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It has been demonstrated that the combination of anaerobic-aerobic treatment is the best technological and economical solution for the treatment of high loaded wastewater. Where in the past aerobic treatment systems were still very acceptable due to the very good treatment efficiency, simplicity and robustness of the technology, this has, in most cases, been changed due to very stringent sludge disposal legislation. The anaerobic pretreatment takes care of approximately 80-90% of the overall treatment efficiency at high loading rates and low sludge production and low energy costs. The aerobic posttreatment takes care of the absolute high removal efficiency and nitrogen and phosphorus removal. Because of the low organic loading rate of the aerobic posttreatment also in this stage the sludge production is low. The combination of anaerobic-aerobic treatment results in a compact system capable of reaching high treatment efficiency at low sludge production and lower energy consumption. Waterleau Global Water Technology has developed LUCAS® anaerobic-aerobic system that combines an Upflow Anaerobic Sludge Blanket (UASB) reactor with an aerobic, constant-level cyclic activated sludge system, which is very suitable for the treatment of high loaded wastewaters in general and brewery waste water in particular. It has been proven from several full scale upgrading projects that the UASB system is best suitable for implementation in the aerobic plants that have to be extended in capacity. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to describe the short-term clinical outcome of a new arthroscopic fixation technique for primary osteochondral talar defects: lift, drill, fill and fix (LDFF).Methods: Seven patients underwent an arthroscopic LDFF surgery for osteochondral talar defects, the mean follow-up was 12 months (SD 0.6). Pre- and postoperative clinical assessment included the American Orthopaedic Foot and Ankle Society Score (AOFAS) and the numeric rating scales (NRS) of pain at rest and during walking. Remodelling and bone ingrowth after LDFF were analysed on weight-bearing radiographs during follow-up.Results: In all patients, LDFF led to an improvement of the AOFAS and NRS of pain. The AOFAS significantly improved from 63 to 99 (p < 0.001). The NRS of pain at rest significantly improved from 2.9 to 0.1 (p = 0.004), and pain with walking significantly improved from 7.6 to 0.1 (p < 0.001). On the final radiographs, five of seven patients showed remodelling and bone ingrowth after LDFF.Conclusions: The LDFF of an osteochondral talar defect appears to be a promising arthroscopic treatment option for primary talar osteochondral defects. Although the clinical and radiological results of 1-year follow-up are encouraging, more patients and longer follow-up are needed to draw any firm conclusions and determine whether the results stand the test of time.Level Of Evidence: Prospective case series. Therapeutic, Level IV. [ABSTRACT FROM AUTHOR]

Purpose: The primary surgical treatment of osteochondral defects (OCD) of the talus is arthroscopic debridement and microfracture. Healing of the subchondral bone is important because it affects cartilage repair and thus plays a role in pathogenesis of osteoarthritis. The purpose of this study was to evaluate the dimensional changes and bony healing of talar OCDs after arthroscopic debridement and microfracture.Methods: Fifty-eight patients with a talar OCD were treated with arthroscopic debridement and microfracture. Computed tomography (CT) scans were obtained at baseline, 2 weeks postoperatively, and 1 year postoperatively. Three-dimensional changes and bony healing were analysed on CT scans. Additionally, clinical outcome was measured with the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score and numeric rating scales (NRS) for pain.Results: Average OCD size increased significantly (p < 0.001) in all directions from 8.6 (SD 3.6) × 6.3 (SD 2.6) × 4.8 (SD 2.3) mm (anterior-posterior × medial-lateral × depth) preoperatively to 11.3 (SD 3.4) × 7.9 (SD 2.8) × 5.8 (SD 2.3) mm 2 weeks postoperatively. At 1-year follow-up, average defect size was 8.3 (SD 4.2) × 5.7 (SD 3.0) × 3.6 (SD 2.4) mm. Only average defect depth decreased significantly (p < 0.001) from preoperative to 1 year postoperative. Fourteen of the 58 OCDs were well healed. No significant differences in the AOFAS and NRS-pain were found between the well and poorly healed OCDs.Conclusion: Arthroscopic debridement and microfracture of a talar OCD leads to an increased defect size on the direct postoperative CT scan but restores at 1-year follow-up. Only fourteen of the 58 OCDs were filled up completely, but no differences were found between the clinical outcomes and defect healing at 1-year follow-up.Level Of Evidence: IV. [ABSTRACT FROM AUTHOR]

Partial nitritation-anammox was carried out successfully in a continuous fed Sequencing Batch Reactor (cf-SBR), composed of 3 compartments operated in continuous mode. The reactor was operated with floccular biomass (flocs) and biofilm to remove nitrogen from the anaerobic effluent from the potato industry at different nitrogen loading rates (0.16 g TN L−1 d−1 - 0.8 g TN L−1 d−1). At the maximum nitrogen loading rate (NLR) evaluated the nitrogen removal and ammonia oxidation achieved were 62% and 74% respectively. During the evaluation of the NLR, it was observed an improvement of the characteristics of the sludge, improving the Sludge Volumetric Index (SVI) from 228 to 63 mL g−1 MLSS. Moreover, molecular analysis (qPCR) confirmed the presence of anammox bacteria on the flocs and in the biofilm from the cf-SBR. The results showed the capability of the reactor to carry out the partial nitritation-anammox in the same reactor at pilot scale. The cf-SBR was presented as a suitable and feasible technology for advanced nitrogen removal under partial nitritation and anammox conditions. • The cf-SBR allowed the achievement of the PN/A process in the same reactor at pilot scale. • The operational cycle of the cf-SBR allowed the conditions to treat the anerobic effluent via anammox. • The synergic activity between the flocs and biofilm potentialized the advanced nitrogen removal. • The increase of the NLR in the cf-SBR promoted dense flocs improving the SVI. [ABSTRACT FROM AUTHOR]