The results of the use of an expert system (ES) to control a novel multi-stage loop membrane bioreactor (MLMBR) for the simultaneous removal of organic substances and nutrients are reported. The study was conducted at a bench-scale plant for the purpose of meeting new discharge standards (GB21904-2008) for the treatment of chemical synthesis-based pharmaceutical wastewater (1200-9600 mg/L COD, 500-2500 mg/L BOD5, 50-200 mg/L NH4+-N and 105-400 mg/L TN in the influent water) by developing a distributed control system. The system allows various expert operational approaches to be deployed with the goal of minimizing organic substances and nitrogen levels in the outlet while using the minimum amount of energy. The proposed distributed control system, which is supervised by a Knowledge-Based Expert System (KBES) constructed with G2 (a tool for expert system development) and a back propagation BP artificial neural network, permits the on-line implementation of every operating strategy of the experimental system. A support vector machine (SVM) is applied to achieve pattern recognition. A set of experiments involving variable sludge retention time (SRT), hydraulic retention time (HRT) and dissolved oxygen (DO) was carried out. Using the proposed system, the amounts of COD, TN and NH4+-N in the effluent decreased by 55%, 62% and 38%, respectively, compared to the usual operating conditions. These improvements were achieved with little energy cost because the performance of the treatment plant was optimized using operating rules implemented in real time.
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http://dx.doi.org/10.1016/j.watres.2011.07.032 | DOI Listing |
BMC Health Serv Res
January 2025
Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia.
Background: Unwarranted clinical variation presents a major challenge in contemporary healthcare, indicating potential inequalities and inefficiencies, and unrealised potential for better outcomes. Despite an increasing focus on unwarranted clinical variation, and consideration of efforts to address this challenge, evidence-based strategies which achieve this are limited. Audit and feedback of healthcare processes (process auditing) and clinician engagement are important tools which may help to reduce unwarranted clinical variation, however their application in maternity care is yet to be thoroughly explored.
View Article and Find Full Text PDFMetabolomics
January 2025
Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Background: Gestational exposure to non-persistent endocrine-disrupting chemicals (EDCs) may be associated with adverse pregnancy outcomes. While many EDCs affect the endocrine system, their effects on endocrine-related metabolic pathways remain unclear. This study aims to explore the global metabolome changes associated with EDC biomarkers at delivery.
View Article and Find Full Text PDFNPJ Digit Med
January 2025
Graduate School of Data Science, Seoul National University, Seoul, Republic of Korea.
Polysomnography (PSG) is crucial for diagnosing sleep disorders, but manual scoring of PSG is time-consuming and subjective, leading to high variability. While machine-learning models have improved PSG scoring, their clinical use is hindered by the 'black-box' nature. In this study, we present SleepXViT, an automatic sleep staging system using Vision Transformer (ViT) that provides intuitive, consistent explanations by mimicking human 'visual scoring'.
View Article and Find Full Text PDFZhonghua Nei Ke Za Zhi
February 2025
This study aims to improve the quality of clinical treatment and nursing care to standardize perioperative management for patients with liver tumors undergoing co-ablation system therapy. The Committee of Ablation Therapy in Oncology, China Anti-Cancer Association; the Expert Committee on Ablation Therapy; Chinese Society of Clinical Oncology (CSCO); and the Committee of Interventional, Perioperative, and Interventional Physician Branch of Chinese Medical Doctors Association organized medical and nursing experts in China. Based on the clinical practice of co-ablation system therapy in China and relevant domestic literature, an expert consensus about perioperative management was developed.
View Article and Find Full Text PDFZhonghua Nei Ke Za Zhi
February 2025
Department of Critical Care Medicine, the First Hospital of Tsinghua University, Beijing100016, China.
Turning to critical illness is a common stage of various diseases and injuries before death. Patients usually have complex health conditions, while the treatment process involves a wide range of content, along with high requirements for doctor's professionalism and multi-specialty teamwork, as well as a great demand for time-sensitive treatments. However, this is not matched with critical care professionals and the current state of medical care in China.
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