Remoção de sulfato de águas residuárias industriais em reator anaeróbio de leito fixo operado em bateladas sequenciais Sulfate removal from industrial wastewaters in fixed film anaerobic sequential batch reactor

Avaliou-se o potencial de uso reator anaeróbio operado em bateladas seqüenciais com biomassa imobilizada (ASBBR), em escala piloto, no tratamento de água residuária industrial contendo elevadas concentrações de sulfato. O ASBBR, com volume total de 1.2 m³, foi preenchido com carvão mineral como meio suporte para imobilização da biomassa (leito fixo). Foram aplicadas cargas de 0,15; 0,30; 0,65; 1,30 e 1,90 kg SO4-2/ciclo (ou batelada) com duração de 48 h, correspondendo, respectivamente, às concentrações de sulfato no afluente de 0,25; 0,50; 1,0; 2,0 e 3,0 gSO4-2.l-1. Utilizou-se etanol como doador de elétrons para a redução do sulfato. O reator foi operado à temperatura ambiente (29&plusmn;8ºC), tendo sido obtidas eficiências médias na redução de sulfato entre 88 e 92% em 92 ciclos (275 dias). Os resultados obtidos permitem concluir que o uso de reatores ASBBR constitui-se em alternativa eficiente para a remoção de sulfatos de águas residuárias com características semelhantes às utilizadas neste trabalho.<br>The potential use of an anaerobic sequencing batch biofilm reactor (ASBBR) in pilot-scale for the treatment of a sulfate-rich industrial wastewater was evaluated. The pilot 1.2 m³ ASBBR reactor was filled with mineral coal for biomass immobilization (fixed film). The sulfate loading rates applied were 0.15; 0.30; 0.65; 1.30 and 1.90 kg SO4-2/cycle (or batch). Each cycle lasted 48 h. The influent concentrations were, respectively, 0.25; 0.50; 1.0; 2.0 and 3.0 gSO4-2.l-1. Ethanol was used as electron donor for sulfate reduction. The reactor operated at ambient temperature (29&plusmn;8ºC), and the mean efficiencies of sulfate removal were in the range 88 to 92% in the 92 run cycles. The total operating period comprised 275 days. Based on the results obtained in this research, it could be concluded that the ASBBR can be an efficient alternative for the removal of sulfate from other industrial wastewaters with similar characteristics

The ASOS Surgical Risk Calculator: development and validation of a tool for identifying African surgical patients at risk of severe postoperative complications

Background: The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a simple, preoperative risk stratification tool to identify African surgical patients at risk for in-hospital postoperative mortality and severe complications. Methods: ASOS was a 7-day prospective cohort study of adult patients undergoing surgery in Africa. The ASOS Surgical Risk Calculator was constructed with a multivariable logistic regression model for the outcome of in-hospital mortality and severe postoperative complications. The following preoperative risk factors were entered into the model; age, sex, smoking status, ASA physical status, preoperative chronic comorbid conditions, indication for surgery, urgency, severity, and type of surgery. Results: The model was derived from 8799 patients from 168 African hospitals. The composite outcome of severe postoperative complications and death occurred in 423/8799 (4.8%) patients. The ASOS Surgical Risk Calculator includes the following risk factors: age, ASA physical status, indication for surgery, urgency, severity, and type of surgery. The model showed good discrimination with an area under the receiver operating characteristic curve of 0.805 and good calibration with c-statistic corrected for optimism of 0.784. Conclusions: This simple preoperative risk calculator could be used to identify high-risk surgical patients in African hospitals and facilitate increased postoperative surveillance. © 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.Medical Research Council of South Africa gran