Several studies showed that some organic micropollutants (OMPs) are biotransformed during anaerobic digestion (AD). Yet, most of them aim at reporting removal efficiencies instead of understanding the biotransformation process. Indeed, how each of the main AD stages (i.e., hydrolysis, acidogenesis, and methanogenesis) contribute to OMP biotransformation remains unknown. This study focuses on investigating the role of methanogenesis, the most characteristic step of AD, to OMP removal. More specifically, the sorption and the biotransformation of 20 OMPs by methanogenic biomass were analyzed determining their concentrations in both liquid and solid phases. Sorption onto methanogenic biomass displayed a similar behavior as reported for digested sludge. Most of the OMPs were biotransformed to a medium extent (35-70%) and only sulfamethoxazole was completely removed. Comparing these results with those reported for the complete AD process, methanogenesis was proven to play a key role, accounting for more than 50% of the OMP biotransformation (except for roxithromycin) during AD. An increase in the organic loading rate from 1 to 2gCOD/Ld, typical loads employed in sewage sludge anaerobic digesters, did not exert a clear cometabolic effect on the OMPs biotransformation. It is hypothesized that biotransformation occurs in both liquid and solid phases because no link between the partition coefficient (Kd) and the overall biotransformation efficiency was found. These findings allow a better understanding of the OMPs fate under anaerobic conditions, which is necessary to design efficient biological mitigation strategies.
The aim of this paper is to analyse one of the principal problems in primary health care management: the evaluation of efficiency in primary health care centres. Given the special characteristics of measuring outcome in primary care it is necessary to evaluate the performance of centres from a quality perspective too. The methodology used, DEA (Data Envelopment Analysis), allows us to introduce quantitative and qualitative variables in a sample of primary care centres in a Spanish province. Once the efficiency of the different centres is known, we investigate the sensitivity of the methodology to changes in the definition of outputs used.
Three activated sludge reactors were operated to improve the removal of organic micropollutants such as Pharmaceutical and Personal Care Products (PPCPs). Reactor 1 (R1) was operated as a Conventional Activated Sludge reactor (CAS), Reactor 2 (R2) consisted of a CAS unit that was continuously fed with FeCl3 whereas granular activated carbon (GAC) was fed directly into the mixed liquor of Reactor 3 (R3) in order to attain concentrations in the range 100-1,000 mg/L. PPCPs removal rates varied depending on the compound present in each reactor during the entire 220 days of operation. Some substances showed the same behaviour in all reactors, such as the acidic pharmaceuticals naproxen and ibuprofen, which were almost completely removed (> 90%). More hydrophobic organic substances, like musk fragrances, were about 90% removed after 40 days of operation in all of the reactors. The main difference between the three reactors was obtained in R3 when the GAC concentrations in the aeration tank were around 500-1,000 mg/L. Under these conditions, the more recalcitrant compounds like diazepam and carbamazepine could be removed by up to 40%, and diclofenac up to 85%. Adsorption isotherms for PPCPs were obtained with activated carbon, and the results were successfully fitted to the Freundlinch equation. The more recalcitrant compounds (carbamazepine, diazepam and diclofenac) had the highest adsorption capacities onto GAC, which is consistent with the behaviour observed in R3 and helps to identify the removal mechanism (adsorption for these compounds, whereas absorption for fragrances).
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