Characterization of lorry washing sludge

The sludge generated by washing lorry refuse and some fractions of municipal solid waste have been studied, to justify that washing sludge presents no danger and can therefore be managed adequately in a landfill, as well as other municipal solid waste fractions. One problem attributed to this type of sludge is its high level of sulfide content, which causes this waste to be considered hazardous. The determination of sulfide content in the studied samples was carried out according to environmental protection agency methods 9030B and 9034, and the results show that the sulfide concentration in the sludge is less than other fractions of the municipal solid waste treatment plants, which can properly composted, in which sulfides are oxidized to sulfates. Lorry washing sludge could therefore be managed in a municipal solid waste treatment plant

Combustion of furniture wood waste and solid wood: Kinetic study and evolution of pollutants

This work is focused on the combustion processes of wood waste. Two kinds of waste have been studied: furniture wood waste (treated and used wood) and solid wood from factories (untreated wood). A kinetic study has been carried out for each material in air and an N2:O2 9:1 atmosphere with dynamic and dynamic + isothermal runs at different heating rates, considering the decomposition of the three main components of the wood and also the combustion of the char obtained. Satisfactory kinetic models were obtained for each kind of wood. Significant differences in thermal behavior were found between furniture wood waste and solid wood, probably due to the presence of additives and inorganic compounds in the furniture wood waste, which modifies the kinetic parameters of the thermal process. Moreover, combustion runs at 850 °C of both kinds of woods were also carried out in a laboratory scale tubular reactor in order to analyze the volatile and semivolatile compounds. The main differences were found in the higher yield of nitrogenated compounds found during the combustion of the furniture wood waste.Support for this work was provided by the Spanish Ministerio de Economia y Competividad, Research Project CTQ2013-41006-R (Spain), and PROMETEOII/2014/007 from Conselleria d’Educació, Cultura i Esport (Generalitat Valenciana, Spain)

Characterization of gaseous emissions and ashes from the combustion of furniture waste

Gaseous emissions and ash obtained in the combustion of furniture waste have been studied, with particular emphasis on the emissions of hazardous pollutants, such as PCDD/Fs and dl-PCBS. Two different combustion procedures were carried out, one of them in a conventional residential stove (without an automatic control of combustion air and bad mixing of combustion gases with air), and the other in a laboratory-scale reactor (operating under substoichiometric conditions). Three different experiments were carried out in the residential stove, in which the gaseous emissions and ashes obtained were analysed. The fuel burnt out in two of the experiments was furniture wood waste and in one of the experiments, the fuel burnt out was briquettes composed of a mixture of furniture wood with 10 wt.% of polyurethane foam. One of the purposes of these experiments was the evaluation of the possible inhibition effect of the higher nitrogen content on the formation of PCDD/Fs. Slight inhibition of the PCDD/F formation was found although, it is noteworthy that the lowest yield of PAHs, volatile and semi-volatile compounds were obtained in the combustion of these briquettes. In all experiments, the emission factors of polychlorinated dibenzo-p-dioxins and dibenzofurans and dioxin-like polychlorinated biphenyls (PCDD/Fs and dl-PCBs) were between 29 and 74 ng WHO-TEQ/kg sample burnt, lower than that obtained by other authors in the burning of pine needles and cones. PCDD/Fs and dl-PCBs emissions from furniture wood waste combustion were also analysed in the laboratory scale reactor at 850 °C and the results were compared with the values obtained from the combustion of solid wood (untreated wood). The total equivalent toxicity obtained was 21.1 ng WHO-TEQ/kg sample for combustion of furniture wood waste, which is low in comparison with those obtained for other waste combustion in similar conditions. In the laboratory scale reactor, PCDFs were the dominant compounds in the profiles of PCDD/Fs, by contrast, in the combustion in the residential stove, the majority compounds were PCDDs, due to the different operation conditions.Support for this work was provided by the Spanish Ministerio de Economia y Competividad, Research Project CTQ2013-41006-R (Spain), and PROMETEOII/2014/007 from Conselleria d’Educació, Cultura i Esport (Generalitat Valenciana, Spain). Authors also acknowledge Univ. of Alicante for financial support through UAUSTI15-04

Study of the Briquetting Process of Walnut Shells for Pyrolysis and Combustion

Walnut shells can be used as fuels in power plants directly or as biochars obtained by pyrolysis or torrefaction. They are an example of clean waste biomass which shows a low ash content and a high Net Calorific Value, making them excellent for energy recovery in industrial and non-industrial applications, such as in bakeries, restaurants, and homes. Their main inconvenience is their low bulk density. Densification is a possible solution that reduces the costs of transportation, handling, and storage. In this work, after the characterization of the walnut shells, briquettes were obtained using a hydraulic piston press briquette machine under different conditions to find the best quality without the need for previous grinding for pelletizing. This method features easy operation and maintenance, and the briquette shape could be adapted as desired. The quality of the briquettes was measured through their density and durability. After fixing a compaction pressure to obtain acceptable briquettes, the factors affecting their quality were studied: operating temperature, moisture content, and the presence of small amounts of walnuts. Good quality briquettes were obtained with a compaction pressure of 66 MPa, with densities around 1040 kg/m3, and durabilities higher than 94% when the process was carried at 140 °C. The greatest increase in durability was observed between briquettes obtained at room temperature and those obtained at 80 °C. The presence of small amounts of walnuts, common after the shelling process, improved the durability. Although water is necessary, briquettes obtained from biomass with only 1% of moisture showed better durabilities. Therefore, walnut shells are suitable for obtaining good quality briquettes according to the specifications of solid biofuels established in the standards, without the need for any pretreatment.This research was funded by the Agencia Estatal de Investigación (Spain) [grant number AEI/10.13039/501100011033], by the University of Alicante [grant number UAUSTI21-03] and by the Spanish Ministerio de Economia y Competividad [Research Project CTQ2016-76608-R]

The Fluid Aspect of the Mediterranean Diet in the Prevention and Management of Cardiovascular Disease and Diabetes: The Role of Polyphenol Content in Moderate Consumption of Wine and Olive Oil

A growing interest has emerged in the beneficial effects of plant-based diets for the prevention of cardiovascular disease, diabetes and obesity. The Mediterranean diet, one of the most widely evaluated dietary patterns in scientific literature, includes in its nutrients two fluid foods: olive oil, as the main source of fats, and a low-to-moderate consumption of wine, mainly red, particularly during meals. Current mechanisms underlying the beneficial effects of the Mediterranean diet include a reduction in inflammatory and oxidative stress markers, improvement in lipid profile, insulin sensitivity and endothelial function, as well as antithrombotic properties. Most of these effects are attributable to bioactive ingredients including polyphenols, mono- and poly-unsaturated fatty acids. Polyphenols are a heterogeneous group of phytochemicals containing phenol rings. The principal classes of red wine polyphenols include flavonols (quercetin and myricetin), flavanols (catechin and epicatechin), anthocyanin and stilbenes (resveratrol). Olive oil has at least 30 phenolic compounds. Among them, the main are simple phenols (tyrosol and hydroxytyrosol), secoroids and lignans. The present narrative review focuses on phenols, part of red wine and virgin olive oil, discussing the evidence of their effects on lipids, blood pressure, atheromatous plaque and glucose metabolism

Exploring APOE genotype effects on Alzheimer's disease risk and amyloid β burden in individuals with subjective cognitive decline: The FundacioACE Healthy Brain Initiative (FACEHBI) study baseline results

Introduction: Subjective cognitive decline (SCD) has been proposed as a potential preclinical stage of Alzheimer's disease (AD). Nevertheless, the genetic and biomarker profiles of SCD individuals remain mostly unexplored. Methods: We evaluated apolipoprotein E (APOE) ε4's effect in the risk of presenting SCD, using the Fundacio ACE Healthy Brain Initiative (FACEHBI) SCD cohort and Spanish controls, and performed a meta-analysis addressing the same question. We assessed the relationship between APOE dosage and brain amyloid burden in the FACEHBI SCD and Alzheimer's Disease Neuroimaging Initiative cohorts. Results: Analysis of the FACEHBI cohort and the meta-analysis demonstrated SCD individuals presented higher allelic frequencies of APOE ε4 with respect to controls. APOE dosage explained 9% (FACEHBI cohort) and 11% (FACEHBI and Alzheimer's Disease Neuroimaging Initiative cohorts) of the variance of cerebral amyloid levels. Discussion: The FACEHBI sample presents APOE ε4 enrichment, suggesting that a pool of AD patients is nested in our sample. Cerebral amyloid levels are partially explained by the APOE allele dosage, suggesting that other genetic or epigenetic factors are involved in this AD endophenotype

Methodology applied in the study of the language development in children with early detection of neonatal hearing loss.

Introducción y objetivo: Dado que el potencial discapacitante que causa la deficiencia auditiva neonatal disminuye con una detección e intervención tempranas, hemos elaborado un proyecto de investigación, con el que nos proponemos conocer el grado de desarrollo del lenguaje de los niños y niñas que procedentes del cribado auditivo universal, han sido diagnosticados/as por nosotros de hipoacusia prelingual en estos últimos 15 años y analizar las variables determinantes y las que son modificables. El objeto de esta comunicación consistirá en presentar la metodología que vamos a utilizar. Método: Partimos de los datos almacenados en nuestro Servicio de ORL, que comprende a 282 niños con hipoacusia. Hemos tenido la oportunidad de crear un grupo de investigación en el que coincidimos especialistas de la audición infantil y del lenguaje, por lo que contamos con medios suficientes para el estudio. Resultados: Describimos los elementos que configuran este proyecto, en relación al equipo de trabajo y a su desarrollo. Tras aplicar unos criterios de exclusión/inclusión, hemos seleccionado a un grupo de 45 niños entre 3 y 15 años, definiendo sus características auditivas. Mediante pruebas específicas, adaptadas a la edad, estudiaremos los diferentes aspectos del lenguaje; y a través de una entrevista estructurada realizada a los padres, intentaremos determinar las variables que influyen en el proceso re-habilitador. Finalmente, los datos serán analizados estadísticamente. Discusión: La variabilidad y la escasa prevalencia de la hipoacusia infantil, dificultan la realización de estudios con población suficiente para obtener resultados estadísticamente significativos. Sin embargo, creemos que el grupo de niños seleccionado y la metodología utilizada nos permitirán conocer mejor las variables influyentes en el desarrollo del lenguaje. Conclusiones: El programa de cribado auditivo universal ha permitido una intervención más precoz, lo que debería mejorar los niveles de lenguaje de los niños detectados/as con hipoacusia. Aunque el desarrollo normalizado de la comunicación depende de otros factores difíciles de determinar, a través del protocolo presentado pretendemos equiparar estos resultados, validando el proceso de cribado/diagnóstico e intervención de nuestro medio.Introduction and objective: Given that the disabling potential causing neonatal hearing impairment decreases with early detection and intervention, we have drawn up a research project, with which we intend to know the degree of development of the language of children and girls than from the universal hearing screening, have been diagnosed for us of prelingual hearing loss in the last 15 years and analyze the determining variables and which are modifiable. The object of this communication will be to present the methodology that we use. Method: We assume the data stored on our ENT service, including 282 children with hearing loss. We have had the opportunity to create a research group in which we agree ENT and language specialists so we have resources sufficient for the study. Results: We describe the elements that make up this project in relation to the team and to its development. After applying inclusion/exclusion criteria, we have selected a group of 45 children between 3 and 15 years, defining their auditory characteristics. Through specific tests, adapted to the age, we will study the different aspects of the language; and through a structured interview parents, we try to determine the variables that influence the rehabilitator process. Finally, the data will be analyzed statistically. Discussion: The variability and the low prevalence of infant hearing loss, make it difficult studies with sufficient population to obtain statistically significant results. However, we believe that the group of children and the methodology selected will allow us to learn more about the influential in the development of the language variables. Conclusions: The hearing screening program allowed us to earlier intervention, which should improve the levels of language of children detected with hearing loss. Although the standard development of communication depends on other factors difficult to determine, through the presented protocol we equate these findings, validating the process of screening/diagnosis and intervention of our environment

Population-based multicase-control study in common tumors in Spain (MCC-Spain): rationale and study design

Introduction: We present the protocol of a large population-based case-control study of 5 common tumors in Spain (MCC-Spain) that evaluates environmental exposures and genetic factors. Methods: Between 2008-2013, 10,183 persons aged 20-85 years were enrolled in 23 hospitals and primary care centres in 12 Spanish provinces including 1,115 cases of a new diagnosis of prostate cancer, 1,750 of breast cancer, 2,171 of colorectal cancer, 492 of gastro-oesophageal cancer, 554 cases of chronic lymphocytic leukaemia (CLL) and 4,101 population-based controls matched by frequency to cases by age, sex and region of residence. Participation rates ranged from 57% (stomach cancer) to 87% (CLL cases) and from 30% to 77% in controls. Participants completed a face-to-face computerized interview on sociodemographic factors, environmental exposures, occupation, medication, lifestyle, and personal and family medical history. In addition, participants completed a self-administered food-frequency questionnaire and telephone interviews. Blood samples were collected from 76% of participants while saliva samples were collected in CLL cases and participants refusing blood extractions. Clinical information was recorded for cases and paraffin blocks and/or fresh tumor samples are available in most collaborating hospitals. Genotyping was done through an exome array enriched with genetic markers in specific pathways. Multiple analyses are planned to assess the association of environmental, personal and genetic risk factors for each tumor and to identify pleiotropic effects. Discussion: This study, conducted within the Spanish Consortium for Biomedical Research in Epidemiology & Public Health (CIBERESP), is a unique initiative to evaluate etiological factors for common cancers and will promote cancer research and prevention in Spain.The study was partially funded by the “Accion Transversal del Cancer”, approved on the Spanish Ministry Council on the 11th October 2007, by the Instituto de Salud Carlos III-FEDER (PI08/1770, PI08/0533, PI08/1359, PS09/00773, PS09/01286, PS09/01903, PS09/02078, PS09/01662, PI11/01403, PI11/01889, PI11/00226, PI11/01810, PI11/02213, PI12/00488, PI12/00265, PI12/01270, PI12/00715, PI12/00150), by the Fundación Marqués de Valdecilla (API 10/09), by the ICGC International Cancer Genome Consortium CLL, by the Junta de Castilla y León (LE22A10-2), by the Consejería de Salud of the Junta de Andalucía (PI-0571), by the Conselleria de Sanitat of the Generalitat Valenciana (AP 061/10), by the Recercaixa (2010ACUP 00310), by the Regional Government of the Basque Country by European Commission grants FOOD-CT- 2006-036224-HIWATE, by the Spanish Association Against Cancer (AECC) Scientific Foundation, by the The Catalan Government DURSI grant 2009SGR1489

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

Predictive Power of the "Trigger Tool" for the detection of adverse events in general surgery: a multicenter observational validation study

Background In spite of the global implementation of standardized surgical safety checklists and evidence-based practices, general surgery remains associated with a high residual risk of preventable perioperative complications and adverse events. This study was designed to validate the hypothesis that a new “Trigger Tool” represents a sensitive predictor of adverse events in general surgery. Methods An observational multicenter validation study was performed among 31 hospitals in Spain. The previously described “Trigger Tool” based on 40 specific triggers was applied to validate the predictive power of predicting adverse events in the perioperative care of surgical patients. A prediction model was used by means of a binary logistic regression analysis. Results The prevalence of adverse events among a total of 1,132 surgical cases included in this study was 31.53%. The “Trigger Tool” had a sensitivity and specificity of 86.27% and 79.55% respectively for predicting these adverse events. A total of 12 selected triggers of overall 40 triggers were identified for optimizing the predictive power of the “Trigger Tool”. Conclusions The “Trigger Tool” has a high predictive capacity for predicting adverse events in surgical procedures. We recommend a revision of the original 40 triggers to 12 selected triggers to optimize the predictive power of this tool, which will have to be validated in future studies