15 research outputs found
Phototrophic biofilms and their potential applications
Phototrophic biofilms occur on surfaces exposed to light in a range of terrestrial and aquatic environments. Oxygenic phototrophs like diatoms, green algae, and cyanobacteria are the major primary producers that generate energy and reduce carbon dioxide, providing the system with organic substrates and oxygen. Photosynthesis fuels processes and conversions in the total biofilm community, including the metabolism of heterotrophic organisms. A matrix of polymeric substances secreted by phototrophs and heterotrophs enhances the attachment of the biofilm community. This review discusses the actual and potential applications of phototrophic biofilms in wastewater treatment, bioremediation, fish-feed production, biohydrogen production, and soil improvement
Nicotine preloading for smoking cessation: the Preloading RCT
Background: Nicotine preloading means using nicotine replacement therapy prior to a quit date while
smoking normally. The aim is to reduce the drive to smoke, thereby reducing cravings for smoking after
quit day, which are the main cause of early relapse. A prior systematic review showed inconclusive and
heterogeneous evidence that preloading was effective and little evidence of the mechanism of action, with
no cost-effectiveness data.
Objectives: To assess (1) the effectiveness, safety and tolerability of nicotine preloading in a routine NHS
setting relative to usual care, (2) the mechanisms of the action of preloading and (3) the cost-effectiveness
of preloading.
Design: Open-label randomised controlled trial with examination of mediation and a cost-effectiveness
analysis.
Setting: NHS smoking cessation clinics.
Participants: People seeking help to stop smoking. Interventions: Nicotine preloading comprised wearing a 21 mg/24 hour nicotine patch for 4 weeks prior to quit date. In addition, minimal behavioural support was provided to explain the intervention rationale and to support adherence. In the comparator group, participants received equivalent behavioural support.
Randomisation was stratified by centre and concealed from investigators.
Main outcome measures: The primary outcome was 6-month prolonged abstinence assessed using the
Russell Standard. The secondary outcomes were 4-week and 12-month abstinence. Adverse events (AEs)
were assessed from baseline to 1 week after quit day. In a planned analysis, we adjusted for the use of
varenicline (Champix®; Pfizer Inc., New York, NY, USA) as post-cessation medication. Cost-effectiveness
analysis took a health-service perspective. The within-trial analysis assessed health-service costs during
the 13 months of trial enrolment relative to the previous 6 months comparing trial arms. The base case
was based on multiple imputation for missing cost data. We modelled long-term health outcomes of
smoking-related diseases using the European-study on Quantifying Utility of Investment in Protection
from Tobacco (EQUIPT) model.
Results: In total, 1792 people were eligible and were enrolled in the study, with 893 randomised to the
control group and 899 randomised to the intervention group. In the intervention group, 49 (5.5%) people
discontinued preloading prematurely and most others used it daily. The primary outcome, biochemically
validated 6-month abstinence, was achieved by 157 (17.5%) people in the intervention group and 129
(14.4%) people in the control group, a difference of 3.02 percentage points [95% confidence interval (CI)
–0.37 to 6.41 percentage points; odds ratio (OR) 1.25, 95% CI 0.97 to 1.62; p = 0.081]. Adjusted for use
of post-quit day varenicline, the OR was 1.34 (95% CI 1.03 to 1.73; p = 0.028). Secondary abstinence
outcomes were similar. The OR for the occurrence of serious AEs was 1.12 (95% CI 0.42 to 3.03).
Moderate-severity nausea occurred in an additional 4% of the preloading group compared with the
control group. There was evidence that reduced urges to smoke and reduced smoke inhalation mediated
the effect of preloading on abstinence. The incremental cost-effectiveness ratio at the 6-month follow-up
for preloading relative to control was £710 (95% CI –£13,674 to £23,205), but preloading was dominant
at 12 months and in the long term, with an 80% probability that it is cost saving.
Limitations: The open-label design could partially account for the mediation results. Outcome assessment
could not be blinded but was biochemically verified.
Conclusions: Use of nicotine-patch preloading for 4 weeks prior to attempting to stop smoking can
increase the proportion of people who stop successfully, but its benefit is undermined because it reduces
the use of varenicline after preloading. If this latter effect could be overcome, then nicotine preloading
appears to improve health and reduce health-service costs in the long term. Future work should determine
how to ensure that people using nicotine preloading opt to use varenicline as cessation medication.
Trial registration: Current Controlled Trials ISRCTN33031001.NIHR Health Technology Assessment programm
Nitrogen removal from wastewater treatment lagoons
n an attempt to gain a better understanding of ammonia and nitrogen removal processes in multi-pond wastewater treatment lagoons, an analysis was carried out of data obtained during regular monitoring of Lagoon 115E at the Western Treatment Plant in Melbourne. To do this, a contour plot approach was developed that enables the data to be displayed as a function of pond number and date. Superimposition of contour plots for different parameters enabled the dependence of ammonia and nitrogen removal rates on various lagoon characteristics to be readily assessed. The importance of nitrification as an ammonia removal mechanism was confirmed. Temperature, dissolved oxygen concentration and algal concentration all had a significant influence on whether or not sizeable nitrifier populations developed and persisted in lagoon waters. The analysis made it evident that a better understanding of microbial, chemical and physical processes in lagoons is needed before their nitrogen removal capabilities can be predicted with confidence
A contour plot technique for depicting wastewater lagoon parameters and analysing their interrelatedness
Most wastewater treatment plants regularly monitor plant performance. Analysis of the resulting data can provide valuable insights into plant behaviour. A useful first step in the systematic analysis of such data is to depict them graphically. The resulting plots help identify the more obvious relationships between measured wastewater characteristics. They also help in locating anomalous data points. In the case of multi-pond wastewater treatment lagoons, finding an informative way of depicting the monitoring data is difficult. This is because the required data plots need to show not only how measured characteristics vary with time but also how they vary along the pond chain. Conventional 2-D time-series plots are inadequate for this task if the lagoon comprises more than a few ponds, or if the amount of accumulated data is large. An alternative, contour plot based approach was developed that overcomes the problems with conventional 2-D plots. The procedure for producing such plots is described and factors affecting their accuracy discussed. A major advantage of the contour plot approach is that contour plots for different parameters can be superimposed. By examining these superimposed plots, one can learn much about the way different parameters are related. A procedure is described that enables the interrelatedness of any given pair of parameters to be systematically characterised. The effectiveness of the contour plot approach is illustrated using data obtained over a 9-year period for an 11 (later 10) pond lagoon at the Western Treatment plant in Melbourne, Australia. (C) 2000 Elsevier Science Ltd. All rights reserved
A contour plot approach that uses data accumulated during routine monitoring to obtain insights into lagoon behaviour
Regular monitoring of wastewater characteristics is undertaken on most wastewater treatment plants. The data acquired during this process are usually filed and forgotten. However, systematic analysis of these data can provide useful insights into plant behaviour. Conventional graphical techniques are inadequate to give a good overall picture of how wastewater characteristics vary, with time and along the lagoon system. An approach based on the use of contour plots was devised that largely overcomes this problem. Superimposition of contour plots for different parameters can be used to gain a qualitative understanding of the nature and strength of relationships between the parameters. This is illustrated in an analysis of monitoring data for lagoon 115 East at the Western Treatment Plant, near Melbourne, Australia. In this illustrative analysis, relationships between ammonia removal rates and parameters such as chlorophyll a level and temperature are explored using a contour plot superimposition approach. It is concluded that this approach can help improve our understanding, not only of lagoon systems, but of other wastewater treatment systems as well
Fish larvae prefer coral over algal water cues: implications of coral reef degradation
peer reviewedaudience: researche