Microbial characterization and removal of anionic surfactant in an expanded granular sludge bed reactor

This study evaluated linear alkylbenzene sulfonate removal in an expanded granular sludge bed reactor with hydraulic retention times of 26 h and 32 h. Sludge bed and separator phase biomass were phylogenetically characterized (sequencing 16S rRNA) and quantified (most probable number) to determine the total anaerobic bacteria and methanogenic Archaea. The reactor was fed with a mineral medium supplemented with 14 mg l(-1) LAS, ethanol and methanol. The stage I-32 h consisted of biomass adaptation (without LAS influent) until reactor stability was achieved (COD removal >97%). In stage II-32 h, LAS removal was 74% due to factors such as dilution, degradation and adsorption. Higher HRT values increased the LAS removal (stage III: 26 h - 48% and stage IV: 32 h - 64%), probably due to increased contact time between the biomass and LAS. The clone libraries were different between samples from the sludge bed (Synergitetes and Proteobacteria) and the separator phase (Firmicutes and Proteobacteria) biomass. (C) 2011 Elsevier Ltd. All rights reserved.

Automatic risk evaluation in elderly patients based on Autonomic Nervous System assessment

Dysfunction of Autonomic Nervous System (ANS) is a typical feature of chronic heart failure and other cardiovascular disease. As a simple non-invasive technology, heart rate variability (HRV) analysis provides reliable information on autonomic modulation of heart rate. The aim of this thesis was to research and develop automatic methods based on ANS assessment for evaluation of risk in cardiac patients. Several features selection and machine learning algorithms have been combined to achieve the goals. Automatic assessment of disease severity in Congestive Heart Failure (CHF) patients: a completely automatic method, based on long-term HRV was proposed in order to automatically assess the severity of CHF, achieving a sensitivity rate of 93% and a specificity rate of 64% in discriminating severe versus mild patients. Automatic identification of hypertensive patients at high risk of vascular events: a completely automatic system was proposed in order to identify hypertensive patients at higher risk to develop vascular events in the 12 months following the electrocardiographic recordings, achieving a sensitivity rate of 71% and a specificity rate of 86% in identifying high-risk subjects among hypertensive patients. Automatic identification of hypertensive patients with history of fall: it was explored whether an automatic identification of fallers among hypertensive patients based on HRV was feasible. The results obtained in this thesis could have implications both in clinical practice and in clinical research. The system has been designed and developed in order to be clinically feasible. Moreover, since 5-minute ECG recording is inexpensive, easy to assess, and non-invasive, future research will focus on the clinical applicability of the system as a screening tool in non-specialized ambulatories, in order to identify high-risk patients to be shortlisted for more complex investigations.

Assessing the impact of electronic health record technology adoption on hospital labor efficiency

Information technology (IT) in the hospital organization is fast becoming a key asset, particularly in light of recent reform legislation in the United States calling for expanding the role of IT in our health care system. Future payment reductions to hospitals included in current health reform are based on expected improvements in hospital operating efficiency. Since over half of hospital expenses are for labor, improved efficiency in use of labor resources can be critical in meeting this challenge. Policy makers have touted the value of IT investments to improve efficiency in response to payment reductions. ^ This study was the first to directly examine the relationship between electronic health record (EHR) technology and staffing efficiency in hospitals. As the hospital has a myriad of outputs for inpatient and outpatient care, efficiency was measured using an industry standard performance metric – full time equivalent employees per adjusted occupied bed (FTE/AOB). Three hypotheses were tested in this study.^ To operationalize EHR technology adoption, we developed three constructs to model adoption, each of which was tested by separate hypotheses. The first hypothesis that a larger number of EHR applications used by a hospital would be associated with greater staffing efficiency (or lower values of FTE/AOB) was not accepted. Association between staffing efficiency and specific EHR applications was the second hypothesis tested and accepted with some applications showing significant impacts on observed values for FTE/AOB. Finally, the hypothesis that the longer an EHR application was used in a hospital would be associated with greater labor efficiency was not accepted as the model showed few statistically significant relationships to FTE/AOB performance. Generally, there does not appear a strong relationship between EHR usage and improved labor efficiency in hospitals.^ While returns on investment from EHR usage may not come from labor efficiencies, they may be better sought using measures of quality, contribution to an efficient and effective local health care system, and improved customer satisfaction through greater patient throughput.^

Air-steam gasification of sewage sludge in a bubbling bed reactor: Effect of alumina as a primary catalyst

Numerous references can be found in scientific literature regarding biomass gasification. However, there are few works related to sludge gasification. A study of sewage sludge gasification process in a bubbling fluidised bed gasifier on a laboratory scale is here reported. The aim was to find the optimum conditions for reducing the production of tars and gain more information on the influx of different operating variables in the products resulting from the gasification of this waste. The variables studied were the equivalence ratio (ER), the steam-biomass ratio (SB) and temperature. Specifically, the ER was varied from 0.2 to 0.4, the SB from 0 to 1 and the temperature from 750 °C (1023 K) to 850 °C (1123 K). Although it was observed that tar production could be considerably reduced (up to 72%) by optimising the gasification conditions, the effect of using alumina (aluminium oxide, of proven efficacy in destroying the tar produced in biomass gasification) as primary catalyst in air and air-steam mixture tests was also verified. The results show that by adding small quantities of alumina to the bed (10% by weight of fed sludge) considerable reductions in tar production can be obtained (up to 42%) improving, at the same time, the lower heating value (LHV) of the gas and carbon conversion.

Gasification technology assessment of sterile coal to clean electrical power generation.

Sterile coal is a low-value residue associated to the coal extraction and mining activity. According to the type and origin of the coal bed configuration, sterile coal production can mainly vary on quantity, calorific value and presence of sulphur compounds. In addition, the potential availability of sterile coal within Spain is apparently high and its contribution to the local power generation would be of interest playing a significant role. The proposed study evaluates the availability and deployment of gasification technologies to drive clean electricity generation from waste coal and sterile rock coal, incorporating greenhouse gas emission mitigation systems, like CO2, H2S and NOx removal systems. It establishes the target facility and its conceptual basic design proposal. The syngas obtained after the gasification of sterile coal is processed through specific conditioning units before entering into the combustion chamber of a gas turbine. Flue gas leaving the gas turbine is ducted to a heat recovery steam generation boiler; the steam produced within the boilerdrives a steam turbine. The target facility resembles a singular Integrated Gasification in Combined Cycle (IGCC) power station. The evaluation of the conceptual basic design according to the power output set for a maximum sterile contribution, established that rates over 95% H2S and 90% CO2 removal can be achieved. Noticeable decrease of NOx compounds can be also achieved by the use of commercial technology. A techno-economic approach of the conceptual basic design is made evaluating the integration of potential unitsand their implementation within the target facility aiming toachieve clean power generation. The criterion to be compliant with the most restrictive regulation regarding environmental emissions is setting to carry out this analysis.

Cognitive test-bed for wireless sensor networks

Cognitive Wireless Sensor Networks are an emerging technology with a vast potential to avoid traditional wireless problems such as reliability, interferences and spectrum scarcity in Wireless Sensor Networks. Cognitive Wireless Sensor Networks test-beds are an important tool for future developments, protocol strategy testing and algorithm optimization in real scenarios. A new cognitive test-bed for Cognitive Wireless Sensor Networks is presented in this paper. This work in progress includes both the design of a cognitive simulator for networks with a high number of nodes and the implementation of a new platform with three wireless interfaces and a cognitive software for extracting real data. Finally, as a future work, a remote programmable system and the planning for the physical deployment of the nodes at the university building is presented.

Caregivers of the frail elderly : a national profile /

Item 491-B-17

Elderly and handicapped transportation: information sourcebook.

Transportation Department, Washington, D.C.

Provisions for elderly and handicapped pedestrians. Volume 2: hazards, barriers, problems and the law. Final report.

Federal Highway Administration, Office of Research and Development, Washington, D.C.

Provisions for elderly and handicapped pedestrians. Volume 3: the development and evaluation of countermeasures. Final report.

Federal Highway Administration, Office of Research and Development, Washington, D.C.

Provisions for elderly and handicapped pedestrians. Volume I: executive summary. Final report.

Federal Highway Administration, Office of Research and Development, Washington, D.C.

Elderly and handicapped transportation : planning checklist /

Mode of access: Internet.

Elderly and handicapped transportation : eight case studies /

Mode of access: Internet.

Evaluation of ultrafiltration to recover aqueous iron phosphating/degreasing bath /

"Contract no. CR-815829."

Transportation for the elderly and handicapped : programs and problems II.

Mode of access: Internet.