Publications

Biohydrogen can be produced from organic wastewater but the process is limited by low production yields. The aim of this review is to summarize the production strategies which are recently researched for enhancing biohydrogen yield and productivity from organic wastewater. The survey of published work indicates that the dark hydrogen fermentation is the most promising production mode. Current strategies geared towards improving biohydrogen production include: microbial culture immobilization, bioreactor modifications, the optimization of process conditions (temperature, pH, OLR and HRT), culture selection and enrichments, substrate choice, and the metabolic engineering of biohydrogen specialists. Comparative analysis of energy recovery from anaerobic digestion using vinasse-related substrates indicates that the production of methane has a higher energy yield than production of hydrogen. A sequential combination of biohydrogen and biomethanation production phases has the potential for even higher bioenergy recovery from organic wastewater.

© 2015 The Authors.Abstract Objective The prevalence of diabetes in sub-Saharan Africa is rising, but its relationship to depression is not well-characterized. This report describes depressive symptom prevalence and associations with adherence and outcomes among patients with diabetes in a rural, resource-constrained setting. Methods In the Webuye, Kenya diabetes clinic, we conducted a chart review, analyzing data including medication adherence, hemoglobin A1c (HbA1c), clinic attendance, and PHQ-2 depression screening results. Results Among 253 patients, 20.9{%} screened positive for depression. Prevalence in females was higher than in males; 27{%} vs 15{%} (p = 0.023). Glycemic control trends were better in those screening negative; at 24 months post-enrollment mean HbA1c was 7.5 for those screening negative and 9.5 for those screening positive (p = 0.0025). There was a nonsignificant (p = 0.269) trend toward loss to follow-up among those screening positive. Conclusions These findings suggest that depression is common among people with diabetes in rural western Kenya, which may profoundly impact diabetes control and treatment adherence.