Removal of per- and polyfluoroalkyl substances (PFASs) in a full-scale drinking water treatment plant: Long-term performance of granular activated carbon (GAC) and influence of flow-rate

Per- and polyfluoroalkyl substances (PFASs) have been ubiquitously detected in drinking water whichposes a risk for human exposure. In this study, the treatment efficiency for the removal of 15 PFASs was examined in a full-scale drinking water treatment plant (DWTP) in the City of Uppsala, Sweden, over aperiod of two years (2015-2017). Removal of the five frequently detected PFASs was influenced by the total operation time of granular activated carbon (GAC)filters, GAC type and surface loading rate. The average removal efficiency of PFASs ranged from 92 to 100% for “young” GAC filters and decreased to 7.0-100% for “old” GAC filters (up to 357 operation days, 29 300 bed volumes (BV) treated). Flow-rates were adjusted in two full-scale GAC filters of different operational age to examine the removal of PFAS and organic matter depending on GAC operational age and operating flow. The decrease inflow-rate by10 L s(-1) from 39 to 29 L s(-1) led to an average increase of 14% and 6.5% in total PFAS removal efficiency for an “old”(264 operation days, 21 971 BV treated) and a “young” GAC filter (63 operation days, 5 725 BV treated), respectively. A cost-analysis for various operation scenarios illustrated the dominating effect of treatment goals and costs for GAC regeneration on overall GAC operation costs. The unit costs for GAC filters ranged from 0.08 to 0.10 E(-3) water treated and 0.020-0.025Vm E(-3) water treated for a treatment goal of 10 ng L(-1)and 85 ng L(-1), respectively, for Sigma(11)PFAS. Furthermore, it was concluded that prolonging the GAC service life by lowering the flow-rates after reaching the treatment goal could lead to a 26% cost-deduction. The results and methods presented in this study give drinking water providers valuable toolsfor the operation of a full-scale treatment train for the removal of PFAS in contaminated raw water

Cardiac troponin I elevation in acute pulmonary embolism is associated with right ventricular dysfunction

AbstractOBJECTIVESThe purpose of this study was to evaluate the prevalence and diagnostic utility of cardiac troponin I to identify patients with right ventricular (RV) dysfunction in pulmonary embolism.BACKGROUNDRight ventricular overload resulting from elevated pulmonary resistance is a common finding in major pulmonary embolism. However, biochemical markers to assess the degree of RV dysfunction have not been evaluated so far.METHODSIn this prospective, double-blind study we included 36 study patients diagnosed as having acute pulmonary embolism.RESULTSAmong the whole study population, 14 patients (39%) had positive troponin I tests. Ten of 16 patients (62.5%) with RV dilatation had increased serum troponin I levels, while only 4 of 14 patients (28.6%) with elevated troponin I values had a normal RV diameter as assessed by echocardiography, indicating that positive troponin I tests were significantly associated with RV dilatation (p = 0.009). Patients with positive troponin I tests had significantly more segmental defects in ventilation/perfusion lung scans than patients with normal serum troponin I (p = 0.0002).CONCLUSIONSOur data demonstrate that more than one-third of patients clinically diagnosed as having pulmonary embolism presented with elevated serum troponin I concentrations. Troponin I tests helped to identify patients with RV dilatation who had significantly more segmental defects in lung scans. Thus, troponin I assays are useful to detect minor myocardial damage in pulmonary embolism

Extensionist practice in the third sector: capacitation for communication in the digital social media Facebook

The extension project entitled “Multiplier Training in Digital Media for Third Sector Organizations” was developed during the year 2017 in the city of Frederico Westphalen, RS, with “Apae”, “Cufa” and “Feira do Produtor”. Knowing that mediatization has changed the form of social relations especially in the digital environment the objective of the project was to train managers and volunteers of organizations of Third Sector for a planned performance in digital media, contributing  for organizational communication and entities’ mission. Faced with this and taking into account the premises of university extension and Public Relations in the Third Sector an open interview was conducted with the managers of attended organizations and non-participant observation of their fanpages for the diagnosis of digital organizational communication. Then it was possible planning the content of given workshops and elaborating the didactic material and the hornbook of presence and performance in digital media. After developmenting actions, it was noticed that they were only a beginning for this "formation of multipliers", because the knowledge level about digital media in these entities is still basic

Circuit Specific Functions of Cannabinoid CB1 Receptor in the Balance of Investigatory Drive and Exploration

Well balanced novelty seeking and exploration are fundamental behaviours for survival and are found to be dysfunctional in several psychiatric disorders. Recent studies suggest that the endocannabinoid (eCB) system is an important control system for investigatory drive. Pharmacological treatment of rodents with cannabinergic drugs results in altered social and object investigation. Interestingly, contradictory results have been obtained, depending on the treatment, drug concentration and experimental conditions. The cannabinoid type 1 (CB1) receptor, a central component of the eCB system, is predominantly found at the synapses of two opposing neuronal populations, i.e. on inhibitory GABAergic and excitatory glutamatergic neurons. In the present study, using different transgenic mouse lines, we aimed at investigating the impact of CB1 receptor inactivation in glutamatergic or GABAergic neurons on investigatory behaviour. We evaluated animate (interaction partner) and inanimate (object) exploratory behaviour in three different paradigms. We show that exploration was increased when CB1 receptor was deleted from cortical and striatal GABAergic neurons. No effect was observed when CB1 receptor was deleted specifically from dopamine receptor D1-expressing striatal GABAergic medium spiny neurons. In contrast, deletion of CB1 receptor from cortical glutamatergic neurons resulted in a decreased exploration. Thus, our results indicate that exploratory behaviour is accurately balanced in both, the social and non-social context, by the eCB system via CB1 receptor activation on cortical glutamatergic and GABAergic neurons. In addition, the results could explain the contradictory findings of previous pharmacological studies and could further suggest a possibility to readjust an imbalance in exploratory behaviour observed in psychiatric disorders

Overview of out of plane MEMS assembly techniques.

International audienceThis paper deals with a synthesis of the activities of the French FEMTO-ST institute in the field of robotic microassembly. It deals with the tridimensional assembly of objects whose typical size is from 10 microns to 400 microns. We are especially focusing on the automation of micro-assembly based on several principles. Closed loop control based on microvision has been studied and applied on the fully automatic assembly of several 400 microns objects. Force control has been also analyzed and is proposed for optical Microsystems assembly. At least, open loop trajectories of 40 microns objects with a throughput of 1800 unit per hour have been achieved. Scientific and technological aspects and industrial relevance will be presented

Analysis of the Effects of Day-Time vs. Night-Time Surgery on Renal Transplant Patient Outcomes

Sleep deprivation and disruption of the circadian rhythms could impair individual surgical performance and decision making. For this purpose, this study identified potential confounding factors on surgical renal transplant patient outcomes during day and night. Our retrospective cohort study of 215 adult renal cadaver transplant recipients, of which 132 recipients were allocated in the "day-time" group and 83 recipients in the "night-time" group, primarily stratified the patients into two cohorts, depending on the start time. Within a 24 h operational system, "day-time" was considered as being from 8 a.m. to 8 p.m. and "night-time" from 8 p.m. to 8 a.m.. Primary outcomes examined patient and graft survival after three months and one year. Secondary outcomes included the presence of acute rejection (AR) and delayed graft function (DGF), as well as the rate of postoperative complications. In log-rank testing, "day-time" surgery was associated with a significantly higher risk of patient death (p = 0.003), whereas long-term graft survival was unaffected by the operative time of day. The mean cold ischemia time (CIT), which was 12.4 ± 5.3 h in the "night-time" group, was significantly longer compared to 10.7 ± 3.6 for those during the day (p = 0.01). We observed that "night-time" kidney recipients experienced more wound complications. From our single-centre data, we conclude that night-time kidney transplantation does not increase the risk of adverse events or predispose the patient to a worse outcome. Nevertheless, further research is required to explore the effect of fatigue on nocturnal surgical performance

Secretion of functional human enzymes by Tetrahymena thermophila

BACKGROUND: The non-pathogenic ciliate Tetrahymena thermophila is one of the best-characterized unicellular eucaryotes used in various research fields. Previous work has shown that this unicellular organism provides many biological features to become a high-quality expression system, like multiplying to high cell densities with short generation times in bioreactors. In addition, the expression of surface antigens from the malaria parasite Plasmodium falciparum and the ciliate Ichthyophthirius multifiliis suggests that T. thermophila might play an important role in vaccine development. However, the expression of functional mammalian or human enzymes remains so far to be seen. RESULTS: We have been able to express a human enzyme in T. thermophila using expression modules that encode a fusion protein consisting of the endogenous phospholipase A(1 )precursor and mature human DNaseI. The recombinant human enzyme is active, indicating that also disulfide bridges are correctly formed. Furthermore, a detailed N-glycan structure of the recombinant enzyme is presented, illustrating a very consistent glycosylation pattern. CONCLUSION: The ciliate expression system has the potential to become an excellent expression system. However, additional optimisation steps including host strain improvement as wells as measures to increase the yield of expression are necessary to be able to provide an alternative to the common E. coli and yeast-based systems as well as to transformed mammalian cell lines

Robotic microassembly and micromanipulation at FEMTO-ST

International audienceThis paper deals with a historical overview of Q1 Q2 8 9 the activities of the French FEMTO-ST institute in the 10 field of microrobotic manipulation and assembly. It firstly 11 shows tools developed for fine and coarse positioning: 12 4 DOF microgrippers, 2 DOF modules and smart sur13 faces. The paper then goes on the automation of tridimen14 sional microassembly of objects measuring between 10 and 15 400 microns. We are especially focusing on several princi16 ples. Closed loop control based on micro-vision has been 17 studied and applied on the fully automatic assembly of 18 several 400 microns objects. Force control has been also 19 analyzed and is proposed for optical Microsystems assem20 bly. At least, open loop trajectories of 40 microns objects 21 with a throughput of 1,800 unit per hour have been achieved. 22 Scientific and technological aspects and industrial relevance will be presented

The underestimated burden of monogenic kidney disease in adults waitlisted for kidney transplantation

Purpose: Chronic kidney disease (CKD) is a major health-care burden. Increasing evidence suggests that a considerable proportion of patients are affected by a monogenic kidney disorder. Methods: In this study, the kidney transplantation waiting list at the Charité was screened for patients with undetermined cause of CKD. By next-generation sequencing (NGS) we targeted all 600 genes described and associated with kidney disease or allied disorders. Results: In total, 635 patients were investigated. Of these, 245 individuals had a known cause of CKD (38.5%) of which 119 had a proven genetic disease (e.g., ADPKD, Alport). The other 340 patients (53.5%) were classified as undetermined diagnosis, of whom 87 had kidney failure (KF) onset <40 years. To this latter group genetic testing was offered as well as to those patients (n = 29) with focal segmental glomerulosclerosis (FSGS) and all individuals (n = 21) suspicious for thrombotic microangiopathy (TMA) in kidney biopsy. We detected diagnostic variants in 26 of 126 patients (20.6%) of which 14 of 126 (11.1%) were pathogenic or likely pathogenic. In another 12 of 126 (9.5%) patients, variants of unknown significance (VUS) were detected. Conclusion: Our study demonstrates the diagnostic value of comprehensive genetic testing among patients with undetermined CKD

Serological Response to Three, Four and Five Doses of SARS-CoV-2 Vaccine in Kidney Transplant Recipients

Mortality from COVID-19 among kidney transplant recipients (KTR) is high, and their response to three vaccinations against SARS-CoV-2 is strongly impaired. We retrospectively analyzed the serological response of up to five doses of the SARS-CoV-2 vaccine in KTR from 27 December 2020 until 31 December 2021. Particularly, the influence of the different dose adjustment regimens for mycophenolic acid (MPA) on serological response to fourth vaccination was analyzed. In total, 4277 vaccinations against SARS-CoV-2 in 1478 patients were analyzed. Serological response was 19.5% after 1203 basic immunizations, and increased to 29.4%, 55.6%, and 57.5% in response to 603 third, 250 fourth, and 40 fifth vaccinations, resulting in a cumulative response rate of 88.7%. In patients with calcineurin inhibitor and MPA maintenance immunosuppression, pausing MPA and adding 5 mg prednisolone equivalent before the fourth vaccination increased the serological response rate to 75% in comparison to the no dose adjustment (52%) or dose reduction (46%). Belatacept-treated patients had a response rate of 8.7% (4/46) after three vaccinations and 12.5% (3/25) after four vaccinations. Except for belatacept-treated patients, repeated SARS-CoV-2 vaccination of up to five times effectively induces serological response in kidney transplant recipients. It can be enhanced by pausing MPA at the time of vaccination