Purpose: Active anterior rhinomanometry (AAR) and computed tomography (CT) are standardized methods for the evaluation of nasal obstruction. Recent attempts to correlate AAR with CT-based computational fluid dynamics (CFD) have been controversial. We aimed to investigate this correlation and agreement based on an in-house developed procedure. Methods: In a pilot study, we retrospectively examined five subjects scheduled for septoplasty, along with preoperative digital volume tomography and AAR. The simulation was performed with Sailfish CFD, a lattice Boltzmann code. We examined the correlation and agreement of pressure derived from AAR (RhinoPress) and simulation (SimPress) and these of resistance during inspiration by 150 Pa pressure drop derived from AAR (RhinoRes150) and simulation (SimRes150). For investigation of correlation between pressures and between resistances, a univariate analysis of variance and a Pearson’s correlation were performed, respectively. For investigation of agreement, the Bland–Altman method was used. Results: The correlation coefficient between RhinoPress and SimPress was r = 0.93 (p < 0.001). RhinoPress was similar to SimPress in the less obstructed nasal side and two times greater than SimPress in the more obstructed nasal side. A moderate correlation was found between RhinoRes150 and SimRes150 (r = 0.65; p = 0.041). Conclusion: The simulation of rhinomanometry pressure by CT-based CFD seems more feasible with the lattice Boltzmann code in the less obstructed nasal side. In the more obstructed nasal side, error rates of up to 100% were encountered. Our results imply that the pressure and resistance derived from CT-based CFD and AAR were similar, yet not same.
1 January 2021 in Respiratory Physiology & Neurobiology
Anaerobic digestion (AD) is a biological process that breaks down organic matter in the absence of oxygen, producing biogas and nutrient-rich digestate. Various reactor designs and mixing strategies are well-established in AD processes, each with their own advantages and benefits. The presented study summarizes and investigates the state of the art of AD in domestic wastewater treatment plants (WWTPs) in an Austrian alpine region, with a primary focus on finding similarities among the most efficient plants regarding digester design, mixing approaches, and biogas production. By combining surveys and detailed field studies in cooperation with 34 WWTPs, the study provides a comprehensive overview of common AD practices, reactor shapes, and inherent mixing methods, highlighting their potential regarding energetic efficiency and biogas production. The results of the survey reveal qualitative trends in efficient AD design alongside detailed quantitative data derived from the supervised in-field optimization studies. Notably, one of the studies demonstrated energetic savings of 52% with no decrease in biogas production, achieved by transitioning from gas injection to mechanical agitation. Redundant impeller-based overmixing was also practically investigated and demonstrated in another field study. After optimization, the adaptations also resulted in energy savings of 30%, still proving sufficient substrate mixing with biomethane potential analysis. In conclusion, this research emphasizes the economic and environmental importance of energy-refined practices and optimized processes while highlighting the sustainability of AD, particularly for large domestic WWTPs but also for different comparable applications.