International Consensus Statement on Rhinology and Allergy: Rhinosinusitis

Background: The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR‐RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR‐RS‐2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence‐based findings of the document. Methods: ICAR‐RS presents over 180 topics in the forms of evidence‐based reviews with recommendations (EBRRs), evidence‐based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results: ICAR‐RS‐2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence‐based management algorithm is provided. Conclusion: This ICAR‐RS‐2021 executive summary provides a compilation of the evidence‐based recommendations for medical and surgical treatment of the most common forms of RS

Effect of flux (transmembrane pressure) and membrane properties on fouling and rejection of reverse osmosis and nanofiltration membranes treating perfluorooctane sulfonate containing wastewater

Perfluorooctane sulfonate (PFOS) is an emergent contaminant of substantial environmental concerns. In this study, reverse osmosis (RO) and nanofiltration (NF) membranes were used to remove this toxic and persistent compound from PFOS-containing wastewater. Five RO membranes and three NF membranes were tested at a feed concentration of 10 ppm PFOS over 4 days, and the PFOS rejection and permeate flux performances were systematically investigated. PFOS rejection was well correlated to sodium chloride rejection. The rejection efficiencies for the RO membranes were >99%, and those for the NF membranes ranged from 90-99%. Improvement in PFOS rejection, together with mild flux reduction (<16%), was observed at longer filtration time. Such shifts in rejection and flux performance were probably due to the increased PFOS accumulation at longer duration, as shown by X-ray photoelectron spectroscopy and liquid chromatograph and tandem mass spectrometry results. A fraction of PFOS molecules might be entrapped in the polyamide layer of the composite membranes, which hindered the further passage of both water and other PFOS molecules. In a similar fashion, PFOS rejection and fouling were enhanced for greater initial flux and/or applied pressure, where PFOS accumulation was promoted probably due to increased hydrodynamic permeate drag. Flux reduction was also shown to correlate to membrane roughness, with the rougher membranes tend to experience more flux reduction than the smoother ones. © 2007 American Chemical Society.link_to_subscribed_fulltex

Use of reverse osmosis membranes to remove perfluorooctane sulfonate (PFOS) from semiconductor wastewater

Perfluorooctane sulfonate (PFOS) and related substances are persistent, bioaccumulative, and toxic, and thus of substantial environmental concern. PFOS is an essential photolithographic chemical in the semiconductor industry with no substitutes yet identified. The industry seeks effective treatment technologies. The feasibility of using reverse osmosis (RO) membranes for treating semiconductor wastewater containing PFOS has been investigated. Commercial RO membranes were characterized in terms of permeability, salt rejection, scanning electron microscopy (SEM), transmission electron microscopy (TEM), and membrane surface zeta potential (streaming potential measurements). Filtration tests were performed to determine the membrane flux and PFOS rejection. Over a wide range of feed concentrations (0.5 - 1500 ppm), the RO membranes generally rejected 99% or more of the PFOS. Rejection was better for tighter membranes, but was not affected by membrane zeta potential. Flux decreased with increasing PFOS concentration. While the flux reduction was severe for a loose RO membrane probably due to its higher initial flux, very stable flux was maintained for tighter membranes. At a very high feed concentration (about 500 ppm), all the membranes exhibited an identical stable flux. Isopropyl alcohol, present in some semiconductor wastewaters, had a detrimental effect on membrane flux. Where present it needs to be removed from the wastewater prior to using RO membranes. © 2006 American Chemical Society.link_to_subscribed_fulltex

Effect of solution chemistry on the adsorption of perfluorooctane sulfonate onto mineral surfaces

Perfluorooctane sulfonate (PFOS) is an emergent contaminant of substantial environmental concerns, yet very limited information has been available on PFOS adsorption onto mineral surfaces. PFOS adsorption onto goethite and silica was investigated by batch adsorption experiments under various solution compositions. Adsorption onto silica was only marginally affected by pH, ionic strength, and calcium concentration, likely due to the dominance of non-electrostatic interactions. In contrast, PFOS uptake by goethite increased significantly at high [H+] and [Ca2+], which was likely due to enhanced electrostatic attraction between the negatively charged PFOS molecules and positively charged goethite surface. The effect of pH was less significant at high ionic strength, likely due to electrical double layer compression. PFOS uptake was reduced at higher ionic strength for a strongly positively charged goethite surface (pH 3), while it increased for a weakly charged surface (pH 7 and 9), which could be attributed to the competition between PFOS-surface electrostatic attraction and PFOS-PFOS electrostatic repulsion. A conceptual model that captures PFOS-surface and PFOS-PFOS electrostatic interactions as well as non-electrostatic interaction was also formulated to understand the effect of solution chemistry on PFOS adsorption onto goethite and silica surfaces. © 2010 Elsevier Ltd.link_to_subscribed_fulltex

Stability in a denitrifying fluidized bed reactor

This study evaluates changes in the microbial community structure and function of a pilot-scale denitrifying fluidized bed reactor during periods of constant operating conditions and periods of perturbation. The perturbations consisted of a shutdown period without feed, two disturbances in which biofilms were mechanically sheared from carrier particles, and a twofold step increase in feed nitrate concentration. In the absence of perturbations, nitrate removal was stable and consistently greater than 99%. The structure and dynamics of the microbial community were studied using cloning and sequencing techniques and terminal restriction fragment length polymorphism (T-RFLP) of the SSU rRNA gene. Under unperturbed operating conditions, stable function was accompanied by high constancy and low variability of community structure with the majority of terminal restriction fragments (T-RFs) appearing throughout operation at consistent relative abundances. Several of the consistently present T-RFs correlated with clone sequences closely related to Acidovorax (98% similarity), Dechloromonas (99% similarity), and Zoogloea (98% similarity), genera recently identified by molecular analyses of similar systems. Significant changes in community structure and function were not observed after the shutdown period. In contrast, following the increase in loading rate and the mechanical disturbances, new T-RFs appeared. After both mechanical disturbances, function and community structure recovered. However, function was much more resilient than community structure. The similarity of response to the mechanical disturbances despite differences in community structure and operating conditions suggests that flexible community structure and potentially the activity of minor members under nonperturbation conditions promotes system recovery. © Springer Science+Business Media, Inc. 2006.http://deepblue.lib.umich.edu/bitstream/2027.42/191259/2/Microbial Ecology paper.pdfPublished versionDescription of Microbial Ecology paper.pdf : Accepted versio

Charge-Free Mixing Entropy Battery Enabled by Low-Cost Electrode Materials.

Salinity gradients are a vast and untapped energy resource. For every cubic meter of freshwater that mixes with seawater, approximately 0.65 kW h of theoretically recoverable energy is lost. For coastal wastewater treatment plants that discharge to the ocean, this energy, if recovered, could power the plant. The mixing entropy battery (MEB) uses battery electrodes to convert salinity gradient energy into electricity in a four-step process: (1) freshwater exchange; (2) charging in freshwater; (3) seawater exchange; and (4) discharging in seawater. Previously, we demonstrated a proof of concept, but with electrode materials that required an energy investment during the charging step. Here, we introduce a charge-free MEB with low-cost electrodes: Prussian Blue (PB) and polypyrrole (PPy). Importantly, this MEB requires no energy investment, and the electrode materials are stable with repeated cycling. The MEB equipped with PB and PPy achieved high voltage ratios (actual voltages obtained divided by the theoretical voltages) of 89.5% in wastewater effluent and 97.6% in seawater, with over 93% capacity retention after 50 cycles of operation and 97-99% over 150 cycles with a polyvinyl alcohol/sulfosuccinic acid (PVA/SSA) coating on the PB electrode

Charge-Free Mixing Entropy Battery Enabled by Low-Cost Electrode Materials.

Salinity gradients are a vast and untapped energy resource. For every cubic meter of freshwater that mixes with seawater, approximately 0.65 kW h of theoretically recoverable energy is lost. For coastal wastewater treatment plants that discharge to the ocean, this energy, if recovered, could power the plant. The mixing entropy battery (MEB) uses battery electrodes to convert salinity gradient energy into electricity in a four-step process: (1) freshwater exchange; (2) charging in freshwater; (3) seawater exchange; and (4) discharging in seawater. Previously, we demonstrated a proof of concept, but with electrode materials that required an energy investment during the charging step. Here, we introduce a charge-free MEB with low-cost electrodes: Prussian Blue (PB) and polypyrrole (PPy). Importantly, this MEB requires no energy investment, and the electrode materials are stable with repeated cycling. The MEB equipped with PB and PPy achieved high voltage ratios (actual voltages obtained divided by the theoretical voltages) of 89.5% in wastewater effluent and 97.6% in seawater, with over 93% capacity retention after 50 cycles of operation and 97-99% over 150 cycles with a polyvinyl alcohol/sulfosuccinic acid (PVA/SSA) coating on the PB electrode

Membrane fouling in an anaerobic membrane bioreactor: Differences in relative abundance of bacterial species in the membrane foulant layer and in suspension

A laboratory anaerobic membrane bioreactors (AnMBRs) (10L volume) was operated at 30°C and fed with artificial sewage containing 30% protein at COD loading rate 5.1kg/m3-d to investigate membrane fouling with two membranes. Biomass attached to the membrane surface and formed a foulant layer on the membrane. The foulant layers from polyvinylidene fluoride ultrafiltration membranes coated with PEBAX (cPVDF) and an uncoated polyetherimide (PEI) ultrafiltration membranes were analyzed and compared to suspended biomass in the reactor, using terminal restriction fragments (T-RFs) of the 16S rRNA gene and a clone library. One species of OP11 bacteria was present at high relative abundance in the foulant layers of both membranes. By contrast, Bacteroidetes and Firmicutes (LGC) species were present at low relative abundance in the foulant layers but high relative abundance in the suspended biomass. Similar differences were observed for other species. The results suggest that some minority species like OP11 play a direct role in fouling by attaching to the membrane surface while others, including some that likely play a major role in the metabolism of influent organics, play a less important or indirect role. In the AnMBR, the EPS was predominately proteinaceous. EPS and microbial cells of the foulant layer contributed to membrane fouling. The results also indicate that fouling of PEI was faster than cPVDF and this reaffirm the importance of the membrane material in fouling. © 2010 Elsevier B.V.link_to_subscribed_fulltex

Uranium (VI) reduction by denitrifying biomass

Groundwater near the S3 ponds at the US Department of Energy's Y-12 site in Oak Ridge, Tennessee, is contaminated by high levels of nitrate (up to 160 mM) and U(VI) (~0.3 mM). To minimize nitrate inhibition, the authors proposed extraction of contaminated groundwater, nitrate removal in a denitrifying fluidized bed bioreactor (FBR), and return of nitrate-free effluent to the aquifer to stimulate in situ microbial reduction of U(VI). In the presence of carbonate, U(VI) sorption to biomass was negligible, but in its absence, sorption was significant. Biomass reduced U(VI) to U(IV), exhibiting slow firstorder removal with respect to U(VI). Addition of electron donor increased rates. Addition of an inhibitor of sulfate reduction (molybdate) slowed the rate and inhibited sulfate reduction. Denitrifying β-Proteobacteria dominated clone libraries of SSU rRNA and dsrA gene sequences. Approximately 10% were low-G+C microorganisms that had 90% to 92% sequence identity with Sporomusa, Acetonema, and Propionispora. The dsrA sequences were dominated by a single clone with ~80% nucleotide identity to dsrA of Desulfovibrio vulgaris sub sp. oxamicus. The authors conclude that some members of this denitrifyng community reduce uranium, and that sulfate-reducing bacteria likely contribute to this capability. © 2005 Taylor and Francis Inc.http://deepblue.lib.umich.edu/bitstream/2027.42/191261/2/JA2-2005-PDF.pdfPublished versio