Treatment of sanitary sewer overflow with fixed media bioreactors

Fixed media bioreactors (biofilters) are a promising and proven technology used for wastewater treatment in unsewered rural areas. As an on-site treatment system, it cart potentially provide high treatment efficiency with a relatively low cost and maintenance. This research expanded the application of fixed media bioreactors and tested their feasibility in the treatment of sanitary sewer overflows (SSO) at high hydraulic loading of 0.2 m/h. Sand, peat, and textile (felt) were used as media to treat simulated 6-h peak flows for a 25-year SSO event in the city of Columbus, Ohio. The influent SSO was a mixture of primary sludge from a wastewater treatment plant diluted with tap water. The efficiency of treatment was measured as changes in the concentrations of biochemical oxygen demand (BOD5), chemical oxygen demand (COD), and total suspended solids (TSS). Sand as a filter medium had the best removal of organic matter with average 84% reduction of BOD5 and 90% of COD. The TSS removal was more than 90% in all media. Peat and felt were,somewhat more efficient than the sand in the TSS removal. The media type and influent BOD5 concentration were two major factors that impacted the treatment of BOD5 (p<0.007). For the treatment of COD, significant factors were media type, influent concentration, and time course of loading in each SSO event (ps <= 0.001)

Brief telephone-delivered cognitive behavioral therapy targeted to parents of children with functional abdominal pain: a randomized controlled trial

Pediatric functional abdominal pain disorders (FAPDs) are associated with increased health care utilization, school absences, and poor quality of life (QoL). Cost-effective and accessible interventions are needed. This multisite study tested the effects of a 3-session cognitivebehavioral intervention delivered to parents, in-person or remotely, on the primary outcome of pain severity and secondary outcomes (process measures) of parental solicitousness, pain beliefs, catastrophizing, and child-reported coping. Additional outcomes hypothesized a priori and assessed included functional disability, QoL, pain behavior, school absences, health care utilization, and gastrointestinal symptoms. The study was prospective and longitudinal (baseline and 3 and 6 months\u27 follow-up) with 3 randomized conditions: social learning and cognitive behavioral therapy in-person (SLCBT) or by phone (SLCBT-R) and education and support condition by phone (ES-R). Participants were children aged 7 to 12 years with FAPD and their parents (N = 316 dyads). Although no significant treatment effect for pain severity was found, the SLCBT groups showed significantly greater improvements compared with controls on process measures of parental solicitousness, pain beliefs, and catastrophizing, and additional outcomes of parent-reported functional disability, pain behaviors, child health care visits for abdominal pain, and (remote condition only) QoL and missed school days. No effects were found for parent and child-reported gastrointestinal symptoms, or child-reported QoL or coping. These findings suggest that for children with FAPD, a brief phone SLCBT for parents can be similarly effective as in-person SLCBT in changing parent responses and improving outcomes, if not reported pain and symptom report, compared with a control condition