Effect of carbohydrates on protein hydrolysis in anaerobic digestion.

This study aimed to assess the effect of carbohydrates on protein hydrolysis and potential implications for the design of anaerobic reactors for treatment of protein-rich wastewaters. Batch experiments were carried out with dissolved starch (Sta) and gelatine (Gel) at different chemical oxygen demand (COD) ratios ranging from 0 to 5.5 under methanogenic conditions for methane production and up to 3.

Start-up and performance of a downflow fluidised bed reactor for biological treatment of yellow wastewater and nutrient recovery.

The treatment of yellow water (human urine) in a downflow fluidised bed reactor (DFFBR) was investigated to evaluate biological ureolysis and nutrient recovery. The reactor was operated at 30±4 °C in batch mode, and reaction time = 1 d. The average immobilised biomass (as volatile solids, IVS) in the reactor was 2.

Thermophilic (55 °C) and hyper-thermophilic (70 °C) anaerobic digestion as novel treatment technologies for concentrated black water.

Thermophilic and hyper-thermophilic anaerobic digestion (AD) are promising techniques for the treatment of concentrated black water (toilet fraction of domestic wastewater collected by low flush volume toilets; BW), recovery of nutrients and simultaneous pathogen removal for safe recovery and reuse of those nutrients. This study showed that thermophilic AD (55 °C) of concentrated BW reaches the same methanisation and COD removal as mesophilic anaerobic treatment of BW (conventional vacuum toilets) and kitchen waste while applying a higher loading rate (OLR) (2.5-4.

An integrated assessment of environmental, economic, social and technological parameters of source separated and conventional sanitation concepts: A contribution to sustainability analysis.

Resource recovery and reuse from domestic wastewater has become an important subject for the current development of sanitation technologies and infrastructures. Different technologies are available and combined into sanitation concepts, with different performances. This study provides a methodological approach to evaluate the sustainability of these sanitation concepts with focus on resource recovery and reuse.

Peer support by interprofessional health care providers in aftermath of patient safety incidents: A cross-sectional study.

Aim: To investigate the health care professionals' preferences pertaining to support in the aftermath of patient safety incidents and potential variation thereof depending on the degree of harm.

Background: Peer support systems are available to support health care professionals in the aftermath of patient safety incidents. It is unclear which type of support is best offered by whom.

Cation exchange membrane behaviour of extracellular polymeric substances (EPS) in salt adapted granular sludge.

This paper aims to elucidate the role of extracellular polymeric substances (EPS) in regulating anion and cation concentrations and toxicity towards microorganisms in anaerobic granular sludges adapted to low (0.22 M of Na) and high salinity (0.87 M of Na).

Black water treatment by an upflow anaerobic sludge blanket (UASB) reactor: a pilot study.

Decentralized sanitary wastewater treatment has become a viable and sustainable alternative, especially for developing countries and small communities. Besides, effluents may present variations in chemical oxygen demand (COD), biochemical oxygen demand (BOD) and total nitrogen values. This study describes the feasibility of using a pilot upflow anaerobic sludge blanket (UASB) reactor to treat wastewater with different organic loads (COD), using black water (BW) and sanitary wastewater, in addition to its potential for preserving nutrients for later recovery and/or reuse.

Protein hydrolysis and fermentation under methanogenic and acidifying conditions.

Background: Many kinds of wastewaters contain appreciable quantities of protein. Anaerobic processes are suitable for the treatment of wastewater high in organics to achieve pollution control and recovery of energy as methane and hydrogen, or intermediates for production of biofuels and valuable biochemicals. A distinction between protein hydrolysis and amino acid fermentation, especially for dissolved proteins, is needed to target which one is truly rate-limiting and to effectively harvest bioproducts during anaerobic conversion of these wastewaters.

Recovery of calcium phosphate granules from black water using a hybrid upflow anaerobic sludge bed and gas-lift reactor.

Adding calcium during anaerobic digestion of vacuum collected black water (BW) in an up-flow anaerobic sludge bed (UASB) reactor increased the retention of total phosphorus (P) in the reactor from 51% to 87%. However, the insufficient mixing in the reactor caused cementation and relatively high content of organics in the recovered calcium phosphate (CaP) granules, limiting the P recovery. In this study, the UASB reactor was mixed with an internal gas-lift (UASB-GL) to prevent cementation and to enhance the P content in CaP granules.

Prolonged mental health sequelae among doctors and nurses involved in patient safety incidents with formal complaints and lawsuits.

We evaluated the presence of prolonged mental health sequelae in the aftermath of a patient safety incident and the impact of a formal complaint or lawsuit on these mental health sequelae in 19 hospitals and 2635 nurses and doctors. Of 2635 respondents, 983 (37.3%) reported a complaint and 190 (7.

Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands.

Objectives: To describe healthcare providers' symptoms evoked by patient safety incidents (PSIs), the duration of these symptoms and the association with the degree of patient harm caused by the incident.

Design: Cross-sectional survey.

Setting: 32 Dutch hospitals that participate in the 'Peer Support Collaborative'.

Fertile cities: Nutrient management practices in urban agriculture.

Cities are increasingly targeted as centers for sustainable development and innovation of food systems. Urban agriculture (UA) is advocated by some as a multi-faceted approach to help achieve urban sustainability goals as it provides possible social, economic and environmental benefits. The role of UA in restoring resource cycles receives increasing attention, especially with regard to assimilating urban waste.

Bulk pH and Carbon Source Are Key Factors for Calcium Phosphate Granulation.

Recovery of calcium phosphate granules (CaP granules) from high-strength wastewater is an opportunity to reduce the natural phosphorus (P) scarcity, geographic imbalances of P reserves, and eutrophication. Formation of CaP granules was previously observed in an upflow anaerobic sludge bed (UASB) reactor treating source separated black water and is enhanced by Ca addition. However, the required operating conditions and influent composition for CaP granulation are still unknown.

Induction of Labor for Maternal Indications at a Periviable Gestational Age; Survey on Management, Reporting and Auditing amongst Dutch Maternal-Fetal Medicine Specialists and Neonatologists.

 In cases of life-threatening maternal conditions in the periviable period, professionals may consider immediate delivery with fetal demise as a consequence of the treatment. We sought the opinion of involved medical professionals on management, reporting, and auditing in these cases.  We performed an online survey amongst all registered maternal-fetal medicine (MFM) specialists and neonatologists in the Netherlands.

The Effect of Bioinduced Increased pH on the Enrichment of Calcium Phosphate in Granules during Anaerobic Treatment of Black Water.

Simultaneous recovery of calcium phosphate granules (CaP granules) and methane in anaerobic treatment of source separated black water (BW) has been previously demonstrated. The exact mechanism behind the accumulation of calcium phosphate (Ca (PO) ) in CaP granules during black water treatment was investigated in this study by examination of the interface between the outer anaerobic biofilm and the core of CaP granules. A key factor in this process is the pH profile in CaP granules, which increases from the edge (7.

The potential of osmolytes and their precursors to alleviate osmotic stress of anaerobic granular sludge.

Increasing amounts of saline (waste)water with high concentrations of organic pollutants are generated globally. In the anaerobic (waste)water treatment domain, high salt concentrations are repeatedly reported to inhibit methanogenic activity and strategies to overcome this toxicity are needed. Current research focuses on the use of potential osmolyte precursor compounds for osmotic stress alleviation in granular anaerobic sludges upon exposure to hypersalinity shocks.

Mode of Delivery in Severe Preeclampsia Before 28 Weeks' Gestation: A Systematic Review.

Importance: Preeclampsia with an onset before 28 weeks' gestation poses dilemmas for the obstetrician with regard to the mode of delivery.

Objective: The aim of this study was to analyze the success rate of attempted vaginal delivery and the maternal and neonatal outcome according to the mode of delivery in women with preeclampsia and an indicated delivery before 28 weeks' gestation.

Evidence Acquisition: A comprehensive search was performed in the bibliographic databases PubMed, Embase.

Effect of low concentrations of dissolved oxygen on the activity of denitrifying methanotrophic bacteria.

Chemical energy can be recovered from municipal wastewater as biogas through anaerobic treatment. Effluent from direct anaerobic wastewater treatment at low temperatures, however, still contains ammonium and considerable amounts of dissolved methane. After nitritation, methane can be used as electron donor for denitrification by the anaerobic bacterium 'Candidatus Methylomirabilis oxyfera'.

Micropollutant removal from black water and grey water sludge in a UASB-GAC reactor.

The effect of granular activated carbon (GAC) addition on the removal of diclofenac, ibuprofen, metoprolol, galaxolide and triclosan in a up-flow anaerobic sludge blanket (UASB) reactor was studied. Prior to the reactor studies, batch experiments indicated that addition of activated carbon to UASB sludge can decrease micropollutant concentrations in both liquid phase and sludge. In continuous experiments, two UASB reactors were operated for 260 days at an HRT of 20 days, using a mixture of source separated black water and sludge from aerobic grey water treatment as influent.

Calcium addition to increase the production of phosphate granules in anaerobic treatment of black water.

Simultaneous recovery of calcium phosphate granules (CaP granules) and methane from vacuum collected black water (BW), using an upflow anaerobic sludge blanket (UASB) reactor was previously investigated. It was calculated that only 2% of the total phosphorus (P) fed was present as CaP granules whereas 51% of the P accumulated dispersed in the reactor, limiting the applicability of this process for recovery of phosphate. This study proposes adding calcium to increase the P accumulation in the reactor and the production of CaP granules.

Fast anaerobic sludge granulation at elevated salinity.

It is commonly accepted that high salt concentrations negatively affect microbial activity in biological wastewater treatment reactors such as upflow anaerobic sludge blanket (UASB) reactors. Microbial aggregation in such reactors is equally important. It is well documented that anaerobic granules, when exposed to high salinity become weak and disintegrate, causing wash-out, operational problems and decreasing process performance.

Simultaneous recovery of calcium phosphate granules and methane in anaerobic treatment of black water: Effect of bicarbonate and calcium fluctuations.

Calcium phosphate (CaP) granules were discovered in the anaerobic treatment of vacuum collected black water (BW), using upflow anaerobic sludge blanket (UASB) technology. This allows simultaneous recovery of CaP granules and methane in the UASB reactor. However, the role of BW composition on CaP granulation is not yet understood.

Subsequent pregnancy outcome after mid-trimester termination of pregnancy for preeclampsia.

Background: In this study we determined the outcome of subsequent pregnancies after termination of pregnancy for preeclampsia, with the purpose of presenting data useful for counselling these women on future pregnancies.

Study Design: The cohort consisted of 131 women with a history of termination of pregnancy for preeclampsia.

Results: Data of 79 pregnancies were available for analysis, including 13 women with chronic hypertension and 16 women with thrombophilia.

Micropollutants in source separated wastewater streams and recovered resources of source separated sanitation.

The quality of anaerobic sludge and struvite from black water treatment system, aerobic sludge from grey water treatment system and effluents of both systems was assessed for organic micropollutant content in order to ensure safety when reusing these products. Use of anaerobic black water sludge and struvite as soil amendments is recommended based on the low micropollutant content. Aerobic grey water sludge is recommended for disposal, because of the relatively high micropollutant concentrations, exceeding those in sewage sludge.