Biofilm formation and granule properties in anaerobic digestion at high salinity

For the anaerobic biological treatment of saline wastewater, Anaerobic Digestion (AD) is currently a possibility, even though elevated salt concentrations can be a major obstacle. Anaerobic consortia and especially methanogenic archaea are very sensitive to fluctuations in salinity. When working with Upflow Sludge Blanket Reactor (UASB) technology, in which the microorganisms are aggregated and retained in the system as a granular biofilm, high sodium concentration negatively affects aggregation and consequently process performances. In this research, we analysed the structure of the biofilm and granules formed during the anaerobic treatment of high salinity (at 10 and 20 g/L of sodium) synthetic wastewater at lab scale. The acclimated inoculum was able to accomplish high rates of organics removal at all the salinity levels tested. 16S rRNA gene clonal analysis and Fluorescence In Situ Hybridization (FISH) analyses identified the acetoclastic Methanosaeta harundinacea as the key player involved acetate degradation and microbial attachment/granulation. When additional calcium (1 g/L) was added to overcome the negative effect of sodium on microbial aggregation, during the biofilm formation process microbial attachment and acetate degradation decreased. The same result was observed on granules formation: while calcium had a positive effect on granules strength when added to UASB reactors, Methanosaeta filaments were not present and the degradation of the partially acidified substrate was negatively influenced. This research demonstrated the possibility to get granulation at high salinity, bringing to the forefront the importance of a selection towards Methanosaeta cells growing in filamentous form to obtain strong and healthy granules.

[Local haemostasis with an adhesive cyanoacrylate-coated membrane following tooth extraction in patients under anticoagulant or anti-platelet therapy]

OBJECTIVE

Assessment of a local hemostasis with a compressive, extemporaneous gutter glued to the alveolar crest after tooth avulsion in patients under anticoagulant and/or platelet aggregation inhibitors, and economical impact of this technique.

MATERIAL AND METHOD

Ninety-seven tooth extractions were performed in patients under AVK and/or anti-platelet drugs. The interventions were consecutive and concerned 251 teeth (138 different alveolar sites). The extraction alveolus was protected by an absorbable oxycellulose membrane coated with sterilized cyanoacrylate adhesive for medical use. This procedure was used with all patients, whatever the hemorrhagic risk (the only inclusion criterion was INR less than 4 for patients under AVK). All procedures were performed under local anesthesia.

RESULTS

There was one hemorrhagic complication (0.72%) due to mechanical gutter destruction by an antagonist tooth. The adhesive did not run, there was no tissue necrosis, and no wound infection requiring gutter removal.

DISCUSSION

This local hemostasis procedure is reliable. It may be an alternative to substitution of heparin, without or with hospitalization. This procedure, requiring modification of treatment, greatly decreases healthcare costs. Contra-indications include the presence of an antagonist tooth harmful for the gutter, and patients with impaired consciousness or tongue dyspraxia.

Extracellular polymeric substances (EPS) in upflow anaerobic sludge blanket (UASB) reactors operated under high salinity conditions

Considering the importance of stable and well-functioning granular sludge in anaerobic high-rate reactors, a series of experiments were conducted to determine the production and composition of EPS in high sodium concentration wastewaters pertaining to anaerobic granule properties. The UASB reactors were fed with either fully acidified substrate (FAS) consisting of an acetate medium (reactor R1) or partly acidified substrate (PAS) consisting of acetate, gelatine and starch medium (reactors R2, R3, and R4). For EPS extraction, the cation exchange resin (CER) method was used. Strength and particle size distribution were determined by assessing the formation of fines sludge under conditions of high shear rate and by laser diffraction, respectively. Batch tests were performed in 0.25L bottles to study Ca(2+) leaching from anaerobic granular sludge when incubated in 20g Na(+)/L in the absence of feeding for 30 days. Results show a steady increase in the bulk liquid Ca(2+) concentration during the incubation period. UASB reactor results show that the amounts of extracted proteins were higher from reactors R2 and R3, fed with PAS compared to the sludge samples from reactor R1, fed with FAS. Strikingly, the amount of extracted proteins also increased for all reactor sludges, irrespective of the Na(+) concentration applied in the feed, i.e. 10 or 20gNa(+)/L. PAS grown granular sludges showed an important increase in particle size during the operation of the UASB reactors. Results also show that, addition of 1gCa(2+)/L to the high salinity wastewater increases the granules' strength.

Effects of high salinity wastewater on methanogenic sludge bed systems

The attainable loading potentials of anaerobic sludge bed systems are strongly dependent on the growth of granular biomass with a particular wastewater. Experiments were conducted to determine the effects of high salinity wastewater on the biological and physical properties of methanogenic sludge. Sodium concentration of 5 g/L and 15 g/L were added to the influent of upflow anaerobic sludge bed (UASB) systems. After 100 days of operation, the methanogenic activity, extracellular polymeric substances (EPS), and granular strength were analyzed. The results show a high removal of organic matter but with accumulating propionate concentrations in the effluents. Meanwhile, wash-out of active methanogenic biomass in the effluent of the reactors was observed, likely as a results of the high Na+ concentrations. The rinsed biomass was characterized by a considerable specific methanogenic activity (SMA) on acetate, propionate and hydrogen as the substrates. On the other hand, results show that the SMA evolution was not affected by high salt concentrations. Also the amount and composition of extracellular polymeric substances (EPS) were similar in all sludges. However, results clearly show a sharp drop in the granule strength as a results of high Na+ concentration.

Identification of psychosocial factors of noncompliance in hypertensive patients

This cross-sectional study was aimed to identify the predictors of medication noncompliance in hypertensive patients. The study was conducted at the Family Medicine Clinic, Hospital Universiti Sains Malaysia, Kelantan, Malaysia, which is a university-based teaching hospital. All hypertensive patients aged 40 or over-registered from January to June 2004, who had been on treatment for at least 3 months, were screened. Previously validated self-administered questionnaires were used to assess the compliance and psychosocial factors. A total of 240 hypertensive patients were recruited in the study. Of these, 55.8% were noncompliant to medication. Logistic regression showed that age (adjusted odds ratio (OR): 0.96; 95% confidence interval (CI): 0.92-0.997; P: 0.035), patient satisfaction (adjusted OR: 0.97; 95% CI: 0.93-0.998; P: 0.036) and medication barrier (adjusted OR: 0.95; 95% CI: 0.91-0.987; P: 0.009) were significant predictors of medication noncompliance. Therefore, younger age, poor patient satisfaction and medication barrier were identified as independent psychosocial predictors of medication noncompliant in hypertensive patients.