29,295 research outputs found

    Ion Exchange-Precipitation for Nutrient Recovery from Dilute Wastewater

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    Regulated phosphorus (P) and nitrogen (N) discharges and the cost of fertilizer provide economic drivers for nutrient removal and recovery from wastewater. This study used ion exchange (IX) in dilute (domestic) wastewater to concentrate nutrients with subsequent recovery by struvite precipitation. This is the first tertiary wastewater treatment study directly comparing P removal using a range of Fe, Cu, and Al-based media followed by clinoptilolite IX columns for N removal and precipitation using the combined regenerants. Phosphate removal prior to breakthrough was 0.5–2.0 g P Lmedia−1, providing effluent concentrations −1 PO4-P and −1 NH4-N for ≥80 bed volumes. Dow-FeCu resin provided effective P removal, efficient neutral pH regeneration and 560 mg P L−1 in the regeneration eluate (≥100× concentration factor). Exchange capacity of clinoptilolite in column mode was 3.9–6.1 g N Lmedia−1 prior to breakthrough. Precipitation using the combined cation and anion regenerants resulted in a maximum of 74% P removal using Dow-FeCu. Precipitates contained impurities, including Al3+, Ca2+, and Fe. Overall, the IX-precipitation recovery process removed ≥98% P and 95% N and precipitates contained 13% P and 1.6% N. This sequential process can satisfy increasingly stringent wastewater standards and offers an effective alternative to traditional treatment technologies that simply remove nutrients. Approximately 84% of total P and 97% of total Kjeldahl N entering a treatment plant can be captured (accounting for primary clarifier removal), whereas most existing technologies target side streams that typically contain only 20–30% of influent P and 15–20% of influent N

    Type I interferons in tuberculosis: Foe and occasionally friend

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    Tuberculosis remains one of the leading causes of mortality worldwide, and, despite its clinical significance, there are still significant gaps in our understanding of pathogenic and protective mechanisms triggered by Mycobacterium tuberculosis infection. Type I interferons (IFN) regulate a broad family of genes that either stimulate or inhibit immune function, having both host-protective and detrimental effects, and exhibit well-characterized antiviral activity. Transcriptional studies have uncovered a potential deleterious role for type I IFN in active tuberculosis. Since then, additional studies in human tuberculosis and experimental mouse models of M. tuberculosis infection support the concept that type I IFN promotes both bacterial expansion and disease pathogenesis. More recently, studies in a different setting have suggested a putative protective role for type I IFN. In this study, we discuss the mechanistic and contextual factors that determine the detrimental versus beneficial outcomes of type I IFN induction during M. tuberculosis infection, from human disease to experimental mouse models of tuberculosis

    A Patient-Centered Framework for Evaluating Digital Maturity of Health Services: A Systematic Review

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    © Kelsey Flott, Ryan Callahan, Ara Darzi, Erik Mayer.Background: Digital maturity is the extent to which digital technologies are used as enablers to deliver a high-quality health service. Extensive literature exists about how to assess the components of digital maturity, but it has not been used to design a comprehensive framework for evaluation. Consequently, the measurement systems that do exist are limited to evaluating digital programs within one service or care setting, meaning that digital maturity evaluation is not accounting for the needs of patients across their care pathways. Objective: The objective of our study was to identify the best methods and metrics for evaluating digital maturity and to create a novel, evidence-based tool for evaluating digital maturity across patient care pathways. Methods: We systematically reviewed the literature to find the best methods and metrics for evaluating digital maturity. We searched the PubMed database for all papers relevant to digital maturity evaluation. Papers were selected if they provided insight into how to appraise digital systems within the health service and if they indicated the factors that constitute or facilitate digital maturity. Papers were analyzed to identify methodology for evaluating digital maturity and indicators of digitally mature systems. We then used the resulting information about methodology to design an evaluation framework. Following that, the indicators of digital maturity were extracted and grouped into increasing levels of maturity and operationalized as metrics within the evaluation framework. Results: We identified 28 papers as relevant to evaluating digital maturity, from which we derived 5 themes. The first theme concerned general evaluation methodology for constructing the framework (7 papers). The following 4 themes were the increasing levels of digital maturity: resources and ability (6 papers), usage (7 papers), interoperability (3 papers), and impact (5 papers). The framework includes metrics for each of these levels at each stage of the typical patient care pathway. Conclusions: The framework uses a patient-centric model that departs from traditional service-specific measurements and allows for novel insights into how digital programs benefit patients across the health system

    The Impact of Capsid Proteins on Virus Removal and Inactivation During Water Treatment Processes

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    This study examined the effect of the amino acid composition of protein capsids on virus inactivation using ultraviolet (UV) irradiation and titanium dioxide photocatalysis, and physical removal via enhanced coagulation using ferric chloride. Although genomic damage is likely more extensive than protein damage for viruses treated using UV, proteins are still substantially degraded. All amino acids demonstrated significant correlations with UV susceptibility. The hydroxyl radicals produced during photocatalysis are considered nonspecific, but they likely cause greater overall damage to virus capsid proteins relative to the genome. Oxidizing chemicals, including hydroxyl radicals, preferentially degrade amino acids over nucleotides, and the amino acid tyrosine appears to strongly influence virus inactivation. Capsid composition did not correlate strongly to virus removal during physicochemical treatment, nor did virus size. Isoelectric point may play a role in virus removal, but additional factors are likely to contribute

    Altered functional connectivity within the central reward network in overweight and obese women.

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    Background/objectivesNeuroimaging studies in obese subjects have identified abnormal activation of key regions of central reward circuits, including the nucleus accumbens (NAcc), in response to food-related stimuli. We aimed to examine whether women with elevated body mass index (BMI) show structural and resting state (RS) functional connectivity alterations within regions of the reward network.Subjects/methodsFifty healthy, premenopausal women, 19 overweight and obese (high BMI=26-38 kg m(-2)) and 31 lean (BMI=19-25 kg m(-2)) were selected from the University of California Los Angeles' Oppenheimer Center for Neurobiology of Stress database. Structural and RS functional scans were collected. Group differences in grey matter volume (GMV) of the NAcc, oscillation dynamics of intrinsic brain activity and functional connectivity of the NAcc to regions within the reward network were examined.ResultsGMV of the left NAcc was significantly greater in the high BMI group than in the lean group (P=0.031). Altered frequency distributions were observed in women with high BMI compared with lean group in the left NAcc (P=0.009) in a medium-frequency (MF) band, and in bilateral anterior cingulate cortex (ACC) (P=0.014, <0.001) and ventro-medial prefrontal cortex (vmPFC) (P=0.034, <0.001) in a high-frequency band. Subjects with high BMI had greater connectivity of the left NAcc with bilateral ACC (P=0.024) and right vmPFC (P=0.032) in a MF band and with the left ACC (P=0.03) in a high frequency band.ConclusionsOverweight and obese women in the absence of food-related stimuli show significant structural and functional alterations within regions of reward-related brain networks, which may have a role in altered ingestive behaviors

    Ti and V layers retard interaction between Al films and polycrystalline Si

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    Fine-grained polycrystalline Si (poly Si) in contact with Al films recrystallizes at temperatures well below the Si-Al eutectic (577 °C). We show that this interaction can be deferred or suppressed by placing a buffer layer of Ti or V between the Al film and the poly Si. During annealing, Ti or V form TiAl3 or Val3 at the buffer-layer–Al-film interface, but do not react with the poly Si so that the integrity of the poly Si is preserved as long as some unreacted Ti or V remains. The reaction between the Ti or V layer and the Al film is transport limited ([proportional]t^1/2) and characterized by the diffusion constants 1.5×10^15 exp(–1.8eV/kT) Å^2/sec or 8.4×10^12 exp(–1.7eV/kT) Å^2/sec, respectively

    The Emotional Self-Efficacy Scale: Adaptation and Validation for Young Adolescents

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    Emotional self-efficacy (ESE) is an important aspect of emotional functioning, with current measures for children and adolescents focused on the measurement of self-beliefs in relation to the management of emotions. In the present study, we report the psychometric properties of the first adaptation of the Emotional Self-Efficacy Scale for youth (Youth-ESES) that measures additional aspects of ESE, such as perceiving and understanding emotions and helping others modulate their emotions. Participants were 192 young adolescents aged 11 to 13 years from a U.K. state school. They completed the Youth-ESES and measures of ability emotional intelligence (EI) and cognitive ability. Results support the same four-factor structure that has been previously documented using the adult version of the ESES, with the four subscales being largely independent from cognitive ability and only moderately related to ability EI. However, the four subscales were less differentiated in the present study compared with adult data previously published, suggesting that there is a strong general factor underlying young adolescents’ ESE scores. Overall, the results suggest that the adapted Youth-ESES can be reliably used with youth, and that confidence in how a young person feels about his or her emotional functioning remains distinct from emotional skill

    Identification of the dominant diffusing species in silicide formation

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    Implanted noble gas atoms of Xe have been used as diffusion markers in the growth study of three silicides: Ni2Si, VSi2, and TiSi2. Backscattering of MeV He has been used to determine the displacement of the markers. We found that while Si atoms predominate the diffusion in VSi2 and TiSi2, Ni atoms are the faster moving species in Ni2Si

    Potential of different composts to improve soil fertility

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    Composts can influence soil fertility and plant health. These influences can be positive or negative, depending of the quality of the composts. Some practitioners already make use of the positive effects on plant health. For example, they use composts to protect their plants against soil borne diseases in substrate, or to detoxify and reactivate soil after steaming. In order to estimate the potential of Swiss composts to influence soil fertility and plant health positively, we analyzed one hundred composts representative of the different composting systems and qualities available on the market. The organic substance and the nutrient content of the composts varied greatly between the composts; the materials of origin were the major factor influencing these values. The respiration rate and enzyme activities also varied greatly, particularly in the youngest composts. These differences become smaller when the composts become more mature. Maturity, the degradation stage of the organic matter, depended not only on the age of the compost, but also on the management of the process. The N-mineralization potential from compost added to soil showed that a high proportion of young composts immobilized the nitrogen in the soil. This problem was hardly correlated with the materials of origin, but with the management of the first stage of the composting process. Especially composts which had become too dry in this period lost their ammonia-nitrogen, and hence immobilized nitrogen in the soil. Also composts with a low NO3/NH4 ratio, as a rough indicator for an immature compost, immobilized nitrogen in the soil. By contrast, the phytotoxicity of the composts varied very much also in matured composts, showing that the storage of the compost plays a decisive role. While the majority of compost protected cucumber plants against Pythium ultimum, only a few composts suppressed Rhizoctonia solani in basil. With respect to disease suppression, the management of the maturation process seems to play a major role. In conclusion, big differences in compost quality and of their impact on soil fertility and on plant health were observed. The management of the composting process seems to influence the quality of the composts to a higher extent than the materials of origin or the composting system. More attention should be paid to biological quality of composts, in order to produce composts with more beneficial effects on crops
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