Evaluation of the economic and environmental performance of low-temperature heat to power conversion using a reverse electrodialysis - Multi-effect distillation system

In the examined heat engine, reverse electrodialysis (RED) is used to generate electricity from the salinity difference between two artificial solutions. The salinity gradient is restored through a multi-effect distillation system (MED) powered by low-temperature waste heat at 100 ◦C. The current work presents the first comprehensive economic and environmental analysis of this advanced concept, when varying the number of MED effects, the system sizing, the salt of the solutions, and other key parameters. The levelized cost of electricity (LCOE) has been calculated, showing that competitive solutions can be reached only when the system is at least medium to large scale. The lowest LCOE, at about 0.03 €/kWh, is achieved using potassium acetate salt and six MED effects while reheating the solutions. A similar analysis has been conducted when using the system in energy storage mode, where the two regenerated solutions are stored in reservoir tanks and the RED is operating for a few hours per day, supplying valuable peak power, resulting in a LCOE just below 0.10 €/kWh. A life-cycle assessment has been also carried out, showing that the case with the lowest environmental impact is the same as the one with the most attractive economic performance. Results indicate that the material manufacturing has the main impact; primarily the metallic parts of the MED. Overall, this study highlights the development efforts required in terms of both membrane performance and cost reduction, in order to make this technology cost effective in the future

Extracorporeal photopheresis for the treatment of graft rejection in 33 adult kidney transplant recipients

Background - Extracorporeal photopheresis (ECP) has shown encouraging results in the prevention of allograft rejection in heart transplantation. However, the role of ECP in kidney transplant (KT) rejection needs to be determined. Methods - This multicentre retrospective study included 33 KT recipients who were treated with ECP for allograft rejection (23 acute antibody-mediated rejections (AMRs), 2 chronic AMRs and 8 acute cellular rejections (ACRs)). The ECP indications were KT rejection in patients who were resistant to standard therapies (n = 18) or in patients for whom standard therapies were contraindicated because of concomitant infections or cancers (n = 15). Results - At 12 months (M12) post-ECP, 11 patients (33%) had a stabilization of kidney function with a graft survival rate of 61%. The Banff AMR score (g + ptc + v) was a risk factor for graft loss at M12 (HR 1.44 [1.01-2.05], p < 0.05). The factorial mixed data analysis identified 2 clusters. Patients with a functional graft at M12 tended to have cellular and/or chronic rejections. Patients with graft loss at M12 tended to have acute rejections and/or AMR; higher serum creatinine levels; DSA levels and histologic scores of AMR; and a longer delay between the rejection and ECP start than those of patients with functional grafts. Conclusions - ECP may be helpful to control ACR or moderate AMR in KT recipients presenting concomitant opportunistic infections or malignancies when it is initiated early

Evaluation and Treatment of Iron Deficiency Anemia: A Gastroenterological Perspective

A substantial volume of the consultations requested of gastroenterologists are directed towards the evaluation of anemia. Since iron deficiency anemia often arises from bleeding gastrointestinal lesions, many of which are malignant, establishment of a firm diagnosis usually obligates an endoscopic evaluation. Although the laboratory tests used to make the diagnosis have not changed in many decades, their interpretation has, and this is possibly due to the availability of extensive testing in key populations. We provide data supporting the use of the serum ferritin as the sole useful measure of iron stores, setting the lower limit at 100 μg/l for some populations in order to increase the sensitivity of the test. Trends of the commonly obtained red cell indices, mean corpuscular volume, and the red cell distribution width can provide valuable diagnostic information. Once the diagnosis is established, upper and lower gastrointestinal endoscopy is usually indicated. Nevertheless, in many cases a gastrointestinal source is not found after routine evaluation. Additional studies, including repeat upper and lower endoscopy and often investigation of the small intestine may thus be required. Although oral iron is inexpensive and usually effective, there are many gastrointestinal conditions that warrant treatment of iron deficiency with intravenous iron

Reverse electrodialysis heat-engine: Case studies of improving energy efficiency through recovery of low temperature excess heat

Reverse Electrodialysis (RED) is a technology for generating electricity from the difference in salinity between two solutions. RED is usually applied to natural water streams with different salinities, like seawater vs. freshwater. In the RED Heat-to-Power project we explore the option of using artificial water solutions operating in a closed loop where the difference in salinity is regenerated in a separation step powered by heat at temperature ranges between 60 and 100\ub0C. We call this system Reverse Electrodialysis Heat Engine (RED HE). In this paper, first we summarise the possible system configurations and the overall amount of excess heat available in Europe for powering the RED HE process, as described in our previous publications. Then we take a closer look at specific sites, where a RED HE engine could be potentially applied, assessing the amount of waste heat that can be technically and realistically recovered and sizing the RED HE system for those applications. The case studies include the excess heat recovery from: 1. a typical large-sized pulp and paper industry based in Sweden 2. a typical medium-sized food industry as described within the IEE project GREENFOODS 3. a relatively large biogas plant in Germany 4. the on-board auxiliary engine of a medium-sized bulk carrier 5. a gas compressor station in Poland. The results show that the RED HE is suitable to be used by all those sectors. For most cases, the typical heat engines would be of relatively small size, because of the Carnot limits for temperatures at 100\ub0C or lower: Industry 150-600 kW, Biogas plants 5-20 kW, Marine 4-17 kW. On the other hand, the gas compressor stations are suitable for larger applications, in the range of 2-8 MW

Towards the first proof of the concept of a Reverse ElectroDialysis - Membrane Distillation Heat Engine

The coupling of Reverse Electrodialysis with Membrane Distillation is a promising option for the conversion of waste heat into electricity. This study evaluates the performances of the integrated system under different operating conditions, employing validated model and correlations. This work provides a detailed description of the behaviour of a real RED-MD heat engine and indicates the set of inlet concentrations, velocities and equipment size which returns the highest cycle exergy efficiency. These operating conditions were selected for the pilot plant developed within the EU-funded project RED Heat to Power. For the first time, a perspective analysis was also included, considering highly performing RED membranes and future MD module. Relevant results indicate that technological improvements may lead to interesting system performance enhancement, up to an exergy efficiency of 16.5%, which is considerably higher than the values reported in literature so far