Evaluating the effectiveness of patient-tailored treatment for patients with non-specific (sub)acute neck pain.

Background: An important issue in the debate about best practice management of non-specific neck pain (NSNP) is the effectiveness of tailored versus generalized interventions.

Methods: Participants with (sub)acute NSNP were randomly allocated to a patient-tailored treatment (PTT), non-patient-tailored treatment (NPTT) or control group (no intervention). The outcome measures were pain (NPRS), disability (NDI), global perceived effect and satisfaction (GPES), productivity costs, and medical consumption.

Online Exercise Programs for Chronic Nonspecific Neck Pain: A Randomized Controlled Trial Reveals Comparable Effects of Global, Local, and Combined Approaches.

Objective: Specific neck exercises are recommended in the rehabilitation of chronic nonspecific neck pain (CNNP). They are unfortunately often accompanied by acute pain flare-ups. Global exercises might be a beneficial addition, as they activate endogenous analgesia without overloading painful structures.

Exploration of Somatosensory Function of Patients With Acute Nonspecific Neck Pain, Through Quantitative Sensory Testing and Self-reported Symptoms.

Objectives: Adaptations in somatosensory function characterize several chronic pain conditions, including nonspecific neck pain (NNP). Early signs of central sensitization (CS) contribute to pain chronification and poor treatment responses after conditions such as whiplash injury and low back pain. Despite this well-established association, the prevalence of CS in patients with acute NNP, and accordingly, the potential impact of this association, is still unclear.

Clinical Effectiveness of Dry Needling in Patients with Musculoskeletal Pain-An Umbrella Review.

The number of systematic reviews (SR) summarizing the literature regarding the clinical effects of Dry Needling (DN) has increased rapidly. Yet, rigorous evidence about the clinical effectiveness of this technique is still lacking. The aim of this umbrella review is to summarize the evidence about the clinical effects of trigger point DN on musculoskeletal disorders across all body regions.

Immediate effects of dry needling on pain sensitivity and pain modulation in patients with chronic idiopathic neck pain: a single-blinded randomized clinical trial.

Background: Dry needling is frequently used for the treatment of neck pain but knowledge about its neurophysiological central effects is scarce.

Objectives: To compare the immediate effects of a single session of dry needling (DN) and sham needling (SN) on local and distant pressure pain thresholds and conditioned pain modulation in patients with chronic idiopathic neck pain.

Method: Participants with chronic idiopathic neck pain were randomly allocated to a DN or SN group.

How do psychologically based interventions for chronic musculoskeletal pain work? A systematic review and meta-analysis of specific moderators and mediators of treatment.

Psychologically based interventions aim to improve pain-related functioning by targeting pain-related fears, cognitions and behaviors. Mediation and moderation analyses permit further examination of the effect of treatment on an outcome. This systematic review and meta-analysis aims to synthetize the evidence of specific mediators and moderators (i.

Evaluating the effectiveness of patient tailored treatment for patients with non-specific low back pain: A systematic review.

Objective: This systematic review summarizes the relevant literature on the effectiveness of tailored interventions in non-specific low back pain (NSLBP).

Methods: The search strategy has been executed in December 2019 in the electronic databases PubMed, Web of Science and Embase. Study selection, data extraction and quality assessment were done independently by two authors.

Pesticide residues in (treated) wastewater and products of Belgian vegetable- and potato processing companies.

Pesticides are broadly utilized in crop cultivation and could end up in wastewater of vegetable- and potato companies during water-consuming processing steps. To gain insight into the presence of pesticide residues in (waste)water of these industries, water was analysed and monitored from three vegetable- and two potato processing companies in Belgium. During one year samples were collected of water before and after primary/secondary treatment (i.

Consensus among musculoskeletal experts for the management of patients with headache by physiotherapists? A delphi study.

Background: Though a large amount of research on the management of headache has been conducted, the clinical effectiveness of these treatments remains unclear.

Objectives: To reach consensus among international musculoskeletal experts on what the most appropriate management is in patients that suffer from headache.

Design: Expert group and Delphi-study.

PARAFAC model as an innovative tool for monitoring natural organic matter removal in water treatment plants.

The increase of fluorescent natural organic matter (fNOM) fractions during drinking water treatment might lead to an increased coagulant dose and filter clogging, and can be a precursor for disinfection by-products. Consequently, efficient fNOM removal is essential, for which characterisation of fNOM fractions is crucial. This study aims to develop a robust monitoring tool for assessing fNOM fractions across water treatment processes.

Production of long-chain hydroxy fatty acids by Starmerella bombicola.

To decrease our dependency for the diminishing source of fossils resources, bio-based alternatives are being explored for the synthesis of commodity and high-value molecules. One example in this ecological initiative is the microbial production of the biosurfactant sophorolipids by the yeast Starmerella bombicola. Sophorolipids are surface-active molecules mainly used as household and laundry detergents.

Assessing the impact of environmental activities on natural organic matter in South Africa and Belgium.

The presence and persistence of natural organic matter (NOM) in drinking water treatment plants (WTPs) requires a robust and rapid monitoring method. Measurement and monitoring of NOM fractions using current technology is time-consuming and expensive. This study uses fluorescence measurements in combination with Parallel Factor (ParaFac) analysis to characterize NOM fractions.

Municipal wastewater effluent characterization and variability analysis in view of an ozone dose control strategy during tertiary treatment: The status in Belgium.

Ozonation is known for removing trace organic contaminants (TrOCs) from secondary wastewater effluent. However, its implementation and overall efficiency on a broad scale depends on effluent characteristics, which can differ both in time as well as between different treatment plants (nowadays referred to as water resource recovery facilities (WRRFs)). Therefore, water quality was assessed over time at 15 different Belgian sampling locations to increase the understanding of effluent variability in view of online control of the tertiary ozonation step.

Combining ozone with UV and HO for the degradation of micropollutants from different origins: lab-scale analysis and optimization.

The degradation of micropollutants (MPs), including pesticides, herbicides, pharmaceuticals and endocrine disrupting compounds, by ozone-based advanced oxidation techniques (AOP) was investigated in this study. The effect of different factors, such as ozone concentration, hydrogen peroxide concentration and initial pH, on the removal rate was studied in detail. The combination of UV with ozone/ HO increased the MPs degradation.

Dynamic validation of online applied and surrogate-based models for tertiary ozonation on pilot-scale.

New robust correlation models for ozonation, based on UVA and fluorescence surrogate parameters and developed considering kinetic information, have been applied at pilot-scale. This model framework is validated with the aim for operators to control the ozone dose for the removal of trace organic contaminants (TrOCs) in effluents from full-scale municipal wastewater treatment plants. The inflected correlation model between ΔTrOCs and the surrogates predicts the removal of TrOCs (based on statistical evidence) solely using the 2nd order reaction rate constant with ozone (k) and in a more adequate manner than similar single correlation models.

Surrogate-Based Correlation Models in View of Real-Time Control of Ozonation of Secondary Treated Municipal Wastewater-Model Development and Dynamic Validation.

New robust correlation models for real-time monitoring and control of trace organic contaminant (TrOC) removal by ozonation are presented, based on UVA and fluorescence surrogates, and developed considering kinetic information. The abatement patterns of TrOCs had inflected shapes, controlled by the reactivity of TrOCs toward ozone and HO radicals. These novel and generic correlation models will be of importance for WRRF operators to reduce operational costs and minimize byproduct formation.

Characterisation of landfill leachate by EEM-PARAFAC-SOM during physical-chemical treatment by coagulation-flocculation, activated carbon adsorption and ion exchange.

The combination of fluorescence excitation-emission matrices (EEM), parallel factor analysis (PARAFAC) and self-organizing maps (SOM) is shown to be a powerful tool in the follow up of dissolved organic matter (DOM) removal from landfill leachate by physical-chemical treatment consisting of coagulation, granular activated carbon (GAC) and ion exchange. Using PARAFAC, three DOM components were identified: C1 representing humic/fulvic-like compounds; C2 representing tryptophan-like compounds; and C3 representing humic-like compounds. Coagulation with ferric chloride (FeCl) at a dose of 7 g/L reduced the maximum fluorescence of C1, C2 and C3 by 52%, 17% and 15% respectively, while polyaluminium chloride (PACl) reduced C1 only by 7% at the same dose.

Physical-chemical treatment of rainwater runoff in recovery and recycling companies: lab-scale investigation.

Scrap material recovery and recycling companies are producing wastewater in which common pollutants (such as COD, nutrients and suspended solids), toxic metals, polyaromatic hydrocarbons (PAH) and polychlorinated biphenyls (PCB) frequently can exceed the discharge limits. Lab-scale optimisation of different possible physical-chemical treatment techniques was performed on the wastewater originating from three different companies in view of further testing at pilot-scale testing and implementation at full-scale. The lab-scale tests demonstrate that sedimentation or hydrocyclone treatment as stand-alone technique cannot be used for proper treatment of this type of wastewater.

Enhanced treatment of secondary municipal wastewater effluent: comparing (biological) filtration and ozonation in view of micropollutant removal, unselective effluent toxicity, and the potential for real-time control.

Ozonation and three (biological) filtration techniques (trickling filtration (TF), slow sand filtration (SSF) and biological activated carbon (BAC) filtration) have been evaluated in different combinations as tertiary treatment for municipal wastewater effluent. The removal of 18 multi-class pharmaceuticals, as model trace organic contaminants (TrOCs), has been studied. (Biological) activated carbon filtration could reduce the amount of TrOCs significantly (>99%) but is cost-intensive for full-scale applications.

Removal of organic matter and ammonium from landfill leachate through different scenarios: Operational cost evaluation in a full-scale case study of a Flemish landfill.

Several scenarios are available to landfilling facilities to effectively treat leachate at the lowest possible cost. In this study, the performance of various leachate treatment sequences to remove COD and nitrogen from a leachate stream and the associated cost are presented. The results show that, to achieve 100% nitrogen removal, autotrophic nitrogen removal (ANR) or a combination of ANR and nitrification - denitrification (N-dN) is more cost effective than using only the N-dN process (0.

Effect of oxidation and catalytic reduction of trace organic contaminants on their activated carbon adsorption.

The combination of ozonation and activated carbon (AC) adsorption is an established technology for removal of trace organic contaminants (TrOCs). In contrast to oxidation, reduction of TrOCs has recently gained attention as well, however less attention has gone to the combination of reduction with AC adsorption. In addition, no literature has compared the removal behavior of reduction vs.

TREATMENT OF LANDFILL LEACHATE BY COUPLING COAGULATION-FLOCCULATION OR OZONATION TO GRANULAR ACTIVATED CARBON ADSORPTION.

A major concern for landfilling facilities is the treatment of their leachate. To optimize organic matter removal from this leachate, the combination of two or more techniques is preferred in order to meet stringent effluent standards. In our study, coagulation-flocculation and ozonation are compared as pre- treatment steps for stabilized landfill leachate prior to granular activated carbon (GAC) adsorption.

Physical-chemical treatment of rainwater runoff in recovery and recycling companies: Pilot-scale optimization.

Pilot-scale optimisation of different possible physical-chemical water treatment techniques was performed on the wastewater originating from three different recovery and recycling companies in order to select a (combination of) technique(s) for further full-scale implementation. This implementation is necessary to reduce the concentration of both common pollutants (such as COD, nutrients and suspended solids) and potentially toxic metals, polyaromatic hydrocarbons and poly-chlorinated biphenyls frequently below the discharge limits. The pilot-scale tests (at 250 L h(-1) scale) demonstrate that sand anthracite filtration or coagulation/flocculation are interesting as first treatment techniques with removal efficiencies of about 19% to 66% (sand anthracite filtration), respectively 18% to 60% (coagulation/flocculation) for the above mentioned pollutants (metals, polyaromatic hydrocarbons and poly chlorinated biphenyls).

A comparative study on the efficiency of ozonation and coagulation-flocculation as pretreatment to activated carbon adsorption of biologically stabilized landfill leachate.

The present work investigates the potential of coagulation-flocculation and ozonation to pretreat biologically stabilized landfill leachate before granular activated carbon (GAC) adsorption. Both iron (III) chloride (FeCl3) and polyaluminium chloride (PACl) are investigated as coagulants. Better organic matter removal is observed when leachate was treated with FeCl3.

Leaching behaviour of different scrap materials at recovery and recycling companies: full-, pilot- and lab-scale investigation.

Scrap material recovery and recycling companies are confronted with waste water that has a highly fluctuating flow rate and composition. Common pollutants, such as COD, nutrients and suspended solids, potentially toxic metals, polyaromatic hydrocarbons and poly chlorinated biphenyls can exceed the discharge limits. An analysis of the leaching behaviour of different scrap materials and scrap yard sweepings was performed at full-scale, pilot-scale and lab-scale in order to find possible preventive solutions for this waste water problem.