Continuous production of high-concentrated ammonia broth through fermentation

Being considered as a valuable resource and energy carrier, extensive research is going on to efficiently extract ammonia (NH3) from anaerobic digestate. However, due to the well-known NH3 inhibition on methanogens, the total NH3 nitrogen (TAN) concentration is typically limited to 1-4 g N/L in digestate, making the NH3 extraction process energy-consumptive. Here, NH3 fermentation, specifically targeting augmented NH3 production through biological reaction, was performed in a continuous mode. With the increase of gelatin input (10 to 150 g COD/L), NH3 concentration and volumetric productivity gradually increased, reaching 12.0 g TAN-N/L and 36.0 g NH3-N/L/d, which were the highest values ever reported. The stepwise increase in NH3 exposure prompted a shift in microbial dominance towards Hathewaya (from 1 % to 68 %), a critical factor for having high NH3 tolerance. Finally, NH3 stripping results suggested that highly concentrated broth could reduce the specific energy consumption for NH3 extraction to 1/3.

Bioelectrochemical system for enhancing anaerobic digestion of pharmaceutical-containing domestic wastewater

The unprecedented recent expansion in usage of paracetamol (AAP) has increased the need for suitable wastewater treatment technology. Furthermore, direct interspecies electron transfer promotion (DIET) offers simple and efficient approach for enhancing anaerobic digestion (AD). In this work, using AAP-containing domestic wastewater as feed, control AD reactor (RC) was operated, besides three DIET-promoted AD reactors (REV, RMC and REVMC, referring to electrical voltage "EV"-applied, nFe3O4-multiwall carbon nanotube (MCNT)-supplemented, and "EV applied + MCNT supplemented" reactor, respectively). Maximal treatable organic loading rates by RC, REV, RMC and REVMC were 3.9, 3.9, 7.8 and 15.6 g COD/L/d, corresponding to AAP loading rate of 26, 78, 156 and 312 μg/L/d, respectively. Methane production rate generated by RC, REV, RMC and REVMC reached 0.80 ± 0.01, 0.86 ± 0.04, 1.40 ± 0.07, and 3.01 ± 0.17 L/L/d, respectively. AAP expectedly followed hydroquinone degradation pathway, causing AD failure by acetate accumulation. However, this performance deterioration could be mitigated by DIET-promoted microbes with higher methanogenic activity and advanced electric conductivity. Economic evaluation revealed the favourability of MCNT addition over EV application, since payback periods for RC, REV, RMC and REVMC were 6.2, 7.7, 4.2 and 5.0 yr, respectively.

Upflow anaerobic sludge blanket reactor operation under high pressure for energy-rich biogas production

Autogenerative high-pressure digestion has an advantage of producing CH₄-rich biogas directly from the reactor. However, its continuous operation has rarely been reported, and has never been attempted in an upflow anaerobic sludge blanket reactor (UASB). Here, UASB was continuously operated at 10 g COD/L/d with increasing pressure from 1 to 8 bar. As the pressure increased, the CH₄ content in the biogas increased gradually, reaching 96.7 ± 0.8% at 8 bar (309 MJ/m³ biogas). The pH was dropped from 8.2 to 7.2 with pressure increase, but COD removal efficiency was maintained > 90%. The high pressure up to 8 bar did not adversely impact the physicochemical properties of granules, which was due to the increased production of extracellular polymeric substances (EPS), particularly, tightly bound EPS (34% increase). With pressure increase, there was no changes in the microbial community and ATPase gene expression, but 41% increase in carbonic anhydrase gene expression was observed.

Variation in Processes and Reporting of Cerebrospinal Fluid Oligoclonal Banding and Associated Tests and Calculated Indices across Canadian Clinical Laboratories

OBJECTIVES

Multiple sclerosis is diagnosed based on clinical and laboratory findings, including cerebrospinal fluid (CSF) oligoclonal banding (OCB) analysis. The lack of updated CSF OCB laboratory guidelines in Canada has likely led to variation in processes and reporting across clinical laboratories. As a first step to developing harmonized laboratory recommendations, we examined current CSF OCB processes, reporting, and interpretation across all Canadian clinical laboratories currently performing this test.

DESIGN AND METHODS

A survey of 39 questions was sent to clinical chemists at all 13 Canadian clinical laboratories performing CSF OCB analysis. The survey included questions regarding quality control processes, reporting practices for CSF gel electrophoresis pattern interpretation, and associated tests and calculated indices.

RESULTS

The survey response rate was 100%. Most (10/13) laboratories use ≥2 CSF-specific bands (2017 McDonald Criteria) as their CSF OCB positivity cut-off and only 2/13 report the number of bands with every report. Most (8/13 and 9/13) laboratories report an inflammatory response pattern and monoclonal gammopathy pattern, respectively. However, the process for reporting and/or confirming a monoclonal gammopathy varies widely. Variation was observed for reference intervals, units, and the panel of reported associated tests and calculated indices. The maximum acceptable time interval between paired CSF and serum collections varied from 24 hours to no limit.

CONCLUSIONS

Profound variation exists in processes, reporting, and interpretation of CSF OCB and associated tests and indices across Canadian clinical laboratories. Harmonization of CSF OCB analysis is required to ensure continuity and quality of patient care. Our detailed assessment of current practice variation highlights the need for clinical stakeholder engagement and further data analysis to support optimal interpretation and reporting practices, which will aid in developing harmonized laboratory recommendations.

Enhanced anaerobic treatment of sulfate-rich wastewater by electrical voltage application

Treatment of sulfate-rich wastewater with high methane recovery is a major concern due to sulfide inhibition. Here, an electrical voltage (EV) aims to enhance methanogenesis and sulfidogenesis to treat sulfate-rich wastewater. Two (control and EV-applied) reactors were operated with a gradual decrease in chemical oxygen demand (COD)/SO₄^2- ratios (CSR). EV-applied reactor (EVR) demonstrated an increase of ∼30 % in methane production and ∼40 % in sulfate removal, compared to the control till CSR of 2.0. At CSR 1.0, the control failed, while EVR still exhibited a stable performance of 50 % COD-methane recovery. Microbial community results showed that the relative abundance of sulfate-reducing bacteria in EVR was 1.5 times higher than the control. Furthermore, higher relative abundance of dissimilatory sulfate reductase (>50 %) and Ni/Fe hydrogenase (x15) genes demonstrated an improved tolerance against H₂S toxicity. This study highlights the importance of EV application by minimizing the byproduct inhibition in sulfate-rich wastewater.

Cohort profile: the ESC EURObservational Research Programme Non-ST-segment elevation myocardial infraction (NSTEMI) Registry

AIMS

The European Society of Cardiology (ESC) EURObservational Research Programme (EORP) Non-ST-segment elevation myocardial infarction (NSTEMI) Registry aims to identify international patterns in NSTEMI management in clinical practice and outcomes against the 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without ST-segment-elevation.

METHODS AND RESULTS

Consecutively hospitalised adult NSTEMI patients (n = 3620) were enrolled between 11 March 2019 and 6 March 2021, and individual patient data prospectively collected at 287 centres in 59 participating countries during a two-week enrolment period per centre. The registry collected data relating to baseline characteristics, major outcomes (in-hospital death, acute heart failure, cardiogenic shock, bleeding, stroke/transient ischaemic attack, and 30-day mortality) and guideline-recommended NSTEMI care interventions: electrocardiogram pre- or in-hospital, pre-hospitalization receipt of aspirin, echocardiography, coronary angiography, referral to cardiac rehabilitation, smoking cessation advice, dietary advice, and prescription on discharge of aspirin, P2Y12 inhibition, angiotensin converting enzyme inhibitor (ACEi)/angiotensin receptor blocker (ARB), beta-blocker, and statin.

CONCLUSION

The EORP NSTEMI Registry is an international, prospective registry of care and outcomes of patients treated for NSTEMI, which will provide unique insights into the contemporary management of hospitalised NSTEMI patients, compliance with ESC 2015 NSTEMI Guidelines, and identify potential barriers to optimal management of this common clinical presentation associated with significant morbidity and mortality.

Electrical voltage application as a novel approach for facilitating methanogenic granulation

Despite having high-rate methanogenic performance, up-flow anaerobic sludge blanket reactor still has challenges regarding long-start up period (3-8 months) for granulation. In this study, "electrical voltage (EV, 0.3 V) application" was attempted for facilitating granulation in the continuous operation with increased organic loading rates (0.5-11.0 kg COD/m³/d). Up to 11.0 kg COD/m³/d, EV-reactor exhibited the stable performance, while the control failed. After 49 days of operation (at 7 kg COD/m³/d), the granules collected from EV-reactor had larger diameter (2.3 vs 1.6 mm), higher settling velocity (2.6 vs 1.9 cm/s), and higher hydrophobicity (52.1 % vs 34.5 %), compared to the control. EV application also increased the specific methanogenic activity for propionate and hydrogen almost by two times. The relative abundance of Pseudomonas sp. (quorum sensing (QS)-related microbe) in EV-reactor was 17 % higher than that in the control. In addition, EV application increased the expression of QS genes significantly by 27 times.

Unraveling the metabolic shift in anaerobic digestion pathways associated with the alteration of onion skin waste concentration

Onion skin waste (OSW) is common waste in developing countries, which can cause severe environmental pollution when not properly treated. Value-added products can be chemically extracted from OSW; however, that process is not economically feasible. Alternatively, dry anaerobic digestion (DAD) of OSW is a promising approach for both energy recovery and environment protection. The main hurdles during DAD of OSW can be the hydrolysis and acidification. In batch tests, sludge digestate (SD) rich with methanogens was co-digested with different fractions of OSW for enhancing hydrolysis and raising biogas productivity. The cumulative biogas production (CBP) was 36.6 ± 0.3 mL for sole DAD of SD (100% SD) and increased up to 281.9 ± 14.1 mL for (50% SD: 50% OSW) batch. Self-delignification of OSW took place by SD addition, where the lignin removal reached 75.3 ± 10.5% for (85% SD: 15% OSW) batch. Increasing the fraction of OSW (45% SD: 55% OSW) reduced the delignification by a value of 68.8%, where initial lignin concentration was 9.48 ± 1.6% in dry weight. Lignin breaking down resulted a high fraction of phenolic compounds (345.6 ± 58.8 mg gallic acid equivalent/g dry weight) in the fermentation medium, causing CBP drop (219.0 ± 28.5 mL). The presence of elements (K, Ca, Mg, Fe, Zn, Mn, S and P) in OSW improved the enzymatic activity, facilitated phenolic compounds degradation, shifted the metabolism towards acetate fermentation pathway, and raised biogas productivity. Acidogenesis was less affected by phenolic compounds than methanogenesis, causing higher H₂ contents and lower CH₄ contents, at batches with high share of OSW.

Automatic temperature rise in the manure storage tank increases methane emissions: Worth to cool down!

A significant amount of CH₄ is emitting from livestock manure (LM) storage tank, which is being counted according to the guidelines provided by the Intergovernmental Panel on Climate Change (IPCC). Among various parameters affecting CH₄ conversion factor (MCF) of LM, temperature is known as the most influential factor. As a degree of temperature, atmospheric temperature (T_a), not the manure temperature (T_m), is used for determining the MCF. Currently, the closed-type tank is more common than open-type tank, which would cause the substantial difference between T_a and T_m, probably due to the automatic temperature rise (ATR). Here, we repeatedly observed the ATR by storing pig slurry (PS) in a pilot-scale tank (30 m³, surface/volume ratio of 1.9), and its consequent impact on the increased CH₄ emissions by comparing with the results from a lab-scale tank (1 L, surface/volume ratio of 72.2) controlled at 30 °C. As storage began, the T_m increased gradually from 16 to 23 °C to above 30 °C even in winter (-5 °C < T_a < 15 °C). During 30 d of storage, the CH₄ emissions of 1.3-2.5 kg CH₄/ton PS (MCF 26-29%) was observed in the lab-scale tank, while the emissions was increased to 2.6-4.2 kg CH₄/ton PS (MCF 40-50%) in the pilot-scale tank (Two-Tail test, |t_t|<|t_c|). For the first time, a detailed heat energy balance considering the waste heat from organic degradation, the heat requirement for warm up, and the heat loss by convection, was conducted, proving that the waste heat generated during storage was enough to reach above 30 °C. Cooling-down of LM at 20 °C was found to be effective for reducing CH₄ emissions by 90%, which sufficiently offset the greenhouse gas emissions in power consumption for cooling. Our findings strongly suggest that more CH₄ is emitting from LM storage tank than expected, and therefore, the IPCC needs to develop guidelines more accurately in determining MCF.

Electron bifurcation reactions in dark fermentation: An overview for better understanding and improvement

Electron bifurcation (EB) is the most recently found mode of energy conservation, which involves both exergonic and endergonic electron transfer reactions to minimize energy loss. Several works have been devoted on EB reactions (EBRs) in anaerobic digestion but limited in dark fermentative hydrogen production (DF). Two main electron carriers in DF are ferredoxin (Fd) and reduced nicotinamide adenine dinucleotide (NADH), complicatedly involved in EB. Here, i) the importance of EB involvement in DF, ii) all EBRs possible to present in DF, as well as iii) the limitation of previous studies that tried incorporating any of EBRs in DF metabolic model, were highlighted. In addition, the concept of using metagenomic analysis for estimating the share of each EB reaction in the metabolic model, was proposed. This review is expected to initiate a new wave for studying EB, as a tool for explaining and predicting DF products.

Female Urgency, Trial of Urodynamics as Routine Evaluation (FUTURE study): a superiority randomised clinical trial to evaluate the effectiveness and cost-effectiveness of invasive urodynamic investigations in management of women with refractory overactive bladder symptoms

BACKGROUND

Overactive bladder (OAB) syndrome is a symptom complex affecting 12-14% of the UK adult female population. Symptoms include urinary urgency, with or without urgency incontinence, increased daytime urinary frequency and nocturia. OAB has a negative impact on women's social, physical, and psychological wellbeing. Initial treatment includes lifestyle modifications, bladder retraining, pelvic floor exercises and pharmacological therapy. However, these measures are unsuccessful in 25-40% of women (refractory OAB). Before considering invasive treatments, such as Botulinum toxin injection or sacral neuromodulation, most guidelines recommend urodynamics to confirm diagnosis of detrusor overactivity (DO). However, urodynamics may fail to show evidence of DO in up to 45% of cases, hence the need to evaluate its effectiveness and cost-effectiveness. FUTURE (Female Urgency, Trial of Urodynamics as Routine Evaluation) aims to test the hypothesis that, in women with refractory OAB, urodynamics and comprehensive clinical assessment is associated with superior patient-reported outcomes following treatment and is more cost-effective, compared to comprehensive clinical assessment only.

METHODS

FUTURE is a pragmatic, multi-centre, superiority randomised controlled trial. Women aged ≥ 18 years with refractory OAB or urgency predominant mixed urinary incontinence, and who have failed/not tolerated conservative and medical treatment, are considered for trial entry. We aim to recruit 1096 women from approximately 60 secondary/tertiary care hospitals across the UK. All consenting women will complete questionnaires at baseline, 3 months, 6 months and 15 months post-randomisation. The primary outcome is participant-reported success at 15 months post-randomisation measured using the Patient Global Impression of Improvement. The primary economic outcome is incremental cost per quality-adjusted life year gained at 15 months. The secondary outcomes include adverse events, impact on other urinary symptoms and health-related quality of life. Qualitative interviews with participants and clinicians and a health economic evaluation will also be conducted. The statistical analysis of the primary outcome will be by intention-to-treat. Results will be presented as estimates and 95% CIs.

DISCUSSION

The FUTURE study will inform patients, clinicians and policy makers whether routine urodynamics improves treatment outcomes in women with refractory OAB and whether it is cost-effective.

TRIAL REGISTRATION

ISRCTN63268739 . Registered on 14 September 2017.

Production of high-calorific biogas from food waste by integrating two approaches: Autogenerative high-pressure and hydrogen injection

Auto-generative high pressure digestion (AHPD) and hydrogen-injecting digestion (HID) have been introduced to directly produce high CH₄-content biogas from anaerobic digester. However, each approach has its own technical difficulties (pH changes), and practical issues (high cost of H₂) to obtain > 90% CH₄ containing biogas, particularly, from the high-strength waste like food waste (FW). To overcome this problem, in this study, AHPD and HID were integrated, which can offset each drawback but maximize its benefit. Substrate concentration of FW tested here was 200 g COD/L, the highest ever applied in AHPD and HID studies. At first, the reactor was operated by elevating the autogenerative pressure from 1 to 3, 5, and 7 bar without H₂ injection. With the pressure increase, the CH₄ content in the biogas gradually increased from 52.4% at 1 bar to 77.4% at 7 bar. However, a drop of CH₄ production yield (MPY) was observed at 7 bar, due to the pH drop down to 6.7 by excess CO₂ dissolution. At further operation, H₂ injection began at 5 bar, with increasing its amount. The injection was effective to increase the CH₄ content to 82.8%, 87.2%, and 90.6% at 0.09, 0.13, and 0.18 L H₂/g COD_FW.fed of H₂ injection amount, respectively. At 0.25 L H₂/g COD_FW.fed, there was a further increase of CH₄ content to 92.1%, but the MPY was dropped with pH increase to 8.7 with residual H₂ being detected (4% in the biogas). Microbial community analysis showed the increased abundance of piezo-tolerant microbe with pressure increase, and direct interspecies electron transfer contributors after H₂ injection. In conclusion, the integration of two approaches enabled to directly produce high calorific biogas (90% > CH₄, 180 MJ/m³ biogas) from high-strength FW at the lowest requirement of H₂ (0.18 L H₂/g COD_FW.fed) ever reported.

Three-dimensional microscale hanging drop arrays with geometric control for drug screening and live tissue imaging

Existing three-dimensional (3D) culture techniques are limited by trade-offs between throughput, capacity for high-resolution imaging in living state, and geometric control. Here, we introduce a modular microscale hanging drop culture where simple design elements allow high replicates for drug screening, direct on-chip real-time or high-resolution confocal microscopy, and geometric control in 3D. Thousands of spheroids can be formed on our microchip in a single step and without any selective pressure from specific matrices. Microchip cultures from human LN229 glioblastoma and patient-derived mouse xenograft cells retained genomic alterations of originating tumors based on mate pair sequencing. We measured response to drugs over time with real-time microscopy on-chip. Last, by engineering droplets to form predetermined geometric shapes, we were able to manipulate the geometry of cultured cell masses. These outcomes can enable broad applications in advancing personalized medicine for cancer and drug discovery, tissue engineering, and stem cell research.

Advances towards understanding long chain fatty acids-induced inhibition and overcoming strategies for efficient anaerobic digestion process

The inhibition of the anaerobic digestion (AD) process, caused by long chain fatty acids (LCFAs), has been considered as an important issue in the wastewater treatment sector. Proper understanding of mechanisms behind the inhibition is a must for further improvements of the AD process in the presence of LCFAs. Through analyzing recent literature, this review extensively describes the mechanism of LCFAs degradation, during AD. Further, a particular focus was directed to the key parameters which could affect such process. Besides, this review highlights the recent research efforts in mitigating LCFAs-caused inhibition, through the addition of commonly used additives such as cations and natural adsorbents. Specifically, additives such as bentonite, cation-based adsorbents, as well as zeolite and other natural adsorbents for alleviating the LCFAs-induced inhibition are discussed in detail. Further, panoramic evaluations for characteristics, various mechanisms of reaction, merits, limits, recommended doses, and preferred conditions for each of the different additives are provided. Moreover, the potential for increasing the methane production via pretreatment using those additives are discussed. Finally, we provide future horizons for the alternative materials that can be utilized, more efficiently, for both mitigating LCFAs-based inhibition and boosting methane potential in the subsequent digestion of LCFA-related wastes.

Use of citric acid for reducing CH4 and H2S emissions during storage of pig slurry and increasing biogas production: Lab- and pilot-scale test, and assessment

The use of sulfuric acid (SA) for reducing greenhouse gases (GHGs, mainly CH₄) emissions in manure management encounters with problems related with safety issue and increased H₂S emissions. In the present study, citric acid (CA) as an alternative to SA was assessed in the lab-scale experiment at various dosages (pH 5.0-7.0), and then confirmed in the pilot-scale tank (effective volume of 30 ton). During 35 d of pig slurry (PS) storage at 30 °C, it was found that the CA addition to initial pH down to 6.5 could lead negligible reduction, while 85-99% and 48-72% reduction of CH₄ and H₂S emissions were achieved at pH ≤ 6.0, respectively. The similar reduction performance was confirmed (control vs. pH 6.0) in the pilot-scale test, but, interestingly, two times higher CH₄ emissions of 123.7 kg CO₂ eq./ton PS was detected caused by the automatic temperature increase (≥35 °C). The pH of acidified PS did not exceed 6.5 during the whole storage period, while it was maintained 7.3-7.7 in the control. A continuous AD reactor fed with acidified PS exhibited a higher CH₄ yield of 10.0 m³ CH₄/ton PS, compared to the control (5.7 m³ CH₄/ton PS), due to the preservation of organic matters and added CA. In overall, about 8.5 [(4.4, storage) + (4.1, biogas)] kg of CH₄/ton PS was generated from raw PS and it was reduced to 7.8 [(0.7, storage) + (7.1, biogas)] kg of CH₄/ton PS by CA-acidification. Despite the carbon footprint for manufacturing CA, it was calculated that GHG reduction of 107 kg CO₂ eq./ton PS could be attained by CA-acidification. In terms of economic profit, it was estimated that 6.3 USD/ton PS can be gained by CA-acidification, while it was 2.4 USD/ton PS in case of control.

Combination of H2SO4-acidification and temperature-decrease for eco-friendly storage of pig slurry

Owing to the economic benefit and efficiency, H₂SO₄-acidification is often applied for reducing CH₄ emissions during storage of pig slurry (PS). However, it encounters with several problems related with safety and the concomitant H₂S emissions. To reduce the required amount of H₂SO₄, in this study, the storage at low temperature (20-35 °C) was applied to the mild-acidified PS (pH 6.5 and 7.0). 55.1 kg CO₂ eq./ton PS of CH₄ was emitted from the control (non-acidified at 35 °C), which was reduced to 14.4-40.2 kg CO₂ eq./ton PS at 20-30 °C. Temperature-decrease led to the increase of the abundance of methanogens (Methanobrevibacter and Methanolobus) that can grow at low temperature and the drop of specific methanogenic activity value. To achieve 70 % CH₄ reduction, 1.6 kg H₂SO₄/ton PS was needed in PS acidification, which was decreased to 0.5 kg H₂SO₄/ton PS by decreasing temperature from 35 °C to 25 °C. CH₄ production potential of the PS stored at 35 °C-pH 6.5 and 25 °C-pH 7.0 was increased by 21-33 % compared to the control. The GHG reduction of 33.6-41.9 kg CO₂ eq./ton PS and the profit of 6.6 USD/ton PS could be attained by applying acidification or combined storage, indicating that the temperature-decrease can be effectively combined with H₂SO₄-acidification.

Application of magnetic multi-wall carbon nanotube composite into fermentative treatment process of ultrasonicated waste activated sludge

This study investigated the effect of supplementing nano-sized magnetite (Fe3O4 NPs), multi-wall carbon nanotubes (MWCNTs) and Fe3O4-MWCNTs composite on bioconversion of waste activated sludge to hydrogen, in batch systems. Substrate degradation efficiency (SDE) increased from 28 ± 3.8 (control) to 49 ± 5.9, 46 ± 4.8 and 52 ± 6.3% at optimal doses of 200 (Fe3O4 NPs), 300 (MWCNTs) and 200 mg/L (Fe3O4-MWCNTs), respectively. Based on dissolved iron and sludge conductivity measurements, superior SDE in Fe3O4 and MWCNTs batches have been assigned to enhanced dissimilatory iron reduction (DIR) and high sludge conductivity, respectively. Combined impacts for sludge conductivity and DIR were revealed in Fe3O4-MWCNTs system. In 200 mg/L (Fe3O4-MWCNTs) batch, catalytic activities of hydrogenase, protease and α-amylase peaked to 596, 146 and 131% (relative to control), respectively; as well as, highest volumetric H2 production of 607 ± 59 mL/L was acquired. Performance deteriorations at high concentrations of nanoparticles were caused by cellular oxidative stress induced by generated reactive oxygen species.

Rapid Isothermal Amplification and Portable Detection System for SARS-CoV-2

The COVID-19 pandemic provides an urgent example where a gap exists between availability of state-of-the-art diagnostics and current needs. As assay details and primer sequences become widely known, many laboratories could perform diagnostic tests using methods such as RT-PCR or isothermal RT-LAMP amplification. A key advantage of RT-LAMP based approaches compared to RT-PCR is that RT-LAMP is known to be robust in detecting targets from unprocessed samples. In addition, RT-LAMP assays are performed at a constant temperature enabling speed, simplicity, and point-of-use testing. Here, we provide the details of an RT-LAMP isothermal assay for the detection of SARS-CoV-2 virus with performance comparable to currently approved tests using RT-PCR. We characterize the assay by introducing swabs in virus spiked synthetic nasal fluids, moving the swab to viral transport medium (VTM), and using a volume of that VTM for performing the amplification without an RNA extraction kit. The assay has a Limit-of-Detection (LOD) of 50 RNA copies/μL in the VTM solution within 20 minutes, and LOD of 5000 RNA copies/μL in the nasal solution. Additionally, we show the utility of this assay for real-time point-of-use testing by demonstrating detection of SARS-CoV-2 virus in less than 40 minutes using an additively manufactured cartridge and a smartphone-based reader. Finally, we explore the speed and cost advantages by comparing the required resources and workflows with RT-PCR. This work could accelerate the development and availability of SARS-CoV-2 diagnostics by proving alternatives to conventional laboratory benchtop tests.

Enhanced Anaerobic Digestion of Long Chain Fatty Acid by Adding Magnetite and Carbon Nanotubes

This study investigated the impact of stimulating direct interspecies electron transfer (DIET), by supplementing nano-sized magnetite (nFe3O4, 0.5 g Fe/g VSS) and carbon nanotubes (CNT, 1 g/L), in anaerobic digestion of oleic acid (OA) at various concentrations (0.10 - 4.00 g chemical oxygen demand(COD)/L). Both supplementations could enhance CH4 production, and its beneficial impact increased with increased OA concentration. The biggest improvements of 114% and 165% compared to the control were achieved by nFe3O4 and CNT, respectively, at OA of 4 g COD/L. The enhancement can be attributed to the increased sludge conductivity: 7.1 ± 0.5 (control), 12.5 ± 0.8 (nFe3O4-added), and 15.7 ± 1.1 µS/cm (CNT-supplemented). Dissolved iron concentration, released from nFe3O4, seemed to have a negligible role in improving CH4 production. The excretion of electron shuttles, i.e., humic-like substances and protein-like substances, were found to be stimulated by supplementing nFe3O4 and CNT. Microbial diversity was found to be simplified under DIET-stimulating conditions, whereby five genera accounted for 88% of the total sequences in the control, while more than 82% were represented by only two genera (Methanotrix concilli and Methanosarcina flavescens) by supplementing nFe3O4 and CNT. In addition, the abudance of electro-active bacteria such as Syntrophomonas zehnderi was significantly increased from 17% to around 45%.

Nutrients balance for hydrogen potential upgrading from fruit and vegetable peels via fermentation process

The sole, dual and multi-fermentations of fruit and vegetable peels (FVPs) were investigated in order to balance nutrition hierarchy for maximizing hydrogen potential via Batch experiments. The highest volumetric hydrogen production of 2.55 ± 0.07 L/L and hydrogen content of 64.7 ± 3.7% were registered for multi-fermentation of M-PTBO (25% pea +25% tomato + 25% banana +25% orange). These values outperformed sole and dual fermentation. The multi-fermentation of FVPs provided sufficient nutrients and trace elements for anaerobes, where C/N and C/P ratios were at levels of 24.7 ± 0.2 and 113.2 ± 9.4, respectively. In specific, harmonizing of macro and micro-nutrients remarkably maximized activities of amylase, protease and lipase to 4.23 ± 0.42, 0.035 ± 0.002 and 0.31 ± 0.02 U/mL, respectively, as well as, substantially incremented counts of Clostridium and Enterobacter sp. up to 5.81 ± 0.23 × 10⁵ and 2.17 ± 0.09 × 10⁶ cfu/mL, respectively. Furthermore, multi-fermentation of M-PTBO achieved the maximum net energy gain and profit of 1.82 kJ/g_feedstock and 4.11 $/kg_feedstock, respectively. Nutrients balance significantly develops bacterial activity in terms of hydrogen productivity, anaerobes reproduction, enzyme activities and soluble metabolites. As a result, overall fermentation bioprocess performance was improved.

Harvesting zero waste from co-digested fruit and vegetable peels via integrated fermentation and pyrolysis processes

The aim of this study is to assess an innovative economic approach for the production of both fermentative hydrogen and biochar from fruit and vegetable peels (FVPs) via fermentation/pyrolysis process. Firstly, in fermentation batches, multi-fermentation of FVPs positively affected the harvested hydrogen yield and COD reduction efficiency, which reached their maximal values of 3.9 ± 0.6 mmol/g_COD and 56.2 ± 4.6% at batch of 25% pea + 25% tomato + 25% banana + 25% orange (M4). Secondly, digestates produced from all batches were pyrolyzed at 500 °C for investigating the potential for biochar production. Based on the characteristics of the pyrolyzed digestate, biochar produced from S1 (spinach) exhibited the highest specific surface area, density, pore volume, biochar production yield, and pyrolysis profit of 28.43 ± 3.95 m²/g, 1.93 ± 0.18 g/cm³, 0.59 ± 0.08 cm³/g, 59.04 ± 2.36%, and 3.66 $/kg_feedstock, respectively. However, the maximum overall profit from both fermentation and pyrolysis processes was 5.21 $/kg_feedstock and was denoted for M4.

Effects of pig slurry acidification on methane emissions during storage and subsequent biogas production

In addition to undesirable odorous gases, substantial amounts of greenhouse gases (GHG), particularly methane (CH₄), are generated during the storage of livestock manure. To reduce the CH₄ emissions, first, pig slurry (PS) was stored for 40 d at 30 °C after adjusting the pH at 5.0-7.0 using H₂SO₄ solution. In the control (non-acidified PS), 3.7 kg CO₂ eq./ton PS of CH₄ emissions was detected, which was reduced to 1.8, 0.9, 0.4, 0.2, and 0.1 kg CO₂ eq./ton PS at pH 7.0, 6.5, 6.0, 5.5, and 5.0, respectively. Methanosarcina was found to be the dominant genus (67% of the total archaeal sequence) in the control, whose dominance was reduced as storage pH decreased. The results of ribonucleic acid analysis and specific methanogenic activity test further confirmed the inhibition of indigenous methanogens by acidification. Later, the biochemical CH₄ potential of stored PS was tested. Compared to the control (10.6 L CH₄/L PS), the acidified PS showed higher CH₄ yields of 12.7-14.6 L CH₄/L PS, presumably by keeping degradable organic matters in PS under acidic condition. Among different acidification pHs tested, the maximum amount of GHG reduction was achieved at pH 6.0 by reducing CH₄ emission to +0.4 kg CO₂ eq./ton PS during storage while increasing biogas production potential equivalent to 48.3 kWh/ton PS (-22.5 kg CO₂ eq./ton PS), resulting in a further reduction of (-)9.6 kg CO₂ eq./ton PS compared to the control.

Clinicopathological Criteria and Prognostic Factors in Gastric Adenocarcinoma in Kuwait

Background: Gastric cancer is the 5th most common cancer in the world and 2nd leading cause of cancer deaths. It has marked geographic incidence variation. Most common in Japan, China, other East Asian countries, Eastern Europe and South America. There is sharp decrease in incidence in western countries over the past 60 years but incidence of GE junction and proximal gastric tumors is increasing. In state of Kuwait in 2012 ASR was 2.6/100,000 population (similar to other Gulf countries; apart from Oman). There are many known risk factors including eating smoked and salted food and H. pylori infection. Aim: The aim of this study is to analyze gastric cancer diagnosed cases from 2009 to 2015 in Kuwait and to analyze clinicopathological criteria and prognostic factors. Methods: A total of 145 adult patients with newly diagnosed gastric cancers were treated and followed-up at Kuwait Cancer Control Center (KCCC) between 2009-2015. Patients' data were examined retrospectively. In all cases: age, performance status, sex, ethnicity, smoking and dietary habit, tumor site, pathology, staging and type of treatment were identified. Survival analysis was done using Kaplan-Meier, and comparison was done using long-rank test. Results: The median age at diagnosis was 54 (29-94). Men represented 63.5%. 75.2% had adenocarcinoma, 14.5% gastric lymphoma, 6.2% GIST, 3.4% carcinoid and 1 case squamous cell carcinoma. For gastric adenocarcinoma, 22 were metastatic (20.2%). In spite of composing almost 25% of country population and expected high incidence in their home countries, only 19.5% of patients were Asian with known habit of spicy food intake. 31% of patients were smokers. Performance at diagnosis was ECOG 0-1 in majority. Median follow-up was 45 months (1-89) and median overall survival was 34 months (0.5-89). Almost half of tumors were poorly differentiated with signet-ring feature in 36.8%. 12.6% presented with clinically advanced tumor but after surgery the number upstaged to be 25.9% (Stage III). Tumor epicenter localization was almost equivalent with 43 (49.4%) localized proximally and 44 (50.6%) distally. Surgery was the main treatment in majority (85.1%) while radiation was used in 58.6% and chemotherapy in 74.4% (adjuvant, neoadjuvant or concomitant). 22 patients failed; 7 locoregionally, 15 had distant metastasis while 2 patients failed both locally and distantly. Close surgical margins, and proximal localization were poor prognostic factors. Age and ethnicity had no impact on outcomes in our cohort. Conclusion: Gastric adenocarcinoma in Kuwait has similar profile to that documented worldwide and regionally (apart from Oman). Proximal tumors represent a challenge and has poorer prognosis that may need more intensification of treatment. Current (neo)adjuvant treatment seem to be effective in our population. Molecular profiling and studies are needed for further understanding of this potentially curable disease.

Influence of Melt Compounding on Blast Furnace Slag Filled PP Compounds: A Comparative Study

In the current study, an assessment of the melt-compounding approach upon the behavior of blast furnace slag (BFS) filled polypropylene (PP) is reported. Two melt-compounding technologies are compared in terms of thermodynamic considerations as well as final behavior of the produced compounds. For this comparison, three PP-BFS formulations are introduced, where non-treated BFS is melt-mixed with PP via (1) internal lab mixer (IM) and (2) co-rotating twin-screw compounder (TSC). PP-BFS compounds from both processes are formed into plates via compression molding, characterized and tested for rheological, thermal and mechanical behavior. Processing parameters were evaluated for both processes such as specific shear work, residence time and shear rates. In addition, the rheological, thermal and mechanical behavior of comparable compounds are evaluated. The calculated specific shear work values for IM and TSC are 0.15 and 0.1 kW · h · kg−1. Calculated residence time for TSC is 55 s. Regarding the rheological behavior, it was found that melt mixing via both technologies did not show major differences in complex viscosity or storage- and loss moduli values. DSC findings show that crystallization and melting temperatures of IM- and TSC formulations are comparable. Decreased strain values are noticed for TSC compounds, while tensile modulus is found to be independent of process variation.

Biological H2 potential harvested from complex gelatinaceous wastewater via attached versus suspended growth culture anaerobes

The effect of cultural growth treating gelatinaceous wastewater on hydrogen fermentative was assessed using up-flow multi-stage anaerobic sponge reactor (UMASR) and anaerobic sequencing batch reactor (AnSBR). Both reactors were operated at five hydraulic retention times (HRTs). UMASR achieved the maximum COD removal efficiency of 60.2±4.4% at HRT of 48h. Moreover, UMASR exhibited superiority in the course of carbohydrates and proteins removal efficiencies' of 100 and 52.5±2.4% due to high amylase and protease activities' of 4.1±0.3 and 0.032±0.002U, respectively. Contrariwise, AnSBR assigned for the peak hydrogen production rate of 1.17±0.14L/L/day at HRT of 24-h. Lipase activity was quite high (0.307±0.023U) in AnSBR resulting in removal efficiency of 35.2±2.1% for lipids. Stover-Kincannon model emphasized that UMASR required lesser volume than AnSBR to sustain the same substrate degradation efficacy. Nevertheless, the net gain energy harvested from AnSBR surpassed UMASR by 4.0-folds at HRT of 24-h.

Magnetite/graphene oxide nano-composite for enhancement of hydrogen production from gelatinaceous wastewater

The effect of substrate to inoculum (So/Xo) ratio and supplementation of magnetite/graphene oxide (MGO) nano-composite material on hydrogen production from gelatinaceous wastewater via dark fermentation process was investigated. Results demonstrated that optimum So/Xo ratio of 1.0gCOD/gVSS achieved maximal hydrogen yield (HY) of 79.2±11.9mL H2/gCOD removed. Supplementation of anaerobes with 100mg/L MGO promoted HY up to 112.4±10.5mL H2/gCOD removed. Moreover, the degradation efficiency of carbohydrates, proteins and lipids was improved to 80.8±7.6, 34.4±2.3 and 31.4±2.2%, respectively. Acetate (HAc) and butyrate (HBu) concentrations increased from 102±6.8 to 125.3±6.3 and from 31.1±1.5 to 48.8±3.5mg/gVSS, respectively. However, propionate (HPr) concentration dropped from 35.9±2.7 to 15±1.3mg/gVSS. Hydrogenase enzyme activity increased 9-folds and the anaerobes elongated from ca. 1.8-2.9 to ca. 2.5-5.1μm with MGO addition. Moreover, Proteobacteria, Firmicutes, Clostridia and Bacilli were detected with the batches supplemented with MGO.

Introduction and enzootic of A/H5N1 in Egypt: Virus evolution, pathogenicity and vaccine efficacy ten years on

It is almost a decade since the highly pathogenic H5N1 avian influenza virus (A/H5N1) of clade 2.2.1 was introduced to Egypt in 2005, most likely, via wild birds; marking the longest endemic status of influenza viruses in poultry outside Asia. The endemic A/H5N1 in Egypt still compromises the poultry industry, poses serious hazards to public health and threatens to become potentially pandemic. The control strategies adopted for A/H5N1 in Egyptian poultry using diverse vaccines in commercialized poultry neither eliminated the virus nor did they decrease its evolutionary rate. Several virus clades have evolved, a few of them disappeared and others prevailed. Disparate evolutionary traits in both birds and humans were manifested by accumulation of clade-specific mutations across viral genomes driven by a variety of selection pressures. Viruses in vaccinated poultry populations displayed higher mutation rates at the immunogenic epitopes, promoting viral escape and reducing vaccine efficiency. On the other hand, viruses isolated from humans displayed changes in the receptor binding domain, which increased the viral affinity to bind to human-type glycan receptors. Moreover, viral pathogenicity exhibited several patterns in different hosts. This review aims to provide an overview of the viral evolution, pathogenicity and vaccine efficacy of A/H5N1 in Egypt during the last ten years.

A texture classification method for diffused liver diseases using Gabor wavelets

We proposed an efficient method for classification of diffused liver diseases based on Gabor wavelet. It is well known that Gabor wavelets attain maximum joint space-frequency resolution which is highly significant in the process of texture extraction and presentation. This property has been explored here as the proposed method outperforms the classification rate obtained by using dyadic wavelets and methods based on statistical properties of textures. The feature vector is relatively small compared to other methods. This has a significant impact on the speed of retrieval process. In addition, the proposed algorithm is not sensitive to shift of the image contents. Since shifting the contents of an image will cause a circular shift of the Gabor filter coefficients in each sub-band. The proposed algorithm applied to discriminate ultrasonic liver images into three disease states that are normal liver, liver hepatitis and cirrhosis. In our experiment 45 liver sample images from each three disease states which already proven by needle biopsy were used. We achieved the sensitivity 85% in the distinction between normal and hepatitis liver images and 86% in the distinction between normal and cirrhosis liver images. Based on our experiments, the Gabor wavelet is more appropriate than dyadic wavelets and statistical based methods for texture classification as it leads to higher classification accuracy.