A Fenton-based approach at neutral and un-conditioned pH for recalcitrant COD removal in tannery wastewater: Experimental test and sludge characterization

The combination of raw animal skin manufacturing processes involves the use of large amounts of chemicals, resulting in the generation of complex and highly polluted tannery wastewater. In this context, the high concentration of chloride in tannery wastewater represents a crucial bottleneck. Indeed, sodium chloride, commonly used in tannery industry to prevent skin rot, increases the concentration of chlorides up to 50 %. At the same time, most of the advanced oxidation processes usually employed in tannery wastewater treatment to remove recalcitrant COD involve the use of conditioning agents, thus increasing the overall concentration of chlorides in the treated effluent. The aim of this study was to evaluate the electrochemical peroxidation process (ECP) efficiency in the treatment of tannery wastewater without changing pH, to improve Fenton technology by avoiding the use of chemicals. The influence of different electric currents on COD and color removal was investigated. The characterization of the produced sludge was conducted through FTIR, SEM and XRD analysis, exploring the morphology and composition of precipitate, depending on the applied current. Although an electrical current of 750 mA yields the highest COD and color removal efficiency (69.7 % and 97.8 %, respectively), 500 mA can be considered the best compromise because of energy consumptions. Iron oxides and hydroxides were generated during the ECP process, playing the role of coagulants through the absorption of organic and inorganic contaminants. The consumption of energy increased as a function of time and applied current; however, cost analysis showed that the electrodes contributed the most to the total cost of the process. In authors' knowledge, the application of ECP process as a tertiary treatment for the removal of recalcitrant COD in tannery wastewater represents a novelty in the literature and the results obtained can be considered as the basis for scaling up the process in future research

Management of severe epistaxis during pregnancy: a case report and review of the literature

Epistaxis is a common problem during pregnancy. Few cases of severe epistaxis, not associated with nasal lesions or clotting disorders, were described in the literature. We reported a case of severe epistaxis in a pregnant patient, exploring all the different possible management options

Removal of heavy metals from dredging marine sediments via electrokinetic hexagonal system: A pilot study in Italy

Among the several treatment options, electrokinetic (EK) remediation is recognized as an effective technique for the removal of heavy metals from low-permeability porous matrices. However, most of the EK decontamination research reported was performed on linear configuration systems at a laboratory scale. In this study, a series of experiments were performed on a pilot-scale system where the electrodes were arranged in a hexagonal configuration, to assess the improvement of the EK process in the removal of inorganic contaminants from sediments dredged in the harbor of Piombino, Italy. HNO3 was used as acid conditioning and both pH effect and treatment duration time were investigated. Sediment characterization and metal fractionation were also presented, in order to understand how the bioavailability of metals affects the process efficiency. The increase in pH due to the buffering capacity of the sediment in the sections close to the cathode favored the precipitation and accumulation of metals. However, the results highlighted that longer treatment times, combined with an efficient pH reduction, can improve treatment performance, resulting in high removal efficiencies for all the target metals considered (a percentage removal greater than 50% was reached for Cd, Ni, Pb, Cu and Zn). Compared to different EK configuration systems, the hexagonal configuration arrangement applied in our study provides better results for the remediation of dredged marine sediment

Comparing the effects of Al-based coagulants in waste activated sludge anaerobic digestion: Methane yield, kinetics and sludge implications

Due to its effectiveness and ease of application, the process of flocculation and coagulation is often used for pollution removal in wastewater treatment. Most of these coagulants precipitate and accumulate in waste activated sludge (WAS), and could negatively affect sludge treatments, as observed for anaerobic digestion. Nowadays, wastewater treatment plants (WWTPs) are widely discussed because of the current paradigm shift from linear to circular economy, and the treatments performed at the facility should be planned to avoid or reduce adverse effects on other processes. The aim of this study was to compare the impact of poly aluminum chloride (PAC) and aluminum sulfate (AS) on WAS anaerobic digestion, by feeding replicate serum reactors with different levels of coagulant (5, 10 and 20 mg Al/g TS). Reactors without the addition of any coagulants represented the control group. Results revealed that Al -based coagulants inhibited methane production, which decreased as the coagulant addition increased. The inhibition was much more severe in AS -conditioned reactors, showing average reductions in methane yield from 14.4 to 31.7%, compared to the control (167.76 +/- 1.88 mL CH 4 /g VS). Analytical analysis, FTIR and SEM investigations revealed that the addition of coagulants affected the initial conditions of the anaerobic reactors, penalizing the solubilization, hydrolysis and acidogenesis phases. Furthermore, the massive formation of H 2 S in AS -conditioned reactors played a key role in the suppression of methane phase. On the other hand, the use of coagulant can promote the accumulation and recovery of nutrient in WAS, especially in terms of phosphorus. Our findings will expand research knowledge in this field and guide stakeholders in the choice of coagulants at full scale plant. Future research should focus on reducing the effect of coagulants on methane production by modifying or testing new types of flocculants

Influence of Aeration Rate on Uncoupled Fed Mixed Microbial Cultures for Polyhydroxybutyrate Production

The use of residual streams as feedstock for the production of polyhydroxyalkanoates (PHAs) is growing steadily, as it allows the valorization of waste and nutrients otherwise disposed of and the potential production of a biodegradable bioplastic. To date, the environmental and economic costs associated with this process limit its scale-up, which is why it is important to identify possible solutions and optimize the costliest steps. With this in mind, a laboratory-scale sequenced batch reactor (SBR, 5 L) was constructed to allow the selection of a mixed microbial culture able to convert volatile fatty acids (VFAs) into PHA. The reactor is fed with synthetic water containing VFAs, ammonium, phosphate, and micronutrients, typical compounds of fermented streams of certain wastes, such as cheese whey, food waste, or wastewater sludge. The biomass selected and produced by this first reactor is sent to an accumulation reactor, which is fed with a solution rich in VFAs, allowing the accumulation of PHAs. The role of aeration and its impacts on the main process parameters were analyzed. Three scenarios corresponding to different aeration rates were analyzed: 0.08, 0.16, and 0.32 vvm. The SBR was operated at an organic load rate of 600 mgCOD L-1d-1, under a dynamic feeding regime (feast-famine) and a short hydraulic retention time (HRT; 1 day). The results obtained showed that a value of 0.32 enabled better selection and better settling of the sludge. Furthermore, a potential correlation between aeration rate and VFA and NH4+ consumption rates was identified. The resulting biomass was able to accumulate up to 0.15 +/- 0.02 g PHAgVSS-1

PARP inhibition: a promising therapeutic target in ovarian cancer

Ovarian cancer is burdened by the highest mortality rate among gynecological cancers. Gold standard is represented by the association of platinum-taxane -based chemotherapy and radical surgery. Despite several adjustments occurred in cytotoxic drug in last decades, most patients continue to relapse, and no significant enhancement has been reached in the overall survival. The development of drug resistance and the recurrence of disease have prompted the investigations of other targets that can be used in the treatment of ovarian cancers. Among such targets, polyadenosine diphosphate-ribose polymerase (PARP) represents a novel way to target specific patways involved in tumor growth. PARP accelerates the reaction of the polyADP-ribosylation of proteins implicated in DNA repair. PARP inhibitors have shown activity in cancers with BRCA mutations, with other deficient DNA repair genes or signaling pathways that modulate DNA repair, or in association with DNA damaging agents not involved in DNA repair dysfunction. A number of inhibitors for PARP has been developed, and such drugs are under investigation in clinical trials to identify their impact in the treatment of ovarian cancers. This review aims to summarize the recent researches and clinical progress on PARP inhibitors as novel target agents in ovarian cancer

Does lung ultrasound have a role in the clinical management of pregnant women with SARS COV2 infection?

Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) infection is a major health threat. Pregnancy can lead to an increased susceptibility to viral infections. Although chest computed tomography (CT) represents the gold standard for the diagnosis of SARS-CoV-2 pneumonia, lung ultrasound (LUS) could be a valid alternative in pregnancy. The objectives of this prospective study were to assess the role of LUS in the diagnosis of lung involvement and in helping the physicians in the management of affected patients. Thirty pregnant women with SARS-CoV-2 infection were admitted at the obstetrical ward of our Hospital. Mean age was 31.2 years, mean gestational age 33.8 weeks. Several LUS were performed during hospitalization. The management of the patients was decided according to the LUS score and the clinical conditions. Mean gestational age at delivery was at 37.7 weeks, preterm birth was induced in 20% of cases for a worsening of the clinical conditions. No neonatal complications occurred. In 9 cases with a high LUS score, a chest CT was performed after delivery. CT confirmed the results of LUS, showing a significant positive correlation between the two techniques. LUS seems a safe alternative to CT in pregnancy and may help in the management of these patient

Increased FGF23 serum level is associated with unstable carotid plaque in type 2 diabetic subjects with internal carotid stenosis.

BACKGROUND: The object of this study was to investigate the potential role of FGF23 on plaque stability in type 2 diabetic patients with internal carotid artery stenosis. METHODS: In this retrospective observational study, we analyzed FGF23 serum level in 361 type 2 diabetic patients with internal carotid artery stenosis undergoing carotid endarterectomy and in 598 diabetic controls without carotid atherosclerosis. RESULTS: We found that FGF23 median serum levels was significantly higher in patients than in diabetic controls [67.7 (59.5-77.8) pg/mL and 43.89 (37.5-50.4), P < 0.001] and was significantly and independently associated with unstable plaque in patients with internal carotid artery stenosis [OR, 5,71 (95% CI, 2.09-15.29]. CONCLUSIONS: We have found, for the first time, that FGF23 could be associated with unstable plaque in type 2 diabetic patients with internal carotid artery stenosis

A comparative LCA of three WWTPs in a tourist area: Effects of seasonal loading rate variations

: Although the wastewater treatment is a fundamental utility for the protection of human health and the environment, non-evident drawbacks are associated with it. Wastewater treatment plants (WWTPs) located in tourist areas generally suffer from the seasonal increase in wastewater flow-rate and associated pollution loads. In this study, a Life Cycle Assessment (LCA) of three medium-size urban WWTPs, located in a tourist area in central Italy, was carried out. The study compared the environmental impacts generated by 1 m3 of treated wastewater in low season (LS) and high season (HS). All the material and energy flows involved in the operational phase of wastewater treatment were considered within the system boundaries, including the disposal or recovery treatment of the waste streams generated by the WWTPs, namely screenings, waste from grit removal and wastewater sludge. The analysis was conducted using almost only real data from full-scale plants. In each WWTP, the environmental impacts produced in HS were higher than those generated in LS; therefore, the environmental impacts increased as the loading rate increased. Furthermore, a correlation between WWTP size and environmental performance was observed. Indeed, in 8 out of 11 environmental indicators, the percentage increase in pollutant emissions due to wastewater treatment in HS decreased as the WWTP size increased. Results revealed that larger WWTPs suffered less from seasonal loading rate variations, showing greater flexibility. The existence of a scale factor suggests that the centralization of WWTPs in tourist areas can be an option to enable better treatment performance in terms of environmental impacts. A sensitivity analysis was performed, increasing N2O emission factors from wastewater treatment in LS: considering a 75 % increase, the outcomes found in default LCA were not confirmed. Future research should investigate the operational factors and biological mechanisms that most affect wastewater treatment when significant seasonal variations are present