A review of nature-based solutions for urban water management in European circular cities: a critical assessment based on case studies and literature

Abstract Nature-based solutions (NBS) can protect, manage and restore natural or modified ecosystems. They are a multidisciplinary, integrated approach to address societal challenges and some natural hazards effectively and adaptively, simultaneously providing human well-being and biodiversity benefits. NBS applications can be easily noticed in circular cities, establishing an urban system that is regenerative and accessible. This paper aims to offer a review on NBS for urban water management from the literature and some relevant projects running within the COST Action 'Implementing nature-based solutions for creating a resourceful circular city'. The method used in the study is based on a detailed tracking of specific keywords in the literature using Google Scholar, ResearchGate, Academia.edu, ScienceDirect and Scopus. Based on this review, three main applications were identified: (i) flood and drought protection; (ii) the water-food-energy nexus; and (iii) water purification. The paper shows that NBS provide additional benefits, such as improving water quality, increasing biodiversity, obtaining social co-benefits, improving urban microclimate, and the reduction of energy consumption by improving indoor climate. The paper concludes that a systemic change to NBS should be given a higher priority and be preferred over conventional water infrastructure

Reliability assessment of ultrasound muscle echogenicity in patients with rheumatic diseases: Results of a multicenter international web-based study

ObjectivesTo investigate the inter/intra-reliability of ultrasound (US) muscle echogenicity in patients with rheumatic diseases.MethodsForty-two rheumatologists and 2 radiologists from 13 countries were asked to assess US muscle echogenicity of quadriceps muscle in 80 static images and 20 clips from 64 patients with different rheumatic diseases and 8 healthy subjects. Two visual scales were evaluated, a visual semi-quantitative scale (0–3) and a continuous quantitative measurement (“VAS echogenicity,” 0–100). The same assessment was repeated to calculate intra-observer reliability. US muscle echogenicity was also calculated by an independent research assistant using a software for the analysis of scientific images (ImageJ). Inter and intra reliabilities were assessed by means of prevalence-adjusted bias-adjusted Kappa (PABAK), intraclass correlation coefficient (ICC) and correlations through Kendall’s Tau and Pearson’s Rho coefficients.ResultsThe semi-quantitative scale showed a moderate inter-reliability [PABAK = 0.58 (0.57–0.59)] and a substantial intra-reliability [PABAK = 0.71 (0.68–0.73)]. The lowest inter and intra-reliability results were obtained for the intermediate grades (i.e., grade 1 and 2) of the semi-quantitative scale. “VAS echogenicity” showed a high reliability both in the inter-observer [ICC = 0.80 (0.75–0.85)] and intra-observer [ICC = 0.88 (0.88–0.89)] evaluations. A substantial association was found between the participants assessment of the semi-quantitative scale and “VAS echogenicity” [ICC = 0.52 (0.50–0.54)]. The correlation between these two visual scales and ImageJ analysis was high (tau = 0.76 and rho = 0.89, respectively).ConclusionThe results of this large, multicenter study highlighted the overall good inter and intra-reliability of the US assessment of muscle echogenicity in patients with different rheumatic diseases

Lessons learnt from different inoculation strategies for pilot-scale start-up of partial nitritation for landfill leachate treatment

Conventional biological processes are not enough to achieve desired removal efficiencies from N-rich waste streams such as landfill leachate. In this aspect, start-up phase of a sequencing batch reactor was monitored that treated landfill leachate through a nitritation (LPN) process. The reactor was inoculated from two different sources with distinctive microbial compositions. The acclimatized sludge, taken from a leachate intermittent aeration reactor, failed to establish nitritation but instead developed a nitrification process initially (N-NO3 > 500 mg/l and N-NO2 almost null) and showed no biological activity afterwards. The latter non-acclimatized sludge taken from a conventional activated sludge (CAS) reactor achieved N-NH4 removal up to 96%. Although the nitrite oxidizing genus Nitrospira was abundant in the CAS, it was not further detected in the LPN system. Moreover, the enrichment of ammonia oxidizing genus Nitrosomonas in the LPN was consistent with the establishment of an efficient nitritation process. (c) 2022 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Tachycardiomyopathy in Patients without Underlying Structural Heart Disease

Tachycardiomyopathy (TCM) is an underestimated cause of reversible left ventricle dysfunction. The aim of this study was to identify the predictors of recurrence and incidence of major cardiovascular events in TCM patients without underlying structural heart disease (pure TCM). The prospective, observational study enrolled all consecutive pure TCM patients. The diagnosis was suspected in patients admitted for heart failure (HF) with a reduced ejection fraction and concomitant persistent arrhythmia. Pure TCM was confirmed after the clinical and echocardiographic recovery during follow-up. From 107 pure TCM patients (9% of all HF admission, the median follow-up 22.6 months), 17 recurred, 51 were hospitalized for cardiovascular reasons, two suffered from thromboembolic events and one died. The diagnosis of obstructive sleep apnoea syndrome (OSAS, hazard ratio (HR) 5.44), brain natriuretic peptide on admission (HR 1.01 for each pg/mL) and the heart rate at discharge (HR 1.05 for each bpm) were all independent predictors of TCM recurrence. The left ventricular ejection fraction at discharge (HR 0.96 for each%) and the heart rate at discharge (HR 1.02 for each bpm) resulted as independent predictors of cardiovascular-related hospitalization. Pure TCM is more common than previously thought and associated with a good long-term survival but recurrences and hospitalizations are frequent. Reversing OSAS and controlling the heart rate could prevent TCM-related complications

Anaerobic Membrane Bioreactor for Urban Wastewater Valorisation: Operative Strategies and Fertigation Reuse

In European scenario, the potential source for water supply from treated wastewater is actually estimated in 1,100 Mm3/y (EU-ENV, 2015). Anaerobic processes compared with conventional aerobic ones, cause a net reduction of the operative costs and possible reuse for fertigation purposes. The tested anaerobic pilot (HRT 6 h and T 30\ub0C) is constituted from a UASB reactor (16 L). Increment of influent organic loading rate (OLR) was studied for 1 year from 1 to 2 kgCOD/m3/d by feeding raw wastewater (Period 1), methanol (Period 2) and fermented supernatant from cellulosic sludge (Period 3).The biogas production was assessed equal to 0.13 m3biogas/kgCOD (Period 1), to 0.57 m3biogas/kgCOD (Period 2) and to 0.24 m3biogas/kgCOD (Period 3) with methane percentages constant around 33%. UASB effluent has not the final quality to comply limit values for water reuse and fertigation, especially for microbiological parameters. Further treatments could be necessary to achieve the removals of bacteria, such as E.Coli, recalcitrant organic traces and metals. Therefore, some advanced post treatments have been studied in this paper after UASB treatments, like UV disinfection, UV coupled with H2O2 and GAC adsorption. The innovative solution is coupling UASB reactor with anaerobic submerged sidestream AnMBR (UF hollow fiber membrane with 0.03 \u3bcm of nominal pore-size and 0.5 m2 of surface area KOCH, Puron single bundle). Membrane cleaning was carried out using sodium hypochlorite solution (400 ppm) each 45 days to remove organic fouling and to recover the initial permeability of the membrane. The average operative flux at process temperature was equal to 8.8\ub11.9 L/h/m2 and operating TMP of 44.6\ub18.5 mbar was detected. The removal of E.Coli was investigated in the effluent from UASB and in the permeate from AnMBR process. At clean membrane conditions, complete removal of bacteria (99\ub11%) was found. Furthermore, the determination of microplastics distribution was carried out both in the experimental anaerobic pilot and in the conventional full scale aerobic treatment plant. The effluent microplastics were quantified and the removal role of the different operative units was studied

Policy and legislative barriers to close water-related loops in innovative small water and wastewater systems in Europe: A critical analysis

Water supply and reuse through non-conventional water resources can significantly decrease the stress on natural water resources. Decentralized systems can help not only to alleviate issues of water security in arid areas, but also to create a sustainable framework within a circular economy. Although these small-scale innovative technologies are able to achieve ready-to-use, high quality of recovered/treated water on-site, the loop cannot be closed in most cases due to legislative barriers. Similarly, the end-use of sewage sludge after treatment in decentralized systems still lacks specific regulations that limit its valorization. This work analyzes the current policy and legislations related to water supply, wastewater treatment, water reuse and resource valorization within the context of decentralized state-of-the-art technologies applied in rural areas. The drawbacks in the current EU legislation that set barriers to close water-related loops in European countries are highlighted. A regulatory fitness check was applied to each type of loop to identify the key factors to accomplish the legislative compliance, and financing pathways were further evaluated at the EU level. As a possible solution, further development of an innovation deal approach is recommended to address the environmental, regulatory and financial gaps in water management through an integrated framework, providing ad-hoc policies and prescriptions for sustainable reuse of all water resources. (C) 2020 Elsevier Ltd. All rights reserved

Decentralized Community Composting: Past, Present and Future Aspects of Italy

Italy is among the top biowaste-generating countries in Europe, and has a well-structured waste management framework with quite a number of centralized composting facilities. In recent years, there has also been huge interest from local communities in decentralized composting. Although decentralized community composting is common in some countries, there is still a lack of information on the operative environment together with its potential logistical, environmental, economic, and social impacts. Considering the national Italian legislation on community composting as well as successfully implemented projects at EU level, Italy can set a model especially for Mediterranean countries that intend to build decentralized composting programs. Therefore, in the context of this review paper, a brief overview of the composting process was presented together with main applications in centralized and especially in decentralized composting, while the main focus was kept on the operative and legislative information gathered from Italian community composting. There is a huge difference in the number of composting plants between the regions, and the lack of centralized facilities in the central and southern regions can be supported by decentralized solutions. Decentralizing waste treatment facilities and thus creating local solutions to urban waste management strategies will help to achieve the resource recovery and valorization targets in line with the circular economy