Influence of temperature on the performance of a full-scale activated sludge process operated at varying solids retention times whilst treating municipal sewage

In this study, the solid retention time (SRT) was varied with the ambient temperature for a full-scale municipal activated sludge plant with capacity of 200,000 PE (Population Equivalent) located in a humid sub-tropical environment. The effects of ambient temperature on treatment performance were investigated. Off-line samples were collected and analyzed from the treatment plant. The actual temperature variation during the study period was divided into three overlapping ranges and the SRT was adjusted accordingly with temperature in order to achieve the desired effluent quality. The plant’s observed effluent quality and thereby its overall removal efficiency was evaluated in terms of measuring standard biochemical parameters. The results indicate that significant improvement in effluent quality can be obtained by applying the variable SRT (5–7 days) dependent on temperature variation

Smaller sample sizes for phase II trials based on exact tests with actual error rates by trading-off their nominal levels of significance and power

Background: Sample sizes for single-stage phase II clinical trials in the literature are often based on exact (binomial) tests with levels of significance (alpha (α) 80%). This is because there is not always a sample size where α and power are exactly equal to 5% and 80%, respectively. Consequently, the opportunity to trade-off small amounts of α and power for savings in sample sizes may be lost. Methods: Sample-size tables are presented for single-stage phase II trials based on exact tests with actual levels of significance and power. Trade-off in small amounts of α and power allows the researcher to select from several possible designs with potentially smaller sample sizes compared with existing approaches. We provide SAS macro coding and an R function, which for a given treatment difference, allow researchers to examine all possible sample sizes for specified differences are provided. Results: In a single-arm study with P0 (standard treatment)=10% and P1 (new treatment)=20%, and specified α=5% and power=80%, the A’Hern approach yields n=78 (exact α=4.53%, power=80.81%). However, by relaxing α to 5.67% and power to 77.7%, a sample size of 65 can be used (a saving of 13 patients). Interpretation: The approach we describe is especially useful for trials in rare disorders, or for proof-of-concept studies, where it is important to minimise the trial duration and financial costs, particularly in single-arm cancer trials commonly associated with expensive treatment options

The Effect of Self-Control on the Construction of Risk Perceptions

We show that the way decision makers construct risk perceptions is systematically influenced by their level of self-control: low self-control results in greater weighting of probability and reduced weighting of consequences of negative outcomes in formulating overall threat perceptions. Seven studies demonstrate such distorted risk construction in wide-ranging risk domains. The effects hold for both chronic and manipulated levels of perceived self-control and are observed only for risks involving high personal agency (e.g., overeating, smoking, drinking). As an important implication of our results, we also demonstrate that those lower (higher) in self-control show relatively less (more) interest in products and lifestyle changes reducing consequences (e.g., a pill that heals liver damage from drinking) than those reducing likelihood of risks (e.g., a pill that prevents liver damage from drinking). We also explore several possible underlying processes for the observed effect and discuss the theoretical and managerial relevance of our findings.postprin

Multiple sclerosis susceptibility alleles in African Americans.

Multiple sclerosis (MS) is an autoimmune demyelinating disease characterized by complex genetics and multifaceted gene-environment interactions. Compared to whites, African Americans have a lower risk for developing MS, but African Americans with MS have a greater risk of disability. These differences between African Americans and whites may represent differences in genetic susceptibility and/or environmental factors. SNPs from 12 candidate genes have recently been identified and validated with MS risk in white populations. We performed a replication study using 918 cases and 656 unrelated controls to test whether these candidate genes are also associated with MS risk in African Americans. CD6, CLEC16a, EVI5, GPC5, and TYK2 contained SNPs that are associated with MS risk in the African American data set. EVI5 showed the strongest association outside the major histocompatibility complex (rs10735781, OR=1.233, 95% CI=1.06-1.43, P-value=0.006). In addition, RGS1 seems to affect age of onset whereas TNFRSF1A seems to be associated with disease progression. None of the tested variants showed results that were statistically inconsistent with the effects established in whites. The results are consistent with shared disease genetic mechanisms among individuals of European and African ancestry

New insights into the relationship between draw solution chemistry and trace organic rejection by forward osmosis

© 2019 This study elucidates the impact of draw solution chemistry (in terms of pH and draw solute species) and membrane fouling on water flux and the rejection of trace organic contaminants by forward osmosis. The results show that draw solution chemistry could induce a notable impact on both water flux and TrOCs rejection. In addition, the impact was further influenced by membrane fouling. The reverse flux of proton (or hydroxyl) could alter the feed solution pH, which governed the separation of ionisable TrOCs. In addition, charged compounds generally exhibited higher rejections than neutral ones by the clean membrane. Electrostatic interaction, rather than size exclusion, was therefore the dominant rejection mechanism for most compounds. There was also a weak correlation between rejection and molecular sizes of the 43 TrOCs. Compared with Na+, Li+ with a larger hydrated radius showed a significantly lower reverse salt flux, resulting in a lower ionic strength and therefore a stronger electrostatic interaction. A fouling cake layer consisted of low molecular weight neutral organics could also affect TrOC rejection due to pore blockage and cake-enhanced concentration polarisation

Outcome of home mechanical ventilation

OBJECTIVE: To determine the outcome of patients discharged home on portable ventilator. DESIGN: Descriptive study. PLACE AND DURATION OF STUDY: The Aga Khan University Hospital, Karachi from January 2000 to December 2004. PATIENTS AND METHODS: All ventilator-dependent patients discharged home were contacted. Survivors were administered the EQ-5D Quality-of-Life instrument. SPSS version 13 was used to analyze data. RESULTS: Eleven patients were discharged home on invasive ventilation. Mean age was 49 years (range 10-98 years). Cause of ventilatory failure were cervical spine trauma in 36%, primary neurological disease in 27%, critical illness neuropathy and respiratory failure in 18% each. Survival rate was 73%, with three deaths. Mean duration of ventilation was 9.45 months (95% CI 3.24, 15.67). Rate of successful weaning after discharge was 36%, with 4 patients off all forms of ventilatory support and 2 on only nocturnal support. A 2.8 (95% CI 0.5, 16.6) relative risk towards successful weaning was associated with the presence of a family member as the primary care giver. Mean scores on the EQ-5D descriptive tool were; mobility 2 (-/+0.82), self-care 2 (-/+0.82), usual activities 1.86 (-/+0.69), pain/discomfort 1.43(-/+0.79), anxiety/depression 1.29 (-/+0.76). Mean score on the EQ-VAS was 48.2(-/+ 27.3). CONCLUSION: In carefully selected patients, home ventilation is a viable option with the expectation of successful weaning and survival. Patients discharged home on ventilation reported a reasonably good quality of life with proportionately more problems related to independence compared to overall well-being

An anaerobic membrane bioreactor – membrane distillation hybrid system for energy recovery and water reuse: Removal performance of organic carbon, nutrients, and trace organic contaminants

© 2018 In this study, a direct contact membrane distillation (MD) unit was integrated with an anaerobic membrane bioreactor (AnMBR) to simultaneously recover energy and produce high quality water for reuse from wastewater. Results show that AnMBR could produce 0.3–0.5 L/g CODadded biogas with a stable methane content of approximately 65%. By integrating MD with AnMBR, bulk organic matter and phosphate were almost completely removed. The removal of the 26 selected trace organic contaminants by AnMBR was compound specific, but the MD process could complement AnMBR removal, leading to an overall efficiency from 76% to complete removal by the integrated system. The results also show that, due to complete retention, organic matter (such as humic-like and protein-like substances) and inorganic salts accumulated in the MD feed solution and therefore resulted in significant fouling of the MD unit. As a result, the water flux of the MD process decreased continuously. Nevertheless, membrane pore wetting was not observed throughout the operation

Removal of organic matter from wastewater reverse osmosis concentrate using granular activated carbon and anion exchange resin adsorbent columns in sequence.

Reverse osmosis concentrate (ROC) generated as a waste stream during reverse osmosis treatment of reclaimed wastewater, presents significant disposal challenges. This is because it causes environmental pollution when it is disposed to lands and natural water bodies. A long-term dynamic adsorption experiment was conducted by passing ROC from a wastewater reclamation plant, firstly through a granular activated carbon (GAC) column, and subsequently through an anion exchange resin (Purolite) column, for the removal of two major ROC pollutants, namely dissolved organic carbon (DOC) and microorganic pollutants (MOP). GAC removed most of the smaller-sized low molecular weight neutrals and building block fractions as well as the hydrophobic fraction of DOC with much less removal by the subsequent Purolite column. In contrast, the humics fraction was less well removed by the GAC column; however, Purolite column removed all that was remaining of this fraction. This study demonstrated that combining adsorbents having different affinities towards a variety of DOC fractions constitute an effective method of taking advantage of their different properties and achieving larger DOC removals. Almost 100% of all 17 MOPs were removed by the GAC column, even after 2880 bed volumes of continuous use. This contrasted with the DOC fractions' removal which was much lower

Involvement of Bruton's tyrosine kinase in FcepsilonRI-dependent mast cell degranulation and cytokine production.

We investigated the role of Bruton's tyrosine kinase (Btk) in FcepsilonRI-dependent activation of mouse mast cells, using xid and btk null mutant mice. Unlike B cell development, mast cell development is apparently normal in these btk mutant mice. However, mast cells derived from these mice exhibited significant abnormalities in FcepsilonRI-dependent function. xid mice primed with anti-dinitrophenyl monoclonal IgE antibody exhibited mildly diminished early-phase and severely blunted late-phase anaphylactic reactions in response to antigen challenge in vivo. Consistent with this finding, cultured mast cells derived from the bone marrow cells of xid or btk null mice exhibited mild impairments in degranulation, and more profound defects in the production of several cytokines, upon FcepsilonRI cross-linking. Moreover, the transcriptional activities of these cytokine genes were severely reduced in FcepsilonRI-stimulated btk mutant mast cells. The specificity of these effects of btk mutations was confirmed by the improvement in the ability of btk mutant mast cells to degranulate and to secrete cytokines after the retroviral transfer of wild-type btk cDNA, but not of vector or kinase-dead btk cDNA. Retroviral transfer of Emt (= Itk/Tsk), Btk's closest relative, also partially improved the ability of btk mutant mast cells to secrete mediators. Taken together, these results demonstrate an important role for Btk in the full expression of FcepsilonRI signal transduction in mast cells

Effects of sulphur on the performance of an anaerobic membrane bioreactor: Biological stability, trace organic contaminant removal, and membrane fouling

© 2017 This study investigated the impact of sulphur content on the performance of an anaerobic membrane bioreactor (AnMBR) with an emphasis on the biological stability, contaminant removal, and membrane fouling. Removal of 38 trace organic contaminants (TrOCs) that are ubiquitously present in municipal wastewater by AnMBR was evaluated. Results show that basic biological performance of AnMBR regarding biomass growth and the removal of chemical oxygen demand (COD) was not affected by sulphur addition when the influent COD/SO42− ratio was maintained higher than 10. Nevertheless, the content of hydrogen sulphate in the produced biogas increased significantly and membrane fouling was exacerbated with sulphur addition. Moreover, the increase in sulphur content considerably affected the removal of some hydrophilic TrOCs and their residuals in the sludge phase during AnMBR operation. By contrast, no significant impact on the removal of hydrophobic TrOCs was noted with sulphur addition to AnMBR