d. Water nipple density had no effect on broiler performance or carcass quality. Birds grown at 23.8 birds/m2 had lower BW (1,898 g) and carcass weights (1,334 g), whereas birds grown at 14.3 birds/m2 had the highest BW (1,985 g) and carcass weights (1,432 g). Although the treatment with 23.8 birds/m2 gave the lowest BW, the yield of broilers per unit of floor space was highest (46.0 kg/m2). The coefficient of variation for BW was higher in the treatment with 11.9 birds/m2 (15.3 %) than in the other treatments (13.0%). The birds in the treatment with 11.9 birds/m2 consumed the least feed (2,993 g/bird) and those in the 14.3 birds/m2 treatment consumed the most feed (3,183 g/bird). The amount of water consumed and the water to feed ratio was highest in the 23.8 birds/m2 treatment (5,546 mL/bird and 1.85 mL/g, respectively). Stocking density had no effect on mortality, breast yield, carcass grading, incidence of scratches, or carcass quality. It was concluded high yield per unit area with good carcass quality could be achieved when ventilation rate and air circulation were adequate.

Wetland-based passive treatment systems for gold ore processing effluents containing residual cyanide, metals and nitrogen species.

PubMed

Alvarez, R; Ordóñez, A; Loredo, J; Younger, P L

2013-10-01

Gold extraction operations generate a variety of wastes requiring responsible disposal in compliance with current environmental regulations. During recent decades, increased emphasis has been placed on effluent control and treatment, in order to avoid the threat to the environment posed by toxic constituents. In many modern gold mining and ore processing operations, cyanide species are of most immediate concern. Given that natural degradation processes are known to reduce the toxicity of cyanide over time, trials have been made at laboratory and field scales into the feasibility of using wetland-based passive systems as low-cost and environmentally friendly methods for long-term treatment of leachates from closed gold mine tailing disposal facilities. Laboratory experiments on discrete aerobic and anaerobic treatment units supported the development of design parameters for the construction of a field-scale passive system at a gold mine site in northern Spain. An in situ pilot-scale wetland treatment system was designed, constructed and monitored over a nine-month period. Overall, the results suggest that compost-based constructed wetlands are capable of detoxifying cyanidation effluents, removing about 21.6% of dissolved cyanide and 98% of Cu, as well as nitrite and nitrate. Wetland-based passive systems can therefore be considered as a viable technology for removal of residual concentrations of cyanide from leachates emanating from closed gold mine tailing disposal facilities.

Improving primary treatment of urban wastewater with lime-induced coagulation.

PubMed

Marani, Dario; Ramadori, Roberto; Braguglia, Camilla Maria

2004-01-01

The enhancement of primary treatment efficiency through the coagulation process may yield several advantages, including lower aeration energy in the subsequent biological unit and higher recovery of biogas from sludge digestion. In this work sewage coagulation with lime was studied at pilot plant level, using degritted sewage from the city of Rome. The work aimed at optimising the operating conditions (coagulant dosage or treatment pH, and mixing conditions in the coagulation and flocculation tanks), in order to maximise the efficiency of suspended Chemical Oxygen Demand (COD) removal and to minimise sludge production. Lime dosage optimisation resulted in an optimal treatment pH of 9. Lime addition up to pH 9 may increase COD removal rate in the primary treatment from typical 30-35% of plain sedimentation up to 55-70%. Within the velocity gradients experimented in this work (314-795 s(-1) for the coagulation tank and 13-46 s(-1) for the flocculation tank), mixing conditions did not significantly affect the lime-enhanced process, which seems to be controlled by slow lime dissolution. Sludge produced in the lime-enhanced process settled and compacted easily, inducing an average 36% decrease in sludge volume with respect to plain settling. However excess sludge was produced, which was not accounted for by the amount of suspended solids removed. This is probably due to incomplete dissolution of lime, which may be partially incorporated in the sludge.

Development of independent MU/treatment time verification algorithm for non-IMRT treatment planning: A clinical experience

NASA Astrophysics Data System (ADS)

Tatli, Hamza; Yucel, Derya; Yilmaz, Sercan; Fayda, Merdan

2018-02-01

The aim of this study is to develop an algorithm for independent MU/treatment time (TT) verification for non-IMRT treatment plans, as a part of QA program to ensure treatment delivery accuracy. Two radiotherapy delivery units and their treatment planning systems (TPS) were commissioned in Liv Hospital Radiation Medicine Center, Tbilisi, Georgia. Beam data were collected according to vendors' collection guidelines, and AAPM reports recommendations, and processed by Microsoft Excel during in-house algorithm development. The algorithm is designed and optimized for calculating SSD and SAD treatment plans, based on AAPM TG114 dose calculation recommendations, coded and embedded in MS Excel spreadsheet, as a preliminary verification algorithm (VA). Treatment verification plans were created by TPSs based on IAEA TRS 430 recommendations, also calculated by VA, and point measurements were collected by solid water phantom, and compared. Study showed that, in-house VA can be used for non-IMRT plans MU/TT verifications.

Inhibition of amyloid oligomerization into different supramolecular architectures by small molecules: mechanistic insights and design rules.

PubMed

Brahmachari, Sayanti; Paul, Ashim; Segal, Daniel; Gazit, Ehud

2017-05-01

Protein misfolding and aggregation have been associated with several human disorders, including Alzheimer's, Parkinson's and Huntington's diseases, as well as senile systemic amyloidosis and Type II diabetes. However, there is no current disease-modifying therapy available for the treatment of these disorders. In spite of extensive academic, pharmaceutical, medicinal and clinical research, a complete mechanistic model for this family of diseases is still lacking. In this review, we primarily discuss the different types of small molecular entities which have been used for the inhibition of the aggregation process of different amyloidogenic proteins under diseased conditions. These include small peptides, polyphenols, inositols, quinones and their derivatives, and metal chelator molecules. In recent years, these groups of molecules have been extensively studied using in vitro, in vivo and computational models to understand their mechanism of action and common structural features underlying the process of inhibition. A salient feature found to be instrumental in the process of inhibition is the balance between the aromatic unit that functions as the amyloid recognition unit and the hydrophilic amyloid breaker unit. The establishment of structure-function relationship for amyloid-modifying therapies by the various functional entities should serve as an important step toward the development of efficient therapeutics.

Integrated gasification and plasma cleaning for waste treatment: A life cycle perspective

DOE Office of Scientific and Technical Information (OSTI.GOV)

Evangelisti, Sara; Tagliaferri, Carla; Advanced Plasma Power

2015-09-15

Highlights: • A life cycle assessment of an advanced two-stage process is undertaken. • A comparison of the impacts of the process when fed with 7 feedstock is presented. • Sensitivity analysis on the system is performed. • The treatment of RDF shows the lowest impact in terms of both GWP and AP. • The plasma shows a small contribution to the overall impact of the plant. - Abstract: In the past, almost all residual municipal waste in the UK was landfilled without treatment. Recent European waste management directives have promoted the uptake of more sustainable treatment technologies, especially formore » biodegradable waste. Local authorities have started considering other options for dealing with residual waste. In this study, a life cycle assessment of a future 20 MWe plant using an advanced two-stage gasification and plasma technology is undertaken. This plant can thermally treat waste feedstocks with different composition and heating value to produce electricity, steam and a vitrified product. The objective of the study is to analyse the environmental impacts of the process when fed with seven different feedstocks (including municipal solid waste, solid refuse fuel, reuse-derived fuel, wood biomass and commercial & industrial waste) and identify the process steps which contribute more to the environmental burden. A scenario analysis on key processes, such as oxygen production technology, metal recovery and the appropriate choice for the secondary market aggregate material, is performed. The influence of accounting for the biogenic carbon content in the waste from the calculations of the global warming potential is also shown. Results show that the treatment of the refuse-derived fuel has the lowest impact in terms of both global warming potential and acidification potential because of its high heating value. For all the other impact categories analysed, the two-stage gasification and plasma process shows a negative impact for all the waste streams considered, mainly due to the avoided burdens associated with the production of electricity from the plant. The plasma convertor, key characteristic of the thermal process investigated, although utilising electricity shows a relatively small contribution to the overall environmental impact of the plant. The results do not significantly vary in the scenario analysis. Accounting for biogenic carbon enhanced the performance of biomass and refuse-derived fuel in terms of global warming potential. The main analysis of this study has been performed from a waste management perspective, using 1 ton of waste as functional unit. A comparison of the results when 1 kWhe of electricity produced is used as functional unit shows similar trends for the environmental impact categories considered.« less

Cost and efficacy comparison of integrated pest management strategies with monthly spray insecticide applications for German cockroach (Dictyoptera: Blattellidae) control in public housing.

PubMed

Miller, D M; Meek, F

2004-04-01

The long-term costs and efficacy of two treatment methodologies for German cockroach, Blattella germanica (L.), control were compared in the public housing environment. The "traditional" treatment for German cockroaches consisted of monthly baseboard and crack and crevice treatment (TBCC) by using spray and dust formulation insecticides. The integrated pest management treatment (IPM) involved initial vacuuming of apartments followed by monthly or quarterly applications of baits and insect growth regulator (IGR) devices. Cockroach populations in the IPM treatment were also monitored with sticky traps. Technician time and the amount of product applied were used to measure cost in both treatments. Twenty-four hour sticky trap catch was used as an indicator of treatment efficacy. The cost of the IPM treatment was found to be significantly greater than the traditional treatment, particularly at the initiation of the test. In the first month (clean-out), the average cost per apartment unit was dollar 14.60, whereas the average cost of a TBCC unit was dollar 2.75. In the second month of treatment, the average cost of IPM was still significantly greater than the TBCC cost. However, after month 4 the cost of the two treatments was no longer significantly different because many of the IPM apartments were moved to a quarterly treatment schedule. To evaluate the long-term costs of the two treatments over the entire year, technician time and product quantities were averaged over all units treated within the 12-mo test period (total 600 U per treatment). The average per unit cost of the IPM treatment was (dollar 4.06). The average IPM cost was significantly greater than that of the TBCC treatment at dollar 1.50 per unit. Although the TBCC was significantly less expensive than the IPM treatment, it was also less effective. Trap catch data indicated that the TBCC treatment had little, if any, effect on the cockroach populations over the course of the year. Cockroach populations in the TBCC treatment remained steady for the first 5 mo of the test and then had a threefold increase during the summer. Cockroach populations in the IPM treatment were significantly reduced from an average of 24.7 cockroaches per unit before treatment to an average 3.9 cockroaches per unit in month 4. The suppressed cockroach populations (< 5 per unit) in the IPM treatment remained constant for the remaining 8 mo of the test.

Combined mesophilic anaerobic and thermophilic aerobic digestion process for high-strength food wastewater to increase removal efficiency and reduce sludge discharge.

PubMed

Jang, H M; Park, S K; Ha, J H; Park, J M

2014-01-01

In this study, a process that combines the mesophilic anaerobic digestion (MAD) process with thermophilic aerobic digestion (TAD) for high-strength food wastewater (FWW) treatment was developed to examine the removal of organic matter and methane production. All effluent discharged from the MAD process was separated into solid and liquid portions. The liquid part was discarded and the sludge part was passed to the TAD process for further degradation. Then, the digested sludge from the TAD process was recycled back to the MAD unit to achieve low sludge discharge from the combined process. The reactor combination was operated in two phases: during Phase I, 40 d of total hydraulic retention time (HRT) was applied; during Phase II, 20 d was applied. HRT of the TAD process was fixed at 5 d. For a comparison, a control process (single-stage MAD) was operated with the same HRTs of the combined process. Our results indicated that the combined process showed over 90% total solids, volatile solids and chemical oxygen demand removal efficiencies. In addition, the combined process showed a significantly higher methane production rate than that of the control process. Consequently, the experimental data demonstrated that the combined MAD-TAD process was successfully employed for high-strength FWW treatment with highly efficient organic matter reduction and methane production.

Design of automated oil sludge treatment unit

NASA Astrophysics Data System (ADS)

Chukhareva, N.; Korotchenko, T.; Yurkin, A.

2015-11-01

The article provides the feasibility study of contemporary oil sludge treatment methods. The basic parameters of a new resource-efficient oil sludge treatment unit that allows extracting as much oil as possible and disposing other components in efficient way have been outlined. Based on the calculation results, it has been revealed that in order to reduce the cost of the treatment unit and the expenses related to sludge disposal, it is essential to apply various combinations of the existing treatment methods.

Developing a performance data suite to facilitate lean improvement in a chemotherapy day unit.

PubMed

Lingaratnam, Senthil; Murray, Danielle; Carle, Amber; Kirsa, Sue W; Paterson, Rebecca; Rischin, Danny

2013-07-01

A multidisciplinary team from the Peter MacCallum Cancer Centre in Melbourne, Australia, developed a performance data suite to support a service improvement project based on lean manufacturing principles in its 19-chair chemotherapy day unit (CDU) and cytosuite chemotherapy production facility. The aims of the project were to reduce patient wait time and improve equity of access to the CDU. A project team consisting of a pharmacist and CDU nurse supported the management team for 10 months in engaging staff and customers to identify waste in processes, analyze root causes, eliminate non-value-adding steps, reduce variation, and level workloads to improve quality and flow. Process mapping, staff and patient tracking and opinion surveys, medical record audits, and interrogation of electronic treatment records were undertaken. This project delivered a 38% reduction in median wait time on the day (from 32 to 20 minutes; P < .01), 7-day reduction in time to commencement of treatment for patients receiving combined chemoradiotherapy regimens (from 25 to 18 days; P < .01), and 22% reduction in wastage associated with expired drug and pharmacy rework (from 29% to 7%; P < .01). Improvements in efficiency enabled the cytosuite to increase the percentage of product manufactured within 10 minutes of appointment times by 29% (from 47% to 76%; P < .01). A lean improvement methodology provided a robust framework for improved understanding and management of complex system constraints within a CDU, resulting in improved access to treatment and reduced waiting times on the day.

[Clinical everyday ethics-support in handling moral distress? : Evaluation of an ethical decision-making model for interprofessional clinical teams].

PubMed

Tanner, S; Albisser Schleger, H; Meyer-Zehnder, B; Schnurrer, V; Reiter-Theil, S; Pargger, H

2014-06-01

High-tech medicine and cost rationing provoke moral distress up to burnout syndromes. The consequences are severe, not only for those directly involved but also for the quality of patient care and the institutions. The multimodal model METAP (Modular, Ethical, Treatment, Allocation, Process) was developed as clinical everyday ethics to support the interprofessional ethical decision-making process. The distinctive feature of the model lays in education concerning ethics competence in dealing with difficult treatment decisions. METAP has been evaluated for quality testing. The research question of interest was whether METAP supports the handling of moral distress. The evaluation included 3 intensive care units and 3 geriatric units. In all, 33 single and 9 group interviews were held with 24 physicians, 44 nurses, and 9 persons from other disciplines. An additional questionnaire was completed by 122 persons (return rate 57%). Two-thirds of the interview answers and 55% of the questionnaire findings show that clinical everyday ethics supports the handling of moral distress, especially for interdisciplinary communication and collaboration and for the explanation and evaluation of treatment goals. METAP does not provide support for persons who are rarely confronted with ethical problems or have not applied the model long enough yet. To a certain degree, moral distress is unavoidable and must be addressed as an interprofessional problem. Herein, clinical everyday ethics may provide targeted support for ethical decision-making competence.

Latest Developments in the Matrics Process

PubMed Central

Green, Michael Foster; Nuechterlein, Keith H

2010-01-01

The Measurement and Treatment Research to Improve Cognition in Schizophrenia Research process has led to several developments in the assessment of cognitive functioning for schizophrenia-treatment studies. The first development was the development of a consensus cognitive battery and a United States Food and Drug Administration-endorsed research design. Since the development of the cognitive battery, interest has been spurred in clinical trials in different countries and the development of co-primary functional outcomes measures for these. The MATRICS Consensus Cognitive Battery has been translated into 11 different languages and is being translated into even more. A study has been completed that compared the usefulness of multiple potential co-primary measures, suggesting that the University of California San Diego Performance-Based skills assessment, version II (UPSA-II) is the most suitable for studies conducted in English. These findings suggest that reliable performance-based measures that are easy to administer and highly correlated with cognitive functioning are now available for use in treatment studies. PMID:20622946

The seasonal variation of emission of greenhouse gases from a full-scale sewage treatment plant.

PubMed

Masuda, Shuhei; Suzuki, Shunsuke; Sano, Itsumi; Li, Yu-You; Nishimura, Osamu

2015-12-01

The seasonal variety of greenhouse gas (GHGs) emissions and the main emission source in a sewage treatment plant were investigated. The emission coefficient to treated wastewater was 291gCO2m(-3). The main source of GHGs was CO2 from the consumption of electricity, nitrous oxide from the sludge incineration process, and methane from the water treatment process. They accounted for 43.4%, 41.7% and 8.3% of the total amount of GHGs emissions, respectively. The amount of methane was plotted as a function of water temperature ranging between 13.3 and 27.3°C. An aeration tank was the main source of methane emission from all the units. Almost all the methane was emitted from the aeration tank, which accounted for 86.4% of the total gaseous methane emission. However, 18.4% of the methane was produced in sewage lines, 15.4% in the primary sedimentation tank, and 60.0% in the aeration tank. Copyright © 2014 Elsevier Ltd. All rights reserved.

Dewatering Treatment Scale-up Testing Results of Hanford Tank Wastes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Tedeschi, A.R.; May, T.H.; Bryan, W.E.

2008-07-01

This report documents CH2M HILL Hanford Group Inc. (CH2M HILL) 2007 dryer testing results in Richland, WA at the AMEC Nuclear Ltd., GeoMelt Division (AMEC) Horn Rapids Test Site. It provides a discussion of scope and results to qualify the dryer system as a viable unit-operation in the continuing evaluation of the bulk vitrification process. A 10,000 liter (L) dryer/mixer was tested for supplemental treatment of Hanford tank low activity wastes, drying and mixing a simulated non-radioactive salt solution with glass forming minerals. Testing validated the full scale equipment for producing dried product similar to smaller scale tests, and qualifiedmore » the dryer system for a subsequent integrated dryer/vitrification test using the same simulant and glass formers. The dryer system is planned for installation at the Hanford tank farms to dry/mix radioactive waste for final treatment evaluation of the supplemental bulk vitrification process. (authors)« less

[Descriptive study of the costs of diagnosis and treatment of cutaneous melanoma].

PubMed

Almazán-Fernández, F M; Serrano-Ortega, S; Moreno-Villalonga, J J

2009-11-01

Every year, health expenditure in Spain increases and, with it, the resources dedicated to cancer treatment. Cutaneous melanoma is the skin cancer with the highest morbidity and mortality. We performed a descriptive study of the costs, based on a theoretical model, to determine the healthcare expenditure for patients with cutaneous melanoma; the objective was to define the overall costs (direct and indirect) of the diagnostic and treatment process of cutaneous melanoma, divided into different stages or diagnostic-therapeutic steps, and the possible variations in these costs. For this purpose, we used the Andalusian analytical accountancy program of hospitals and districts (COAN-hyd) and the total costs module of the COAN for 2007, applied to the protocol we use in the melanoma unit of our hospital. The most important conclusions were that the greatest health care expenditure was observed inpatients with more advanced melanomas, with a poor prognosis. Management of the diagnostic-therapeutic process by dermatologists, the appropriate use of complementary tests, and operations performed by dermatologists reduce costs.

Evaluation of drinking water treatment combined filter backwash water recycling technology based on comet and micronucleus assay.

PubMed

Chen, Ting; Xu, Yongpeng; Liu, Zhiquan; Zhu, Shijun; Shi, Wenxin; Cui, Fuyi

2016-04-01

Based on the fact that recycling of combined filter backwash water (CFBW) directly to drinking water treatment plants (WTP) is considered to be a feasible method to enhance pollutant removal efficiency, we were motivated to evaluate the genotoxicity of water samples from two pilot-scale drinking water treatment systems, one with recycling of combined backwash water, the other one with a conventional process. An integrated approach of the comet and micronucleus (MN) assays was used with zebrafish (Danio rerio) to investigate the water genotoxicity in this study. The total organic carbon (TOC), dissolved organic carbon (DOC), and trihalomethane formation potential (THMFP), of the recycling process were lower than that of the conventional process. All the results showed that there was no statistically significant difference (P>0.05) between the conventional and recycling processes, and indicated that the genotoxicity of water samples from the recycling process did not accumulate in 15 day continuous recycling trial. It was worth noting that there was correlation between the concentrations of TOC, DOC, UV254, and THMFPs in water and the DNA damage score, with corresponding R(2) values of 0.68, 0.63, 0.28, and 0.64. Nevertheless, both DNA strand breaks and MN frequency of all water samples after disinfection were higher than that of water samples from the two treatment units, which meant that the disinfection by-products (DBPs) formed by disinfection could increase the DNA damage. Both the comet and MN tests suggest that the recycling process did not increase the genotoxicity risk, compared to the traditional process. Copyright © 2015. Published by Elsevier B.V.

Electron beam accelerators—trends in radiation processing technology for industrial and environmental applications in Latin America and the Caribbean

NASA Astrophysics Data System (ADS)

Parejo Calvo, Wilson A.; Duarte, Celina L.; Machado, Luci Diva B.; Manzoli, Jose E.; Geraldo, Aurea Beatriz C.; Kodama, Yasko; Silva, Leonardo Gondim A.; Pino, Eddy S.; Somessari, Elizabeth S. R.; Silveira, Carlos G.; Rela, Paulo R.

2012-08-01

The radiation processing technology for industrial and environmental applications has been developed and used worldwide. In Latin America and the Caribbean and particularly in Brazil there are 24 and 16 industrial electron beam accelerators (EBA) respectively with energy from 200 keV to 10 MeV, operating in private companies and governmental institutions to enhance the physical and chemical properties of materials. However, there are more than 1500 high-current electron beam accelerators in commercial use throughout the world. The major needs and end-use markets for these electron beam (EB) units are R and D, wire and electric cables, heat shrinkable tubes and films, PE foams, tires, components, semiconductors and multilayer packaging films. Nowadays, the emerging opportunities in Latin America and the Caribbean are paints, adhesives and coatings cure in order to eliminate VOCs and for less energy use than thermal process; disinfestations of seeds; and films and multilayer packaging irradiation. For low-energy EBA (from 150 keV to 300 keV). For mid-energy EBA (from 300 keV to 5 MeV), they are flue gas treatment (SO2 and NOX removal); composite and nanocomposite materials; biodegradable composites based on biorenewable resources; human tissue sterilization; carbon and silicon carbide fibers irradiation; irradiated grafting ion-exchange membranes for fuel cells application; electrocatalysts nanoparticles production; and natural polymers irradiation and biodegradable blends production. For high-energy EBA (from 5 MeV to 10 MeV), they are sterilization of medical, pharmaceutical and biological products; gemstone enhancement; treatment of industrial and domestic effluents and sludge; preservation and disinfestations of foods and agricultural products; soil disinfestations; lignocellulosic material irradiation as a pretreatment to produce ethanol biofuel; decontamination of pesticide packing; solid residues remediation; organic compounds removal from wastewater; and treatment of effluent from petroleum production units and liquid irradiation process to treat vessel water ballast. On the other hand, there is a growing need of mobile EB facilities for different applications in South America.

A self-sustaining high-strength wastewater treatment system using solar-bio-hybrid power generation.

PubMed

Bustamante, Mauricio; Liao, Wei

2017-06-01

This study focuses on system analysis of a self-sustaining high-strength wastewater treatment concept combining solar technologies, anaerobic digestion, and aerobic treatment to reclaim water. A solar bio-hybrid power generation unit was adopted to power the wastewater treatment. Concentrated solar power (CSP) and photovoltaics (PV) were combined with biogas energy from anaerobic digestion. Biogas is also used to store the extra energy generated by the hybrid power unit and ensure stable and continuous wastewater treatment. It was determined from the energy balance analysis that the PV-bio hybrid power unit is the preferred energy unit to realize the self-sustaining high-strength wastewater treatment. With short-term solar energy storage, the PV-bio-hybrid power unit in Phoenix, AZ requires solar collection area (4032m 2 ) and biogas storage (35m 3 ), while the same unit in Lansing, MI needs bigger solar collection area and biogas storage (5821m 2 and 105m 3 , respectively) due to the cold climate. Copyright © 2017 Elsevier Ltd. All rights reserved.

Study on quality of effluent discharge by the Tiruppur textile dyeing units and its impact on river Noyyal, Tamil Nadu (India).

PubMed

Rajkumar, A Samuel; Nagan, S

2010-10-01

In Tiruppur, 729 textile dyeing units are under operation and these units generate 96.1 MLD of wastewater. The untreated effluent was discharged into the Noyyal River till 1997. After the issuance of directions by Tamil Nadu Pollution Control Board (TNPCB) in 1997, these units have installed 8 common effluent treatment plants (CETP) consisting of physical, chemical and biological treatment units. Some of the units have installed individual ETP (IETP). The treated effluent was finally discharged into the river. The dyeing units use sodium chloride in the dyeing process for efficient fixing of dye in the fabric efficiently. This contributes high total dissolved solids (TDS) and chlorides in the effluent. CETPs and IETPs failed to meet discharge standards of TDS and chlorides and thereby significantly affected the river water quality. TDS level in the river water was in the range of 900 - 6600 mg/L, and chloride was in the range of 230 - 2700 mg/L. Orathupalayam dam is located across Noyyal river at 32 km down stream of Tiruppur. The pollutants carried by the river were accumulated in the dam. TDS in the dam water was in the range of 4250 - 7900 mg/L and chloride was in the range of 1600 - 2700 mg/L. The dam sediments contain heavy metals of chromium, copper, zinc and lead. In 2006, the High Court has directed the dyeing units to install zero liquid discharge (ZLD) plant and to stop discharging of effluent into the river. Accordingly, the industries have installed and commissioned the ZLD plant consisting of RO plant and reject management system in 2010. The effluent after secondary treatment from the CETP is further treated in RO plant. The RO permeate is reused by the member units. The RO reject is concentrated in multiple effect evaporator (MEE)/ mechanical vacuum re-compressor (MVR). The concentrate is crystallized and centrifuged to recover salt. The salt recovered is reused. The liquid separated from the centrifuge is sent to solar evaporation pan. The salt collected in the solar pan is bagged and stored in secure land fill facility. Thus, the discharge into the river is now stopped. However, the damage caused to the groundwater and soil contamination in the river basin is yet to be restored.

Ultrasound Microbubble Treatment Enhances Clathrin-Mediated Endocytosis and Fluid-Phase Uptake through Distinct Mechanisms.

PubMed

Fekri, Farnaz; Delos Santos, Ralph Christian; Karshafian, Raffi; Antonescu, Costin N

2016-01-01

Drug delivery to tumors is limited by several factors, including drug permeability of the target cell plasma membrane. Ultrasound in combination with microbubbles (USMB) is a promising strategy to overcome these limitations. USMB treatment elicits enhanced cellular uptake of materials such as drugs, in part as a result of sheer stress and formation of transient membrane pores. Pores formed upon USMB treatment are rapidly resealed, suggesting that other processes such as enhanced endocytosis may contribute to the enhanced material uptake by cells upon USMB treatment. How USMB regulates endocytic processes remains incompletely understood. Cells constitutively utilize several distinct mechanisms of endocytosis, including clathrin-mediated endocytosis (CME) for the internalization of receptor-bound macromolecules such as Transferrin Receptor (TfR), and distinct mechanism(s) that mediate the majority of fluid-phase endocytosis. Tracking the abundance of TfR on the cell surface and the internalization of its ligand transferrin revealed that USMB acutely enhances the rate of CME. Total internal reflection fluorescence microscopy experiments revealed that USMB treatment altered the assembly of clathrin-coated pits, the basic structural units of CME. In addition, the rate of fluid-phase endocytosis was enhanced, but with delayed onset upon USMB treatment relative to the enhancement of CME, suggesting that the two processes are distinctly regulated by USMB. Indeed, vacuolin-1 or desipramine treatment prevented the enhancement of CME but not of fluid phase endocytosis upon USMB, suggesting that lysosome exocytosis and acid sphingomyelinase, respectively, are required for the regulation of CME but not fluid phase endocytosis upon USMB treatment. These results indicate that USMB enhances both CME and fluid phase endocytosis through distinct signaling mechanisms, and suggest that strategies for potentiating the enhancement of endocytosis upon USMB treatment may improve targeted drug delivery.

The study of potable water treatment process in Algeria (boudouaou station) -by the application of life cycle assessment (LCA)

PubMed Central

2013-01-01

Environmental impact assessment will soon become a compulsory phase in future potable water production projects, in algeria, especially, when alternative treatment processes such sedimentation ,coagulation sand filtration and Desinfection are considered. An impact assessment tool is therefore developed for the environmental evaluation of potable water production. in our study The evaluation method used is the life cycle assessment (LCA) for the determination and evaluation of potential impact of a drink water station ,near algiers (SEAL-Boudouaoua). LCA requires both the identification and quantification of materials and energy used in all stages of the product’s life, when the inventory information is acquired, it will then be interpreted into the form of potential impact “ eco-indicators 99” towards study areas covered by LCA, using the simapro6 soft ware for water treatment process is necessary to discover the weaknesses in the water treatment process in order for it to be further improved ensuring quality life. The main source shown that for the studied water treatment process, the highest environmental burdens are coagulant preparation (30% for all impacts), mineral resource and ozone layer depletion the repartition of the impacts among the different processes varies in comparison with the other impacts. Mineral resources are mainly consumed during alumine sulfate solution preparation; Ozone layer depletion originates mostly from tetrachloromethane emissions during alumine sulfate production. It should also be noted that, despite the small doses needed, ozone and active Carbone treatment generate significant impacts with a contribution of 10% for most of the impacts. Moreover impacts of energy are used in producing pumps (20-25 GHC) for plant operation and the unitary processes (coagulation, sand filtration decantation) and the most important impacts are localized in the same equipment (40-75 GHC) and we can conclude that: – Pre-treatment, pumping and EDR (EDR: 0.-6 0 kg CO2 eq. /produced m3) are the process-units with higher environmental impacts. – Energy consumption is the main source of impacts on climate change. – Chemicals consumption (e.g. coagulants, oxidants) are the principle cause of impacts on the ozone layer depletion. – Conventional plants: pre-treatment has high GHG emissions due to chemicals consumption. PMID:24355378

Delayed histochemical alterations within the neurovascular unit due to transient focal cerebral ischemia and experimental treatment with neurotrophic factors.

PubMed

Michalski, Dominik; Pitsch, Roman; Pillai, Deepu R; Mages, Bianca; Aleithe, Susanne; Grosche, Jens; Martens, Henrik; Schlachetzki, Felix; Härtig, Wolfgang

2017-01-01

Current stroke therapy is focused on recanalizing strategies, but neuroprotective co-treatments are still lacking. Modern concepts of the ischemia-affected neurovascular unit (NVU) and surrounding penumbra emphasize the complexity during the transition from initial damaging to regenerative processes. While early treatment with neurotrophic factors was shown to result in lesion size reduction and blood-brain barrier (BBB) stabilization, cellular consequences from these treatments are poorly understood. This study explored delayed cellular responses not only to ischemic stroke, but also to an early treatment with neurotrophic factors. Rats underwent 60 minutes of focal cerebral ischemia. Fluorescence labeling was applied to sections from brains perfused 7 days after ischemia. Analyses focused on NVU constituents including the vasculature, astrocytes and microglia in the ischemic striatum, the border zone and the contralateral hemisphere. In addition to histochemical signs of BBB breakdown, a strong up-regulation of collagen IV and microglia activation occurred within the ischemic core with simultaneous degradation of astrocytes and their endfeet. Activated astroglia were mainly depicted at the border zone in terms of a glial scar formation. Early treatment with pigment epithelium-derived factor (PEDF) resulted in an attenuation of the usually up-regulated collagen IV-immunoreactivity. However, glial activation was not influenced by treatment with PEDF or the epidermal growth factor (EGF). In conclusion, these data on ischemia-induced cellular reactions within the NVU might help to develop treatments addressing the transition from injury towards regeneration. Thereby, the integrity of the vasculature in close relation to neighboring structures like astrocytes appears as a promising target.

Improving the treatment planning and delivery process of Xoft electronic skin brachytherapy.

PubMed

Manger, Ryan; Rahn, Douglas; Hoisak, Jeremy; Dragojević, Irena

2018-05-14

To develop an improved Xoft electronic skin brachytherapy process and identify areas of further improvement. A multidisciplinary team conducted a failure modes and effects analysis (FMEA) by developing a process map and a corresponding list of failure modes. The failure modes were scored for their occurrence, severity, and detectability, and a risk priority number (RPN) was calculated for each failure mode as the product of occurrence, severity, and detectability. Corrective actions were implemented to address the higher risk failure modes, and a revised process was generated. The RPNs of the failure modes were compared between the initial process and final process to assess the perceived benefits of the corrective actions. The final treatment process consists of 100 steps and 114 failure modes. The FMEA took approximately 20 person-hours (one physician, three physicists, and two therapists) to complete. The 10 most dangerous failure modes had RPNs ranging from 336 to 630. Corrective actions were effective at addressing most failure modes (10 riskiest RPNs ranging from 189 to 310), yet the RPNs were higher than those published for alternative systems. Many of these high-risk failure modes remained due to hardware design limitations. FMEA helps guide process improvement efforts by emphasizing the riskiest steps. Significant risks are apparent when using a Xoft treatment unit for skin brachytherapy due to hardware limitations such as the lack of several interlocks, a short source lifespan, and variability in source output. The process presented in this article is expected to reduce but not eliminate these risks. Copyright © 2018 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.

Modular Chemical Process Intensification: A Review.

PubMed

Kim, Yong-Ha; Park, Lydia K; Yiacoumi, Sotira; Tsouris, Costas

2017-06-07

Modular chemical process intensification can dramatically improve energy and process efficiencies of chemical processes through enhanced mass and heat transfer, application of external force fields, enhanced driving forces, and combinations of different unit operations, such as reaction and separation, in single-process equipment. These dramatic improvements lead to several benefits such as compactness or small footprint, energy and cost savings, enhanced safety, less waste production, and higher product quality. Because of these benefits, process intensification can play a major role in industrial and manufacturing sectors, including chemical, pulp and paper, energy, critical materials, and water treatment, among others. This article provides an overview of process intensification, including definitions, principles, tools, and possible applications, with the objective to contribute to the future development and potential applications of modular chemical process intensification in industrial and manufacturing sectors. Drivers and barriers contributing to the advancement of process intensification technologies are discussed.

Modular Chemical Process Intensification: A Review

DOE PAGES

Kim, Yong-ha; Park, Lydia K.; Yiacoumi, Sotira; ...

2016-06-24

Modular chemical process intensification can dramatically improve energy and process efficiencies of chemical processes through enhanced mass and heat transfer, application of external force fields, enhanced driving forces, and combinations of different unit operations, such as reaction and separation, in single-process equipment. Dramatic improvements such as these lead to several benefits such as compactness or small footprint, energy and cost savings, enhanced safety, less waste production, and higher product quality. Because of these benefits, process intensification can play a major role in industrial and manufacturing sectors, including chemical, pulp and paper, energy, critical materials, and water treatment, among others. Thismore » article provides an overview of process intensification, including definitions, principles, tools, and possible applications, with the objective to contribute to the future development and potential applications of modular chemical process intensification in industrial and manufacturing sectors. Drivers and barriers contributing to the advancement of process intensification technologies are discussed.« less

Evaporative oxidation treatability test report

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1995-04-01

In 1992, Congress passed the Federal Facilities Compliance Act that requires the U.S. Department of Energy (DOE) to treat and dispose of its mixed waste in accordance with the Resource Conservation and Recovery Act (RCRA) land disposal restrictions (LDRs). In response to the need for mixed-waste treatment capacity where available off-site commercial treatment facilities do not exist or cannot be used, the DOE Albuquerque Operations Office (DOE-AL) organized a Treatment Selection Team to match mixed wastes with treatment options and develop a strategy for treatment of its mixed wastes. DOE-AL manages operations at nine sites with mixed-waste inventories. The Treatmentmore » Selection Team determined a need to develop mobile treatment capacity to treat wastes at the sites where the wastes are generated. Treatment processes used for mixed waste not only must address the hazardous component (i.e., meet LDRs) but also must contain the radioactive component in a form that allows final disposal while protecting workers, the public, and the environment. On the basis of recommendations of the Treatment Selection Team, DOE-AL assigned projects to the sites to bring mixed-waste treatment capacity on-line. The three technologies assigned to the DOE Grand Junction Projects Office (GJPO) are evaporative oxidation, thermal desorption, and treated wastewater evaporation. Rust Geotech, the DOE-GJPO prime contractor, was assigned to design and fabricate mobile treatment units (MTUs) for these three technologies and to deliver the MTUs to selected DOE-AL sites. To conduct treatability tests at the GJPO, Rust leased a pilot-scale evaporative oxidation unit from the Clemson Technical Center (CTC), Anderson, South Carolina. The purpose of this report is to document the findings and results of tests performed using this equipment.« less

Operation GRITROCK: the Defence Medical Services' story and emerging lessons from supporting the UK response to the Ebola crisis.

PubMed

Bricknell, Martin; Hodgetts, T; Beaton, K; McCourt, A

2016-06-01

This paper is a record of the UK Defence Medical Services (DMS) contribution to the UK response to the Ebola crisis in West Africa from the start of planning in July 2014 to the closure of the Ministry of Defence Ebola Virus Disease Treatment Unit at the end of June 2015. The context and wider UK government decisions are summarised. This paper describes the decisions and processes that resulted in the deployment of a DMS delivered Ebola Treatment Unit in conjunction with the Department for International Development and Save the Children. It covers arrangements for medical care for disease and non-battle injury, the Air Transportable Isolator and Force Health Protection policy, and finally, considers the medical lessons from this deployment. The core message is that the UK DMS are the only part of the UK health sector that is trained, equipped, manned and available to rapidly deploy and operate a complete medical unit as part of an international response to a health crisis. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

An internet forum analysis of stigma power perceptions among women seeking fertility treatment in the United States.

PubMed

Jansen, Natalie Anne; Saint Onge, Jarron M

2015-12-01

Infertility is a condition that affects nearly 30 percent of women aged 25-44 in the United States. Though past research has addressed the stigmatization of infertility, few have done so in the context of stigma management between fertile and infertile women. In order to assess evidence of felt and enacted stigma, we employed a thematic content analysis of felt and enacted stigma in an online infertility forum, Fertile Thoughts, to analyze 432 initial threads by women in various stages of the treatment-seeking process. We showed that infertile women are frequently stigmatized for their infertility or childlessness and coped through a variety of mechanisms including backstage joshing and social withdrawal. We also found that infertile women appeared to challenge and stigmatize pregnant women for perceived immoral behaviors or lower social status. We argue that while the effects of stigma power are frequently perceived and felt in relationships between infertile women and their fertile peers, the direction of the enacted stigma is related to social standing and feelings of fairness and reinforces perceived expressions of deserved motherhood in the United States. Copyright © 2015 Elsevier Ltd. All rights reserved.

The Analysis of the System of special water purification of Beloyarskaya Nuclear Power Plant unit BN-800

NASA Astrophysics Data System (ADS)

Valtseva, A. I.; Bibik, I. S.

2017-11-01

This article discusses how the latest system of special water purification KPF-30, designed specifically for the fourth power unit of Beloyarskaya nuclear power plant, which has a number of advantages over other water purification systems as chemical-physical and technical-economic, environmental, and other industrial indicators. The scheme covered in this article systems of special water purification involves the use of a hydrocyclone at the preliminary stage of water treatment, as a worthy alternative to ion-exchange filters, which can significantly reduce the volume of toxic waste. The world community implements the project of closing the nuclear fuel cycle, there is a need to improve the reliability of the equipment for safe processes and development of critical and supercritical parameters in the nuclear industry. Essentially, on operated NPP units, the only factor that can cost-effectively optimize to improve the reliability of equipment is the water chemistry. System KPF30 meets the principles and criteria of ecological safety, demonstrating the justification for reagent less method of water treatment on the main stages, in which no formation of toxic wastes, leading to irreversible consequences of environmental pollution and helps to conserve water.

Technical Note: Maximising accuracy and minimising cost of a potentiometrically regulated ocean acidification simulation system

NASA Astrophysics Data System (ADS)

MacLeod, C. D.; Doyle, H. L.; Currie, K. I.

2015-02-01

This article describes a potentiometric ocean acidification simulation system which automatically regulates pH through the injection of 100% CO2 gas into temperature-controlled seawater. The system is ideally suited to long-term experimental studies of the effect of acidification on biological processes involving small-bodied (10-20 mm) calcifying or non-calcifying organisms. Using hobbyist-grade equipment, the system was constructed for approximately USD 1200 per treatment unit (tank, pH regulation apparatus, chiller, pump/filter unit). An overall tolerance of ±0.05 pHT units (SD) was achieved over 90 days in two acidified treatments (7.60 and 7.40) at 12 °C using glass electrodes calibrated with synthetic seawater buffers, thereby preventing liquid junction error. The performance of the system was validated through the independent calculation of pHT (12 °C) using dissolved inorganic carbon and total alkalinity data taken from discrete acidified seawater samples. The system was used to compare the shell growth of the marine gastropod Zeacumantus subcarinatus infected with the trematode parasite Maritrema novaezealandensis with that of uninfected snails at pH levels of 7.4, 7.6, and 8.1.

Integrated Specialized Early-Course Psychosis Treatment Services - University Psychiatric Hospital Vrapce Model.

PubMed

Ostojić, DraŽenka; Čulo, Ilaria; Silić, Ante; Kos, Suzana; Savić, Aleksandar

2018-06-01

First episode of psychosis presents a critical period in terms of numerous associated risks, but also possibilities for effective therapeutic interventions. There is a continued focus on early interventions in prodromal states and early course of frank psychosis, aimed at ensuring faster remission, reducing relapses, achieving better long-term functioning, and preventing adverse outcomes linked to untreated psychosis and chronic psychotic disorders. A number of different specialized treatment models and services exist trying to close knowledge gaps and provide clinical interventions to first-episode psychosis (FEP) patients, but there is still no generally accepted standard of care informing our every-day practice. FEP and early-course psychosis specialized treatment model developed in 2004 in University Psychiatric Hospital Vrapce rests on integration of care across different organization units and clinical presentation acuity levels and patient needs (intensive care, FEP inpatient unit, FEP outpatient services including day hospital). Such integration of FEP services allows for flexible entry point on multiple levels, earlier structuring of therapeutic alliance for those requiring inpatient care, reduction of risks associated with FEP, quicker formation of long-term treatment plans, reduction of delay in accessing specialized services, and a more coordinated diagnostic process and recruitment of FEP patient population. Detailed evaluations of outcomes and comparisons with different treatment models are necessary in order to assess strengths and weaknesses of each specific model and inform modifications to current practice models.

Drug addicts treatment motivations: perception of family members.

PubMed

Ferreira, Aline Cristina Zerwes; Capistrano, Fernanda Carolina; de Souza, Edice Bueno; Borba, Letícia de Oliveira; Kalinke, Luciana Puchalski; Maftum, Mariluci Alves

2015-01-01

to identify the reasons and motivations why family members search treatment for the drug addicted. descriptive qualitative research, developed in 2012 and 2013, in a Drug Addicts Rehabilitation Unit of Parana State, Brazil. A total of 19 semi-structured interviews were conducted with the drug addicts' family members in treatment. The results were analyzed based on the Transtheoretical Model of Behavior Change and organized in thematic categories according with qualitative data analysis. the search for treatment for drug addicts occurred: in the pre-contemplation stage influenced by external factors; in the contemplation stage both for ambivalence and behavioral changes needs; in the action stage by awareness of drug addiction and also professional help needs; and in the maintenance stage because of the non-conservation of behavioral changes. an evaluation of motivational stages in the beginning of treatment is required for expansion of success possibilities in the rehabilitation process.

Challenges in orphan drug development and regulatory policy in China.

PubMed

Cheng, Alice; Xie, Zhi

2017-01-18

While regulatory policy is well defined for orphan drug development in the United States and Europe, rare disease policy in China is still evolving. Many Chinese patients currently pay out of pocket for international treatments that are not yet approved in China. The lack of a clear definition and therefore regulatory approval process for rare diseases has, until now, de-incentivized pharmaceutical companies to pursue rare disease drug development in China. In turn, many grassroots movements have begun to support rare disease patients and facilitate drug discovery through research. Recently, the Chinese FDA set new regulatory guidelines for drugs being developed in China, including an expedited review process for life-saving treatments. In this review, we discuss the effects of these new policy changes on and suggest potential solutions to innovate orphan drug development in China.

Integration between chemical oxidation and membrane thermophilic biological process.

PubMed

Bertanza, G; Collivignarelli, M C; Crotti, B M; Pedrazzani, R

2010-01-01

Full scale applications of activated sludge thermophilic aerobic process for treatment of liquid wastes are rare. This experimental work was carried out at a facility, where a thermophilic reactor (1,000 m(3) volume) is operated. In order to improve the global performance of the plant, it was decided to upgrade it, by means of two membrane filtration units (ultrafiltration -UF-, in place of the final sedimentation, and nanofiltration -NF-). Subsequently, the integration with chemical oxidation (O(3) and H(2)O(2)/UV processes) was taken into consideration. Studied solutions dealt with oxidation of both the NF effluents (permeate and concentrate). Based on experimental results and economic evaluation, an algorithm was proposed for defining limits of convenience of this process.

Perceived Characteristics of Intervention Scale: Development and Psychometric Properties.

PubMed

Cook, Joan M; Thompson, Richard; Schnurr, Paula P

2015-12-01

The Perceived Characteristics of Intervention Scale (PCIS), a 20-item assessment measure, was developed to assess health care providers' views of interventions. Two hundred and fifteen Department of Veterans Affairs' residential treatment providers from 38 programs across the United States completed an online survey that included the PCIS as well as self-reported use of two evidence-based treatments. The PCIS was anchored to ask about two evidence-based psychotherapies for posttraumatic stress disorder, prolonged exposure, and cognitive processing therapy. The PCIS is a reliable measure of perceived characteristics of interventions, with some preliminary support for its validity. Consideration of providers' perceptions of particular evidence-based treatments may serve as an aid to improve their dissemination, implementation, and sustained use. © The Author(s) 2014.

Simulation of integrated pollutant removal (IPR) water-treatment system using ASPEN Plus

DOE Office of Scientific and Technical Information (OSTI.GOV)

Harendra, Sivaram; Oryshcyhn, Danylo; Ochs, Thomas

2013-01-01

Capturing CO2 from fossil fuel combustion provides an opportunity for tapping a significant water source which can be used as service water for a capture-ready power plant and its peripherals. Researchers at the National Energy Technology Laboratory (NETL) have patented a process—Integrated Pollutant Removal (IPR®)—that uses off-the-shelf technology to produce a sequestration ready CO2 stream from an oxy-combustion power plant. Water condensed from oxy-combustion flue gas via the IPR system has been analyzed for composition and an approach for its treatment—for in-process reuse and for release—has been outlined. A computer simulation model in ASPEN Plus has been developed to simulatemore » water treatment of flue gas derived wastewater from IPR systems. At the field installation, water condensed in the IPR process contains fly ash particles, sodium (largely from spray-tower buffering) and sulfur species as well as heavy metals, cations, and anions. An IPR wastewater treatment system was modeled using unit operations such as equalization, coagulation and flocculation, reverse osmosis, lime softening, crystallization, and pH correction. According to the model results, 70% (by mass) of the inlet stream can be treated as pure water, the other 20% yields as saleable products such as gypsum (CaSO4) and salt (NaCl) and the remaining portion is the waste. More than 99% of fly ash particles are removed in the coagulation and flocculation unit and these solids can be used as filler materials in various applications with further treatment. Results discussed relate to a slipstream IPR installation and are verified experimentally in the coagulation/flocculation step.« less

A multi-criteria assessment of scenarios on thermal processing of infectious hospital wastes: A case study for Central Macedonia

DOE Office of Scientific and Technical Information (OSTI.GOV)

Karagiannidis, A.; Papageorgiou, A., E-mail: apapa@auth.g; Perkoulidis, G.

In Greece more than 14,000 tonnes of infectious hospital waste are produced yearly; a significant part of it is still mismanaged. Only one off-site licensed incineration facility for hospital wastes is in operation, with the remaining of the market covered by various hydroclave and autoclave units, whereas numerous problems are still generally encountered regarding waste segregation, collection, transportation and management, as well as often excessive entailed costs. Everyday practices still include dumping the majority of solid hospital waste into household disposal sites and landfills after sterilization, still largely without any preceding recycling and separation steps. Discussed in the present papermore » are the implemented and future treatment practices of infectious hospital wastes in Central Macedonia; produced quantities are reviewed, actual treatment costs are addressed critically, whereas the overall situation in Greece is discussed. Moreover, thermal treatment processes that could be applied for the treatment of infectious hospital wastes in the region are assessed via the multi-criteria decision method Analytic Hierarchy Process. Furthermore, a sensitivity analysis was performed and the analysis demonstrated that a centralized autoclave or hydroclave plant near Thessaloniki is the best performing option, depending however on the selection and weighing of criteria of the multi-criteria process. Moreover the study found that a common treatment option for the treatment of all infectious hospital wastes produced in the Region of Central Macedonia, could offer cost and environmental benefits. In general the multi-criteria decision method, as well as the conclusions and remarks of this study can be used as a basis for future planning and anticipation of the needs for investments in the area of medical waste management.« less

Safety Strategies in an Academic Radiation Oncology Department and Recommendations for Action

PubMed Central

Terezakis, Stephanie A.; Pronovost, Peter; Harris, Kendra; DeWeese, Theodore; Ford, Eric

2013-01-01

Background Safety initiatives in the United States continue to work on providing guidance as to how the average practitioner might make patients safer in the face of the complex process by which radiation therapy (RT), an essential treatment used in the management of many patients with cancer, is prepared and delivered. Quality control measures can uncover certain specific errors such as machine dose mis-calibration or misalignments of the patient in the radiation treatment beam. However, they are less effective at uncovering less common errors that can occur anywhere along the treatment planning and delivery process, and even when the process is functioning as intended, errors still occur. Prioritizing Risks and Implementing Risk-Reduction Strategies Activities undertaken at the radiation oncology department at the Johns Hopkins Hospital (Baltimore) include Failure Mode and Effects Analysis (FMEA), risk-reduction interventions, and voluntary error and near-miss reporting systems. A visual process map portrayed 269 RT steps occurring among four subprocesses—including consult, simulation, treatment planning, and treatment delivery. Two FMEAs revealed 127 and 159 possible failure modes, respectively. Risk-reduction interventions for 15 “top-ranked” failure modes were implemented. Since the error and near-miss reporting system’s implementation in the department in 2007, 253 events have been logged. However, the system may be insufficient for radiation oncology, for which a greater level of practice-specific information is required to fully understand each event. Conclusions The “basic science” of radiation treatment has received considerable support and attention in developing novel therapies to benefit patients. The time has come to apply the same focus and resources to ensuring that patients safely receive the maximal benefits possible. PMID:21819027

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wheeler, P.A.; Patel, N.M.; Painter, A.

Energy recovery from municipal solid waste (MSW) is an important component of an integrated waste management strategy. Waste management programs which remove or recover materials for recycling are particularly suited for considering the option of energy recovery via fluidized bed combustion (FBC). The last few years have seen growing interest in the application of FBC technology to the MSW treatment/disposal problem. This paper reviews and reports on the world-wide experience in fluidized bed combustion of MSW focusing particularly on the types and scales of the systems in operation in Japan and Scandinavia. In addition the paper also reports on themore » development of an energy from waste project employing circulating fluidized bed technology that is proposed for a local municipality in the UK. Japan currently has over 100 bubbling bed units in operation firing on 100% MSW; the technology is firmly established at scales of operation up to 160,000t/y (the largest single unit operates at 6.25t/h). The bubbling bed units accept MSW which has undergone only minimal pre-processing -- the waste is shredded to a nominal 300mm size fraction before being introduced to the furnace. There are distinct (combustion control) advantages to further processing of the waste stream prior to combustion. The Scandinavian countries in particular have been the prime movers in pioneering this technology to work in combination with circulating fluidized bed systems. Currently 2 units are in operation cofiring pre-processed MSW with a range of other biofuels. A number of FBC units firing 100% MSW are currently in the planning or construction stage around the world; they seem set to secure an increased market share particularly at the smaller scale of operation (up to about 200,000t/y).« less

[End of life decisions, the Dutch form through Spanish eyes].

PubMed

Belloc Rocasalbas, M; Girbes, A R J

2011-03-01

Abroad, but also in The Netherlands, there are many misunderstandings concerning end of life decisions and euthanasia. In general, euthanasia does not play any role in the intensive care units, simply because it does not fulfill the conditions to carry it out. However, there is still confusion, merely due to the assumption that the Dutch situation is different because of their legislation on euthanasia. The use of the unclear terminology such as "passive euthanasia", "voluntary euthanasia" or "involuntary euthanasia" contributes to the confusion of lay people and physicians, and should therefore be avoided. End of life decisions in intensive care patients are in fact a structural part of work of intensivists. Collecting all necessary information including the wishes and will of the patient, medical expertise and acknowledging limitations of medical treatment will help to determine futility of treatment goals. Once it is determined that surviving the intensive care unit with a quality of life acceptable for the patient is beyond reach, the goal of treatment should be improved and the dying process optimized. Stopping a treatment modality at the request of a will-competent patient or because of futility is not euthanasia. Copyright © 2010 Elsevier España, S.L. y SEMICYUC. All rights reserved.

Life cycle assessment of hybrid vehicles recycling: Comparison of three business lines of dismantling.

PubMed

Belboom, Sandra; Lewis, Grégory; Bareel, Pierre-François; Léonard, Angélique

2016-04-01

This paper undertakes an environmental evaluation of hybrid vehicles recycling, using industrial data from Comet Traitement SA in Belgium. Three business lines have been modelled and analysed. The first one is relative to the business as usual with a dismantling to recover batteries and engines followed by shredding and post shredding treatments. The second one considers, in addition, the removal of electronic control units (ECU) before shredding followed by same steps than in the first line and the last one is relative to the additional removal of big plastic parts before shredding and business as usual post shredding treatments. Results show non-significant environmental benefits when ECU or large parts of plastics are recovered before shredding. Improvements in terms of environmental benefits are lower than the uncertainty of the results. Indeed, the performing usual process for end-of-life vehicles (ELV) treatment reaches 97% of the ELV which is valorised in terms of metal and energy recoveries. Post shredding treatment units include metals, plastics and energy recovery of residues. Comet business as usual route for ELV valorisation is in accordance with the requirements of the European directive and recommendations for further improvement with dismantling of other parts (ECU or plastics) before shredding are non-relevant in this case. Copyright © 2016 Elsevier Ltd. All rights reserved.

Quality of life before and 6 weeks after treatment in a dermatological outpatient treatment unit.

PubMed

Maroti, M; Ulff, E; Wijma, B

2006-10-01

Dermatological disease affects quality of life to a great extent. Treatments are time-consuming and many patients have problems adhering to treatment. Attending an outpatient unit regularly during an intensive treatment period may enable patients to cope with their illness, adhere to treatment and thus improve their quality of life. To study the effect on quality of life of 6 weeks of regular treatment in the outpatient unit in the County Hospital of Jönköping, by means of a questionnaire and interviews. The Dermatology Life Quality Index (DLQI) was distributed to 50 consecutive patients with psoriasis, atopic dermatitis or pruritus attending our outpatient treatment unit. Nine of the patients were interviewed during treatment about factors that might influence their quality of life. The DLQI scores before treatment indicated a low quality of life. Women were more affected than men. After 6 weeks of treatment there was a clear improvement, with a 57% reduction in the scores. The answers from the interviews indicated important areas of concern such as withdrawal from public places, adoption of special clothing habits and concern about personal relationships. Dermatological diseases have an important influence on patients' quality of life. Attending an outpatient treatment unit was in this series of cases associated with improved quality of life as measured with the DLQI.

Organic contaminants in onsite wastewater treatment systems

USGS Publications Warehouse

Conn, K.E.; Siegrist, R.L.; Barber, L.B.; Brown, G.K.

2007-01-01

Wastewater from thirty onsite wastewater treatment systems was sampled during a reconnaissance field study to quantify bulk parameters and the occurrence of organic wastewater contaminants including endocrine disrupting compounds in treatment systems representing a variety of wastewater sources and treatment processes and their receiving environments. Bulk parameters ranged in concentrations representative of the wide variety of wastewater sources (residential vs. non-residential). Organic contaminants such as sterols, surfactant metabolites, antimicrobial agents, stimulants, metal-chelating agents, and other consumer product chemicals, measured by gas chromatography/mass spectrometry were detected frequently in onsite system wastewater. Wastewater composition was unique between source type likely due to differences in source water and chemical usage. Removal efficiencies varied by engineered treatment type and physicochemical properties of the contaminant, resulting in discharge to the soil treatment unit at ecotoxicologically-relevant concentrations. Organic wastewater contaminants were detected less frequently and at lower concentrations in onsite system receiving environments. Understanding the occurrence and fate of organic wastewater contaminants in onsite wastewater treatment systems will aid in minimizing risk to ecological and human health.

How Outpatient Substance Abuse Treatment Unit Director Activities May Affect Provision of Community Outreach Services

ERIC Educational Resources Information Center

Chuang, Emmeline; Wells, Rebecca; Alexander, Jeffrey; Green, Sherri

2013-01-01

Aims: Community outreach services play an important role in infectious disease prevention and engaging drug users not currently in treatment. However, fewer than half of US substance abuse treatment units provide these services and many have little financial incentive to do so. Unit directors generally have latitude about scope of services,…

Buoyant Filter Bio-Reactor (BFBR)--a novel anaerobic wastewater treatment unit.

PubMed

Panicker, Soosan J; Philipose, M C; Haridas, Ajit

2008-01-01

The Buoyant Filter Bio-Reactor (BFBR) is a novel and very efficient method for the treatment of complex wastewater. Sewage is a complex wastewater containing insoluble COD contributed by fat and proteins. The fat and proteins present in the domestic sewage cause operational problems and underperformance in the Upflow Anaerobic Sludge Blanket Reactor, used now for treating sewage anaerobically. The biogas yield from the BFBR is 0.36 m3/kg COD reduced and the methane content was about 70-80%. Production of methane by anaerobic digestion of organic waste had the benefit of lower energy costs for treatment and is thus environmentally beneficial to the society by providing a clean fuel from renewable feed stocks. The BFBR achieved a COD removal efficiency of 80-90% for an organic loading rate of 4.5 kg/m3/d at a hydraulic retention time of 3.25 hours. The effluent COD was less than 100 mg/l, thus saving on secondary treatment cost. No pretreatment like sedimentation was required for the influent to the BFBR. The BFBR can produce low turbidity effluent as in the activated sludge process (ASP). The land area required for the BFBR treatment plant is less when compared to ASP plant. Hence the problem of scarcity of land for the treatment plant is reduced. The total expenditure for erecting the unit was less than 50% as that of conventional ASP for the same COD removal efficiency including land cost. IWA Publishing 2008.

Treatment of table olive washing water using trickling filters, constructed wetlands and electrooxidation.

PubMed

Tatoulis, Triantafyllos; Stefanakis, Alexandros; Frontistis, Zacharias; Akratos, Christos S; Tekerlekopoulou, Athanasia G; Mantzavinos, Dionissios; Vayenas, Dimitrios V

2017-01-01

The production of table olives is a significant economic activity in Mediterranean countries. Table olive processing generates large volumes of rinsing water that are characterized by high organic matter and phenol contents. Due to these characteristics, a combination of more than one technology is imperative to ensure efficient treatment with low operational cost. Previously, biological filters were combined with electrooxidation to treat table olive washing water. Although this combination was successful in reducing pollutant loads, its cost could be further reduced. Constructed wetlands could be an eligible treatment method for integrated table olive washing water treatment as they have proved tolerant to high organic matter and phenol loads. Two pilot-scale horizontal subsurface constructed wetlands, one planted and one unplanted, were combined with a biological filter and electrooxidation over a boron-doped diamond anode to treat table olive washing water. In the biological filter inlet, chemical oxygen demand (COD) concentrations ranged from 5500 to 15,000 mg/L, while mean COD influent concentration in the constructed wetlands was 2800 mg/L. The wetlands proved to be an efficient intermediate treatment stage, since COD removal levels for the planted unit reached 99 % (mean 70 %), while the unplanted unit presented removal rates of around 65 %. Moreover, the concentration of phenols in the effluent was typically below 100 mg/L. The integrated trickling filter-constructed wetland-electrooxidation treatment system examined here could mineralize and decolorize table olive washing water and fully remove its phenolic content.

Mobile platform for treatment of stroke: A case study of tele-assistance

PubMed Central

Torres Zenteno, Arturo Henry; Fernández, Francisco; Palomino-García, Alfredo; Moniche, Francisco; Escudero, Irene; Jiménez-Hernández, M Dolores; Caballero, Auxiliadora; Escobar-Rodriguez, Germán; Parra, Carlos

2015-01-01

This article presents the technological solution of a tele-assistance process for stroke patients in acute phase in the Seville metropolitan area. The main objective of this process is to reduce time from symptom onset to treatment of acute phase stroke patients by means of telemedicine, regarding mobility between an intensive care unit ambulance and an expert center and activating the pre-hospital care phase. The technological platform covering the process has been defined following an interoperability model based on standards and with a focus on service-oriented architecture focus. Messaging definition has been designed according to the reference model of the CEN/ISO 13606, messages content follows the structure of archetypes. An XDS-b (Cross-Enterprise Document Sharing-b) transaction messaging has been designed according to Integrating the Healthcare Enterprise profile for archetype notifications and update enquiries.This research has been performed by a multidisciplinary group. The Virgen del Rocío University Hospital acts as Reference Hospital and the Public Company for Healthcare as mobility surroundings. PMID:25975806

Laboratory Control for Wastewater Facilities, Wastewater Technology: A Two-Year Post High School Instructional Program. Volume III, Parts A, B, C, D, E, F, G.

ERIC Educational Resources Information Center

Wagner, David; And Others

This volume is one in a series which outlines performance objectives and instructional modules for a course of study which explains the relationship and function of the process units in a wastewater treatment plant. Examples of modules include measuring settleable matter, total solids, dissolved solids, suspended solids, and volatile solids. The…

Enhanced Cognitive Rehabilitation to Treat Comorbid TBI and PTSD

DTIC Science & Technology

2017-12-01

S) Amy Jak 5d. PROJECT NUMBER 5e. TASK NUMBER E-Mail: ajak@ucsd.edu 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES...symptoms resulting from mild to moderate TBI. These practice standards have been organized into a manualized treatment, Cognitive Symptom Management ...Processing Therapy; SMART-CPT=Cognitive Symptom Management and Rehabilitation Therapy combined with CPT; TBI=traumatic brain injury; PTSD=posttraumatic

McClellan AFB, California. Operable Unit B, Engineering Evaluation/Cost Analysis - Environmental Assessment

DTIC Science & Technology

1991-02-01

however, ’the daily flow rate can dramatically increase during storm events due to rainwater infiltration, to the system . Treatment processes include...132 has been restricted from supplying water to the local distribution system , except in emergency situations. This well was being threatened by...the near surface aquifer upgradient from the production well. The extracted groundwater will be treated in a granular activated carbon system and

Effects of post-fire salvage logging and a skid trail treatment on ground cover, soils, and sediment production in the interior western United States

Treesearch

Joseph W. Wagenbrenner; Lee H. MacDonald; Robert N. Coats; Peter R. Robichaud; Robert E. Brown

2015-01-01

Post-fire salvage logging adds another set of environmental effects to recently burned areas, and previous studies have reported varying impacts on vegetation, soil disturbance, and sediment production with limited data on the underlying processes. Our objectives were to determine how: (1) ground-based post-fire logging affects surface cover, soil water repellency,...

Characterizing fire behavior from laboratory burns of multi-aged, mixed-conifer masticated fuels in the western United States

Treesearch

Faith Ann Heinsch; Pamela G. Sikkink; Helen Y. Smith; Molly L. Retzlaff

2018-01-01

Mastication is the process of chipping or shredding components of the tree canopy or above-ground vegetation to reduce the canopy, alter fire spread rates, and reduce crown fire potential. Mastication as a fuel treatment, either alone or in combination with prescribed fire, has been the subject of much research. This research has shown that modeling expected fire...

Collisional & Nonlinear Radiative Processes for Development of Coherent UV & XUV Sources.

DTIC Science & Technology

1987-04-01

4- Charles K. Rhodes in the vicinity of an atomic unit, (e/a ). Extant theoretical work, however, 0 predicted ridiculously low rates...of 14 210 W/cm . These experiments clearly demonstrated that standard theoretical techniques were incapable, by a discrepancy as great as several...experiments were clearly in contradiction to all theoretical treatments, of which there is a considerable number (16-21). This unexpected result, of course

Treating contaminated organics using the DETOX process

DOE Office of Scientific and Technical Information (OSTI.GOV)

Elsberry, K.D.; Dhooge, P.M.

1993-05-01

Waste matrices containing organics, radionuclides, and metals pose difficult problems in waste treatment and disposal when the organic compounds and/or metals are considered to be hazardous. This paper describes the results of bench-scale studies of DETOX applied to the components of liquid mixed wastes, with the goal of establishing parameters for designing a prototype waste treatment unit. Apparent organic reaction rate orders and the dependence of apparent reaction rate on solution composition and the contact area were measured for vacuum pump oil scintillation fluids, and trichloroethylene. Reaction rate was superior in chloride-based solutions and was proportional to the contact areamore » above about 2% w/w loading of organic. Oxidations in a 4-liter volume, mixed bench-top reactor have given destruction efficiencies of 99.9999 + % for common organics. Reaction rates achieved in the mixed bench-top reactor were one to two orders of magnitude greater than had been achieved in unmixed reactions; a thoroughly mixed reactor should be capable of oxidizing 10 to 100 + grams of organic per liter-hour. Results are also presented on the solvation efficiency of DETOX for mercury, cerium, and neodymium, and for removal/destruction of organics sorbed on vermiculite. The next stage of development will be converting the bench-top unit to continuous processing.« less

Biogasification of Walt Disney World biomass waste blend. Final report, January 1982-December 1985

DOE Office of Scientific and Technical Information (OSTI.GOV)

Biljetina, R.; Chynoweth, D.P.; Srivastava, V.J.

1986-10-01

The objective of the research is to develop efficient processes for conversion of biomass-waste blends to methane and other resources. To evaluate the technical and economic feasibility, an experimental test unit (ETU) was designed and operated at the Reedy Creek Wastewater Treatment Plant at Walt Disney World in Lake Buena Vista, Florida. The facility integrates a biomethanogenic-conversion process with a wastewater-treatment process employing water hyacinth ponds for secondary and tertiary treatment of sewage. Harvested water hyacinth is subsequently combined with sludge from the primary wastewater clarifier and fed at 1-wet-ton per day to the ETU digester. This results in themore » production of methane and other useful products. The digester was operated as a non-mixed, solids concentrating digester to encourage higher solids and microorganism retention times. Data collected during six steady-state operating periods confirmed earlier laboratory observations that this digester consistently produces 15 to 25% higher methane yields and conversions when compared to conventional stirred-tank digester. Digester operation was evaluated at different loading rates, solids blend ratios and feed configurations. Results from the program have provided a data base for the design of larger conversion systems.« less

The Infectious Diseases Society of America Lyme guidelines: a cautionary tale about the development of clinical practice guidelines

PubMed Central

2010-01-01

Flawed clinical practice guidelines may compromise patient care. Commercial conflicts of interest on panels that write treatment guidelines are particularly problematic, because panelists may have conflicting agendas that influence guideline recommendations. Historically, there has been no legal remedy for conflicts of interest on guidelines panels. However, in May 2008, the Attorney General of Connecticut concluded a ground-breaking antitrust investigation into the development of Lyme disease treatment guidelines by one of the largest medical societies in the United States, the Infectious Diseases Society of America (IDSA). Although the investigation found significant flaws in the IDSA guidelines development process, the subsequent review of the guidelines mandated by the settlement was compromised by a lack of impartiality at various stages of the IDSA review process. This article will examine the interplay between the recent calls for guidelines reform, the ethical canons of medicine, and due process considerations under antitrust laws as they apply to the formulation of the IDSA Lyme disease treatment guidelines. The article will also discuss pitfalls in the implementation of the IDSA antitrust settlement that should be avoided in the future. PMID:20529367

Development of digital reconstructed radiography software at new treatment facility for carbon-ion beam scanning of National Institute of Radiological Sciences.

PubMed

Mori, Shinichiro; Inaniwa, Taku; Kumagai, Motoki; Kuwae, Tsunekazu; Matsuzaki, Yuka; Furukawa, Takuji; Shirai, Toshiyuki; Noda, Koji

2012-06-01

To increase the accuracy of carbon ion beam scanning therapy, we have developed a graphical user interface-based digitally-reconstructed radiograph (DRR) software system for use in routine clinical practice at our center. The DRR software is used in particular scenarios in the new treatment facility to achieve the same level of geometrical accuracy at the treatment as at the imaging session. DRR calculation is implemented simply as the summation of CT image voxel values along the X-ray projection ray. Since we implemented graphics processing unit-based computation, the DRR images are calculated with a speed sufficient for the particular clinical practice requirements. Since high spatial resolution flat panel detector (FPD) images should be registered to the reference DRR images in patient setup process in any scenarios, the DRR images also needs higher spatial resolution close to that of FPD images. To overcome the limitation of the CT spatial resolution imposed by the CT voxel size, we applied image processing to improve the calculated DRR spatial resolution. The DRR software introduced here enabled patient positioning with sufficient accuracy for the implementation of carbon-ion beam scanning therapy at our center.

Economic analysis and assessment of syngas production using a modeling approach

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kim, Hakkwan; Parajuli, Prem B.; Yu, Fei

Economic analysis and modeling are essential and important issues for the development of current feedstock and process technology for bio-gasification. The objective of this study was to develop an economic model and apply to predict the unit cost of syngas production from a micro-scale bio-gasification facility. An economic model was programmed in C++ computer programming language and developed using a parametric cost approach, which included processes to calculate the total capital costs and the total operating costs. The model used measured economic data from the bio-gasification facility at Mississippi State University. The modeling results showed that the unit cost ofmore » syngas production was $1.217 for a 60 Nm-3 h-1 capacity bio-gasifier. The operating cost was the major part of the total production cost. The equipment purchase cost and the labor cost were the largest part of the total capital cost and the total operating cost, respectively. Sensitivity analysis indicated that labor costs rank the top as followed by equipment cost, loan life, feedstock cost, interest rate, utility cost, and waste treatment cost. The unit cost of syngas production increased with the increase of all parameters with exception of loan life. The annual cost regarding equipment, labor, feedstock, waste treatment, and utility cost showed a linear relationship with percent changes, while loan life and annual interest rate showed a non-linear relationship. This study provides the useful information for economic analysis and assessment of the syngas production using a modeling approach.« less

[Philanthropic general hospitals: a new setting for psychiatric admissions].

PubMed

Larrobla, Cristina; Botega, Neury José

2006-12-01

To understand the process that led Brazilian philanthropic general hospitals to implement psychiatric units and to describe the main characteristics and therapeutic approaches of these services. Ten institutions in three Brazilian states (Minas Gerais, São Paulo e Santa Catarina) were assessed in 2002. Forty-three semi-structured interviews were carried out with health professionals who worked at the hospitals to collect data on service implementation process, therapeutic approaches and current situation. The interviews were audio-recorded and their content was analyzed. There was no mental hospital in the cities where the institutions were located. In five hospitals, psychiatric patients were admitted to general medical wards because there was no psychiatric unit. The therapeutic approach in six hospitals was based on psychopharmacological treatment. Due to lack of resources and more appropriate therapeutic planning, the admission of patients presenting psychomotor agitation increases resistance against psychiatric patients in general hospitals. Financial constraints regarding laboratory testing is still a challenge. There is no exchange between local authorities and hospital administrators of these institutions that are compelled to exceed the allowed number of admissions to meet the demand of neighboring cities. The need for mental health care to local populations combined with individual requests of local authorities and psychiatrists made possible the implementation of psychiatric units in these localities. In spite of the efforts and flexibility of health professional working in these institutions, there are some obstacles to be overcome: resistance of hospital community against psychiatric admissions, financial constraints, limited professional training in mental health and the lack of a therapeutic approach that goes beyond psychopharmacological treatment alone.

Community-directed treatment with ivermectin in two Nigerian communities: an analysis of first year start-up processes, costs and consequences.

PubMed

Onwujekwe, Obinna; Chima, Reginald; Shu, Elvis; Okonkwo, Paul

2002-10-01

To determine the start-up processes, costs and consequences of community-directed treatment with ivermectin (CDTI) in two onchocerciasis endemic rural towns of Southeast Nigeria; namely Achi and Nike. The other objectives were to discover the community-financing mechanisms, local ivermectin distribution strategies and communities' organisational capacity to handle the programme. Structured questionnaires, informal interviews, observations, discussions with community members at general village assemblies and community outreach lectures were used at different stages of the study. The towns had the organisational capacity to implement the programme. Coverage with ivermectin was between 31-73% in Achi (mean = 58.6%), and 36.6-72% in Nike (mean = 61.95%). The unit financial costs were $0.17 in Nike and $0.13 in Achi, but the unit aggregate cost was $0.37 in Nike and $0.39 in Achi. When research costs were removed, the unit aggregate cost was $0.22 in Achi and $0.20 in Nike. Provider's financial costs and communities' non-financial costs were the biggest contributors to the aggregate cost. The cost would decrease in subsequent years since the research cost and parts of the mobilisation and training costs would not be incurred after the first year. Governments and sponsors of CDTI should find means of continuously strengthening the programme and providing technical support to the communities. As both CDTI and communities are dynamic entities, continuous health education campaigns are needed to keep reminding the people of the benefit of long-term ivermectin distribution, together with the need for community ownership of the programme.

Initial sustainability assessment of tapioca starch production system in Lake Toba area

NASA Astrophysics Data System (ADS)

Situmorang, Asido; Manik, Yosef

2018-04-01

This study aims to explore to what extent the principles of sustainability have been applied in a tapioca industry located in Lake Toba area and to explore the aspects that open the opportunities for system improvement. In conducting such assessment, we adopted the life-cycle approach using Mass Flow Analysis methods that covers all cassava starch production processes from fresh cassava root till dry cassava starch. The inventory data were collected from the company, in the form of both production record and interviews. From data analysis the authors were able to present a linked flow that describes the production process of tapioca starch that quantifies into the functional unit of one pack marketable tapioca starch weighs 50 kg. In order to produce 50 kg of tapioca, 200 kg cassava root and 800 kg of water are required. This production efficiency translates to 25% yield. This system generates 40 kg of cassava peel, 60 kg of pulp and 850 kg of waste water. For starch drying 208.8 MJ of thermal energy is required in the form of heating fuel. The material flow analysis is employed for impact assessment. Several options in improving the operation are proposed includes utilization of pulp into more valuable co-products, integration of waste treatment plant to enable the use of water recycled from the extraction operation for the washing process, and to application of a waste water treatment system that produces biogas as a renewable energy, which reduces the consumption of fuel in dryer unit.

Industrial wastewater platform: upgrading of the biological process and operative configurations for best performance.

PubMed

Eusebi, Anna Laura; Massi, Alessandro; Sablone, Emiliano; Santinelli, Martina; Battistoni, Paolo

2012-01-01

The treatment of industrial liquid wastes is placed in a wide context of technologies and is related to the high variability of the influent physical-chemical characteristics. In this condition, the achievement of satisfactory biological unit efficiency could be complicated. An alternate process (AC) with aerobic and anoxic phases fed in a continuous way was evaluated as an operative solution to optimize the performance of the biological reactor in a platform for the treatment of industrial liquid wastes. The process application has determined a stable quality effluent with an average concentration of 25 mg TN L(-1), according to the law limits. The use of discharged wastewaters as rapid carbon sources to support the anoxic phase of the alternate cycle, realizes a reduction of TN of 95% without impact on the total operative costs. The evaluation of the micro-pollutants behaviour has highlighted a bio-adsorption phenomenon in the first reactor. The implementation of the process defined 31% of energy saving during period 1 and 19% for the periods 2, 3 and 4.

Programmable partitioning for high-performance coherence domains in a multiprocessor system

DOEpatents

Blumrich, Matthias A [Ridgefield, CT; Salapura, Valentina [Chappaqua, NY

2011-01-25

A multiprocessor computing system and a method of logically partitioning a multiprocessor computing system are disclosed. The multiprocessor computing system comprises a multitude of processing units, and a multitude of snoop units. Each of the processing units includes a local cache, and the snoop units are provided for supporting cache coherency in the multiprocessor system. Each of the snoop units is connected to a respective one of the processing units and to all of the other snoop units. The multiprocessor computing system further includes a partitioning system for using the snoop units to partition the multitude of processing units into a plurality of independent, memory-consistent, adjustable-size processing groups. Preferably, when the processor units are partitioned into these processing groups, the partitioning system also configures the snoop units to maintain cache coherency within each of said groups.

Biotoxicity assessment and toxicity mechanism on coal gasification wastewater (CGW): A comparative analysis of effluent from different treatment processes.

PubMed

Ma, Weiwei; Han, Yuxing; Xu, Chunyan; Han, Hongjun; Zhu, Hao; Li, Kun; Zheng, Mengqi

2018-05-04

Even though coal gasification wastewater (CGW) treated by various biochemical treatment processes generally met the national discharge standard, its potential biotoxicity was still unknown. Therefore, in this study, bioassay with Tetrahymena thermophila (T. thermophila) was conducted to comprehensively evaluate the variation of biotoxicity in raw CGW and the treated effluent from lab-scale micro-electrolysis integrated with biological reactor (MEBR), single iron-carbon micro-electrolysis (ICME) and conventional activated sludge (CAS) processes. The results illustrated that raw CGW presented intensive acute toxicity with 24 h EC 50 value of 8.401% and toxic unit (TU) value of 11.90. Moreover, it performed significant cell membrane destruction and DNA damage even at 10% dilution concentration. The toxicant identification results revealed that multiple toxic polar compounds such as phenolic, heterocyclic and polycyclic aromatic compounds were the main contributors for biotoxicity. Furthermore, these compounds could accelerate oxidative stress, thereby inducing oxidative damage of cell membrane and DNA. As for treated effluent, TU value was decreased by 90.58% in MEBR process. An effective biotoxicity reduction was achieved in MEBR process owing to high removal efficiency in polar organic toxicants. In contrast, effluent from ICME and CAS processes presented relatively high acute toxicity and genotoxicity, because various heterocyclic and polycyclic aromatic compounds were difficult to be degraded in these processes. Therefore, it was suggested that MEBR was a potential and feasible process for improving CGW treatment and minimizing ecological risk. Copyright © 2018. Published by Elsevier B.V.

Enhancing the ecological and operational characteristics of water treatment units at TPPs based on baromembrane technologies

NASA Astrophysics Data System (ADS)

Chichirova, N. D.; Chichirov, A. A.; Filimonova, A. A.; Saitov, S. R.

2017-12-01

The innovative baromembrane technologies for water demineralization were introduced at Russian TPPs more than 25 years ago. While being used in the power engineering industry of Russia, these technologies demonstrated certain advantages over the traditional ion-exchange and thermal technologies of makeup water treatment for steam boilers. Water treatment units based on the baromembrane technology are compact, easy to operate, and highly automated. The experience gained from the use of these units shows that their reliability depends directly on preliminary water treatment. The popular water pretreatment technology with coagulation by aluminum oxychloride proved to be inefficient during the seasonal changes of source water quality that occurs at some stations. The use of aluminum coagulant at pH 8 and higher does not ensure the stable and qualitative pretreatment regime: soluble aluminum forms slip on membranes of the ultrafiltration unit, thereby causing pollution and intoxication as well as leading to structural damages or worsening of mechanical properties of the membranes. The problem of increased pH and seasonal changes of the source water quality can be solved by substitution of the traditional coagulant into a new one. To find the most successful coagulant for water pretreatment, experiments have been performed on both qualitative and quantitative analysis of the content of natural organic matters in the Volga water and their structure. We have developed a software program and measured the concentrations of soluble aluminum and iron salts at different pH values of the source water. The analysis of the obtained results has indicated that iron sulfate at pH 6.0-10.2, in contrast to aluminum oxychloride, is not characterized by increased solubility. Thus, the basic process diagrams of water pretreatment based on baromembrane technologies with pretreatment through coagulation by iron salts and wastewater amount reducing from 60-40 to 5-2% have been introduced for thermal power stations.

Extended testing of compression distillation.

NASA Technical Reports Server (NTRS)

Bambenek, R. A.; Nuccio, P. P.

1972-01-01

During the past eight years, the NASA Manned Spacecraft Center has supported the development of an integrated water and waste management system which includes the compression distillation process for recovering useable water from urine, urinal flush water, humidity condensate, commode flush water, and concentrated wash water. This paper describes the design of the compression distillation unit, developed for this system, and the testing performed to demonstrate its reliability and performance. In addition, this paper summarizes the work performed on pretreatment and post-treatment processes, to assure the recovery of sterile potable water from urine and treated urinal flush water.

Democratizing Implementation and Innovation in Mental Health Care.

PubMed

Saxe, Glenn; Acri, Mary

2017-03-01

Improvements in the quality of mental health care in the United States depend on the successful implementation of evidence-based treatments (EBT's) in typical settings of care. Unfortunately, there is little evidence that EBT's are used in ways that would approximate their established fidelity standards in such settings. This article describes an approach to more successful implementation of EBT's via a collaborative process between intervention developers and intervention users (e.g. providers, administrators, consumers) called Lead-user Innovation. Lead-user Innovation democratizes the implementation process by integrating the expertise of lead-users in the delivery, adaptation, innovation and evaluation of EBT's.

Integrated water management system - Description and test results. [for Space Station waste water processing

NASA Technical Reports Server (NTRS)

Elden, N. C.; Winkler, H. E.; Price, D. F.; Reysa, R. P.

1983-01-01

Water recovery subsystems are being tested at the NASA Lyndon B. Johnson Space Center for Space Station use to process waste water generated from urine and wash water collection facilities. These subsystems are being integrated into a water management system that will incorporate wash water and urine processing through the use of hyperfiltration and vapor compression distillation subsystems. Other hardware in the water management system includes a whole body shower, a clothes washing facility, a urine collection and pretreatment unit, a recovered water post-treatment system, and a water quality monitor. This paper describes the integrated test configuration, pertinent performance data, and feasibility and design compatibility conclusions of the integrated water management system.

Failure mode and effects analysis of skin electronic brachytherapy using Esteya® unit

PubMed Central

Bautista-Ballesteros, Juan Antonio; Bonaque, Jorge; Celada, Francisco; Lliso, Françoise; Carmona, Vicente; Gimeno-Olmos, Jose; Ouhib, Zoubir; Rosello, Joan; Perez-Calatayud, Jose

2016-01-01

Purpose Esteya® (Nucletron, an Elekta company, Elekta AB, Stockholm, Sweden) is an electronic brachytherapy device used for skin cancer lesion treatment. In order to establish an adequate level of quality of treatment, a risk analysis of the Esteya treatment process has been done, following the methodology proposed by the TG-100 guidelines of the American Association of Physicists in Medicine (AAPM). Material and methods A multidisciplinary team familiar with the treatment process was formed. This team developed a process map (PM) outlining the stages, through which a patient passed when subjected to the Esteya treatment. They identified potential failure modes (FM) and each individual FM was assessed for the severity (S), frequency of occurrence (O), and lack of detection (D). A list of existing quality management tools was developed and the FMs were consensually reevaluated. Finally, the FMs were ranked according to their risk priority number (RPN) and their S. Results 146 FMs were identified, 106 of which had RPN ≥ 50 and 30 had S ≥ 7. After introducing the quality management tools, only 21 FMs had RPN ≥ 50. The importance of ensuring contact between the applicator and the surface of the patient’s skin was emphasized, so the setup was reviewed by a second individual before each treatment session with periodic quality control to ensure stability of the applicator pressure. Some of the essential quality management tools are already being implemented in the installation are the simple templates for reproducible positioning of skin applicators, that help marking the treatment area and positioning of X-ray tube. Conclusions New quality management tools have been established as a result of the application of the failure modes and effects analysis (FMEA) treatment. However, periodic update of the FMEA process is necessary, since clinical experience has suggested occurring of further new possible potential failure modes. PMID:28115958

Living Outside the Gender Box in Mexico: Testimony of Transgender Mexican Asylum Seekers.

PubMed

Cheney, Marshall K; Gowin, Mary J; Taylor, E Laurette; Frey, Melissa; Dunnington, Jamie; Alshuwaiyer, Ghadah; Huber, J Kathleen; Garcia, Mary Camero; Wray, Grady C

2017-10-01

To explore preimmigration experiences of violence and postimmigration health status in male-to-female transgender individuals (n = 45) from Mexico applying for asylum in the United States. We used a document review process to examine asylum declarations and psychological evaluations of transgender Mexican asylum seekers in the United States from 2012. We coded documents in 2013 and 2014 using NVivo, a multidisciplinary team reviewed them, and then we analyzed them for themes. Mexican transgender asylum applicants experienced pervasive verbal, physical, and sexual abuse from multiple sources, including family, school, community, and police. Applicants also experienced discrimination in school and in the workplace. Applicants immigrated to the United States to escape persistent assaults and threats to their life. Applicants suffered health and psychological effects from their experiences in Mexico that affected opportunities in the United States for employment, education, and social inclusion. Additional social protections for transgender individuals and antidiscrimination measures in Mexican schools and workplaces are warranted as are increased mental health assessment and treatment, job training, and education services for asylum seekers in the United States.

Metrological analysis of the human foot: 3D multisensor exploration

NASA Astrophysics Data System (ADS)

Muñoz Potosi, A.; Meneses Fonseca, J.; León Téllez, J.

2011-08-01

In the podiatry field, many of the foot dysfunctions are mainly generated due to: Congenital malformations, accidents or misuse of footwear. For the treatment or prevention of foot disorders, the podiatrist diagnoses prosthesis or specific adapted footwear, according to the real dimension of foot. Therefore, it is necessary to acquire 3D information of foot with 360 degrees of observation. As alternative solution, it was developed and implemented an optical system of threedimensional reconstruction based in the principle of laser triangulation. The system is constituted by an illumination unit that project a laser plane into the foot surface, an acquisition unit with 4 CCD cameras placed around of axial foot axis, an axial moving unit that displaces the illumination and acquisition units in the axial axis direction and a processing and exploration unit. The exploration software allows the extraction of distances on three-dimensional image, taking into account the topography of foot. The optical system was tested and their metrological performances were evaluated in experimental conditions. The optical system was developed to acquire 3D information in order to design and make more appropriate footwear.

Application of ultraviolet, ozone, and advanced oxidation treatments to washwaters to destroy nitrosamines, nitramines, amines, and aldehydes formed during amine-based carbon capture.

PubMed

Shah, Amisha D; Dai, Ning; Mitch, William A

2013-03-19

Although amine-based CO(2) absorption is a leading contender for full-scale postcombustion CO(2) capture at power plants, concerns have been raised about the potential release of carcinogenic N-nitrosamines and N-nitramines formed by reaction of exhaust gas NO(x) with the amines. Experiments with a laboratory-scale pilot unit suggested that washwater units meant to scrub contaminants from absorber unit exhaust could potentially serve as a source of N-nitrosamines via reactions of residual NO(x) with amines accumulating in the washwater. Dosage requirements for the continuous treatment of the washwater recycle line with ultraviolet (UV) light for destruction of N-nitrosamines and N-nitramines, and with ozone or hydroxyl radical-based advanced oxidation processes (AOPs) for destruction of amines and aldehydes, were evaluated. Although <1000 mJ/cm(2) UV fluence was generally needed for 90% removal of a series of model N-nitrosamines and N-nitramines, 280-1000 mJ/cm(2) average fluence was needed for 90% removal of total N-nitrosamines in pilot washwaters associated with two different solvents. While AOPs were somewhat more efficient than ozone for acetaldehyde destruction, ozone was more efficient for amine destruction. Ozone achieved 90% amine removal in washwaters at 5-12 molar excess of ozone, indicating transferred dosage levels of ∼100 mg/L for 90% removal in a first-stage washwater unit, but likely only ∼10 mg/L if applied to a second-stage washwater. Accurate dosage and cost estimates would require pilot testing to capture synergies between UV and ozone treatments.

A toxicity reduction evaluation for an oily waste treatment plant exhibiting episodic effluent toxicity.

PubMed

Erten-Unal, M; Gelderloos, A B; Hughes, J S

1998-07-30

A Toxicity Reduction Evaluation (TRE) was conducted on the oily wastewater treatment plant (Plant) at a Naval Fuel Depot. The Plant treats ship and ballast wastes, berm water from fuel storage areas and wastes generated in the fuel reclamation plant utilizing physical/chemical treatment processes. In the first period of the project (Period I), the TRE included chemical characterization of the plant wastewaters, monitoring the final effluent for acute toxicity and a thorough evaluation of each treatment process and Plant operating procedures. Toxicity Identification Evaluation (TIE) procedures were performed as part of the overall TRE to characterize and identify possible sources of toxicity. Several difficulties were encountered because the effluent was saline, test organisms were marine species and toxicity was sporadic and unpredictable. The treatability approach utilizing enhancements, improved housekeeping, and operational changes produced substantial reductions in the acute toxicity of the final effluent. In the second period (Period II), additional acute toxicity testing and chemical characterization were performed through the Plant to assess the long-term effects of major unit process improvements for the removal of toxicity. The TIE procedures were also modified for saline wastewaters to focus on suspected class of toxicants such as surfactants. The TRE was successful in reducing acute toxicity of the final effluent through process improvements and operational modifications. The results indicated that the cause of toxicity was most likely due to combination of pollutants (matrix effect) rather than a single pollutant.

Informed consent recall and comprehension in orthodontics: traditional vs improved readability and processability methods.

PubMed

Kang, Edith Y; Fields, Henry W; Kiyak, Asuman; Beck, F Michael; Firestone, Allen R

2009-10-01

Low general and health literacy in the United States means informed consent documents are not well understood by most adults. Methods to improve recall and comprehension of informed consent have not been tested in orthodontics. The purposes of this study were to evaluate (1) recall and comprehension among patients and parents by using the American Association of Orthodontists' (AAO) informed consent form and new forms incorporating improved readability and processability; (2) the association between reading ability, anxiety, and sociodemographic variables and recall and comprehension; and (3) how various domains (treatment, risk, and responsibility) of information are affected by the forms. Three treatment groups (30 patient-parent pairs in each) received an orthodontic case presentation and either the AAO form, an improved readability form (MIC), or an improved readability and processability (pairing audio and visual cues) form (MIC + SS). Structured interviews were transcribed and coded to evaluate recall and comprehension. Significant relationships among patient-related variables and recall and comprehension explained little of the variance. The MIC + SS form significantly improved patient recall and parent recall and comprehension. Recall was better than comprehension, and parents performed better than patients. The MIC + SS form significantly improved patient treatment comprehension and risk recall and parent treatment recall and comprehension. Patients and parents both overestimated their understanding of the materials. Improving the readability of consent materials made little difference, but combining improved readability and processability benefited both patients' recall and parents' recall and comprehension compared with the AAO form.

Development of ZL400 Mine Cooling Unit Using Semi-Hermetic Screw Compressor and Its Application on Local Air Conditioning in Underground Long-Wall Face

NASA Astrophysics Data System (ADS)

Chu, Zhaoxiang; Ji, Jianhu; Zhang, Xijun; Yan, Hongyuan; Dong, Haomin; Liu, Junjie

2016-12-01

Aiming at heat injuries occurring in the process of deep coal mining in China, a ZL400 mine-cooling unit employing semi-hermetic screw compressor with a cooling capacity of 400 kW is developed. This paper introduced its operating principle, structural characteristics and technical indexes. By using the self-built testing platform, some parameters for indication of its operation conditions were tested on the ground. The results show that the aforementioned cooling unit is stable in operation: cooling capacity of the unit was 420 kW underground-test conditions, while its COP (coefficient of performance) reached 3.4. To address the issue of heat injuries existing in No. 16305 U-shaped long-wall ventilation face of Jining No. 3 coal mine, a local air conditioning system was developed with ZL400 cooling unit as the system's core. The paper presented an analysis of characteristics of the air current flowing in the air-mixing and cooling mode of ZL400 cooling unit used in air intake way. Through i-d patterns we described the process of the airflow treatment, such as cooling, mixing and heating, etc. The cooling system decreased dry bulb temperature on working face by 3°C on average and 3.8°C at most, while lowered the web bulb temperature by 3.6°C on average and 4.8°C at most. At the same time, it reduced relative humidity by 5% on average and 8.6% at most. The field application of the ZL400 cooling unit had gain certain effects in air conditioning and provided support for the solution of mine heat injuries in China in terms of technology and equipment.

Lessons Learned From Transitioning PEPFAR Track 1.0 Care and Treatment Programs: Case Studies in Financial Management Capacity Building in Zambia and Botswana.

PubMed

Kuehn, Chuck; Tidwell, George; Vhugen, Jann; Sharma, Anjali

2015-01-01

In 2008, the United States government mandated transition of internationally managed HIV care and treatment programs to local country ownership. Three case studies illustrate the US Health Resources Services Administration's fiscal assessment and technical assistance (TA) processes to strengthen local organizations' capabilities to absorb and manage United States government funding. Review of initial, TA and follow-up reports reveal that the 1 Botswanan and 2 Zambian organizations closed 10 of 17 financial capacity gaps, with Health Resources Services Administration assisting on 2. Zambian organizations requested and absorbed targeted TA on the basis of the consultant's desk review, their finance staff revised fiscal policies and procedures, and accordingly trained other staff. In Botswana, delays in integrating recommendations necessitated on-site TA for knowledge building and role modeling. Organizational maturity may explain differences in responsiveness, ownership, and required TA approaches. Clarifying expectations of capacity building, funding agreement, and nonmonetary donor involvement can help new organizations determine and act on intervening actions.

Endoscopic treatment of vesicoureteral reflux with polyacrylate polyalcohol copolymer and dextranomer/hyaluronic acid in adults.

PubMed

Turk, Akif; Selimoglu, Ahmet; Demir, Kadir; Celik, Osman; Saglam, Erkin; Tarhan, Fatih

2014-01-01

Aim of this study is to examine the effectiveness of dextranomer/hyaluronic acid copolymer and polyacrylate polyalcohol copolymer in endoscopic treatment of vesicoureteral reflux disease in adult patients with and without chronic renal failure. Thirty two patients (12 female, 20 male) with a total of 50 renal units were treated for vesicoureteral reflux. There were 26 (81%) chronic renal failure patients. The success of treatment was evaluated by voiding cystouretrography at 3rd and 12th months after subureteric injection. The persistence of reflux was considered as failure. Patients were divided into two groups according to injected material. Age, sex, grade of reflux and treatment results were recorded and evaluated. Reflux was scored as grade 1 in seven (14%), grade 2 in 16 (32%), grade 3 in 21 (42%) and grade 4 in six (12%) renal units. There was not patient with grade 5 reflux. Fourteen renal units (28%) were treated with dextranomer/hyaluronic acid copolymer (group 1) and 36 renal units (72%) were treated with polyacrylate polyalcohol copolymer (group 2). The overall treatment success was achieved at 40 renal units (80%). The treatment was successful at 11 renal units (79%) in group 1 and 29 renal units (81%) in group 2 (p = 0.71). There was not statistically significant difference between two groups with patients with chronic renal failure in terms of treatment success (p = 1.00). The effectiveness of two bulking agents was similar in treatment of vesicoureteral reflux disease in adult patients and patients with chronic renal failure.

Interim Status Closure Plan Open Burning Treatment Unit Technical Area 16-399 Burn Tray

DOE Office of Scientific and Technical Information (OSTI.GOV)

Vigil-Holterman, Luciana R.

2012-05-07

This closure plan describes the activities necessary to close one of the interim status hazardous waste open burning treatment units at Technical Area (TA) 16 at the Los Alamos National Laboratory (LANL or the Facility), hereinafter referred to as the 'TA-16-399 Burn Tray' or 'the unit'. The information provided in this closure plan addresses the closure requirements specified in the Code of Federal Regulations (CFR), Title 40, Part 265, Subparts G and P for the thermal treatment units operated at the Facility under the Resource Conservation and Recovery Act (RCRA) and the New Mexico Hazardous Waste Act. Closure of themore » open burning treatment unit will be completed in accordance with Section 4.1 of this closure plan.« less

Analysis of Quality Indicators for Colorectal Cancer Surgery in Units Accredited by the Spanish Association of Coloproctology.

PubMed

de la Portilla, Fernando; Builes, Sergio; García-Novoa, Alejandra; Espín, Eloy; Kreisler, Esther; Enríquez-Navascues, José María; Biondo, Sebastiano; Codina, Antonio

2018-04-01

Currently, there is growing interest in analyzing the results from surgical units and the implementation of quality standards in order to identify good healthcare practices. Due to this fact, the Spanish Association of Coloproctology (AECP) has developed a unit accreditation program that contemplates basic standards. The aim of this article is to evaluate and analyze the specific quality indicators for the surgical treatment of colorectal cancer, established by the program. Data were collected from colorectal units during the accreditation process. We analyzed prospectively collected data from elective colorectal surgeries at 18 Spanish coloproctology units during the period 2013-2017. Three main and four secondary quality indicators were considered. Colon and rectal surgeries were analyzed independently; furthermore, results were compared according to surgical approach. A total of 3090 patients were included in the analysis. The global anastomotic leak rate was 7.8% (6.6% colon vs 10.6% rectum), while the surgical site infection rate was 12.6% (11.4% colon vs 14.8% rectum). Overall 30-day mortality was 2.3%, and anastomotic leak-related mortality was 10.2%. There were higher surgical site infection and mortality rates in the patients operated by open approach, however there was no difference in the anastomotic leak rate when compared with minimally invasive approaches. The evaluation of these results has determined optimal quality indices for the units accredited in the treatment of colorectal cancer. Furthermore, it allows us to establish realistic references in our country, thereby providing a better understanding and comparison of outcomes. Copyright © 2018 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

Clinical prospective evaluation of zirconia-based three-unit posterior fixed dental prostheses: Up-to ten-year results.

PubMed

Ioannidis, Alexis; Bindl, Andreas

2016-04-01

Only a few studies exist, which assess the clinical long-term behavior of all-ceramic FDPs in the posterior region. The aim of the present prospective clinical study was to evaluate the clinical performance of posterior three-unit FDPs manufactured from Y-TZP after a service period up to 10 years. 55 patients received 59 three-unit FDPs in the posterior region of the maxilla or mandible. Abutment teeth were prepared and full-arch impressions were taken. Definitive casts were fabricated and optically scanned. Frameworks were fabricated with computer-aided design (CAD) and manufacturing (CAM) technology. Y-TZP frameworks were veneered and adhesively luted to the abutment teeth. Baseline and follow-up examinations (service time: ≥ 48 months) were recorded by applying modified United States Public Health Services (USPHS) rating criteria. Cumulative survival rate was analyzed with Kaplan-Meier. Percentage of biological and technical complication was calculated. Fifty-three patients with 57 FDPs attended the last follow-up visit and a mean observation period of the remaining was 6.3 ± 1.9 years was calculated. Biological complications occurred in 17.5%, technical complications in 28% of the FDPs. The 10-year cumulative survival rate amounted 85.0%. Three FDPs failed to survive, two due to a root fracture of the abutment tooth and one due to secondary caries. Three-unit FDPs made from Y-TZP, veneered with ceramic offer a treatment option with a high rate of chipping. However, the manufacturing processes nowadays are modified in order to avoid this complication. The results of the present investigation suggest that three-unit Y-TZP posterior FDPs may are a possible treatment option. However, a high rate of chipping can be expected. Copyright © 2016. Published by Elsevier Ltd.

A cost-benefit analysis of a proposed overseas refugee latent tuberculosis infection screening and treatment program.

PubMed

Wingate, La'Marcus T; Coleman, Margaret S; de la Motte Hurst, Christopher; Semple, Marie; Zhou, Weigong; Cetron, Martin S; Painter, John A

2015-12-01

This study explored the effect of screening and treatment of refugees for latent tuberculosis infection (LTBI) before entrance to the United States as a strategy for reducing active tuberculosis (TB). The purpose of this study was to estimate the costs and benefits of LTBI screening and treatment in United States bound refugees prior to arrival. Costs were included for foreign and domestic LTBI screening and treatment and the domestic treatment of active TB. A decision tree with multiple Markov nodes was developed to determine the total costs and number of active TB cases that occurred in refugee populations that tested 55, 35, and 20 % tuberculin skin test positive under two models: no overseas LTBI screening and overseas LTBI screening and treatment. For this analysis, refugees that tested 55, 35, and 20 % tuberculin skin test positive were divided into high, moderate, and low LTBI prevalence categories to denote their prevalence of LTBI relative to other refugee populations. For a hypothetical 1-year cohort of 100,000 refugees arriving in the United States from regions with high, moderate, and low LTBI prevalence, implementation of overseas screening would be expected to prevent 440, 220, and 57 active TB cases in the United States during the first 20 years after arrival. The cost savings associated with treatment of these averted cases would offset the cost of LTBI screening and treatment for refugees from countries with high (net cost-saving: $4.9 million) and moderate (net cost-saving: $1.6 million) LTBI prevalence. For low LTBI prevalence populations, LTBI screening and treatment exceed expected future TB treatment cost savings (net cost of $780,000). Implementing LTBI screening and treatment for United States bound refugees from countries with high or moderate LTBI prevalence would potentially save millions of dollars and contribute to United States TB elimination goals. These estimates are conservative since secondary transmission from tuberculosis cases in the United States was not considered in the model.

Factors associated with smoking cessation

PubMed Central

França, Samires Avelino de Souza; Neves, Ana Ligian Feitosa das; de Souza, Tatiane Andressa Santos; Martins, Nandara Celana Negreiros; Carneiro, Saul Rassy; Sarges, Edilene do Socorro Nascimento Falcão; de Souza, Maria de Fátima Amine Houat

2015-01-01

OBJECTIVE To analyze the prevalence and factors associated with smoking abstinence among patients who were treated in a reference unit for smoking cessation. METHODS This cross-sectional study examined the medical records of 532 patients treated in a reference unit for smoking cessation in Belém, PA, Northern Brazil, between January 2010 and June 2012. Sociodemographic variables and those related to smoking history and treatment were analyzed. Statistical significance was set at p < 0.05. RESULTS The mean age of the participants was 50 years; 57.0% of the patients were women. The mean tobacco load was 30 packs/year, and the mean smoking duration was approximately 32 years. Most patients remained in treatment for four months. The rate of smoking abstinence was 75.0%. Regression analysis indicated that maintenance therapy, absence of relapse triggers, and lower chemical dependence were significantly associated with smoking cessation. CONCLUSIONS The smoking abstinence rate observed was 75.0%. The cessation process was associated with several aspects, including the degree of chemical dependence, symptoms of withdrawal, and period of patient follow-up in a multidisciplinary treatment program. Studies of this nature contribute to the collection of consistent epidemiological data and are essential for the implementation of effective smoking prevention and cessation strategies. PMID:25741649

Overview of air biofiltration - basic technology, economics and integration with other control technologies for effective treatment of air toxics

DOE Office of Scientific and Technical Information (OSTI.GOV)

Govind, R.; Bishop, D.F.

1996-12-31

This paper provides an overview of air biofiltration with experimental data on the performance of peat/compost, pelletized packed bed and structured media biofilters. It is shown that use of high surface area per unit volume structured media results in higher contaminant treatment rates per unit biofilter volume. Peat/compost biofilters exhibit lower removal efficiencies at high (> 100 ppmv) inlet contaminant concentrations and require control of media moisture content. Increase of temperature results in increasing biodegradation rates. It is shown that use of structured ceramic media allows effective control of biomass buildup by continuous removal of biomass from the biofilter mediamore » and that the biomass removal rate depends on nutrient flowrate. An experimental system is presented which enables biofilm kinetics to be determined and a simple biofilter model is developed in this paper. A group contribution approach has been developed to estimate biokinetic parameter which allows biofiltration effectiveness to be determined for a variety of volatile organic compounds (VOCs). Finally, a procedure is presented, illustrated by an example, which is used to develop an integrated process for effective treatment of air contaminants. 22 refs., 12 figs., 4 tabs.« less

Dechlorination of small quantities of mixed waste from a DOE site

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hoeffner, S.L.

1994-12-31

Sludge from tank bottoms containing PCB`s, radioactivity and hazardous constituents are present in several tanks at one of the National Laboratories. Disposal of the material can proceed if the material is removed from TSCA regulations by decreasing the concentration of the PCB`s to {le}2 ppm. ON the bench scale, this sludge was treated by the DECHLOR/KGME{sup {trademark}} chemical dechlorination process. The levels of PCB`s were reduced to below 2 ppm, allowing the material to be managed outside the TSCA regulations. RUST believes that this is the first successful chemical dechlorination of a radioactive, RCRA listed, PCB bearing waste. A pilotmore » scale unit is available to provide on-site treatment of the remaining waste. Because of the small amounts of waste, treatment costs are high on a per unit volume. As a result of these high costs and other concerns the client is investigating potential non-treatment options of delisting the waste of obtaining a waiver. In the event that this particular waste cannot be delisted or a waiver is not granted, then dechlorination of the waste to remove it from TSCA regulations remains a viable option to allow the material to be disposed.« less

Reliability and performance of a system-on-a-chip by predictive wear-out based activation of functional components

DOEpatents

Cher, Chen-Yong; Coteus, Paul W; Gara, Alan; Kursun, Eren; Paulsen, David P; Schuelke, Brian A; Sheets, II, John E; Tian, Shurong

2013-10-01

A processor-implemented method for determining aging of a processing unit in a processor the method comprising: calculating an effective aging profile for the processing unit wherein the effective aging profile quantifies the effects of aging on the processing unit; combining the effective aging profile with process variation data, actual workload data and operating conditions data for the processing unit; and determining aging through an aging sensor of the processing unit using the effective aging profile, the process variation data, the actual workload data, architectural characteristics and redundancy data, and the operating conditions data for the processing unit.

Stochastic treatment of electron multiplication without scattering in dielectrics

NASA Technical Reports Server (NTRS)

Lin, D. L.; Beers, B. L.

1981-01-01

By treating the emission of optical phonons as a Markov process, a simple analytic method is developed for calculating the electronic ionization rate per unit length for dielectrics. The effects of scattering from acoustic and optical phonons are neglected. The treatment obtains universal functions in recursive form, the theory depending on only two dimensionless energy ratios. A comparison of the present work with other numerical approaches indicates that the effect of scattering becomes important only when the electric potential energy drop in a mean free path for optical-phonon emission is less than about 25% of the ionization potential. A comparison with Monte Carlo results is also given for Teflon.

Incidental intrathecal injection of meglumine diatrizoate.

PubMed

Masjedi, Mansour; Khosravi, Abbas; Sabetian, Golnar; Rahmanian, Mohammad Reza

2014-05-01

Myelograghy is a process of instilling contrast medium to the subarachnoid space for evaluating the spinal column by radiography. There are various contrast solutions for different radiographic studies but not all of them are suitable for spinal column evaluation. Our patient was a 60-year-old man who developed severe pain, tonic clonic convulsions and cardiopulmonary arrest after intrathecal injection of 14 mL of meglumine diatrizoate during an elective myelography procedure. Many of these cases would die or suffer from permanent sequelae if appropriate treatment is not received. Our subject recovered completely without any sequelae after receiving appropriate treatment in a multidisciplinary intensive care unit.

Development and Monitoring the Key Performance Indicators of the Quality of Care for Patients with Cleft Lips/Palates at Srinagarind Hospital.

PubMed

Mongkhonthawornchai, Siriporn; Pradubwong, Suteera; Augsornwan, Darawan; Pathumwiwatana, Pornpen; Sroyhin, Waranya; Pongpagatip, Sumalee; Wongkham, Jamras; Wachirapakorn, Jantira; Lao-unka, Kesorn; Mucnamporn, Tippawan; Chowchuen, Bowornsilp

2015-08-01

Congenital deformities, such as cleft lips and/or cleft palates (CLP), have high incidences in the Northeast of Thailand. These birth defects can affect patient's quality of life. CLP patients need crucial and long-term treatments by a multidisciplinary team starting from prenatal stage to late adulthood. Patients and their families should involve in their own care, and their care objectives should correspond with healthcare providers. Besides the clinical outcome of interdisciplinary team, key performance indicators (KPIs) need to be developed in the hospital service unit in order to improve quality of care and treatment outcomes. 1) to establish KPIs in hospital service units, and 2) to develop the information system to collect, analysis and improve the quality of CLP care. A nurse coordinator was appointed in the Tawanchai Center to coordinate care. The three periods were conducted for the nurse coordinator to work with nine service units in Srinagarind Hospital for consensus on both qualitative and quantitative data to be used as service unit quality measurement. Thirty one KPIs from nine service units were established, collected and analyzed during a four-month period in 2014. The 20 KPIs achieved the unit targets. Two PKIs of the rates of complication with anesthesia during/after surgery in the first 24 hours and the rates of patient/caregiver's satisfaction in acquiring information from the officer were improving. There were 11 KPIs that did not achieve the targets. The coordinator nurse of the Tawanchai Center discussed with the service unit for the cause and how to improve the outcome. The monitoring KPIs will lead to improvement of outcome for better patient quality as well as benchmarking with other hospitals of Cleft Center. The KPIs from hospital service units with the monitoring and analysis of information by the nurse coordinator will enhance and lead to improvement of the quality of the patients and family centered care process.

Device and method to enhance availability of cluster-based processing systems

NASA Technical Reports Server (NTRS)

Lupia, David J. (Inventor); Ramos, Jeremy (Inventor); Samson, Jr., John R. (Inventor)

2010-01-01

An electronic computing device including at least one processing unit that implements a specific fault signal upon experiencing an associated fault, a control unit that generates a specific recovery signal upon receiving the fault signal from the at least one processing unit, and at least one input memory unit. The recovery signal initiates specific recovery processes in the at least one processing unit. The input memory buffers input data signals input to the at least one processing unit that experienced the fault during the recovery period.

Appropriate drinking water treatment processes for organic micropollutants removal based on experimental and model studies - a multi-criteria analysis study.

PubMed

Sudhakaran, Sairam; Lattemann, Sabine; Amy, Gary L

2013-01-01

The presence of organic micropollutants (OMPs), pharmaceuticals and personal care products (PPCPs) in potable water is of great environmental and public health concern. OMPs are included in the priority list of contaminants in United States EPA and European framework directives. Advanced treatment processes such as reverse osmosis, nanofiltration, ozonation and adsorption are the usual industry-recommended processes for OMPs removal, however, natural systems, e.g., riverbank filtration and constructed wetlands, are also potentially efficient options for OMPs removal. In this study, a decision support system (DSS) based on multi-criteria analysis (MCA) was created to compare processes for OMPs removal under various criteria. Multi-criteria analysis (MCA), a transparent and reliable procedure, was adopted. Models were built for both experimental and predicted percent-removals for a range of OMPs reflecting different physicochemical properties. The experimental percent-removals for several processes (riverbank filtration (RBF), ozonation, advanced oxidation, adsorption, reverse osmosis, and nanofiltration) were considered. The predicted percent-removals were taken from validated quantitative structure activity relationship (QSAR) models. Analytical methods to detect OMPs in water are very laborious, thus a modeling approach such as QSAR is an attractive option. A survey among two groups of participants including academics (PhD students and post-doctoral research associates) and industry (managers and operators) representatives was conducted to assign weights for the following criteria: treatability, costs, technical considerations, sustainability and time. The process rankings varied depending on the contaminant species and personal preferences (weights). The results indicated that RBF and oxidation were preferable over adsorption and membranes processes. The results also suggest that the use of a hybrid treatment process, e.g., combining a natural system with an advanced treatment (oxidation) process, may provide benefits for OMPs removal. The proposed DSS can be used as a screening tool for experimental planning or a feasibility study preceding the main treatment system selection and design. It can also be considered as an aid in assessing a multi-barrier approach to remove OMPs. Copyright © 2012 Elsevier B.V. All rights reserved.

How the states stack up: disparities in substance abuse outpatient treatment completion rates for minorities.

PubMed

Arndt, Stephan; Acion, Laura; White, Kristin

2013-10-01

This study was an exploratory investigation of state-level minority disparities in successfully completing outpatient treatment, a major objective for attending substance abuse treatment and a known process outcome measure. This was a retrospective analysis of state discharge and admission data from the 2006 to 2008 Treatment Episode Datasets-Discharge (TEDS-D). Data were included representing all discharges from outpatient substance abuse treatment centers across the United States. All first treatment episode clients with admission/discharge records meeting inclusion criteria who could be classified as White, Latino, or Black/African American were used (n=940,058). States demonstrated racial and ethnic disparities in their crude and adjusted completion rates, which also varied considerably among the states. Minorities typically showed a disadvantage. A few states showed significantly higher completion rates for Blacks or Latinos. Realistically, a variety of factors likely cause the state race/ethnic differences in successful completion rates. States should investigate their delivery systems to reduce completion disparities. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Integration of intensive care treatment and neurorehabilitation in patients with disorders of consciousness: a program description and case report.

PubMed

Eifert, Bernd; Maurer-Karattup, Petra; Schorl, Martin

2013-10-01

Severe brain injuries frequently result in disorders of consciousness, requiring intensive care unit treatment. We present a rehabilitative system that integrates neurorehabilitation into intensive care treatment. The system will be described using the case report of a young man who was in a vegetative state after a severe traumatic brain injury that resulted in major medical problems and complications. Despite these challenges, interdisciplinary therapies can be applied throughout the rehabilitative process. The patient in our case report showed significant improvements and functional gains during the course of treatment. Additional data from other patients support the feasibility of this system and show that integrating neurorehabilitation into intensive care treatment is possible and can lead to improved outcomes in this patient population. We will discuss the advantages, special features, and limitations of the system. Additional studies are needed to further demonstrate the efficacy of this approach compared with standard treatment. Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Development of action levels for MED/MPD skin-testing units in ultraviolet phototherapy

NASA Astrophysics Data System (ADS)

O'Connor, Una M.; O'Hare, Neil J.

2003-03-01

Ultraviolet (UV) Phototherapy is commonly used for treatment of skin diseases such as psoriasis and eczema. Treatment is carried out using UV phototherapy units, exposing all or part of the body for a certain exposure time. Prior to exposure in treatment units, an unaffected area of skin may be tested using UV skin-testing units in order to determine a suitable treatment regime. The exposure time at which barely perceptible erythema has developed is known as the Minimal Erythemal Dose (MED) for UVB therapy and Minimal Phototoxic Dose (MPD) for UVA therapy. This is used to determine the starting dose in the treatment regime. The presence of 'hotspots' and 'coldspots' in UV skin-testing units can result in inaccurate determination of MED/MPD. This could give rise to severe burns during treatment, or in a sub-optimal dose regime being used. Quality assurance protocols for UV phototherapy equipment have recently been developed and these protocols have highlighted the need for action levels for skin-testing units. An action level is a reference value, which is used to determine whether the difference in irradiance output level across a UV unit is acceptable. Current methodologies for skin-testing in Ireland have been characterised and errors introduced during testing have been estimated. Action levels have been developed based on analysis of errors and requirements of skin-testing.

Quantification of greenhouse gas (GHG) emissions from wastewater treatment plants using a ground-based remote sensing approach

NASA Astrophysics Data System (ADS)

Delre, Antonio; Mønster, Jacob; Scheutz, Charlotte

2016-04-01

The direct release of nitrous oxide (N2O) and methane (CH4) from wastewater treatment plants (WWTP) is important because it contributes to the global greenhouse gases (GHGs) release and strongly effects the WWTP carbon footprint. Biological nitrogen removal technologies could increase the direct emission of N2O (IPCC, 2006), while CH4 losses are of environmental, economic and safety concern. Currently, reporting of N2O and CH4 emissions from WWTPs are performed mainly using methods suggested by IPCC which are not site specific (IPCC, 2006). The dynamic tracer dispersion method (TDM), a ground based remote sensing approach implemented at DTU Environment, was demonstrated to be a novel and successful tool for full-scale CH4 and N2O quantification from WWTPs. The method combines a controlled release of tracer gas from the facility with concentration measurements downwind of the plant (Mønster et al., 2014; Yoshida et al., 2014). TDM in general is based on the assumption that a tracer gas released at an emission source, in this case a WWTP, disperses into the atmosphere in the same way as the GHG emitted from process units. Since the ratio of their concentrations remains constant along their atmospheric dispersion, the GHG emission rate can be calculated using the following expression when the tracer gas release rate is known: EGHG=Qtr*(CGHG/Ctr)*(MWGHG/MWtr) EGHG is the GHG emission in mass per time, Qtr is the tracer release in mass per time, CGHG and Ctr are the concentrations measured downwind in parts per billion subtracted of their background values and integrated over the whole plume, and MWGHG and MWtr are the molar weights of GHG and tracer gas respectively (Mønster et al. 2014). In this study, acetylene (C2H2) was used as tracer. Downwind plume concentrations were measured driving along transects with two cavity ring down spectrometers (Yoshida et al., 2014). TDM was successfully applied in different seasons at several Scandinavian WWTPs characterized by different capacity, process unit technologies and locations. The method was applied at plants with different combination of nitrogen removal technologies and sewage sludge treatment. According to the plant capacity and technologies, quantified emissions ranged in the following intervals: from 0.7 to 3.4 kg N2O/h and from 1.1 to 17.6 kg CH4/h. In addition to quantifying the whole emission from the facilities, main sources in the plants were identified. While CH4 was generally emitted from sludge treatment areas, N2O was detected from nitrogen removal technologies both in the main stream and in the side treatment. Process units like biosolids storage and aeration tanks were the only units releasing both GHGs, although in different magnitude. References IPCC, 2006. Guidelines for National Greenhouse Gas Inventories, Volume 5 - Waste. Mønster, J., Samuelsson, J., Kjeldsen, P., Rella, C.W., Scheutz, C., 2014. Quantifying methane emission from fugitive sources by combining tracer release and downwind measurements - a sensitivity analysis based on multiple field surveys. Waste Manag. 34, 1416-28. doi:10.1016/j.wasman.2014.03.025 Yoshida, H., Mønster, J., Scheutz, C., 2014. Plant-integrated measurement of greenhouse gas emissions from a municipal wastewater treatment plant. Water Res. 1, 108-118. doi:10.1016/j.watres.2014.05.014

300 Area waste acid treatment system closure plan

DOE Office of Scientific and Technical Information (OSTI.GOV)

LUKE, S.N.

1999-05-17

The Hanford Facility Dangerous Waste Permit Application is considered to be a single application organized into a General Information Portion (document number DOERL-91-28) and a Unit-Specific Portion. The scope of the Unit-Specific Portion includes closure plan documentation submitted for individual, treatment, storage, and/or disposal units undergoing closure, such as the 300 Area Waste Acid Treatment System. Documentation contained in the General Information Portion is broader in nature and could be used by multiple treatment, storage, and/or disposal units (e.g., the glossary provided in the General Information Portion). Whenever appropriate, 300 Area Waste Acid Treatment System documentation makes cross-reference to themore » General Information Portion, rather than duplicating text. This 300 Area Waste Acid Treatment System Closure Plan (Revision 2) includes a Hanford Facility Dangerous Waste Permit Application, Part A, Form 3. Information provided in this closure plan is current as of April 1999.« less

40 CFR 63.1589 - What records must I keep?

Code of Federal Regulations, 2010 CFR

2010-07-01

... Standards for Hazardous Air Pollutants: Publicly Owned Treatment Works Non-Industrial Potw Treatment Plant... section: (1) A record for each treatment unit inspection required by § 63.1588(a). You must include a treatment unit identification number (or other unique identification description as selected by you) and the...

In-situ sludge reduction and carbon reuse in an anoxic/oxic process coupled with hydrocyclone breakage.

PubMed

Xu, Yinxiang; Fang, Yuanyuan; Wang, Zhenhua; Guo, Dan; Liu, Yi; Huang, Yuan; Fu, Pengbo; Jin, Juehui; Wei, Chenwen; Wang, Hualin; Zeng, Tao

2018-05-09

The long-term performance of an anoxic-oxic-hydrocyclone (AOH) process with an in-situ hydrocyclone treatment unit in the mixed liquid return line for sludge reduction and carbon reuse has been observed, in comparison with a conventional anoxic-oxic (AO) process. Three parallel side-stream systems, including one AOH 25 system with a 25-mm hydrocyclone, one AOH 35 system with a 35-mm hydrocyclone and one AO system, were built and fed with real wastewater for a comparative study in a wastewater treatment plant. The results demonstrate that the hydrocyclone in the AOH process was able to break macro-flocs into smaller flocs. And the desorption of the extracellular polymeric substance from return activated sludge (AS) leaded to an average increase of 62.97% and 36.36% in SCOD in the AOH 25 and AOH 35 system, respectively. In addition, shear forces, centrifugal forces of revolution and flocs' rotation in the hydrocyclone were proposed to be the main influence mechanism of hydrocyclone treatment on AS properties. Compared with the AO process, the SCOD concentration in the effluent of the AOH processes presented a decrease of 12.0 mg/L and the TN was reduced by 21.50% owing to the released carbon sources reuse. Moreover, the sludge production was reduced by 36.81% and 35.92% in the AOH 25 and AOH 35 process, respectively. By contrast, the AOH 25 system was better than the AOH 35 system. Copyright © 2018 Elsevier Ltd. All rights reserved.

Microbial safety and overall quality of cantaloupe fresh-cut pieces prepared from whole fruit after wet steam treatment.

PubMed

Ukuku, Dike O; Geveke, David J; Chau, Lee; Niemira, Brendan A

2016-08-16

Fresh-cut cantaloupes have been associated with outbreaks of Salmonellosis. Minimally processed fresh-cut fruits have a limited shelf life because of deterioration caused by spoilage microflora and physiological processes. The objectives of this study were to use a wet steam process to 1) reduce indigenous spoilage microflora and inoculated populations of Salmonella, Escherichia coli O157:H7 and Listeria monocytogenes on the surface of cantaloupes, and 2) reduce the populations counts in cantaloupe fresh-cut pieces after rind removal and cutting. The average inocula of Salmonella, E. coli O157:H7 and Listeria monocytogenes was 10(7)CFU/ml and the populations recovered on the cantaloupe rind surfaces after inoculation averaged 4.5, 4.8 and 4.1logCFU/cm(2), respectively. Whole cantaloupes were treated with a wet steam processing unit for 180s, and the treated melons were stored at 5°C for 29days. Bacterial populations in fresh-cut pieces prepared from treated and control samples stored at 5 and 10°C for up to 12days were determined and changes in color (CIE L*, a*, and b*) due to treatments were measured during storage. Presence and growth of aerobic mesophilic bacteria and Salmonella, E. coli O157:H7 and L. monocytogenes were determined in fresh-cut cantaloupe samples. There were no visual signs of physical damage on all treated cantaloupe surfaces immediately after treatments and during storage. All fresh-cut pieces from treated cantaloupes rind surfaces were negative for bacterial pathogens even after an enrichment process. Steam treatment significantly (p<0.05) changed the color of the fresh-cut pieces. Minimal wet steam treatment of cantaloupes rind surfaces designated for fresh-cut preparation will enhance the microbial safety of fresh-cut pieces, by reducing total bacterial populations. This process holds the potential to significantly reduce the incidence of foodborne illness associated with fresh-cut fruits. Published by Elsevier B.V.

Impact of Enhanced Health Interventions for United States-Bound Refugees: Evaluating Best Practices in Migration Health.

PubMed

Mitchell, Tarissa; Lee, Deborah; Weinberg, Michelle; Phares, Christina; James, Nicola; Amornpaisarnloet, Kittisak; Aumpipat, Lalita; Cooley, Gretchen; Davies, Anita; Tin Shwe, Valerie Daw; Gajdadziev, Vasil; Gorbacheva, Olga; Khwan-Niam, Chutharat; Klosovsky, Alexander; Madilokkowit, Waritorn; Martin, Diana; Htun Myint, Naing Zaw; Yen Nguyen, Thi Ngoc; Nutman, Thomas B; O'Connell, Elise M; Ortega, Luis; Prayadsab, Sugunya; Srimanee, Chetdanai; Supakunatom, Wasant; Vesessmith, Vattanachai; Stauffer, William M

2018-03-01

With an unprecedented number of displaced persons worldwide, strategies for improving the health of migrating populations are critical. United States-bound refugees undergo a required overseas medical examination to identify inadmissible conditions (e.g., tuberculosis) 2-6 months before resettlement, but it is limited in scope and may miss important, preventable infectious, chronic, or nutritional causes of morbidity. We sought to evaluate the feasibility and health impact of diagnosis and management of such conditions before travel. We offered voluntary testing for intestinal parasites, anemia, and hepatitis B virus infection, to U.S.-bound refugees from three Thailand-Burma border camps. Treatment and preventive measures (e.g., anemia and parasite treatment, vaccination) were initiated before resettlement. United States refugee health partners received overseas results and provided post-arrival medical examination findings. During July 9, 2012 to November 29, 2013, 2,004 refugees aged 0.5-89 years enrolled. Among 463 participants screened for seven intestinal parasites overseas and after arrival, helminthic infections decreased from 67% to 12%. Among 118 with positive Strongyloides -specific antibody responses, the median fluorescent intensity decreased by an average of 81% after treatment. The prevalence of moderate-to-severe anemia (hemoglobin < 10 g/dL) was halved from 14% at baseline to 7% at departure (McNemar P = 0.001). All 191 (10%) hepatitis B-infected participants received counseling and evaluation; uninfected participants were offered vaccination. This evaluation demonstrates that targeted screening, treatment, and prevention services can be conducted during the migration process to improve the health of refugees before resettlement. With more than 250 million migrants globally, this model may offer insights into healthier migration strategies.

Impact of Enhanced Health Interventions for United States–Bound Refugees: Evaluating Best Practices in Migration Health

PubMed Central

Mitchell, Tarissa; Lee, Deborah; Weinberg, Michelle; Phares, Christina; James, Nicola; Amornpaisarnloet, Kittisak; Aumpipat, Lalita; Cooley, Gretchen; Davies, Anita; Tin Shwe, Valerie Daw; Gajdadziev, Vasil; Gorbacheva, Olga; Khwan-Niam, Chutharat; Klosovsky, Alexander; Madilokkowit, Waritorn; Martin, Diana; Htun Myint, Naing Zaw; Yen Nguyen, Thi Ngoc; Nutman, Thomas B.; O’Connell, Elise M.; Ortega, Luis; Prayadsab, Sugunya; Srimanee, Chetdanai; Supakunatom, Wasant; Vesessmith, Vattanachai; Stauffer, William M.

2018-01-01

Abstract. With an unprecedented number of displaced persons worldwide, strategies for improving the health of migrating populations are critical. United States–bound refugees undergo a required overseas medical examination to identify inadmissible conditions (e.g., tuberculosis) 2–6 months before resettlement, but it is limited in scope and may miss important, preventable infectious, chronic, or nutritional causes of morbidity. We sought to evaluate the feasibility and health impact of diagnosis and management of such conditions before travel. We offered voluntary testing for intestinal parasites, anemia, and hepatitis B virus infection, to U.S.-bound refugees from three Thailand–Burma border camps. Treatment and preventive measures (e.g., anemia and parasite treatment, vaccination) were initiated before resettlement. United States refugee health partners received overseas results and provided post-arrival medical examination findings. During July 9, 2012 to November 29, 2013, 2,004 refugees aged 0.5–89 years enrolled. Among 463 participants screened for seven intestinal parasites overseas and after arrival, helminthic infections decreased from 67% to 12%. Among 118 with positive Strongyloides-specific antibody responses, the median fluorescent intensity decreased by an average of 81% after treatment. The prevalence of moderate-to-severe anemia (hemoglobin < 10 g/dL) was halved from 14% at baseline to 7% at departure (McNemar P = 0.001). All 191 (10%) hepatitis B–infected participants received counseling and evaluation; uninfected participants were offered vaccination. This evaluation demonstrates that targeted screening, treatment, and prevention services can be conducted during the migration process to improve the health of refugees before resettlement. With more than 250 million migrants globally, this model may offer insights into healthier migration strategies. PMID:29260657

Fungal fermentation on anaerobic digestate for lipid-based biofuel production.

PubMed

Zhong, Yuan; Liu, Zhiguo; Isaguirre, Christine; Liu, Yan; Liao, Wei

2016-01-01

Anaerobic digestate is the effluent from anaerobic digestion of organic wastes. It contains a significant amount of nutrients and lignocellulosic materials, even though anaerobic digestion consumed a large portion of organic matters in the wastes. Utilizing the nutrients and lignocellulosic materials in the digestate is critical to significantly improve efficiency of anaerobic digestion technology and generate value-added chemical and fuel products from the organic wastes. Therefore, this study focused on developing an integrated process that uses biogas energy to power fungal fermentation and converts remaining carbon sources, nutrients, and water in the digestate into biofuel precursor-lipid. The process contains two unit operations of anaerobic digestion and digestate utilization. The digestate utilization includes alkali treatment of the mixture feed of solid and liquid digestates, enzymatic hydrolysis for mono-sugar release, overliming detoxification, and fungal fermentation for lipid accumulation. The experimental results conclude that 5 h and 30 °C were the preferred conditions for the overliming detoxification regarding lipid accumulation of the following fungal cultivation. The repeated-batch fungal fermentation enhanced lipid accumulation, which led to a final lipid concentration of 3.16 g/L on the digestate with 10% dry matter. The mass and energy balance analysis further indicates that the digestate had enough water for the process uses and the biogas energy was able to balance the needs of individual unit operations. A fresh-water-free and energy-positive process of lipid production from anaerobic digestate was achieved by integrating anaerobic digestion and fungal fermentation. The integration addresses the issues that both biofuel industry and waste management encounter-high water and energy demand of biofuel precursor production and few digestate utilization approaches of organic waste treatment.

[Intensive care medicine-survival and prospect of life].

PubMed

Valentin, A

2017-10-01

Intensive care medicine has achieved a significant increase in survival rates from critical illness. In addition to short-term outcomes like intensive care unit or hospital mortality, long-term prognosis and prospect of life of intensive care patients have recently become increasingly important. Pure survival is no longer a sole goal of intensive care medicine. The prediction of an intensive care patient's individual course should include the period after intensive care. A relevant proportion of all intensive care patients is affected by physical, psychological, cognitive, and social limitations after discharge from the intensive care unit. The prognosis of the status of the patient after discharge from the intensive care unit is an important part of the decision-making process with respect to the implementation or discontinuation of intensive care measures. The heavy burden of intensive care treatment should not solely be argued by pure survival but an anticipated sound prospect of life.

Patient safety challenges in a case study hospital--of relevance for transfusion processes?

PubMed

Aase, Karina; Høyland, Sindre; Olsen, Espen; Wiig, Siri; Nilsen, Stein Tore

2008-10-01

The paper reports results from a research project with the objective of studying patient safety, and relates the finding to safety issues within transfusion medicine. The background is an increased focus on undesired events related to diagnosis, medication, and patient treatment in general in the healthcare sector. The study is designed as a case study within a regional Norwegian hospital conducting specialised health care services. The study includes multiple methods such as interviews, document analysis, analysis of error reports, and a questionnaire survey. Results show that the challenges for improved patient safety, based on employees' perceptions, are hospital management support, reporting of accidents/incidents, and collaboration across hospital units. Several of these generic safety challenges are also found to be of relevance for a hospital's transfusion service. Positive patient safety factors are identified as teamwork within hospital units, a non-punitive response to errors, and unit manager's actions promoting safety.

Pressure-assisted thermal sterilization of soup

NASA Astrophysics Data System (ADS)

Shibeshi, Kidane; Farid, Mohammed M.

2010-12-01

The overall efficiency of an existing scale-up pressure-assisted thermal sterilization (PATS) unit was investigated with regards to inactivation of Geobacillus stearothermophilus spores suspended in pumpkin soup. The PATS unit is a double pipe heat exchanger in which the soup is pumped into its inner high pressure tube and constrained by two high pressure valves, while steam is continuously passed through the annular region to heat the content. The technology is based on pressure generation by thermal expansion of the liquid in an enclosure. In this work, the addition of an air line to push the treated liquid food out of the existing PATS unit has improved the overall quality of the treated samples, as evidenced by achieving higher log reduction of the spores. Compared with thermal processing, the application of PATS shows the potential for lowering the thermal treatment temperature, offering improved food quality.

Development of flame resistant treatment for Nomex fibrous structures

NASA Technical Reports Server (NTRS)

Toy, M. S.

1977-01-01

Flame resistant fibrous materials for space shuttle application were developed through chemical modification of commercially available aromatic polyamide fibrous products. The new surface treatment was achieved in the laboratory by ultraviolet activation of the fabric in the presence of fluoroolefin monomers and a diluent gas. The monomers grafted under these conditions provide the improved properties of the fabric in flame resistance, chemical inertness, and nonwettability without the sacrifice of color or physical properties. The laboratory reaction vessel was scaled-up to a batch continuous process, which treats ten yards of the commercial width textiles. The treated commercial width Nomex (HT-10-41) from the scaled-up reactor is self-extinguishing in an oxygen-enriched environment, water-repellent, soft, silky, and improved in chemical resistance. Unlike most textile processes, the grafting unit operates under dry conditions and no chemical by-products have to be washed out of the finished product.

Removal of dimethyl sulfide by the combination of non-thermal plasma and biological process.

PubMed

Wei, Z S; Li, H Q; He, J C; Ye, Q H; Huang, Q R; Luo, Y W

2013-10-01

A bench scale system integrated with a non-thermal plasma (NTP) and a biotricking filtration (BTF) unit for the treatment of gases containing dimethyl sulfide (DMS) was investigated. DMS removal efficiency in the integrated system was up to 96%. Bacterial communities in the BTF were assessed by PCR-DGGE, which play the dominant role in the biological processes of metabolism, sulfur oxidation, sulfate-reducing and carbon oxidation. The addition of ozone from NTP made microbial community in BTF more complicated and active for DMS removal. The NTP oxidize DMS to simple compounds such as methanol and carbonyl sulfide; the intermediate organic products and DMS are further oxidized to sulfate, carbon dioxide, water vapors by biological degradation. These results show that NTP-BTF is achievable and open new possibilities for applying the integrated with NTP and BTF to odour gas treatment. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

SECONDARY WASTE/ETF (EFFLUENT TREATMENT FACILITY) PRELIMINARY PRE-CONCEPTUAL ENGINEERING STUDY

DOE Office of Scientific and Technical Information (OSTI.GOV)

MAY TH; GEHNER PD; STEGEN GARY

2009-12-28

This pre-conceptual engineering study is intended to assist in supporting the critical decision (CD) 0 milestone by providing a basis for the justification of mission need (JMN) for the handling and disposal of liquid effluents. The ETF baseline strategy, to accommodate (WTP) requirements, calls for a solidification treatment unit (STU) to be added to the ETF to provide the needed additional processing capability. This STU is to process the ETF evaporator concentrate into a cement-based waste form. The cementitious waste will be cast into blocks for curing, storage, and disposal. Tis pre-conceptual engineering study explores this baseline strategy, in additionmore » to other potential alternatives, for meeting the ETF future mission needs. Within each reviewed case study, a technical and facility description is outlined, along with a preliminary cost analysis and the associated risks and benefits.« less