Usefulness of a Simple Protein-Energy Wasting Score for Predicting Hospitalization in Maintenance Hemodialysis Patients: A Prospective Cohort Study

Background: Malnutrition is a strong predictor of prognosis in maintenance hemodialysis patients (MHD). We previously proposed a new and simple protein-energy wasting (PEW) score that appears to be useful for assessing the risk of mortality in patients on MHD. Objectives: In the present study, we evaluated the reliability of this PEW score as a predictor of hospitalization in Japanese patients on MHD. Methods: In this single-center, prospective cohort study conducted in Japan, PEW score was calculated for 180 MHD patients. PEW score ranged from 0 (best: S1) to 4 (worst: S4) and was calculated based on nutritional indicators including serum albumin, body mass index, serum creatinine level, and protein intake. The outcome was the number of hospitalizations during the 2-year study period. Results: Thirty-six patients were hospitalized during the study period. Kaplan-Meier curves showed there were fewer hospitalizations in the group with a PEW score of 0/1 than in the group with a score of 3/4. Multivariate analysis revealed a hazard ratio for hospitalization of 3.109 for S3/4 versus S0, 2.777 for S3/4 versus S1, and 2.048 for S3/4 versus S2. Conclusion: The new and simple PEW score is a useful predictor of hospitalization in MHD patients and is also useful for identifying subgroups of MHD patients with a high risk of mortality.

Energy,exergy,economic and environmental comprehensive analysis and multi-objective optimization of a sustainable zero liquid discharge integrated process for fixed-bed coal gasification wastewater

For a long time,China's regional water resource imbalance has restricted the development of coal chemical industry,and it is imperative to achieve zero liquid discharge(ZLD).Therefore,the game relationship between technical indicators,costs and emissions in ZLD process of fixed-bed coal gasification wastewater treatment process should be explored in detail.According to the accurate model,the simulation for ZLD of fixed-bed coal gasification wastewater treatment process is established,and this process is assessed from the perspective of thermodynamics,economy,and environment.The total energy consumption of ZLD process before optimization is 4.032×10^(8)W.The results of exergy analysis show exergy destruction of ZLD process is 94.55%.For economic and environmental results,the total annual cost is 1.892×10^(7)USD·a^(-1)and the total environmental impact is 4.782×10^(-8).The total energy consumption of the optimal six-step ZLD process based on multi-objective optimization is 4.028×10^(8)W.The CO_(2)content in the treated wastewater is 0.1%.This study will have an important role in promoting the establishment of the ZLD process for coal chemistry industry.

Optimizing Household Wastes (Rice, Vegetables, and Fruit) as an Environmentally Friendly Electricity Generator

The high consumption of electricity and issues related to fossil energy have triggered an increase in energy prices and the scarcity of fossil resources.Consequently,many researchers are seeking alternative energy sources.One potential technology,the Microbial Fuel Cell(MFC)based on rice,vegetable,and fruit wastes,can convert chemical energy into electrical energy.This study aims to determine the potency of rice,vegetable,and fruit waste assisted by Cu/Mg electrodes as a generator of electricity.The method used was a laboratory experiment,including the following steps:electrode preparation,waste sample preparation,incubation of the waste samples,construction of a reactor using rice,vegetable,and fruit waste as a source of electricity,and testing.The tests included measuring electrical conductivity,electric current,voltage,current density,and power density.Based on the test results,the maximum current and voltage values for the fruit waste samples were 5.53 V and 11.5 mA,respectively,with a current density of 2.300 mA/cm^(2) and a power density of 12.719 mW/cm^(2).The results indicate the potential for a future development.The next step in development involves determining the optimum conditions for utilizing of rice,vegetable,and fruit waste.The results of the electrical conductivity test on rice,vegetable,and fruit waste samples were 1.51,2.88,and 3.98 mS,respectively,with the highest electrical conductivity value found in the fruit waste sample.

The Application of Solid Waste in Thermal Insulation Materials: A Review

As socioeconomic development continues,the issue of building energy consumption has attracted significant attention,and improving the thermal insulation performance of buildings has become a crucial strategic measure.Simultaneously,the application of solid waste in insulation materials has also become a hot topic.This paper reviews the sources and classifications of solid waste,focusing on research progress in its application as insulation materials in the domains of daily life,agriculture,and industry.The research shows that incorporating household solid waste materials,such as waste glass,paper,and clothing scraps into cementitious thermal insulation can significantly reduce the thermal conductivity of the materials,leading to excellent thermal insulation properties.Insulation materials prepared from agricultural solid waste,such as barley straw,corn stalk,chicken feather,and date palm fibers,possess characteristics of lightweight and strong thermal insulation.Industrial solid waste,including waste tires,iron tailings,and coal bottom ash,can also be utilized in the preparation of insulation materials.These innovative applications not only have positive environmental significance by reducing waste emissions and resource consumption,but also provide efficient and sustainable insulation solutions for the construction industry.However,to further optimize the mix design and enhance the durability of insulation materials,continuous research is required to investigate the mechanisms through which solid waste impacts the performance of insulation materials.

Association of Protein Energy Wasting with Income in CKD Stage 3 Patients

Protein energy wasting (PEW) is a major challenge in CKD. Objective: To assess PEW in predialysis patients on their first visit to a nephrologist. Methods: Three day dietary intake of 484 CKD stage 3 patients was taken. Appetite was assessed with ADAT. Patients were divided into groups based on appetite and BMI. Results: Male and female parameters are serum albumin 3.7 ± 0.84/3.68.8 ± 0.81 g/dL, total protein 7.02 ± 1.27/6.94 ± 1.26 g/dL, creatinine 4.68 ± 4.19/3.74 ± 3.36 mg% creatinine clearance 33.22 ± 30.48/37.55 ± 33.87 ml/minute, BMI 22.60 ± 4.29/23.43 ± 4.77kg/m2 energy/kg 16.97 ± 0.65/16.8 ± 0.64, protein g/kg 0.65 ± 0.28/0.64 ± 0.30, carbohydrate g/kg 2.98 ± 1.54/2.98 ± 0.1.36, fat g/kg 2.98 ± 0.23/2.79 ± 0.22, respectively. As appetite decreased, dietary protein and energy intake decreased significantly. Appetite in males and females: Average 14.46%, 4.13%, poor 9.7%, 18.18%, anorexic 13.2%, 7.4%. Income had strong correlation with BMI (p 0.000), dietary protein (p 0.000), energy (p 0.000) and carbohydrate (p 0.000). Appetite correlated with creatinine (p 0.019), dietary energy, protein, carbohydrate and fat (p 0.000) intake. BMI correlated (p 0.000) with fat, carbohydrate, energy and creatinine clearance. ANOVA showed significant difference within and between appetite groups in energy, protein, fat, carbohydrate, creatinine clearance (p 0.000) and serum albumin (p 0.025). There was significant difference in protein (p 0.026), energy intake (p 0.000) and creatinine clearance (p 0.038) within and between BMI groups. Based on income, there was significant difference among groups in BMI (p 0.000), energy (p 0.019), protein (p 0.031) and albumin (0.001).

Exploration and Application Practice of Energy Conservation Theory and Method in Steel Manufacturing Process System

This article briefly discusses the theoretical basis and overall goals of energy conservation in the steel manufacturing process system.It is proposed that in the process of implementing system energy conservation,it is necessary to fully recognize and utilize the characteristics and functional advantages of the steel manufacturing process,pay more attention to energy quality,firmly grasp the overall goal of system optimization,focus on the integrated optimization of gas,steam,and waste heat systems,and propose the idea of constructing a"steel chemi-cal gas electricity heating cooling multi generation system".Based on practice,the main principles,models,and effects of implementing systematic energy conservation in steel enterprises have been proposed.

Analysis and Prospect of Waste Heat Utilization from Blast Furnace Slag Flushing

Estimating the residual heat of blast furnace slag flushing in China,classifying and introducing the current proposed methods of slag flushing waste heat utilization,and listing existing cases.In order to better save energy and water in the slag flushing process of blast furnaces,an ideal comprehensive cascade utilization system scheme for annual recovery of waste heat is proposed.Based on the measured waste heat data of a steel plant,design calculations are carried out to further analyze the economic feasibility of the new scheme and provide reference for its promotion and application.

Integration of Low-level Waste Heat Recovery and Liquefied Nature Gas Cold Energy Utilization

Two novel thermal cycles based on Brayton cycle and Rankine cycle are proposed, respectively, which integrate the recovery of low-level waste heat and Liquefied Nature Gas （LNG） cold energy utilization for power generation. Cascade utilization of energy is realized in the two thermal cycles, where low-level waste heat,low-temperature exergy and pressure exergy of LNG are utilized efficiently through the system synthesis. The simulations are carried out using the commercial Aspen Plus 10.2, and the results are analyzed. Compared with the conventional Brayton cycle and Rankine cycle, the two novel cycles bring 60.94% and 60% in exergy efficiency, respectively and 53.08% and 52.31% in thermal efficiency, respectively.

Determination of the available energy values and amino acid digestibility of Flammulina velutipes stem waste and its effects on carcass trait and meat quality fed to growing-finishing pigs

Background:Flammulina velutipes stem waste(FVS)is the by-product of mushroom industry.The objectives of this study were to determine the available energy and amino acid digestibility of FVS fed to pigs,and to evaluate the effects of dietary FVS inclusion on growth performance,biochemical profile of serum,fecal short chain fatty acid(SCFA)concentration,carcass traits,meat quality,intestinal morphology and microflora of pigs.In Exp.1,twelve crossbred barrows with initial body weight(IBW)of 37.48±4.31 kg were randomly allotted to 2 dietary treatments,including a corn basal diet and an experimental diet containing 24.35%FVS.In Exp.2,twelve barrows fitted with an ileal T-cannula(IBW:32.56±1.67 kg)were randomly allotted to 2 dietary treatments,which included a N-free diet and an experimental diet containing 40.0%FVS.In Exp.3,ninety growing pigs(IBW:63.98±6.89 kg)were allotted to 1 of 3 treatment diets for 63 d,including a basal diet and 2 experimental diets with 2.5%and 5%FVS,respectively.Results:The digestible energy(DE)and metabolizable energy(ME)of FVS were 4.58 and 4.06 MJ/kg on dry matter basis,respectively,and the standardized ileal digestibility(SID)of indispensable AAs ranged from 17.50%to 59.47%.Pigs fed diets with 2.5%FVS showed no difference on average daily gain(ADG)and gain to feed ratio(G/F).Although dietary 5%FVS inclusion impaired apparent total tract digestibility(ATTD)of organic matter and gross energy,it elevated the SCFA concentration(P≤0.04)in gut and antioxidant capacity in serum.In addition,dietary FVS inclusion depressed the backfat thickness(P=0.03)in pigs.The longissimus dorsi muscle of pigs fed FVS revealed higher n-3 polyunsaturated fatty acid concentration and optimized fatty acid composition.Dietary 2.5%FVS inclusion also improved the intestinal development and health by increasing the villius height to crypt depth ratio(V/C)in jejunum(P<0.01),and promoting microbial diversity and beneficial microbiota proliferation.Conclusions:It is feasible to include moderate content of FVS as an unconventional fiber ingredient in diet of growingfinishing pigs.

A power plant for integrated waste energy recovery from liquid air energy storage and liquefied natural gas

Liquefied natural gas(LNG)is regarded as one of the cleanest fossil fuel and has experienced significant developments in recent years.The liquefaction process of natural gas is energy-intensive,while the regasification of LNG gives out a huge amount of waste energy since plenty of high grade cold energy(-160℃)from LNG is released to sea water directly in most cases,and also sometimes LNG is burned for regasification.On the other hand,liquid air energy storage(LAES)is an emerging energy storage technology for applications such as peak load shifting of power grids,which generates 30%-40%of compression heat(-200℃).Such heat could lead to energy waste if not recovered and used.The recovery of the compression heat is technically feasible but requires additional capital investment,which may not always be economically attractive.Therefore,we propose a power plant for recovering the waste cryogenic energy from LNG regasification and compression heat from the LAES.The challenge for such a power plant is the wide working temperature range between the low-temperature exergy source(-160℃)and heat source(-200℃).Nitrogen and argon are proposed as the working fluids to address the challenge.Thermodynamic analyses are carried out and the results show that the power plant could achieve a thermal efficiency of 27%and 19%and an exergy efficiency of 40%and 28%for nitrogen and argon,respectively.Here,with the nitrogen as working fluid undergoes a complete Brayton Cycle,while the argon based power plant goes through a combined Brayton and Rankine Cycle.Besides,the economic analysis shows that the payback period of this proposed system is only 2.2 years,utilizing the excess heat from a 5 MW/40 MWh LAES system.The findings suggest that the waste energy based power plant could be co-located with the LNG terminal and LAES plant,providing additional power output and reducing energy waste.

The Energy Consumption of Heatingin the Northeast Rural Area of China from the Perspective of the Kang and Agricultural Waste

In China, the heating energy consumption patterns of rural housing are changing due to economic development. This study investigated domestic heating in rural areas of Dalian, a city in northeast China. In rural areas of the country, heating devices such as coal boiler, radiator, and/ or air-conditioner are typically used. The Kang, as the main heating system, has been used together with other heating methods for a long time in detached houses, one-story buildings, and quadrangles. Use of the Kang in collective housing is no longer observed. In addition to coal, agricultural wastes have been used to fuel the Kang; the associated CO2 emissions with agricultural fuels are lower than from other heating equipment. Even when a combination of the Kang and other equipment is used, with agricultural waste as fuel, CO2 emissions remain relatively low.

A perspective analysis on municipal solid waste(MSW) energy recovery in China

The paper analysed the current situation of municipal solid waste(MSW) quantity and quality in China and the changing tendencies of its composition. Further more, the energy value of MSW was discussed. To the point of the technical and economic aspects, the feasibility of the energy recovery from MSW was also analysed. The conclusion is that the energy can be effectively recovered through a landfill gas utilization process and the energy produced by an incineration process. Through a suitable energy recovery process, it is possible to improve the economic viability of a MSW treatment process.

Development and experimental validation of kinetic models for the hydrogenation/dehydrogenation of Mg/Al based metal waste for energy storage

With the increased use of renewable energy sources,the need to store large amounts of energy will become increasingly important in the near future.A cost efficient possibility is to use the reaction of recycled Mg waste with hydrogen as thermo-chemical energy storage.Owing to the high reaction enthalpy,the moderate pressure and appropriate temperature conditions,the broad abundance and the recyclability,the Mg/Al alloy is perfectly suitable for this purpose.As further development of a previous work,in which the performance of recycled Mg/Al waste was presented,a kinetic model for hydro-and dehydrogenation is derived in this study.Temperature and pressure dependencies are determined,as well as the rate limiting step of the reaction.First experiments are carried out in an autoclave with a scaled-up powder mass,which is also used to validate the model by simulating the geometry with the scaled-up experiments at different conditions.

The Physico-Chemical Composition and Energy Recovery Potentials of Municipal Solid Waste Generated in Numan Town, North-Eastern Nigeria

Numan is an urban center in Adamawa State North-Eastern Nigeria. Its waste characteristics are similar to other places in sub-Saharan Africa. In this paper, the physico-chemical characterization of municipal solid waste generated in Numan Town was carried out to estimate the electrical power to be generated from it. The solid waste types were observed to comprise of polythene (27%), organic waste (24.1%), plastic (10.2%), textile (13.2%), paper (9.8%), glass (9.3%) and metals (6.4%). The moisture content as discarded and daily average solid waste generation rate are 16.49% and 0.583 kg/sec respectively. The chemical formula with and without water was determined as C923.28H1632.60O258.28N12.89S and C923.28H2099.70O494.16N12.89S respectively. The suitability of the municipal solid waste as a possible source of electrical power was also considered. The energy content of the solid waste on ash free dry-basis was determined as 20861.48 kJ/kg. The estimated power generation per day using incinerating plant at an assumed efficiency of 25% was 3031.5 kW.

Recent progress and perspective on batteries made from nuclear waste

Sustainable energy sources are an immediate need to cope with the imminent issue of climate change the world is facing today.In particular,the long-lasting miniatured power sources that can supply energy continually to power handheld gadgets,sensors,electronic devices,unmanned airborne vehicles in space and extreme mining are some of the examples where this is an acute need.It is known from basic physics that radioactive materials decay over few years and some nuclear materials have their half-life until thousands of years.The past five decades of research have been spent harnessing the decay energy of the radioactive materials to develop batteries that can last until the radioactive reaction continues.Thus,an emergent opportunity of industrial symbiosis to make use of nuclear waste by using radioactive waste as raw material to develop bat-teries with long shelf life presents a great opportunity for sustainable energy resource development.However,the current canon of research on this topic is scarce.This perspective draws fresh discussions on the topic while highlighting future directions in this wealthy arena of research.Graphical abstract A long-lasting miniaturised nuclear battery utilising 14C radioactive isotope as fuel.

Energy Planning: Brazilian Potential of Generation of Electric Power from Urban Solid Wastes—Under “<i>Waste Production Liturgy</i>” Point of View

The use of Urban Solid Waste (USW) as sources of energy has acquired rising importance in current discussions of alternative energy supplies, in particular in Brazil. This paper brings to these discussions an examination of the concept of solid wastes, including their historic origins and formation, taking their social, economic and cultural characteristics into account, including point view of waste production liturgy. Consequently, a spendthrift society slanted towards the decreasing marginal utility of assets must make efficient use of its USW in order to reduce excessive output. Besides that, this document presents the Brazilian potential of urban solid waste to produce electric power.

Current Situation and Suggestions for Energy Utilization of Agricultural Waste in Hubei Province

Energy utilization is high-value use pattern of agricultural waste, and is main development direction of agricultural biomass energy industry in China. Planting and breeding industry in Hubei Province occupies important position in whole country. Agricultural waste resources are rich, and it has huge potential for developing agriculturel biomass energy. By statistical data during 2000 -2011, we analyzed current situation and problem for energy utilization of agricultural waste in Hubei Province, and put forward several countermeasures and suggestions, vigorously promoting energy utilization of agricultural waste.

The Hydrogen Energy Potential of Solid Waste: A Case Study of Misrata City

This study presents an overview on solid waste that can be used as a source of bioenergy in Misrata including municipal solid waste (MSW), industrial solid waste (ISW), and healthcare solid waste (HSW) as biomass sources. The management of solid waste and valorization is based on an understanding of MSW’s and HSW’s composition and physicochemical characteristics. Of MSW’s, the results show that organic matter represents 59% of waste, followed by paper-cardboard 12%, miscellaneous 10%, plastic 8%, metals 7% and glass 4%. While HSW comprised of 72% general healthcare waste (non-risk) and 28% hazardous waste. The average general waste composition was: 38% organic, 24% plastics, and 20% paper. The potential of hydrogen energy produced from biogas in Misrata including MSW, and other organic feedstock such as food and kitchen waste, animal wastes, clover and reeds, wheat residues, barley residues, HSW and sewage waste as biomass sources. The total potential hydrogen output is estimated to be around 10,265 tons per year.

Converting Urban Waste into Energy in Kathmandu Valley: Barriers and Opportunities

The population explosion, rapid urbanization rate and the increase in economic activities in Kathmandu Valley have created serious problems in various aspects, including solid waste management and energy deficiency. Despite the existence of distinct link between waste and energy, the “waste to energy” concept is still viewed as an inferior method in Nepal. The government and other concerned stakeholders pay more attention towards the development of hydropower, the major source of electricity production in Nepal. This paper intends to link between solid waste management and inadequacy in energy supply. Kathmandu Valley produces about 620 tons/day solid waste from its five municipalities. The study has shown some opportunities for Kathmandu Valley to convert its solid waste into energy. Even if only organic waste is treated, it produces energy sufficient to light more than 1000 houses in Kathmandu Valley. The quantity of waste, its heat content, the need of additional energy supply, the support from government and service users are some openings that hopefully can contribute to resolving the problems of solid waste and energy supply in Kathmandu Valley.

A Case Study on the Utilization of Wind Energy Potential on Remote and Isolated Small Wastewater Plants

Small WWTP （wastewater treatment plants） are frequently located, by necessity, in remote and isolated sites, which increases the difficulty of its energy supply. This paper describes a case study which is a step by step procedure concerning the evaluation of the wind potential of sites that are dependent of in-situ energy generation, as well as, on the utilization of the potential wind energy in Magoito WWTP. The adopted methodology comprised the collection of one year of in-situ wind data and its validation by comparison with historical data of more than 10 years of a nearby anemometric station. The data provided by the two anemometric stations was statistically treated and allowed the analysis of the results from the two stations. These results are promising in terms of wind availability and velocity. Finally, the study comprised the simulation of the local wind conditions for a considerable larger area in order to find the best site for locating a wind turbine.