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Single stage digestion tests were performed on food waste (FW) alone and mixed with olive husks (OH), to assess the influence of composition and pH on hydrogen and methane production. Process intensification with thermal pretreatment to further enhance the biological conversion of substrate constituents was investigated, too. Best performance in terms of H 2 production (up to 87 NL/kg VS fed ) was observed at initial pH 7 with the co-digestion of pretreated mix, because of the high amount of solubilized carbohydrates transformed rapidly during the first hours. Pretreatment of the sole FW enhanced hydrogen production only at initial pH 7, while successive methane production, ranging from 339 to 446 NL/kg VS fed , was not significantly affected. The strategy of co-digestion with untreated OH resulted encouraging to achieve contemporarily high methane and hydrogen conversion rates. The First Order/Modified Gompertz equation, the Logistic function and the Transference Function were used for experimental data fitting; the Modified Gompertz equation proved to be the best fit for this purpose.

Stability and performance of long term semi-continuous Anaerobic Digestion of food waste at semi-pilot scale is here evaluated based on the integration of multiple lines of evidence. In order to elucidate the main microbial components, the core microbiome dynamics were assessed by high-throughput 16 S rRNA gene sequencing over the reactor operation together with the data related to the AD performances. The experimental reactor, after a successful start-up, was operated for more than 200 days at a moderate OLR (Organic Loading Rate) of 1.6 ± 0.4 g VS L−1d−1. The availability of readily biodegradable substrate, in particular carbohydrates, favored the fermentative functional redundancy of bacteria promoting the rapid accumulation of acetate first, and propionate afterwards, due to limited methanogenesis. The prolonged operation, despite the moderate OLR, nurtured propionate accumulation, because H2 concentration exceeded the level capable to render the reaction endergonic, hampering the propionate uptake process. The application of a Pulsed Feeding strategy increased the hydrogenotrophic Methanomicrobiales favoring the consumption of propionate most likely through hydrogen utilization.

Objective The objective of this study was to assess the presence of posttraumatic stress disorder (PTSD) symptoms in parental couples of newborn requiring early surgery at 6 and 12 months after birth. Study Design A longitudinal study was set up from January 2014 to June 2015. As a measure of PTSD, we used the Italian version of the Impact of Event Scale—Revised (IES-R). Results Thirty-four couples form the object of the study. At 6 months, half of mothers (52.9%) and fathers (44.1%) reported traumatic stress symptoms above the clinical cutoff. Percentages remained stable at 12 months. When parental gender and length of follow-up were compared with two-factor analysis of variance, none had an impact on IES-R score, nor an interaction between these factors was found. A significant correlation of IES-R total score was present within the couple both at 6 and 12 months (6 months—r: 0.6842, p Conclusion Having a child with a repaired malformation represents a complex prolonged stressful situation with persistent burden for both parents who are at high risk of developing PTSD symptoms.

Thermophilic bacteria have recently attracted great attention because of their potential application in improving different biochemical processes such as anaerobic digestion of various substrates, wastewater treatment or hydrogen production. In this study we report on the design of a specific 16S rRNA-targeted oligonucleotide probe for detecting members of Coprothermobacter genus characterized by a strong protease activity to degrade proteins and peptides. The newly designed CTH485 probe and helper probes hCTH429 and hCTH439 were optimized for use in fluorescence in situ hybridization (FISH) on thermophilic anaerobic sludge samples. In situ probing revealed that thermo-adaptive mechanisms shaping the 16S rRNA gene may affect the identification of thermophilic microorganisms. The novel developed FISH probe extends the possibility to study the widespread thermophilic syntrophic interaction of Coprothermobacter spp. with hydrogenotrophic methanogenic archaea, whose establishment is a great benefit for the whole anaerobic system.

This study investigates for the first time, on laboratory scale, the possible application of an innovative enhanced stabilization process based on sequential mesophilic/thermophilic anaerobic digestion of waste-activated sludge, with low-energy sonication pretreatment. The first mesophilic digestion step was conducted at short hydraulic retention time (3-5 days), in order to favor volatile fatty acid production, followed by a longer thermophilic step of 10 days to enhance the bioconversion kinetics, assuring a complete pathogen removal. The high volatile solid removals, up to 55%, noticeably higher compared to the performances of a single-stage process carried out in same conditions, can guarantee the stability of the final digestate for land application. The ultrasonic pretreatment influenced significantly the fatty acid formation and composition during the first mesophilic step, improving consequently the thermophilic conversion of these compounds into methane. Methane yield from sonicated sludge digestion reached values up to 0.2 Nm(3)/kgVSfed. Positive energy balances highlighted the possible exploitation of this innovative two-stage digestion in place of conventional single-stage processes.

High-frequency ultrasounds have recently gained interest as oxidative technique for sonochemical degradation of organic contaminants in water. In this study an innovative approach applying 200. kHz ultrasounds to improve both sludge anaerobic biodegradability and decontamination is proposed. Digestion tests were performed on batch reactors fed either with untreated or sonicated sludge, at different food/inoculum (F/I) ratio, in the range 0.3-0.9. First order kinetic highlighted a decreasing trend of the hydrolysis rate by increasing F/I, both for untreated and sonicated sludge. Positive effect of ultrasounds on specific biogas production was evident, but the conversion rate for pretreated sludge was strongly affected by F/I, and decreased by increasing F/I. Anionic surfactants anaerobic removal occurred in all tests, but the effect of ultrasounds was significant only at F/I. = 0.3. By pretreating sludge with high frequency ultrasounds, low F/I was the ideal ratio improving both sludge anaerobic digestion and decontamination. © 2014 Elsevier Ltd.

The requirement for enhanced stabilization processes to obtain a more stable, pathogen-free sludge for agricultural use is an increasing challenge to comply with in the waste hierarchy. With this in mind, the Routes European project ('Novel processing routes for effective sewage sludge management') is addressed to assess innovative solutions with the aim of maximizing sludge quality and biological stability. In order to increase anaerobic stabilization performances, the sequential anerobic/aerobic process and the thermophilic digestion process, with or without integration of the thermal hydrolysis pre-treatment, were investigated as regards the effect on sludge stabilization, dewaterability and digestion performances. Thermal pre-treatment improved anaerobic digestion in terms of volatile solids reduction and biogas production, but digestate dewaterability worsened. Fluorescence in situ hybridization (FISH) quantification showed an increase of methanogens consistent with the increase of biogas produced. The aerobic post-treatment after mesophilic digestion had a beneficial effect on dewaterability and stability of the digested sludge even if was with a reduction of the potential energy recovery. © IWA Publishing 2014.

Summary Data on the neurodevelopmental outcome of esophageal atresia (EA) survivors are scarce, controversial, and based on small samples. This is an observational prospective longitudinal study on a selected cohort of low-risk EA survivors. We considered a low-risk EA survivor a patient with the following characteristics: gestational age >32 weeks, no long gap, no genetic or chromosomic anomaly associated with neurodevelopmental delay, and no further major surgical congenital anomalies. Infants were evaluated with scales derived from the Bayley Scales of Infant and Toddler Development – 3rd Edition at 6 and 12 months, with a score of 100 considered normal for each scale. Analysis of variance was used to assess differences of cognitive and motor development. Linear regression was used to assess the impact of the following clinical and sociodemographic variables: gender, birthweight, gestational age, length of hospital stay, number of surgeries and number of esophageal dilatations during first hospitalization, days of mechanical ventilation, weight at follow up, number of surgeries and esophageal dilatations at follow up, parental age, educational level, and socioeconomic status. Thirty children form the object of the study. The mean (standard deviation [SD]) cognitive scale's score was 93.7 (7.5) and 98.2 (9.6) at 6 and 12 months, respectively (P 5° percentile: 88.8 (6.3) and 100.5 (8.9), respectively. At 12 months, children with unemployed mothers had a mean (SD) motor score significantly lower when compared with those in the other socioeconomic classes: 87.7 (9.8) and 100.6 (12.4), respectively. In conclusion, parents of babies operated on for low-risk EA can be reassured about neurodevelopmental outcome at least up to 1 year of age. When offering a multidisciplinary follow-up program, underweight patients should deserve particular attention to promote their quality of life and support their global development.

Objective To describe short-term neurodevelopmental outcome of infants operated on for congenital anomalies (CA) and assess the impact of type of CA on the outcome. Study Design From 2008 to 2010 newborns operated on for CA were enrolled in a cross-sectional follow-up study including three distinct groups: infants of 6 months (group A), infants of 12 months (group B), and children of 24 months (group C). Each group was divided into five subgroups: (1) esophageal atresia; (2) congenital diaphragmatic hernia; (3) midgut malformations; (4) abdominal wall defects; (5) colorectal malformations. Each group of patients underwent a neurodevelopmental evaluation with Bayley III. Results In all, 150, 156, and 84 babies were enrolled in groups A, B, and C, respectively. Mean (standard deviation) Mental Scale score was 94.65 (8.75), 98.76 (11.03), and 100.60 (12.04) in groups A, B, and C. Mean (standard deviation) Motor Scale score was 96.89 (11.62), 99.23 (14.83), and 103.60 (12.90) in groups A, B, and C. No significant differences were found among the five subgroups considered. Conclusion Regardless of type of malformation, short-term neurodevelopmental outcome of children with gastrointestinal anomalies including diaphragmatic hernia falls within normal range, suggesting that neither being born with a CA nor its type is per se a risk factor for neurodevelopmental delay.

A 2-year sampling campaign was conducted in three wastewater treatment plants of various sizes in the Rome area to assess the occurrence of nutrients and micropollutants among primary, secondary and digested sludge. The primary purpose was to evaluate the quality of different sludge types and their suitability for agricultural use. Primary sludge was consistently more polluted than secondary in terms of organic micropollutants, whereas heavy metals partitioned equally among the sludge types. In digested sludge, the heavy metal concentrations were always below limit values proposed for agricultural utilisation. In contrast, organic micropollutants concentrated during anaerobic digestion and affected the quality of the digested sludge. Secondary sludge resulted less polluted and richer in nitrogen and phosphorus (up to three times) than primary sludge and is hence more suitable for agricultural use. Separate processing of primary and secondary sludge might therefore be an innovative option for sludge management that could maximise the possibilities of agricultural use of secondary sludge and limit disposal problems only to primary sludge. In fact, primary sludge could be easily treated and disposed of by conventional processes including thickening, anaerobic digestion, centrifugation and incineration, whereas the difficult digestibility of secondary sludge could be improved by disintegration pre-treatment before stabilisation.

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Background Recent studies have suggested that addition of electrically conductive biochar particles is an effective strategy to improve the methanogenic conversion of waste organic substrates, by promoting syntrophic associations between acetogenic and methanogenic organisms based on interspecies electron transfer processes. However, the underlying fundamentals of the process are still largely speculative and, therefore, a priori identification, screening, and even design of suitable biochar materials for a given biotechnological process are not yet possible. Results Here, three charcoal-like products (i.e., biochars) obtained from the pyrolysis of different lignocellulosic materials, (i.e., wheat bran pellets, coppiced woodlands, and orchard pruning) were tested for their capacity to enhance methane production from a food waste fermentate. In all biochar-supplemented (25 g/L) batch experiments, the complete methanogenic conversion of fermentate volatile fatty acids proceeded at a rate that was up to 5 times higher than that observed in the unamended (or sand-supplemented) controls. Fluorescent in situ hybridization analysis coupled with confocal laser scanning microscopy revealed an intimate association between archaea and bacteria around the biochar particles and provided a clear indication that biochar also shaped the composition of the microbial consortium. Based on the application of a suite of physico-chemical and electrochemical characterization techniques, we demonstrated that the positive effect of biochar is directly related to the electron-donating capacity (EDC) of the material, but is independent of its bulk electrical conductivity and specific surface area. The latter properties were all previously hypothesized to play a major role in the biochar-mediated interspecies electron transfer process in methanogenic consortia. Conclusions Collectively, these results of this study suggest that for biochar addition in anaerobic digester operation, the screening and identification of the most suitable biochar material should be based on EDC determination, via simple electrochemical tests. Electronic supplementary material The online version of this article (10.1186/s13068-017-0994-7) contains supplementary material, which is available to authorized users.

Additional file 1. Additional figures.

This article presents a reflective analysis of teaching research methodology through a three course sequence using a project-based approach. The authors reflect critically on their experiences in teaching research methods courses in an undergraduate business management program. The introduction of a range of specific techniques including student developed research projects, student-centered learning experiences, and public presentation of research projects are reflected upon. In 2001, the Department of Management reviewed the curriculum and established a research sequence linking major management course offerings. Three courses: Statistics, Research Methodology and Organizational Behavior were selected to be taught in sequence and designed to build research expertise. This article addresses the processes, procedures and practices for implementing and sustaining an undergraduate research sequence. Techniques are included for course design, development, and facilitation that emphasize product based learning strategies and interactive elements. Techniques for garnering student engagement and excitement for research projects will be presented.

Ultrasounds pretreatment aims to convert waste activated sludge, characterized by recalcitrant particulate organics, into a soluble, more biodegradable form, maximizing anaerobic stabilization and biogas recovery. Objective of this work was the assessment of the efficiency of high frequency ultrasounds, as 200 kHz, to improve sludge anaerobic digestion performances. Parallel batch anaerobic digestion tests were performed to evaluate anaerobic biodegradability of 20 or 200 kHz sonicated secondary sludge, operating at food/inoculum ratio of 0.5 and 1. Ultrasound pretreatments, independent on the frequency, accelerated the initial hydrolysis phase, and the effect was more marked working at high inoculum content. Moreover, the biogas produced by the sonicated sludge was always higher than that produced by the untreated one. This gain seemed to be independent on the F/I ratio for the digestion of the 20 kHz pretreated sludge, while, in the case of sludge treatment at 200 kHz, the biogas improvement was particularly high (about 40%) at F/I=0.5. In fact, at F/I=1, the biogas gain was only +4% due to an evident slowdown of the biogas production of the sonicated sludge, due to the accumulation of soluble organic substances, evidenced by the soluble COD pattern, suggesting discoupling between hydrolysis and methanogenesis. Fluorescence In Situ Hybridization (FISH) analysis allowed to highlight the establishment in the anaerobic biomass of different methanogens responsible for the biogas production depending on the extent of readily biodegradable substrates availability for the methanogenesis or on the amount of inoculum utilised at the start up of the anaerobic digestion process.

Congenital diaphragmatic hernia (CDH) presents with a broad spectrum of severity, depending on the degree of pulmonary hypoplasia and persistent pulmonary hypertension (PPH). It is currently not clear whether pulmonary hypertension may affect late morbidity. Aim of the present study was to evaluate the influence of PPH on mid-term morbidity in high-risk CDH survivors.All high-risk (prenatal diagnosis and/or respiratory symptoms within 6 h of life) CDH survivors, treated between 2004 and 2008 in our Department were followed up in a multidisciplinary outpatient clinic as part of a longitudinal prospective study. Auxological, gastroesophageal, pulmonary and orthopedic evaluations were done at specific time-points (at 6, 12, and 24 months of age). Patients were grouped depending on the presence/absence of pulmonary hypertension (defined by expert pediatric cardiologists after echocardiography). Paired t-test and Fisher's exact test were used as appropriate. P0.05 was considered significant.70 survivors out of a total of 95 high-risk CDH infants treated in our Department attended our follow-up clinic and were prospectively evaluated. 17 patients were excluded from the present study because no clear data was available regarding the presence/absence of PPH during the perinatal period. Moreover, 9 infants were not enrolled because they did not reach at least 6 months of age. A total of 44 survivors were finally enrolled since they met the inclusion criteria. 26 infants did not present with PPH during the first hospital admission, while 18 had PPH. The 2 groups did not differ with regard to any of the outcomes considered at follow-up (p0.2).In our cohort of high-risk CDH survivors, PPH was not found to affect late sequelae at mid-term follow-up. This may indicate that postnatal pulmonary development is not (always) influenced by perinatal PPH. Nevertheless, a longer follow-up and more patients are needed to properly quantify possible late problems in high-risk CDH survivors with associated neonatal PPH.

We assessed whether physical activity could influence the performance and perception of dyspnea in children who were operated on for high risk congenital diaphragmatic hernia (CDH). We hypothesized that CDH children with normal activity would have better lung function and exercise performance level when compared to sedentary CDH subjects. We studied 18 children (11 males and 7 females, mean age 6.6 ± 2.6 years) who were surgically corrected. All children underwent physical examination, ECG at rest, and a maximal exercise stress test on a treadmill to measure the duration of exercise, maximal heart rate and blood pressure, maximal oxygen uptake (VO2 max and VO2 ml/kg/min). Lung function testing to measure forced vital capacity (FVC), forced expiratory volume in 1 sec (FEV1), and peak expiratory flow (PEF) was also performed. Following the stress test, the Dalhousie dyspnea and effort scale was shown to children as a pictorial panel with three groups of increasing (from 1 to 7) levels of effort perception, throat discomfort, and chest dyspnea. Children were divided into group A (sedentary) and group B (regular physical participation). There was no difference in CDH severity between the two groups. Group A had a statistically significant lower duration of exercise (P

Management of sewage sludge is going to be a big challenge in near future due to rapid urbanization and economic growth, in particular in Europe. The Routes project http://www.eu-routes.org (ref. # 265156) is addressed to discover new routes in wastewater and sludge treatment which allow: (a) to prepare sludge for agricultural utilization by transforming it in a very clean and stabilized product with respect to hygienic aspects and phytotoxicity; (b) to minimize sludge production by new solutions including the use of innovative processes based on metabolic uncoupling or of innovative reactors like microbial fuel cells or sequencing batch biofilter granular reactor; (c) to promote recovery of valuable materials from anaerobic digestion, i.e. biopolymers as polyhydroxyalkanoates and fertilizers; (d) to set up and prove at practical scale a novel technique for sludge disposal (wet oxidation) as sustainable alternative to the nowadays the most used incineration; (e) to minimize energy pumping by adjusting solid concentration, on a practical installation. The general objective of the Routes proposal is therefore to set up a portfolio of different solutions to be applied in different conditions and circumstances, strictly following the waste hierarchy of the EU Directive 08/98 on waste. The above solutions will be studied either in the laboratory or at practical scale, depending on the maturity of the technology, in order to provide the Commission, the technical and scientific community and end-users with applicable solutions and new routes for sludge management.

Anaerobic treatments have been successfully employed for more than one hundred years to stabilize sewage sludge. The main aim of sludge anaerobic digestion is the degradation and destruction of organic matter, with consequent sludge stabilization and pathogen reduction. One of the advantages of the fermentative system over aerobic treatment is the production of biogas (i.e., an available source of energy), which in some cases can be exploited to satisfy part of the energy requirements of the treatment plant. Nevertheless, inadequate knowledge of the principles governing the process often prevents satisfactory digester management, and thus there is an evident need for reliable kinetic models in order to improve performance and optimize the control strategies. In the present review, an overview of the anaerobic digestion models proposed in the specialized literature is presented. Models are grouped according to the degree of substrate characterization and thus of complexity (in terms of number of equations ...

La frazione organica dei rifiuti urbani, costituita da scarti biodegradabili di cucine, congiuntamente ai rifiuti biodegradabili di giardini e parchi, rappresenta circa il 35% della produzione. Questi scarti, congiuntamente con i fanghi prodotti a seguito della depurazione delle acque reflue, sono considerati substrati ideali per i trattamenti biologici come la digestione anaerobica, in quanto ricchi di sostanza organica e di acqua. Lo sfruttamento energetico della frazione organica per produrre biogas tramite digestione anaerobica è considerato tra le opzioni più virtuose dal punto di vista ambientale, in particolare in ambito di economica circolare. Tuttavia la produttività netta (al netto cioè degli autoconsumi) in termini di biogas dai processi di digestione anaerobica di biomasse e fanghi è molto variabile e, nei casi reali, spesso inferiore alla resa teorica. L'IRSA studia e sperimenta da anni trattamenti avanzati di digestione anaerobica tramite tecnologie innovative per massimizzare la conversione in metano da biomasse (scarti di cucine, fanghi, scarti agro-industriali). Sono stati sperimentati sia pretrattamenti ad ultrasuoni, in particolare per i fanghi di depurazione, che pretrattamenti termici per scarti alimentari e/o agroindustriali, al fine di aumentare la disponibilità di zuccheri facilmente degradabili, cosi come condizioni operative più "intensive", come il regime termofilo, ed un doppio stadio innovativo mesofilo-termofilo per migliorare le caratteristiche del digestato finale. Grazie alla modellizzazione con ADM1 (Anaerobic Digestion Model n.1 dell'IWA) è possibile inoltre conoscere approfonditamente i parametri che regolano i processi biochimici dei trattamenti anaerobici, prevedendo lo stato di avanzamento delle reazioni di idrolisi e metanogenesi delle biomasse in ingresso. L'utilizzo del modello, abbinato all'attività sperimentale, permette quindi di arrivare al dimensionamento degli impianti di digestione e alle relative considerazioni economiche.

Background: Since mortality in congenital diaphragmatic hernia (CDH) is decreasing, morbidity such as neurodevelopmental outcome is becoming increasingly important. Objectives: We evaluated neurodevelopmental outcome in high-risk CDH patients treated according to the CDH EURO Consortium standardized treatment protocol. Methods: This observational, prospective cohort study was conducted in two European centers. Neurodevelopment of 88 patients (Rotterdam n = 49; Rome n = 39) was assessed at 12 and 24 months with the Bayley Scales of Infant Development (BSID)-II-NL (Rotterdam) or BSID-III (Rome). Data of the centers were analyzed separately. Results: Cognition was normal in 77.8% of children from Rotterdam and in 94.8% from Rome at 12 months, and in 70.7 and 97.4%, respectively, at 24 months. Motor function was normal in 64.3% from Rotterdam and in 81.6% from Rome at 12 months and in 45.7 and 89.8%, respectively, at 24 months. Longer length of hospital stay (LoS) was associated with worse cognitive outcome and motor function; LoS, low socioeconomic status, and ethnicity were associated with lower cognition. Conclusions: At 2 years, most CDH patients have normal cognition, but are at risk for motor function delay. Due to differences in outcomes between centers, careful interpretation is needed before conclusions can be drawn for other centers. Future multicenter collaboration should not only focus on standardization of postnatal care, but also on international standardization of follow-up to identify risk factors and thereby reduce morbidity.

In Italia si producono ogni anno circa 5 milioni di tonnellate di fanghi di depurazione urbani che vanno destinati a recupero o smaltimento. Risulta quindi necessario e urgente mettere a punto processi e metodologie innovative che consentano sia di minimizzare la produzione, sia di favorire una gestione corretta e sostenibile che privilegi l'utilizzo in agricoltura.

The assessment of lung volumes, particularly functional residual capacity (FRC), is crucial for understanding lung development during infancy in CDH patients. Aim To evaluate changes in lung function during infancy in subjects with CDH treated with a “gentle ventilation” technique and delayed surgery strategy in the neonatal period. Methods 13 CDH infants were studied twice and compared with a population of 28 healthy infants (HI). Tidal-Volume (Vt), respiratory rate (RR) and time to peak expiratory flow/expiratory time ratio (tPTEF/Te) were measured with an ultrasonic flow meter; Compliance (Crs) and Resistance (Rrs) of the respiratory system were studied with the single occlusion technique; FRC and Lung Clearance Index (LCI), were assessed with the sulfur hexafluoride (SF6) wash-in/wash-out technique. The differences between the first (T1) and second (T2) measurement in the CDH group were assessed by the Student's t-test for paired values. For each set of measurement (T1 and T2) the values were compared with HI by Student's t-test. Results Mean age at test was 7.5 ± 5.2 months for HI, 4.5 ± 2.5 at T1 and 11.9 ± 4.5 months at T2 for CDH infants. At T1 there were no significant differences between CDH infants and HI in Vt, Crs, and FRC, while tPTEF/te ratio was lower and RR, Rrs, and LCI were higher in CDH patients than in HI. At T2 Vt, Crs, and FRC remained normal in CDH patients as well as RR that, at this time was not different between CDH and healthy infants; tPTEF/te remained below and Rrs and LCI remained above normal ranges, indicating a persistent impairment in lower airways patency. Conclusions Lung function in infants with severe CDH is characterized by a persistent impairment in airways patency and significant inhomogeneity of ventilation, suggesting a peripheral bronchial obstruction even if the other lung function tests are within normal ranges. Pediatr Pulmonol. 2007; 42:600–604. © 2007 Wiley-Liss, Inc.

Patients operated on for congenital pulmonary malformations (CPM) have excellent survival rates, but little is known about long-term morbidity. Our aim is to report the sequelae in patients operated on for CPM in infancy and to define factors that may influence their outcome.All patients operated on for major congenital anomalies are followed in a dedicated outpatient program and evaluated at 6, 24, and 48 months of life (corrected for gestational age) and at school age at 4, 6, 8, and 12 years of life. The data are prospectively collected. Patients operated on for CPM and enrolled in the follow-up clinic between January 2004 and December 2010 are compared with a control group of term infants operated on for inguinal hernia, without other major congenital or acquired abnormalities. The two groups were compared for auxological, respiratory, and orthopedic outcome.In the study period, 76 consecutive patients with CPM attended our dedicated follow-up clinic. Eight non-operated patients were excluded from the study. Age at follow-up was 82.0 (56.1-103.7) months in CPM patients and 83.5 (75.2-90.4) months in controls (P = 0.79). Fifty-three patients with CPM (78%) had one or more clinical or radiological abnormality versus six (16%) control patients (OR [95%CI] 16.5 [5.8-47.2]; P 0.0001).Over 50% of patients with CPM present long-term sequelae, regardless type of malformation. Therefore, long-term follow-up of patients operated on for CPM is recommended. Further studies are needed to define if, in asymptomatic patients, surgery may modify the natural history of CPM. Pediatr Pulmonol. 2016;51:1367-1372. © 2016 Wiley Periodicals, Inc.

Separation between primary and secondary sludge treatment could be a valuable solution for sludge management. According to this approach, secondary sludge can be conveniently used in agriculture while primary sludge could be easily dried and incinerated. It follows that some concern may arise from incinerating primary sludge with respect to the current practice to incinerate mixed digested sludge. Incineration of primary and mixed digested municipal sludge was investigated with a lab-scale equipment in terms of emissions of products of incomplete combustion (PICs) during incineration failure modes. PICs can be grouped in three sub-categories, namely aliphatic hydrocarbons (alkanes and alkenes), compounds with a single aromatic ring, and polycyclic aromatic hydrocarbons (PAHs). After-burning temperature was the most important parameter to be controlled in order to minimize emissions of alkanes and alkenes. As for mono-aromatic compounds, benzene and toluene are the most thermally resistant compounds, and in some cases, an after-burning temperature of 1100 °C was not enough to get the complete destruction of benzene leading to a residual emission of 18 mg/kgsludge. PAHs showed an opposite trend with respect to aliphatic and mono-aromatic hydrocarbons being the thermal failure mode the main responsible of PIC emissions. A proper oxygen concentration is more important than elevated temperature thus reflecting the high thermal stability of PAHs. Overall, obtained results, even though obtained under flameless conditions that are different from those of the industrial plants, demonstrated that separation of primary and secondary sludge does not pose any drawbacks or concern regarding primary sludge being disposed of by incineration even though it is more contaminated than mixed digested sludge in terms of organic pollutants.

Thermophilic bacteria have been isolated from several terrestrial, marine and industrial environments. Anaerobic digesters treating organic wastes are often an important source of these microorganisms, which catalyze a wide array of metabolic processes. Moreover, organic wastes are primarily composed of proteins, whose degradation is often incomplete. Coprothermobacter spp. are proteolytic anaerobic thermophilic microbes identified in several studies focused on the analysis of the microbial community structure in anaerobic thermophilic reactors. They are currently classified in the phylum Firmicutes; nevertheless, several authors showed that the Coprothermobacter group is most closely related to the phyla Dictyoglomi and Thermotoga. Since only a few proteolytic anaerobic thermophiles have been characterized so far, this microorganism has attracted the attention of researchers for its potential applications with high-temperature environments. In addition to proteolysis, Coprothermobacter spp. showed several metabolic abilities and may have a biotechnological application either as source of thermostable enzymes or as inoculum in anaerobic processes. Moreover, they can improve protein degradation by establishing a syntrophy with hydrogenotrophic archaea. To gain a better understanding of the phylogenesis, metabolic capabilities and adaptations of these microorganisms, it is of importance to better define the role in thermophilic environments and to disclose properties not yet investigated.

The objective of this work was to determine the partitioning of the pollutant load in urban wastewater in order to improve the conventional sewage treatment. In addition to settling tests, physical fractionation of COD in the degritted influent of Roma-Nord sewage treatment plant was performed via sequential filtration through sieves and membrane filters of the following pore size: 150-100-50-25-1-0.2 μm, and 100 kD (about 0.02 μm). Biodegradability studies were also performed on the different size fractions. Size fractionation showed that COD in Roma-Nord sewage is predominantly associated with settleable and supracolloidal (> 1 μm) particles, each size range including about 40% of total COD. Biodegradability tests indicated that the large fraction of COD associated with supracolloidal particles, which are not removed in the primary treatment, is characterised by slow degradability. This suggests that removal of these particles prior to biological treatment may greatly improve the overall treatment scheme. Preliminary pilot plant coagulation tests with lime at pH 9 showed that lime-enhanced primary treatment may increase COD removal efficiencies from typical 30-35% up to 65-70%, by inducing almost complete removal of the COD fraction associated with supracolloidal particles.

Nowadays, several technologies and management strategies are proposed for upgrading wastewater treatment plants (WWTPs) in order to improve sludge stabilization or minimize sludge production. In order to make sure that this leads to overall improvements, their techno-economic and environmental performance has to be carefully evaluated. In response to this, the techno-economic and environmental performance was assessed for a considered model reference WWTP upgraded with separate treatment and disposal for primary and secondary sludge to provide guidance to research, policy and investment efforts. This paper departs in an experimental campaign carried out within the EU project "ROUTES" and describes an assessment of an upgrade of a WWTP, involving wet oxidation of primary sludge and thermophilic anaerobic digestion (integrated with thermal hydrolysis pre-treatment) for secondary sludge. The reference plant and the upgrade implied different disposal routes for the resulting sludges: incineration for the stabilized sludge deriving from the reference WWTP; agricultural land application for the secondary stabilized sludge from the upgraded plant and landfilling for the solid residue deriving from the wet oxidation process (as non-hazardous waste). The mass balance carried out for both reference and upgraded WWTPs showed a reduction of total sludge production (up to 45%) for the upgraded WWTP. The additional energy demand of the upgraded solution (+22.4 Wh/(PE d), PE: population equivalent) was partially balanced by the electric energy produced by combined heat and power unit installed in the upgraded WWTP (-18.08 Wh/(PE d)). The integrated assessment showed that the upgraded solution, although resulting in an increase of WWTP technical complexity, may contribute to environmental and economic advantages. The paper provides guidance in terms of which aspects need a more thorough evaluation when this upgrade is considered in real cases.

Anaerobic digestion (AD) is one of the few sustainable technologies that both produce energy and treat waste streams. Driven by a complex and diverse community of microbes, AD may be affected by different factors, many of which also influence the composition and activity of the microbial community. In this study, the biodiversity of microbial populations in innovative mesophilic/thermophilic temperature-phased AD of sludge was evaluated by means of fluorescence in situ hybridization (FISH). The increase of digestion temperature drastically affected the microbial composition and selected specialized biomass. Hydrogenotrophic Methanobacteriales and the protein fermentative bacterium Coprothermobacter spp. were identified in the thermophilic anaerobic biomass. Shannon-Weaver diversity (H?) and evenness (E) indices were calculated using FISH data. Species richness was lower under thermophilic conditions compared with the values estimated in mesophilic samples, and it was flanked by similar trend of the evenness indicating that thermophilic communities may be therefore more susceptible to sudden changes and less prompt to adapting to operative variations. © 2014 Springer-Verlag Berlin Heidelberg.

Anaerobic digestion has been recognized as the most appropriate stabilization technology for approaching sludge reuse task, in part because of the methane production involved. The mesophilic anaerobic processing train can be upgraded by adding a pre-treatment step or by increasing the digestion temperature to thermophilic conditions. In this study, semi-continuous mesophilic (MAD) and thermophilic (TAD) anaerobic digesters were operated for 180 days at low (0.7-1.0 kg VS/m(3) d), medium (1.4-1.8 kg VS/m(3) d) and high (2.8-3.7 kg VS/m(3) d) organic loading rates (OLRs). The impact of ultrasound and thermal hydrolysis pre-treatments on the mesophilic and thermophilic digestion efficiency, respectively, was assessed by performing parallel digestion tests. The increase of soluble COD (Chemical Oxygen Demand) and colloidal surface charge after the sludge pre-treatments suggested biopolymers solubilization and changes in surface floc properties. Thermal hydrolysis enhanced the release of lipids and long chain fatty acids, while ultrasounds application resulted in proteins being the main component of the released matter. Operating the digesters at OLRs between 0.7 and 1.4 kg VS/m(3) d the methane conversion rate was not significantly affected by the temperature increase up to thermophilic conditions, whereas the integration of the pre-treatments accelerated the organic conversions, resulting in a noticeable methane gain (up to +51%). Conversely, at higher organic loads, the TAD yields were significantly higher with respect to the MAD ones, assuring the sustainable economic benefit of operating smaller anaerobic digesters to obtain higher methane productions. Nevertheless, the colloidal charge increase during thermophilic digestion impaired the sludge filterability much more rapidly than in mesophilic conditions. (C) 2015 Elsevier ay. All rights reserved.