Anaerobic digestion of biowaste in Indian municipalities: Effects on energy, fertilizers, water and the local environment

Anaerobic digestion (AD) of biowaste seems promising to provide renewable energy (biogas) and organic fertilizers (digestate) and mitigate environmental pollution in India. Intersectoral analyses of biowaste management in municipalities are needed to reveal benefits and trade-offs of AD at the implementation-level. Therefore, we applied material flow analyses (MFAs) to quantify effects of potential AD treatment of biowaste on energy and fertilizer supply, water consumption and environmental pollution in two villages, two towns and two cities in Maharashtra. Results show that in villages AD of available manure and crop residues can cover over half of the energy consumption for cooking (EC) and reduce firewood dependency. In towns and cities, AD of municipal biowaste is more relevant for organic fertilizer supply and pollution control because digestate can provide up to several times the nutrient requirements for crop production, but can harm ecosystems when discharged to the environment. Hence, in addition to energy from municipal biowaste - which can supply 4-6% of EC - digestate valorisation seems vital but requires appropriate post-treatment, quality control and trust building with farmers. To minimize trade-offs, water-saving options should be considered because 2-20% of current groundwater abstraction in municipalities is required to treat all available biowaste with ’wet’ AD systems compared to <3% with ’dry’ AD systems. We conclude that biowaste management with AD requires contextualized solutions in the setting of energy, fertilizers and water at the implementation-level to conceive valorization strategies for all AD products, reduce environmental pollution and minimize trade-offs with water resources

Removal and fouling mechanisms in nanofiltration of polysaccharide solutions

Tubular membrane filtration is an important process when feed waters with a relatively high solids content are filtered. Such solids would normally have to be removed in a pre-treatment stage if spiral wound modules are to be used. High solids content occurs for example in high turbidity surface waters, wastewaters that contain fibrous materials or in waters where coagulants are added. Tubular membranes can be used directly in nanofiltration (NF) and in this study fouling by a solution containing polysaccharides is examined. The study was designed in view of a wastewater recycling application where polysaccharides like cellulose are a major constituent of the effluent organic matter (EfOM) and colloidal organics. The investigation was performed with various organic compounds and varying solution chemistry namely pH and ionic strength. Two solutes in several concentrations have been used: Cellulose (particulate) and microcrystalline cellulose (colloidal) in addition with various CaCl2 and NaCl concentrations. The operating parameters investigated were cross flow velocity, transmembrane pressure (TMP) and pH. Membranes were cleaned after each filtration experiment and flux recovery was measured. As a general trend, it was observed that with increasing cellulose concentration fouling increases and that solution chemistry plays an important role in the association of foulants with the membranes. The permeability decreases for high and neutral pH conditions in the presence of salt ions. Calcium affects the flux more than sodium. The permeability at acidic pH values is relatively low and not influenced by the ions as much as for other pH conditions. Electrostatic interactions between membrane, salt ions and cellulose can explain this behaviour. Calcium ions were confirmed to play an important role in membrane fouling. Increasing cross flow velocity decreases the reversible fouling but increases the irreversible fouling

Reversible Nanoparticle–Micelle Transformation of Ionic Liquid–Sulfonatocalix[6]arene Aggregates

The effect of temperature and NaCl concentration variations on the self-assembly of 1-methyl-3- tetradecylimidazolium (C14mim+) and 4-sulfonatocalix[6]- arene (SCX6) was studied by dynamic light scattering and isothermal calorimetric methods at pH 7. Inclusion complex formation promoted the self-assembly to spherical nanoparticles (NP), which transformed to supramolecular micelles (SM) in the presence of NaCl. Highly reversible, temperature-responsive behavior was observed, and the conditions of the NP−SM transition could be tuned by the alteration of C14mim+:SCX6 mixing ratio and NaCl concentration. The association to SM was always exothermic with enthalpy independent of the amount of NaCl. In contrast, NPs were produced in endothermic process at low temperature, and the enthalpy change became less favorable upon increase in NaCl concentration. The NP formation was accompanied by negative molar heat capacity change, which further diminished when NaCl concentration was raised

Follow-up after paediatric intensive care treatment: parental postraumatic stress

Aim: To study the prevalence of posttraumatic stress in parents after an acute admission to a paediatric intensive care unit (PICU) and to determine risk factors for the development of posttraumatic stress. Methods: Parents completed posttraumatic stress questionnaires three months after their child's discharge. This questionnaire measures both symptoms of posttraumatic stress disorder (PTSD) and enables determination of the full psychiatric diagnosis of PTSD. Medical and demographic data concerning their child were gathered from physical evaluations three months after discharge. Of 250 eligible families, 144 (57.6%) participated in this study. The questionnaires were completed by 140 mothers and 107 fathers. Results: More than three-quarters of the parents experienced persistent symptoms of PTSD. In 21 mothers (15.0%) and 10 fathers (9.3%), the full psychiatric diagnosis of PTSD was determined. In six families, both parents had PTSD. Furthermore, a significant positive correlation was found between symptoms of PTSD of the mothers and the fathers. No obvious medical risk factors could be distinguished. Conclusion: The unexpected admission of a child to a PICU is a stressful event associated with parental posttraumatic stress. Treatment should not end after discharge. Follow-up care is warranted and research should be focused on prevention of these symptoms. © 2007 The Author(s)

Thoracoscopic vs. catheter ablation for atrial fibrillation: long-term follow-up of the FAST randomized trial

Aims: Our objectives were to compare effectiveness and long-term prognosis after epicardial thoracoscopic atrial fibrillation (AF) ablation vs. endocardial catheter ablation, in patients with prior failed catheter ablation or high risk of failure. Methods and results: Patients were randomized to thoracoscopic or catheter ablation, consisting of pulmonary vein isolation with optional additional lines (2007–2010). Patients were reassessed in 2016/2017, and those without documented AF recurrence underwent 7-day ambulatory electrocardiography. The primary rhythm outcome was recurrence of any atrial arrhythmia lasting >30 s. The primary clinical endpoint was a composite of death, myocardial infarction, or cerebrovascular event, analysed with adjusted Cox proportional hazard ratios (HRs). One hundred and 24 patients were randomized with 34% persistent AF and mean age 56 years. Arrhythmia recurrence was common at mean follow-up of 7.0 years, but substantially lower with thoracoscopic ablation: 34/61 (56%) compared with 55/63 (87%) with catheter ablation [adjusted HR 0.40, 95% confidence interval (CI) 0.25–0.64; P < 0.001]. Additional ablation procedures were performed in 8 patients (13%) compared with 31 (49%), respectively (P < 0.001). Eleven patients (19%) were on anti-arrhythmic drugs at end of follow-up with thoracoscopy vs. 24 (39%) with catheter ablation (P = 0.012). There was no difference in the composite clinical outcome: 9 patients (15%) in the thoracoscopy arm vs. 10 patients (16%) with catheter ablation (HR 1.11, 95% CI 0.40–3.10; P = 0.84). Pacemaker implantation was required in 6 patients (10%) undergoing thoracoscopy and 3 (5%) in the catheter group (P = 0.27). Conclusion: Thoracoscopic AF ablation demonstrated more consistent maintenance of sinus rhythm than catheter ablation, with similar long-term clinical event rates

Posttraumatic stress disorder (PTSD) in children after paediatric intensive care treatment compared to children who survived a major fire disaster

<p>Abstract</p> <p>Background</p> <p>The goals were to determine the presence of posttraumatic stress disorder (PTSD) in children after paediatric intensive care treatment, to identify risk factors for PTSD, and to compare this data with data from a major fire disaster in the Netherlands.</p> <p>Methods</p> <p>Children completed the Dutch Children's Responses to Trauma Inventory at three and nine months after discharge from the paediatric intensive care unit (PICU). Comparison data were available from 355 children survivors who completed the same questionnaire 10 months after a major fire disaster.</p> <p>Results</p> <p>Thirty-six children aged eight to 17 years completed questionnaires at three month follow-up, nine month follow-up, or both. More than one third (34.5%) of the children had subclinical PTSD, while 13.8% were likely to meet criteria for PTSD. Maternal PTSD was the strongest predictor for child PTSD. There were no significant differences in (subclinical) PTSD symptoms either over time or compared to symptoms of survivors from the fire disaster.</p> <p>Conclusion</p> <p>This study shows that a considerable number of children have persistent PTSD after PICU treatment. Prevention of PTSD is important to minimize the profound adverse effects that PTSD can have on children's well-being and future development.</p

A Brokering Framework for Assessing Legal Risks in Big Data and the Cloud

“Cloud computing” and “Big Data” are amongst the most hyped-up terms and buzzwords of the moment. After decades in which individuals and companies used to host their data and applications using their own IT infrastructure, the world has seen the stunning transformation of the Internet. Major shifts occurred when these infrastructures began to be outsourced to public Cloud providers to match commercial expectations. Storing, sharing and transferring data and databases over the Internet is convenient, yet legal risks cannot be eliminated. Legal risk is a fast-growing area of research and covers various aspects of law. Current studies and research on Cloud computing legal risk assessment have been, however, limited in scope and focused mainly on security and privacy aspects. There is little systematic research on the risks, threats and impact of the legal issues inherent to database rights and “ownership” rights of data. Database rights seem to be outdated and there is a significant gap in the scientific literature when it comes to the understanding of how to apply its provisions in the Big Data era. This means that we need a whole new framework for understanding, protecting and sharing data in the Cloud. The scheme we propose in this chapter is based on a risk assessment-brokering framework that works side by side with Service Level Agreements (SLAs). This proposed framework will provide better control for Cloud users and will go a long way to increase confidence and reinforce trust in Cloud computing transactions