Optimization of the Biostabilization Process of an Italian Mechanical-Biological Treatment Plant to Account for Changes in Waste Composition

In this paper, we present a case study on the optimization of the biostabilization process of an Italian mechanical-biological treatment (MBT) plant to account for changes in feed waste composition related to a progressive increase in separate collection of MSW fractions, biowaste in particular. After ten years of operation (2009-2019), a decrease of the stabilization degree of the output material of the plant was detected, with Dynamic Respiration Index (DRI) values above the established limit of 1,000 mgO(2)/kg(VS)/h (average values of 4,000 mgO(2)/kg(VS)/h determined weekly for eight weeks). The investigations carried out in 2019 on the waste samples feeding the MBT plant showed that paper and plastic materials constitute around 75% of the input waste to the two aerobic bioreactors of the MBT plant, against 55% at the start-up (2009). Furthermore, the airflow rates and the moisture content analyzed weekly for eight weeks in the bioreactors resulted below the optimal values suggested in the literature. To improve the performances of the biostabilization process, a series of modifications were implemented in the plant. The main modification involved the primary mechanical treatment by varying the mesh size of the screens to 50 mm circular holes mesh. Furthermore, the configuration of the aerobic bioreactors was changed by placing the two bioreactors in series (instead of the previous configuration in parallel) and using a screening unit (25 mm) between the two bioreactors instead of at the end of the process. In this way, the residence time of the materials in the aerobic treatment was enhanced from 16 days with the previous configuration to 27 days. Together with an increase of the airflow rates of around 40% and a water supply of approximately 10% in the bioreactors, these modifications allowed to achieve the desired stability of the output waste, with DRI values below 1000 mgO(2)/kg(VS)/h.[GRAPHICS]

Autologous micrografts and methotrexate in plantar erosive lichen planus: healing and pain control. A case report

Erosive lichen planus is an uncommon variant of lichen planus. We report a case of long-standing and refractory plantar ELPs causing disabling and opiate-resistant pain treated with 'classic' meshed skin graft combined with RigeneraVR micrografts. After approximately 9 months follow-up, no clinical recurrence or pain were observed. Erosive lichen planus (ELP) is an uncommon variant of lichen planus, involving oral cavity and genitalia and, less often plantar areas, where it usually presents with chronic erosions of the soles, along with intense, disabling pain and progressive loss of toenails. An abnormal immune cellular response (CD8+ lymphocytes and macrophages) and the consequent altered production of multiple mediators (interleukin-12, interferon-gamma, tumor necrosis factor-alpha, RANTES and MMP-9), seem to play a crucial role in the pathogenesis, although the etiology remains uncertain. From a histological point of view, ELP shows keratinocyte apoptosis, intense inflammatory response and basal epithelial keratinocytes TNF-alpha overexpression. Several therapies have been proposed, with variable and controversial results. While topical corticosteroids and topical calcineurin inhibitors are the treatments of choice for localized forms, short pulses of systemic glucocorticoids, phototherapy, and systemic immunosuppressants are recommended for generalized cases. Surgery has been reported as a possible therapeutic option in refractory and stable cases with localized lesions, either alone or with cyclosporine. Herein, we report a case of longstanding and refractory plantar ELPS causing disabling and opiate-resistant pain treated with 'classic' meshed skin graft combined with RigeneraVR micrografts

The Effect of Muscle Exercise on Perforators Flow: A Prospective Cohort Study

Background and objectives: The metabolic response after exercise causes a significant increase in the muscle blood flow. While these effects are demonstrated for intra-muscular vessels, there is no evidence about the inter-muscular vessels, such as the septocutaneous perforators supplying the skin after they branch out from the deep source artery. The aim of our prospective study was to quantify the changes in the anterior tibial artery perforators arterial blood flow after mild isotonic exercise in a young and healthy population. Material and Methods: We performed a prospective analysis of 34 patients who were admitted to the Plastic Surgery Department from December 2019 to April 2020. Flow velocities of two previously identified anterior tibial artery perforators were recorded both before and after 10 complete flexion-extensions of the foot. The time to revert to basal flow was measured. We further classified the overmentioned patients based on their level of physical activity. Results: We registered a significant increase in systolic, diastolic and mean blood flow velocities both in proximal and distal anterior tibial artery perforators after exercise. Fitter patients exhibited a higher increase in proximal leg perforators than those who did less than three aerobic workouts a week. The time to return to basal flow ranged from 60 to 90 s. Conclusions: This was the first study to describe the effect of muscular activity on perforators blood flow. Even mild exercise significantly increases the perforator flow. Waiting at least two minutes at rest before performing the Doppler study, thus avoiding involved muscle activation, can notably improve the reliability of the pre-operative planning

Determinants of surgeon choice in cases of suspected implant rupture following mastectomy or aesthetic breast surgery: Clinical implications

Implant ruptures may be diagnosed by physical examination, ultrasound (US), and magnetic resonance imaging (MRI). The absence of standard guidelines to approach to implant ruptures may cause unnecessary surgical revisions in the absence of radiological confirmation of prosthetic damages.The purpose of this study was to analyze the diagnostic procedures applied to patients with suspected prosthetic rupture and surgeon choices to perform a revision or to plan a clinical and radiological follow-up.We conducted a retrospective study on 62 women submitted to revision surgery due to radiological diagnosis of suspected implant rupture, following mastectomy or aesthetic reconstruction, and admitted to a Plastic Surgery Department between 2008 and 2018.Seventy-three implants, believed to be ruptured, were explanted. One-third of these were intact and unnecessarily explanted. US associated with MRI evaluation resulted in the most helpful diagnostical method.A standardized clinical and radiological approach is essential to manage breast implant ruptures successfully. An innovative protocol is proposed in order to: ensure the appropriate management of implant ruptures and prevent unnecessary surgical revisions; reduce the risk of claims for medical malpractice in cases of unsatisfactory final aesthetic results or worse than before

Pilot-Scale Investigation of an Innovative Process for Biogas Upgrading with CO2 Capture and Storage

Abstract In this work an innovative carbon dioxide removal method that, differently from the currently employed commercial techniques, allows also to capture and store the separated CO 2 is investigated. This process, Alkali absorption with Regeneration (AwR), consists in a first step in which CO 2 is separated from the biogas by chemical absorption with an alkali aqueous solution followed by a second step in which the spent absorption solution is regenerated for reuse in the first step and the captured CO 2 is stored in a solid and thermodynamically stable form. The latter process is carried out contacting the spent absorption solution, rich in carbonate and bicarbonate ions, with a waste material characterized by a high content of calcium hydroxide and leads to the precipitation of calcium carbonate and to the regeneration of the alkali hydroxide content of the solution. The proposed processes were first investigated by preliminary laboratory and simulation analysis. On the basis of the results of these tests, air pollution control (APC) residues from Waste-to-Energy plants were selected as the material to use for the regeneration step and a pilot-scale regeneration plant was designed, built and installed in a landfill site downstream of the already existing absorption column. In this paper the sizing and design of the regeneration plant and the results of the preliminary AwR pilot- plant tests are reported. This study was carried out within the framework of the UPGAS-LOWCO2 (LIFE08/ENV/IT/000429) Life+ project

A Novel Stress-induced Sugarcane Gene Confers Tolerance To Drought, Salt And Oxidative Stress In Transgenic Tobacco Plants.

Drought is a major abiotic stress that affects crop productivity worldwide. Sugarcane can withstand periods of water scarcity during the final stage of culm maturation, during which sucrose accumulation occurs. Meanwhile, prolonged periods of drought can cause severe plant losses. In a previous study, we evaluated the transcriptome of drought-stressed plants to better understand sugarcane responses to drought. Among the up-regulated genes was Scdr1 (sugarcane drought-responsive 1). The aim of the research reported here was to characterize this gene. Scdr1 encodes a putative protein containing 248 amino acids with a large number of proline (19%) and cysteine (13%) residues. Phylogenetic analysis showed that ScDR1is in a clade with homologs from other monocotyledonous plants, separate from those of dicotyledonous plants. The expression of Scdr1 in different varieties of sugarcane plants has not shown a clear association with drought tolerance. The overexpression of Scdr1 in transgenic tobacco plants increased their tolerance to drought, salinity and oxidative stress, as demonstrated by increased photosynthesis, water content, biomass, germination rate, chlorophyll content and reduced accumulation of ROS. Physiological parameters, such as transpiration rate (E), net photosynthesis (A), stomatal conductance (gs) and internal leaf CO(2) concentration, were less affected by abiotic stresses in transgenic Scdr1 plants compared with wild-type plants. Overall, our results indicated that Scdr1 conferred tolerance to multiple abiotic stresses, highlighting the potential of this gene for biotechnological applications.7e4469

Evaluation of botanical insecticides to control whitefly (Bemisia tabaci Gennadius) and tomato flee (Halticu ssp) in tomato (Solanum lycopersicum Mill.), in Nicaragua

El complejo mosca blanca (Bemisia tabaci)-Geminivirus y Halticus sp son las principales plagas causantes de pérdidas económicas en el cultivo de tomate (Solanum lycopersicum Mill) en el municipio de Tisma-Masaya. En base a esta situación se realizó un estudio para evaluar la efectividad que tiene para controlar estas y otras plagas secundarias los tratamientos botánicos: chile + ajo + jabón, madero negro, crisantemo, extracto alcohólico + chile, extracto alcohólico + chile + ajo y testigo en el período comprendido entre diciembre 2013 a febrero 2014. De los tratamientos evaluados, el menor número de moscas blancas por planta y el menor porcentaje de severidad a los cien después de trasplante lo obtuvo el tratamiento extracto alcohólico + chile + ajo. El tratamiento madero negro presentó la mayor efectividad en el manejo de poblaciones de Halticus sp. El mayor rendimiento se obtuvo con extracto alcohólico + chile + ajo con 34 685.18 kg ha-1 seguido del tratamiento chile + ajo + jabón con 30 614.28 kg ha-1. De acuerdo al análisis de tasa de retorno marginal, el tratamiento chile+ajo+jabón es el que obtuvo la mejor tasa de retorno marginal con 1 476%, es decir, USD 14.76 por cada dólar invertido. Además el análisis de biotipo de mosca blanca realizado en la Universidad de Tucson, Arizona muestra que un 66.66% corresponde a la mosca blanca autóctona (biotipo A), y el 33.33% corresponde al biotipo B, el cual es más agresivo que el A. Según el análisis de los begomovirus se determinó: enrollamiento severo de la hoja de tomate (ToSLCV) con al menos 96% de identidad en las muestras y el virus del mosaico dorado de la chiltoma (PepGMV) con un 98% de identidad.The whitefly-virus complex (Bemisia tabaci)-Geminivirus and Halticus sp. are the main cause of economic losses in tomato (Solanum Lycopersicum Mill) in the municipality of Tisma, Masaya. Due to this situation, a study was conducted to evaluate the effectiveness of botanical insecticides such as: Chile + Garlic + Soap, Madero Negro, Chrysanthemum, alcoholic extract + Chili and alcoholic extract + Chili + Garlic in the period from December 2013 to February 2014. Of the treatments evaluated, the lowest number of whiteflies per plant and lower percentage of severity at one hundred days after transplanting was obtained with the treatment Alcoholic extract+Chili+Garlic. The treatment Madero Negro had the highest effectiveness in managing populations of Halticus sp. The economic analysis showed that the highest yield was obtained by the Alcoholic extract+Chili+Garlic with 34 685.18 kg/ha-1 followed by the treatment Chili+Garlic+Soap with 30 614.28 kg/ha-1. According to the marginal return analysis, this proved that the treatment Chili+Garlic+Soap is the one who obtained the best marginal rate of return with 1 476 %, which means that USD 14.76 is obtained for every dollar invested. According to samples of tomato tissue and whiteflies insect samples sent for analysis to at the University of Arizona in Tucson, this determined that the 66.66% of white flies samples from Tisma are indigenous whitefly, biotype “A”, and the 33.33% corresponds to the “B” biotype, the one that is more aggressive than “A”. The Begomoviruses analysis found that severe curl leaf tomato (ToSLCV) with at least 96% and golden mosaic virus of pepper (PepGMV) with 98% identity were identified in this stud

Human Adipose-Derived Stem Cells in Madelung's Disease: Morphological and Functional Characterization

Madelung Disease (MD) is a syndrome characterized by the accumulation of aberrant symmetric adipose tissue deposits. The etiology of this disease is yet to be elucidated, even though the presence of comorbidities, either genetic or environmental, has been reported. For this reason, establishing an in vitro model for MD is considered crucial to get insights into its physiopathology. We previously established a protocol for isolation and culture of stem cells from diseased tissues. Therefore, we isolated human adipose-derived stem cells (ASC) from MD patients and compared these cells with those isolated from healthy subjects in terms of surface phenotype, growth kinetic, adipogenic differentiation potential, and molecular alterations. Moreover, we evaluated the ability of the MD-ASC secretome to affect healthy ASC. The results reported a difference in the growth kinetic and surface markers of MD-ASC compared to healthy ASC but not in adipogenic differentiation. The most commonly described mitochondrial mutations were not observed. Still, MD-ASC secretome was able to shift the healthy ASC phenotype to an MD phenotype. This work provides evidence of the possibility of exploiting a patient-based in vitro model for better understanding MD pathophysiology, possibly favoring the development of novel target therapies

Outcomes in Hybrid Breast Reconstruction: A Systematic Review

Background and Objectives: Lipofilling is a commonly performed procedure worldwide for breast augmentation and correction of breast contour deformities. In breast reconstruction, fat grafting has been used as a single reconstructive technique, as well as in combination with other procedures. The aim of the present study is to systematically review available studies in the literature describing the combination of implant-based breast reconstruction and fat grafting, focusing on safety, complications rate, surgical sessions needed to reach a satisfying reconstruction, and patient-reported outcomes. Materials and Methods: We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) throughout the whole review protocol. A systematic review of the literature up to April 2022 was performed using Medline, Embase, and Cochrane Library databases. Only studies dealing with implant-based breast reconstruction combined with fat grafting were included. Results: We screened 292 articles by title and abstract. Only 48 articles were assessed for full-text eligibility, and among those, 12 studies were eventually selected. We included a total of 753 breast reconstructions in 585 patients undergoing mastectomy or demolitive breast surgeries other than mastectomy (quadrantectomy, segmentectomy, or lumpectomy) due to breast cancer or genetic predisposition to breast cancer. Overall, the number of complications was 60 (7.9%). The mean volume of fat grafting per breast per session ranged from 59 to 313 mL. The mean number of lipofilling sessions per breast ranged from 1.3 to 3.2. Conclusions: Hybrid breast reconstruction shows similar short-term complications to standard implant-based reconstruction but with the potential to significantly decrease the risk of long-term complications. Moreover, patient satisfaction was achieved with a reasonably low number of lipofilling sessions (1.7 on average)