Effects of Treated Manure Conditions on Ammonia and Hydrogen Sulfide Emissions from a Swine Finishing Barn Equipped with Semicontinuous Pit Recharge System in Summer

Gaseous emissions from animal production systems affect the local and regional air quality. Proven farm-scale mitigation technologies are needed to lower these emissions and to provide management practices that are feasible and sustainable. In this research, we evaluate the performance of a unique approach that simultaneously mitigates emissions and improves air quality inside a barn equipped with a manure pit recharge system. Specifically, we tested the effects of summertime feeding rations (used by farmers to cope with animal heat stress) and manure management. To date, the pit recharge system has been proven to be effective in mitigating both ammonia (NH3; approximately 53%) and hydrogen sulfide (H2S; approximately 84%) emissions during mild climate conditions. However, its performance during the hot season with a high crude protein diet and high nitrogen loading into the pit manure recharge system is unknown. Therefore, we compared the emissions and indoor air quality of the rooms (240 pigs, ~80 kg each) equipped with a conventional slurry and pit recharge system. The main findings highlight the importance and impact of seasonal variation and diet and manure management practices. We observed 31% greater NH3 emissions from the pit recharge system (33.7 ± 1.4 g·head−1·day−1) compared with a conventional slurry system (25.9 ± 2.4 g·head−1·day−1). Additionally, the NH3 concentration inside the barn was higher (by 24%) in the pit recharge system compared with the control. On the other hand, H2S emissions were 55% lower in the pit recharge system (628 ± 47 mg·head−1·day−1) compared with a conventional slurry pit (1400 ± 132 mg·head−1·day−1). Additionally, the H2S concentration inside the barn was lower (by 54%) in the pit recharge system compared with the control. The characteristics of the pit recharge liquid (i.e., aerobically treated manure), such as the total nitrogen (TN) and ammonium N (NH4-N) contents, contributed to the higher NH3 emissions from the pit recharge system in summer. However, their influence on H2S emissions had a relatively low impact, i.e., emissions were still reduced, similarly as they were in mild climate conditions. Overall, it is necessary to consider a seasonal diet and manure management practices when evaluating emissions and indoor air quality. Further research on minimizing the seasonal nitrogen loading and optimizing pit recharge manure characteristics is warranted

Pilot-Scale Testing of UV-A Light Treatment for Mitigation of NH3, H2S, GHGs, VOCs, Odor, and O3 Inside the Poultry Barn

Poultry farmers are producing eggs, meat, and feathers with increased efficiency and lower carbon footprint. Technologies to address concerns about the indoor air quality inside barns and the gaseous emissions from farms to the atmosphere continue to be among industry priorities. We have been developing and scaling up a UV air treatment that has the potential to reduce odor and other gases on the farm scale. In our recent laboratory-scale study, the use of UV-A (a less toxic ultraviolet light, a.k.a. “black light”) and a special TiO2-based photocatalyst reduced concentrations of several important air pollutants (NH3, CO2, N2O, O3) without impact on H2S and CH4. Therefore, the objectives of this research were to (1) scale up the UV treatment to pilot scale, (2) evaluate the mitigation of odor and odorous volatile organic compounds (VOCs), and (3) complete preliminary economic analyses. A pilot-scale experiment was conducted under commercial poultry barn conditions to evaluate photocatalyst coatings on surfaces subjected to UV light under field conditions. In this study, the reactor was constructed to support interchangeable wall panels and installed on a poultry farm. The effects of a photocatalyst\u27s presence (photocatalysis and photolysis), UV intensity (LED and fluorescent), and treatment time were studied in the pilot-scale experiments inside a poultry barn. The results of the pilot-scale experiments were consistent with the laboratory-scale one: the percent reduction under photocatalysis was generally higher than photolysis. In addition, the percent reduction of target gases at a high light intensity and long treatment time was higher. The percent reduction of NH3 was 5–9%. There was no impact on H2S, CH4, and CO2 under any experimental conditions. N2O and O3 concentrations were reduced at 6–12% and 87–100% by both photolysis and photocatalysis. In addition, concentrations of several VOCs responsible for livestock odor were reduced from 26 to 62% and increased with treatment time and light intensity. The odor was reduced by 18%. Photolysis treatment reduced concentrations of N2O, VOCs, and O3, only. The initial economic analysis has shown that LEDs are more efficient than fluorescent lights. Further scale-up and research at farm scale are warranted

Effects of UV-A Light Treatment on Ammonia, Hydrogen Sulfide, Greenhouse Gases, and Ozone in Simulated Poultry Barn Conditions

Gaseous emissions, a side effect of livestock and poultry production, need to be mitigated to improve sustainability. Emissions of ammonia (NH3), hydrogen sulfide (H2S), greenhouse gases (GHGs), and odorous volatile organic compounds (VOCs) have a detrimental effect on the environment, climate, and quality of life in rural communities. We are building on previous research to bring advanced oxidation technologies from the lab to the farm. To date, we have shown that ultraviolet A (UV-A) has the potential to mitigate selected odorous gases and GHGs in the context of swine production. Much less research on emissions mitigation has been conducted in the context of poultry production. Thus, the study objective was to investigate whether the UV-A can mitigate NH3, H2S, GHGs, and O3 in the simulated poultry barn environment. The effects of several variables were tested: the presence of photocatalyst, relative humidity, treatment time, and dust accumulation under two different light intensities (facilitated with fluorescent and light-emitting diode, LED, lamps). The results provide evidence that photocatalysis with TiO2 coating and UV-A light can reduce gas concentrations of NH3, CO2, N2O, and O3, without a significant effect on H2S and CH4. The particular % reduction depends on the presence of photocatalysts, relative humidity (RH), light type (intensity), treatment time, and dust accumulation on the photocatalyst surface. In the case of NH3, the reduction varied from 2.6–18.7% and was affected by RH and light intensity. The % reduction of NH3 was the highest at 12% RH and increased with treatment time and light intensity. The % reduction of NH3 decreased with the accumulation of poultry dust. The % reduction for H2S had no statistical difference under any experimental conditions. The proposed treatment of NH3 and H2S was evaluated for a potential impact on important ambient air quality parameters, the possibility of simultaneously mitigating or generating GHGs. There was no statistically significant change in CH4 concentrations under any experimental conditions. CO2 was reduced at 3.8%–4.4%. N2O and O3 concentrations were reduced by both direct photolysis and photocatalysis, with the latter having greater % reductions. As much as 6.9–12.2% of the statistically-significant mitigation of N2O was observed. The % reduction for O3 ranged from 12.4–48.4%. The results warrant scaling up to a pilot-scale where the technology could be evaluated with economic analyses

Processing and characterization of plasticized PLA/PHB blends for biodegradable multiphase systems

Blends of poly(lactic acid) (PLA) and poly(3-hydroxybutyrate) (PHB) plasticized with a lactic acid oligomer (OLA) added at three different concentrations (15, 20 and 30 wt% by weight), were prepared by an optimized extrusion process to improve the processability and mechanical properties of these biopolymers for flexible film manufacturing. Morphological, chemical, thermal, mechanical, barrier and migration properties were investigated and formulations with desired performance in eco-friendly films were selected. The efficiency of OLA as plasticizer for PLA_PHB blends was demonstrated by the significant decrease of their glass transition temperatures and a considerable improvement of their ductile properties. The measured improvements in the barrier properties are related to the higher crystallinity of the plasticized PLA_PHB blends, while the overall migration test underlined that all the proposed formulations maintained migration levels below admitted levels. The PLA_PHB blend with 30 wt% OLA was selected as the optimum formulation for food packaging, since it offered the best compromise between ductility and oxygen and water vapor barrier properties with practically no migration.This research was financed by the SAMSUNG GRO PROGRAMME 2012

The association between hospital length of stay before rapid response system activation and clinical outcomes: a retrospective multicenter cohort study

Background Rapid response system (RRS) is being increasingly adopted to improve patient safety in hospitals worldwide. However, predictors of survival outcome after RRS activation because of unexpected clinical deterioration are not well defined. We investigated whether hospital length of stay (LOS) before RRS activation can predict the clinical outcomes. Methods Using a nationwide multicenter RRS database, we identified patients for whom RRS was activated during hospitalization at 9 tertiary referral hospitals in South Korea between January 1, 2016, and December 31, 2017. All information on patient characteristics, RRS activation, and clinical outcomes were retrospectively collected by reviewing patient medical records at each center. Patients were categorized into two groups according to their hospital LOS before RRS activation: early deterioration (LOS < 5 days) and late deterioration (LOS ≥ 5 days). The primary outcome was 28-day mortality and multivariable logistic regression was used to compare the two groups. In addition, propensity score-matched analysis was used to minimize the effects of confounding factors. Results Among 11,612 patients, 5779 and 5883 patients belonged to the early and late deterioration groups, respectively. Patients in the late deterioration group were more likely to have malignant disease and to be more severely ill at the time of RRS activation. After adjusting for confounding factors, the late deterioration group had higher 28-day mortality (aOR 1.60, 95% CI 1.44–1.77). Other clinical outcomes (in-hospital mortality and hospital LOS after RRS activation) were worse in the late deterioration group as well, and similar results were found in the propensity score-matched analysis (aOR for 28-day mortality 1.66, 95% CI 1.45–1.91). Conclusions Patients who stayed longer in the hospital before RRS activation had worse clinical outcomes. During the RRS team review of patients, hospital LOS before RRS activation should be considered as a predictor of future outcome.This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (HI18C0599)

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

The effects of modality interactivity and health literacy on user engagement and processing of public health information

Considering the importance of learning new information in the emerging disease context, this study examines how individuals cognitively process information with an interactivity feature on a website. Modality interactivity, which was operationalized as a slider, was used to identify its effects on user engagement (i.e., cognitive absorption: the degree to absorb the content) and attitudes and behavioral intentions serially. In addition, whether an individual characteristic, such as health literacy (i.e., the degree to read and understand health information), varies the effects was asked. A single factor (modality interactivity: slider vs. control) experiment was conducted on a health website which provides information about a new fictitious infectious disease, Logi. With 350 participants, the results revealed that modality interactivity increased cognitive absorption and in turn, enhanced favorable attitudes toward the website, the message, and the agency. The indirect effects of modality interactivity also positively influenced the intentions of users to revisit the website, follow the recommendations in the message, and seek further information from the agency about the disease. These effects did not depend on health literacy; that is, participants at all levels of health literacy had similar effects of modality interactivity on attitudes and intentions through cognitive absorption. Discussion of theoretical and practical implications is presented.Advertisin