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Two lab-scale MBBRs had been run simultaneously for 116 times under numerous hydraulic retention times (HRTs). The reactors R1 and R2 were full of K5 synthetic carriers and SB, respectively. Through the outcomes, at an optimum HRT of 6 h, ammonia elimination effectiveness and nitrification price were 86.67 ± 2.4% and 1.43 mg/L.h for the R1 and, 91.65 ± 1.3% and 1.52 mg/L.h for the R2, correspondingly. The microbial community analysis showed that the prevalent genera within the nitri

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At the conclusion, learners repeated the self-efficacy measure and answered several evaluation questions. Individual RAT scores had a mean of 59%, while groups scored with a mean of 82%. Mean self-efficacy scores also increased significantly from 2.4 to 3.4 on a 5-point scale. Of learners, 80% agreed or strongly agreed that the activity was effective for improving DSD skills and knowledge. TBL is a valuable educational strategy to enhance knowledge and self-efficacy of DSD care for general pediatricians. TBL is a valuable educational s