Conventional aerobic secondary treatment of domestic wastewater is energy intensive. Here we report net energy positive operation of a pilot-scale anaerobic secondary treatment system in a temperate climate, with low levels of volatile solids for disposal (< 0.15 mgVSS/mgCOD) and hydraulic residence times as low as 5.3 h. This was accomplished with a second-generation staged anaerobic fluidized membrane bioreactor (SAF-MBR 2.0) consisting of a first-stage anaerobic fluidized bed reactor (AFBR) followed by a second-stage gas-sparged anaerobic membrane bioreactor (AnMBR). In stage 1, fluidized granular activated carbon (GAC) particles harbor methanogenic communities that convert soluble biodegradable COD into methane; in stage 2, submerged membranes produce system effluent (permeate) and retain particulate COD that can be hydrolyzed and/or recycled back to stage 1 for conversion to methane. An energy balance on SAF-MBR 2.0 (excluding energy from anaerobic digestion of primary suspended solids) indicated net energy positive operation (+ 0.11 kWh/m), with energy recovery from produced methane (0.39 kWh electricity/m + 0.64 kWh heat/m) exceeding energy consumption due to GAC fluidization (0.07 kWh electricity/m) and gas sparging (0.20 kWh electricity/m at an optimal flux of 12.2 L/m h). Two factors dominated the operating expenses: energy requirements and recovery cleaning frequency; these factors were in turn affected by flux conditions, membrane fouling rate, and temperature. For optimization of expenses, the frequency of low-cost maintenance cleanings was adjusted to minimize recovery cleanings while maintaining optimal flux with low energy costs. An issue still to be resolved is the occurrence of ultrafine COD in membrane permeate that accounted for much of the total effluent COD.
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http://dx.doi.org/10.1016/j.watres.2021.117598 | DOI Listing |
Disabil Rehabil
January 2025
Clinic Institute of Medical and Surgical Specialties (ICEMEQ), Hospital Clinic of Barcelona, Barcelona, Spain.
Purpose: Adherence to home rehabilitation following total knee arthroplasty (TKA) is essential to reach optimal functional outcomes, especially in fast-track procedures. The aim of this study is to identify which sociodemographic and health factors significantly affect adherence in this context.
Methods: This is a secondary analysis of a randomized controlled trial with 52 patients.
JMIR Res Protoc
January 2025
Centre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.
Background: The neonatal mortality rate in Pakistan is the third highest in Asia, with 8.6 million preterm babies. These newborns require warmth, nutrition, and infection protection, typically provided by incubators.
View Article and Find Full Text PDFJMIR Ment Health
January 2025
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
Background: Mental health concerns have become increasingly prevalent; however, care remains inaccessible to many. While digital mental health interventions offer a promising solution, self-help and even coached apps have not fully addressed the challenge. There is now a growing interest in hybrid, or blended, care approaches that use apps as tools to augment, rather than to entirely guide, care.
View Article and Find Full Text PDFJ Am Coll Health
January 2025
Department of Psychology, Utah State University, Logan, Utah, USA.
This secondary analysis examined the feasibility and acceptability of a novel peer coaching model designed to improve adherence to an online self-help program based on Acceptance and Commitment Therapy (ACT), called ACT Guide. All participants ( = 152) and peer coaches were undergraduate students attending the same university. Participants were instructed to use ACT Guide for 10 wk and were randomly assigned to receive weekly peer coaching through either phone calls or text messaging.
View Article and Find Full Text PDFArq Bras Cir Dig
January 2025
D'Or Institute for Research and Education, Digestive Surgery Residency Program - Rio de Janeiro (RJ), Brazil.
Liver metastases from melanomas, sarcomas, and renal tumors are less frequent. Treatment and prognosis will depend on whether they are isolated or multiple, size and location, the presence or absence of extrahepatic neoplastic disease, age, stage of the initial disease, initial treatments instituted, time of evolution, and clinical condition of the patient. Recently, a high number of oncological therapies including monotherapy or in combination, neoadjuvants or adjuvants, and immuno-oncological treatments have been developed and tested, increasing disease-free time and survival.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!