Urban wastewater treatment plants as resource hubs: evaluating circularity and sustainability of nutrient recovery and water reuse.

Wastewater treatment plants (WWTPs) are evolving from pollution control facilities into resource recovery hubs, aligning with circular economy principles. However, assessing their transition requires robust methodologies that integrate environmental, economic, and circularity dimensions. This study aims to evaluate the sustainability and circularity performance of a WWTP in Cyprus upgraded with additional treatment stages to recover nutrient-rich sludge for fertilizer and treated water for irrigation.

Efficacy of Nintendo Switch Rehabilitation Program for Older Adults: A Quasi-Experimental Study.

To evaluate the effectiveness of Nintendo Switch videogames in promoting the rehabilitation of institutionalized older adults. This quasi-experimental study with a control group followed Strengthening the Reporting of Observational Studies in Epidemiology guidelines to ensure methodological quality. The study included 27 institutionalized older adults aged 60 or over at risk of falling, with a Performance-Oriented Mobility Assessment (POMA) score of 19-28 points.

Use of Technologies in Promoting Adolescent Mental Health: A Scoping Review.

Technologies such as mobile apps, online platforms, virtual reality, and artificial intelligence have been explored to support adolescent mental health. Issues of accessibility, effectiveness, privacy, and equity need to be assessed to determine the true impact of these technologies. This review offers insights for health-care professionals, researchers, and technology developers aiming to improve adolescents' mental wellbeing.

Escape Rooms in Nursing: A Systematic Review and Meta-Analysis.

Background: Escape rooms, spaces where teams collaborate to uncover clues, solve puzzles, and complete tasks, are increasingly prevalent in nursing education. This review describes a systematic review and meta-analysis on the effectiveness of escape rooms in nursing.

Method: Searches were conducted across multiple databases, including MEDLINE, CINAHL, SCOPUS, Psychology & Behavioral Sciences Collection, Academic Search Complete, MedicLatina, Teacher Reference Center, SciELO, and Cochrane.

Exploring the use of escape rooms in nursing: A comprehensive scoping review.

Aim: This review aims to map and analyze the various practical uses of escape rooms in nursing, both in the education of students and the ongoing practice of nursing professionals, highlighting existing gaps that may guide future research in this field.

Background: Escape rooms challenge players to solve puzzles and complete tasks within a set time frame and are being used in the training of healthcare professionals, particularly in nursing.

Design: A scoping review METHODS: A comprehensive scoping review was conducted following the Joanna Briggs Institute guidelines.

Agri-food waste to phenolic compounds: Life cycle and eco-efficiency assessments.

The increase in the consumption of food products and the management of food waste have endangered the sustainability of the food sector. The need to move forward on the European bioeconomy requires to evaluate waste valorization strategies, to convert a non-valorized resource into a high-added value production in the market. In this regard, the focus of this research article is the valorization of orange peel and tomato seed wastes to produce bioactive compounds, such as carotenoids.

Conceptual design and environmental evaluation of the Biorefinery approach for R-phycoerythrin extraction and purification.

Marine algae are considered promising resources both at present and in the near future. Their availability, together with their molecular structure and properties, increases their applicability in various sectors: food and feed, cosmetics, pharmaceuticals and bioenergy. However, the "bio" qualification does not always imply a lower impact compared to fossil-based process schemes.

Large-scale commercial-grade volatile fatty acids production from sewage sludge and food waste: A holistic environmental assessment.

The valorization of sewage sludge and food waste to produce energy and fertilizers is a well-stablished strategy within the circular economy. Despite the success of numerous laboratory-scale experiments in converting waste into high-value products such as volatile fatty acids (VFAs), large-scale implementation remains limited due to various technical and environmental challenges. Here, we evaluate the environmental performance of a hypothetical large-scale VFAs biorefinery located in Galicia, Spain, which integrates fermentation and purification processes to obtain commercial-grade VFAs based on primary data from pilot plant operations.

Methodological guide and roadmap to assess the compliance of wastewater treatment plants with sustainability and circularity criteria.

Environmental certification has come up as a voluntary action to demonstrate a minimum quality level when it comes to the introduction of ecological-friendly principles in decision-making. However, most of the work done so far has focused on the food and agroforestry sectors and on the production and processing stages of the value chain rather than end-of life strategies. The present study aims to provide a roadmap that facilitates the evaluation of the performance wastewater facilities from sustainable and circularity perspectives.

Ultrafiltration and composite microfiltration biocatalytic membrane activity and steroid hormone micropollutant degradation at environmentally relevant concentrations.

Biocatalytic degradation of micropollutants has been extensively explored in both batch and membrane reactors in µg/L to mg/L concentrations and variable water compositions. The degradation of micropollutants by biocatalytic membranes at environmentally relevant concentrations of ng/L range found in natural surface water matrices has not yet been investigated, presumably because of the challenging concentration analysis. This study investigated the limitations of biocatalytic degradation of estradiol (E2) micropollutant at environmentally relevant concentrations by a biocatalytic membrane.

Exergames for rehabilitation in stroke survivors: Umbrella review of meta-analyses.

Background: It is essential to explore alternative methods to motivate stroke survivors throughout their lengthy rehabilitation journey. Exergames have emerged as promising tools for rehabilitating this demographic.

Objective: We aimed to synthesize the combined evidence from meta-analyses that assessed the effects of exergames in the rehabilitation of stroke survivors.

Embedding Water-Energy-Food nexus and circularity assessment for organization benchmarking: A case study for dairy farms.

The Water-Energy-Food (WEF) nexus approach is increasingly being used for supporting a transition to sustainable development, with initiatives involving the concept of circular economy (CE). In the agricultural sector in particular, assessing this nexus is crucial to ensure food security, control the consumption of key resources such as water and energy, as well as measure atmospheric emissions linked to climate change. This manuscript aims to propose a novel approach by coupling the WEF nexus with a circularity indicator, seeking to capture in a single index (the WEF+CEi) both performances in a sample of companies.

Development and Validation of the Serious Educational Game in Nursing Appraisal Scale.

Objectives: This study aims to develop and validate the Serious Educational Game in Nursing Appraisal Scale (SEGiNAS), a tool designed to evaluate the implementation of serious games within nurse education contexts of quantity of process, quality of process, and learning outcomes.

Methods And Materials: This methodological and psychometric study aimed to develop and validate a scale. The item generation phase was based on the cognitive theory of multimedia learning, resulting in a 20-item scale.

Environmental prospective of valorizing corn processing effluent to produce ferulic acid grafted chitosan polymer.

The food industry requires new production models that include more environmentally friendly waste management practices, considering that the environmental loads of solid waste and wastewater associated with this sector cause damage to the receiving ecosystems. The approach considered in this study focuses on the design and environmental assessment of an enzymatic process for the valorization of ferulic acid present in the effluent of a corn tortilla plant. The ferulic acid can be immobilized on chitosan so that the ferulic acid grafted chitosan can be used as a bioactive film with enhanced antioxidant properties with potential applications in the biotechnology sector.

Traditional Atlantic Diet and Its Effect on Health and the Environment: A Secondary Analysis of the GALIAT Cluster Randomized Clinical Trial.

Importance: The universal call to action for healthier and more sustainable dietary choices is the framework of the United Nations's Sustainable Development Goals. The Atlantic diet, originating from the northwest of the Iberian Peninsula, represents an example of a traditional diet that aligns with these principles.

Objective: To explore a 6-month intervention based on the Atlantic diet's effects on metabolic and environmental health, assessing metabolic syndrome (MetS) incidence and the carbon footprint.

Techno-environmental and economic assessment of color removal strategies from textile wastewater.

The textile industry is one of the most chemical-intensive processes, resulting in the unquestionable pollution of more than a quarter of the planet's water bodies. The high recalcitrant properties of some these pollutants resulted on the development of treatment technologies looking at the larger removal efficiencies, due to conventional systems are not able to completely remove them in their effluents. However, safeguarding the environment also implies taking into account indirect pollution from the use of chemicals and energy during treatment.

Process modeling, environmental and economic sustainability of the valorization of whey and eucalyptus residues for resveratrol biosynthesis.

Biomass is one of the renewable resources with the greatest potential, not only because of the possibility of energy recovery but also because of its content in components of interest. In this context, the regions of Galicia and Portugal have large areas of land dedicated to forestry, agriculture and livestock, and the large amount of waste generated represents a cost for the producer. The importance of these facts has aroused great interest in society to focus its interest on improving the current situation while seeking a benefit, both environmental and economic, from existing resources.

Resveratrol-based biorefinery models for favoring its inclusion along the market value-added chains: A critical review.

Resveratrol, a natural organic polyhydroxyphenolic compound, has gained significant attention in the last years given its potential health benefits, including antioxidant, anti-cancer, and anti-inflammatory properties. It can be directly extracted from plants, vegetables, and related products and waste resources, but also chemically/enzymatically/microbially synthesized. However, certain process strategies have some limitations, such as high costs, reduced yield or high energy demand, thus implying significant environmental loads.

Contributions of a Rehabilitation Nursing Program in the Self-Care of Women Undergoing Breast Surgery.

Background: Although surgical treatments for breast cancer have exhibited advanced interventions, axillary lymph node dissection can limit functionality and compromise women's self-care. This study aims to assess the effectiveness of a rehabilitation nursing program in improving self-care performance in women undergoing breast surgery with axillary lymph node dissection.

Methods: This quantitative, quasi-experimental study involved 48 women recruited from a main hospital between 2018 and 2019.

Environmental and economic benefits of wheat and chickpea crop rotation in the Mediterranean region of Apulia (Italy).

Wheat plays an essential role in safeguarding global food security. However, its intensive agricultural production, aimed at maximizing crop yields and associated economic benefits, jeopardizes many ecosystem services and the economic stability of farmers. Rotations with leguminous are recognized as a promising strategy in favor of sustainable agriculture.

Improving environmental sustainability of agriculture in Egypt through a life-cycle perspective.

Soil plays an essential role as a habitat, source of nutrients and support for vegetation. Promoting food security and environmental sustainability of agricultural systems requires an integrated approach to soil fertility management. Agricultural activities should be developed with preventive approaches aimed at avoiding or reducing negative impacts on the soil physicochemical and biological properties and the depletion of soil nutrient reserves.

Valorization of bioethanol by-products to produce unspecific peroxygenase with Agrocybe aegerita: Technological and proteomic perspectives.

Unspecific peroxygenase (UPO) presents a wide range of biotechnological applications. This study targets the use of by-products from bioethanol synthesis to produce UPO by Agrocybe aegerita. Solid-state and submerged fermentations (SSF and SmF) were evaluated, achieving the highest titers of UPO and laccase in SmF using vinasse as nutrients source.

Methodological guidelines for the calculation of a Water-Energy-Food nexus index for seafood products.

Indicators from life cycle assessment methodologies (i.e., footprints) have emerged as useful tools for identifying and communicating the environmental impacts of a system thanks to they are accessible and intuitive and easy to understand to non-expert public.

Water-Energy-Food nexus index proposal as a sustainability criterion on dairy farms.

Cow milk is a fundamental nutrients source for the human diet at all stages of life. However, the decline in cow milk consumption over the years has been driven by increased consumer awareness of animal welfare and the environmental burdens associated. In this regard, different initiatives have emerged to mitigate the impacts of livestock farming, but many of them without addressing the multi-perspective view of environmental sustainability.