Aeraulic behaviour of a biotrickling filter pilot plant: experiments and simulations

Trickling bed biofilters (or biotrickling filters, BTFs) are biological systems for polluted air treatment. Hydrodynamics of BTFs, and reactors in general, is of paramount importance for obtaining good performances. In fact, a non-uniform distribution of the pollutant into the bed brings to dead zones or bypass which reduce the bed working volume and, therefore, cause low removal efficiencies. The paper presents the preliminary results obtained regarding the aeraulic behavior of a BTF pilot plant with seashells as packing material. Experimental results of bed void fraction and pressure drop at several flow rates were used to obtain Ergun equation coefficients for dry bed. A numerical simulation of the reactor flow field carried out with a commercial CFD (Computational Fluid Dynamics) code, validated by the means of velocity measurements made with a Hot Wire Anemometer (HWA) completed the analysis of the reactor hydrodynamics

Étude de la contamination par les métaux lourds du champ d'épandage des eaux usées de la ville de Marrakech (Maroc)

La bioconcentration du Zn, Cu et Cd a été étudiée chez Melanopsis praemorsa L. (Gastéropode prosobranche) provenant de deux sites d'une khettara située dans le champ d'épandage des eaux usées de la ville de Marrakech. Les khettaras représentent un système d'irrigation traditionnel que l'on trouve dans certaines zones arides et semi-arides de la région ouest-paléarctique. L'eau est mise à jour par drainage de la nappe phréatique. Le degré de contamination de ce gastéropode s'avère très élevé et les teneurs métalliques augmentent de l'hiver à l'été. Les causes de la variabilité des concentrations métalliques chez les gastéropodes des deux stations ont été recherchées par des expériences de transplantation, et par des dosages de métaux au niveau du sédiment, de la spirogyre et du périphyton installé sur des substrats artificiels. Les résultats obtenus montrent que les différences entre les concentrations métalliques accumulées par les Melanopsis dans les deux stations pourraient être attribuées à la spéciation du métal dans l'eau. D'autres facteurs peuvent être mis en cause et méritent d'être précisés.Molluscs are well known for their capacity to bioaccumulate heavy metals from water or sediments. This study involves an evaluation of the contamination level of the undergroud and surface waters from a specific irrigation system known as a « khetarra », located near the town of Marrakech (Morocco). Khettaras represent a traditional systern by means ofwhich the ground water is drained to the surface and then can be used as drinking water or for irrigation in some arid and semi-arid areas. The bioindicator chosen was the gasteropod Melanopsispraemorca L. Two stations (Kl and K2) were investigated in a khettara located in spreading Marrakech waste water. The contamination of soils and water by heavy metals, eipecially Zn, Cu and Cd was first described by EL MEZD1 (1985) and SEDKI(1990).The studied khettara (1500 m. in length) is contaminated in two different ways: first by infiltration of waste water from the Seguia system and secondly directly by over-flow and escape of a main common sewer which crosses over the khetarra between the Kl andK2 stations.At each station, sediment peripbyton, Spirogyra and M. praemorsa were sampled in different seasons. Each sample was prepared for analysis (S.A.A. varian 475.AA) according to the method described by COSSON (1987). Flame atomization was chosen for Zn and Cu, the grafite furnace for Cd.The main results concern the level of contamination, with a comparison between Kl and K2 stations, the variation in contamination according to the seasons, the dilferent routes of contamination, namely through water or by the trophic chaîn (periphfion and Spirogyra).The degree of contamination in M. praemona is signifïcatively higher at the Kl station, with the following ranking: Zn> Cu> Cd (fig. 2, 3 and 4). Compared with other literature data: FORSTNER et al., 1981; RADA, 1985; COSSON, 1987; PIP, 1992, the upper concentrations are the highest.The metal concentrations increase from winter to summer, with significant differences between winter and spring or summer values at Kl for Zn, Cu, Cd; the same distinction, but only for Zn and Cd at K2 station.The causes of variation in metal concentrations in the gasteropods from the two sites were investigated,by in situ cotransplantation experiences and by measuring metaflic concentrations in sediments, periphyton and Spirogyra. Results show that differences in gasteropod metal concentrations between sites appear to be related to differences in aqueous metal speciation. The data concerning the food chain show that metallic concentrations are higher for periphyton and, Spirogyra living at Kl station, this according to the data for M. praemorsa.In contrast, the level of contamination in sediments is higher at K2 station. The most probable hypothesis is that organic and suspended matter, present at a higher level in this station, bind the heary metals and reduce their bioavailability.The cotransplantation between Kl and K2 stations shows that the individuals transferred from Kl to K2 station for 15 days cease to bioaccumulate Zn and Cd. A detoxification process occurs for these two metals but not for Cu, which continues to increase; thus, bioavailability of different metals at the same station is not equivalent. On the other hand the individuals transferred from K2 to Kl station do not increase their Zn, Cu or Cd concentrations even after 30 days. Concerning this fact FRAZIER and GEORGE (1983) suggest the possibility of an adaptation to initial conditions.It seems that many other factors influence metal bioaccumulation and merit further study, e.g.: the size and the age of individuals, the biological cycle with the period of reproduction ; the interaction of abiotic factors: T°, salinity, dissolved orygen, turbidity, lighting

Technology for large-scale translation of clinical practice guidelines : a pilot study of the performance of a hybrid human and computer-assisted approach

Background: The construction of EBMPracticeNet, a national electronic point-of-care information platform in Belgium, was initiated in 2011 to optimize quality of care by promoting evidence-based decision-making. The project involved, among other tasks, the translation of 940 EBM Guidelines of Duodecim Medical Publications from English into Dutch and French. Considering the scale of the translation process, it was decided to make use of computer-aided translation performed by certificated translators with limited expertise in medical translation. Our consortium used a hybrid approach, involving a human translator supported by a translation memory (using SDL Trados Studio), terminology recognition (using SDL Multiterm termbases) from medical termbases and support from online machine translation. This has resulted in a validated translation memory which is now in use for the translation of new and updated guidelines. Objective: The objective of this study was to evaluate the performance of the hybrid human and computer-assisted approach in comparison with translation unsupported by translation memory and terminology recognition. A comparison was also made with the translation efficiency of an expert medical translator. Methods: We conducted a pilot trial in which two sets of 30 new and 30 updated guidelines were randomized to one of three groups. Comparable guidelines were translated (a) by certificated junior translators without medical specialization using the hybrid method (b) by an experienced medical translator without this support and (c) by the same junior translators without the support of the validated translation memory. A medical proofreader who was blinded for the translation procedure, evaluated the translated guidelines for acceptability and adequacy. Translation speed was measured by recording translation and post-editing time. The Human Translation Edit Rate was calculated as a metric to evaluate the quality of the translation. A further evaluation was made of translation acceptability and adequacy. Results: The average number of words per guideline was 1,195 and the mean total translation time was 100.2 min/1,000 words. No meaningful differences were found in the translation speed for new guidelines. The translation of updated guidelines was 59 min/1,000 words faster (95% CI 2-115; P=.044) in the computer-aided group. Revisions due to terminology accounted for one third of the overall revisions by the medical proofreader. Conclusions: Use of the hybrid human and computer-aided translation by a non-expert translator makes the translation of updates of clinical practice guidelines faster and cheaper because of the benefits of translation memory. For the translation of new guidelines there was no apparent benefit in comparison with the efficiency of translation unsupported by translation memory (whether by an expert or non-expert translator

Sangrado rectal tras la administración de Dabigatrán

Presentamos el caso de tres pacientes intervenidos de prótesis total de cadera, que tras la administración protocolaria de tromboprofilaxis con Dabigatrán, presentaron un sangrado rectal importante, siendo este la primera manifestación de un cáncer colorrectal. Todos los casos se trataron durante el postoperatorio inmediato mediante cirugía tratamiento adyuvante. En el caso de un sangrado rectal tras la administración de los nuevos fármacos anticoagulantes es obligatorio descartar patología pre-existente antes de, simplemente, sustituir o suspender la medicación.We observed rectal bleeding in three asymptomatic patients after administration of Dabigatran in the postoperative period, being this the first manifestation of rectal cancer. In all cases Dabigatran was used as DVT prophylaxis. The cause of bleeding in the three cases was an asymptomatic and previously unknown colo-rectal cancer. All patients underwent tumoral resection surgery. With rectal bleeding in the inmediate postoperatory period after administration of oral anticoagulants, rectal cancer screening must be performed

Application of strategies for particulate matter reduction in urban areas: an italian case

The paper describes the particulate matter pollution in a Northern Italian city: Varese. The city is distinguished by a particular orographic and meteorological situation, characterized by valleys and heavy rainfalls. Nevertheless the urban area is interested by particulate matter pollution mainly due to heating systems and traffic. Here some corrective strategies in order to reduce PM air pollution have been presented, applied and evaluated by the means of a simplified model which considers emissions and meteorological conditions

Structural and Kinetic Characterization of Thymidine Kinase from Leishmania major

Leishmania spp. is a protozoan parasite and the causative agent of leishmaniasis. Thymidine kinase (TK) catalyses the transfer of the γ-phosphate of ATP to 2’-deoxythymidine (dThd) forming thymidine monophosphate (dTMP). L. major Type II TK (LmTK) has been previously shown to be important for infectivity of the parasite and therefore has potential as a drug target for anti-leishmanial therapy. In this study, we determined the enzymatic properties and the 3D structures of holo forms of the enzyme. LmTK efficiently phosphorylates dThd and dUrd and has high structural homology to TKs from other species. However, it significantly differs in its kinetic properties from Trypanosoma brucei TK since purines are not substrates of the enzyme and dNTPs such as dUTP inhibit LmTK. The enzyme had Km and kcat values for dThd of 1.1 μM and 2.62 s-1 and exhibits cooperative binding for ATP. Additionally, we show that the anti-retroviral prodrug zidovudine (3-azido-3-deoxythymidine, AZT) and 5’-modified dUrd can be readily phosphorylated by LmTK. The production of recombinant enzyme at a level suitable for structural studies was achieved by the construction of C-terminal truncated versions of the enzyme and the use of a baculoviral expression system. The structures of the catalytic core of LmTK in complex with dThd, the negative feedback regulator dTTP and the bi-substrate analogue AP5dT, were determined to 2.74, 3.00 and 2.40 Å, respectively, and provide the structural basis for exclusion of purines and dNTP inhibition. The results will aid the process of rational drug design with LmTK as a potential target for anti-leishmanial drugs.Peer reviewe

A comparative evaluation of PDQ-Evidence

BACKGROUND: A strategy for minimising the time and obstacles to accessing systematic reviews of health system evidence is to collect them in a freely available database and make them easy to find through a simple ‘Google-style’ search interface. PDQ-Evidence was developed in this way. The objective of this study was to compare PDQ-Evidence to six other databases, namely Cochrane Library, EVIPNet VHL, Google Scholar, Health Systems Evidence, PubMed and Trip. METHODS: We recruited healthcare policy-makers, managers and health researchers in low-, middle- and highincome countries. Participants selected one of six pre-determined questions. They searched for a systematic review that addressed the chosen question and one question of their own in PDQ-Evidence and in two of the other six databases which they would normally have searched. We randomly allocated participants to search PDQ-Evidence first or to search the two other databases first. The primary outcomes were whether a systematic review was found and the time taken to find it. Secondary outcomes were perceived ease of use and perceived time spent searching. We asked open-ended questions about PDQ-Evidence, including likes, dislikes, challenges and suggestions for improvements. RESULTS: A total of 89 people from 21 countries completed the study; 83 were included in the primary analyses and 6 were excluded because of data errors that could not be corrected. Most participants chose PubMed and Cochrane Library as the other two databases. Participants were more likely to find a systematic review using PDQ-Evidence than using Cochrane Library or PubMed for the pre-defined questions. For their own questions, this difference was not found. Overall, it took slightly less time to find a systematic review using PDQ-Evidence. Participants perceived that it took less time, and most participants perceived PDQ-Evidence to be slightly easier to use than the two other databases. However, there were conflicting views about the design of PDQ-Evidence. CONCLUSIONS: PDQ-Evidence is at least as efficient as other databases for finding health system evidence. However, using PDQ-Evidence is not intuitive for some people

Producing Cochrane systematic reviews—a qualitative study of current approaches and opportunities for innovation and improvement

Background: Producing high-quality, relevant systematic reviews and keeping them up to date is challenging. Cochrane is a leading provider of systematic reviews in health. For Cochrane to continue to contribute to improvements in heath, Cochrane Reviews must be rigorous, reliable and up to date. We aimed to explore existing models of Cochrane Review production and emerging opportunities to improve the efficiency and sustainability of these processes. Methods: To inform discussions about how to best achieve this, we conducted 26 interviews and an online survey with 106 respondents. Results: Respondents highlighted the importance and challenge of creating reliable, timely systematic reviews. They described the challenges and opportunities presented by current production models, and they shared what they are doing to improve review production. They particularly highlighted significant challenges with increasing complexity of review methods; difficulty keeping authors on board and on track; and the length of time required to complete the process. Strong themes emerged about the roles of authors and Review Groups, the central actors in the review production process. The results suggest that improvements to Cochrane's systematic review production models could come from improving clarity of roles and expectations, ensuring continuity and consistency of input, enabling active management of the review process, centralising some review production steps; breaking reviews into smaller "chunks", and improving approaches to building capacity of and sharing information between authors and Review Groups. Respondents noted the important role new technologies have to play in enabling these improvements. Conclusions: The findings of this study will inform the development of new Cochrane Review production models and may provide valuable data for other systematic review producers as they consider how best to produce rigorous, reliable, up-to-date reviews

Field-based tests for the assessment of physical fitness in children and adolescents practicing sport: A systematic review within the ESA program

High levels of physical fitness (PF) can positively affect both health and cognitive function, thus monitoring its levels in youth can help increase health and quality of life in adult populations later on. This systematic review aims to identify PF field-based tests used in young European populations practicing sport to find tools that are adequate for the considered target involving a new battery within the Enriched Sport Activities (ESA) project. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was followed. In the 83 identified articles, the main tests used were: vertical/horizontal jumps (for muscular strength/power); push-ups, running at maximum effort, sit-ups (for muscular strength/endurance); multistage non-intermittent and intermittent tests (for aerobic endurance); sit and reach (for flexibility); sprinting and agility T-tests (for speed and agility, respectively); 10 x 5 m shuttle run (SR) (for both speed and agility). Few studies assessed coordination, reaction time, power, and balance. Although the selected tests are widely used and validated, they do not determine all PF aspects and do not reflect sport-specific features. A final decision was made for the inclusion of the following tests: standing broad jump, seated medicine ball throw, 20 m SR test, 30 m sprint, Illinois test, and a new test, i.e., the crunning test, to assess different skill-related components at once. The use of this combination of tests allows for the assessment of all PF components and can help planning eective training programs and cultivate sporting talent