N2O and NO emissions during autotrophic nitrogen removal in a granular sludge reactor: a simulation study

This contribution deals with NO and N2O emissions during autotrophic nitrogen removal in a granular sludge reactor. Two possible model scenarios describing this emission by ammonium- oxidizing biomass have been compared in a simulation study of a granular sludge reactor for one-stage partial nitritation–Anammox. No significant difference between these two scenarios was noticed. The influence of the bulk oxygen concentration, granule size, reactor temperature and ammonium load on the NO and N2O emissions has been assessed. The simulation results indicate that emission maxima of NO and N2O coincide with the region for optimal Anammox conversion. Also, most of the NO and N2O are present in the off-gas, owing to the limited solubility of both gases. The size of granules needs to be large enough not to limit optimal Anammox activity, but not too large as this implies an elevated production of N2O. Temperature has a significant influence on N2O emission, as a higher temperature results in a better N-removal efficiency and a lowered N2O production. Statistical analysis of the results showed that there is a strong correlation between nitrite accumulation and N2O production. Further, three regions of operation can be distinguished: a region with high N2O, NO and nitrite concentration; a region with high N2 concentrations and, as such, high removal percentages; and a region with high oxygen and nitrate concentrations. There is some overlap between the first two regions, which is in line with the fact that maximum emission of NO and N2O coincides with the region for optimal Anammox conversion

Prophylaxis of postoperative endophthalmitis following cataract surgery: Results of the ESCRS multicenter study and identification of risk factors

Purpose: To identify risk factors and describe the effects of antibiotic prophylaxis on the incidence of postoperative endophthalmitis after cataract surgery based on analysis of the findings of the European Society of Cataract & Refractive Surgeons (ESCRS) multicenter study. Setting: Twenty-four ophthalmology units in Austria, Belgium, Germany, Italy, Poland, Portugal, Spain, Turkey, and the United Kingdom. Methods: A prospective randomized partially masked multicenter cataract surgery study recruited 16 603 patients. The study was based on a 2 × 2 factorial design, with intracameral cefuroxime and topical perioperative levofloxacin factors resulting in 4 treatment groups. The comparison of case and non-case data was performed using multivariable logistic regression analyses. Odds ratios (ORs) associated with treatment effects and other risk factors were estimated. Results: Twenty-nine patients presented with endophthalmitis, of whom 20 were classified as having proven infective endophthalmitis. The absence of an intracameral cefuroxime prophylactic regimen at 1 mg in 0.1 mL normal saline was associated with a 4.92-fold increase (95% confidence interval [CI], 1.87-12.9) in the risk for total postoperative endophthalmitis. In addition, the use of clear corneal incisions (CCIs) compared to scleral tunnels was associated with a 5.88-fold increase (95% CI, 1.34-25.9) in risk and the use of silicone intraocular lens (IOL) optic material compared to acrylic with a 3.13-fold increase (95% CI, 1.47-6.67). The presence of surgical complications increased the risk for total endophthalmitis 4.95-fold (95% CI, 1.68-14.6), and more experienced surgeons were more likely to be associated with endophthalmitis cases. When considering only proven infective endophthalmitis cases, the absence of cefuroxime and the use of silicone IOL optic material were significantly associated with an increased risk, and there was evidence that men were more predisposed to infection (OR, 2.70; 95% CI, 1.07-6.8). Conclusions: Use of intracameral cefuroxime at the end of surgery reduced the occurrence of postoperative endophthalmitis. Additional risk factors associated with endophthalmitis after cataract surgery included CCIs and the use of silicone IOLs. © 2007 ASCRS and ESCRS