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Both divalent cations including calcium and magnesium play important roles for microbial aggregates in binding to negatively charged functional groups on bacterial surfaces, in extracellular polymeric substances (EPS), and on inorganic materials in flocs and biofilms. Monovalent cations such as sodium and potassium deteriorate the floc structure and physical properties. The Integrated Fixed Activated Sludge (IFAS) process employs fixed film media in the aerobic zone; therefore, both monovalent and divalent cations are involved in the process performances. In this study, the effects of cations indicated as the monovalent to divalent cations (M/D) ratio on the biofilm formation and characteristics, and on the IFAS performances for carbon and ammonium removals were evaluated. The experiments were conducted in three IFAS systems feeding with the same wastewater but different M/D ratios and two carbon and nitrogen loadings. The findings revealed that high monovalent with low divalent cations at the M/D ratios higher than 2.0 produced excessive polysaccharides in EPS resulting in high viscosity of activated sludge flocs causing viscous bulking with high SVI values, decreasing the biofilm formation, and increasing the biofilm sloughing. Increasing of both monovalent and carbon loading increased more polysaccharides in the EPS leading to the failures of IFAS system. Nitrification failed at higher M/D ratios because of less nitrifiers in flocs and biofilm. Selleckchem Tamoxifen The M/D ratio less than 2.0 is suggested to minimize the excessive EPS production in the IFAS system, especially at high organic loading.

Fever-range whole body hyperthermia (FRWBH) has been shown to improve tumor oxygenation in vivo. A prospective pilot study addressed the question if addition of FRWBH to re-irradiation is feasible in recurrent head and neck squamous cell carcinomas (HNSCC) with unfavorable prognostic features.

The study completed accrual with the recruitment of ten patients between April 2018 and March 2020. Re-irradiation was administered using volumetric arc hyperfractionated radiotherapy with bi-daily 1.2 Gray (Gy) single fractions and a total dose of 66Gy to all macroscopic tumor lesions. Concomitant chemotherapy consisted mostly of cisplatin (7 patients). FRWBH was scheduled weekly during re-irradiation. The study was registered in the clinicaltrials.gov database (NCT03547388).

Only five patients received all cycles of FRWBH. Poor patient compliance, active infections during treatment and study restrictions due to the Covid-19 pandemic were the main reasons for omitting FRWBH. No increase of acute toxicity was observed by FRWBH. Exploratory evaluation of outcome data suggests that FRWBH treatment according to protocol does not seem to have a detrimental effect on tumor control or survival and might even increase treatment efficacy.

FRWBH is difficult to apply concomitant to re-irradiation in HNSCC. No excess toxicity was observed in patients receiving FRWBH and exploratory analyses suggest potential anti-tumor activity and decreased patient-reported depression scores after FRWBH.

FRWBH is difficult to apply concomitant to re-irradiation in HNSCC. No excess toxicity was observed in patients receiving FRWBH and exploratory analyses suggest potential anti-tumor activity and decreased patient-reported depression scores after FRWBH.In the last few decades, a plethora of studies have focused on human biomonitoring (HBM) of chemical pollutants. Reviewing the copious HBM data reported in these studies is essential for evaluating the effectiveness of pollution management efforts, for example by evaluating time-trends. Nevertheless, guidance to systematically evaluate time trends in published HBM data has never been developed. In this study, we therefore present a proposal for guidelines to conduct "time-trend reviews" (TTRs) that examine time trends in published large HBM datasets of chemical pollutant concentrations. We also demonstrate the applicability of these guidelines through a case study that assesses time-trends in global and regional HBM data on mercury. The recommended TTR guidelines in this study are divided into seven steps formulating the objective of the TTR, setting up of eligibility criteria, defining search strategy and screening of literature, screening results of search, extracting data, analysing data, and assessing certainty, including the potential for bias in the evidence base. The TTR guidelines proposed in this study are straightforward and less complex than those for conducting systematic reviews assessing datasets on potential human health effects of exposure to pollutants or medical interventions. These proposed guidelines are intended to enable the credible, transparent, and reproducible conduct of TTRs.This study focused on the effect of algae on the fouling potential and dynamic fouling variation of foulants in an innovative algal-sludge membrane bioreactor (AS-MBR). Filtration experiments revealed that the soluble extracellular polymeric substance (S-EPS) released by the algal-sludge flocs showed a slower diminishing rate of flux than that released by the sludge flocs. The intermediate blocking and cake filtration models demonstrated the major mechanisms, which implied a reduction in the driving force of pore blocking and fouling layer formation induced by the algal-bacterial S-EPS. Furthermore, the relative flux decrements of loosely bound EPS (LB-EPS) and tightly bound EPS (TB-EPS) in the AS-MBR were lower than those of the control without algae, indicating a reduction in the fouling potential of the bound EPS (B-EPS) in the algal-sludge flocs compared to the control. This could be attributed to the reduction in the membrane intercepts for LB- and TB-EPS, respectively. Specifically, S-EPS and B-EPS released by algal-sludge flocs had a lower free energy of cohesion (ΔGcoh) than those released by sludge flocs (decreased of 19.14%, 45.93%, and 43.34% for the S-EPS, LB-EPS, and TB-EPS, respectively). Furthermore, these changes could contribute to the decrease in the relative abundance of adsorbed polysaccharide- and protein-like substances in the B-EPS (released by algal-sludge flocs) filtration membrane, leading to the formation of less rough peaks and valleys in the fouling layer in the AS-MBR. Accordingly, the lower fouling propensity and weaker cohesion energy of S-EPS and B-EPS tend to decrease the hydrophobicity and the free energy of the floc surface and further provide less driving force to adhere to the membrane, resulting in significant mitigation of membrane fouling in the AS-MBR. Therefore, the overall fouling behavior caused by S-EPS, B-EPS and flocs should be comprehensively considered to achieve an underlying understanding of the algal effect on membrane fouling control.

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