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Aerobic Granular Sludge (AGS) technology becomes a very competitive method to activated sludge system. Its main advantages include: high energy efficiency and low investment costs. Despite this fact, intensive research on biogranulation optimization are still carried out, both at laboratory and technical scale. In order to intensify the AGS technology, new methods of biogranulation and ways of improving the stability of aerobic granules are sought. So far, several studies have been conducted in this area, with using among others: chemical coagulants, dosage fragments of granules and powdered materials. The aim of this study was to evaluate the impact of powdered keramsite on the feasibility of rapid aerobic granulation in a GSBR reactor with a minimum-optimum organic loading rate (OLR). The research presents an effective way of cultivating stable aerobic granules in a Granular Sequencing Batch Reactor (GSBR) under specific technological parameters.

Duchenne muscular dystrophy (DMD) is a lethal X-linked disease caused by mutations in the dystrophin gene, leading to muscle degeneration and wasting. Electromyography (EMG) is an objective electrophysiological biomarker of muscle fiber function in muscular dystrophies. A novel, DT-DEC01 therapy, consisting of Dystrophin Expressing Chimeric (DEC) cells created by fusing allogeneic myoblasts from normal donors with autologous myoblasts from DMD-affected patients, was assessed for safety and preliminary efficacy in boys of age 6-15 years old (n = 3). Assessments included EMG testing of selected muscles of upper (deltoideus, biceps brachii) and lower (rectus femoris and gastrocnemius) extremities at the screening visit and at 3, 6, and 12 months following systemic-intraosseous administration of a single low dose of DT-DEC01 therapy (Bioethics Committee approval no. 46/2019). No immunosuppression was administered. Safety of DT-DEC01 was confirmed by the lack of therapy-related Adverse Events or Serious Adverse Events up to 22 months following DT-DEC01 administration. EMG of selected muscles of both, ambulatory and non-ambulatory patients confirmed preliminary efficacy of DT-DEC01 therapy by an increase in motor unit potentials (MUP) duration, amplitudes, and polyphasic MUPs at 12 months. This study confirmed EMG as a reliable and objective biomarker of functional assessment in DMD patients after intraosseous administration of the novel DT-DEC01 therapy., (© 2023. The Author(s).)

Duchenne Muscular Dystrophy (DMD) is a progressive and fatal muscle-wasting disease with no known cure. We previously reported the preliminary safety and efficacy up to six months after the administration of DT-DEC01, a novel Dystrophin Expressing Chimeric (DEC) cell therapy created by fusion of myoblasts of DMD patient and the normal donor. In this 12-month follow-up study, we report on the safety and functional outcomes of three DMD patients after the systemic intraosseous administration of DT-DEC01. The safety of DT-DEC01 was confirmed by the absence of Adverse Events (AE) and Severe Adverse Events (SAE) up to 21 months after intraosseous DT-DEC01 administration. The lack of presence of anti-HLA antibodies and Donors Specific Antibodies (DSA) further confirmed DT-DEC01 therapy safety. Functional assessments in ambulatory patients revealed improvements in 6-Minute Walk Test (6MWT) and timed functions of North Star Ambulatory Assessment (NSAA). Additionally, improvements in PUL2.0 test and grip strength correlated with increased Motor Unit Potentials (MUP) duration recorded by Electromyography (EMG) in both ambulatory and non-ambulatory patients. DT-DEC01 systemic effect was confirmed by improved cardiac and pulmonary parameters and daily activity recordings. This follow-up study confirmed the safety and preliminary efficacy of DT-DEC01 therapy in DMD-affected patients up to 12 months after intraosseous administration. DT-DEC01 introduces a novel concept of personalized myoblast-based cellular therapy that is irrespective of the mutation type, does not require immunosuppression or the use of viral vectors, and carries no risk of off target mutations. This establishes DT-DEC01 as a promising and universally effective treatment option for all DMD patients., (© 2023. The Author(s).)

Duchenne Muscular Dystrophy (DMD) is a X-linked progressive lethal muscle wasting disease for which there is no cure. We present first-in-human study assessing safety and efficacy of novel Dystrophin Expressing Chimeric (DEC) cell therapy created by fusion of patient myoblasts with myoblasts of normal donor origin. We report here on safety and functional outcomes of the first 3 DMD patients. No study related adverse events (AE) and no serious adverse events (SAE) were observed up to 14 months after systemic-intraosseous administration of DEC01. Ambulatory patients showed improvements in functional tests (6-Minute Walk Test (6MWT), North Star Ambulatory Assessment (NSAA)) and both, ambulatory and non-ambulatory in PUL, strength and fatigue resistance which correlated with improvement of Electromyography (EMG) parameters. DEC01 therapy does not require immunosuppression, involves no risks of off target mutations, is not dependent upon the causative mutation and is therefore a universal therapy that does not use viral vectors and therefore can be readministered, if needed. This study was approved by the Bioethics Committee (approval No. 46/2019). Mechanism of action of the Dystrophin Expressing Chimeric Cell (DEC) cells created via ex vivo fusion of human myoblast from normal and DMD-affected donors. Following systemic-intraosseous administration, DEC engraft and fuse with the myoblasts of DMD patients, deliver dystrophin and improve muscle strength and function. (Created with BioRender.com)., (© 2023. The Author(s).)

Macrophytes are one of the important indicators used in assessing the anthropic impact on aquatic ecosystems. The structure of macrophyte communities of two rivers were compared by species composition, dominant species and projective cover using statistical methods. It is shown that the influence of storm runoff on these rivers is manifested in the form of a change in the dominant species composition. Based on the statistical analysis carried out, it can be argued that, despite the peculiarities of the flora composition of each of the rivers, the influence of storm runoffs largely neutralizes this specificity, determining the situation in local areas immediately below the runoff. In the area of the effluent discharge the dominance of individual species and an increase in the area overgrown with macrophytes was observed. In the area of stormwater discharge on the Psel River, species were usually present: Nuphar lutea , Ceratophyllum demersum , Myriophyllum spicatum and on the Bystrica River- Glyceria maxima , Sagitaria sagittiformis , Stuckenia pectinata and Potamogeton crispus . The use of the NMDS method has been found to provide good insight into the structural rearrangements in macrophyte communities affected by runoff from stormwater systems., Competing Interests: The authors declare there are no competing interests., (©2023 Babko et al.)

Using Poland as an example, it was shown that 41.6% of the requests for intervention in 2016-2021 by Environmental Protection Inspections were related to odour nuisance. Further analysis of the statistical data confirmed that approximately 5.4% of wastewater treatment plants in the group of municipal facilities were subject to complaints. Detailed identification of the subject of odour nuisance at wastewater treatment plants identified hydrogen sulphide (H 2 S), ammonia (NH 3 ) and volatile organic compounds (VOCs) as the most common malodorous substances within these facilities. Moreover, the concentrations of hydrogen sulphide and ammonia exceed the reference values for some substances in the air (0.02 mg/m 3 for H 2 S and 0.4 mg/m 3 for NH 3 ). A thorough assessment of the properties of these substances made it clear that even in small concentrations they have a negative impact on the human body and the environment, and their degree of nuisance is described as high. In the two WWTPs analysed in Poland (WWTP 1 and WWTP 2), hydrogen sulphide concentrations were in the range of 0-41.86 mg/m 3 (Long-Term Exposure Limit for H 2 S is 7.0 mg/m 3 ), ammonia 0-1.43 mg/m 3 and VOCs 0.60-134.79 ppm. The values recognised for H 2 S cause lacrimation, coughing, olfactory impairment, psychomotor agitation, and swelling of the cornea with photophobia. Recognition of the methods used in practice at WWTPs to reduce and control malodorous emissions indicates the possibility of protecting the environment and human health, but these solutions are ignored in most facilities due to the lack of requirements specified in legislation.

The paper presents new reactive materials, namely marl and travertine, and their thermal modifications and the Polonite ® material, analyzing their phosphorus removal from water and wastewater by sorption. Based on the experimental data, an analysis of the factors influencing the sorption capacity of the materials, such as the material dose, pH of the initial solution, process temperature, surface structure, and morphology, was performed. Adsorption isotherms and maximum sorption capacities were determined with the use of the Langmuir, Freundlich, Langmuir-Freundlich, Tóth, Radke-Praunitz, and Marczewski-Jaroniec models. The kinetics of the phosphorus sorption process of the tested materials were described using reversible and irreversible pseudo-first order, pseudo-second order, and mixed models. The natural materials were the most sensitive to changes in the process conditions, such as temperature and pH. The thermal treatment process stabilizes the marl and travertine towards materials with a more homogeneous surface in terms of energy and structure. The fitted models of the adsorption isotherms and kinetic models allowed for an indication of a possible phosphorus-binding mechanism, as well as the maximum amount of this element that can be retained on the materials' surface under given conditions-raw marl (43.89 mg P/g), raw travertine (140.48 mg P/g), heated marl (80.44 mg P/g), heated travertine (282.34 mg P/g), and Polonite ® (54.33 mg P/g).

A method for assessing the degree of impact of wastewater treatment plant discharge on receiving rivers was proposed, based on the structural indicators of the population of ciliated protozoa. It was shown that the ratio of attached, crawling and free-swimming forms in bottom sediments changes under the influence of discharge. In the points subject to organic pollution, the share of attached filter-feeding bacteriovorous ciliates increases in the assemblage of ciliated protozoa. The proposed Attached Form Index (AFI) takes this ratio into account. The use of AFI makes it possible to assess the restructuring of the assemblage of ciliated protozoa under the influence of point sources of pollution, to establish a zone of negative influence of runoff, to assess the degree of restoration of the aquatic ecosystem, as the influence of the pollution source weakened., Competing Interests: The authors have declared that no competing interests exist.

The effects of two powdered mineral materials (powdered ceramsite and powdered limestone) on aerobic granulation of sludge were evaluated. The experiment was conducted on a laboratory scale bioreactors treating wastewater for 89 days. Three granular sequencing batch reactors (GSBRs) were operated at the lowest optimal organic loading rate (OLR) of 2.55 g COD/(L∙d). In the control reactor (R1), the mean diameter (d) of the biomass ranged from 124.0 to 210.0 µm, and complete granulation was not achieved. However, complete granulation did occur in reactors to which either ceramsite (251.9 µm < d < 783.1 µm) or limestone (246.0 µm < d < 518.9 µm) was added. Both powdered materials served as a ballast for the sludge flocs making up the seed sludge. Ceramsite particles also acted as microcarriers of granule-forming biomass. The granules in the reactors with added powdered materials had nonfibrous and smoother surfaces. The reactor with ceramsite exhibited the highest average efficiencies for COD, total nitrogen, and total phosphorus removal (85.4 ± 5.4%, 56.6 ± 10.2%, and 56.8 ± 9.9%, respectively). By contrast, the average nitrification efficiency was 95.1 ± 12.8%.

Modern technologies designed to treat wastewater containing phosphorus compounds are based on the processes of adsorption and precipitation. In addition, more environmentally friendly and cheaper materials are being sought to ensure greater conformity with overarching assumptions of green chemistry and sustainable development. Against that background, this paper offers a review and analysis of available information on the considered reactive materials that have the capacity to remove phosphorus from wastewater. These materials are categorised as natural (with a sub-division in line with the dominant sorption groups of Al/Fe or Ca/Mg), waste, or man-made. Notably, most studies on sorbents have been carried out in laboratory systems via experimentation under static conditions. Among the natural materials, opoka has the highest sorption capacity of 181.20 g P/kg, while red mud (in the waste material category) is most efficient at binding phosphorus with a level of 345.02 g P/kg. Finally, among the group of commercial materials, Rockfos ® has the highest sorption capacity of 256.40 g P/kg. In addition, this paper recognises the effect of composition, pH, and physical properties on a reactive material's capacity to absorb phosphorus, as well as the possibility for further potential use in the production of fertilisers.

This study aimed to evaluate and compare the physical, chemical and biological properties of aerobic granular sludge from reactors with the addition of different powdered mineral materials. These properties have a significant impact on the efficiency of systems in which the biomass in granular form is used. Four identical granular sequencing batch reactors (GSBRs) were adopted for the research performed on a laboratory scale (R1-control reactor; R2, R3 and R4-with materials, PK, PG and PL respectively). The results indicate that the addition of powdered mineral materials improved the properties of biomass in reactors. The SVI 5 /SVI 30 ratio values were significantly lower in the reactors with added materials (approx. 1.3 ± 0.3). The mean values of the sludge volume index at 30 min were the lowest in the R2 (39.8 ± 8.6 mL/g) and R4 (32.8 ± 10.7 mL/g) reactors. The settling velocity of biomass was the highest in the R2 reactor (15.4 ± 6.1 m/h). In the early days of the study, the highest extracellular polymeric substances (EPS) content was found in the biomass from the reactors to which the materials with higher Ca and Mg content were added (380.18-598.30 mg/g MLVSS). The rate of specific oxygen uptake (SOUR) by biomass indicated an insufficient biomass content in the R1 reactor-to 7.85 mg O 2 /(g MLVSS∙h)-while in the reactors with materials, the SOUR values were at the higher levels.

Background: Comorbidities, complications and laboratory abnormalities are common in stroke patients. One of the common problems is hyponatremia (serum sodium (Na) level <135 mmol/L), but the relationship between hyponatremia and the prognosis in patients with stroke is not well understood., Objectives: The aim of this study was to investigate the prevalence and severity of hyponatremia, as well as its impact on prognosis in stroke patients on admission to hospital., Material and Methods: The study involved the analysis of the first measurement of the Na level after the admission and its correlations with comorbidities, the scale of clinical assessment of stroke severity (NIHSS), the size and location of the stroke, and mortality. A retrospective study was conducted on 502 patients (among them 263 women) admitted to the hospital on stroke onset (440 ischemic stroke (IS) and 62 hemorrhagic stroke (HS) patients). The post-stroke mortality was defined as early if death occurred within 30 days., Results: Hyponatremia was found in 18.4% of patients with IS and 25.8% of patients with HS, irrespective of age and gender. Hyponatremia is an independent prognostic factor of mortality in people with IS (p = 0.003). Na levels were lower in IS patients who died than in those who remained alive (134.8 ±4.99 mmol/L vs 136.6 ±3.01 mmol/L; p = 0.02). Higher mortality rate was observed among IS patients under 75 years of age and Na level ≤132 mmol/L. In patients with IS, hyponatremia correlates with NIHSS (p = 0.005) and the size and location of the stroke (p = 0.002)., Conclusions: Hyponatremia is more frequently observed in patients with HS than IS. Mild hyponatremia is already known to be an independent prognostic factor in the mortality of people with IS and it may also have value as a prognostic factor in the mortality of the IS population. In a patient with a suspected stroke, there is a need to control electrolyte levels at the onset of the stroke, especially in patients with comorbidities, irrespective of age.

Socioeconomic status (SES) is often considered a risk factor for health outcomes. SES is typically measured using individual variables of educational attainment, income, housing, and employment variables or a composite of these variables. Approaches to building the composite variable include using equal weights for each variable or estimating the weights with principal components analysis or factor analysis. However, these methods do not consider the relationship between the outcome and the SES variables when constructing the index. In this project, we used weighted quantile sum (WQS) regression to estimate an area-level SES index and its effect in a model of colonoscopy screening adherence in the Minnesota-Wisconsin Metropolitan Statistical Area. We considered several specifications of the SES index including using different spatial scales (e.g., census block group-level, tract-level) for the SES variables. We found a significant positive association (odds ratio = 1.17, 95% CI: 1.15-1.19) between the SES index and colonoscopy adherence in the best fitting model. The model with the best goodness-of-fit included a multi-scale SES index with 10 variables at the block group-level and one at the tract-level, with home ownership, race, and income among the most important variables. Contrary to previous index construction, our results were not consistent with an assumption of equal importance of variables in the SES index when explaining colonoscopy screening adherence. Our approach is applicable in any study where an SES index is considered as a variable in a regression model and the weights for the SES variables are not known in advance.

Objective: The purpose of this work was to determine the reliability and validity of measurements performed on digital models with a desktop scanner and analysis software in comparison with measurements performed manually on conventional plaster casts., Materials and Methods: A total of 20 pairs of plaster casts reflecting the intraoral conditions of 20 fully dentate individuals were digitized using a three-dimensional scanner (D700; 3Shape). A series of defined parameters were measured both on the resultant digital models with analysis software (Ortho Analyzer; 3Shape) and on the original plaster casts with a digital caliper (Digimatic CD-15DCX; Mitutoyo). Both measurement series were repeated twice and analyzed for intrarater reliability based on intraclass correlation coefficients (ICCs). The results from the digital models were evaluated for their validity against the casts by calculating mean-value differences and associated 95 % limits of agreement (Bland-Altman method). Statistically significant differences were identified via a paired t test., Results: Significant differences were obtained for 16 of 24 tooth-width measurements, for 2 of 5 sites of contact-point displacement in the mandibular anterior segment, for overbite, for maxillary intermolar distance, for Little's irregularity index, and for the summation indices of maxillary and mandibular incisor width. Overall, however, both the mean differences between the results obtained on the digital models versus on the plaster casts and the dispersion ranges associated with these differences suggest that the deviations incurred by the digital measuring technique are not clinically significant., Conclusion: Digital models are adequately reproducible and valid to be employed for routine measurements in orthodontic practice.

Background: There are several suspected environmental risk factors for non-Hodgkin lymphoma (NHL). The associations between NHL and environmental chemical exposures have typically been evaluated for individual chemicals (i.e., one-by-one)., Objectives: We determined the association between a mixture of 27 correlated chemicals measured in house dust and NHL risk., Methods: We conducted a population-based case-control study of NHL in four National Cancer Institute-Surveillance, Epidemiology, and End Results centers--Detroit, Michigan; Iowa; Los Angeles County, California; and Seattle, Washington--from 1998 to 2000. We used weighted quantile sum (WQS) regression to model the association of a mixture of chemicals and risk of NHL. The WQS index was a sum of weighted quartiles for 5 polychlorinated biphenyls (PCBs), 7 polycyclic aromatic hydrocarbons (PAHs), and 15 pesticides. We estimated chemical mixture weights and effects for study sites combined and for each site individually, and also for histologic subtypes of NHL., Results: The WQS index was statistically significantly associated with NHL overall [odds ratio (OR) = 1.30; 95% CI: 1.08, 1.56; p = 0.006; for one quartile increase] and in the study sites of Detroit (OR = 1.71; 95% CI: 1.02, 2.92; p = 0.045), Los Angeles (OR = 1.44; 95% CI: 1.00, 2.08; p = 0.049), and Iowa (OR = 1.76; 95% CI: 1.23, 2.53; p = 0.002). The index was marginally statistically significant in Seattle (OR = 1.39; 95% CI: 0.97, 1.99; p = 0.071). The most highly weighted chemicals for predicting risk overall were PCB congener 180 and propoxur. Highly weighted chemicals varied by study site; PCBs were more highly weighted in Detroit, and pesticides were more highly weighted in Iowa., Conclusions: An index of chemical mixtures was significantly associated with NHL. Our results show the importance of evaluating chemical mixtures when studying cancer risk.

In evaluation of cancer risk related to environmental chemical exposures, the effect of many chemicals on disease is ultimately of interest. However, because of potentially strong correlations among chemicals that occur together, traditional regression methods suffer from collinearity effects, including regression coefficient sign reversal and variance inflation. In addition, penalized regression methods designed to remediate collinearity may have limitations in selecting the truly bad actors among many correlated components. The recently proposed method of weighted quantile sum (WQS) regression attempts to overcome these problems by estimating a body burden index, which identifies important chemicals in a mixture of correlated environmental chemicals. Our focus was on assessing through simulation studies the accuracy of WQS regression in detecting subsets of chemicals associated with health outcomes (binary and continuous) in site-specific analyses and in non-site-specific analyses. We also evaluated the performance of the penalized regression methods of lasso, adaptive lasso, and elastic net in correctly classifying chemicals as bad actors or unrelated to the outcome. We based the simulation study on data from the National Cancer Institute Surveillance Epidemiology and End Results Program (NCI-SEER) case-control study of non-Hodgkin lymphoma (NHL) to achieve realistic exposure situations. Our results showed that WQS regression had good sensitivity and specificity across a variety of conditions considered in this study. The shrinkage methods had a tendency to incorrectly identify a large number of components, especially in the case of strong association with the outcome.

In the evaluation of cancer risk related to environmental chemical exposures, the effect of many correlated chemicals on disease is often of interest. The relationship between correlated environmental chemicals and health effects is not always constant across a study area, as exposure levels may change spatially due to various environmental factors. Geographically weighted regression (GWR) has been proposed to model spatially varying effects. However, concerns about collinearity effects, including regression coefficient sign reversal (ie, reversal paradox), may limit the applicability of GWR for environmental chemical risk analysis. A penalized version of GWR, the geographically weighted lasso, has been proposed to remediate the collinearity effects in GWR models. Our focus in this study was on assessing through a simulation study the ability of GWR and GWL to correctly identify spatially varying chemical effects for a mixture of correlated chemicals within a study area. Our results showed that GWR suffered from the reversal paradox, while GWL overpenalized the effects for the chemical most strongly related to the outcome.

Embryonic stem (ES) cells offer a valuable source for generating insulin-producing cells. However, current differentiation protocols often result in heterogeneous cell populations of various developmental stages. Here we show the activin A-induced differentiation of mouse ES cells carrying a homologous dsRed-IRES-puromycin knock-in within the Sox17 locus into the endoderm lineage. Sox17-expressing cells were selected by fluorescence-assisted cell sorting (FACS) and characterized at the transcript and protein level. Treatment of ES cells with high concentrations of activin A for 10 days resulted in up to 19% Sox17-positive cells selected by FACS. Isolated Sox17-positive cells were characterized by defini- tive endoderm-specific Sox17/Cxcr4/Foxa2 transcripts, but lacked pluripotency-associated Oct4 mRNA and protein. The Sox17-expressing cells showed downregulation of extraembryonic endoderm (Sox7, Afp, Sdf1)-, mesoderm (Foxf1, Meox1)- and ectoderm (Pax6, NeuroD6)-specific transcripts. The presence of Hnf4α, Hes1 and Pdx1 mRNA demonstrated the expression of primitive gut/foregut cell-specific markers. Ngn3, Nkx6.1 and Nkx2.2 transcripts in Sox17-positive cells were determined as properties of pancreatic endocrine progenitors. Immunocytochemistry of activin A-induced Sox17-positive embryoid bodies revealed coexpression of Cxcr4 and Foxa2. Moreover, the histochemical demonstration of E-cadherin-, Cxcr4-, Sox9-, Hnf1β- and Ngn3-positive epithelial-like structures underlined the potential of Sox17-positive cells to further differentiate into the pancreatic lineage. By reducing the heterogeneity of the ES cell progeny, Sox17-expressing cells are a suitable model to evaluate the effects of growth and differentiation factors and of culture conditions to delineate the differentiation process for the generation of pancreatic cells in vitro., (Copyright © 2011 S. Karger AG, Basel.)