Co-digestion is the simultaneous digestion of two or more substrates and a common practice at wastewater treatment plants (WWTPs). The amounts of methane and digested sludge produced are key parameters for evaluating the economic efficiency of co-digestion. However, the share of dewatered digestate produced from co-substrates is not known. Synergistic effects in co-digestion, i.e. a better biodegradability compared to the mono-digestion of each substrate, might reduce the amounts of digested sludge and increase methane yields. However, these effects might also influence the calculation of methane and digestate quantities from co-substrates. The main objective of this work was to provide a basis for the cost-benefit analysis of biowaste (BW) co-digestion at WWTPs for this data. Therefore, continuous and batch experiments with sewage sludge (SS) and BW co-digestion were conducted and evaluated for methane and digestate production, and possible synergistic effects. BW co-digestion led to an additional production of 0.35 t total solids (TS) of dewatered sludge per ton TS in continuous and 0.23 t TS of dewatered sludge per ton of TS in batch experiments. The methane yield from BW was 441 L/kg TS in continuous experiments and 482 L/kg TS batch test. No synergistic effects were observed in both batch and continuous co-digestion experiments. Batch tests were found to be suitable for a rough estimation of the co-digestion economic efficiency key parameters. Continuous experiments are recommended to obtain more robust data. A cost-benefit analysis found that electricity production from co-digestion can generate savings of 88-170 €/t TS compared to grid purchase.
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http://dx.doi.org/10.1016/j.wasman.2021.03.030 | DOI Listing |
Foot Ankle Surg
December 2024
Dept of Orthopaedics, Kings College Hospital MTC, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Background: Contemporary guidelines advocate for initial debridement and single-stage definitive fixation with immediate soft tissue reconstruction for open fractures. This study aims to evaluate the effectiveness of single-stage stabilization and immediate definitive soft tissue coverage in open ankle fractures compared to closed fractures.
Methods: We compared all isolated open ankle fractures (OF) treated between January 2017 and June 2019 to a control group of operatively managed closed ankle fractures (CF).
ARP Rheumatol
January 2024
Unidade Local Saúde de Lisboa Ocidental, Hospital de Egas Moniz.
Introduction: The current standard of care of patients with spondyloarthritis (SpA), in addition to pharmacological treatment, includes regular exercise and patient education.(1) The primary goal of this systematic literature review (SLR) is to update the evidence of the effectiveness of education programs for patients with axial SpA (axSpA).
Methods: We systematically searched three databases, PubMed, Embase and Web of Science Core Collection, from January 2000 to June 2023, using the following terms: "patient education", "patient counselling", "patient teaching", "patient engaging", "patient empowerment", "health education", "spondyloarthritis", "spondyloarthropaties", "spondylitis" and "ankylosing spondylitis".
The goal of our study is to evaluate the safest, efficient, and most cost-effective way to manage suspected choledocholithiasis. This retrospective study evaluated adult patients with suspected choledocholithiasis based on labs and imaging at a single institution between 2017 and 2022 and characterized them into 1 of 3 groups based on their management pathway: (1) ERCP-first, (2) MRCP-first, or (3) surgery-first with possible intraoperative cholangiogram pending laboratory trend. Our primary outcome was hospital length of stay.
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January 2025
Department of Radiology, Southeast University Zhongda Hospital, No. 87 Dingjiaqiao Road, Gulou District, Nanjing, Jiangsu Province, China (M.Y., J.J.). Electronic address:
Rationale And Objectives: To develop radiomics and deep learning models for differentiating malignant and benign soft tissue tumors (STTs) preoperatively based on fat saturation T2-weighted imaging (FS-T2WI) of patients.
Materials And Methods: Data of 115 patients with STTs of extremities and trunk were collected from our hospital as the training set, and data of other 70 patients were collected from another center as the external validation set. Outlined Regions of interest included the intratumor and the peritumor region extending outward by 5 mm, then the corresponding radiomics features were extracted respectively.
JMIR Cardio
December 2024
School of Biomedical Engineering, University of British Columbia, Vancouver, BC, Canada.
Background: Cardiovascular disease remains the leading cause of mortality worldwide. Cardiac fibrosis impacts the underlying pathophysiology of many cardiovascular diseases by altering structural integrity and impairing electrical conduction. Identifying cardiac fibrosis is essential for the prognosis and management of cardiovascular disease; however, current diagnostic methods face challenges due to invasiveness, cost, and inaccessibility.
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