| 1. |
- Piculell, Maria, et al.
(författare)
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Evaluating the Effect of Biofilm Thickness on Nitrification in Moving Bed Biofilm Reactors.
- 2015
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Ingår i: Environmental Technology. - : Informa UK Limited. - 1479-487X .- 0959-3330. ; :Online 21 August 2015, s. 1-28
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Tidskriftsartikel (refereegranskat)abstract
- This study evaluates the effect of biofilm thickness on the nitrifying activity in moving bed biofilm reactors (MBBRs) in a controlled environment. In-depth understanding of biofilm properties in MBBRs and their effect on the overall treatment efficiency compose the key to optimizing process stability and efficiency. However, evaluating biofilm properties in continuously operated MBBRs can be extremely challenging. This study uses a carrier design which enables comparison of four different biofilm thicknesses, in otherwise equally operated lab-scale MBBRs. The results show that, within the studied range (200-500 µm) and specific operation conditions, biofilm thickness alone had no significant effect on the overall ammonium removal. The nitrate production, however, decreased with a decreasing biofilm thickness, and the ratio between nitrite and ammonia oxidizing activity decreased both with increasing load and decreasing oxygen concentration for all thicknesses. The suggestion that nitratation is disfavored in thin biofilms is an interesting contribution to current research being performed on NOB inhibition for deammonification applications. By indicating that different groups of bacteria respond differently to biofilm thickness, this study accentuates the importance of further evaluation of these complex systems.
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| 2. |
- Clement, R. Carter, et al.
(författare)
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A proposed set of metrics for standardized outcome reporting in the management of low back pain
- 2015
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Ingår i: Acta Orthopaedica. - : Medical Journals Sweden AB. - 1745-3682 .- 1745-3674. ; 86:5, s. 523-533
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Tidskriftsartikel (refereegranskat)abstract
- Background and purpose - Outcome measurement has been shown to improve performance in several fields of healthcare. This understanding has driven a growing interest in value-based healthcare, where value is defined as outcomes achieved per money spent. While low back pain (LBP) constitutes an enormous burden of disease, no universal set of metrics has yet been accepted to measure and compare outcomes. Here, we aim to define such a set. Patients and methods - An international group of 22 specialists in several disciplines of spine care was assembled to review literature and select LBP outcome metrics through a 6-round modified Delphi process. The scope of the outcome set was degenerative lumbar conditions. Results - Patient-reported metrics include numerical pain scales, lumbar-related function using the Oswestry disability index, health-related quality of life using the EQ-5D-3L questionnaire, and questions assessing work status and analgesic use. Specific common and serious complications are included. Recommended follow-up intervals include 6, 12, and 24 months after initiating treatment, with optional follow-up at 3 months and 5 years. Metrics for risk stratification are selected based on preexisting tools. Interpretation - The outcome measures recommended here are structured around specific etiologies of LBP, span a patient's entire cycle of care, and allow for risk adjustment. Thus, when implemented, this set can be expected to facilitate meaningful comparisons and ultimately provide a continuous feedback loop, enabling ongoing improvements in quality of care. Much work lies ahead in implementation, revision, and validation of this set, but it is an essential first step toward establishing a community of LBP providers focused on maximizing the value of the care we deliver.
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| 3. |
- Larsson, Madeleine
(författare)
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Anaerobic Digestion of Wastewaters from Pulp and Paper Mills : A Substantial Source for Biomethane Production in Sweden
- 2015
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The Swedish pulp and paper industry is the third largest exporter of pulp and paper products worldwide. It is a highly energy-demanding and water-utilising industry, which generates large volumes of wastewater rich in organic material. These organic materials are to different extents suitable for anaerobic digestion (AD) and production of energy-rich biomethane. The implementation of an AD process within the wastewater treatment plant of a mill would increase the treatment capacity and decrease the overall energy consumption due to less aeration and lower sludge production and in addition produce biomethane. Despite the many benefits of AD it is only applied at two mills in Sweden today. The reason for the low implementation over the years may be due to problems encountered linked to the complexity and varying composition of the wastewaters. Due to changes in market demands many mills have broadened their product portfolios and turned towards more refined products. This has increased both the complexity and the variations of the wastewaters´ composition even further, as the above changes can imply an increased pulp bleaching and utilisation of more diverse raw materials within the mills.The main aim of this thesis was therefore to generate knowledge needed for an expansion of the biomethane production within the pulp and paper industry. As a first step to achieve this an evaluation of the biomethane potential and the suitability for AD of wastewaters within a range of Swedish pulp and paper mills was performed. Thus, around 70 wastewater streams from 11 different processes at eight mills were screened for their biomethane potential. In a second step, the impact of shifts in wood raw material and bleaching on the AD process and the biomethane production was investigated and further evaluated in upflow anaerobic sludge bed (UASB) reactors.The screening showed that the biomethane potential within the Swedish pulp and paper industry could be estimated to 700 GWh, which corresponds to 40% of the Swedish biomethane production during 2014. However, depending on the conditions at each specific mill the strategy for the establishment of AD needs to differ. For mills producing kraft pulp the potential is mainly found in wastewaters rich in fibres, alkaline kraft bleaching wastewaters and methanol-rich condensates. The biomethane potential within thermo-mechanical pulp- (TMP) and chemical thermo-mechanical pulp (CTMP) mills is mainly present in the total effluents after pre-sedimentation and in the bleaching effluents as these holds high concentrations of dissolved organic material. The screening further showed that the raw material used for pulp production is an important factor for the biomethane potential of a specific wastewater stream, i.e. hardwood (HW) wastewaters have higher potentials than those from softwood (SW) pulp production. This was confirmed in the lab-scale UASB reactor experiments, in which an alkaline kraft bleaching wastewater and a composite pulping and bleaching CTMP wastewater were used as substrates. AD processes were developed and maintained stable throughout shifts in wastewater composition related to changes in the wood raw materials between SW and HW for the kraft wastewater and spruce, aspen and birch for the CTMP wastewater. The lower biomethane production from SW- compared to HW wastewaters was due to a lower degradability together with a higher ratio of sulphuric compounds per TOC for the SW case. The impact of shifts between bleached and unbleached CTMP production could not be fully evaluated in the continuous process mainly due to technical problems. However, due to the large increase in dissolved organic material when bleaching is applied, the potential biomethane production will increase during the production of bleached pulp compared to unbleached pulp. Based on the biomethane potentials obtained for one of the included CTMP mills, their yearly production of biomethane was estimated to 5-27 GWh with the lowest and the highest value corresponding to the production of unbleached spruce pulp vs. bleached birch pulp.Thus, the results of the investigations presented in this thesis show that the UASBreactor is suitable for AD of wastewaters within the pulp and paper industry. The results also show that challenges related to variations in the organic material composition of the wastewaters due to variations in wood raw materials could be managed. The outcome of the thesis work also imply that the production of more refined products, which may include the introduction of an increased number of raw materials and extended bleaching protocols, could increase the potential biomethane production, especially if the pulp production will make use of more HW.
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