Sulfate reducing bacteria applied to domestic wastewater

The application of sulfate reducing bacteria (SRB) to treat municipal wastewater is seldom considered. For instance, due to low sludge yield it can reduce the amount of excess sludge produced significantly. Several studies, mainly at laboratory-scale, revealed that SRB can proliferate in artificial wastewater systems at temperatures of 20°C and lower. So far, the application of SRB in a domestic wastewater treatment plant has been limited. Therefore, this study evaluates the proliferation of SRB at pilot-scale in a moderate climate. This study revealed that SRB were present and active in the pilot fed with domestic wastewater at 13°C, and outcompete methanogens. Stable, smooth and well-settled granule formation occurred, which is beneficial for full-scale application. In the Netherlands the sulfate concentration is usually low (,500 mg/L), therefore the application of SRB seems challenging as sulfate is limiting. Additional measurements indicated the presence of other sulfur sources, therefore higher sulfur levels were available, which makes it possible to remove more than 75% of the chemical oxygen demand (excluding sulfide) based on SRB activity. The beneficial application of SRB to domestic wastewater treatment might therefore be valid for more locations than initially expected.</p

Exercise therapy for patients with diffuse idiopathic skeletal hyperostosis

We evaluated the effect of exercise therapy on back pain, spinal range of motion (ROM), and disability in persons with diffuse idiopathic skeletal hyperostosis (DISH). Persons with symptomatic DISH received a daily exercise program for 24 weeks consisting of mobility, stretching, and strengthening exercises for the cervical, thoracic, and lumbar spine. It included 14 supervised sessions over 8 weeks. Outcomes included visual analogue scales (VAS) for pain, stiffness, and fatigue, 13 spinal measurements, the neck pain and disability scale, the Quebec back pain disability scale, the Bath Spondylitis Functional Index, and the MACTAR patient preference scale. Assessments were made at baseline, 8 weeks, and 24 weeks. Fifteen of 17 completed the study. Comparing week 24 with baseline, Schober's test improved significantly (p = 0.02), and VAS stiffness and left finger-to-floor test demonstrated a trend to improvement (p = 0.07 each). The physical measures, which were expected to improve with the exercise program, all moved in the direction expected, but had p values > 0.10. At 24 weeks, eight (53.3%) participants rated their status as improved, three (20%) as unchanged, and four (27%) were unsure about the benefit. The exercise program designed for DISH and tested in this study led to small improvements in physical measures which achieved significance only for lumbosacral flexion