Sample records for gaat treatability study

  1. TREATABILITY STUDIES FOR WOOD PRESERVING SITES

    EPA Science Inventory

    The U.S. Environmental Protection Agency (EPA), National Risk Management Research Laboratory (NRMRL), Site Management Support Branch, conducted a comprehensive treatability project for wood preserving sites in 1995 and 1996. This is a compilation report on the treatability studi...

  2. The small-scale treatability study sample exemption

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Coalgate, J.

    1991-01-01

    In 1981, the Environmental Protection Agency (EPA) issued an interim final rule that conditionally exempted waste samples collected solely for the purpose of monitoring or testing to determine their characteristics or composition'' from RCRA Subtitle C hazardous waste regulations. This exemption (40 CFR 261.4(d)) apples to the transportation of samples between the generator and testing laboratory, temporary storage of samples at the laboratory prior to and following testing, and storage at a laboratory for specific purposes such as an enforcement action. However, the exclusion did not include large-scale samples used in treatability studies or other testing at pilot plants ormore » other experimental facilities. As a result of comments received by the EPA subsequent to the issuance of the interim final rule, the EPA reopened the comment period on the interim final rule on September 18, 1987, and specifically requested comments on whether or not the sample exclusion should be expanded to include waste samples used in small-scale treatability studies. Almost all responders commented favorably on such a proposal. As a result, the EPA issued a final rule (53 FR 27290, July 19, 1988) conditionally exempting waste samples used in small-scale treatability studies from full regulation under Subtitle C of RCRA. The question of whether or not to extend the exclusion to larger scale as proposed by the Hazardous Waste Treatment Council was deferred until a later date. This information Brief summarizes the requirements of the small-scale treatability exemption.« less

  3. LABORATORY SCALE STEAM INJECTION TREATABILITY STUDIES

    EPA Science Inventory

    Laboratory scale steam injection treatability studies were first developed at The University of California-Berkeley. A comparable testing facility has been developed at USEPA's Robert S. Kerr Environmental Research Center. Experience has already shown that many volatile organic...

  4. GUIDE FOR CONDUCTING TREATABILITY STUDIES UNDER CERCLA

    EPA Science Inventory

    Systematically conducted, well-documented treatability studies are an important component of the removal process, remedial investigation/ feasibility study (RI/FS) process and the remedial design/remedial action (RD/RA) process under the Comprehensive Environmental Response...

  5. Results of Fall 1994 sampling of gunite and associated tanks at the Oak Ridge National Laboratory, Oak Ridge, Tennessee

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1995-06-01

    This Technical Memorandum, was developed under Work Breakdown Structure 1.4.12.6.1.01.41.12.02. 11 (Activity Data Sheet 3301, ``WAG 1``). This document provides the Environmental Restoration Program with analytical results from liquid and sludge samples from the Gunite and Associated Tanks (GAAT). Information provided in this report forms part of the technical basis for criticality safety, systems safety, engineering design, and waste management as they apply to the GAAT treatability study and remediation.

  6. Commercial treatability study capabilities for application to the US Department of Energy`s anticipated mixed waste streams. Revision 1

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1996-09-01

    US DOE mixed low-level and mixed transuranic waste inventory was estimated at 181,000 cubic meters (about 2,000 waste streams). Treatability studies may be used as part of DOE`s mixed waste management program. Commercial treatability study suppliers have been identified that either have current capability in their own facilities or have access to licensed facilities. Numerous federal and state regulations, as well as DOE Order 5820.2A, impact the performance of treatability studies. Generators, transporters, and treatability study facilities are subject to regulation. From a mixed- waste standpoint, a key requirement is that the treatability study facility must have an NRC ormore » state license that allows it to possess radioactive materials. From a RCRA perspective, the facility must support treatability study activities with the applicable plans, reports, and documentation. If PCBs are present in the waste, TSCA will also be an issue. CERCLA requirements may apply, and both DOE and NRC regulations will impact the transportation of DOE mixed waste to an off-site treatment facility. DOE waste managers will need to be cognizant of all applicable regulations as mixed-waste treatability study programs are initiated.« less

  7. SUPERFUND TREATABILITY CLEARINGHOUSE: ABSTRACT ON-SITE INCINERATION TESTING OF SHIRCO INFRARED SYSTEMS PORTABLE DEMONSTRATION UNIT-CONTAMINATED SOILS TREATABILITY STUDY

    EPA Science Inventory

    In August of 1986, Shirco was contracted by Dekonta GmbH, a Vest German hazardous waste treatment company, to perform treatability studies at one of the largest dioxin-contaminated sites in the world. The Shirco Infrared process was selected by Dekonta after a two year stud...

  8. GUIDE TO CONDUCTING TREATABILITY STUDIES UNDER CERCLA: SOIL WASHING - INTERIM GUIDANCE

    EPA Science Inventory

    Systematically conducted, well-documented treatability studies are an important component of the remedial investigation/feasibility study (RI/FS) process and the remedial design/remedial action (RD/RA) process under the Comprehensive Environmental Response, Compensation, and Liab...

  9. GUIDE FOR CONDUCTING TREATABILITY STUDIES UNDER CERCLA: SOLVENT EXTRACTION - INTERIM GUIDANCE

    EPA Science Inventory

    Systematically conducted, well-documented treatability studies are an important component of the remedial investigation/feasibility study (RI/FS) process and the remedial design/remedial action (RD/RA) process under the Comprehensive Environmental Response, Compensation and Liabi...

  10. GUIDE FOR CONDUCTING TREATABILITY STUDIES UNDER CERCLA: THERMAL DESORPTION - INTERIM GUIDANCE

    EPA Science Inventory

    Systematically conducted, well-documented treatability studies are an important component of the remedial investigation/feasibility study (RI/FS) process and the remedial design remedial action (RD/RA) process under the Comprehensive Environmental Response, Compensation, and Liab...

  11. GUIDE FOR CONDUCTING TREATABILITY STUDIES UNDER CERCLA: AEROBIC BIODEGRADATION REMEDY SCREENING

    EPA Science Inventory

    Systematically conducted, well-documented treatability studies are an important component of the remedial investigation/feasibility study (KU FS) process and the remedial design/remedial action (RD/RA) process under the Comprehensive Environmental Response, Compensation, and L...

  12. Operable Unit 7-13/14 in situ thermal desorption treatability study work plan

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Shaw, P.; Nickelson, D.; Hyde, R.

    1999-05-01

    This Work Plan provides technical details for conducting a treatability study that will evaluate the application of in situ thermal desorption (ISTD) to landfill waste at the Subsurface Disposal Area (SDA) at the Idaho National Engineering and Environmental Laboratory (INEEL). ISTD is a form of thermally enhanced vapor vacuum extraction that heats contaminated soil and waste underground to raise its temperature and thereby vaporize and destroy most organics. An aboveground vapor vacuum collection and treatment system then destroys or absorbs the remaining organics and vents carbon dioxide and water to the atmosphere. The technology is a byproduct of an advancedmore » oil-well thermal extraction program. The purpose of the ISTD treatability study is to fill performance-based data gaps relative to off-gas system performance, administrative feasibility, effects of the treatment on radioactive contaminants, worker safety during mobilization and demobilization, and effects of landfill type waste on the process (time to remediate, subsidence potential, underground fires, etc.). By performing this treatability study, uncertainties associated with ISTD as a selected remedy will be reduced, providing a better foundation of remedial recommendations and ultimate selection of remedial actions for the SDA.« less

  13. Final waste forms project: Performance criteria for phase I treatability studies

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Gilliam, T.M.; Hutchins, D.A.; Chodak, P. III

    1994-06-01

    This document defines the product performance criteria to be used in Phase I of the Final Waste Forms Project. In Phase I, treatability studies will be performed to provide {open_quotes}proof-of-principle{close_quotes} data to establish the viability of stabilization/solidification (S/S) technologies. This information is required by March 1995. In Phase II, further treatability studies, some at the pilot scale, will be performed to provide sufficient data to allow treatment alternatives identified in Phase I to be more fully developed and evaluated, as well as to reduce performance uncertainties for those methods chosen to treat a specific waste. Three main factors influence themore » development and selection of an optimum waste form formulation and hence affect selection of performance criteria. These factors are regulatory, process-specific, and site-specific waste form standards or requirements. Clearly, the optimum waste form formulation will require consideration of performance criteria constraints from each of the three categories. Phase I will focus only on the regulatory criteria. These criteria may be considered the minimum criteria for an acceptable waste form. In other words, a S/S technology is considered viable only if it meet applicable regulatory criteria. The criteria to be utilized in the Phase I treatability studies were primarily taken from Environmental Protection Agency regulations addressed in 40 CFR 260 through 265 and 268; and Nuclear Regulatory Commission regulations addressed in 10 CFR 61. Thus the majority of the identified criteria are independent of waste form matrix composition (i.e., applicable to cement, glass, organic binders etc.).« less

  14. SUPERFUND TREATABILITY CLEARINGHOUSE: BENGART AND MEMEL (BENCH-SCALE), GULFPORT (BENCH AND PILOT-SCALE), MONTANA POLE (BENCH-SCALE), AND WESTERN PROCESSING (BENCH-SCALE) TREATABILITY STUDIES

    EPA Science Inventory

    This document presents summary data on the results of various treatability studies (bench and pilot scale), conducted at three different sites where soils were contaminated with dioxins or PCBs. The synopsis is meant to show rough performance levels under a variety of differen...

  15. TREATABILITY DATABASE DESCRIPTION

    EPA Science Inventory

    The Drinking Water Treatability Database (TDB) presents referenced information on the control of contaminants in drinking water. It allows drinking water utilities, first responders to spills or emergencies, treatment process designers, research organizations, academics, regulato...

  16. Process and equipment development for hot isostatic pressing treatability study

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bateman, Ken; Wahlquist, Dennis; Malewitz, Tim

    2015-03-01

    Battelle Energy Alliance (BEA), LLC, has developed processes and equipment for a pilot-scale hot isostatic pressing (HIP) treatability study to stabilize and volume reduce radioactive calcine stored at Idaho National Laboratory (INL). In 2009, the U. S. Department of Energy signed a Record of Decision with the state of Idaho selecting HIP technology as the method to treat 5,800 yd^3 (4,400 m^3) of granular zirconia and alumina calcine produced between 1953 and 1992 as a waste byproduct of spent nuclear fuel reprocessing. Since the 1990s, a variety of radioactive and hazardous waste forms have been remotely treated using HIP withinmore » INL hot cells. To execute the remote process at INL, waste is loaded into a stainless-steel or aluminum can, which is evacuated, sealed, and placed into a HIP furnace. The HIP simultaneously heats and pressurizes the waste, reducing its volume and increasing its durability. Two 1 gal cans of calcine waste currently stored in a shielded cask were identified as candidate materials for a treatability study involving the HIP process. Equipment and materials for cask-handling and calcine transfer into INL hot cells, as well as remotely operated equipment for waste can opening, particle sizing, material blending, and HIP can loading have been designed and successfully tested. These results demonstrate BEA’s readiness for treatment of INL calcine.« less

  17. LOSS OF ORGANIC CHEMICALS IN SOIL: PURE COMPOUND TREATABILITY STUDIES

    EPA Science Inventory

    Comprehensive screening data on the treatability of 32 organic chemicals in soil were developed. Of the evaluated chemicals, 22 were phenolic compounds. Aerobic batch laboratory microcosm experiments were conducted using two soils: an acidic clay soil with <1% organic matter and ...

  18. SUPERFUND TREATABILITY CLEARINGHOUSE: FULL ...

    EPA Pesticide Factsheets

    This treatability study reports on the results of one of a series of field trials using various remedial action technologies that may be capable of restoring Herbicide Orange (HO)XDioxin contaminated sites. A full-scale field trial using a rotary kiln incinerator capable of processing up to 6 tons per hour of dioxin contaminated soil was conducted at the Naval Construction Battalion Center, Gulfport, MS. publish information

  19. SUPERFUND TREATABILITY CLEARINGHOUSE: COMPOSITING OF EXPLOSIVES

    EPA Science Inventory

    This treatability study was conducted by Atlantic Research Corporation for the U.S. Army Toxic and Hazardous Material Agency. The objective of this bench-scale study was to determine the extent to which TNT and RDX concentrations were reduced by composting for a six week peri...

  20. In-Situ Chemical Reduction and Oxidation of VOCs in Groundwater: Groundwater Treatability Studies

    NASA Technical Reports Server (NTRS)

    Keith, Amy; Glasgow, Jason; McCaleh, Rececca C. (Technical Monitor)

    2001-01-01

    This paper presents NASA Marshall Space Flight Center's treatability studies for volatile organic compounds in groundwater. In-Situ groundwater treatment technologies include: 1) Chemical Reduction(Ferox); 2) Chemical Oxidation (Fenton Reagents, Permanganate, and Persulfate); and 3) Thermal (Dynamic Underground Stripping, Six-Phase Heating). This paper is presented in viewgraph form.

  1. Treatability study of pesticide-based industrial wastewater.

    PubMed

    Shah, Kinnari; Chauhan, L I; Galgale, A D

    2012-10-01

    This paper finds out appropriate treatment methods for wastewater of an Organophosphorus viz, chloropyrifos pesticide manufacturing industry. The characterization of wastewater generated during trial production of chloropyrifos was carried out. Based on the characterization of wastewater, various treatability studies were conducted. The most desirable results were obtained with treatment scheme employing acidification, chlorination with NaOCl, suspended growth biological treatment, chemical precipitation for phosphorous removal and activated carbon treatment. Acidification of wastewater helps in by-product recovery as well as reduction in COD upto 36.26%. Chlorination followed by biological treatment was found to be effective to reduce the COD level by 62.06%. To comply with permissible limits prescribed by Effluent Channel Project Ltd.(ECPL)* and Gujarat Pollution Control Board (GPCB) for discharge of industrial effluent into channel, further treatment in the form of chemical precipitation (for phosphorous removal) and granular activated carbon is suggested.

  2. The treatable intellectual disability APP www.treatable-id.org: a digital tool to enhance diagnosis & care for rare diseases.

    PubMed

    van Karnebeek, Clara D M; Houben, Roderick F A; Lafek, Mirafe; Giannasi, Wynona; Stockler, Sylvia

    2012-07-23

    Intellectual disability (ID) is a devastating and frequent condition, affecting 2-3% of the population worldwide. Early recognition of treatable underlying conditions drastically improves health outcomes and decreases burdens to patients, families and society. Our systematic literature review identified 81 such inborn errors of metabolism, which present with ID as a prominent feature and are amenable to causal therapy. The WebAPP translates this knowledge of rare diseases into a diagnostic tool and information portal. Freely available as a WebAPP via http://www.treatable-id.org and end 2012 via the APP store, this diagnostic tool is designed for all specialists evaluating children with global delay / ID and laboratory scientists. Information on the 81 diseases is presented in different ways with search functions: 15 biochemical categories, neurologic and non-neurologic signs & symptoms, diagnostic investigations (metabolic screening tests in blood and urine identify 65% of all IEM), therapies & effects on primary (IQ/developmental quotient) and secondary outcomes, and available evidence For each rare condition a 'disease page' serves as an information portal with online access to specific genetics, biochemistry, phenotype, diagnostic tests and therapeutic options. As new knowledge and evidence is gained from expert input and PubMed searches this tool will be continually updated. The WebAPP is an integral part of a protocol prioritizing treatability in the work-up of every child with global delay / ID. A 3-year funded study will enable an evaluation of its effectiveness. For rare diseases, a field for which financial and scientific resources are particularly scarce, knowledge translation challenges are abundant. With this WebAPP technology is capitalized to raise awareness for rare treatable diseases and their common presenting clinical feature of ID, with the potential to improve health outcomes. This innovative digital tool is designed to motivate health care

  3. The treatable intellectual disability APP www.treatable-id.org: A digital tool to enhance diagnosis & care for rare diseases

    PubMed Central

    2012-01-01

    Background Intellectual disability (ID) is a devastating and frequent condition, affecting 2-3% of the population worldwide. Early recognition of treatable underlying conditions drastically improves health outcomes and decreases burdens to patients, families and society. Our systematic literature review identified 81 such inborn errors of metabolism, which present with ID as a prominent feature and are amenable to causal therapy. The WebAPP translates this knowledge of rare diseases into a diagnostic tool and information portal. Methods & results Freely available as a WebAPP via http://www.treatable-id.org and end 2012 via the APP store, this diagnostic tool is designed for all specialists evaluating children with global delay / ID and laboratory scientists. Information on the 81 diseases is presented in different ways with search functions: 15 biochemical categories, neurologic and non-neurologic signs & symptoms, diagnostic investigations (metabolic screening tests in blood and urine identify 65% of all IEM), therapies & effects on primary (IQ/developmental quotient) and secondary outcomes, and available evidence For each rare condition a ‘disease page’ serves as an information portal with online access to specific genetics, biochemistry, phenotype, diagnostic tests and therapeutic options. As new knowledge and evidence is gained from expert input and PubMed searches this tool will be continually updated. The WebAPP is an integral part of a protocol prioritizing treatability in the work-up of every child with global delay / ID. A 3-year funded study will enable an evaluation of its effectiveness. Conclusions For rare diseases, a field for which financial and scientific resources are particularly scarce, knowledge translation challenges are abundant. With this WebAPP technology is capitalized to raise awareness for rare treatable diseases and their common presenting clinical feature of ID, with the potential to improve health outcomes. This innovative digital

  4. WASTE TREATMENT PLANT (WTP) LIQUID EFFLUENT TREATABILITY EVALUATION

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    LUECK, K.J.

    2004-10-18

    A forecast of the radioactive, dangerous liquid effluents expected to be produced by the Waste Treatment Plant (WTP) was provided by Bechtel National, Inc. (BNI 2004). The forecast represents the liquid effluents generated from the processing of Tank Farm waste through the end-of-mission for the WTP. The WTP forecast is provided in the Appendices. The WTP liquid effluents will be stored, treated, and disposed of in the Liquid Effluent Retention Facility (LERF) and the Effluent Treatment Facility (ETF). Both facilities are located in the 200 East Area and are operated by Fluor Hanford, Inc. (FH) for the US. Department ofmore » Energy (DOE). The treatability of the WTP liquid effluents in the LERF/ETF was evaluated. The evaluation was conducted by comparing the forecast to the LERF/ETF treatability envelope (Aromi 1997), which provides information on the items which determine if a liquid effluent is acceptable for receipt and treatment at the LERF/ETF. The format of the evaluation corresponds directly to the outline of the treatability envelope document. Except where noted, the maximum annual average concentrations over the range of the 27 year forecast was evaluated against the treatability envelope. This is an acceptable approach because the volume capacity in the LERF Basin will equalize the minimum and maximum peaks. Background information on the LERF/ETF design basis is provided in the treatability envelope document.« less

  5. Field Implementation Plan for the In-Situ Bioremediation Treatability Study at the Technical Area-V Groundwater Area of Concern

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Li, Jun

    This Field Implementation Plan (FIP) was prepared by Sandia National Laboratories, New Mexico (SNL/NM) and provides instruction on conducting a series of in-situ bioremediation (ISB) tests as described in the Revised Treatability Study Work Plan for In-Situ Bioremediation at the Technical Area-V Groundwater Area of Concern, referred to as the Revised Work Plan in this FIP. The Treatability Study is designed to gravity inject an electron-donor substrate and bioaugmentation bacteria into groundwater via three injection wells to perform bioremediation of the constituents of concern (COCs), nitrate and trichloroethene (TCE), in the regions with the highest concentrations at the Technical Area-Vmore » Groundwater (TAVG) Area of Concern (AOC). The Treatability Study will evaluate the effectiveness of bioremediation solution delivery and COC treatment over time. This FIP is designed for SNL/NM work planning and management. It is not intended to be submitted for regulator’s approval. The technical details presented in this FIP are subject to change based on field conditions, availability of equipment and materials, feasibility, and inputs from Sandia personnel and Aboveground Injection System contractor.« less

  6. Drinking Water Treatability Database (Database)

    EPA Science Inventory

    The drinking Water Treatability Database (TDB) will provide data taken from the literature on the control of contaminants in drinking water, and will be housed on an interactive, publicly-available USEPA web site. It can be used for identifying effective treatment processes, rec...

  7. Retrospective analysis supports algorithm as efficient diagnostic approach to treatable intellectual developmental disabilities.

    PubMed

    Sayson, Bryan; Popurs, Marioara Angela Moisa; Lafek, Mirafe; Berkow, Ruth; Stockler-Ipsiroglu, Sylvia; van Karnebeek, Clara D M

    2015-05-01

    reducing diagnostic delay and unnecessary costs. Larger prospective studies, currently underway, are needed to prove that standard screening for treatable conditions in patients with IDD is time- and cost-effective, and most importantly will preserve brain function by timely diagnosis enabling initiation of causal therapy. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. TREATABILITY POTENTIAL FOR EPA LISTED HAZARDOUS WASTES IN SOIL

    EPA Science Inventory

    This study developed comprehensive screening data on the treatability in soil of: (a) specific listed hazardous organic chemicals, and (b) waste sludge from explosives production (K044) and related chemicals. Laboratory experiments were conducted using two soil types, an acidic s...

  9. DOE Waste Treatability Group Guidance

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kirkpatrick, T.D.

    1995-01-01

    This guidance presents a method and definitions for aggregating U.S. Department of Energy (DOE) waste into streams and treatability groups based on characteristic parameters that influence waste management technology needs. Adaptable to all DOE waste types (i.e., radioactive waste, hazardous waste, mixed waste, sanitary waste), the guidance establishes categories and definitions that reflect variations within the radiological, matrix (e.g., bulk physical/chemical form), and regulated contaminant characteristics of DOE waste. Beginning at the waste container level, the guidance presents a logical approach to implementing the characteristic parameter categories as part of the basis for defining waste streams and as the solemore » basis for assigning streams to treatability groups. Implementation of this guidance at each DOE site will facilitate the development of technically defined, site-specific waste stream data sets to support waste management planning and reporting activities. Consistent implementation at all of the sites will enable aggregation of the site-specific waste stream data sets into comparable national data sets to support these activities at a DOE complex-wide level.« less

  10. THE DRINKING WATER TREATABILITY DATABASE (Slides)

    EPA Science Inventory

    The Drinking Water Treatability Database (TDB) assembles referenced data on the control of contaminants in drinking water, housed on an interactive, publicly-available, USEPA web site (www.epa.gov/tdb). The TDB is of use to drinking water utilities, treatment process design engin...

  11. SUPERFUND TREATABILITY CLEARINGHOUSE: INPUT/OUTPUT DATA FOR SEVERAL TREATMENT TECHNOLOGIES

    EPA Science Inventory

    This treatability study is a pilot-scale evaluation of a thin-film evaporator (TFE) for volatile organics (VO) removal from oily sludges such as refinery sludges. TFEs were studied to evaluate their use to remove and recover VO from these sludges prior to land treatment. This w...

  12. Sludge Characterization and Bench Scale Treatability Report

    EPA Pesticide Factsheets

    Nov. 10, 2010 letter from Mississippi Department of Environmental Quality (MDEQ) to Hercules, Inc. in Hattiesburg, MS about the findings of a August 20, 2010 Sludge Characterization and Bench Scale Treatability Report.

  13. Treatability of stabilize landfill leachate by using pressmud ash as an adsorbent

    NASA Astrophysics Data System (ADS)

    Azme, N. N. Mohd; Murshed, M. F.

    2018-04-01

    Leachate is a liquid produced from the landfill that contains high concentration of heavy metals, chemicals and nutrient loading. The treatability of these contaminants are complicated since the current treatment technology are costly and site specific. Therefore, this study was conducted to evaluate the treatability of stabilized landfill leachate by using waste (pressmud ash) as an absorbent. Pressmud ash was prepared by burning at different temperature from 100 to 700 degree Celsius and test at 24 hours shaking time, pH 8, and 4000 rpm. Leachate samples were collected from municipal solid waste (MSW) Pulau Burung Sanitary Landfill (PBSL) and were analyzed for heavy metal, COD, ammonia and colour. This study was performed in two phases i) leachate characteristic, ii) treatability assessment by using pressmud ash. Pressmud was sampled from the sugar mill, Malaysian Sugar Manufacturing (MSM) Sdn Bhd, Seberang Perai, Pulau Pinang. The pressmud with 400°C are highly potential material with a low cost which can be a good adsorbent was capable reducing efficiencies of COD (60.76%), ammonia (64.37%) and colour (35.78%) from real wastewater leachate. Pressmud showed good sorption capability. Surface modification with burning greatly enhanced the reducing efficiency of sugar waste based adsorbent with adsorption efficiency.

  14. THE DRINKING WATER TREATABILITY DATABASE (Conference Paper)

    EPA Science Inventory

    The Drinking Water Treatability Database (TDB) assembles referenced data on the control of contaminants in drinking water, housed on an interactive, publicly-available, USEPA web site (www.epa.gov/tdb). The TDB is of use to drinking water utilities, treatment process design engin...

  15. In-plant control applications and their effect on treatability of a textile mill wastewater.

    PubMed

    Dulkadiroglu, H; Eremektar, G; Dogruel, S; Uner, H; Germirli-Babuna, F; Orhon, D

    2002-01-01

    Water minimization and exploration of the potential for wastewater recovery and reuse are priority issues of industrial wastewater management. They are extremely significant for the textile industry commonly characterized with a high water demand. The study presents a detailed in-plant control survey for a wool finishing plant. A comprehensive process profile and wastewater characterization indicate that process water consumption can be reduced by 34%, and 23% of the wastewater volume can be recovered for reuse. Treatability of reusable wastewater fraction and the effect of in-plant control applications on effluent treatability were also investigated.

  16. SUPERFUND TREATABILITY CLEARINGHOUSE: TRIAL BURN TEST REPORT, PART 1 - DATA SUMMARIES

    EPA Science Inventory

    This treatability study summary reports on the results of a trial burn of pesticide-contaminated soil from the Aberdeen, NC Superfund site. The trial burn using the Vesta mobile rotary kiln incinerator was designed to demonstrate that this system can destroy the pestici...

  17. Pilot-scale treatability test plan for the 200-BP-5 operable unit

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    This document presents the treatability test plan for pilot-scale pump and treat testing at the 200-BP-5 Operable Unit. This treatability test plan has been prepared in response to an agreement between the U.S. Department of Energy (DOE), the U.S. Environmental Protection Agency (EPA), and the State of Washington Department of Ecology (Ecology), as documented in Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement, Ecology et al. 1989a) Change Control Form M-13-93-03 (Ecology et al. 1994) and a recent 200 NPL Agreement Change Control Form (Appendix A). The agreement also requires that, following completion of the activities described in thismore » test plan, a 200-BP-5 Operable Unit Interim Remedial Measure (IRM) Proposed Plan be developed for use in preparing an Interim Action Record of Decision (ROD). The IRM Proposed Plan will be supported by the results of this treatability test plan, as well as by other 200-BP-5 Operable Unit activities (e.g., development of a qualitative risk assessment). Once issued, the Interim Action ROD will specify the interim action(s) for groundwater contamination at the 200-BP-5 Operable Unit. The treatability test approach is to conduct a pilot-scale pump and treat test for each of the two contaminant plumes associated with the 200-BP-5 Operable Unit. Primary contaminants of concern are {sup 99}Tc and {sup 60}Co for underwater affected by past discharges to the 216-BY Cribs, and {sup 90}Sr, {sup 239/240}Pu, and Cs for groundwater affected by past discharges to the 216-B-5 Reverse Well. The purpose of the pilot-scale treatability testing presented in this testplan is to provide the data basis for preparing an IRM Proposed Plan. To achieve this objective, treatability testing must: Assess the performance of groundwater pumping with respect to the ability to extract a significant amount of the primary contaminant mass present in the two contaminant plumes.« less

  18. TREATABILITY DATABASE FOR DRINKING WATER CHEMICALS (CCL)

    EPA Science Inventory

    The Treatability Data Base will assemble referenced data on the control of contaminants in drinking water. It will be an interactive data base, housed in an EPA, web-accessible site. It may be used for many purposes, including: identifying an effective treatment process or a se...

  19. An Evaluation by Midwives and Gynecologists of Treatability of Cervical Lesions by Cryotherapy Among Human Papillomavirus–Positive Women

    PubMed Central

    Gage, Julia C.; Rodriguez, Ana Cecilia; Schiffman, Mark; Adadevoh, Sydney; Alvarez Larraondo, Manuel J.; Chumworathayi, Bandit; Lejarza, Sandra Vargas; Araya, Luis Villegas; Garcia, Francisco; Budihas, Scott R.; Long, Rodney; Katki, Hormuzd A.; Herrero, Rolando; Burk, Robert D.; Jeronimo, Jose

    2010-01-01

    Objectives To estimate efficacy of a visual triage of human papillomavirus (HPV)– positive women to either immediate cryotherapy or referral if not treatable (eg, invasive cancer, large precancers). Methods We evaluated visual triage in the HPV-positive women aged 25 to 55 years from the 10,000-woman Guanacaste Cohort Study (n = 552). Twelve Peruvian midwives and 5 international gynecologists assessed treatability by cryotherapy using digitized high-resolution cervical images taken at enrollment. The reference standard of treatability was determined by 2 lead gynecologists from the entire 7-year follow-up of the women. Women diagnosed with histologic cervical intraepithelial neoplasia grade 2 or worse or 5-year persistence of carcinogenic HPV infection were defined as needing treatment. Results Midwives and gynecologists judged 30.8% and 41.2% of women not treatable by cryotherapy, respectively (P < 0.01). Among 149 women needing treatment, midwives and gynecologists correctly identified 57.5% and 63.8% (P = 0.07 for difference) of 71 women judged not treatable by the lead gynecologists and 77.6% and 59.7% (P < 0.01 for difference) of 78 women judged treatable by cryotherapy. The proportion of women judged not treatable by a reviewer varied widely and ranged from 18.6%to 61.1%. Interrater agreement was poor with mean pairwise overall agreement of 71.4% and 66.3% and κ ’s of 0.33 and 0.30 for midwives and gynecologists, respectively. Conclusions In future “screen-and-treat” cervical cancer prevention programs using HPV testing and cryotherapy, practitioners will visually triage HPV-positive women. The suboptimal performance of visual triage suggests that screen-and-treat programs using cryotherapy might be insufficient for treating precancerous lesions. Improved, low-technology triage methods and/or improved safe and low-technology treatment options are needed. PMID:19509579

  20. An evaluation by midwives and gynecologists of treatability of cervical lesions by cryotherapy among human papillomavirus-positive women.

    PubMed

    Gage, Julia C; Rodriguez, Ana Cecilia; Schiffman, Mark; Adadevoh, Sydney; Larraondo, Manuel J Alvarez; Chumworathayi, Bandit; Lejarza, Sandra Vargas; Araya, Luis Villegas; Garcia, Francisco; Budihas, Scott R; Long, Rodney; Katki, Hormuzd A; Herrero, Rolando; Burk, Robert D; Jeronimo, Jose

    2009-05-01

    To estimate efficacy of a visual triage of human papillomavirus (HPV)-positive women to either immediate cryotherapy or referral if not treatable (eg, invasive cancer, large precancers). We evaluated visual triage in the HPV-positive women aged 25 to 55 years from the 10,000-woman Guanacaste Cohort Study (n = 552). Twelve Peruvian midwives and 5 international gynecologists assessed treatability by cryotherapy using digitized high-resolution cervical images taken at enrollment. The reference standard of treatability was determined by 2 lead gynecologists from the entire 7-year follow-up of the women. Women diagnosed with histologic cervical intraepithelial neoplasia grade 2 or worse or 5-year persistence of carcinogenic HPV infection were defined as needing treatment. Midwives and gynecologists judged 30.8% and 41.2% of women not treatable by cryotherapy, respectively (P < 0.01). Among 149 women needing treatment, midwives and gynecologists correctly identified 57.5% and 63.8% (P = 0.07 for difference) of 71 women judged not treatable by the lead gynecologists and 77.6% and 59.7% (P < 0.01 for difference) of 78 women judged treatable by cryotherapy. The proportion of women judged not treatable by a reviewer varied widely and ranged from 18.6% to 61.1%. Interrater agreement was poor with mean pairwise overall agreement of 71.4% and 66.3% and kappa's of 0.33 and 0.30 for midwives and gynecologists, respectively. In future "screen-and-treat" cervical cancer prevention programs using HPV testing and cryotherapy, practitioners will visually triage HPV-positive women. The suboptimal performance of visual triage suggests that screen-and-treat programs using cryotherapy might be insufficient for treating precancerous lesions. Improved, low-technology triage methods and/or improved safe and low-technology treatment options are needed.

  1. SOIL WASHING TREATABILITY TESTS FOR PESTICIDE- CONTAMINATED SOIL

    EPA Science Inventory

    The 1987 Sand Creek Operable Unit 5 record of decision (ROD) identified soil washing as the selected technology to remediate soils contaminated with high levels of organochlorine pesticides, herbicides, and metals. Initial treatability tests conducted to assess the applicability...

  2. EVALUATION OF CONTAMINANT LEACHABILITY FACTORS BY COMPARISON OF TREATABILITY STUDY DATA FOR MULTIPLE SOLIDIFIED/STABILIZED MATERIALS

    EPA Science Inventory

    Solidification/stabilization (S/S) technology is widely used in the treatment of hazardous waste and contaminated soil in the US. In a project sponsored by the US Navy and the USEPA, treatability test data were compiled into a data base listing contaminant concentration and matri...

  3. Rediscovering catatonia: the biography of a treatable syndrome.

    PubMed

    Fink, Max

    2013-01-01

    Catatonia, a disorder of movement and mood, was described and named in 1874. Other observers quickly made the same recognition. By the turn of the century, however, catatonia was incorporated as a type within a conjured syndrome of schizophrenia. There, catatonia has lain in the psychiatric classification for more than a century. We review the history of catatonia and its present status. In the 1970s, the tie was questioned when catatonia was recognized among those with mood disorders. The recognition of catatonia within the neuroleptic malignant syndrome offered effective treatments of high doses of benzodiazepines and electroconvulsive therapy (ECT), again questioning the tie. A verifying test for catatonia (the lorazepam sedation test) was developed. Soon the syndromes of delirious mania, toxic serotonin syndrome, and the repetitive behaviors in adolescents with autism were recognized as treatable variations of catatonia. Ongoing studies now recognize catatonia among patients labeled as suffering from the Gilles de la Tourette's syndrome, anti-NMDAR encephalitis, obsessive-compulsive disease, and various mutisms. Applying the treatments for catatonia to patients with these syndromes offers opportunities for clinical relief. Catatonia is a recognizable and effectively treatable neuropsychiatric syndrome. It has many faces. It warrants recognition outside schizophrenia in the psychiatric disease classification. © 2012 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.

  4. Waste treatability guidance program. User`s guide. Revision 0

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Toth, C.

    1995-12-21

    DOE sites across the country generate and manage radioactive, hazardous, mixed, and sanitary wastes. It is necessary for each site to find the technologies and associated capacities required to manage its waste. One role of DOE HQ Office of Environmental Restoration and Waste Management is to facilitate the integration of the site- specific plans into coherent national plans. DOE has developed a standard methodology for defining and categorizing waste streams into treatability groups based on characteristic parameters that influence waste management technology needs. This Waste Treatability Guidance Program automates the Guidance Document for the categorization of waste information into treatabilitymore » groups; this application provides a consistent implementation of the methodology across the National TRU Program. This User`s Guide provides instructions on how to use the program, including installations instructions and program operation. This document satisfies the requirements of the Software Quality Assurance Plan.« less

  5. Dural arteriovenous fistula as a treatable dementia.

    PubMed

    Enofe, Ikponmwosa; Thacker, Ike; Shamim, Sadat

    2017-04-01

    Dementia is a chronic loss of neurocognitive function that is progressive and irreversible. Although rare, dural arteriovenous fistulas (DAVFs) could present with a rapid decline in neurocognitive function with or without Parkinson-like symptoms. DAVFs represent a potentially treatable and reversible cause of dementia. Here, we report the case of an elderly woman diagnosed with a DAVF after presenting with new-onset seizures, deteriorating neurocognitive function, and Parkinson-like symptoms.

  6. SUPERFUND TREATABILITY CLEARINGHOUSE: EVALUATION OF AN ENGINEERED BIODEGRADATION SYSTEM AT THE NASHUA, N.H. SITE

    EPA Science Inventory

    The treatability study report presents the results of both laboratory and field studies conducted by Koppers on soils from the Nashua, N.H., NPL site. The purpose of these studies was to provide the necessary data to evaluate a ull-scale design for the Engineered Biodeg...

  7. Deep Vadose Zone Treatability Test of Soil Desiccation for the Hanford Central Plateau: Final Report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Truex, Michael J.; Chronister, Glen B.; Strickland, Christopher E.

    Some of the inorganic and radionuclide contaminants in the deep vadose zone at the Hanford Site are at depths where direct exposure pathways are not of concern, but may need to be remediated to protect groundwater. The Department of Energy developed a treatability test program for technologies to address Tc-99 and uranium in the deep vadose zone. These contaminants are mobile in the subsurface environment, have been detected at high concentrations deep in the vadose zone, and at some locations have reached groundwater. The treatability test of desiccation described herein was conducted as an element of the deep vadose zonemore » treatability test program. Desiccation was shown to be a potentially effective vadose zone remediation technology to protect groundwater when used in conjunction with a surface infiltration barrier.« less

  8. Dural arteriovenous fistula as a treatable dementia

    PubMed Central

    Enofe, Ikponmwosa; Thacker, Ike

    2017-01-01

    Dementia is a chronic loss of neurocognitive function that is progressive and irreversible. Although rare, dural arteriovenous fistulas (DAVFs) could present with a rapid decline in neurocognitive function with or without Parkinson-like symptoms. DAVFs represent a potentially treatable and reversible cause of dementia. Here, we report the case of an elderly woman diagnosed with a DAVF after presenting with new-onset seizures, deteriorating neurocognitive function, and Parkinson-like symptoms. PMID:28405088

  9. Treatability by Cryotherapy in a Screen-and-Treat Strategy

    PubMed Central

    Gage, JC; Rodriguez, AC; Schiffman, M; Garcia, FA; Long, LR; Budihas, S; Herrero, R; Burk, RD; Jeronimo, J

    2009-01-01

    Objectives We estimated the percentage of women infected with human papillomavirus (HPV+) who cannot be immediately treated with cryotherapy. Materials and Methods In a 10,000-woman Costa Rican cohort, we analyzed the 559 HPV+ women aged 25-55, and estimated the proportion for whom immediate cryotherapy was not indicated (i.e., invasive cancer, large precancerous lesions, or benign abnormalities that risk failure such as large ectopy, squamocolumnar junction not visualized, polyps, ulcers, or distorted or atrophied cervix). To determine whether cryotherapy at time of baseline HPV screening would effectively treat HPV+ women, two expert gynecologists independently judged entire clinical histories (5-7 years of cytology, histology, and HPV tests) and a full longitudinal series of digitized cervical images.. Results Reviewers judged 144 (25.8%) of 559 HPV+ women as not treatable by immediate cryotherapy. Among 72 women with cervical intraepithelial neoplasia grade 3 (CIN3) who would benefit most from a screening program, 35 (48.6%) were not treatable. In particular, 29 women (40.3%) were determined not treatable for reasons most likely associated with cryotherapy's inadequacy (lesion was large, suspected cancerous or in the endocervical canal or fornix). Conclusions “Screen-and-treat” programs in low-resource settings will soon use a rapid HPV test to screen older women once or twice in their lifetime, identifying women at higher risk for precancer. Our findings suggest cryotherapy might not effectively treat many precancers and other safe, low-technology treatment options could be required, in a scenario where all HPV+ women in this targeted group would receive cryotherapy at the same visit. PMID:19550216

  10. Treatability studies performed in support of an engineering evaluation/cost analysis

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Myers, J.M.; Mueller, J.P.; Sundquist, J.A.

    1995-12-31

    The Southern Shipbuilding Corporation (SSC) site is located on 54 acres of wooded land adjacent to Bayou Bonfouca, approximately 1.8 miles downstream of the Bayou Bonfouca National Priorities List (NPL) Superfund site in Slidell, St. Tammany Parish, Louisiana. Two one-acre, impoundments on the SSC site were used to store wastes generated from vessel cleaning. Wastes stored in the impoundments are migrating into Bayou Bonfouca, which empties into Lake Pontchartrain. In addition, the impoundments are frequently invaded by flood waters. The US EPA Emergency Response Branch (EPA-ERB) performed a site investigation which indicated that the majority of the contamination is petroleum-relatedmore » and that the compounds of concern are polycyclic aromatic hydrocarbons (PARs). The wastes are generally contained with the two impoundments and surrounding soils. As part of an Engineering Evaluation/Cost Basis (EE/CA) of potential response action alternatives, four treatability studies were performed. A thermal treatment (incineration) study was performed at the EPA`s Incineration Research Facility (IRF). Biodegradation remedy selection feasibility assessment was conducted on-site. A remedy screening soil washing study was also performed by TAT. A solidification/stabilization (S/S) study was conducted through EPA`s Risk Reduction Engineering Laboratory (RREL) to ascertain if the PAHs could be immobilized within a solid matrix. Experimental objectives, dead methodology and conclusions for these studies are presented as they relate to potential response actions being evaluated at the SSC site.« less

  11. Treatable Bacterial Infections Are Underrecognized Causes of Fever in Ethiopian Children

    PubMed Central

    Aarsland, Sara J.; Castellanos-Gonzalez, Alejandro; Lockamy, Kameron P.; Mulu-Droppers, Ruth; Mulu, Moges; White, A. Clinton; Cabada, Miguel M.

    2012-01-01

    Febrile illnesses remain a major cause of morbidity and mortality in resource-poor countries, but too often, tests are not available to determine the causes, leading to misdiagnosis and inappropriate treatment. To determine the cause of febrile illnesses, we recovered the malaria smears from 102 children presenting with fever to Soddo Christian Hospital in Wolaitta Soddo, Ethiopia. DNA was isolated from the smears and evaluated by real-time polymerase chain reaction. We identified pathogen DNA with probes for Plasmodium spp., Streptococcus pneumoniae, Rickettsia spp., Salmonella spp., and Borrelia spp. Overall, we showed that it is possible to isolate high-quality DNA and identify treatable pathogens from malaria blood smears. Furthermore, our data showed that bacterial pathogens (especially Pneumococcus, Rickettsia spp., and Borrelia spp.) are common and frequently unrecognized but treatable causes of febrile illnesses in Ethiopian children. PMID:22764303

  12. SUPERFUND TREATABILITY CLEARINGHOUSE: CERCLA BDAT SARM PREPARATION AND RESULTS OF PHYSICAL SOILS WASHING EXPERIMENTS (FINAL REPORT)

    EPA Science Inventory

    This study reports on the results of work preparing 30,000 Ibs of SARM or synthetic analytical reference matrix, a surrogate Superfund soil containing a vide range of contaminants. It also reports the results ©f bench scale treatability experiments designed to simulate the EP...

  13. Comparative meta-analysis and experimental kinetic investigation of column and batch bottle microcosm treatability studies informing in situ groundwater remedial design.

    PubMed

    Driver, Erin M; Roberts, Jeff; Dollar, Peter; Charles, Maurissa; Hurst, Paul; Halden, Rolf U

    2017-02-05

    A systematic comparison was performed between batch bottle and continuous-flow column microcosms (BMs and CMs, respectively) commonly used for in situ groundwater remedial design. Review of recent literature (2000-2014) showed a preference for reporting batch kinetics, even when corresponding column data were available. Additionally, CMs produced higher observed rate constants, exceeding those of BMs by a factor of 6.1±1.1 standard error. In a subsequent laboratory investigation, 12 equivalent microcosm pairs were constructed from fractured bedrock and perchloroethylene (PCE) impacted groundwater. First-order PCE transformation kinetics of CMs were 8.0±4.8 times faster than BMs (rates: 1.23±0.87 vs. 0.16±0.05d -1 , respectively). Additionally, CMs transformed 16.1±8.0-times more mass than BMs owing to continuous-feed operation. CMs are concluded to yield more reliable kinetic estimates because of much higher data density stemming from long-term, steady-state conditions. Since information from BMs and CMs is valuable and complementary, treatability studies should report kinetic data from both when available. This first systematic investigation of BMs and CMs highlights the need for a more unified framework for data use and reporting in treatability studies informing decision-making for field-scale groundwater remediation. Copyright © 2016 Elsevier B.V. All rights reserved.

  14. Risk score for identifying adults with CSF pleocytosis and negative CSF Gram stain at low risk for an urgent treatable cause.

    PubMed

    Hasbun, Rodrigo; Bijlsma, Merijn; Brouwer, Matthijs C; Khoury, Nabil; Hadi, Christiane M; van der Ende, Arie; Wootton, Susan H; Salazar, Lucrecia; Hossain, Md Monir; Beilke, Mark; van de Beek, Diederik

    2013-08-01

    We aimed to derive and validate a risk score that identifies adults with cerebrospinal fluid (CSF) pleocytosis and a negative CSF Gram stain at low risk for an urgent treatable cause. Patients with CSF pleocytosis and a negative CSF Gram stain were stratified into a prospective derivation (n = 193) and a retrospective validation (n = 567) cohort. Clinically related baseline characteristics were grouped into three composite variables, each independently associated with a set of predefined urgent treatable causes. We subsequently derived a risk score classifying patients into low (0 composite variables present) or high (≥ 1 composite variables present) risk for an urgent treatable cause. The sensitivity of the risk score was determined in the validation cohort and in a prospective case series of 214 adults with CSF-culture proven bacterial meningitis, CSF pleocytosis and a negative Gram stain. A total of 41 of 193 patients (21%) in the derivation cohort and 71 of 567 (13%) in the validation cohort had an urgent treatable cause. Sensitivity of the dichotomized risk score to detect an urgent treatable cause was 100.0% (95% CI 93.9-100.0%) in the validation cohort and 100.0% (95% CI 97.8-100.0%) in bacterial meningitis patients. The risk score can be used to identify adults with CSF pleocytosis and a negative CSF Gram stain at low risk for an urgent treatable cause. Copyright © 2013 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

  15. RISK SCORE FOR IDENTIFYING ADULTS WITH CSF PLEOCYTOSIS AND NEGATIVE CSF GRAM STAIN AT LOW RISK FOR AN URGENT TREATABLE CAUSE

    PubMed Central

    Hasbun, Rodrigo; Bijlsma, Merijn; Brouwer, Matthijs C; Khoury, Nabil; Hadi, Christiane M; van der Ende, Arie; Wootton, Susan H.; Salazar, Lucrecia; Hossain, Md Monir; Beilke, Mark; van de Beek, Diederik

    2013-01-01

    Background We aimed to derive and validate a risk score that identifies adults with cerebrospinal fluid (CSF) pleocytosis and a negative CSF Gram stain at low risk for an urgent treatable cause. Methods Patients with CSF pleocytosis and a negative CSF Gram stain were stratified into a prospective derivation (n=193) and a retrospective validation (n=567) cohort. Clinically related baseline characteristics were grouped into three composite variables, each independently associated with a set of predefined urgent treatable causes. We subsequently derived a risk score classifying patients into low (0 composite variables present) or high ( ≥ 1 composite variables present) risk for an urgent treatable cause. The sensitivity of the risk score was determined in the validation cohort and in a prospective case series of 214 adults with CSF-culture proven bacterial meningitis, CSF pleocytosis and a negative Gram stain. Findings A total of 41 of 193 patients (21%) in the derivation cohort and 71 of 567 (13%) in the validation cohort had an urgent treatable cause. Sensitivity of the dichotomized risk score to detect an urgent treatable cause was 100.0% (95%CI 93.9-100.0%) in the validation cohort and 100.0% (95%CI 97.8-100.0%) in bacterial meningitis patients. Interpretation The risk score can be used to identify adults with CSF pleocytosis and a negative CSF Gram stain at low risk for an urgent treatable cause. PMID:23619080

  16. Variance Assistance Document: Land Disposal Restrictions Treatability Variances and Determinations of Equivalent Treatment

    EPA Pesticide Factsheets

    This document provides assistance to those seeking to submit a variance request for LDR treatability variances and determinations of equivalent treatment regarding the hazardous waste land disposal restrictions program.

  17. Identifying Medical Diagnoses and Treatable Diseases by Image-Based Deep Learning.

    PubMed

    Kermany, Daniel S; Goldbaum, Michael; Cai, Wenjia; Valentim, Carolina C S; Liang, Huiying; Baxter, Sally L; McKeown, Alex; Yang, Ge; Wu, Xiaokang; Yan, Fangbing; Dong, Justin; Prasadha, Made K; Pei, Jacqueline; Ting, Magdalene Y L; Zhu, Jie; Li, Christina; Hewett, Sierra; Dong, Jason; Ziyar, Ian; Shi, Alexander; Zhang, Runze; Zheng, Lianghong; Hou, Rui; Shi, William; Fu, Xin; Duan, Yaou; Huu, Viet A N; Wen, Cindy; Zhang, Edward D; Zhang, Charlotte L; Li, Oulan; Wang, Xiaobo; Singer, Michael A; Sun, Xiaodong; Xu, Jie; Tafreshi, Ali; Lewis, M Anthony; Xia, Huimin; Zhang, Kang

    2018-02-22

    The implementation of clinical-decision support algorithms for medical imaging faces challenges with reliability and interpretability. Here, we establish a diagnostic tool based on a deep-learning framework for the screening of patients with common treatable blinding retinal diseases. Our framework utilizes transfer learning, which trains a neural network with a fraction of the data of conventional approaches. Applying this approach to a dataset of optical coherence tomography images, we demonstrate performance comparable to that of human experts in classifying age-related macular degeneration and diabetic macular edema. We also provide a more transparent and interpretable diagnosis by highlighting the regions recognized by the neural network. We further demonstrate the general applicability of our AI system for diagnosis of pediatric pneumonia using chest X-ray images. This tool may ultimately aid in expediting the diagnosis and referral of these treatable conditions, thereby facilitating earlier treatment, resulting in improved clinical outcomes. VIDEO ABSTRACT. Copyright © 2018 Elsevier Inc. All rights reserved.

  18. SUPERFUND TREATABILITY CLEARINGHOUSE: FINAL REPORT: DEVELOPMENT OF OPTIMUM TREATMENT SYSTEM FOR WASTEWATER LAGOONS PHASE II - SOLVENT EXTRACTION LABORATORY TESTING

    EPA Science Inventory

    The U.S. Army surveyed innovative treatment techniques for restoration of hazardous waste lagoons and selected solvent extraction as cost-effective restoration for further study. This treatability study focuses on treatment of organic (explosive) contaminated lagoon sediments w...

  19. Fatigue in a heat treatable high silicon containing aluminium alloy

    NASA Astrophysics Data System (ADS)

    González, J. A.; Talamantes-Silva, J.; Valtierra, S.; Colás, Rafael

    2017-05-01

    The use of cast aluminium alloys in automobiles contributes to reductions in weight and fuel consumption without impairing the safety for the occupants or the performance of the car. Most of the alloys used are heat treatable hypoeutectic Al-Si alloys, which have the drawback of exhibiting low wear resistance. So industry relies in wear resistant alloys, such as grey iron, for the liners of the combustion chambers in engine blocks, which increase the weight of the engine. Therefore, it is of interest to cast high silicon containing alloys into engine components that are able to resist wear while maintaining the mechanical properties required by the components. This work presents the result of the work carried out in a high silicon containing heat treatable aluminium alloy as it is subjected to high cycle fatigue. The alloy was prepared and cast in ingots designed to promote one dimensional solidification gradient to obtain samples to study the high cycle fatigue. The material was machined into hour-glass specimens that were tested at room temperature in a servohydraulic machine under load control following the stair case method. The results show that the resistance to fatigue depends on the microstructure of the sample, as the fatigue cracks originate in pores close to the surface of the sample and propagate through the eutectic aggregate. The results from this work are compared with those from previously obtained with hypoeutectic alloys.

  20. SUPERFUND TREATABILITY CLEARINGHOUSE: BDAT INCINERATION OF CERCLA SARMS AT THE JOHN ZINK COMPANY TEST FACILITY (FINAL PROJECT REPORT)

    EPA Science Inventory

    This report presents the results of a treatability study of rotary kiln incineration of a synthetic "Superfund soil" bearing a wide range of chemical contaminants typically occurring at Superfund sites. This surrogate soil is referred to as a synthetic analytical reference ...

  1. Hanford 100-D Area Biostimulation Treatability Test Results

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Truex, Michael J.; Vermeul, Vincent R.; Fritz, Brad G.

    2009-09-30

    Pacific Northwest National Laboratory conducted a treatability test designed to demonstrate that in situ biostimulation can be applied to help meet cleanup goals in the Hanford Site 100-D Area. In situ biostimulation has been extensively researched and applied for aquifer remediation over the last 20 years for various contaminants. In situ biostimulation, in the context of this project, is the process of amending an aquifer with a substrate that induces growth and/or activity of indigenous bacteria for the purpose of inducing a desired reaction. For application at the 100-D Area, the purpose of biostimulation is to induce reduction of chromate,more » nitrate, and oxygen to remove these compounds from the groundwater. The in situ biostimulation technology is intended to provide supplemental treatment upgradient of the In Situ Redox Manipulation (ISRM) barrier previously installed in the Hanford 100-D Area and thereby increase the longevity of the ISRM barrier. Substrates for the treatability test were selected to provide information about two general approaches for establishing and maintaining an in situ permeable reactive barrier based on biological reactions, i.e., a biobarrier. These approaches included 1) use of a soluble (miscible) substrate that is relatively easy to distribute over a large areal extent, is inexpensive, and is expected to have moderate longevity; and 2) use of an immiscible substrate that can be distributed over a reasonable areal extent at a moderate cost and is expected to have increased longevity.« less

  2. SUPERFUND TREATABILITY CLEARINGHOUSE: SUMMARY REPORT ON THE FIELD INVESTIGATION OF THE SAPP BATTERY SITE JACKSON COUNTY, FLORIDA

    EPA Science Inventory

    This treatability study presents the results of field investigations at the Sapp Battery site in Florida, an abandoned battery recycling operation. The site is estimated to contain 14,300 cubic yards of soils with lead levels in excess of 1,000 ppm. The soils in the immediate v...

  3. SUPERFUND TREATABILITY CLEARINGHOUSE: TECHNOLOGY DEMONSTRATION OF A THERMAL DESORPTION/UV PHOTOLYSIS PROCESS FOR DECONTAMINATING SOILS CONTAINING HERBICIDE ORANGE

    EPA Science Inventory

    This treatability study report presents the results of laboratory and field tests on the effectiveness of a new decontamination process for soils containing 2,4-D/2,4,5-T and traces of dioxin. The process employs three operations, thermal desorption, condensation and absorp...

  4. EPA’s Drinking Water Treatability Database: A Tool for All Drinking Water Professionals

    EPA Science Inventory

    The Drinking Water Treatability Database (TDB) is being developed by the USEPA Office of Research and Development to allow drinking water professionals and others to access referenced information gathered from thousands of literature sources and assembled on one site. Currently, ...

  5. Normal-pressure hydrocephalus and the saga of the treatable dementias

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Friedland, R.P.

    1989-11-10

    A case study of a 74-year-old woman is presented which illustrates the difficulty of understanding dementing illnesses. A diagnosis of normal-pressure hydrocephalus (NPH) was made because of the development of abnormal gait, with urinary incontinence and severe, diffuse, white matter lesions on the MRI scan. Computed tomographic, MRI scans and positron emission tomographic images of glucose use are presented. The treatable dementias are a large, multifaceted group of illnesses, of which NPH is one. The author proposes a new term for this disorder commonly known as NPH because the problem with the term normal-pressure hydrocephalus is that the cerebrospinal fluidmore » pressure is not always normal in the disease.« less

  6. Treatability of five Appalachian wood species with creosote and timbor®

    Treesearch

    Jeffrey J. Slahor; Curt C. Hassler; Rodney C. DeGroot; Douglas J. Gardner

    2000-01-01

    The work described in this paper culminates an investigation into the treatability of five Appalachian hardwood species. Previous papers have described work using the waterborne preservatives CCA-C and ACQ-B. This paper details the results of pressure treatment with creosote and Timbor®. Six-inch long nominal two-by-four samples of red maple, yellow-poplar, red oak,...

  7. A laboratory treatability study on RDX-contaminated soil from the Iowa Army Ammunition Plant, Burlington, Iowa.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Boopathy, R.; Manning, J. F.; Environmental Research

    2000-03-01

    Soil in certain areas of the Iowa Army Ammunition Plant in Burlington, Iowa, was contaminated with hexahydro-1,3,5-trinitro-1,3,5-triazine (RDX). A laboratory treatability study was conducted to examine the ability of native soil bacteria present in the contaminated site to degrade RDX. The results indicated that RDX can be removed effectively from the soil by native soil bacteria through a co-metabolic process. Molasses, identified as an effective cosubstrate, is inexpensive, and this factor makes the treatment system cost effective. The successful operation of aerobic-anoxic soil-slurry reactors in batch mode with RDX-contaminated soil showed that the technology can be scaled up for fieldmore » demonstration. The RDX concentration in the contaminated soil was decreased by 98% after 4 months of reactor operation. The advantage of the slurry reactor is the simplicity of its operation. The method needs only mixing and the addition of molasses as cosubstrate.« less

  8. Innovative Approach for Development of Drinking Water Research Data in the EPA Treatability Database

    EPA Science Inventory

    In recent years, funding for development of the TDB has been limited due to Federal budget constraints. As a result, EPA adopted an innovative approach to continue the development of new contaminants and maintenance of treatability information on over 60 existing drinking water ...

  9. A Tale of Treatable Infantile Neuroregression and Diagnostic Dilemma with Glutaric Aciduria Type I

    PubMed Central

    Yoganathan, Sangeetha; Varman, Mugil; Oommen, Samuel Philip; Thomas, Maya

    2017-01-01

    Nutritional deficiencies related neurological manifestations are not uncommon in infants and children. Here, we describe an infant with Vitamin B12 deficiency due to depleted maternal Vitamin B12 status presenting with progressive encephalopathy and extrapyramidal signs. Diagnosis of infantile tremor syndrome was established in our patient based on the clinical and biochemical parameters. Magnetic resonance imaging had shown frontotemporal atrophy with widened Sylvian fissures and prominent cerebrospinal fluid spaces. Clinical and imaging findings might create a diagnostic dilemma with glutaric aciduria type I. Knowledge and identification of infantile tremor syndrome are essential, as it is a potentially treatable disorder. Our patient had significant developmental gains with Vitamin B12 treatment and infant stimulation program. Vitamin B12 deficiency must be looked for as a cause of neuroregression in children hailing from low socioeconomic status, infants of vegetarian mother, and infants with delayed or improper weaning. Screening for Vitamin B12 deficiency is essential in all infants and children with unexplained neuroregression, as this disorder is potentially treatable. More population-based studies in India are needed to explore the prevalence of Vitamin B12 deficiency in pregnant and lactating women and also to assess the need for Vitamin B12 supplementation during pregnancy and lactation. PMID:29675077

  10. A Tale of Treatable Infantile Neuroregression and Diagnostic Dilemma with Glutaric Aciduria Type I.

    PubMed

    Yoganathan, Sangeetha; Varman, Mugil; Oommen, Samuel Philip; Thomas, Maya

    2017-01-01

    Nutritional deficiencies related neurological manifestations are not uncommon in infants and children. Here, we describe an infant with Vitamin B12 deficiency due to depleted maternal Vitamin B12 status presenting with progressive encephalopathy and extrapyramidal signs. Diagnosis of infantile tremor syndrome was established in our patient based on the clinical and biochemical parameters. Magnetic resonance imaging had shown frontotemporal atrophy with widened Sylvian fissures and prominent cerebrospinal fluid spaces. Clinical and imaging findings might create a diagnostic dilemma with glutaric aciduria type I. Knowledge and identification of infantile tremor syndrome are essential, as it is a potentially treatable disorder. Our patient had significant developmental gains with Vitamin B12 treatment and infant stimulation program. Vitamin B12 deficiency must be looked for as a cause of neuroregression in children hailing from low socioeconomic status, infants of vegetarian mother, and infants with delayed or improper weaning. Screening for Vitamin B12 deficiency is essential in all infants and children with unexplained neuroregression, as this disorder is potentially treatable. More population-based studies in India are needed to explore the prevalence of Vitamin B12 deficiency in pregnant and lactating women and also to assess the need for Vitamin B12 supplementation during pregnancy and lactation.

  11. Glycine receptor modulating antibody predicting treatable stiff-person spectrum disorders.

    PubMed

    Hinson, Shannon R; Lopez-Chiriboga, A Sebastian; Bower, James H; Matsumoto, Joseph Y; Hassan, Anhar; Basal, Eati; Lennon, Vanda A; Pittock, Sean J; McKeon, Andrew

    2018-03-01

    Glycine receptor alpha-1 subunit (GlyRα1)-immunoglobulin G (IgG) is diagnostic of stiff-person syndrome (SPS) spectrum but has been reported detectable in other neurologic diseases for which significance is less certain. To assess GlyRα1-IgGs as biomarkers of SPS spectrum among patients and controls, specimens were tested using cell-based assays (binding [4°C] and modulating [antigen endocytosing, 37°C]). Medical records of seropositive patients were reviewed. GlyRα1-IgG (binding antibody) was detected in 21 of 247 patients with suspected SPS spectrum (8.5%) and in 8 of 190 healthy subject sera (4%) but not CSF. Among 21 seropositive patients, 20 had confirmed SPS spectrum clinically, but 1 was later determined to have a functional neurologic disorder. Sera from 9 patients with SPS spectrum , but not 7 controls, nor the functional patient, caused GlyRα1 modulation (100% specificity). SPS spectrum phenotypes included progressive encephalomyelitis with rigidity and myoclonus (PERM) (8), classic SPS (5), stiff limb (5), stiff trunk (1), and isolated exaggerated startle (hyperekplexia, 1). Neuropsychiatric symptoms present in 12 patients (60%) were anxiety (11), depression (6), and delirium (3). Anxiety was particularly severe in 3 patients with PERM. Objective improvements in SPS neurologic symptoms were recorded in 16 of 18 patients who received first-line immunotherapy (89%, 9/10 treated with corticosteroids, 8/10 treated with IVIg, 3/4 treated with plasma exchange, and 1 treated with rituximab). Treatment-sparing maintenance strategies were successful in 4 of 7 patients (rituximab [2/3], azathioprine [1/1], and mycophenolate [1/3]). GlyRα1-modulating antibody improves diagnostic specificity for immunologically treatable SPS spectrum disorders. This study provides Class IV evidence that GlyRα1-modulating antibody accurately identifies patients with treatable SPS spectrum disorders.

  12. Consideration of grain packing in granular iron treatability studies

    NASA Astrophysics Data System (ADS)

    Firdous, R.; Devlin, J. F.

    2014-08-01

    Commercial granular iron (GI) is light steel that is used in Permeable Reactive Barriers (PRBs). Investigations into the reactivity of GI have focused on its chemical nature and relatively little direct work has been done to account for the effects of grain shape and packing. Both of these factors are expected to influence available grain surface area, which is known to correlate to reactivity. Commercial granular iron grains are platy and therefore pack in preferential orientations that could affect solution access to the surface. Three packing variations were investigated using Connelly Iron and trichloroethylene (TCE). Experimental kinetic data showed reaction rates 2-4 times higher when grains were packed with long axes preferentially parallel to flow (VP) compared to packings with long axes preferentially perpendicular to flow (HP) or randomly arranged (RP). The variations were found to be explainable by variations in reactive sorption capacities, i.e., sorption to sites where chemical transformations took place. The possibility that the different reactive sorption capacities were related to physical pore-scale differences was assessed by conducting an image analysis of the pore structure of sectioned columns. The analyses suggested that pore-scale factors - in particular the grain surface availability, reflected in the sorption capacity terms of the kinetic model used - could only account for a fraction of the observed reactivity differences between packing types. It is concluded that packing does affect observable reaction rates but that micro-scale features on the grain surfaces, rather than the pore scale characteristics, account for most of the apparent reactivity differences. This result suggests that treatability tests should consider the packing of columns carefully if they are to mimic field performance of PRBs to the greatest extent possible.

  13. SUPERFUND TREATABILITY CLEARINGHOUSE: FULL SCALE ROTARY KILN INCINERATOR FIELD TRIAL: PHASE I, VERIFICATION TRIAL BURN ON DIOXIN/HERBICIDE ORANGE CONTAMINATED SOIL

    EPA Science Inventory

    This treatability study reports on the results of one of a series of field trials using various remedial action technologies that may be capable of restoring Herbicide Orange (HO)XDioxin contaminated sites. A full-scale field trial using a rotary kiln incinerator capable of pro...

  14. Treatable inborn errors of metabolism causing intellectual disability: a systematic literature review.

    PubMed

    van Karnebeek, Clara D M; Stockler, Sylvia

    2012-03-01

    Intellectual disability ('developmental delay' at age<5 years) affects 2.5% of population worldwide. Recommendations to investigate genetic causes of intellectual disability are based on frequencies of single conditions and on the yield of diagnostic methods, rather than availability of causal therapy. Inborn errors of metabolism constitute a subgroup of rare genetic conditions for which an increasing number of treatments has become available. To identify all currently treatable inborn errors of metabolism presenting with predominantly intellectual disability, we performed a systematic literature review. We applied Cochrane Collaboration guidelines in formulation of PICO and definitions, and searched in Pubmed (1960-2011) and relevant (online) textbooks to identify 'all inborn errors of metabolism presenting with intellectual disability as major feature'. We assessed levels of evidence of treatments and characterised the effect of treatments on IQ/development and related outcomes. We identified a total of 81 'treatable inborn errors of metabolism' presenting with intellectual disability as a major feature, including disorders of amino acids (n=12), cholesterol and bile acid (n=2), creatine (n=3), fatty aldehydes (n=1); glucose homeostasis and transport (n=2); hyperhomocysteinemia (n=7); lysosomes (n=12), metals (n=3), mitochondria (n=2), neurotransmission (n=7); organic acids (n=19), peroxisomes (n=1), pyrimidines (n=2), urea cycle (n=7), and vitamins/co-factors (n=8). 62% (n=50) of all disorders are identified by metabolic screening tests in blood (plasma amino acids, homocysteine) and urine (creatine metabolites, glycosaminoglycans, oligosaccharides, organic acids, pyrimidines). For the remaining disorders (n=31) a 'single test per single disease' approach including primary molecular analysis is required. Therapeutic modalities include: sick-day management, diet, co-factor/vitamin supplements, substrate inhibition, stemcell transplant, gene therapy. Therapeutic

  15. Treatability of organic matter derived from surface and subsurface waters of drinking water catchments.

    PubMed

    Awad, John; van Leeuwen, John; Liffner, Joel; Chow, Christopher; Drikas, Mary

    2016-02-01

    The treatability of NOM present in runoff and subsurface waters from discrete zero-order catchments (ZOCs) with three land management practices (Australian native vegetation, pine plantation, grasslands) on varying soil textures of a closed drinking water reservoir-catchment was investigated. Subsurface water samples were collected by lysimeters and shallow piezometers and surface waters by installation of barriers that diverted waters to collection devices. For small sample volumes collected, a 'micro' jar testing procedure was developed to assess the treatability of organics by enhanced coagulation using alum, under standardised conditions. DOM present in water samples was quantified by measurement of DOC and UV absorbance (at 254 nm) and characterized using these and F-EEM. The mean alum dose rate (mg alum per mg DOC removed or Al/DOC) was found to be lower for DOM from sandy soil ZOCs (21.1 ± 11.0 Al/DOC) than from clayey soil ZOCs (38.6 ± 27.7 Al/DOC). ZOCs with Pinus radiata had prominent litter layers (6.3 ± 2.6 cm), and despite differences in soil textures showed similarity in DOM character in subsurface waters, and in alum dose rates (22.2 ± 5.5 Al/DOC). For sandy soil ZOCs, the lowest alum dose rates (16.5 ± 10.6 Al/DOC) were for waters from native vegetation catchment while, for clayey soil ZOCs, waters from pine vegetation had the lowest alum dose rates (23.0 ± 5.0 Al/DOC). Where ZOCs have a prominent O horizon, soil minerals had no apparent influence on the treatability of DOM. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Differential fluorescence EEMs can be used to assess treatability of DOM during drinking water production

    NASA Astrophysics Data System (ADS)

    Lavonen, Elin; Kothawala, Dolly; Tranvik, Lars; Köhler, Stephan

    2014-05-01

    of this fraction prior to disinfection should optimize the process. Furthermore, the main process at all studied WTPs is flocculation and their experienced treatability could easily be explained through the percentage of FDOM with emission above 450 nm (p<0.0001).

  17. Glutaric aciduria type I: A treatable neurometabolic disorder

    PubMed Central

    Kamate, Mahesh; Patil, Vishwanath; Chetal, Vivek; Darak, Pavan; Hattiholi, Virupaxi

    2012-01-01

    Background and Objectives: Glutaric aciduria Type-I (GA-I) has characteristic clinical and neuroimaging features, which clinches the diagnosis in a majority of patients. However, there have been few case reports on GA-I from India. This study was undertaken to study the clinical presentations, metabolic profile, neuroimaging findings and outcome of patients with GA-I. Study Design: The present study was a retrospective study. Materials and Methods: Retrospective review of charts of patients with a diagnosis of GA-I was carried out from March 2008 to April 2010. The clinical, laboratory and neuroimaging findings were extracted in a predesigned proforma and the data was analyzed. Results: Eleven cases were found to have GA-1. Clinical presentation was quite varied. Follow-up of patients revealed that one patient with macrocephaly as the only clinical finding was developmentally normal. One patient with encephalitis-like illness steadily improved and started walking at 2 years. Two patients were bed ridden and had severe dystonia. One patient died during follow-up. The remaining six patients had dystonia and other abnormal movements, but had attained sitting without support and were not ambulatory. Conclusion: GA-I is not an uncommon disorder and diagnosis can be made easily based on clinical, laboratory investigations and neuroimaging findings. It is one of the treatable metabolic disorders and, if managed appropriately, favorable prognosis can be given. PMID:22412270

  18. Glutaric aciduria type I: A treatable neurometabolic disorder.

    PubMed

    Kamate, Mahesh; Patil, Vishwanath; Chetal, Vivek; Darak, Pavan; Hattiholi, Virupaxi

    2012-01-01

    Glutaric aciduria Type-I (GA-I) has characteristic clinical and neuroimaging features, which clinches the diagnosis in a majority of patients. However, there have been few case reports on GA-I from India. This study was undertaken to study the clinical presentations, metabolic profile, neuroimaging findings and outcome of patients with GA-I. The present study was a retrospective study. Retrospective review of charts of patients with a diagnosis of GA-I was carried out from March 2008 to April 2010. The clinical, laboratory and neuroimaging findings were extracted in a predesigned proforma and the data was analyzed. Eleven cases were found to have GA-1. Clinical presentation was quite varied. Follow-up of patients revealed that one patient with macrocephaly as the only clinical finding was developmentally normal. One patient with encephalitis-like illness steadily improved and started walking at 2 years. Two patients were bed ridden and had severe dystonia. One patient died during follow-up. The remaining six patients had dystonia and other abnormal movements, but had attained sitting without support and were not ambulatory. GA-I is not an uncommon disorder and diagnosis can be made easily based on clinical, laboratory investigations and neuroimaging findings. It is one of the treatable metabolic disorders and, if managed appropriately, favorable prognosis can be given.

  19. Project Work Plan 100-N Area Strontium-90 Treatability Demonstration Project: Phytoremediation Along the 100-N Columbia River Riparian Zone

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ainsworth, Calvin C.

    The 100-N Area Innovative Treatment and Remediation Demonstration (ITRD) identified phyto¬remediation as a potential technology both for the removal of 90Sr from the soil of the riparian zone and as a filter for groundwater along the Columbia River. Recent greenhouse and growth chamber studies have demonstrated the viability of phytoextraction to remove 90Sr from this area’s soil/water; in conjunction with monitored natural attenuation and an apatite barrier the process would make an effective treatment for remediation of the 100-N Area 90Sr plume. All activities associated with the 100-NR-1 and 100-NR-2 Operable Units of the Hanford 100-N Area have had, andmore » continue to have, significant regulatory and stakeholder participation. Beginning in 1998 with the ITRD process, presentations to the ITRD TAG were heavily attended by EPA, Washington State Department of Ecology, and stakeholders. In addition, three workshops have been held to receive regulatory and stakeholder feedback on monitored natural attenuation, the apatite barrier, and phytoremediation; these were held in Richland in August 2003, December 2004, and August 2005. The apatite injection treatability test plan (DOE 2005) describes phytoremediation as a technology to be evaluated during the March 2008 evaluation milestone as described in the Tri-Party Agreement change request (M-16-06-01 Change Control Form). If, during this evaluation milestone, phytoremediation is favorably evaluated it would be incorporated into the treatability test plan. The phytoremediation treatability test described in this proposal is strongly supported by the Washington State Department of Ecology.« less

  20. Mortality from treatable illnesses in marginally housed adults: a prospective cohort study

    PubMed Central

    Jones, Andrea A; Vila-Rodriguez, Fidel; Leonova, Olga; Langheimer, Verena; Lang, Donna J; Barr, Alasdair M; Procyshyn, Ric M; Smith, Geoffrey N; Schultz, Krista; Buchanan, Tari; Krausz, Michael; Montaner, Julio S; MacEwan, G William; Rauscher, Alexander; Panenka, William J; Thornton, Allen E; Honer, William G

    2015-01-01

    Objectives Socially disadvantaged people experience greater risk for illnesses that may contribute to premature death. This study aimed to evaluate the impact of treatable illnesses on mortality among adults living in precarious housing. Design A prospective cohort based in a community sample. Setting A socially disadvantaged neighbourhood in Vancouver, Canada. Participants Adults (N=371) living in single room occupancy hotels or recruited from the Downtown Community Court and followed for median 3.8 years. Main outcome measures Participants were assessed for physical and mental illnesses for which treatment is currently available. We compared cohort mortality rates with 2009 Canadian rates. Left-truncated Cox proportional hazards modelling with age as the time scale was used to assess risk factors for earlier mortality. Results During 1269 person-years of observation, 31/371 (8%) of participants died. Compared with age-matched and sex-matched Canadians, the standardised mortality ratio was 8.29 (95% CI 5.83 to 11.79). Compared with those that had cleared the virus, active hepatitis C infection was a significant predictor for hepatic fibrosis adjusting for alcohol dependence and age (OR=2.96, CI 1.37 to 7.08). Among participants <55 years of age, psychosis (HR=8.12, CI 1.55 to 42.47) and hepatic fibrosis (HR=13.01, CI 3.56 to 47.57) were associated with earlier mortality. Treatment rates for these illnesses were low (psychosis: 32%, hepatitis C virus: 0%) compared with other common disorders (HIV: 57%, opioid dependence: 61%) in this population. Conclusions Hepatic fibrosis and psychosis are associated with increased mortality in people living in marginal conditions. Timely diagnosis and intervention could reduce the high mortality in marginalised inner city populations. PMID:26297373

  1. Metallurgical Laboratory (MetLab) Treatability Study: An Analysis of Passive Soil Vapor Extraction Wells (PSVE) FY1999 Update

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Riha, B.D.

    1999-10-20

    The results to date on the treatability study of the PSVE system at the MetLab of the Savannah River Site (SRS) indicate the technology is performing well. Well concentrations are decreasing and contour maps of the vadose zone soil gas plume show a decrease in the extent of the plume. In the 18 months of operation approximately 200 pounds of chlorinated organic contaminants have been removed by natural barometric pumping of wells fitted with BaroBall valves (low pressure check valves). The mass removal estimates are approximate since the flow rates are estimated, the concentration data is based on exponential fitsmore » of a limited data set, and the concentration data is normalized to the average CO2.The concentration values presented in this report should be taken as the general trend or order of magnitude of concentration until longer-term data is collected. These trends are of exponentially decreasing concentration showing the same characteristics as the concentration trends at the SRS Miscellaneous Chemical Basin after three years of PSVE (Riha et. al., 1999).« less

  2. Perceptions of Support Networks During the Graduate-Assistant Athletic Trainer Experience.

    PubMed

    Mazerolle, Stephanie M; Clines, Stephanie; Eason, Christianne M; Pitney, William A

    2015-12-01

    The graduate-assistant position can be a highly influential experience because it is often the first time novice athletic trainers (ATs) are practicing autonomously. To gain an understanding of how graduate-assistant ATs (GAATs) perceive professional socialization and mentorship during their assistantships. Semistructured phone interviews. Graduate-assistant ATs in various clinical settings. Twenty-five GAATs (20 women, 5 men) studying in 1 of 3 academic tracks (postprofessional athletic training = 8, athletic training-based curriculum = 11, non-athletic training-based curriculum = 6). Median age was 24 years. Phone interviews were digitally recorded and transcribed verbatim. Data analysis used principles of the general inductive approach. Credibility was maintained using peer review, field notes, and intercoder reliability. Participants identified peer support throughout their experiences, in both academic and clinical settings. The GAATs frequently relied on other GAATs for support due to shared experiences and understanding of workloads. Participants described difficulty receiving supervisor support from full-time staff ATs due to the supervisors' workload and time constraints, limiting their availability for mentoring. Guidance from academic support personnel occurred only in athletic training-centered academic programs. Communication emerged as helpful for incoming GAATs; the previous GAATs provided formal mentorship via job descriptions highlighting role responsibilities and expectations. Differences between assistantship types were noted only in terms of receiving balanced mentorship between the academic and clinical staffs, such that students studying in postprofessional athletic training programs perceived more balanced support. Our results confirm the literature regarding the GAAT's pursuit of continued formal mentoring. The GAATs perceived less support from full-time AT staff members due to limited availability. Therefore, GAATs leaned on their peers for

  3. Perceptions of Support Networks During the Graduate-Assistant Athletic Trainer Experience

    PubMed Central

    Mazerolle, Stephanie M.; Clines, Stephanie; Eason, Christianne M.; Pitney, William A.

    2015-01-01

    Context  The graduate-assistant position can be a highly influential experience because it is often the first time novice athletic trainers (ATs) are practicing autonomously. Objective  To gain an understanding of how graduate-assistant ATs (GAATs) perceive professional socialization and mentorship during their assistantships. Design  Semistructured phone interviews. Setting  Graduate-assistant ATs in various clinical settings. Patients or Other Participants  Twenty-five GAATs (20 women, 5 men) studying in 1 of 3 academic tracks (postprofessional athletic training = 8, athletic training-based curriculum = 11, non–athletic training-based curriculum = 6). Median age was 24 years. Data Collection and Analysis  Phone interviews were digitally recorded and transcribed verbatim. Data analysis used principles of the general inductive approach. Credibility was maintained using peer review, field notes, and intercoder reliability. Results  Participants identified peer support throughout their experiences, in both academic and clinical settings. The GAATs frequently relied on other GAATs for support due to shared experiences and understanding of workloads. Participants described difficulty receiving supervisor support from full-time staff ATs due to the supervisors' workload and time constraints, limiting their availability for mentoring. Guidance from academic support personnel occurred only in athletic training-centered academic programs. Communication emerged as helpful for incoming GAATs; the previous GAATs provided formal mentorship via job descriptions highlighting role responsibilities and expectations. Differences between assistantship types were noted only in terms of receiving balanced mentorship between the academic and clinical staffs, such that students studying in postprofessional athletic training programs perceived more balanced support. Conclusions  Our results confirm the literature regarding the GAAT's pursuit of continued formal

  4. Feasibility/treatability studies for removal of heavy metals from training range soils at the Grafenwoehr Training Area, Germany

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Peters, R.W.

    1995-05-01

    A feasibility/treatability study was performed to investigate the leaching potential of heavy metals (particularly lead) from soils at the Grafenw6hr Training Area (GTA) in Germany. The study included an evaluation of the effectiveness of chelant extraction to remediate the heavy-metal-contarninated soils. Batch shaker tests indicated that ethylenediaminetetraacetic acid (EDTA) (0.01M) was more effective than citric acid (0.01M) at removing cadmium, copper, lead, and zinc. EDTA and citric acid were equally effective in mobilizing chromium and barium from the soil. The batch shaker technique with chelant extraction offers promise as a remediation technique for heavy-metal-contaninated soil at the GTA. Columnar floodingmore » tests conducted as part of the study revealed that deionized water was the least effective leaching solution for mobilization of the heavy metals; the maximum solubilization obtained was 3.72% for cadmium. EDTA (0.05M) achieved the greatest removal of lead (average removal of 17.6%). The difficulty of extraction using deionized water indicates that all of the heavy metals are very tightly bound to the soil; therefore, they are very stable in the GTA soils and do not pose a serious threat to the groundwater system. Columnar flooding probably does not represent a viable remediation technique for in-situ cleanup of heavy-metal-contaminated soils at the GTA.« less

  5. Characterization of a Canine Tetranucleotide Microsatellite Marker Located in the First Intron of the Tumor Necrosis Factor Alpha Gene

    PubMed Central

    WATANABE, Masashi; TANAKA, Kazuaki; TAKIZAWA, Tatsuya; SEGAWA, Kazuhito; NEO, Sakurako; TSUCHIYA, Ryo; MURATA, Michiko; MURAKAMI, Masaru; HISASUE, Masaharu

    2013-01-01

    ABSTRACT A polymorphic tetranucleotide (GAAT)n microsatellite in the first intron of the canine tumor necrosis factor alpha (TNFA) gene was characterized in this study; 139 dogs were analyzed: 22 Beagles, 26 Chihuahuas, 20 Miniature Dachshunds, 24 Miniature Poodles, 22 Pembroke Welsh Corgis and 25 Shiba Inus. We detected the presence of the 4 alleles (GAAT)5, (GAAT)6, (GAAT)7 and (GAAT)8, including 9 of the 10 expected genotypes. The expected heterozygosity (He) and the polymorphic information content (PIC) value of this microsatellite locus varied from 0.389 to 0.749 and from 0.333 to 0.682, respectively, among the 6 breeds. The allelic frequency differed greatly among breeds, but this microsatellite marker was highly polymorphic and could be a useful marker for the canine TNFA gene. PMID:24042337

  6. Characterization of a canine tetranucleotide microsatellite marker located in the first intron of the tumor necrosis factor alpha gene.

    PubMed

    Watanabe, Masashi; Tanaka, Kazuaki; Takizawa, Tatsuya; Segawa, Kazuhito; Neo, Sakurako; Tsuchiya, Ryo; Murata, Michiko; Murakami, Masaru; Hisasue, Masaharu

    2014-01-01

    A polymorphic tetranucleotide (GAAT)n microsatellite in the first intron of the canine tumor necrosis factor alpha (TNFA) gene was characterized in this study; 139 dogs were analyzed: 22 Beagles, 26 Chihuahuas, 20 Miniature Dachshunds, 24 Miniature Poodles, 22 Pembroke Welsh Corgis and 25 Shiba Inus. We detected the presence of the 4 alleles (GAAT)5, (GAAT)6, (GAAT)7 and (GAAT)8, including 9 of the 10 expected genotypes. The expected heterozygosity (He) and the polymorphic information content (PIC) value of this microsatellite locus varied from 0.389 to 0.749 and from 0.333 to 0.682, respectively, among the 6 breeds. The allelic frequency differed greatly among breeds, but this microsatellite marker was highly polymorphic and could be a useful marker for the canine TNFA gene.

  7. Characteristics and treatability of oil-bearing wastes from aluminum alloy machining operations.

    PubMed

    Chen, Luke; Hsieh, Chueh-Chen; Wetherbee, John; Yang, Chen-Lu

    2008-04-15

    Enomoto Industry Co., exclusively uses water-based cutting fluids in its aluminum alloy machining operations. Since the cost of disposal can be much greater than the cost of purchase, the treatability of spent cutting fluids is becoming a major criterion for cutting fluid selection. Samples were collected from the machining lines at Enomoto's facility to determine their characteristics and evaluate their treatability with centrifugation, chemical coagulation and electrochemical coagulation. As expected, oil and grease (O&G) and total suspended solids (TSS) are the main reasons that spent cutting fluids are prohibited from being discharged into local swage systems. The average O&G found in the spent cutting fluids is 87,354 mg/L with TSS of more than 70,000 mg/L. Both O&G and TSS are the major contributors to the high turbidity of these waste effluents. A centrifuge with a relative centrifugal force of 1318 x g, was able to reduce 60% of the turbidity. By adding the coagulant aluminum chloride, the oil-water emulsion was destabilized, and the turbidity was reduced from 3249 Formazin Attenuation Units (FAU) to around 314 FAU. With freshly generated aluminum ions in the spent cutting fluid, the electrochemical process destabilized the oil-water emulsion system. The coalesced oil droplets were adsorbed onto the highly dispersed aluminum coagulant. The oil-rich sludge that was generated in the operation was then floated to the surface, forming a blanket that was removed by skimming. The electrochemical treatment was able to reduce the turbidity to less than 14 FAU, which is the detection limit of the Hach DR/4000 UV-vis spectrophotometer.

  8. Evaporative oxidation treatability test report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1995-04-01

    In 1992, Congress passed the Federal Facilities Compliance Act that requires the U.S. Department of Energy (DOE) to treat and dispose of its mixed waste in accordance with the Resource Conservation and Recovery Act (RCRA) land disposal restrictions (LDRs). In response to the need for mixed-waste treatment capacity where available off-site commercial treatment facilities do not exist or cannot be used, the DOE Albuquerque Operations Office (DOE-AL) organized a Treatment Selection Team to match mixed wastes with treatment options and develop a strategy for treatment of its mixed wastes. DOE-AL manages operations at nine sites with mixed-waste inventories. The Treatmentmore » Selection Team determined a need to develop mobile treatment capacity to treat wastes at the sites where the wastes are generated. Treatment processes used for mixed waste not only must address the hazardous component (i.e., meet LDRs) but also must contain the radioactive component in a form that allows final disposal while protecting workers, the public, and the environment. On the basis of recommendations of the Treatment Selection Team, DOE-AL assigned projects to the sites to bring mixed-waste treatment capacity on-line. The three technologies assigned to the DOE Grand Junction Projects Office (GJPO) are evaporative oxidation, thermal desorption, and treated wastewater evaporation. Rust Geotech, the DOE-GJPO prime contractor, was assigned to design and fabricate mobile treatment units (MTUs) for these three technologies and to deliver the MTUs to selected DOE-AL sites. To conduct treatability tests at the GJPO, Rust leased a pilot-scale evaporative oxidation unit from the Clemson Technical Center (CTC), Anderson, South Carolina. The purpose of this report is to document the findings and results of tests performed using this equipment.« less

  9. Rare presentation of a treatable disorder: glutaric aciduria type 1.

    PubMed

    Badve, Monica S; Bhuta, Sandeep; Mcgill, Jim

    2015-02-20

    A 32-year-old female patient presented with migraine and a bipolar disorder with frontal lobe dysfunction and bilateral pyramidal tract signs on examination. MRI brain revealed confluent bilateral symmetric white matter signal abnormality on T2 and FLAIR images with mild cerebral atrophy. Classic widening of Sylvian fissures and CSF space anterior to temporal lobes was seen. In view of the clinical and radiologic findings suggestive of a leukodystrophy, she was investigated for the same. Her investigations revealed an high level of urinary glutaric acid 857 mmol/mol creatinine (normal <4mmol/mol creatinine) and 3-hydroxyglutaric acid 44 mmol/mol creatinine (normal <1 mmol/mol creatinine) and plasma glutaryl carnitine 1.2 micromol/L; (normal <0.34 micromol/L). This was diagnostic of glutaric aciduria type 1. She was started on L-carnitine with which she showed clinical improvement. Testing for urinary organic acids is important when looking for treatable metabolic disorders (such as glutaric aciduria type I) in patients with leukodystrophy.

  10. 100-N Area Strontium-90 Treatability Demonstration Project: Phytoextraction Along the 100-N Columbia River Riparian Zone – Field Treatability Study

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Fellows, Robert J.; Fruchter, Jonathan S.; Driver, Crystal J.

    Strontium-90 (90Sr) is present both in the aquifer near the river and in the vadose and riparian zones of the river’s shore at 100-NR-2. Phytoextraction of 90Sr is being considered as a potential remediation system along the riparian zone of the Columbia River. Phytoextraction would employ coyote willow (Salix exigua). Past studies have shown that willow roots share uptake mechanisms for Sr with Ca, a plant macronutrient as well as no discrimination between Sr and 90Sr. Willow 90Sr concentration ratios [CR’s; (pCi 90Sr/g dry wt. of new growth tissue)/(pCi 90Sr/g soil porewater)] were consistently greater than 65 with three-quarters ofmore » the assimilated label partitioned into the above ground shoot. Insect herbivore experiments also demonstrated no significant potential for bioaccumulation or food chain transfer from their natural activities. The objectives of this field study were three-fold: (1) to demonstrate that a viable, “managed” plot of coyote willows can be established on the shoreline of the Columbia River that would survive the same microenvironment to be encountered at the 100-NR-2 shoreline; (2) to show through engineered barriers that large and small animal herbivores can be prevented from feeding on these plants; and (3) to show that once established, the plants will provide sufficient biomass annually to support the phytoextraction technology. A field treatability demonstration plot was established on the Columbia River shoreline alongside the 100-K West water intake at the end of January 2007. The plot was delimited by a 3.05 m high chain-link fence and was approximately 10 x 25 m in size. A layer of fine mesh metal small animal screening was placed around the plot at the base of the fencing to a depth of 45 cm. A total of sixty plants were placed in six slightly staggered rows with 1-m spacing between plants. The actual plot size was 0.00461 hectare (ha). At the time of planting (March 12, 2007), the plot was located about 10 m from

  11. The Gunite and Associated Tanks Remediation Project Tank Waste Retrieval Performance and Lessons Learned, vol. 1 [of 2

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lewis, BE

    2003-10-07

    ) Vendor List for the GAAT Remediation Project. The remediation of the GAATs was completed {approx}5.5 years ahead of schedule and {approx}$120,435,000 below the cost estimated in the Remedial Investigation/Feasibility Study for the project. These schedule and cost savings were a direct result of the selection and use of state-of-the-art technologies and the dedication and drive of the engineers, technicians, managers, craft workers, and support personnel that made up the GAAT Remediation Project Team.« less

  12. The Gunite and Associated Tanks Remediation Project Tank Waste Retrieval Performance and Lessons Learned, vol. 2 [of 2

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lewis, BE

    2003-10-07

    The Gunite and Associated Tanks (GAAT) Remediation Project was the first of its kind performed in the United States. Robotics and remotely operated equipment were used to successfully transfer almost 94,000 gal of remote-handled transuranic sludge containing over 81,000 Ci of radioactive contamination from nine large underground storage tanks at the Oak Ridge National Laboratory (ORNL). The sludge was transferred with over 439,000 gal of radioactive waste supernatant and {approx}420,500 gal of fresh water that was used in sluicing operations. The GAATs are located in a high-traffic area of ORNL near a main thoroughfare. Volume 1 provides information on themore » various phases of the project and describes the types of equipment used. Volume 1 also discusses the tank waste retrieval performance and the lessons learned during the remediation effort. Volume 2 consists of the following appendixes, which are referenced in Vol. 1: A--Background Information for the Gunite and Associated Tanks Operable Unit; B--Annotated Bibliography; C--GAAT Equipment Matrix; D--Comprehensive Listing of the Sample Analysis Data from the GAAT Remediation Project; and E--Vendor List for the GAAT Remediation Project. The remediation of the GAATs was completed {approx}5.5 years ahead of schedule and {approx}$120,435K below the cost estimated in the Remedial Investigation/Feasibility Study for the project. These schedule and cost savings were a direct result of the selection and use of state-of-the-art technologies and the dedication and drive of the engineers, technicians, managers, craft workers, and support personnel that made up the GAAT Remediation Project Team.« less

  13. Deep Vadose Zone Treatability Test for the Hanford Central Plateau. Interim Post-Desiccation Monitoring Results, Fiscal Year 2015

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Truex, Michael J.; Strickland, Christopher E.; Oostrom, Martinus

    A field test of desiccation is being conducted as an element of the Deep Vadose Zone Treatability Test Program. The active desiccation portion of the test has been completed. Monitoring data have been collected at the field test site during the post-desiccation period and are reported herein. This is an interim data summary report that includes about 4 years of post-desiccation monitoring data. The DOE field test plan proscribes a total of 5 years of post-desiccation monitoring.

  14. Plasma-based water treatment: development of a general mechanistic model to estimate the treatability of different types of contaminants

    NASA Astrophysics Data System (ADS)

    Mededovic Thagard, Selma; Stratton, Gunnar R.; Dai, Fei; Bellona, Christopher L.; Holsen, Thomas M.; Bohl, Douglas G.; Paek, Eunsu; Dickenson, Eric R. V.

    2017-01-01

    To determine the types of applications for which plasma-based water treatment (PWT) is best suited, the treatability of 23 environmental contaminants was assessed through treatment in a gas discharge reactor with argon bubbling, termed the enhanced-contact reactor. The contaminants were treated in a mixture to normalize reaction conditions and convective transport limitations. Treatability was compared in terms of the observed removal rate constant (k obs). To characterize the influence of interfacial processes on k obs, a model was developed that accurately predicts k obs for each compound, as well as the contributions to k obs from each of the three general degradation mechanisms thought to occur at or near the gas-liquid interface: ‘sub-surface’, ‘surface’ and ‘above-surface’. Sub-surface reactions occur just underneath the gas-liquid interface between the contaminants and dissolved plasma-generated radicals, contributing significantly to the removal of compounds that lack surfactant-like properties and so are not highly concentrated at the interface. Surface reactions occur at the interface between the contaminants and dissolved radicals, contributing significantly to the removal of surfactant-like compounds that have high interfacial concentrations. The contaminants’ interfacial concentrations were calculated using surface-activity parameters determined through surface tension measurements. Above-surface reactions are proposed to take place in the plasma interior between highly energetic plasma species and exposed portions of compounds that extend out of the interface. This mechanism largely accounts for the degradation of surfactant-like contaminants that contain highly hydrophobic perfluorocarbon groups, which are most likely to protrude from the interface. For a few compounds, the degree of exposure to the plasma interior was supported by new and previously reported molecular dynamics simulations results. By reviewing the predicted

  15. In situ treatability testing of reductive dechlorination in wetland sediments

    USGS Publications Warehouse

    Lorah, M.M.; Majcher, E.; Jones, E.; Driedger, G.; Dworatzek, S.; Graves, D.

    2005-01-01

    In situ treatability testing was conducted in the discharge wetlands along West Branch Canal Creek at Aberdeen Proving Ground, MD. The potential for stimulating reductive dechlorination of 1,1,2,2-tetrachloroethane, tetrachloroethylene, trichloroethylene, and carbon tetrachloride in areas of preferential discharge or seeps was evaluated. Geological Survey that degrades chlorinated ethanes and ethylenes was tested using MICRO-Trac??? devices. At seep 3-4W, results of the C and BA MICRO-Trac??? treatments showed essentially no biodegradation of chlorinated solvents occurring under natural and bioaugmented conditions. Results of geochemical samples at this site indicated predominantly iron- and sulfate-reducing conditions consistent with the rapid discharge rates previously measured. The biostimulated treatment showed stimulation of methanogenic conditions and partial degradation of the parent chlorinated VOC to intermediate chlorinated compounds. The bioaugmented and bistimulated treatment showed the highest production of methane, the highest removal of parent compounds and intermediate daughter products, and the highest production of the non-chlorinated end product ethylene. This is an abstract of a paper presented at the proceedings of the 8th International In Situ and On-Site Bioremediation Symposium (Baltimore, MD 6/6-9/2005).

  16. CoQ(10) deficiencies and MNGIE: two treatable mitochondrial disorders.

    PubMed

    Hirano, Michio; Garone, Caterina; Quinzii, Catarina M

    2012-05-01

    Although causative mutations have been identified for numerous mitochondrial disorders, few disease-modifying treatments are available. Two examples of treatable mitochondrial disorders are coenzyme Q(10) (CoQ(10) or ubiquinone) deficiency and mitochondrial neurogastrointestinal encephalomyopathy (MNGIE). Here, we describe clinical and molecular features of CoQ(10) deficiencies and MNGIE and explain how understanding their pathomechanisms have led to rationale therapies. Primary CoQ(10) deficiencies, due to mutations in genes required for ubiquinone biosynthesis, and secondary deficiencies, caused by genetic defects not directly related to CoQ(10) biosynthesis, often improve with CoQ(10) supplementation. In vitro and in vivo studies of CoQ(10) deficiencies have revealed biochemical alterations that may account for phenotypic differences among patients and variable responses to therapy. In contrast to the heterogeneous CoQ(10) deficiencies, MNGIE is a single autosomal recessive disease due to mutations in the TYMP gene encoding thymidine phosphorylase (TP). In MNGIE, loss of TP activity causes toxic accumulations of the nucleosides thymidine and deoxyuridine that are incorporated by the mitochondrial pyrimidine salvage pathway and cause deoxynucleoside triphosphate pool imbalances, which, in turn cause mtDNA instability. Allogeneic hematopoetic stem cell transplantation to restore TP activity and eliminate toxic metabolites is a promising therapy for MNGIE. CoQ(10) deficiencies and MNGIE demonstrate the feasibility of treating specific mitochondrial disorders through replacement of deficient metabolites or via elimination of excessive toxic molecules. Studies of CoQ(10) deficiencies and MNGIE illustrate how understanding the pathogenic mechanisms of mitochondrial diseases can lead to meaningful therapies. This article is part of a Special Issue entitled: Biochemistry of Mitochondria, Life and Intervention 2010. Copyright © 2012 Elsevier B.V. All rights reserved.

  17. Implementation of the Short-Term Assessment of Risk and Treatability over two phases.

    PubMed

    Kroppan, Erik; Nonstad, Kåre; Iversen, Runar Busch; Søndenaa, Erik

    2017-01-01

    Over the last decade, the Short-Term Assessment of Risk and Treatability (START) has provided a strong evidence base to predict a range of problem behaviors. The implementation of START and adaptation of the services to the use of START have so far been sparsely described in the literature. The purpose of this study was to describe the continuation and the interdisciplinarity of risk assessments through the two phases. Over a period of 10 years, the forensic mental health services at Brøset has implemented START in two phases: initially with implementing the instrument (2005-2009) and secondarily by customizing the instrument to everyday treatment and planning (since 2009). This implementation was based on data from 887 START assessments for 181 patients over a decade (2005-2015). The results showed that the number of START assessments has been stable throughout the past 10 years and the interval between the ratings has decreased significantly ( p <0.05). The involvement by diversity of professionals has increased significantly over the two implementation phases. This study also addressed the continuity and organization of the implementation process and presented an overview of how START has been widespread in the service through treatment. The results showed an increased multidisciplinary participation and a continuing rate of assessments as the implementation progressed from assessment to a combined assessment-treatment phase.

  18. Implementation of the Short-Term Assessment of Risk and Treatability over two phases

    PubMed Central

    Kroppan, Erik; Nonstad, Kåre; Iversen, Runar Busch; Søndenaa, Erik

    2017-01-01

    Background Over the last decade, the Short-Term Assessment of Risk and Treatability (START) has provided a strong evidence base to predict a range of problem behaviors. The implementation of START and adaptation of the services to the use of START have so far been sparsely described in the literature. The purpose of this study was to describe the continuation and the interdisciplinarity of risk assessments through the two phases. Methods Over a period of 10 years, the forensic mental health services at Brøset has implemented START in two phases: initially with implementing the instrument (2005–2009) and secondarily by customizing the instrument to everyday treatment and planning (since 2009). This implementation was based on data from 887 START assessments for 181 patients over a decade (2005–2015). Results The results showed that the number of START assessments has been stable throughout the past 10 years and the interval between the ratings has decreased significantly (p<0.05). The involvement by diversity of professionals has increased significantly over the two implementation phases. Conclusion This study also addressed the continuity and organization of the implementation process and presented an overview of how START has been widespread in the service through treatment. The results showed an increased multidisciplinary participation and a continuing rate of assessments as the implementation progressed from assessment to a combined assessment–treatment phase. PMID:28860799

  19. Pulsed corona discharge for improving treatability of coking wastewater.

    PubMed

    Liu, Ming; Preis, Sergei; Kornev, Iakov; Hu, Yun; Wei, Chao-Hai

    2018-02-01

    Coking wastewater (CW) contains toxic and macromolecular substances that inhibit biological treatment. The refractory compounds remaining in biologically treated coking wastewater (BTCW) provide chemical oxygen demand (COD) and color levels that make it unacceptable for reuse or disposal. Gas-phase pulsed corona discharge (PCD) utilizing mostly hydroxyl radicals and ozone as oxidants was applied to both raw coking wastewater (RCW) and BTCW wastewater as a supplemental treatment. The energy efficiency of COD, phenol, thiocyanate and cyanide degradation by PCD was the subject of the research. The cost-effective removal of intermediate oxidation products with addition of lime was also studied. The energy efficiency of oxidation was inversely proportional to the pulse repetition frequency: lower frequency allows more effective utilization of ozone at longer treatment times. Oxidative treatment of RCW showed the removal of phenol and thiocyanate at 800 pulses per second from 611 to 227mg/L and from 348 to 86mg/L, respectively, at 42kWh/m 3 delivered energy, with substantial improvement in the BOD 5 /COD ratio (from 0.14 to 0.43). The COD and color of BTCW were removed by 30% and 93%, respectively, at 20kWh/m 3 , showing energy efficiency for the PCD treatment exceeding that of conventional ozonation by a factor of 3-4. Application of lime appeared to be an effective supplement to the PCD treatment of RCW, degrading COD by about 28% at an energy input of 28kWh/m 3 and the lime dose of 3.0kg/m 3 . The improvement of RCW treatability is attributed to the degradation of toxic substances and fragmentation of macromolecular compounds. Copyright © 2017. Published by Elsevier B.V.

  20. Deep Vadose Zone Treatability Test for the Hanford Central Plateau: Interim Post-Desiccation Monitoring Results

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Truex, Michael J.; Oostrom, Martinus; Strickland, Christopher E.

    2013-09-01

    A field test of desiccation is being conducted as an element of the deep vadose zone treatability test program. Desiccation technology relies on removal of water from a portion of the subsurface such that the resultant low moisture conditions inhibit downward movement of water and dissolved contaminants. Previously, a field test report (Truex et al. 2012a) was prepared describing the active desiccation portion of the test and initial post-desiccation monitoring data. Additional monitoring data have been collected at the field test site during the post-desiccation period and is reported herein along with interpretation with respect to desiccation performance. This ismore » an interim report including about 2 years of post-desiccation monitoring data.« less

  1. NDMA Treatability Studies.

    DTIC Science & Technology

    1976-12-01

    This investigation evaluated the feasibility of destruction of NDMA using the wet air oxidation process. From the limited data evaluated, it was...determined that NDMA was amenable to destruction by wet air oxidation to approximately the 1.0 mg/l level with relative ease. Reduction below the 1.0 mg

  2. Taking Stock and Taking Steps: The Case for an Adolescent Version of the Short-Assessment of Risk and Treatability

    PubMed Central

    Viljoen, Jodi L.; Cruise, Keith R.; Nicholls, Tonia L.; Desmarais, Sarah L.; Webster, Christopher

    2012-01-01

    The field of violence risk assessment has matured considerably, possibly advancing beyond its own adolescence. At this point in the field’s evolution, it is more important than ever for the development of any new device to be accompanied by a strong rationale and the capacity to provide a unique contribution. With this issue in mind, we first take stock of the field of adolescent risk assessment in order to describe the rapid progress that this field has made, as well as the gaps that led us to adapt the Short-Term Assessment of Risk and Treatability (START; Webster, Martin, Brink, Nicholls, & Desmarais, 2009) for use with adolescents. We view the Short-Term Assessment of Risk and Treatability: Adolescent Version (START:AV; Nicholls, Viljoen, Cruise, Desmarais, & Webster, 2010; Viljoen, Cruise, Nicholls, Desmarais, & Webster, in progress) as complementing other risk measures in four primary ways: 1) rather than focusing solely on violence risk, it examines broader adverse outcomes to which some adolescents are vulnerable (including self-harm, suicide, victimization, substance abuse, unauthorized leave, self-neglect, general offending); 2) it places a balanced emphasis on adolescents’ strengths; 3) it focuses on dynamic factors that are relevant to short-term assessment, risk management, and treatment planning; and 4) it is designed for both mental health and justice populations. We describe the developmentally-informed approach we took in the adaptation of the START for adolescents, and outline future steps for the continuing validation and refinement of the START:AV. PMID:23436982

  3. Taking Stock and Taking Steps: The Case for an Adolescent Version of the Short-Assessment of Risk and Treatability.

    PubMed

    Viljoen, Jodi L; Cruise, Keith R; Nicholls, Tonia L; Desmarais, Sarah L; Webster, Christopher

    2012-01-01

    The field of violence risk assessment has matured considerably, possibly advancing beyond its own adolescence. At this point in the field's evolution, it is more important than ever for the development of any new device to be accompanied by a strong rationale and the capacity to provide a unique contribution. With this issue in mind, we first take stock of the field of adolescent risk assessment in order to describe the rapid progress that this field has made, as well as the gaps that led us to adapt the Short-Term Assessment of Risk and Treatability (START; Webster, Martin, Brink, Nicholls, & Desmarais, 2009) for use with adolescents. We view the Short-Term Assessment of Risk and Treatability: Adolescent Version (START:AV; Nicholls, Viljoen, Cruise, Desmarais, & Webster, 2010; Viljoen, Cruise, Nicholls, Desmarais, & Webster, in progress) as complementing other risk measures in four primary ways: 1) rather than focusing solely on violence risk, it examines broader adverse outcomes to which some adolescents are vulnerable (including self-harm, suicide, victimization, substance abuse, unauthorized leave, self-neglect, general offending); 2) it places a balanced emphasis on adolescents' strengths; 3) it focuses on dynamic factors that are relevant to short-term assessment, risk management, and treatment planning; and 4) it is designed for both mental health and justice populations. We describe the developmentally-informed approach we took in the adaptation of the START for adolescents, and outline future steps for the continuing validation and refinement of the START:AV.

  4. Urea cycle disorders: a life-threatening yet treatable cause of metabolic encephalopathy in adults.

    PubMed

    Blair, Nicholas F; Cremer, Philip D; Tchan, Michel C

    2015-02-01

    Urea cycle disorders are inborn errors of metabolism that, in rare cases, can present for the first time in adulthood. We report a perplexing presentation in a woman 4 days postpartum of bizarre and out-of-character behaviour interspersed with periods of complete normality. Without any focal neurological signs or abnormality on initial investigations, the diagnosis became clear with the finding of a significantly elevated plasma ammonia level, just as she began to deteriorate rapidly. She improved following intravenous dextrose and lipid emulsion, together with sodium benzoate, arginine and a protein-restricted diet. She remains well 12 months later with no permanent sequelae. Whilst this is a rare presentation of an uncommon disease, it is a treatable disorder and its early diagnosis can prevent a fatal outcome. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  5. Implications of land disturbance on drinking water treatability in a changing climate: demonstrating the need for "source water supply and protection" strategies.

    PubMed

    Emelko, Monica B; Silins, Uldis; Bladon, Kevin D; Stone, Micheal

    2011-01-01

    Forests form the critical source water areas for downstream drinking water supplies in many parts of the world, including the Rocky Mountain regions of North America. Large scale natural disturbances from wildfire and severe insect infestation are more likely because of warming climate and can significantly impact water quality downstream of forested headwaters regions. To investigate potential implications of changing climate and wildfire on drinking water treatment, the 2003 Lost Creek Wildfire in Alberta, Canada was studied. Four years of comprehensive hydrology and water quality data from seven watersheds were evaluated and synthesized to assess the implications of wildfire and post-fire intervention (salvage-logging) on downstream drinking water treatment. The 95th percentile turbidity and DOC remained low in streams draining unburned watersheds (5.1 NTU, 3.8 mg/L), even during periods of potential treatment challenge (e.g., stormflows, spring freshet); in contrast, they were elevated in streams draining burned (15.3 NTU, 4.6 mg/L) and salvage-logged (18.8 NTU, 9.9 mg/L) watersheds. Persistent increases in these parameters and observed increases in other contaminants such as nutrients, heavy metals, and chlorophyll-a in discharge from burned and salvage-logged watersheds present important economic and operational challenges for water treatment; most notably, a potential increased dependence on solids and DOC removal processes. Many traditional source water protection strategies would fail to adequately identify and evaluate many of the significant wildfire- and post-fire management-associated implications to drinking water "treatability"; accordingly, it is proposed that "source water supply and protection strategies" should be developed to consider a suppliers' ability to provide adequate quantities of potable water to meet demand by addressing all aspects of drinking water "supply" (i.e., quantity, timing of availability, and quality) and their relationship

  6. Cerebral creatine deficiencies: a group of treatable intellectual developmental disorders.

    PubMed

    Stockler-Ipsiroglu, Sylvia; van Karnebeek, Clara D M

    2014-07-01

    Currently there are 91 treatable inborn errors of metabolism that cause intellectual developmental disorders. Cerebral creatine deficiencies (CDD) comprise three of these: arginine: glycine amidinotransferase [AGAT], guanidinoacetate methyltransferase [GAMT], and X-linked creatine transporter deficiency [SLC6A8]. Intellectual developmental disorder and cerebral creatine deficiency are the hallmarks of CDD. Additional clinical features include prominent speech delay, autism, epilepsy, extrapyramidal movement disorders, and signal changes in the globus pallidus. Patients with GAMT deficiency exhibit the most severe clinical spectrum. Myopathy is a distinct feature in AGAT deficiency. Guanidinoacetate (GAA) is the immediate product in the creatine biosynthetic pathway. Low GAA concentrations in urine, plasma, and cerebrospinal fluid are characteristic diagnostic markers for AGAT deficiency, while high GAA concentrations are characteristic markers for GAMT deficiency. An elevated ratio of urinary creatine /creatinine excretion serves as a diagnostic marker in males with SLC6A8 deficiency. Treatment strategies include oral supplementation of high-dose creatine-monohydrate for all three CDD. Guanidinoacetate-reducing strategies (high-dose ornithine, arginine-restricted diet) are additionally employed in GAMT deficiency. Supplementation of substrates for intracerebral creatine synthesis (arginine, glycine) has been used additionally to treat SLC6A8 deficiency. Early recognition and treatment improves outcomes. Normal outcomes in neonatally ascertained siblings from index families with AGAT and GAMT deficiency suggest a potential benefit of newborn screening for these disorders. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  7. AMPD2 Regulates GTP Synthesis and is Mutated in a Potentially-Treatable Neurodegenerative Brainstem Disorder

    PubMed Central

    Akizu, Naiara; Cantagrel, Vincent; Schroth, Jana; Cai, Na; Vaux, Keith; McCloskey, Douglas; Naviaux, Robert K.; Vleet, Jeremy Van; Fenstermaker, Ali G.; Silhavy, Jennifer L.; Scheliga, Judith S.; Toyama, Keiko; Morisaki, Hiroko; Sonmez, Fatma Mujgan; Celep, Figen; Oraby, Azza; Zaki, Maha S.; Al-Baradie, Raidah; Faqeih, Eissa; Saleh, Mohammad; Spencer, Emily; Rosti, Rasim Ozgur; Scott, Eric; Nickerson, Elizabeth; Gabriel, Stacey; Morisaki, Takayuki; Holmes, Edward W.; Gleeson, Joseph G.

    2013-01-01

    Purine biosynthesis and metabolism, conserved in all living organisms, is essential for cellular energy homeostasis and nucleic acids synthesis. The de novo synthesis of purine precursors is under tight negative feedback regulation mediated by adenosine and guanine nucleotides. We describe a new distinct early-onset neurodegenerative condition resulting from mutations in the adenosine monophosphate deaminase 2 gene (AMPD2). Patients have characteristic brain imaging features of pontocerebellar hypoplasia (PCH), due to loss of brainstem and cerebellar parenchyma. We found that AMPD2 plays an evolutionary conserved role in the maintenance of cellular guanine nucleotide pools by regulating the feedback inhibition of adenosine derivatives on de novo purine synthesis. AMPD2 deficiency results in defective GTP-dependent initiation of protein translation, which can be rescued by administration of purine precursors. These data suggest AMPD2-related PCH as a new, potentially treatable early-onset neurodegenerative disease. PMID:23911318

  8. Pediatric ptosis as a sign of treatable autonomic dysfunction.

    PubMed

    Phillips, Lara; Robertson, David; Melson, Mark R; Garland, Emily M; Joos, Karen M

    2013-08-01

    To report the ophthalmic findings in young patients with dopamine β-hydroxylase deficiency and to assess them in the context of other reports in an attempt to discern if ophthalmic criteria may assist in early detection of this debilitating, yet treatable, disorder. Prospective, observational case series. An ophthalmic examination, including measuring intraocular and systemic blood pressures while supine, sitting, and standing, and eyelid function and pupillary function testing, was completed on 3 young patients with recently documented dopamine β-hydroxylase deficiency at a single institution. Mean arterial blood pressures were 90.1 ± 18.5 mm Hg supine, 79.1 ± 25.7 mm Hg sitting, and 45.8 ± 11.6 mm Hg standing (P = .021). Mean intraocular pressures in these patients were 15.8 ± 1.0 mm Hg supine, 15.0 ± 3.6 mm Hg sitting, and 7.7 ± 2.3 mm Hg standing (P = .03). Mean palpebral fissure, levator function, and margin reflex distance were 8.2 ± 1.0 mm, 16.0 ± 0 mm, and 2.8 ± 0.6 mm, respectively. Measurable miosis was present in only 1 patient, and pupillary supersensitivity to 2.5% phenylephrine was not observed. The ophthalmologic findings of the patients in this case series documented mild ptosis and striking orthostatic reductions in intraocular pressure and mean arterial blood pressure, as might be expected with a lack of intrinsic sympathetic function. Orthostatic intraocular pressure and mean arterial blood pressure may be a helpful early screening tool for autonomic dysfunction in children undergoing a ptosis evaluation. Copyright © 2013 Elsevier Inc. All rights reserved.

  9. Treatability Study of Pentaborane(9)

    NASA Technical Reports Server (NTRS)

    McDonald, Joseph K.; Wright, Jeffery S.; Gaines, Donald F.

    2000-01-01

    Procedures for the safe destruction of liquid pentaborane(9), B5H9, by solvolysis were investigated. The objective of the study was to establish the optimum conditions for a pilot plant operation that would use water, or alcohol, or water-alcohol mixtures as the solvolysis reagent Small amounts of B5H9 sprayed from a syringe will not necessarily enflame, nor will a small pool on a spot plate. Therefore, a procedure was developed to reproducibly demonstrate the flammability of B5H9 In these tests every sample of neat B5H9 ignited and burned with a very sooty flame till the sample was consumed. The spontaneous self-ignition of B5H9 was quenched by the addition of small concentrations of the ethers THF (tetrahydrofuran) or DME (1,2-dimethoxy ethane). It was found that 10% (volume) of either provided total quenching with a large margin of safety. When these stabilized solutions were exposed to air, they decomposed and evaporated leaving a residue that was identified by NMR analysis as boric acid. Most of the laboratory solvolysis experiments used the 90% B5H9, 10% THF solution. This mixture was safer to handle and its solvolysis reactivity was virtually identical to that of 100% B5H9. Reaction rates were analyzed by measurement of hydrogen evolved during the solvolysis reactions. In terms of the minimum overall complete reaction time, the data indicate that 50150 alcohol/water is the optimum solvolysis reagent. This reaction produced a mixture of boric acid, B(OH)3, and triethoxyborane, B(OEt)3 [Et = C2H5], and mixed exchange derivatives thereof.

  10. Treatability Study of Pentaborane(9)

    NASA Technical Reports Server (NTRS)

    McDonald, Joseph K.; Wright, Jeffery S.; Gaines, Donald F.

    2000-01-01

    Procedures for the safe destruction of liquid pentaborane(9), B5H9, by solvolysis were investigated. The objective of the study was to establish the optimum conditions for a pilot plant operation that would use water, or alcohol, or water-alcohol mixtures as the solvolysis reagent. Small amounts of B5H9 sprayed from a syringe will not necessarily enflame, nor will a small pool on a spot plate. Therefore, a procedure was developed to reproducibly demonstrate the flammability of B5H9. In these tests every sample of neat B5H9 ignited and burned with a very sooty flame till the sample was consumed. The spontaneous self-ignition of B5H9 was quenched by the addition of small concentrations of ethers THF (tetrahydrofuran) or DME (1,2-dimethoxy ethane). It was found that ten percent (volume) of either provided total quenching with a large margin of safety. When these stabilized solutions were exposed to air, they decomposed and evaporated leaving a residue that was identified by nuclear magnetic resonance (NMR) analysis as boric acid. Most of the laboratory solvolysis experiments used the 90 percent B5H9, 10 percent THF solution. This mixture was safer to handle and its solvolysis reactivity was virtually identical to that of 100 percent B5H9. Reaction rates were analyzed by measurement of hydrogen evolved during the solvolysis reactions. In terms of the minimum overall complete reaction time, the data indicate that 50/50 alcohol/water is the optimum solvolysis reagent. This reaction produced a mixture of boric acid, B(OH)3, and triethoxyborane, B(OEt)3[Et = C2H5], and mixed exchange derivatives thereof.

  11. AMPD2 regulates GTP synthesis and is mutated in a potentially treatable neurodegenerative brainstem disorder.

    PubMed

    Akizu, Naiara; Cantagrel, Vincent; Schroth, Jana; Cai, Na; Vaux, Keith; McCloskey, Douglas; Naviaux, Robert K; Van Vleet, Jeremy; Fenstermaker, Ali G; Silhavy, Jennifer L; Scheliga, Judith S; Toyama, Keiko; Morisaki, Hiroko; Sonmez, Fatma M; Celep, Figen; Oraby, Azza; Zaki, Maha S; Al-Baradie, Raidah; Faqeih, Eissa A; Saleh, Mohammed A M; Spencer, Emily; Rosti, Rasim Ozgur; Scott, Eric; Nickerson, Elizabeth; Gabriel, Stacey; Morisaki, Takayuki; Holmes, Edward W; Gleeson, Joseph G

    2013-08-01

    Purine biosynthesis and metabolism, conserved in all living organisms, is essential for cellular energy homeostasis and nucleic acid synthesis. The de novo synthesis of purine precursors is under tight negative feedback regulation mediated by adenosine and guanine nucleotides. We describe a distinct early-onset neurodegenerative condition resulting from mutations in the adenosine monophosphate deaminase 2 gene (AMPD2). Patients have characteristic brain imaging features of pontocerebellar hypoplasia (PCH) due to loss of brainstem and cerebellar parenchyma. We found that AMPD2 plays an evolutionary conserved role in the maintenance of cellular guanine nucleotide pools by regulating the feedback inhibition of adenosine derivatives on de novo purine synthesis. AMPD2 deficiency results in defective GTP-dependent initiation of protein translation, which can be rescued by administration of purine precursors. These data suggest AMPD2-related PCH as a potentially treatable early-onset neurodegenerative disease. Copyright © 2013 Elsevier Inc. All rights reserved.

  12. An assessment of burnout in graduate assistant certified athletic trainers.

    PubMed

    Mazerolle, Stephanie M; Monsma, Eva; Dixon, Colin; Mensch, James

    2012-01-01

    Graduate assistant athletic trainers (GAATs) must balance the demands of clinical care and the academic load of graduate-level students. To examine burnout among GAATs with clinical assistantships at National Collegiate Athletic Association (NCAA) Division I institutions and to identify the personal and situational variables that are related to burnout. Cross-sectional study. Division I universities offering graduate assistantship programs. Two hundred one GAATs enrolled at NCAA Division I universities with graduate assistantship positions. The Athletic Training Burnout Inventory, which assesses stress and burnout among ATs through 4 constructs: emotional exhaustion and depersonalization, administrative responsibility, time commitment, and organizational support. The 6-point Likert scale is anchored by 1 (never true) and 6 (always true). The GAATs who traveled with athletic teams (4.051 ± 0.895) and those who provided classroom instruction (4.333 ± 1.16) reported higher levels of stress due to time commitment than those who did not travel (3.713 ± 1.22) or teach (3.923 ± 0.929). We also found a difference in administrative responsibility across clinical settings (F(6,194) = 3.507, P = .003). The results showed that GAATs in NCAA Division I clinical settings (44.55 ± 13.17 hours) worked more hours than those in NCAA Division III clinical settings (33.69 ± 12.07 hours) and those in high school settings (30.51 ± 9.934 hours). Graduate assistant ATs are at risk for burnout because of the time necessary to complete their clinical and academic responsibilities and their additional administrative responsibilities. Graduate assistants who work in the Division I clinical setting are at greater risk for burnout than those in the secondary school setting because of the large number of hours required.

  13. Impact of paint shop decanter effluents on biological treatability of automotive industry wastewater.

    PubMed

    Güven, Didem; Hanhan, Oytun; Aksoy, Elif Ceren; Insel, Güçlü; Çokgör, Emine

    2017-05-15

    A lab-scale Sequencing Batch Reactor (SBR) was implemented to investigate biological treatability and kinetic characteristics of paint shop wastewater (PSW) together with main stream wastewater (MSW) of a bus production factory. Readily biodegradable and slowly biodegradable COD fractions of MWS were determined by respirometric analysis: 4.2% (S S ), 10.4% (S H ) and 59.3% (X S ). Carbon and nitrogen removal performance of the SBR feeding with MSW alone were obtained as 89% and 58%, respectively. When PSW was introduced to MSW, both carbon and nitrogen removal were deteriorated. Model simulation indicated that maximum heterotrophic growth rate decreased from 7.2 to 5.7day -1 , maximum hydrolysis rates were reduced from 6 to 4day -1 (k hS ) and 4 to 1day -1 (k hX ). Based on the dynamic model simulation for the evaluation of nitrogen removal, a maximum specific nitrifier growth rate was obtained as 0.45day -1 for MSW feeding alone. When PSW was introduced, nitrification was completely inhibited and following the termination of PSW addition, nitrogen removal performance was recovered in about 100 days, however with a much lower nitrifier growth rate (0.1day -1 ), possibly due to accumulation of toxic compounds in the sludge. Obviously, a longer recovery period is required to ensure an active nitrifier community. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Ball Powder Production Wastewater Biological Treatability Studies.

    DTIC Science & Technology

    1992-06-01

    biosorption . U Study the impact of stripping of ethyl acetate, the growth substrate on the removal of NG. U Investigate the endogenous denitrification...order to quantify the removal of NG due to biosorption . For these experiments, 250 ml of mixed liquor samples were 37 j collected at periodic intervals...F:M ratios on the removal of priority pollutants. Although some amount of biosorption was noticed, a mass balance on priority pollutants showed that

  15. An Assessment of Burnout in Graduate Assistant Certified Athletic Trainers

    PubMed Central

    Mazerolle, Stephanie M.; Monsma, Eva; Dixon, Colin; Mensch, James

    2012-01-01

    Context: Graduate assistant athletic trainers (GAATs) must balance the demands of clinical care and the academic load of graduate-level students. Objective: To examine burnout among GAATs with clinical assistantships at National Collegiate Athletic Association (NCAA) Division I institutions and to identify the personal and situational variables that are related to burnout. Design: Cross-sectional study. Setting: Division I universities offering graduate assistantship programs. Patients or Other Participants: Two hundred one GAATs enrolled at NCAA Division I universities with graduate assistantship positions. Main Outcome Measures(s): The Athletic Training Burnout Inventory, which assesses stress and burnout among ATs through 4 constructs: emotional exhaustion and depersonalization, administrative responsibility, time commitment, and organizational support. The 6-point Likert scale is anchored by 1 (never true) and 6 (always true). Results: The GAATs who traveled with athletic teams (4.051 ± 0.895) and those who provided classroom instruction (4.333 ± 1.16) reported higher levels of stress due to time commitment than those who did not travel (3.713 ± 1.22) or teach (3.923 ± 0.929). We also found a difference in administrative responsibility across clinical settings (F6,194  =  3.507, P  =  .003). The results showed that GAATs in NCAA Division I clinical settings (44.55 ± 13.17 hours) worked more hours than those in NCAA Division III clinical settings (33.69 ± 12.07 hours) and those in high school settings (30.51 ± 9.934 hours). Conclusions: Graduate assistant ATs are at risk for burnout because of the time necessary to complete their clinical and academic responsibilities and their additional administrative responsibilities. Graduate assistants who work in the Division I clinical setting are at greater risk for burnout than those in the secondary school setting because of the large number of hours required. PMID

  16. Treatability Studies of Tributyltin in Activated Sludge

    DTIC Science & Technology

    1989-12-01

    per liter pg/L Picograms per liter ppb Parts per billion RREL Risk Reduction Engineering Laboratory TBT Tributyltin Chloride TKN Total Kjeldahl number...success of tributyltin ( TBT ) compounds in inhibiting the growth of marine organisms has led to their use as pesticides in marine antifouling paints...CONTROL -4- ANALINE 150 E a. 100 zw 50 50 0 1 2 3 4 5 6 7 8 TIME (DAYS) Fig. 6. Inhibition studies of tributyltin . 17 ANILINE (100 mg/I) + TBT (0.05 mg

  17. Quality Assurance Project Plan for the treatability study of in situ vitrification of Seepage Pit 1 in Waste Area Grouping 7 at Oak Ridge National Laboratory

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    This Quality Assurance Project Plan (QAPjP) establishes the quality assurance procedures and requirements to be implemented for the control of quality-related activities for Phase 3 of the Treatability Study (TS) of In Situ Vitrification (ISV) of Seepage Pit 1, ORNL Waste Area Grouping 7. This QAPjP supplements the Quality Assurance Plan for Oak Ridge National Laboratory Environmental Restoration Program by providing information specific to the ISV-TS. Phase 3 of the TS involves the actual ISV melt operations and posttest monitoring of Pit 1 and vicinity. Previously, Phase 1 activities were completed, which involved determining the boundaries of Pit 1, usingmore » driven rods and pipes and mapping the distribution of radioactivity using logging tools within the pipes. Phase 2 involved sampling the contents, both liquid and solids, in and around seepage Pit 1 to determine their chemical and radionuclide composition and the spatial distribution of these attributes. A separate QAPjP was developed for each phase of the project. A readiness review of the Phase 3 activities presented QAPjP will be conducted prior to initiating field activities, and an Operational Acceptance, Test (OAT) will also be conducted with no contamination involved. After, the OAT is complete, the ISV process will be restarted, and the melt will be allowed to increase with depth and incorporate the radionuclide contamination at the bottom of Pit 1. Upon completion of melt 1, the equipment will be shut down and mobilized to an adjacent location at which melt 2 will commence.« less

  18. Criminal Activity or Treatable Health Condition? News Media Framing of Opioid Analgesic Abuse in the United States, 1998-2012.

    PubMed

    McGinty, Emma E; Kennedy-Hendricks, Alene; Baller, Julia; Niederdeppe, Jeff; Gollust, Sarah; Barry, Colleen L

    2016-04-01

    Opioid analgesic abuse is a complex and relatively new public health problem, and to date little is known about how the news media frame the issue. To better understand how this issue has been framed in public discourse, an analysis was conducted of the volume and content of news media coverage of opioid analgesic abuse over a 15-year period from 1998 to 2012 (N=673 news stories). A 70-item structured coding instrument was used to measure items in four domains that prior research suggests can influence public attitudes about health and social issues: causes, solutions, and consequences of the problem and individual depictions of persons who abuse opioid analgesics. Although experts have deemed opioid analgesic abuse a public health crisis, results of our study suggest that the news media more often frame the problem as a criminal justice issue. The most frequently mentioned cause of the problem was illegal drug dealing, and the most frequently mentioned solutions were law enforcement solutions designed to arrest and prosecute the individuals responsible for diverting opioid analgesics onto the illegal market. Prevention-oriented approaches, such as prescription drug-monitoring programs, were mentioned more frequently in the latter years of the study period, but less than 5% of news stories overall mentioned expanding substance abuse treatment, and even fewer mentioned expanding access to evidence-based medication-assisted treatments, such as buprenorphine. Findings underscore the need for a concerted effort to reframe opioid analgesic abuse as a treatable condition addressable via well-established public and behavioral health approaches.

  19. [Efficacy of epidural steroid injections for chronic lumbar pain syndromes without neurological deficits. A randomized, double blind study as part of a multimodal treatment concept].

    PubMed

    Niemier, K; Schindler, M; Volk, T; Baum, K; Wolf, B; Eberitsch, J; Seidel, W

    2015-07-01

    Chronic lumbar pain syndromes without neurological deficits are generated by a multitude of causes. Functional, morphological and psychosocial factors are discussed. In many cases a diseased intervertebral disc is found on radiological examination but the clinical relevance of these findings is not clear. For this study it was postulated that a diseased disc results in a local inflammatory reaction therefore causing pain and impairing treatability of patients. An epidural injection of steroids can reduce inflammation and therefore improve treatability and ultimately treatment outcome. A double blind randomized prospective trial was carried out. Patients treated in hospital for a chronic lumbar pain syndrome without neurological deficits within a multimodal treatment program were screened for indications for an epidural steroid injection (e.g. diseased lumbar disc and intention to treat). Patients eligible for the study were randomized into two groups. The treatment group received an epidural injection of 80 mg triamcinolone and 8 ml bupivacaine 0.25 %. The control group received only an epidural injection of 8 ml bupivacaine 0.25 %. In both groups pain intensity and treatability showed a statistically significant improvement after the epidural injection. The differences between the control and treatment groups were small and not clinically relevant. A small subgroup might profit from the steroid injection. In addition the treatability was dependent on psychometric values and the long-term outcome from a reduction of muscular skeletal dysfunctions. After the epidural injection the decrease in pain and increase in treatability was statistically significant. The mechanism of the improvement is not clear and should be examined further. The epidural injection of a steroid in this subgroup of patients did not lead to a clinical improvement in the outcome.

  20. Treatability assessment of polycyclic aromatic hydrocarbons contaminated marine sediments using permanganate, persulfate and Fenton oxidation processes.

    PubMed

    Shih, Yu-Jen; Binh, Nguyen Thanh; Chen, Chiu-Wen; Chen, Chih-Feng; Dong, Cheng-Di

    2016-05-01

    Various chemical oxidation techniques, such as potassium permanganate (KMnO4), sodium persulfate (Na2S2O8), Fenton (H2O2/Fe(2+)), and the modified persulfate and Fenton reagents (activated by ferrous complexes), were carried out to treat marine sediments that were contaminated with polycyclic aromatic hydrocarbons (PAHs) and dredged from Kaohsiung Harbor in Taiwan. Experimental results revealed that KMnO4 was the most effective of the tested oxidants in PAH degradation. Owing to the high organic matter content in the sediment that reduced the efficiencies of Na2S2O8 and regular Fenton reactions, a large excess of oxidant was required. Nevertheless, KH2PO4, Na4P2O7 and four chelating agents (EDTA, sodium citrate, oxalic acid, and sodium oxalate) were utilized to stabilize Fe(II) in activating the Na2S2O8 and Fenton oxidations, while Fe(II)-citrate remarkably promoted the PAH degradation. Increasing the molecular weight and number of rings of PAH did not affect the overall removal efficiencies. The correlation between the effectiveness of the oxidation processes and the physicochemical properties of individual PAH was statistically analyzed. The data implied that the reactivity of PAH (electron affinity and ionization potential) affected its treatability more than did its hydrophobicity (Kow, Koc and Sw), particularly using experimental conditions under which PAHs could be effectively oxidized. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. Portraying mental illness and drug addiction as treatable health conditions: effects of a randomized experiment on stigma and discrimination.

    PubMed

    McGinty, Emma E; Goldman, Howard H; Pescosolido, Bernice; Barry, Colleen L

    2015-02-01

    Despite significant advances in treatment, stigma and discrimination toward persons with mental illness and drug addiction have remained constant in past decades. Prior work suggests that portraying other stigmatized health conditions (i.e., HIV/AIDS) as treatable can improve public attitudes toward those affected. Our study compared the effects of vignettes portraying persons with untreated and symptomatic versus successfully treated and asymptomatic mental illness and drug addiction on several dimensions of public attitudes about these conditions. We conducted a survey-embedded randomized experiment using a national sample (N = 3940) from an online panel. Respondents were randomly assigned to read one of ten vignettes. Vignette one was a control vignette, vignettes 2-5 portrayed individuals with untreated schizophrenia, depression, prescription pain medication addiction and heroin addiction, and vignettes 6-10 portrayed successfully treated individuals with the same conditions. After reading the randomly assigned vignette, respondents answered questions about their attitudes related to mental illness or drug addiction. Portrayals of untreated and symptomatic schizophrenia, depression, and heroin addiction heightened negative public attitudes toward persons with mental illness and drug addiction. In contrast, portrayals of successfully treated schizophrenia, prescription painkiller addiction, and heroin addiction led to less desire for social distance, greater belief in the effectiveness of treatment, and less willingness to discriminate against persons with these conditions. Portrayal of persons with successfully treated mental illness and drug addiction is a promising strategy for reducing stigma and discrimination toward persons with these conditions and improving public perceptions of treatment effectiveness. Copyright © 2014 Elsevier Ltd. All rights reserved.

  2. The Predictive Validity of the Short-Term Assessment of Risk and Treatability (START) for Multiple Adverse Outcomes in a Secure Psychiatric Inpatient Setting.

    PubMed

    O'Shea, Laura E; Picchioni, Marco M; Dickens, Geoffrey L

    2016-04-01

    The Short-Term Assessment of Risk and Treatability (START) aims to assist mental health practitioners to estimate an individual's short-term risk for a range of adverse outcomes via structured consideration of their risk ("Vulnerabilities") and protective factors ("Strengths") in 20 areas. It has demonstrated predictive validity for aggression but this is less established for other outcomes. We collated START assessments for N = 200 adults in a secure mental health hospital and ascertained 3-month risk event incidence using the START Outcomes Scale. The specific risk estimates, which are the tool developers' suggested method of overall assessment, predicted aggression, self-harm/suicidality, and victimization, and had incremental validity over the Strength and Vulnerability scales for these outcomes. The Strength scale had incremental validity over the Vulnerability scale for aggressive outcomes; therefore, consideration of protective factors had demonstrable value in their prediction. Further evidence is required to support use of the START for the full range of outcomes it aims to predict. © The Author(s) 2015.

  3. RESULTS OF A METHOD VERIFICATION STUDY FOR ANALYSES OF PCP IN SOIL

    EPA Science Inventory

    As a prelude to a field demonstration of the fungal treatment technology by the SITE Program, a field treatability study was performed to select optimal fungal species and loading rates.using the site-specific soil matrix contaminated with Wood preserving wastes: PCP and PAHS. ur...

  4. Dose versus diagnosis: iatrogenic radiation exposure by multidetector computerised tomography in an academic emergency department with measurement of clinically actionable results and emergently treatable findings.

    PubMed

    Baskerville, J R; Chang, J H; Viator, M; Rutledge, W; Miryala, R; Duval, K E; Nishino, T K

    2009-01-01

    To determine the iatrogenic absorbed dosage of radiation of the patient in milligray (mGy) computerised tomography dose index volume (CTDIvol) when tested with multidetector computerised tomography (MDCT) in the emergency department (ED) setting and calculate the absorbed dosage of radiation per clinically actionable result and emergently treatable finding (ETF). The University of Texas Medical Branch (UTMB) ED located in Galveston, Texas, USA, is a level 1 trauma and tertiary referral centre treating 70,000 patients per annum. A retrospective cross-sectional data analysis of 770 emergency patients investigated by MDCT in July 2007. The presence of actionable results and ETF were determined by chart review. A total of 5320 emergency patients was treated in the UTMB ED in July 2007. This included 4508 medical and 812 trauma patients. A total of 1094 MDCT studies was performed, of which complete data were available on 1046. A total of 770 patients was investigated by MDCT, representing 14.47% of all emergency patients. This included 33.99% of trauma patients and 10.96% of medical patients. Actionable results were found in 341 studies and ETF in 105 studies. The mean radiation was 163.27 and 530.23 mGy CTDIvol for actionable results and ETF, respectively, for all studies. The mean radiation was 53.27 and 106.36 mGy CTDIvol for medical and trauma patients, respectively. The absorbed dosage of radiation of patients investigated by MDCT is clinically significant. The actionable results and ETF in our study demonstrate considerable opportunity for improvement in the utilisation of this technology by physicians.

  5. Retrospective cohort study shows that the risks for retinopathy of prematurity included birth age and weight, medical conditions and treatment.

    PubMed

    Ali, Aliaa A; Gomaa, Nancy A S; Awadein, Ahmed R; Al-Hayouti, Huda H; Hegazy, Ahmed I

    2017-12-01

    This study described the characteristics and risk factors of neonates who developed retinopathy of prematurity (ROP) and severe treatable ROP in two Egyptian neonatal intensive care units (NICUs). This retrospective cohort study comprised 108 preterm neonates who were screened for ROP after being admitted to the two NICUs run by Cairo University Hospital from June 2014 to May 2015. Patients were examined using digital fundus photography and indirect ophthalmoscopy was performed if ROP was detected. Retinopathy of prematurity occurred in 75 patients. Late-onset sepsis, ventilation and hypercapnia were independently associated with ROP. Patients who developed severe treatable ROP had a younger gestational age (GA) than patients who did not develop ROP or developed mild or moderate ROP (29 weeks, range 27-33 weeks versus 32 weeks, range 28-36 weeks, p = 0.002) and a lower birthweight (1200 g, range 980-1590 g versus 1460 g, range 770-2475 g, p = 0.029). The risk factors associated with severe treatable ROP included the duration of admission, the duration of incubator oxygen, late-onset sepsis, intraventricular haemorrhage, total parenteral nutrition and the duration of caffeine citrate therapy. This study showed that the risks for ROP were wide-ranging and included GA and weight, medical conditions and treatment. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  6. Treatability Study Pilot Test Operation Field Photos

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Li, Jun

    Photos in each group are in chronological order as captured: Group I Tank Platform Setup, November 14, 2017; Group II Tank Setup, November 15, 2017; Group III Aboveground Injestion System (AIS) Setup, November 20, 2017; Group IV Chemical Mixing, November 21, 2017; Group V KB-1 Bacteria Injection, November 27, 2017; Group VI Miscellaneous.

  7. INVENTORY OF TREATABILITY STUDY VENDORS - VOLUME 1

    EPA Science Inventory

    The Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) amendments mandate the use of permanent solutions to the maximum extent practicable when remediating Superfund sites. Fundamental to achieving this goal is the use of treatment technologies that red...

  8. INVENTORY OF TREATABILITY STUDY VENDORS - VOLUME 2

    EPA Science Inventory

    The Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) amendments mandate the use of permanent solutions to the maximum extent practicable when remediating Superfund sites. Fundamental to achieving this goal is the use of treatment technologies that r...

  9. Postoperative headache following acoustic neuroma resection: occipital nerve injuries are associated with a treatable occipital neuralgia.

    PubMed

    Ducic, Ivica; Felder, John M; Endara, Matthew

    2012-01-01

    postoperative headache appears directly related to the presence of occipital nerve injuries. In patients with postoperative headache meeting diagnostic criteria for occipital neuralgia, occipital nerve excision appears to provide relief of the headache syndrome and meaningful improvement in quality of life. Further studies are needed to confirm these results and to determine whether occipital nerve injury may present as headache types other than occipital neuralgia. These findings suggest that patients presenting with chronic postoperative headache should be screened for the presence of surgically treatable occipital nerve injuries. © 2012 American Headache Society.

  10. STABILIZATION OF MERCURY IN WASTE MATERIAL FROM THE SULFUR BANK MERCURY MINE, INNOVATIVE TECHNOLOGY EVALUATION REPORT

    EPA Science Inventory

    Three innovative technologies for stabilization of mercury were demonstrated in a treatability study performed on two waste rock materials from the Sulfur Bank Mercury Mine, a Superfund site in northern California. The treatability study was jointly sponsored by two EPA programs:...

  11. Aboveground Injection Sytem Construction and Mecahnical Integrity Test Plan

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Li, Jun

    An In-Situ Bioremediation (ISB) Pilot Test Treatability Study is planned at Sandia National Laboratories, New Mexico (SNL/NM) Technical Area-V (TA-V) Groundwater Area of Concern. The Treatability Study is designed to gravity inject an electron-donor substrate and bioaugmentation bacteria into groundwater using an injection well. The constituents of concern (COCs) are nitrate and trichloroethene (TCE). The Pilot Test Treatability Study will evaluate the effectiveness of bioremediation and COC treatment over a prescribed period of time. Results of the pilot test will provide data that will be used to evaluate the cost and effectiveness of a fullscale system.

  12. Biomethanization of citrus waste: Effect of waste characteristics and of storage on treatability and evaluation of limonene degradation.

    PubMed

    Lotito, Adriana Maria; De Sanctis, Marco; Pastore, Carlo; Di Iaconi, Claudio

    2018-06-01

    This study proposes the evaluation of the suitability of mesophilic anaerobic digestion as a simple technology for the treatment of the citrus waste produced by small-medium agro-industrial enterprises involved in the transformation of Citrus fruits. Two different stocks of citrus peel waste were used (i.e., fresh and stored citrus peel waste), to evaluate the influence of waste composition (variability in the type of processed Citrus fruits) and of storage (potentially necessary to operate the anaerobic digester continuously over the whole year due to the seasonality of the production) on anaerobic degradation treatability. A thorough characterization of the two waste types has been performed, showing that the fresh one has a higher solid and organic content, and that, in spite of the similar values of oil fraction amounts, the two stocks are significantly different in the composition of essential oils (43% of limonene and 34% of linalyl acetate in the fresh citrus waste and 20% of limonene and 74% of linalyl acetate in the stored citrus waste). Contrarily to what observed in previous studies, anaerobic digestion was successful and no reactor acidification occurred. No inhibition by limonene and linalyl acetate even at the maximum applied organic load value (i.e., 2.72 gCOD waste /gVS inoculum ) was observed in the treatment of the stored waste, with limonene and linalyl acetate concentrations of 104 mg/l and 385 mg/l, respectively. On the contrary, some inhibition was detected with fresh citrus peel waste when the organic load increased from 2.21 to 2.88 gCOD waste /gVS inoculum , ascribable to limonene at initial concentration higher than 150 mg/l. A good conversion into methane was observed with fresh peel waste, up to 0.33  [Formula: see text] at the highest organic load, very close to the maximum theoretical value of 0.35 [Formula: see text] , while a lower efficiency was achieved with stored peel waste, with a reduction down to 0.24  [Formula: see

  13. Application of advanced characterization techniques to assess DOM treatability of micro-polluted and un-polluted drinking source waters in China.

    PubMed

    Wang, Dongsheng; Xing, Linan; Xie, Jiankun; Chow, Christopher W K; Xu, Zhizhen; Zhao, Yanmei; Drikas, Mary

    2010-09-01

    China has a very complex water supply system which relies on many rivers and lakes. As the population and economic development increases, water quality is greatly impacted by anthropogenic processes. This seriously affects the character of the dissolved organic matter (DOM) and imposes operational challenges to the water treatment facilities in terms of process optimization. The aim of this investigation was to compare selected drinking water sources (raw) with different DOM character, and the respective treated waters after coagulation, using simple organic characterization techniques to obtain a better understanding of the impact of source water quality on water treatment. Results from the analyses of selected water samples showed that the dissolved organic carbon (DOC) of polluted waters is generally higher than that of un-polluted waters, but the specific UV absorbance value has the opposite trend. After resolving the high performance size exclusion chromatography (HPSEC) peak components of source waters using peak fitting, the twelve waters studied can be divided into two main groups (micro-polluted and un-polluted) by using cluster analysis. The DOM removal efficiency (treatability) of these waters has been compared using four coagulants. For water sources allocated to the un-polluted group, traditional coagulants (Al(2)(SO(4))(3) and FeCl(3)) achieved better removal. High performance poly aluminum chloride, a new type of composite coagulant, performed very well and more efficiently for polluted waters. After peak fitting the HPSEC chromatogram of each of the treated waters, average removal efficiency of the profiles can be calculated and these correspond well with DOC and UV removal. This provides a convenient tool to assess coagulation removal and coagulant selection. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

  14. Treatability of volatile chlorinated hydrocarbon-contaminated soils of different textures along a vertical profile by mechanical soil aeration: A laboratory test.

    PubMed

    Ma, Yan; Shi, Yi; Hou, Deyi; Zhang, Xi; Chen, Jiaqi; Wang, Zhifen; Xu, Zhu; Li, Fasheng; Du, Xiaoming

    2017-04-01

    Mechanical soil aeration is a simple, effective, and low-cost soil remediation technology that is suitable for sites contaminated with volatile chlorinated hydrocarbons (VCHs). Conventionally, this technique is used to treat the mixed soil of a site without considering the diversity and treatability of different soils within the site. A laboratory test was conducted to evaluate the effectiveness of mechanical soil aeration for remediating soils of different textures (silty, clayey, and sandy soils) along a vertical profile at an abandoned chloro-alkali chemical site in China. The collected soils were artificially contaminated with chloroform (TCM) and trichloroethylene (TCE). Mechanical soil aeration was effective for remediating VCHs (removal efficiency >98%). The volatilization process was described by an exponential kinetic function. In the early stage of treatment (0-7hr), rapid contaminant volatilization followed a pseudo-first order kinetic model. VCH concentrations decreased to low levels and showed a tailing phenomenon with very slow contaminant release after 8hr. Compared with silty and sandy soils, clayey soil has high organic-matter content, a large specific surface area, a high clay fraction, and a complex pore structure. These characteristics substantially influenced the removal process, making it less efficient, more time consuming, and consequently more expensive. Our findings provide a potential basis for optimizing soil remediation strategy in a cost-effective manner. Copyright © 2016. Published by Elsevier B.V.

  15. Theoretical studies of aluminum and aluminide alloys using CALPHAD and first-principles approach

    NASA Astrophysics Data System (ADS)

    Jiang, Chao

    Heat-treatable aluminum alloys have been widely used in the automobile and aerospace industries as structural materials due to their light weight and high strength. To study the age-hardening process in heat-treatable aluminum alloys, the Gibbs energies of the strengthening metastable phases, e.g. theta ' and theta″, are critical. However, those data are not included in the existing thermodynamic databases for aluminum alloys due to the semi-empirical nature of the CALPHAD approach. In the present study, the thermodynamics of the Al-Cu system, the pivotal age-hardening system, is remodeled using a combined CALPHAD and first-principles approach. The formation enthalpies and vibrational formation entropies of the stable and metastable phases in the Al-Cu system are provided by first-principles calculations. Special Quasirandom Structures (SQS's) are applied to model the substitutionally random fee and bee alloys. SQS's for binary bee alloys are developed and tested in the present study. Finally, a self-consistent thermodynamic description of the Al-Cu system including the two metastable theta″ and theta' phases is obtained. During welding of heat-treatable aluminum alloys, a detrimental phenomenon called constitutional liquation, i.e. the local eutectic melting of second-phase particles in a matrix at temperatures above the eutectic temperature but below the solidus of the alloy, may occur in the heat-affected zone (HAZ). In the present study, diffusion code DICTRA coupled with realistic thermodynamic and kinetic databases is used to simulate the constitutional liquation in the model Al-Cu system. The simulated results are in quantitative agreement with experiments. The critical heating rate to avoid constitutional liquation is also determined through computer simulations. Besides the heat-treatable aluminum alloys, intermetallic compounds based on transition metal aluminides, e.g. NiAl and FeAl, are also promising candidates for the next-generation of high

  16. Process wastewater treatability study for Westinghouse fluidized-bed coal gasification

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Winton, S.L.; Buvinger, B.J.; Evans, J.M.

    1983-11-01

    In the development of a synthetic fuels facility, water usage and wastewater treatment are major areas of concern. Coal gasification processes generally produce relatively large volumes of gas condensates. These wastewaters are typically composed of a variety of suspended and dissolved organic and inorganic solids and dissolved gaseous contaminants. Fluidized-bed coal gasification (FBG) processes are no exception to this rule. The Department of Energy's Morgantown Energy Technology Center (METC), the Gas Research Institute (GRI), and the Environmental Protection Agency (EPA/IERLRTP) recognized the need for a FBG treatment program to provide process design data for FBG wastewaters during the environmental, health,more » and safety characterization of the Westinghouse Process Development Unit (PDU). In response to this need, METC developed conceptual designs and a program plan to obtain process design and performance data for treating wastewater from commercial-scale Westinghouse-based synfuels plants. As a result of this plan, METC, GRI, and EPA entered into a joint program to develop performance data, design parameters, conceptual designs, and cost estimates for treating wastewaters from a FBG plant. Wastewater from the Westinghouse PDU consists of process quench and gas cooling condensates which are similar to those produced by other FBG processes such as U-Gas, and entrained-bed gasification processes such as Texaco. Therefore, wastewater from this facility was selected as the basis for this study. This paper outlines the current program for developing process design and cost data for the treatment of these wastewaters.« less

  17. Deep Vadose Zone Treatability Test for the Hanford Central Plateau: Interim Post-Desiccation Monitoring Results, Fiscal Year 2014

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Truex, Michael J.; Strickland, Christopher E.; Johnson, Christian D.

    Over decades of operation, the U.S. Department of Energy (DOE) and its predecessors have released nearly 2 trillion L (450 billion gal.) of liquid into the vadose zone at the Hanford Site. Much of this discharge of liquid waste into the vadose zone occurred in the Central Plateau, a 200 km 2 (75 mi 2) area that includes approximately 800 waste sites. Some of the inorganic and radionuclide contaminants in the deep vadose zone at the Hanford Site are at depths below the limit of direct exposure pathways, but may need to be remediated to protect groundwater. The Tri-Party Agenciesmore » (DOE, U.S. Environmental Protection Agency, and Washington State Department of Ecology) established Milestone M 015 50, which directed DOE to submit a treatability test plan for remediation of technetium-99 (Tc-99) and uranium in the deep vadose zone. These contaminants are mobile in the subsurface environment and have been detected at high concentrations deep in the vadose zone, and at some locations have reached groundwater. Testing technologies for remediating Tc-99 and uranium will also provide information relevant for remediating other contaminants in the vadose zone. A field test of desiccation is being conducted as an element of the DOE test plan published in March 2008 to meet Milestone M 015 50. The active desiccation portion of the test has been completed. Monitoring data have been collected at the field test site during the post-desiccation period and are reported herein. This is an interim data summary report that includes about 3 years of post-desiccation monitoring data. The DOE field test plan proscribes a total of 5 years of post-desiccation monitoring.« less

  18. Heat Treating Apparatus

    DOEpatents

    De Saro, Robert; Bateman, Willis

    2002-09-10

    Apparatus for heat treating a heat treatable material including a housing having an upper opening for receiving a heat treatable material at a first temperature, a lower opening, and a chamber therebetween for heating the heat treatable material to a second temperature higher than the first temperature as the heat treatable material moves through the chamber from the upper to the lower opening. A gas supply assembly is operatively engaged to the housing at the lower opening, and includes a source of gas, a gas delivery assembly for delivering the gas through a plurality of pathways into the housing in countercurrent flow to movement of the heat treatable material, whereby the heat treatable material passes through the lower opening at the second temperature, and a control assembly for controlling conditions within the chamber to enable the heat treatable material to reach the second temperature and pass through the lower opening at the second temperature as a heated material.

  19. A Study of Super Refractory Status Epilepticus from India.

    PubMed

    Misra, Usha K; Kalita, Jayantee; Dubey, Deepanshu

    2017-01-01

    Super refractory status epilepticus (SRSE) is an important and recently recognized neurological emergency. In view of paucity of studies on SRSE, we report the frequency, etiology and outcome of SRSE. In a hospital-based observational study during 2013 to 2016, consecutive patients with SRSE [persistence of status epilepticus (SE) for 24 h or more, or recurrence of SE on weaning of intravenous anesthetic] were included. The demographic, clinical, and laboratory data were obtained and the severity of SE was defined using Status Epilepticus Severity Score (STESS). The outcome was defined as control of SE, hospital death, and functional status at the time of discharge. Fourteen (13%) patients developed SRSE. Their median age was 27.5 (2-70) years and four were below 18 years of age. The etiology of SRSE was metabolic encephalopathy and encephalitis in five patients each, cerebral venous sinus thrombosis in one and miscellaneous disorders in three patients. Six (43%) patients died. The patients with SRSE had higher admission STESS ( p  = 0.04), and longer intensive care unit ( p  < 0.01) and hospital ( p  = 0.004) stay compared to non-SRSE group. The patients with treatable etiology had better outcome. SRSE occurred in 13% patients with SE and 43% of them died. The SRSE patients with treatable etiology had a better outcome.

  20. Bile acid malabsorption after pelvic and prostate intensity modulated radiation therapy: an uncommon but treatable condition.

    PubMed

    Harris, Victoria; Benton, Barbara; Sohaib, Aslam; Dearnaley, David; Andreyev, H Jervoise N

    2012-12-01

    Intensity modulated radiation therapy (IMRT) is a significant therapeutic advance in prostate cancer, allowing increased tumor dose delivery and increased sparing of normal tissues. IMRT planning uses strict dose constraints to nearby organs to limit toxicity. Bile acid malabsorption (BAM) is a treatable disorder of the terminal ileum (TI) that presents with symptoms similar to radiation therapy toxicity. It has not been described in patients receiving RT for prostate cancer in the contemporary era. We describe new-onset BAM in men after IMRT for prostate cancer. Diagnosis of new-onset BAM was established after typical symptoms developed, selenium-75 homocholic acid taurine (SeHCAT) scanning showed 7-day retention of <15%, and patients' symptoms unequivocally responded to a bile acid sequestrant. The TI was identified on the original radiation therapy plan, and the radiation dose delivered was calculated and compared with accepted dose-volume constraints. Five of 423 men treated in a prospective series of high-dose prostate and pelvic IMRT were identified with new onset BAM (median age, 65 years old). All reported having normal bowel habits before RT. The volume of TI ranged from 26-141 cc. The radiation dose received by the TI varied between 11.4 Gy and 62.1 Gy (uncorrected). Three of 5 patients had TI treated in excess of 45 Gy (equivalent dose calculated in 2-Gy fractions, using an α/β ratio of 3) with volumes ranging from 1.6 cc-49.0 cc. One patient had mild BAM (SeHCAT retention, 10%-15%), 2 had moderate BAM (SeHCAT retention, 5%-10%), and 2 had severe BAM (SeHCAT retention, <5%). The 3 patients whose TI received ≥45 Gy developed moderate to severe BAM, whereas those whose TI received <45 Gy had only mild to moderate BAM. Radiation delivered to the TI during IMRT may cause BAM. Identification of the TI from unenhanced RT planning computed tomography scans is difficult and may impede accurate dosimetric evaluation. Thorough toxicity assessment and close

  1. SUPERFUND TREATABILITY CLEARINGHOUSE: FINAL REPORT: SOIL TREATMENT PILOT STUDY BRIO/DOP SITE

    EPA Science Inventory

    Bench and pilot-scale studies were conducted to demonstrate the feasibility of using solid-phase biodegradation for destroying portions of organic constituents present in the soil. The predominant constituents at the BRIO DOP site located in Texas were volatile compounds such...

  2. Monitored Natural Attenuation of ino9rganic Contaminants Treatability Study Final Report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Crapse, K

    2004-05-19

    The identification and quantification of key natural attenuation processes for inorganic contaminants at D-Area is detailed herein. Two overarching goals of this evaluation of monitored natural attenuation (MNA) as a remediation strategy were (1) to better define the availability of inorganic contaminants as potential sources for transport to groundwater and uptake by environmental receptors and (2) to understand the site-specific mechanisms controlling attenuation of these inorganic contaminants through tandem geochemical and biological characterization. Data collected in this study provides input for more appropriate site groundwater transport models. Significant natural attenuation is occurring at D-Area as evidenced by relatively low aqueousmore » concentrations of constituents of concern (COCs) (Be, Ni, U, and As) at all locations characterized and the decrease in groundwater concentrations with increasing distance from the source. The observed magnitude of decrease in groundwater concentrations of COCs with distance from the D-Area Coal Pile Runoff Basin (DCPRB) could not be accounted for by the modeled physical attenuation processes of dilution/dispersion. This additional attenuation, i.e., the observed difference between the groundwater concentrations of COCs and the modeled physical attenuation, is due to biogeochemical processes occurring at the D-Area. In tandem geochemical and microbiological characterization studies designed to evaluate the mechanisms contributing to natural attenuation, pH was the single parameter found to be most predictive of contaminant attenuation. The increasing pH with distance from the source is likely responsible for increased sorption of COCs to soil surfaces within the aquifer at D-Area. Importantly, because the sediments appear to have a high buffering capacity, the acid emanating from the DCPRB has been neutralized by the soil, and these conditions have led to large Kd values at the site. Two major types of soils are

  3. Project health and safety plan for the Gunite and Associated Tanks at Oak Ridge National Laboratory, Oak Ridge, Tennessee

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Abston, J.P.

    1997-04-01

    The Lockheed Martin Energy Systems, Inc. (Energy Systems) policy is to provide a safe and healthful workplace for all employees and subcontractors. The accomplishment of this policy requires that operations at the Gunite and Associated Tanks (GAAT) in the North and South Tank Farms (NTF and STF) at the Department of Energy (DOE) Oak Ridge National Laboratory are guided by an overall plan and consistent proactive approach to health and safety (H and S) issues. The policy and procedures in this plan apply to all GAAT operations in the NTF and STF. The provisions of this plan are to bemore » carried out whenever activities identifies s part of the GAAT are initiated that could be a threat to human health or the environment. This plan implements a policy and establishes criteria for the development of procedures for day-to-day operations to prevent or minimize any adverse impact to the environment and personnel safety and health and to meet standards that define acceptable management of hazardous and radioactive materials and wastes. The plan is written to utilize past experience and best management practices in order to minimize hazards to human health or the environment from events such as fires, explosions, falls, mechanical hazards, or any unplanned release of hazardous or radioactive materials to the air. This plan explains additional task-specific health and safety requirements such as the Site Safety and health Addendum and Activity Hazard Analysis, which should be used in concert with this plan and existing established procedures.« less

  4. Pharmacokinetic Profile, Safety, and Tolerability of Crisaborole Topical Ointment, 2% in Adolescents with Atopic Dermatitis: An Open-Label Phase 2a Study.

    PubMed

    Tom, Wynnis L; Van Syoc, Merrie; Chanda, Sanjay; Zane, Lee T

    2016-01-01

    Phosphodiesterase-4 (PDE4) is an emerging target in treating inflammatory skin diseases. Crisaborole topical ointment, 2% is a novel, boron-based, topical PDE4 inhibitor under investigation for treatment of mild to moderate atopic dermatitis (AD). Adolescent patients aged 12 to 17 years with treatable AD lesions involving ≥ 10% to ≤ 35% body surface area (BSA) were enrolled into a phase 2a, open-label study comprising pharmacokinetic (PK), safety, tolerability, and efficacy assessments. Crisaborole topical ointment, 2% was applied twice daily to affected areas for 28 days, with dosage based on baseline treatable BSA. PK blood samples were collected on days 1, 2, 4, 6, 8, and 9. Safety assessments included adverse events (AEs), laboratory parameters, and vital signs. Efficacy assessments included the Investigator's Static Global Assessment (ISGA) score and severity of AD signs and symptoms. Twenty-three patients were enrolled; 22 completed the study (1 patient discontinued due to an AE [application site dermatitis]). PK analysis demonstrated limited exposure to crisaborole topical ointment, 2% after 8 days of dosing. Ten patients reported a total of 19 AEs, most commonly application site pain and nasopharyngitis (3 patients each). There were no clinically meaningful changes in laboratory or vital sign parameters. Efficacy was demonstrated by reductions in mean ISGA and AD sign and symptom severity scores. At day 29, eight patients (35%) had achieved an ISGA score ≤ 1 with ≥ 2-grade improvement. Mean treatable BSA declined from 17.6% to 8.2%. These results provide preliminary evidence for the limited systemic exposure, safety, and effectiveness of crisaborole topical ointment, 2% in adolescents with mild to moderate AD. © 2016 Wiley Periodicals, Inc.

  5. Increasing awareness with recognition of pulsatile tinnitus for nurse practitioners in the primary care setting: A case study.

    PubMed

    Vecchiarelli, Kelly; Amar, Arun Paul; Emanuele, Donna

    2017-09-01

    Pulsatile tinnitus is a whooshing sound heard synchronous with the heartbeat. It is an uncommon symptom affecting fewer than 10% of patients with tinnitus. It often goes unrecognized in the primary care setting. Failure to recognize this symptom can result in a missed or delayed diagnosis of a potentially life-threatening condition known as a dural arteriovenous fistula. The purpose of this case study is to provide a structured approach to the identification of pulsatile tinnitus and provide management recommendations. A case study and review of pertinent literature. Pulsatile tinnitus usually has a vascular treatable cause. A comprehensive history and physical examination will alert the nurse practitioner (NP) when pulsatile tinnitus is present. Auscultation in specific areas of the head can detect audible or objective pulsatile tinnitus. Pulsatile tinnitus that is audible to the examiner is an urgent medical condition requiring immediate consultation and referral. Knowledge of pulsatile tinnitus and awareness of this often treatable condition directs the NP to perform a detailed assessment when patients present with tinnitus, directs appropriate referral for care and treatment, and can reduce the risk of delayed or missed diagnosis. ©2017 American Association of Nurse Practitioners.

  6. Disinfection byproduct precursor dynamics and water treatability during an extreme flooding event in a coastal blackwater river in southeastern United States.

    PubMed

    Ruecker, A; Uzun, H; Karanfil, T; Tsui, M T K; Chow, A T

    2017-12-01

    Coastal blackwater rivers, characterized by high concentrations of natural organic matter, are source water for millions of people in the southeastern US. In October 2015, large areas of coastal South Carolina were flooded by Hurricane Joaquin. This so-called "thousand-year" rainfall mobilized and flushed large amounts of terrestrial organic matter and associated pollutants (e.g. mercury) into source water, affecting water quality and safety of municipal water supply. To understand the dynamics of water quality and water treatability during this extreme flood, water samples were collected from Waccamaw River (a typical blackwater river in the southeastern US) during rising limb, peak discharge, falling limb, and base flow. Despite decreasing water flow after peak discharge, dissolved organic carbon (DOC) levels (increased by up to 125%), and formation potentials of trihalomethanes and haloacetic acids (increased by up to 150%) remained high for an extended period of time (>eight weeks after peak discharge), while variation in the N-nitrosodimethylamine (NDMA) FP was negligible. Coagulation with alum and ferric at optimal dosage significantly reduced concentrations of DOC by 51-76%, but up to 10 mg/L of DOC still remained in treated waters. For an extended period of time, elevated levels of THMs (71-448 μg/L) and HAAs (88-406 μg/L) were quantified in laboratory chlorination experiments under uniform formation conditions (UFC), exceeding the United States Environmental Protection Agency's (USEPA) maximum contaminant level of 80 and 60 μg/L, respectively. Results demonstrated that populations in coastal cities are at high risk with disinfection by-products (DBPs) under the changing climate. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Addition to Transition Assessment Resources: A Template for Determining the Use of Guardianship Alternatives for Students Who Have Intellectual Disability

    ERIC Educational Resources Information Center

    Millar, Dorothy Squatrito

    2014-01-01

    The main purpose of this article is to add to the transition assessment resources by introducing the Guardianship Alternative Assessment Template (GAAT) as it relates to guardianship prevention for youth and adults who have an intellectual disability. Guardianship refers to a legal intervention when a court determines that adult individuals are…

  8. Grenade Range Management Using Lime for Metals Immobilization and Explosives Transformation Treatability Study

    DTIC Science & Technology

    2007-06-01

    of metals and explo- sives from HGR soil are transport in surface water and subsurface trans- port in leachate or pore water. Simple, innovative, and...and II.................................................................................... 41 RDX in leachate and runoff...44 Significant metals in leachate and runoff from Lysimeter Study I

  9. Evaluation of irregular menses in perimenarcheal girls: a pilot study.

    PubMed

    Browner-Elhanan, Karen J; Epstein, Jonathan; Alderman, Elizabeth M

    2003-12-01

    Acyclic vaginal bleeding in girls within three years of menarche is most commonly attributed to an immature hypothalamic-pituitary-ovarian axis. Assuming this diagnosis may preclude the practitioner from performing more definitive studies and thereby diagnosing other, treatable causes of menstrual irregularities. A retrospective chart review of 178 girls presenting to an inner-city hospital-based adolescent clinic within three years of menarche was performed. Personal and family medical and menarcheal history was assessed, and findings on physical and laboratory examination performed were evaluated. Of the 178 girls still perimenarcheal at presentation, 47 were the focus of this study. Of these, 39 had no significant findings on physical examination, while 3 had signs of functional ovarian hyperandrogenism (FOH) including obesity, hirsutism, and moderate acne with corresponding LH/FSH ratios>3, although pelvic ultrasound examination revealed normal ovaries. Four of the 39 patients with normal physical exams had LH/FSH testing done, and 1 of the 4 had an abnormal LH/FSH ratio, indicating possible FOH. Two of the 47 patients were pregnant. Other laboratory abnormalities included microcytic, hypochromic anemia in patients, and an elevated Erythrocyte Sedimentation Rate in a patient later diagnosed with a rheumatologic disorder. Those perimenarcheal girls presenting with irregular menses and findings including obesity, acne, or pallor, were likely to have treatable causes of menstrual irregularities. In one of the four girls with a normal physical examination, hormonal testing indicated possible FOH, thus suggesting that hormonal evaluation of perimenarcheal girls with menstrual irregularities may be justified, as it may reveal previously unsuspected pathology.

  10. SUPERFUND TREATABILITY CLEARINGHOUSE ...

    EPA Pesticide Factsheets

    This newsletter reports on the Huber Technology Groups (HTG) high temperature advanced hazardous waste treatment technology capable of very high destruction and removal efficiencies of various hazardous wastes. This newsletter addresses the destruction of PCBs in an EPA certification test of the HTG Advanced Electric Reactor. provide information

  11. BIOREMEDIATION TREATABILITY STUDIES OF CONTAMINATED SOILS AT WOOD PRESERVING SITES

    EPA Science Inventory

    Bioremediationis used frequently at sites contaminated with organic hazardous chemical where releases from processing vessels and the mismanagement of reagents and generated waste have contributed to significant impairment of the environment. At wood treater sites, process reagen...

  12. Remediation by Natural Attenuation Treatability Study for Operable Unit 5

    DTIC Science & Technology

    1997-12-01

    remaining as a result of all attenuation processes is equivalent to the fraction of contaminant remaining as a result of non - destructive attenuation...Alternative 1-- RNA Combined with LTM, Institutional Controls , Air Sparging Along Main Street, and Groundwater Extraction and Treatment Near Well Pair MW137...MW138 .............................. 6-4 6.3.2 Alternative 2 -- RNA, LTM, Institutional Controls , Air Sparging along Main Street, Groundwater

  13. [An overview of neurometabolic diseases in Tunisia. a 3-year prospective study].

    PubMed

    Kraoua, I; Benrhouma, H; Rouissi, A; Youssef-Turki, I Ben; Zouari, B; Kaabachi, N; Gouider-Khouja, N

    2009-01-01

    Neurometabolic diseases are a large group of genetic diseases. In our country, the diagnostic and therapeutic approach to theses diseases is rather difficult. The aim of our study was to determine the frequency of neurometabolic diseases in the hospital population, to describe the problems in diagnosing these conditions and difficulties encountered during patient care. Our goal was to propose guidelines for a practical diagnostic and therapeutic approach to neurometabolic disorders in our country. We have conducted a prospective study over a 3-year period including all patients diagnosed with "metabolic disease" and followed at the Child and Adolescent Neurology Department of the National Institute of Neurology of Tunis. One hundred and thirty-six patients were included (2.4% of our patients). Mean age was 7.3 +/- 5.1 years. Mean age at onset was 4.3 years. There was a high consanguinity rate. Respiratory chain defects were the most frequently suspected diseases (16.9%), followed by lysosomal diseases (8.8%). Chromatography, initially systematically prescribed, became targeted with a higher diagnostic efficacy. Metabolic diseases diagnosed as certain, represented 22% of the studied cases. This can be explained by the insufficiency of available laboratory tests of confirmation. The prescription of specific treatment was insufficient, even for confirmed pathologies (14.7%) because of the high cost of these therapies. The diagnostic approach has to be rational, targeted, multidisciplinar and conducted within a care network. Diagnostic priority should focus on treatable neurometabolic diseases. The establishment of a systematized registry and neonatal screening for the main treatable neurometabolic diseases constitute the final objective of our work to prepare for biochemical and genetic studies.

  14. Correlation between Histological Status of the Pulp and Its Response to Sensibility Tests

    PubMed Central

    Naseri, Mandana; Khayat, Akbar; Zamaheni, Sara; Shojaeian, Shiva

    2017-01-01

    Introduction: The purpose of this study was to assess the accuracy of sensibility tests by correlating it with histologic pulp condition. Methods and Materials: Assessment of clinical signs and symptoms were performed on 65 permanent teeth that were scheduled to be extracted for periodontal, prosthodontic or orthodontic reasons. The normal pulp and reversible pulpitis were considered as treatable tooth conditions while irreversible pulpitis and necrosis were considered as untreatable conditions. The teeth were then extracted and sectioned for histological analysis of dental pulp. Histologic status and classification corresponded to the treatable or untreatable pulp condition. Comparisons between histological treatable and untreatable pulp condition were performed with chi-square analysis for sensibility test responses. The positive predictive value (PPV), negative predictive value (NPV) and accuracy to detect untreatable from treatable pulp condition were calculated for each test. Results: A significant difference was detected in the normal and a sharp lingered response to heat and cold tests. There was significant difference in the negative response to EPT between histological groups. The kappa agreement coefficient between clinical and histological diagnosis of pulp condition was about 0.843 (P<0.001). The accuracy of cold and heat tests and EPT to detect treatable pulp or untreatable pulp states were 78, 74 and 62%, respectively. The sensibility tests diagnosed untreatable pulpitis with a higher probability (NPV=63%-67% -54%, PPV=83%-91% -95% for heat, cold and EPT, respectively). Conclusion: Sensibility test results were more likely to diagnose pulpal disease or untreatable pulp conditions. However, to increase the diagnostic accuracy patient history, clinical signs and symptoms and also radiographic findings in conjunction with sensibility tests must be used. The result of this small study demonstrated a good agreement between clinical and histological pulp

  15. Cerebral blood volume and vasodilation are independently diminished by aging and hypertension: A near infrared spectroscopy study

    USDA-ARS?s Scientific Manuscript database

    Senescent changes in brain microvascular circulation may cause or contribute to age-related cognitive decline. Such changes are promoted partly by aging, but also by chronic hypertension, a leading treatable cause of cognitive decline. We aimed to non-invasively detect in vivo the senescent changes...

  16. Calling 911 in response to stroke: a nationwide study assessing definitive individual behavior.

    PubMed

    Mikulík, Robert; Bunt, Laura; Hrdlicka, Daniel; Dusek, Ladislav; Václavík, Daniel; Kryza, Jirí

    2008-06-01

    Stroke treatment is time-dependent, yet no study has systematically examined response to individual stroke symptoms in the general population. This nationwide study identifies which specific factors prompt correct response (calling 911) to stroke. Between November and December of 2005, a survey using a 3-stage random-sampling method including area, household, and household member sampling was conducted throughout the Czech Republic. Participants >40 years old were personally interviewed via a structured and standardized questionnaire concerning general knowledge and correct response to stroke as assessed by the Stroke Action Test (STAT). Predictors of scoring >50% on STAT were identified by multiple regression. A total of 650 households were contacted, yielding 592 interviews (response rate 91%). Mean age was 58+/-12, 55% women. Sixty-nine percent thought stroke was serious condition, and 57% thought it could be treated. Also 54% correctly named >/=2 risk factors, and 46% named >/=2 warning signs. Eighteen percent of respondents scored >50% on STAT. The predictors of such a score were age (for each 10-year increment, OR 1.4, 95% CI 1.2 to 1.7), secondary school education (OR 1.7, 95% CI 1.1 to 2.6), knowing that stroke is a serious disease (OR 1.8, 95% CI 1.1 to 3.1), and knowing that stroke is treatable (OR 2.0, 95% CI 1.2 to 3.2). Knowledge about stroke in the Czech Republic was fair, yet response to warning signs was poor. Our study is the first to identify that calling 911 was influenced by knowledge that stroke is a serious and treatable disease and not by recognition of symptoms.

  17. Seasonal variation of organic matter characteristics and fluoride concentration in the Maji ya Chai River (Tanzania): Impact on treatability by nanofiltration/reverse osmosis.

    PubMed

    Jeihanipour, Azam; Shen, Junjie; Abbt-Braun, Gudrun; Huber, Stefan A; Mkongo, Godfrey; Schäfer, Andrea I

    2018-10-01

    The Maji ya Chai River in Northern Tanzania, a fluoride-rich tropical area, shows a seasonal variation of natural organic matter (NOM) and fluoride concentration. Water samples collected monthly during one year from two locations of the River were characterized. High levels of precipitation in the rainy seasons increased the total organic carbon (TOC) concentration to as high as 36 mgC L -1 and diluted the fluoride concentration from a dry season high of 24 mg L -1 to <4 mg L -1 . A black water swamp in the Maji ya Chai River catchment was confirmed as the main source of NOM, fluoride, salinity, and inorganic carbon entering the River in the rainy season. The water samples were filtered by a number of nanofiltration/reverse osmosis (NF/RO) membranes to identify the retention mechanisms and the impact of varying water quality on treatability. While the denser membranes removed fluoride due to size exclusion, for the membranes with bigger pore radius charge repulsion was the dominant mechanism of fluoride retention. Regardless of the seasonal conditions a TOC concentration <2 mgC L -1 was achieved by all membranes at 50% recovery, as NF/RO membranes remove TOC mainly by size exclusion. Two swamp water samples, containing high TOC (79 and 183 mgC L -1 ), were filtered to determine the characteristics of NOM which permeate the NF/RO membranes. Liquid chromatography organic carbon detection (LC-OCD) was used to characterize the fractions in the permeates, consisting of about 1% of the original NOM. The average molecular weight of the permeate humic substances (HS) was more than four times larger than the membrane molecular weight cut-off. This suggests that large HS can permeate the NF/RO membranes through diffusion. Moreover, the relatively high aromaticity of the permeate HS (1.7-5.2 L mg -1  m -1 ) indicated the high content of hydrophobic-aromatic fractions. Copyright © 2018 Elsevier B.V. All rights reserved.

  18. SUPERFUND TREATABILITY CLEARINGHOUSE: FINAL ...

    EPA Pesticide Factsheets

    During the period of July 8 - July 12, 1985, the Shirco Infrared Systems Portable Pilot Test Unit was in operation at the Times Beach Dioxin Research Facility to demonstrate the capability of Shirco's infrared technology to decontaminate silty soil laden with 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) at a concentration range of 156 to 306 ppb. Emissions sampling and final analysis was performed by Environmental Research & Technology, Inc. (ERT), while laboratory analysis of the emissions and soil samples was performed by Roy F. Weston Inc. Shirco Infrared Systems prepared the testing procedure protocol and operated the furnace system. publish information

  19. Job Oriented Training: Handleiding Serious Gaming (Job Oriented Training: Handleiding (Handbook) Serious Gaming)

    DTIC Science & Technology

    2008-09-01

    bijvoorbeeld de toekomstige uitzendgebieden in zich heeft. De praktijk gaat hierbij vooraf aan de theorie , de benodigde theoretische kennis wordt niet vooraf...rapportnummer TNO-DV 2008 A340 Opdrachtnummer Datum September 2008 Auteur (s) dr. A.H. van der Hulst ir. T.J. Muller maj C.L. Roos Rubricering rapport...Oriented Training toegepast. Dit betekent in essentie dat de leerlingen vanaf dag een, integrale missies uitvoeren en niet eerst de theorie wordt

  20. Can cost make a difference dosimetrically? Volumetric modulated arc therapy study for multileaf collimators of various widths for head and neck and prostate cancers

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ho, Jong-Han, E-mail: jonghanho@gmail.com; Hagler, Shane; Lujano, Carrie

    Cancer is a global health issue that disproportionately kills based on stage of disease, cellular pathology, and genetics, to name a few. Another variable to consider in this ongoing fight is treatment machine complexity that leads to elevated development and purchasing cost, leading to a reduced use. Reducing the complexity (in hopes of lowering costs) would benefit underdeveloped, low- and middle-income countries by introducing newer treatment technology, as their currently accepted standards do not meet standards of more advanced, developed countries. In this study, unilateral head and neck (H&N), and prostate cases using volumetric modulated arc therapy (VMAT) were testedmore » with multiple segment widths of 5, 10, 15, and 20 mm to create treatable plans. Pinnacle 9.10v was used for planning purposes. A total of 12 cases were planned with varying multileaf collimator (MLC) widths. Treatment plans were evaluated retrospectively. Results show that altering the MLC widths from 5 through 20 mm produces both comparable and treatable plans up to 99% and 98% target coverage for H&N and prostate, respectively, albeit clinically significant hot spots were shown to increase with increasing segment width. Furthermore, the results show that increasing widths can produce comparable treatment plans as measured against our current Food and Drug Administration (FDA)–approved treatment devices—leading to an increase in treatment efficacy in economically underdeveloped countries.« less

  1. Faecal biomarker patterns in patients with symptoms of irritable bowel syndrome

    PubMed Central

    Emmanuel, Anton; Landis, Darryl; Peucker, Mark; Hungin, A Pali S

    2016-01-01

    Objective To determine rates of faecal biomarker results capable of suggesting potentially treatable causes of irritable bowel syndrome (IBS) symptomatology in a population of patients with symptoms of IBS who meet Rome III criteria for that condition. Design Descriptive, retrospective study in which faecal biomarker results (dichotomised into ‘normal’ and ‘abnormal’ values) were related to data from patient-completed questionnaire data identifying demographics, Rome III criteria for IBS and IBS phenotype (IBS-D, IBS-C, IBS-M and IBS-U). Setting Commercial reference laboratory. Patients Individuals whose physicians ordered faecal biomarker testing for evaluation of chronic abdominal symptoms consistent with IBS. Interventions None. Main outcome measures Rates of occurrence of abnormal results on any of seven faecal biomarkers suggesting a treatable cause for IBS symptoms. Results Abdominal symptoms meeting Rome III criteria for IBS were present in 3553 records (the population), which were subjected to further analysis. Abnormal biomarker results (the outcomes) occurred in 94% of cases; 73% and 65% of records indicated growth of a bacterial potential pathogen and low growth of beneficial organisms, respectively. Abnormal results for all other faecal biomarkers occurred with frequencies from 5% to 13%. Frequency of abnormal results for elastase, calprotectin, eosinophil protein X, and beneficial organisms rose significantly with age, and differed significantly across IBS phenotypes. Conclusions A large proportion of patients manifesting symptoms meeting Rome III IBS diagnostic criteria have faecal biomarker results indicating potential underlying, treatable causes of their symptoms. Faecal biomarker testing is an appropriate means of identifying potentially treatable causes of IBS symptoms. PMID:27761231

  2. Treatability Study Report for In SITU Lead Immobilization Using Phosphate-Based Binders

    DTIC Science & Technology

    2008-05-01

    include lead, zinc, copper, cadmium, nickel, uranium, barium, cesium, strontium, plutonium, thorium, and other lanthanide and actinide metals. There...Density Bulk density is the measure of the mass per unit volume of the whole soil specimen. American Society for Testing and Materials (ASTM) D 698...Where: m = mass of the soil (grams) V = Volume of sample (cm3) 4.2.2.1.3 Unconfined Compressive Strength (UCS) The UCS test was used to

  3. TREATABILITY STUDY BULLETIN: MOBILE VOLUME REDUCTION UNIT AT THE ESCAMBIA SUPERFUND SITE

    EPA Science Inventory

    The RREL has developed a pilot-scale Mobile Volume Reduction Unit (VRU) to determine the feasibility of soil washing for the remediation of contaminated soils. This mobile unit, mounted on two trailers, can process 100 lb/hr of soil feed. Soil washing is a cost effective technolo...

  4. SITE CHARACTERIZATION AND THERMAL REMEDIATION TREATABILITY STUDIES FOR TWO WOOD TREATER SITES

    EPA Science Inventory

    Assessment of the applicability of thermal remediation at two wood treater sites is ongoing. The two wood treaters had been in operation for 50 to 80 years, and a variety of wood treating chemicals had been employed, including creosote, pentachlorophenol, and various metal prepa...

  5. SUPERFUND TREATABILITY CLEARINGHOUSE: COMPOSITING EXPLOSIVES/ORGANICS CONTAMINATED SOILS

    EPA Science Inventory

    Laboratory scale and pilot scale studies were conducted to evaluate composting to treat sediments and soils containing explosive and organic compounds. Sediment and soil from lagoons at Army ammunition plants, located in Louisiana, Wisconsin and Pennsylvania contained high...

  6. LOW COST SOLIDIFICATION/STABILIZATION TREATMENT FOR SOILS CONTAMINATED WITH DIOXIN, PCP AND CREOSOTE

    EPA Science Inventory

    The USEPA's NRMRL conducted successful treatability tests of innovative solidification/stabilization (S/S) formulations to treat soils contaminated with dioxins, pentachlorophenol (PCP), and creosote from four wood preserving sites. Formulations developed during these studies wer...

  7. NATURAL ATTENUATION OF CHLORINATED SOLVENTS AT MULTIPLE AIR FORCE BASE DEMONSTRATION SITES

    EPA Science Inventory

    Natural attenuation treatability studies(TSs) were conducted at 14 US Air Force bases. Only sites where biodegradation of CAHs was suspected were selected for the study. The major initiative was to evaluate the effectiveness of monitored natural attenuation(MNA) at sites contam...

  8. SUPERFUND TREATABILITY CLEARINGHOUSE: SOIL STABILIZATION PILOT STUDY, UNITED CHROME NPL SITE PILOT STUDY AND HEALTH AND SAFETY PROGRAM, UNITED CHROME NPL SITE PILOT STUDY

    EPA Science Inventory

    This document is a project plan for a pilot study at the United Chrome NPL site, Corvallis, Oregon and includes the health and safety and quality assurance/quality control plans. The plan reports results of a bench-scale study of the treatment process as iieasured by the ...

  9. Treatable Impotence in Diabetic Patients

    PubMed Central

    Bohannon, Nancy J.; Zilbergeld, Bernie; Bullard, David G.; Stoklosa, Jean M.

    1982-01-01

    The incidence of impotence in diabetic men is reported to be almost 50 percent. The prevailing view is that such impotence is due to organic factors. To investigate the validity of this notion we compiled the cases of 34 diabetic men having difficulty in penile erection. Our results suggest that impotency in men with diabetes is psychogenic in many cases and can be treated successfully by brief sex therapy. PMID:7072242

  10. Human violence: a treatable epidemic.

    PubMed

    De Zulueta, F I

    1998-01-01

    Domestic violence is common, afflicting at least one in 15 of the population. The victims are usually women and children and the perpetrators often the traditional male head of the family. It commonly leads to a form of post-traumatic stress disorder manifested as psychiatric illness in women and violent crime in men. It is proposed that a major underlying factor is a failure of attachment in infancy. This form of violence can be prevented by better health care before and after birth, particularly in the inner cities and with reduction of inequality; education for parenting; free nursery education; and diminishing 'legitimate' violence, in the media, by government (capital or corporal punishment) and as violent sporting activities.

  11. [Dermatomycoses and medically important fungi that are necessary subjects of study for dermatology specialists -a personal experience].

    PubMed

    Nishikawa, Takeji

    2015-01-01

    Among the numerous skin diseases, dermatomycosis is the one caused by fungus (parasite) infecting the skin (host) . Once diagnosis is made, dermatomycosis can be cured with the use of appropriate anti-fungal drugs. Therefore, it is a much more easily treatable disease compareds with intractable skin diseases. From his own experience, the author shows that dermatomycoses are good subspecialties to deal with because many of them are controllable. At the same time, the author points out that basic research on medically important fungi needs to be done as collaborative studies with basic scientists and dermatology specialists. This brief review covers several topics including diagnostics of medical mycoses, imported medical mycoses, tinea, and cutaneous deep mycoses.

  12. On Heat-Treatable Copper-Chromium Alloy, 1

    NASA Technical Reports Server (NTRS)

    Koda, S.; Isono, E.

    1984-01-01

    A mother alloy of 10% Cr and 90% Cu was prepared by sintering. This was alloyed with the Cu melt and Cu-Cr alloys containing about 0.5% Cr was obtained. These alloys could be deformed easily in both the hot and cold states. By measuring the hardness change, age-hardening properties of cast alloys were studied, which were quenched from 950 deg and aged at 300 to 700 deg for 1 hour. The maximum hardness was obtained with the tempering temperature of 500 deg. For the temperature of solution-treatment, 950 deg was insufficient and that above 1000 deg necessary. For the tempering time, a treatment at 500 deg for 1 hr. or at 450 deg for 3 hrs. yielded the maximum hardness. As for the properties for electrical conductors, 3 kinds of wires (diam. 2 mm.) were made: (1) after cold-drawn to 2 mm., solution-treated, quenched, and then tempered (500 deg, 1 hr.); (2) after quenching, cold-drawn (75% reduction) to 2 mm. and tempered (500 deg, 1 hr.); and (3) after quenching, cold-drawn (81%) to intermediate diameter, tempered (500 deg, 1 hr.) and then cold-drawn (88%) again. Properties obtained for the 3 kinds, respectively, were as follows: conductivity 91, 90, and 86%. Tensile strength and strength for electrical conductivity are given.

  13. Bioremediation of Pit Lakes - Gilt Edge Mine

    EPA Science Inventory

    The U.S. Environmental Protection Agency (EPA) Region 8 Superfund Office and the EPA National Risk Management Research Laboratory (NRMRL) Mine Waste Technology Program (MWTP) conducted a field-scale treatability study demonstrating an in situ bio/geochemical treatment technology ...

  14. Specific CT 3D rendering of the treatment zone after Irreversible Electroporation (IRE) in a pig liver model: the “Chebyshev Center Concept” to define the maximum treatable tumor size

    PubMed Central

    2014-01-01

    Background Size and shape of the treatment zone after Irreversible electroporation (IRE) can be difficult to depict due to the use of multiple applicators with complex spatial configuration. Exact geometrical definition of the treatment zone, however, is mandatory for acute treatment control since incomplete tumor coverage results in limited oncological outcome. In this study, the “Chebyshev Center Concept” was introduced for CT 3d rendering to assess size and position of the maximum treatable tumor at a specific safety margin. Methods In seven pig livers, three different IRE protocols were applied to create treatment zones of different size and shape: Protocol 1 (n = 5 IREs), Protocol 2 (n = 5 IREs), and Protocol 3 (n = 5 IREs). Contrast-enhanced CT was used to assess the treatment zones. Technique A consisted of a semi-automated software prototype for CT 3d rendering with the “Chebyshev Center Concept” implemented (the “Chebyshev Center” is the center of the largest inscribed sphere within the treatment zone) with automated definition of parameters for size, shape and position. Technique B consisted of standard CT 3d analysis with manual definition of the same parameters but position. Results For Protocol 1 and 2, short diameter of the treatment zone and diameter of the largest inscribed sphere within the treatment zone were not significantly different between Technique A and B. For Protocol 3, short diameter of the treatment zone and diameter of the largest inscribed sphere within the treatment zone were significantly smaller for Technique A compared with Technique B (41.1 ± 13.1 mm versus 53.8 ± 1.1 mm and 39.0 ± 8.4 mm versus 53.8 ± 1.1 mm; p < 0.05 and p < 0.01). For Protocol 1, 2 and 3, sphericity of the treatment zone was significantly larger for Technique A compared with B. Conclusions Regarding size and shape of the treatment zone after IRE, CT 3d rendering with the “Chebyshev Center Concept” implemented provides

  15. Treatability study of the effluent containing reactive blue 21 dye by ozonation and the mass transfer study of ozone

    NASA Astrophysics Data System (ADS)

    Velpula, Priyadarshini; Ghuge, Santosh; Saroha, Anil K.

    2018-04-01

    Ozonation is a chemical treatment process in which ozone reacts with the pollutants present in the effluent by infusion of ozone into the effluent. This study includes the effect of various parameters such as inlet ozone dose, pH of solution and initial concentration of dye on decolorization of dye in terms CRE. The maximum CRE of 98.62% with the reaction rate constant of 0.26 min-1 is achieved in 18 minutes of reaction time at inlet ozone dose of 11.5 g/m3, solution pH of 11 and 30 mg/L of initial concentration of dye. The presence of radical scavenger (Tertiary Butyl Alcohol) suppressed the CRE from 98.62% to 95.4% at high pH values indicates that the indirect mechanism dominates due to the presence of hydroxyl radicals which are formed by the decomposition of ozone. The diffusive and convective mass transfer coefficients of ozone are calculated as 1.78 × 10-5 cm2/sec and 0.075 min-1. It is observed that the fraction of resistance offered by liquid is very much high compared to gas phase indicates that the ozonation is a liquid phase mass transfer controlled operation.

  16. BIOLOGICAL TREATMENT OF HAZARDOUS AQUEOUS WASTES

    EPA Science Inventory

    Studies have been conducted with a rotating biological contractor (RBC) to evaluate the treatability of leachates from the Stringfellow and New Lyme hazardous waste sites. The leachates were transported from the waste sites to Cincinnati at the United States Environmental Protect...

  17. COMPARISON OF PREDICTED AND OBSERVED PLUME TRENDS AT CONTAMINATED SITES

    EPA Science Inventory

    Over 45 natural attenuation treatability studies (TSs) were performed from 1993 to 1999 by Parsons Corporation (Parsons) for the Technology Transfer Division of the Air Force Center for Environmental Excellence (AFCEE/ERT) in conjunction with researchers from the US EPA - NRMRL. ...

  18. BEARKIMPE-2: A VBA Excel program for characterizing granular iron in treatability studies

    NASA Astrophysics Data System (ADS)

    Firdous, R.; Devlin, J. F.

    2014-02-01

    The selection of a suitable kinetic model to investigate the reaction rate of a contaminant with granular iron (GI) is essential to optimize the permeable reactive barrier (PRB) performance in terms of its reactivity. The newly developed Kinetic Iron Model (KIM) determines the surface rate constant (k) and sorption parameters (Cmax &J) which were not possible to uniquely identify previously. The code was written in Visual Basic (VBA), within Microsoft Excel, was adapted from earlier command line FORTRAN codes, BEARPE and KIMPE. The program is organized with several user interface screens (UserForms) that guide the user step by step through the analysis. BEARKIMPE-2 uses a non-linear optimization algorithm to calculate transport and chemical kinetic parameters. Both reactive and non-reactive sites are considered. A demonstration of the functionality of BEARKIMPE-2, with three nitroaromatic compounds showed that the differences in reaction rates for these compounds could be attributed to differences in their sorption behavior rather than their propensities to accept electrons in the reduction process.

  19. TREATABILITY STUDY BULLETIN: MOBILE VOLUME REDUCTION UNIT AT THE SAND CREEK SUPERFUND SITE

    EPA Science Inventory

    The Risk Reduction Engineering Laboratory (RREL) Releases Control Branch (RCB) has developed a pilot-scale Mobile Volume Reduction Unit (VRU) to determine the feasibility of soil washing for the remediation of contaminated soils. This mobile unit, mounted on two trailers, can pro...

  20. DATA QUALITY OBJECTIVES FOR SELECTING WASTE SAMPLES FOR BENCH-SCALE REFORMER TREATABILITY STUDIES

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    BANNING DL

    2011-02-11

    This document describes the data quality objectives to select archived samples located at the 222-S Laboratory for Bench-Scale Reforming testing. The type, quantity, and quality of the data required to select the samples for Fluid Bed Steam Reformer testing are discussed. In order to maximize the efficiency and minimize the time to treat Hanford tank waste in the Waste Treatment and Immobilization Plant, additional treatment processes may be required. One of the potential treatment processes is the fluidized bed steam reformer. A determination of the adequacy of the fluidized bed steam reformer process to treat Hanford tank waste is required.more » The initial step in determining the adequacy of the fluidized bed steam reformer process is to select archived waste samples from the 222-S Laboratory that will be used in a bench scale tests. Analyses of the selected samples will be required to confirm the samples meet the shipping requirements and for comparison to the bench scale reformer (BSR) test sample selection requirements.« less

  1. Intrinsic Remediation Treatability Study for Site ST-29 Patrick Air Force Base, Florida

    DTIC Science & Technology

    1995-08-01

    of the northeast/southwest (NE/SW) runway. The BX Service Station has been in operation since 1954. The site consists of a small food market (Building... UCg /1 0 86-4-MWD .09 12.4 1.47 0 86-5-MWS .17 23.6 6.86 86-7 .12 30.2 2.52 86-8 .10 44.7 8.51 86-9-MWD .11 34.7 15.3 86-9-MWD Dup .11 86-9-MWS .10

  2. Exercise Fatigue in Adolescents: Diagnosis of Athlete Burnout.

    ERIC Educational Resources Information Center

    Rowland, Thomas W.

    1986-01-01

    Chronic fatigue, declining performance, and mental lassitude, all symptoms of athlete burnout syndrome, require a comprehensive diagnostic approach. Many factors which can interfere with normal exercise capacity are easily treatable so a careful search is important. Three case studies are presented. (Author/MT)

  3. Treatment Of Groundwater Contaminated With PAHs, Gasoline Hydrocarbons, And Methyl Tert-Butyl Ether In A Laboratory Biomass-Retaining Bioreactor

    EPA Science Inventory

    In this study, we investigated the treatability of co-mingled groundwater contaminated with polycyclic aromatic hydrocarbons (PAHs), gasoline hydrocarbons, and methyl tert-butyl ether (MtBE) using an ex-situ aerobic biotreatment system. The PAHs of interest were nap...

  4. TREATMENT TECHNOLOGY FOR REMEDIATION OF WOOD PRESERVING SITES: OVERVIEW

    EPA Science Inventory

    This is the first in a series of five articles describing the applicability, performance and cost of technologies for the remediation of contaminated soil and water at wood preserving sites. Site-specific treatability studies conducted under the supervision of the USEPA NRMRL fro...

  5. Anaerobic treatability of wastewater contaminated with propylene glycol.

    PubMed

    Sezgin, Naim; Tonuk, Gulseven Ubay

    2013-09-01

    The purpose of this study was to investigate the biodegradability of propylene glycol in anaerobic conditions by using methanogenic culture. A master reactor was set up to develop a culture that would be acclimated to propylene glycol. After reaching steady-state, culture was transferred to serum bottles. Three reactors with same initial conditions were run for consistency. Propylene glycol was completely biodegradable under anaerobic methanogenic conditions. Semi-continuous reactors operated at a temperature of 35°C had consistently achieved a propylene glycol removal of higher than 95 % based on chemical oxygen demand (COD). It was found that in semi-continuous reactors, anaerobic treatment of propylene glycol at concentrations higher than 1,500 mg COD m(-3) day(-1) was not convenient due to instable effluent COD.

  6. Income and health in Accra, Ghana: results from a time use and health study.

    PubMed

    Fink, Günther; Weeks, John R; Hill, Allan G

    2012-10-01

    This paper uses newly collected household survey data from Accra, Ghana, to investigate whether incomes affect acute and chronic health outcomes in settings that can be considered representative for the large and rapidly growing urban centers of sub-Saharan Africa. The Time Use and Health Study in Accra collected information on incomes, current health status, and health care use from 5,484 persons in 1,250 households, each repeatedly sampled on a rolling basis for a period of 13 weeks. Data collection took place during September 2008-March 2010 to capture seasonal variations. The study found that incomes varied widely between households, and that a high fraction of persons lived below the poverty line. Despite this level of income poverty and an overall remarkably high burden of treatable disease, no systematic differences in self-reported and objectively measured health conditions were detected across socioeconomic groups.

  7. Data of 10 SSR markers for genomes of homo sapiens and monkeys.

    PubMed

    Reddy, K K V V V S; Raju, S Viswanadha; Someswara Rao, Chinta

    2017-06-01

    In this data, we present 10 Simple Sequence Repeat(SSR) markers TAGA, TCAT, GAAT, AGAT, AGAA, GATA, TATC, CTTT, TCTG and TCTA which are extracted from the genomes of homo sapiens and monkeys using string matching mechanism [1]. All loci showed 4 Base Pair(bp) in allele size, indicating that there are some polymorphisms between individuals correlating to the number of SSR repeats that maybe useful for the detection of similarity among the genotypes. Collectively, these data show that the SSR extraction is a valuable method to illustrate genetic variation of genomes.

  8. SITE TECHNOLOGY CAPSULE: PINTAIL SYSTEMS INC'S AQUEOUS BIOCYANIDE PROCESS

    EPA Science Inventory

    A field treatability study of an innovative biological treatment technology for cyanide destruction and metals immobilizaton from an aqueous mine process stream was held at the Echo Bay/McCoy Cove mine site in Nevada. The Aqueous Biocyanide Process, developed and operated by Pint...

  9. REMOVAL OF ALACHLOR FROM DRINKING WATER

    EPA Science Inventory

    Alachlor (Lasso) is a pre-emergent herbicide used in the production of corn and soybeans. U.S. EPA has studied control of alachlor in drinking water treatment processes to define treatability before setting maximum contaminant levels and to assist water utilities in selecting con...

  10. Contaminant Flux Reduction Barriers for Managing Difficult to Treat Source Zones in Unconsolidated Media

    DTIC Science & Technology

    2017-06-20

    39  Table 7.4:  Description of Case Study Site... Research Flux Reduction Materials: Several novel silica gel/vegetable oil- formulations were developed and tested in lab-scale batch and column studies by...Demonstration Results The project demonstration had these results:  Two grout mixtures were selected based on gel tests and a treatability study by

  11. Treatment of concentrated industrial wastewaters originating from oil shale and the like by electrolysis polyurethane foam interaction

    DOEpatents

    Tiernan, Joan E.

    1990-01-01

    Highly concentrated and toxic petroleum-based and synthetic fuels wastewaters such as oil shale retort water are treated in a unit treatment process by electrolysis in a reactor containing oleophilic, ionized, open-celled polyurethane foams and subjected to mixing and laminar flow conditions at an average detention time of six hours. Both the polyurethane foams and the foam regenerate solution are re-used. The treatment is a cost-effective process for waste-waters which are not treatable, or are not cost-effectively treatable, by conventional process series.

  12. Non-Heat Treatable Alloy Sheet Products

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Hayden, H.W.; Barthold, G.W.; Das, S.K.

    ALCAR is an innovative approach for conducting multi-company, pre-competitive research and development programs. ALCAR has been formed to crate a partnership of aluminum producers, the American Society of Mechanical Engineers Center for Research and Technology Development (ASME/CRTD), the United States Department of Energy (USDOE), three USDOE National Laboratories, and a Technical Advisory Committee for conducting cooperative, pre-competitive research on the development of flower-cost, non-heat treated (NHT) aluminum alloys for automotive sheet applications with strength, formability and surface appearance similar to current heat treated (HT) aluminum alloys under consideration. The effort has been supported by the USDOE, Office of Transportation Technologymore » (OTT) through a three-year program with 50/50 cost share at a total program cost of $3 million. The program has led to the development of new and modified 5000 series aluminum ally compositions. Pilot production-size ingots have bee n melted, cast, hot rolled and cold rolled. Stamping trials on samples of rolled product for demonstrating production of typical automotive components have been successful.« less

  13. Characterization and Treatability of Hydroblast Wastewater

    DTIC Science & Technology

    1988-08-19

    not considered toxic, but some of its organic compounds are quite toxic. In addition to use as a biocide in the form of tributyltin ( TBT ), organotins...to determine the environmental impacts of this restriction (JWPCF, 1988). 7 * 2.2 Tributyltin and the Environment Tributyltin ( TBT ) has been used as a...made on the influent and various treated effluents from a single sample. Analysis for tributyltin , TBT , was performed on one raw influent (6-2-88), raw

  14. Treatability Aspects of Urban Stormwater Stressors

    EPA Science Inventory

    Eleven years into the 21st century, pollution from diffuse sources (pollution from contaminants picked up and carried into surface waters by stormwater runoff) remains the nation's largest source of water quality problems. Scientists and engineers still seek solutions that will ...

  15. RREL TREATABILITY DATABASE - VERSION 5.0

    EPA Science Inventory

    There is no abstract available for this product. If further information is requested, please refer to the bibliographic citation and contact the person listed under Contact field. This database can be obtained by contacting Tom Holdsworth, U.S. EPA, 26 West Martin Luther King D...

  16. Catatonia in Down syndrome; a treatable cause of regression

    PubMed Central

    Ghaziuddin, Neera; Nassiri, Armin; Miles, Judith H

    2015-01-01

    Objective: The main aim of this case series report is to alert physicians to the occurrence of catatonia in Down syndrome (DS). A second aim is to stimulate the study of regression in DS and of catatonia. A subset of individuals with DS is noted to experience unexplained regression in behavior, mood, activities of daily living, motor activities, and intellectual functioning during adolescence or young adulthood. Depression, early onset Alzheimer’s, or just “the Down syndrome” are often blamed after general medical causes have been ruled out. Clinicians are generally unaware that catatonia, which can cause these symptoms, may occur in DS. Study design: Four DS adolescents who experienced regression are reported. Laboratory tests intended to rule out causes of motor and cognitive regression were within normal limits. Based on the presence of multiple motor disturbances (slowing and/or increased motor activity, grimacing, posturing), the individuals were diagnosed with unspecified catatonia and treated with anti-catatonic treatments (benzodiazepines and electroconvulsive therapy [ECT]). Results: All four cases were treated with a benzodiazepine combined with ECT and recovered their baseline functioning. Conclusion: We suspect catatonia is a common cause of unexplained deterioration in adolescents and young adults with DS. Moreover, pediatricians and others who care for individuals with DS are generally unfamiliar with the catatonia diagnosis outside schizophrenia, resulting in misdiagnosis and years of morbidity. Alerting physicians to catatonia in DS is essential to prompt diagnosis, appropriate treatment, and identification of the frequency and course of this disorder. PMID:25897230

  17. An Overview of In-Stu Treatability Studies at Marshall Space Flight Center, Huntsville, Alabama

    NASA Technical Reports Server (NTRS)

    McElroy, Bill; Keith, Amy; Glasgow, J. K.; Dasappa, Srini; McCaleb, Rebecca (Technical Monitor)

    2001-01-01

    Marshall Space Flight Center (MSFC) is located in Huntsville, Alabama (north-central Alabama), on approximately 1,840 acres near the center of the U.S. Army's Redstone Arsenal (RSA). MSFC is the National Aeronautics and Space Administration's (NASA's) principal propulsion development center. Its scientists, engineers, and support personnel play a major role in the National Space Transportation System by managing space shuttle mission activities, including the microgravity laboratory. In addition, MSFC will be a significant contributor to several of NASA's future programs, including the Reusable Launch Vehicle (X-33), International Space Station, and Advanced X-ray Astrophysics Facility, as well as research on a variety of space science applications. MSFC has been used to develop, test and manufacture space vehicles and components since 1960, when civilian rocketry and missile activities were transferred from RSA to MSFC. In 1994, MSFC was placed on the National Priority List for the management of hazardous waste sites, under the requirements of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA). One requirement of the CERCLA program is to evaluate the nature and extent of environmental contamination resulting from identified CERCLA sites, assess the public health and environmental risks associated with the identified contamination, and identify potential remedial actions. A CERCLA remedial investigation (RI) for the groundwater system has identified at least five major plumes of chlorinated volatile organic compounds (CVOCs) in the groundwater beneath the facility. These plumes are believed to be the result of former management practices at 14 main facility locations (termed "source areas") where CVOCs were released to the subsurface. Trichloroethene (TCE) is the predominant CVOC and is common to all the plumes. Perchloroethene (PCE) also exists in two of the plumes. In addition to TCE and PCE, carbon tetrachloride and 1,1,2,2-tetrachloroethane are contained in one of the plumes. The CVOCs are believed to exist as dense non-aqueous phase liquids (DNAPLs) beneath many of the source areas.

  18. Semi-aerobic stabilized landfill leachate treatment by ion exchange resin: isotherm and kinetic study

    NASA Astrophysics Data System (ADS)

    Zamri, Mohd Faiz Muaz Ahmad; Kamaruddin, Mohamad Anuar; Yusoff, Mohd Suffian; Aziz, Hamidi Abdul; Foo, Keng Yuen

    2017-05-01

    This study was carried out to investigate the treatability of ion exchange resin (Indion MB 6 SR) for the removal of chromium (VI), aluminium (III), zinc (II), copper (II), iron (II), and phosphate (PO4)3-, chemical oxygen demand (COD), ammonia nitrogen (NH3-N) and colour from semi-aerobic stabilized leachate by batch test. A range of ion exchange resin dosage was tested towards the removal efficiency of leachate parameters. It was observed that equilibrium data were best represented by the Langmuir model for metal ions and Freundlich was ideally fit for COD, NH3-N and colour. Intra particle diffusion model, pseudo first-order and pseudo second-order isotherm models were found ideally fit with correlation of the experimental data. The findings revealed that the models could describe the ion exchange kinetic behaviour efficiently, which further suggests comprehensive outlook for the future research in this field.

  19. Brief communication: Legionnaire's disease successfully treated in acute myelocytic leukemia during severe neutropenia.

    PubMed

    Guthrie, T H; Mahizhnan, P

    1983-01-01

    A patient with acute nonlymphocytic leukemia developed progressive lung infiltrates and unremitting fevers during a profound neutropenic state. Legionnaire's disease was diagnosed by simple immunologic studies and successfully treated with erythromycin. This index case alerts physicians toward a treatable infection which would not normally be susceptible to the empiric antibiotic regimens given neutropenic patients with fevers.

  20. Anaerobic treatability of high oil and grease rendering wastewater.

    PubMed

    Nakhla, George; Al-Sabawi, Mustafa; Bassi, Amerjeet; Liu, Victor

    2003-08-29

    This study evaluated the use of a new biosurfactant, BOD-Balance, derived from cactus for the treatment of oil-and-grease-laden rendering wastewater anaerobically. Batch laboratory experimental results and preliminary full-scale data are presented. The biosurfactant affected a significant increase in the COD degradation rate for the raw wastewater. However, after reduction of the oil and grease (O&G) by dissolved air flotation, the biosurfactant did not exhibit any advantages. Modeling of the data indicated that various COD fractions, i.e. both soluble and particulate as well as total COD at various testing conditions conformed well to both zero-order and first-order models. The biosurfactant affected a 164-238 and 164-247% increase in COD and particulate COD biodegradation rate for the raw wastewater. The reduction of O&G concentration to <800 mg/l increased total and soluble COD degradation rates by 106%. Results from the full-scale mesophilic anaerobic digestion system indicated that the addition of the biosurfactant at doses of 130-200 mg/l decreased O&G concentrations from 66,300 to 10,200 mg/l over a 2-month-period.

  1. SUPERFUND TREATABILITY CLEARINGHOUSE: PILOT STUDY OF ENCLOSED THERMAL SOIL AERATION FOR REMOVAL OF VOLATILE ORGANIC CONTAMINATION AT THE MCKIN SUPERFUND SITE

    EPA Science Inventory

    This paper reports on the results of a pilot study that treated vadose zone soil contaminated with VOCs in an enclosed thermal aeration system. The McKin site, an NPL site in Grey, Maine, was the location of the pilot study. The pilot study was chosen to demonstrate the viabili...

  2. Characterizing Treatable Causes of Small-Fiber Polyneuropathy in Gulf War Veterans

    DTIC Science & Technology

    2017-10-01

    this study Global experts participated in additional rounds of a Delphi process to determine the most reliable markers for SFPN ( Case Definition). We...We supplemented the pertinent information on SFPN and added a link to this study as a recruitment tool. The public portion of the website may be...propose as part of the Case Definition. The database currently contains data on 3,495 subjects consisting of 3,087 patients and 408 healthy controls

  3. Bilateral waste-water land-treatment research by China and the US EPA

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Leach, L.E.; Duan, Z.B.; Wang, S.T.

    1991-01-01

    The study was conducted to evaluate the rapid infiltration (R.I.) method of land treatment as a partial solution to wastewater treatment and reuse for the 0.45 billion cu m/yr (15.75 billion cu ft/yr) of safe irrigation water needed by the year 2000. Chinese environmental scientists and water supply managers are considering the use of the technology for diluting high concentrations of nitrate in the ground water while simultaneously recharging severely overdrafted aquifers. The wastewater used in the study contained synthetic organic compounds found on EPA's list of priority pollutants. During the development of EPA's Land Treatment Design Manuals, research wasmore » terminated before a thorough evaluation of the treatability of these compounds could be completed. Therefore, during the study, an evaluation of R.I. systems ability to treat selected priority pollutants as well as fecal coliform bacteria was carried out in the interest of RSKERL's research objectives. Even though the research was focused on operations to optimize the removal of various nitrogen species from primary effluent, the normal wastewater parameters of BOD, COD, SS, Total - P, and TOC were also studied. The volatile organic compounds most prominent in the wastewater, dichloroethene, dichloroethane, chloroform and carbon tetrachloride were also evaluated for treatability in the cooperative study.« less

  4. Renewable energy recovery through selected industrial wastes

    NASA Astrophysics Data System (ADS)

    Zhang, Pengchong

    Typically, industrial waste treatment costs a large amount of capital, and creates environmental concerns as well. A sound alternative for treating these industrial wastes is anaerobic digestion. This technique reduces environmental pollution, and recovers renewable energy from the organic fraction of those selected industrial wastes, mostly in the form of biogas (methane). By applying anaerobic technique, selected industrial wastes could be converted from cash negative materials into economic energy feed stocks. In this study, three kinds of industrial wastes (paper mill wastes, brown grease, and corn-ethanol thin stillage) were selected, their performance in the anaerobic digestion system was studied and their applicability was investigated as well. A pilot-scale system, including anaerobic section (homogenization, pre-digestion, and anaerobic digestion) and aerobic section (activated sludge) was applied to the selected waste streams. The investigation of selected waste streams was in a gradually progressive order. For paper mill effluents, since those effluents contain a large amount of recalcitrant or toxic compounds, the anaerobic-aerobic system was used to check its treatability, including organic removal efficiency, substrate utilization rate, and methane yield. The results showed the selected effluents were anaerobically treatable. For brown grease, as it is already well known as a treatable substrate, a high rate anaerobic digester were applied to check the economic effect of this substrate, including methane yield and substrate utilization rate. These data from pilot-scale experiment have the potential to be applied to full-scale plant. For thin stillage, anaerobic digestion system has been incorporated to the traditional ethanol making process as a gate-to-gate process. The performance of anaerobic digester was applied to the gate-to-gate life-cycle analysis to estimate the energy saving and industrial cost saving in a typical ethanol plant.

  5. Treatability of Ninth Avenue Superfund Site Groundwater

    DTIC Science & Technology

    1991-03-01

    few Paramecium and round worms are present also. The effluent is ,ecoming more cloudy. 3 February 89 Rotifers continue to be the dominant species...too small to identify. 10 February 89 The diversity of living organisms is increasing. Paramecium , stalked and free-swimming ciliates, and many small... Paramecium are present also. Filamentous material continues to be in sample. The flocs are a yellow/orange color. G4 17 February 89 There are a few

  6. SUPERFUND TREATABILITY CLEARINGHOUSE: HARBAUER SOIL CLEANING SYSTEM

    EPA Science Inventory

    This document reports on the use of a soil cleaning system to remove contaminants from various types of soils by washing and concurrently vibrating the soils to force the contaminant into the liquid phase. The system was developed by Harbauer and is being used in Berlin...

  7. Treatability Aspects of Urban Stormwater Stressors - journal

    EPA Science Inventory

    Eleven years into the 21st century, pollution from diffuse sources (pollution from contaminants picked up and carried into surface waters by stormwater runoff) remains the nation's largest source of water quality problems. Scientists and engineers still seek solutions that will a...

  8. Chronic obstructive pulmonary disease--a treatable disease.

    PubMed

    Osthoff, Mirjam; Jenkins, Christine; Leuppi, Jörg D

    2013-04-11

    Chronic obstructive pulmonary disease (COPD) is a global health challenge and a leading cause of death worldwide. Several risk factors have been identified, with cigarette smoking being the most important. Diagnostic assessment is based on symptoms, risk of exacerbations and results of lung function testing. A fixed post-bronchodilator ratio for forced expiratory volume in one second to forced expiratory volume (FEV1/FVC) of <0.7 is required to make the diagnosis, and the severity of airflow obstruction defines the grade according to GOLD (Global Strategy for the Diagnosis, Management, and Prevention of COPD). The GOLD strategy makes therapeutic recommendations taking into account the grade, symptomatic assessment and future risk of exacerbations. This review focuses on the therapeutic options for COPD, in accordance with the GOLD strategy. Smoking cessation is the most effective treatment option in all COPD stages. Bronchodilators, namely long-acting antimuscarinic drugs and long-acting beta-agonists, form the mainstay of treatment in COPD. Patients with frequent exacerbations also benefited from the addition of inhaled corticosteroids. Roflumilast is an add-on option for patients with severe COPD. Several controversies are the subject of discussion: (1.) whether pharmacotherapy can modify the natural history of COPD; (2.) whether pharmacotherapy should be started in the early stages of COPD; (3.) the impact of therapy on comorbidities; (4.) whether patients benefit from a combination therapy with a long-acting beta-agonist, a long-acting antimuscarinic drug and an inhaled corticosteroid; (5.) step-down therapy. This overview also reviews the evidence for recommended vaccines in COPD, as well as nonpharmacological therapies. Rehabilitation is an essential part of COPD treatment. Oxygen therapy, noninvasive nocturnal ventilation and surgical treatment options only apply to a highly selected group of patients. Disease management programmes and guideline adherence are briefly discussed. In conclusion, although there is debate as to the extent with which pharmacological therapies influence mortality, adherence to the GOLD strategy is recommended.

  9. Treatability Aspects of Urban Stormwater Stressors - paper

    EPA Science Inventory

    Eleven years into the 21st century, pollution from diffuse sources (pollution from contaminants picked up and carried into surface waters by stormwater runoff) remains the nation's largest source of water quality problems. Scientists and engineers still seek solutions that will a...

  10. Study of Inhibition, Reactivation and Aging Processes of Pesticides Using Graphene Nanosheets/Gold Nanoparticles-Based Acetylcholinesterase Biosensor

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Zhang, Lin; Long, Linjuan; Zhang, Weiying

    2012-09-10

    Organophosphate (OP) and carbamate pesticides exert their toxicity via attacking the hydroxyl moiety of serine in the 'active site' of acetylcholinesterase (AChE). In this paper we developed a stable AChE biosensor based on self-assembling AChE to graphene nanosheet (GN)-gold nanoparticles (AuNPs) nanocomposite electrode for investigation of inhibition, reactivation and aging processes of different pesticides. It is confirmed that pesticides can inhibit AChE in a short time. OPs poisoning is treatable with oximes while carbarmates exposure is insensitive to oximes. The proposed electrochemical approach thus provides a new simple tool for comparison of pesticide sensitivity and guide of therapeutic intervention.

  11. Study of slow sand filtration with backwash and the influence of the filter media on the filter recovery and cleaning.

    PubMed

    de Souza, Fernando Hymnô; Pizzolatti, Bruno Segalla; Schöntag, Juliana Marques; Sens, Maurício Luiz

    2016-01-01

    Slow sand filters are considered as a great alternative for supplying drinking water in rural and/or isolated areas where raw water that is treatable with this technique is available. Some studies used backwashing as an alternative for cleaning the slow sand filter with the goal of applying the technology in small communities, since filters that supply water to a small number of people do not require much space. In this study the influence of the effective diameter on water quality in the filters and cleaning system was evaluated. A pilot system with six filters was built: three filters were conventionally cleaned by scraping and the other three were cleaned by backwashing, each with a different effective diameter of filter medium. Most filters had an average turbidity of less than 1.0 NTU, the turbidity required at the output of the filters by the Brazilian Ministry of Health Ordinance. In the study, the filters cleaned by scraping with smaller-diameter filter beds effectively filtered water better but had worse effective production. The opposite occurs in the case of backwashed filters.

  12. A protocol for assessing the biotreatability of hydrocarbon contaminated exploration and production site soils

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Tezak, J.; Miller, J.A.; Lawrence, A.W.

    1995-12-01

    It is estimated that there are over 260,000 natural gas production wells in the continental United States. Production or reserve pits exist which ma require remediation depending on several conditions such as: the manner in which they were initially closed; whether or not they were lined; and the local climate, soil type, and depth to groundwater. As part of the Gas Research Institute (GRI) research program on exploration and production (E&P) site remediation, a treatability Protocol is being developed to facilitate the rapid assessment of the amenability of the contaminated soils to remediation by biological processes. This paper describes themore » treatability protocol and the results of a series of treatability tests on a spectrum of hydrocarbon contaminated E&P soils collected from various operating locations throughout the United States. The soils are subjected to physical and chemical characterization prior to treatability testing. Potential biotoxic characteristics of the soils are determined by a respirometry screening technique. Presuming that the soils are not toxic to aerobic soil microorganisms, 20 percent by weight aqueous slurries of the soils are prepared and subjected to continuous batch aeration for a six week period. Conditions favorable to microbial growth are maintained in the reactors by monitoring and augmentation is needed of pH, microbial nutrients and oxygen for microbial respiration. The extent of microbial degradation of the contaminant hydrocarbons is monitored by periodic measurement of total petroleum hydrocarbons (TPH), oil and grease, and individual hydrocarbon compounds as determined by gas chromatography. Microbial plate counts are prepared to document the biological viability of the treatment process. The factors influencing the amenability of these soils to bioremediation as determined from the test results are discussed.« less

  13. Study on submerged anaerobic membrane bioreactor (SAMBR) treating high suspended solids raw tannery wastewater for biogas production.

    PubMed

    Umaiyakunjaram, R; Shanmugam, P

    2016-09-01

    This study deals with the treatment of high suspended solids raw tannery wastewater using flat sheet Submerged Anaerobic Membrane (0.4μm) Bioreactor (SAMBR) acclimatized with hypersaline anaerobic seed sludge for recovering biogas. The treatability of SAMBR achieved higher CODremoval efficiency (90%) and biogas yield (0.160L.g(-1) CODremoved) coincided with high r(2) values between permeate flux and TSS (0.95), biogas and COD removed (0.96). The acidification of hypersaline influent wastewater by biogas mixing with high CO2, achieved quadruplet benefit of gas liquid and solid separation, in-situ pH and NH3 control, in-situ CH4 enrichment, and prevention of membrane fouling. The initial high VFA became stable as time elapsed reveals the hydrolysing ability of particulate COD into soluble COD and into biogas, confirms the suitability of SAMBR for high suspended solids tannery wastewater. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. Weldability of AA 5052 H32 aluminium alloy by TIG welding and FSW process - A comparative study

    NASA Astrophysics Data System (ADS)

    Shanavas, S.; Raja Dhas, J. Edwin

    2017-10-01

    Aluminium 5xxx series alloys are the strongest non-heat treatable aluminium alloy. Its application found in automotive components and body structures due to its good formability, good strength, high corrosion resistance, and weight savings. In the present work, the influence of Tungsten Inert Gas (TIG) welding parameters on the quality of weld on AA 5052 H32 aluminium alloy plates were analyzed and the mechanical characterization of the joint so produced was compared with Friction stir (FS) welded joint. The selected input variable parameters are welding current and inert gas flow rate. Other parameters such as welding speed and arc voltage were kept constant throughout the study, based on the response from several trial runs conducted. The quality of the weld is measured in terms of ultimate tensile strength. A double side V-butt joints were fabricated by double pass on one side to ensure maximum strength of TIG welded joints. Macro and microstructural examination were conducted for both welding process.

  15. Acquired toxoplasmosis. A neglected cause of treatable nervous system disease.

    PubMed

    Townsend, J J; Wolinsky, J S; Baringer, J R; Johnson, P C

    1975-05-01

    The neurological manifestations of six cases of acquired central nervous system toxoplasmosis are compared with the 39 well-documented cases from the literature. Half of the patients had underlying systemic diseases (18 malignant neoplasms, two renal transplants, three collagen vascular diseases) treated with intensive immunosuppressive therapy. The remainder had primary toxoplasmosis. Three major neurological patterns were seen: (1) diffuse encephalopathy with or without seizures, (2) meningoencephalitis, and (3) singular or multiple progressive mass lesions. Routine neurological diagnostic studies were not helpful. The Sabin-Feldman dye test or IgM indirect fluorescent antibody test or both were effective in confirming the diagnosis. Twenty-seven patients died without a clinical diagnosis of toxoplasmosis. The diagnosis was made terminally in four additional patients. Thirteen of fourteen patients who received a full course of sulfadiazine or pyrimethamine or both did well. Toxoplasmosis should be considered in the immunosuppressed patient who appears with neurological involvement.

  16. Detection of necrotic neural response in super-acute cerebral ischemia using activity-induced manganese-enhanced (AIM) MRI.

    PubMed

    Inoue, Yasuo; Aoki, Ichio; Mori, Yuki; Kawai, Yuko; Ebisu, Toshihiko; Osaka, Yasuhiko; Houri, Takashi; Mineura, Katsuyoshi; Higuchi, Toshihiro; Tanaka, Chuzo

    2010-04-01

    Immediate and certain determination of the treatable area is important for choosing risky treatments such as thrombolysis for brain ischemia, especially in the super-acute phase. Although it has been suggested that the mismatch between regions displaying 'large abnormal perfusion' and 'small abnormal diffusion' indicates a treatable area on an MRI, it has also been reported that the mismatch region is an imperfect approximation of the treatable region named the 'penumbra'. Manganese accumulation reflecting calcium influx into cells was reported previously in a middle cerebral artery occlusion (MCAO) model using activity-induced manganese-enhanced (AIM) MRI. However, in the super-acute phase, there have been no reports about mismatches between areas showing changes to the apparent diffusion coefficient (ADC) and regions that are enhanced in AIM MRI. It is expected that the AIM signal can be enhanced immediately after cerebral ischemia in the necrotic core region due to calcium influx. In this study, a remote embolic rat model, created using titanium-oxide macrospheres, was used to observe necrotic neural responses in the super-acute phase after ischemia. In addition, images were evaluated by comparison between ADC, AIM MRI, and histology. The signal enhancement in AIM MRI was detected at 2 min after the cerebral infarction using a remote embolic method. The enhanced area on the AIM MRI was significantly smaller than that on the ADC map. The tissue degeneration highlighted by histological analysis corresponded more closely to the enhanced area on the AIM MRI than that on the ADC map. Thus, the manganese-enhanced region in brain ischemia might indicate 'necrotic' irreversible tissue that underwent calcium influx. 2010 John Wiley & Sons, Ltd.

  17. Treatability of underutilized northeastern species with CCA and alternative wood preservatives

    Treesearch

    Stan T. Lebow; Steven A. Halverson; Cherilyn A. Hatfield

    2005-01-01

    Opportunities for use of northeastern species such as balsam fir, eastern spruce, eastern hemlock, and red maple could be improved if these species could be adequately penetrated with preservatives and subsequently shown to be durable in outdoor exposures. In this study, specimens cut from lumber of northeastern species were pressure-treated with either chromated...

  18. Characterization of the solid low level mixed waste inventory for the solid waste thermal treatment activity - III

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Place, B.G., Westinghouse Hanford

    1996-09-24

    The existing thermally treatable, radioactive mixed waste inventory is characterized to support implementation of the commercial, 1214 thermal treatment contract. The existing thermally treatable waste inventory has been identified using a decision matrix developed by Josephson et al. (1996). Similar to earlier waste characterization reports (Place 1993 and 1994), hazardous materials, radionuclides, physical properties, and waste container data are statistically analyzed. In addition, the waste inventory data is analyzed to correlate waste constituent data that are important to the implementation of the commercial thermal treatment contract for obtaining permits and for process design. The specific waste parameters, which were analyzed,more » include the following: ``dose equivalent`` curie content, polychlorinated biphenyl (PCB) content, identification of containers with PA-related mobile radionuclides (14C, 12 79Se, 99Tc, and U isotopes), tritium content, debris and non-debris content, container free liquid content, fissile isotope content, identification of dangerous waste codes, asbestos containers, high mercury containers, beryllium dust containers, lead containers, overall waste quantities, analysis of container types, and an estimate of the waste compositional split based on the thermal treatment contractor`s proposed process. A qualitative description of the thermally treatable mixed waste inventory is also provided.« less

  19. Field Demonstration, Optimization, and Rigorous Validation of Peroxygen-Based ISCO for the Remediation of Contaminated Groundwater - CHP Stabilization Protocol

    DTIC Science & Technology

    2014-05-01

    propagations CoCs Contaminants of concern GC Gas chromatography DNAPL Dense nonaqueous phase liquid ISCO In situ chemical oxidation HCA...used for the design and scale-up of air strippers, ion exchange systems, precipitation reactors , and many other treatment processes. Such treatability...studies provide definitive data on system dimensions and reagent dosages using linear or non -linear scale-up. Designing these processes without the

  20. An update of the End-Stage Renal Disease Program at Howard University Hospital.

    PubMed

    Cruz, I A; Hosten, A O

    1989-12-01

    There exists an overrepresentation of black patients in the ESRD programs at the national and regional levels. There is an increasing number of dialysis patients at the older age groups. The dialysis patients at HUH are much younger when compared to the national and regional data, especially when the three major causes of ESRD--hypertension, diabetes, and glomerulonephritis--are considered. This study demonstrates that black patients develop ESRD at a much younger age. Since both diabetes and hypertension are treatable, there is a need for more aggressive therapy of these conditions to prevent this premature onset of ESRD in blacks. Fifteen percent of patients with ESRD secondary to glomerular disease have an associated history of i.v. drug abuse, which could be responsible for the disease. The glomerular disease may not be treatable but may be preventable. However, this requires combined educational, social, and economic effort. Programs designed to control these three major causes of ESRD may be much less costly than supporting the current treatment modalities of ESRD.

  1. [Near-infrared spectroscopy for the detection of traumatic intracranial hemorrhage: Feasibility study in a German army field hospital in Afghanistan].

    PubMed

    Braun, T; Kunz, U; Schulz, C; Lieber, A; Willy, C

    2015-08-01

    Traumatic brain injury (TBI) is one of the most common causes of death in ordinary accidents, natural disasters, or warfare. The gold standard for diagnosis of TBI is the CT scan; a delay of diagnostics or medical care is the strongest independent predictor of mortality of TBI patients--particularly in the case of a surgically treatable intracranial hematoma. The proper classification of these patients is of major importance in situations where a CT is not accessible. A portable screening device that uses near-infrared spectroscopy (NIRS) technology allows a preliminary estimate of an intracranial hematoma. This study assessing practicability shows that the use of the device in a military medical rescue center (Kunduz, Afghanistan) is easy to learn and can be repeatedly used even under emergency room conditions. The technique can be applied in penetrating and blunt TBIs in the absence of an immediately available CT scan in rural areas, preclinically, under mass casualty conditions (e.g., in disaster situations) as well as in humanitarian crises or war zones. Nevertheless, further studies to assess the validity of this device are necessary.

  2. The Application of Advanced Geophysical Classification in Support of Munitions Response Program: An Outreach to Federal, State and Local Regulators and Tribal Governments

    DTIC Science & Technology

    2017-04-18

    Industry’s Treatability Study 20 demonstration sites Over 30 datasets from 3 different sensors Former Lowry Bombing and Gunnery Range Former Camp...object by an external EM source, after the external EM source is removed. Polarizability values exist for each of the object’s three principal...The EM Signal We Measure 13 BUILDING STRONG®  Normalized response (polarizability) for excitation in object’s principal axis directions are the

  3. The diagnostic challenge of dizziness: computed tomography and magnetic resonance imaging findings

    PubMed Central

    Ribeiro, Bruno Niemeyer de Freitas; Correia, Rafael Santos; Antunes, Lívia de Oliveira; Salata, Tiago Medina; Rosas, Heraldo Belmont; Marchiori, Edson

    2017-01-01

    Dizziness is a prevalent symptom in the general population, accounting for a considerable share of physician office visits, and most causes are clinically treatable. It is also a common indication for neuroimaging studies, in order to identify a specific etiology and exclude surgical causes. Here, we illustrate the main peripheral and central causes of dizziness, discussing their possible differential diagnoses, as well as their most important image aspects. PMID:29085167

  4. Appetite - decreased

    MedlinePlus

    Loss of appetite; Decreased appetite; Anorexia ... Any illness can reduce appetite. If the illness is treatable, the appetite should return when the condition is cured. Loss of appetite can cause weight ...

  5. Biopolymers as an Alternative to Petroleum-Based Polymers for Soil Modification; ESTCP ER-0920: Treatability Studies

    DTIC Science & Technology

    2012-08-01

    carboxylic, amine, hydroxyl). Molasses produced more carboxylic acid groups than the corn syrup -based material and was composed of high ...molecular weight EPS units (as high as 800 KDa). Corn syrup -derived biopolymer, on the other hand, showed a greater number of small molecular weight...biopolymer by R. tropici: corn syrup , maltose, sorghum, and molasses. The maltose, being a very expensive carbon source, has been replaced by the sorghum

  6. Biopolymers as an Alternative to Petroleum-Based Polymers for Soil Modification, ESTCP ER-0920: Treatability Studies

    DTIC Science & Technology

    2012-08-01

    carboxylic, amine, hydroxyl). Molasses produced more carboxylic acid groups than the corn syrup -based material and was composed of high ...molecular weight EPS units (as high as 800 KDa). Corn syrup -derived biopolymer, on the other hand, showed a greater number of small molecular weight...biopolymer by R. tropici: corn syrup , maltose, sorghum, and molasses. The maltose, being a very expensive carbon source, has been replaced by the sorghum

  7. Pathogen-specific effects on milk yield in repeated clinical mastitis episodes in Holstein dairy cows.

    PubMed

    Hertl, J A; Schukken, Y H; Welcome, F L; Tauer, L W; Gröhn, Y T

    2014-03-01

    The objective of this study was to estimate the effects of clinical mastitis (CM) cases due to different pathogens on milk yield in Holstein cows. The first 3 CM cases in a cow's lactation were modeled. Eight categories of pathogens were included: Streptococcus spp.; Staphylococcus aureus; coagulase-negative staphylococci (CNS); Escherichia coli; Klebsiella spp.; cases with CM signs but no bacterial growth (above the level detectable by our microbiological procedures) observed in the culture sample, and cases with contamination (≥ 3 pathogens in the sample); other pathogens that may be treated with antibiotics (included Citrobacter, Corynebacterium bovis, Enterobacter, Enterococcus, Pasteurella, Pseudomonas; "other treatable"); and other pathogens not successfully treated with antibiotics (Trueperella pyogenes, Mycoplasma, Prototheca, yeasts; "other not treatable"). Data from 38,276 lactations in cows from 5 New York State dairy herds, collected from 2003-2004 until 2011, were analyzed. Mixed models with an autoregressive correlation structure (to account for correlation among the repeated measures of milk yield within a lactation) were estimated. Primiparous (lactation 1) and multiparous (lactations 2 and 3) cows were analyzed separately, as the shapes of their lactation curves differed. Primiparas were followed for up to 48 wk of lactation and multiparas for up to 44 wk. Fixed effects included parity, calving season, week of lactation, CM (type, case number, and timing of CM in relation to milk production cycle), and other diseases (milk fever, retained placenta, metritis, ketosis, displaced abomasum). Herd was modeled as a random effect. Clinical mastitis was more common in multiparas than in primiparas. In primiparas, Streptococcus spp. occurred most frequently as the first case. In multiparas, E. coli was most common as the first case. In subsequent cases, CM cases with no specific growth or contamination were most common in both parity groups. The hazard of

  8. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bostick, W.D.; Hoffmann, D.P.; Stevenson, R.J.

    The category of sludges, filter cakes, and other waste processing residuals represent the largest volume of low-level mixed (hazardous and radioactive) wastes within the US Department of Energy (DOE) complex. Treatment of these wastes to minimize the mobility of contaminants, and to eliminate the presence of free water, is required under the Federal Facility Compliance Act agreements between DOE and the Environmental Protection Agency. In the text, we summarize the currently available data for several of the high priority mixed-waste sludge inventories within DOE. Los Alamos National Laboratory TA-50 Sludge and Rocky Flats Plant By-Pass Sludge are transuranic (TRU)-contaminated sludgesmore » that were isolated with the use of silica-based filter aids. The Oak Ridge Y-12 Plant West End Treatment Facility Sludge is predominantly calcium carbonate and biomass. The Oak Ridge K-25 Site Pond Waste is a large-volume waste stream, containing clay, silt, and other debris in addition to precipitated metal hydroxides. We formulate ``simulants`` for the waste streams described above, using cerium oxide as a surrogate for the uranium or plutonium present in the authentic material. Use of nonradiological surrogates greatly simplifies material handling requirements for initial treatability studies. The use of synthetic mixtures for initial treatability testing will facilitate compositional variation for use in conjunction with statistical design experiments; this approach may help to identify any ``operating window`` limitations. The initial treatability testing demonstrations utilizing these ``simulants`` will be based upon vitrification, although the materials are also amenable to testing grout-based and other stabilization procedures. After the feasibility of treatment and the initial evaluation of treatment performance has been demonstrated, performance must be verified using authentic samples of the candidate waste stream.« less

  9. Inflammatory cytokine biomarkers to identify women with asymptomatic sexually transmitted infections and bacterial vaginosis who are at high risk of HIV infection.

    PubMed

    Masson, Lindi; Arnold, Kelly B; Little, Francesca; Mlisana, Koleka; Lewis, David A; Mkhize, Nonhlanhla; Gamieldien, Hoyam; Ngcapu, Sinaye; Johnson, Leigh; Lauffenburger, Douglas A; Abdool Karim, Quarraisha; Abdool Karim, Salim S; Passmore, Jo-Ann S

    2016-05-01

    Untreated sexually transmitted infections (STIs) and bacterial vaginosis (BV) cause genital inflammation and increase the risk of HIV infection. WHO-recommended syndromic STI and BV management is severely limited as many women with asymptomatic infections go untreated. The purpose of this cross-sectional study was to evaluate genital cytokine profiles as a biomarker of STIs and BV to identify women with asymptomatic, treatable infections. Concentrations of 42 cytokines in cervicovaginal lavages from 227 HIV-uninfected women were measured using Luminex. All women were screened for BV by microscopy and STIs using molecular assays. Multivariate analyses were used to identify cytokine profiles associated with STIs/BV. A multivariate profile of seven cytokines (interleukin (IL)-1α, IL-1β, tumour necrosis factor-β, IL-4, fractalkine, macrophage-derived chemokine, and interferon-γ) most accurately predicted the presence of a treatable genital condition, with 77% classification accuracy and 75% cross-validation accuracy (sensitivity 72%; specificity 81%, positive predictive value (PPV) 86%, negative predictive value (NPV) 64%). Concomitant increased IL-1β and decreased IP-10 concentrations predicted the presence of a treatable genital condition without a substantial reduction in predictive value (sensitivity 77%, specificity 72%, PPV 82% and NPV 65%), correctly classifying 75% of the women. This approach performed substantially better than clinical signs (sensitivity 19%, specificity 92%, PPV 79% and NPV 40%). Supplementing syndromic management with an assessment of IL-1β and IP-10 as biomarkers of genital inflammation may improve STI/BV management for women, enabling more effective treatment of asymptomatic infections and potentially reducing their risk of HIV infection. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  10. Impact of healthcare strategies on patterns of paediatric sight impairment in a developed population: 1984-2011.

    PubMed

    Shirley, K; Chamney, S; Satkurunathan, P; McLoone, S; McLoone, E

    2017-11-01

    PurposeThe aim of our study was to analyse paediatric sight-impairment trends in Northern Ireland (NI) over a 28-year period to better understand the impact which changes in health-care provision may be having on childhood blindness and to enable us to assess our progress towards achieving the World Health Organisation (WHO) aims.MethodsA database of Certificates of Visual Impairment completed for NI children aged <16 years was used to determine the cause of sight impairment from 1984 to 2011. Causes were classified into preventable or treatable conditions and analysed for trends.ResultsFive hundred and ninety-eight children were registered as having impaired vision over the 28-year period. A total of 22% had preventable or treatable conditions. Optic atrophy was the most common cause responsible for 16% of registrations followed by albinism (12%), cerebral visual impairment (11%), congenital cataract (8%), retinopathy of prematurity (ROP) (8%), and congenital motor nystagmus (7%). The incident rate (per million population aged <16 years) for registerable vision loss due to congenital cataract decreased from 5.89 (CI 2.82-10.83) in 1984-1987 to 2.63 (CI 0.72-6.74) in 2008-2011. For ROP, the incident rate peaked during 2000-2003 at 8.87 (CI 4.85-14.88). Thereafter, there was a statistically significant reduction in incident rate to 1.98 (CI 0.41-5.77) in 2008-2011 (P=0.008).ConclusionsSight-impairment registrations due to preventable or treatable causes have decreased over the past 28 years. This is likely due to better surgical techniques and improved refractive care for conditions such as congenital cataract and ongoing research and treatment protocols for conditions such as ROP. Future advances in this area may help to further reduce the burden of childhood sight impairment and improve quality of life for these patients.

  11. Penetration and Effectiveness of Micronized Copper in Refractory Wood Species

    PubMed Central

    Civardi, Chiara; Van den Bulcke, Jan; Schubert, Mark; Michel, Elisabeth; Butron, Maria Isabel; Boone, Matthieu N.; Dierick, Manuel; Van Acker, Joris; Wick, Peter; Schwarze, Francis W. M. R.

    2016-01-01

    The North American wood decking market mostly relies on easily treatable Southern yellow pine (SYP), which is being impregnated with micronized copper (MC) wood preservatives since 2006. These formulations are composed of copper (Cu) carbonate particles (CuCO3·Cu(OH)2), with sizes ranging from 1 nm to 250 μm, according to manufacturers. MC-treated SYP wood is protected against decay by solubilized Cu2+ ions and unreacted CuCO3·Cu(OH)2 particles that successively release Cu2+ ions (reservoir effect). The wood species used for the European wood decking market differ from the North American SYP. One of the most common species is Norway spruce wood, which is poorly treatable i.e. refractory due to the anatomical properties, like pore size and structure, and chemical composition, like pit membrane components or presence of wood extractives. Therefore, MC formulations may not suitable for refractory wood species common in the European market, despite their good performance in SYP. We evaluated the penetration effectiveness of MC azole (MCA) in easily treatable Scots pine and in refractory Norway spruce wood. We assessed the effectiveness against the Cu-tolerant wood-destroying fungus Rhodonia placenta. Our findings show that MCA cannot easily penetrate refractory wood species and could not confirm the presence of a reservoir effect. PMID:27649315

  12. Penetration and Effectiveness of Micronized Copper in Refractory Wood Species.

    PubMed

    Civardi, Chiara; Van den Bulcke, Jan; Schubert, Mark; Michel, Elisabeth; Butron, Maria Isabel; Boone, Matthieu N; Dierick, Manuel; Van Acker, Joris; Wick, Peter; Schwarze, Francis W M R

    2016-01-01

    The North American wood decking market mostly relies on easily treatable Southern yellow pine (SYP), which is being impregnated with micronized copper (MC) wood preservatives since 2006. These formulations are composed of copper (Cu) carbonate particles (CuCO3·Cu(OH)2), with sizes ranging from 1 nm to 250 μm, according to manufacturers. MC-treated SYP wood is protected against decay by solubilized Cu2+ ions and unreacted CuCO3·Cu(OH)2 particles that successively release Cu2+ ions (reservoir effect). The wood species used for the European wood decking market differ from the North American SYP. One of the most common species is Norway spruce wood, which is poorly treatable i.e. refractory due to the anatomical properties, like pore size and structure, and chemical composition, like pit membrane components or presence of wood extractives. Therefore, MC formulations may not suitable for refractory wood species common in the European market, despite their good performance in SYP. We evaluated the penetration effectiveness of MC azole (MCA) in easily treatable Scots pine and in refractory Norway spruce wood. We assessed the effectiveness against the Cu-tolerant wood-destroying fungus Rhodonia placenta. Our findings show that MCA cannot easily penetrate refractory wood species and could not confirm the presence of a reservoir effect.

  13. Survey of childhood blindness and visual impairment in Botswana

    PubMed Central

    Nallasamy, Sudha; Anninger, William V; Quinn, Graham E; Kroener, Brian; Zetola, Nicola M; Nkomazana, Oathokwa

    2014-01-01

    Background/aims In terms of blind-person years, the worldwide burden of childhood blindness is second only to cataracts. In many developing countries, 30–72% of childhood blindness is avoidable. The authors conducted this study to determine the causes of childhood blindness and visual impairment (VI) in Botswana, a middle-income country with limited access to ophthalmic care. Methods This study was conducted over 4 weeks in eight cities and villages in Botswana. Children were recruited through a radio advertisement and local outreach programmes. Those ≤15 years of age with visual acuity <6/18 in either eye were enrolled. The WHO/Prevention of Blindness Eye Examination Record for Children with Blindness and Low Vision was used to record data. Results The authors enrolled 241 children, 79 with unilateral and 162 with bilateral VI. Of unilateral cases, 89% were avoidable: 23% preventable (83% trauma-related) and 66% treatable (40% refractive error and 31% amblyopia). Of bilateral cases, 63% were avoidable: 5% preventable and 58% treatable (33% refractive error and 31% congenital cataracts). Conclusion Refractive error, which is easily correctable with glasses, is the most common cause of bilateral VI, with cataracts a close second. A nationwide intervention is currently being planned to reduce the burden of avoidable childhood VI in Botswana. PMID:21242581

  14. Survey of childhood blindness and visual impairment in Botswana.

    PubMed

    Nallasamy, Sudha; Anninger, William V; Quinn, Graham E; Kroener, Brian; Zetola, Nicola M; Nkomazana, Oathokwa

    2011-10-01

    In terms of blind-person years, the worldwide burden of childhood blindness is second only to cataracts. In many developing countries, 30-72% of childhood blindness is avoidable. The authors conducted this study to determine the causes of childhood blindness and visual impairment (VI) in Botswana, a middle-income country with limited access to ophthalmic care. This study was conducted over 4 weeks in eight cities and villages in Botswana. Children were recruited through a radio advertisement and local outreach programmes. Those ≤ 15 years of age with visual acuity <6/18 in either eye were enrolled. The WHO/Prevention of Blindness Eye Examination Record for Children with Blindness and Low Vision was used to record data. The authors enrolled 241 children, 79 with unilateral and 162 with bilateral VI. Of unilateral cases, 89% were avoidable: 23% preventable (83% trauma-related) and 66% treatable (40% refractive error and 31% amblyopia). Of bilateral cases, 63% were avoidable: 5% preventable and 58% treatable (33% refractive error and 31% congenital cataracts). Refractive error, which is easily correctable with glasses, is the most common cause of bilateral VI, with cataracts a close second. A nationwide intervention is currently being planned to reduce the burden of avoidable childhood VI in Botswana.

  15. SUPERFUND TREATABILITY CLEARINGHOUSE: FINAL REPORT, PHASE I - IMMEDIATE ASSESSMENT, ACME SOLVENTS SITE

    EPA Science Inventory

    This is a site assessment and feasibility study of incineration alternatives at the ACME Solvents Site at Rockford, Illinois. The document contains laboratory results that are reported to simulate incineration conditions but no details on test methods were provided. The d...

  16. A phase I study of LY317615 (enzastaurin) and temozolomide in patients with gliomas (EORTC trial 26054)

    PubMed Central

    Rampling, Roy; Sanson, Marc; Gorlia, Thiery; Lacombe, Denis; Lai, Christina; Gharib, Myriam; Taal, Walter; Stoffregen, Clemens; Decker, Rodney; van den Bent, Martin J.

    2012-01-01

    We report a phase 1 study to examine the safety and recommended dose of the oral protein kinase C-beta inhibitor (anti-angiogenic) enzastaurin in combination with single-agent temozolomide. The study was conducted in patients with recurrent glioblastoma or newly diagnosed disease that was not treatable with standard (chemo)radiotherapy. Patients were treated with standard dose temozolomide (200 mg/m2 for 5 days every 4 weeks) together with daily oral enzastaurin. Three dose levels of enzastaurin were investigated: 250 mg daily (OD), 500 mg OD, and 250 mg twice daily (BID). Dose-limiting toxicity was determined in the first 2 cycles, but treatment continued until limiting toxicity or disease progression was identified. Twenty-eight patients were enrolled. No dose-limiting toxicity was noted at 250 mg OD or 500 mg OD. However, at 250 mg BID, 2 dose-limiting episodes of thrombocytopenia were noted. The recommended dose for enzastaurin in combination with standard 4-weekly temozolomide is therefore 500 mg OD. The pharmacokinetics of enzastaurin in combination with temozolomide was evaluated. Temozolomide did not appear to effect enzastaurin exposures at the 250 mg or 500 mg OD dose levels. PMID:22291006

  17. Depression (PDQ®)—Patient Version

    Cancer.gov

    Depression is a treatable condition that can affect adults and children with cancer. Get detailed information about depression, risk factors, diagnosis, and treatment in adults and children with cancer in this expert-reviewed summary.

  18. Polymyositis: Medical Management

    MedlinePlus

    ... Donate Search MDA.org Close Polymyositis (PM) Medical Management Polymyositis (PM) is a highly treatable disease. Some ... PM) Signs and Symptoms Diagnosis Causes/Inheritance Medical Management Research Find your MDA Care Center Grants at ...

  19. Thalassemia: Healthy Living

    MedlinePlus

    ... Thalassemia” More What can a person living with thalassemia do to stay healthy? A healthy lifestyle is ... disorder”, as well as making healthy choices. Managing Thalassemia Thalassemia is a treatable disorder that can be ...

  20. The Science of Addiction: Drugs, Brains, and Behavior

    MedlinePlus

    ... Issue Past Issues The Science of Addiction: Drugs, Brains, and Behavior Past Issues / Spring 2007 Table of ... Americans understand addiction as a chronic but treatable brain disease. The eye-opening documentary, Addiction , first aired ...

  1. URBAN STORMWATER TOXIC POLLUTANTS: ASSESSMENT, SOURCES, AND TREATABILITY

    EPA Science Inventory

    This paper summarizes an investigation to characterize and treat selected storm water contaminants that are listed as toxic pollutants (termed toxicants in this paper) in the Clean Water Act, Section 307 (Arbuckle et al., 1991). The first project phase investigated typical toxica...

  2. Development of a Modulated-Microstructure Heat Treatable Steel

    DTIC Science & Technology

    1975-07-10

    IV. Heat Treatment V. Results and Discussion V. 1 Properties of the Soft Layer Alloy, PS4 V. 2 Properties of High Speed Steel (REX 71) V. 3...the High Strength System. Fig. 6 Hardness of Tempered PS4 Alloy. Cast alloy hardened by austenitizing, at 2175^ quenched, and reheating three times...at 1000oF and then cooling in liquid nitrogen to form martensite. Fig. 7A Metallographic Section Through Impact Fracture of PS4 Tempered at 300oF

  3. A treatable neurometabolic disorder: glutaric aciduria type 1.

    PubMed

    Pusti, S; Das, N; Nayek, K; Biswas, S

    2014-01-01

    Glutaric aciduria type 1 (GA-1) is an autosomal recessive disorder of lysine, hydroxylysine, and tryptophan metabolism caused by deficiency of glutaryl-CoA dehydrogenase. It results in the accumulation of 3-hydroxyglutaric and glutaric acid. Affected patients can present with brain atrophy and macrocephaly and with acute dystonia secondary to striatal degeneration in most cases triggered by an intercurrent childhood infection with fever between 6 and 18 months of age. We report two such cases with macrocephaly, typical MRI pictures, and tandem mass spectrometry suggestive of glutaric aciduria type 1.

  4. A Treatable Neurometabolic Disorder: Glutaric Aciduria Type 1

    PubMed Central

    Pusti, S.; Das, N.; Nayek, K.; Biswas, S.

    2014-01-01

    Glutaric aciduria type 1 (GA-1) is an autosomal recessive disorder of lysine, hydroxylysine, and tryptophan metabolism caused by deficiency of glutaryl-CoA dehydrogenase. It results in the accumulation of 3-hydroxyglutaric and glutaric acid. Affected patients can present with brain atrophy and macrocephaly and with acute dystonia secondary to striatal degeneration in most cases triggered by an intercurrent childhood infection with fever between 6 and 18 months of age. We report two such cases with macrocephaly, typical MRI pictures, and tandem mass spectrometry suggestive of glutaric aciduria type 1. PMID:24587932

  5. Catatonia is not schizophrenia and it is treatable.

    PubMed

    Appiani, Francisco J; Castro, Gonzalo S

    2017-06-10

    Catatonia is a cluster of motor features that appears in many recognized psychiatric illnesses, that according to the DSM-5 it is not linked as a subtype to schizophrenia anymore. The classic signs are mutism, a rigid posture, fixed staring, stereotypic movements, and stupor, which are all part of a broad psychopathology that may be found in affective, thought, neurological, toxic, metabolic and immunological disorders. Despite the many etiologies, catatonia may be a life-threatening condition with a specific treatment. Benzodiazepines are the first line therapeutic option for catatonia, being lorazepam the first-choice drug. Eighty percent of the patients are relieved by the use of barbiturates or benzodiazepines, while in those who fail, an improvement is achieved by electroconvulsive therapy (ECT). With more than 60years of use in catatonic patients, ECT has proven to be an effective and safe tool for the treatment of this frequent and sometimes forgotten syndrome. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Cell Internal Treatable Microplasma Jets in Cancer Therapies

    NASA Astrophysics Data System (ADS)

    Kim, Jae Young; Wei, Yanzhang; Li, Jinhua; Kim, Sung-O.

    2011-10-01

    We developed a 15- μm-sized, single-cellular-level, and cell-manipulatable microplasma jet device with a microcapillary glass tip and described its potential in physical cancer therapies. The microcapillary tip is a funnel shaped glass tube and its nozzle has an inner diameter of 15 μm and an outer diameter of 20 μm with 20 capillary angle. The electrical and optical properties of this plasma jet and apoptosis results of cultured murine B16F0 melanoma tumor cells and CL.7 fibroblast cells treated with the plasma jets were described. In spite of the small inner diameter and the low gas flow rate of the microplasma jet device, the generated plasma jets are stable enough to treat tumor cells. The microplasma jet was observed inducing apoptosis in cultured murine melanoma tumor cells in a dose-dependent manner. Furthermore, the percentage of apoptotic cells of murine melanoma tumor cells induced by this plasma device was approximately 2.5 times bigger than that of murine fibroblast cells as indicated by an Annex V-FITC method. This highly precise plasma medicine, which enables new directed cancer therapies, can be combined with current cell manipulation and cell culturing technologies without much difficulty.

  7. URBAN STORMWATER POLLUTANT SOURCES, CHARACTERIZATION AND BMP TREATABILITY

    EPA Science Inventory

    This paper covers the origin and values of the various pollutants or stressors in urban stormwater including flow (shear force), pathogens, suspended solids/sediment, toxicants (organic and metals(, nutrients, oxygen demanding substances, and coarse solids. A broad overview of th...

  8. Toxicity assessment on combined biological treatment of pharmaceutical industry effluents.

    PubMed

    Inanc, B; Calli, B; Alp, K; Ciner, F; Mertoglu, B; Ozturk, I

    2002-01-01

    This paper describes the wastewater characterization and aerobic/anaerobic treatability (oxygen uptake rate and biogas production measurement) of chemical-synthesis based pharmaceutical industry effluents in a nearby baker's yeast industry treatment plant. Preliminary experiments by the industry had indicated strong anaerobic toxicity. On the other hand, aerobic treatability was also uncertain due to complexity and unknown composition of the wastewater. The work in this study has indicated that the effluents of the pharmaceutical industry can be treated without toxicity in the aerobic stage of the treatment plant. Methanogenic activity tests with anaerobic sludge from the anaerobic treatment stage of the wastewater treatment plant and acetate as substrate have confirmed the strong toxicity, while showing that 30 min aeration or coagulation with an alum dose of 300 mg/l is sufficient for reducing the toxicity almost completely. Powdered activated carbon, lime and ferric chloride (100-1,000 mg/l) had no effect on reduction of the toxicity. Consequently, the pharmaceutical industry was recommended to treat its effluents in the anaerobic stage of the nearby baker's yeast industry wastewater treatment plan at which there will be no VOC emission and toxicity problem, provided that pretreatment is done.

  9. Assessing trihalomethanes (THMs) and N-nitrosodimethylamine (NDMA) formation potentials in drinking water treatment plants using fluorescence spectroscopy and parallel factor analysis.

    PubMed

    Yang, Liyang; Kim, Daekyun; Uzun, Habibullah; Karanfil, Tanju; Hur, Jin

    2015-02-01

    The formation of disinfection byproducts (DBPs) is a major challenge in drinking water treatments. This study explored the applicability of fluorescence excitation-emission matrices and parallel factor analysis (EEM-PARAFAC) for assessing the formation potentials (FPs) of trihalomethanes (THMs) and N-nitrosodimethylamine (NDMA), and the treatability of THM and NDMA precursors in nine drinking water treatment plants. Two humic-like and one tryptophan-like components were identified for the samples using PARAFAC. The total THM FP (TTHM FP) correlated strongly with humic-like component C2 (r=0.874), while NDMA FP showed a moderate and significant correlation with the tryptophan-like component C3 (r=0.628). The reduction by conventional treatment was more effective for C2 than C3, and for TTHM FP than NDMA FP. The treatability of DOM and TTHM FP correlated negatively with the absorption spectral slope (S275-295) and biological index (BIX) of the raw water, but it correlated positively with humification index (HIX). Our results demonstrated that PARAFAC components were valuable for assessing DBPs FP in drinking water treatments, and also that the raw water quality could affect the treatment efficiency. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. IN-SITU DUOX™ CHEMICAL OXIDATION TECHNOLOGY TO TREAT CHLORINATED ORGANICS AT THE ROOSEVELT MILLS SITE, VERNON, CT: SITE CHARACTERIZATION AND TREATABILITY STUDY

    EPA Science Inventory

    A study was performed investigating the feasibility of applying the DUOX™ chemical oxidation technology to chlorinated solvent contaminated media at the Roosevelt Mills site in Vernon, Connecticut. The Roosevelt Mills site is a former woolen mill that included dry cleaning operat...

  11. LOW COST SOLIDIFICATION/STABILIZATION TREATMENT FOR SOILS CONTAMINATED WITH DIOXIN, PCP, AND CREOSOTE

    EPA Science Inventory

    The USEPA's National Risk Management Research Laboratory condcuted successful treatability tests of innovative solidification/stablization (S/S) formulations to treat soils contaminated with dioxins, pentachlorophenol (PCP), and creosote from four wood preserving sites. For one o...

  12. Thyroid Cancer Statistics | Did You Know?

    Cancer.gov

    Thyroid cancer represents the 8th most common cancer in the United States. Did you know that this cancer, located at the base of the throat in the thyroid gland, is highly treatable and usually curable?

  13. Short-Term Operations Plan for Collection of Bulk Quantity CBP Liquid in Support of a Pilot-Scale Treatabilty Evaluation with Water Recovery Inc

    EPA Pesticide Factsheets

    June 3, 2011 work plan for a pilot-scale treatability evaluation with a commercial wastewater treatment facility, Water Recovery Inc. (WRI) located in Jacksonville, Florida. Region ID: 04 DocID: 10749927, DocDate: 06-03-2011

  14. Take the IBS Test

    MedlinePlus

    ... Committed to Quality in Patient Care TAKE THE IBS TEST Do you have recurrent abdominal pain or ... have a real and treatable medical condition called irritable bowel syndrome (IBS). Your doctor now has new information and ...

  15. BIOLOGICAL TREATMENT, EFFLUENT REUSE, AND SLUDGE HANDLING FOR THE SIDE LEATHER TANNING INDUSTRY

    EPA Science Inventory

    An evaluation of the treatability of unsegregated, unequalized, and unneutralized wastewaters from a side-leather tanning industry utilizing the hair pulping process by primary and secondary biological and gravity separation in clarifier-thickeners, whereas the secondary treatmen...

  16. Cognitive dysfunction and depression in adult kidney transplant recipients: baseline findings from the FAVORIT Ancillary Cognitive Trial (FACT)

    USDA-ARS?s Scientific Manuscript database

    Hyperhomocysteinemia and B-vitamin deficiency may be treatable risk factors for cognitive impairment and decline. Hyperhomocysteinemia, cognitive impairment and depression all are common in individuals with kidney disease, including kidney transplant recipient. Accordingly, we assessed the prevalenc...

  17. Prenatal Tests

    MedlinePlus

    ... disease (STD) or cervical cancer In a developing child, prenatal tests can: identify treatable health problems that can affect the baby show characteristics of the baby, including size, sex, age, and position in the uterus help determine ...

  18. A case study of coupling upflow anaerobic sludge blanket (UASB) and ANITA™ Mox process to treat high-strength landfill leachate.

    PubMed

    Lu, Ting; George, Biju; Zhao, Hong; Liu, Wenjun

    2016-01-01

    A pilot study was conducted to study the treatability of high-strength landfill leachate by a combined process including upflow anaerobic sludge blanket (UASB), carbon removal (C-stage) moving bed biofilm reactor (MBBR) and ANITA™ Mox process. The major innovation on this pilot study is the patent-pending process invented by Veolia that integrates the above three unit processes with an effluent recycle stream, which not only maintains the low hydraulic retention time to enhance the treatment performance but also reduces inhibiting effect from chemicals present in the high-strength leachate. This pilot study has demonstrated that the combined process was capable of treating high-strength leachate with efficient chemical oxygen demand (COD) and nitrogen removals. The COD removal efficiency by the UASB was 93% (from 45,000 to 3,000 mg/L) at a loading rate of 10 kg/(m(3)·d). The C-stage MBBR removed an additional 500 to 1,000 mg/L of COD at a surface removal rate (SRR) of 5 g/(m(2)·d) and precipitated 400 mg/L of calcium. The total inorganic nitrogen removal efficiency by the ANITA Mox reactor was about 70% at SRR of 1.0 g/(m(2)·d).

  19. Kidney Cancer in Children

    MedlinePlus

    What is Kidney Cancer in Children? Kidney (renal) tumors are very rare in children. Still, the three most common renal tumors ... treatable and curable. What are the Types of Kidney Cancer in Children? Male urinary tract Medical Illustration ...

  20. Chikungunya Virus: What You Need to Know

    MedlinePlus

    ... Aedes species mosquito bites. Aedes mosquitoes also spread dengue and Zika viruses. ŠŠ A risk to anyone traveling ... to look for chikungunya or similar diseases, like dengue or Zika. Chikungunya is preventable, but not treatable Š Š ...

  1. Active Pharmaceutical Ingredients and Aquatic Organisms

    EPA Science Inventory

    The presence of active pharmaceuticals ingredients (APIs) in aquatic systems in recent years has led to a burgeoning literature examining environmental occurrence, fate, effects, risk assessment, and treatability of these compounds. Although APIs have received much attention as ...

  2. Creating Brain Lesions by Low Intensity Focused Ultrasound with Microbubbles: A Rat Study at Half MHz

    PubMed Central

    Huang, Yuexi; Vykhodtseva, Natalia I.; Hynynen, Kullervo

    2014-01-01

    Low intensity focused ultrasound was applied with microbubbles (Definity, 0.02 mL/kg) to produce brain lesions in 50 rats at 558 kHz. Burst sonications (burst length: 10 ms; pulse repetition frequency: 1 Hz; total exposure: 5 min; acoustic powers: 0.47-1.3W) generated ischemic or hemorrhagic lesions at the focal volume revealed by both MR imaging and histology. Shorter burst (2 ms) or shorter sonication time (1 min) reduced the probability of lesion production. Longer pulses (200ms, 500ms and continuous wave) caused significant near-field damages. Using microbubbles with focused ultrasound significantly reduced the acoustic power levels, therefore avoided skull heating issues and potentially can extend the treatable volume of transcranial focused ultrasound to the brain tissues close to the skull. PMID:23743099

  3. OMEGACAM and Gravitational Lensing

    NASA Astrophysics Data System (ADS)

    Christen, Fabrice Frédéric Thiébaut

    2007-04-01

    Het proefschrift van Fabrice Christen gaat over de ontwikkeling van nieuwe methoden voor het corrigeren van (digitale) foto's van melkwegstelsels. Met deze methoden kunnen de beelden uit het heelal beter worden geanalyseerd. Het eerste gedeelte is gewijd aan het werk dat bij ESO is uitgevoerd aan de CCD's van de OmegaCAM camera, het enige instrument van de VST. OmegaCAM is een optische groothoekcamera met een beeldveld van een vierkante graad, opgebouwd uit een mozaiek van 8 bij 4 CCD's. Van elk onderdeel moeten alle kenmerken volledig bekend zijn voordat het in het CCD mozaiek geplaatst kan worden. In het tweede deel van dit proefschrift wordt de ontwikkeling van een nieuwe methode voor het corrigeren van de ``point-spread function'' (PSF) en schatten van de ellipticiteit van de melkwegstelsels besproken. De nieuwe techniek wordt getest en vergeleken met een door sterrenkundigen algemeen gebruikte methode in het veld van zwaartekrachtslenzen, de Kaiser, Squire en Broadhurst (KSB) methode. De nieuwe methode, gebaseerd op shapelet ontleding (vergelijkbaar met wavelet ontleding), gaat verder, en is sneller en theoretisch preciezer dan de KSB methode. Door gebruik te maken van de gecorrigeerde ellipticiteit, kunnen we een statistische analyse uitvoeren om er een kosmisch vervormingssignaal uit te halen. De licht vervormde beelden van de melkwegstelsels bewij zen dat de niet-homogene massaverdeling op megaparsec-schaal voornamelijk bestaat uit grote hoeveelheden donkere materie. Verder vergelijken we de schattingen van de ellipticiteit van de shapelet en KSB methode. Bovendien voeren we ook nog een melkwegstelsel-melkwegstelsel lens analyse uit op de 50 VLT Fors1 afbeeldingen en slagen we erin de belangrijkste eigenschappen van de halo's van de stelsels, die zich op een afstand van een- tot tweeduizend megaparsec (1 parsec = 3,26 lichtjaar = 3,085 x 10^16 meter) bevinden, te bepalen door gebruik te maken van twee modellen van melkwegstelselhalo's. Vergeleken met andere

  4. Flexible Reactive Berm (FRBerm) for Removal of Heavy Metals from Runoff Water: ESTCP ER 1213 Treatability Study

    DTIC Science & Technology

    2016-06-01

    occur during pre-treatment. Parameter measured Raw FB (B) Boiled FB (BB) Boiled and bleached FB (BBB) Boiled, bleached, and baked FB (BBBB...en t w ith a fi lte r s oc k fil le d w ith s an d am en de d w ith 1 5 pe rc en t T RA PP S™ . ERDC/EL TR-16-7 8 1.1.4 Model of TSS...the sand/amendments were removed from each column. Metal leaching following the treatments was measured using: • Toxicity Characteristic Leaching

  5. Treatability Study in Support of Intrinsic Remediation for Site ST41. Elmendorf Air Force Base, Anchorage, Alaska

    DTIC Science & Technology

    1995-10-01

    BTEX on the shallow groundwater system at the site. Site history and the results of soil and groundwater investigations conducted previously are also...or predicted future, concentrations and distribution. Whether in conjunction with the interim 1 remedial action system already in place or not...L:\\45007\\st4 I rept\\st41 finl.doc D 0 • 0 • 0 0 0 0 • 6 FINAL 4 22 years, depending upon the effectiveness of the interim remedial action (IRA) system

  6. About Mood Disorders

    MedlinePlus

    ... surrounding the illnesses or the fear associated with stigma. The following are brief descriptions of depression and ... also known as manic depression) is a treatable illness marked by extreme changes in mood, thought, ... Aid Training Support Group Facilitator Training ...

  7. Inactivating Methicillin Resistant Staphylococcus aureus (MRSA) and Other Pathogens by Bacteriocins OR-7 and E 50-52.

    USDA-ARS?s Scientific Manuscript database

    Worldwide, reports document the increasing frequency of methicillin resistant Staphylococcus aureus (MRSA) infections. Other human pathogens are recognized as unresponsive to antibiotics of last resort. These previously treatable infections now account for increased numbers of human disease and de...

  8. Leachate from market refuse and biomethanation study.

    PubMed

    Mukherjee, S N; Kumar, Sunil

    2007-12-01

    The market place is considered to be an important centre of daily life of campus community. In India, as in Europe and the USA, other forms of shopping have emerged significantly and now predominate, for instance department stores and supermarkets. Though, it is suffered from poor waste management, but the place could be a potential source for obtaining non-conventional energy. The present study examined the quality of market waste management of the Indian Institute of Technology Campus along with the feasibility of biogas production from leachate generated in the waste. Solid wastes from different storage locations of the market place were collected and analyzed. The characteristics of solid wastes were found to be degradable in nature. The wastes, composed of 85% of vegetable origin, were placed in a container and water was added to to generate leachate. The self-purification efficiency of leachate was also studied in the Indian environment and compared with research findings in the USA under an identical moisture application rate. Leachate characterization was investigated both under saturated and submerged conditions. The treatability of leachate was studied in a laboratory-scale up-flow anaerobic filter with hollow burnt clay rings as packing media. It was observed that 4,000-6,000 mg/l would be the optimum range of inlet chemical oxygen demand (COD) concentration for leachate treatment because of the inhibitory effect of ammonia, sulphide, volatile fatty acids and toxic metals in high concentrations at higher strengths of leachate. The gas production rate was found to be at a maximum at 38 degrees C and containing 70-75% methane. From experimental data, it was revealed that 83% COD was removed with input COD concentration of 5,475 mg/l at 2 days hydraulic retention time with biogas yield coefficients of 0.61. The present study also investigated the removal efficiency of chloride, ammonia, sulphide and nitrate.

  9. In situ photoimmunotherapy for melanoma: an ongoing phase I clinical trial

    NASA Astrophysics Data System (ADS)

    Naylor, Mark F.; Nordquist, Robert E.; Teague, T. Kent; Perry, Lisa A.; Chen, Wei R.

    2007-02-01

    In situ Photoimmunotherapy (ISPI) was developed to treat metastatic tumors using a combination of phototherapy and immunotherapy. It utilizes local intervention through photothermal destruction of existing solid tumors and through immune response modifier to elicit host anti-tumor responses. Such combination in pre-clinical studies has shown promise in cancer treatment by eradicating the primary tumors and also controlling metastases at distant sites. ISPI has been used in our preliminary clinical studies for melanoma patients and the outcome has been extremely encouraging. In 2006, we began enrolling patients in a new phase I immunotherapy trial for advanced cutaneous melanoma. This trial is based on our previous results which indicated that we had developed an effective treatment for advanced melanoma. Of the first six patients treated, (4 stage IV, and 2 surgically unresectable stage III), 2 of the stage IV patients are still alive, one tumor free, and one with a possible treatable recurrence after 2 1/2 years. We have also discovered that recurrences of the skin cancer can be retreated by the same technique and that treatment seems to blunt the virulence of the disease and make it more treatable. These initial results indicate that ISPI probably will have the ability to prolong survival in selected cases of advanced melanoma, and potentially cure a significant percentage of treated patients.

  10. DEMONSTRATION BULLETIN: COGNIS TERRAMET LEAD EXTRACTION PROCESS - TWIN CITIES ARMY AMMUNITION PLANT - COGNIS, INC.

    EPA Science Inventory

    The TERRAMET® soil remediation system leaches and recovers lead (including metallic lead, and lead salts and oxides), and other metals from contaminated soil, sludge, or sediment. The system uses a proprietary aqueous leachant that is optimized through treatability tests for the ...

  11. Virtual Colonoscopy

    MedlinePlus

    ... 75. back to the top of the page Pros Less invasive way to look for polyps Relatively quick Few complications No sedation May unexpectedly reveal treatable problems outside of the colon Cons Moderate to full bowel prep Slight discomfort when ...

  12. Differential equations driven by rough paths with jumps

    NASA Astrophysics Data System (ADS)

    Friz, Peter K.; Zhang, Huilin

    2018-05-01

    We develop the rough path counterpart of Itô stochastic integration and differential equations driven by general semimartingales. This significantly enlarges the classes of (Itô/forward) stochastic differential equations treatable with pathwise methods. A number of applications are discussed.

  13. PERFORMANCE MONITORING OF ENHANCED IN-SITU BIOREMEDIATION OF MTBE IN GROUND WATER

    EPA Science Inventory

    The primary objective of the Biostimulation Technology Evaluation was to determine if enhanced biodegradation was occurring in a ground-water test plot to a sufficient degree to reduce intrinsic methyl tertiary butyl ether (MTBE) to the State of California's treatability criteria...

  14. Microbial degradation of Cold Lake Blend and Western Canadian Select Dilbits in Freshwater

    EPA Science Inventory

    Although there are different physical and chemical properties between conventional crude oils and diluted bitumen (dilbit) information on the biodegradation patterns of dilbit is scarce. To address this issue, treatability experiments were conducted with two types of dilbits at 5...

  15. Post‐surgical changes in brain metabolism detected by magnetic resonance spectroscopy in normal pressure hydrocephalus: results of a pilot study

    PubMed Central

    del Mar Matarín, María; Pueyo, Roser; Poca, María Antonia; Falcón, Carles; Mataró, María; Bargalló, Núria; Sahuquillo, Juan; Junqué, Carme

    2007-01-01

    Background Adult normal pressure hydrocephalus (NPH) is one of the few potentially treatable causes of dementia. Some morphological and functional abnormalities attributed to hydrocephalus improve following treatment. Objectives We focused on analysis of changes in cerebral metabolites using proton magnetic resonance spectroscopy (1H‐MRS) after NPH treatment, and its clinical and cognitive correlation. Methods 1H‐MRS, neuropsychological and clinical status examinations were performed before and 6 months after shunting in 12 adults with idiopathic NPH. We obtained N‐acetyl‐aspartate (NAA), choline (Cho), myoinositol (MI) and creatine (Cr) values. Results After surgery, NAA/Cr was significantly increased. Moreover, NAA/Cr values were related to cognitive deterioration. Conclusion MRS could be a marker of neuronal dysfunction in NPH. PMID:17299021

  16. Modafinil treatment for fatigue in HIV+ patients: a pilot study.

    PubMed

    Rabkin, Judith G; McElhiney, Martin C; Rabkin, Richard; Ferrando, Stephen J

    2004-12-01

    Fatigue is widespread among human immunodeficiency virus-positive (HIV+) patients, yet few studies have assessed effective treatments. The authors conducted a pilot study to evaluate the efficacy of modafinil for fatigue in this clinical population. Response was evaluated after a 4-week open-label trial. Data were collected from February 2003 through January 2004. Responders were offered 8 additional weeks of modafinil. Inclusion criteria included written approval from the primary care physician, clinically significant fatigue, current use of anti-retroviral medications, and the absence of treatable medical conditions known to cause fatigue. Exclusion criteria included untreated major depression and current substance abuse. Major outcome measures were the Fatigue Severity Scale, Chalder Fatigue Scale, Hamilton Rating Scale for Depression, Beck Depression Inventory, and neuropsychological tests assessing verbal memory, speed of processing, and executive function. Immunologic and virologic measures were performed at baseline and week 4 to assess safety of treatment. All 30 patients who enrolled completed 4 weeks of treatment; 24 (80%) were rated as responders. Responders showed statistically significant improvement on all measures of fatigue, depressive symptoms, and executive function, while nonresponders did not. Mean values of CD4 cell count and HIV RNA viral load did not change. The most common side effect was headache, followed by irritability and feeling "hyper." This pilot study shows encouraging results for modafinil in alleviation of fatigue in HIV+ patients. In addition, depressive symptoms were substantially reduced. Improvements on measures of verbal memory and executive function were significant, but in the absence of a placebo control, the magnitude of effect due to practice cannot be determined.

  17. United States Air Force 611th Civil Engineer Squadron, Elmendorf AFB, Alaska. Final engineering evaluation/cost analysis: Petroleum, oil, and lubricants area, Galena Airport, Alaska

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1996-02-05

    This decision document presents the selected removal action for the Installation Restoration Program (IRP) site ST005, otherwise known as the POL Tank Farm, at Galena Airport, Alaska. This decision is based on the administrative record for this site, specifically the draft Remedial Investigation Report (March 1995) and the Treatability Study Report (January 1995) (PB95-225314). The information from these documents is summarized, along with an analysis of potential removal action alternatives in the Engineering Evaluation/Cost Analysis (EE/CA).

  18. Biological treatment of hazardous aqueous wastes

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Opatken, E.J.; Howard, H.K.; Bond, J.J.

    1987-06-01

    Studies were conducted with a rotating biological conractor (RBC) to evaluate the treatability of leachates from the Stringfellow and New Lyme hazardous-waste sites. The leachates were transported from the waste sites to Cincinnati at the United States Environmental Protection Agency's Testing and Evaluation Facility. A series of batches were run with primary effluent from Cincinnati's Mill Creek Sewage Treatment Facility. The paper reports on the results from these experiments and the effectiveness of an RBC to adequately treat leachates from Superfund sites.

  19. The Columbia River Protection Supplemental Technologies Quality Assurance Project Plan

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Fix, N. J.

    The U.S. Department of Energy (DOE) has conducted interim groundwater remedial activities on the Hanford Site since the mid-1990s for several groundwater contamination plumes. DOE established the Columbia River Protection Supplemental Technologies Project (Technologies Project) in 2006 to evaluate alternative treatment technologies. The objectives for the technology project are as follows: develop a 300 Area polyphosphate treatability test to immobilize uranium, design and test infiltration of a phosphate/apatite technology for Sr-90 at 100-N, perform carbon tetrachloride and chloroform attenuation parameter studies, perform vadose zone chromium characterization and geochemistry studies, perform in situ biostimulation of chromium studies for a reducing barriermore » at 100-D, and perform a treatability test for phytoremediation for Sr-90 at 100-N. This document provides the quality assurance guidelines that will be followed by the Technologies Project. This Quality Assurance Project Plan is based on the quality assurance requirements of DOE Order 414.1C, Quality Assurance, and 10 CFR 830, Subpart A--Quality Assurance Requirements as delineated in Pacific Northwest National Laboratory’s Standards-Based Management System. In addition, the technology project is subject to the Environmental Protection Agency (EPA) Requirements for Quality Assurance Project Plans (EPA/240/B-01/003, QA/R-5). The Hanford Analytical Services Quality Assurance Requirements Documents (HASQARD, DOE/RL-96-68) apply to portions of this project and to the subcontractors. HASQARD requirements are discussed within applicable sections of this plan.« less

  20. Calcium absorption, kinetics, bone density, and bone structure in patients with hereditary vitamin D-resistant rickets

    USDA-ARS?s Scientific Manuscript database

    Hereditary 1,25-dihydroxyvitamin D-resistant rickets (HVDRR) is caused by mutations in the vitamin D receptor gene. Children with HVDRR suffer from severe hypocalcemia and rickets that are treatable with extremely high-dose calcium supplements. Surprisingly, spontaneous recovery of calcium metabolis...

  1. EINGEERING BULLETINS: AIDS TO THE DEVELOPMENT OF REMEDIAL ALTERNATIVES

    EPA Science Inventory

    An overview of activities of the Risk Reduction Engineering Laboratory in response to the Environmental Protection Agency`s Treatability Initiative are described and a summary of the information in the first ten Engineering Bulletins, which are a component of the initiative, is p...

  2. 38 CFR 3.381 - Service connection of dental conditions for treatment purposes.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... dental conditions for treatment purposes. 3.381 Section 3.381 Pensions, Bonuses, and Veterans' Relief... Rating Considerations Relative to Specific Diseases § 3.381 Service connection of dental conditions for treatment purposes. (a) Treatable carious teeth, replaceable missing teeth, dental or alveolar abscesses...

  3. 38 CFR 3.381 - Service connection of dental conditions for treatment purposes.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... dental conditions for treatment purposes. 3.381 Section 3.381 Pensions, Bonuses, and Veterans' Relief... Rating Considerations Relative to Specific Diseases § 3.381 Service connection of dental conditions for treatment purposes. (a) Treatable carious teeth, replaceable missing teeth, dental or alveolar abscesses...

  4. SOLIDIFICATION/STABILIZATION: A LOW COST TREATMENT FOR WOOD PRESERVING SITES

    EPA Science Inventory

    Over 600 curent and former wood preserving sites have been identified across the U.S. Many of these have been placed on the EPA Superfund NPL (National Priorities List). Most of these sites contain soils contaminated with pentachlorophenol, dioxins, and/or creosote. Treatability...

  5. Genetics Home Reference: cerebral folate transport deficiency

    MedlinePlus

    ... a treatable neurodegenerative disorder associated with disturbed myelin metabolism. Am J Hum Genet. 2009 Sep;85(3):354-63. doi: 10.1016/j.ajhg.2009.08.005. Citation on PubMed or Free article on PubMed Central Toelle SP, Wille D, Schmitt ...

  6. Space Derived Health Aids (PRN, Neuropacemaker)

    NASA Technical Reports Server (NTRS)

    1981-01-01

    St. Jude Medical's (formerly known as Pacesetter Systems, Inc.) Programmable Rechargeable Neuropacemaker (PRN) is an implantable human tissue stimulator designed to provide relief to patients with disorders treatable by electrical stimulation. Examples are back, leg, and arm pain, cancer pain and multiple sclerosis.

  7. Epidemiology of untreated non-obstetric surgical disease in Burera District, Rwanda: a cross-sectional survey.

    PubMed

    Linden, Allison F; Maine, Rebecca; Hedt-Gauthier, Bethany L; Kamanzi, Emmanual; Mody, Gita; Ntakiyiruta, Georges; Kansayisa, Grace; Ntaganda, Edmond; Niyonkuru, Francine; Mubiligi, Joel; Mpunga, Tharcisse; Meara, John G; Riviello, Robert

    2015-04-27

    In low-income and middle-income countries, surgical epidemiology is largely undefined at the population level, with operative logs and hospital records serving as a proxy. This study assesses the distribution of surgical conditions that contribute the largest burden of surgical disease in Burera District, in northern Rwanda. We hypothesise that our results would yield higher rates of surgical disease than current estimates (from 2006) for similar low-income countries, which are 295 per 100 000 people. In March and May, 2012, we performed a cross-sectional study in Burera District, randomly sampling 30 villages with probability proportionate to size and randomly sampling 23 households within the selected villages. Six Rwandan surgical postgraduates and physicians conducted physical examinations on all eligible participants in sampled households. Participants were assessed for injuries or wounds, hernias, hydroceles, breast mass, neck mass, obstetric fistula, undescended testes, hypospadias, hydrocephalus, cleft lip or palate, and club foot. Ethical approval was obtained from Boston Children's Hospital (Boston, MA, USA) and the Rwandan National Ethics Committee (Kigali, Rwanda). Informed consent was obtained from all participants. Of the 2165 examined individuals, the overall prevalence of any surgical condition was 12% (95% CI 9·2-14·9) or 12 009 per 100 000 people. Injuries or wounds accounted for 55% of the prevalence and hernias or hydroceles accounted for 40%, followed by neck mass (4·2%), undescended testes (1·9%), breast mass (1·2%), club foot (1%), hypospadias (0·6%), hydrocephalus (0·6%), cleft lip or palate (0%), and obstetric fistula (0%). When comparing study participant characteristics, no statistical difference in overall prevalence was noted when examining sex, wealth, education, and travel time to the nearest hospital. Total rates of surgically treatable disease yielded a statistically significant difference compared with current

  8. Opinions of patients and the public regarding NHS priorities.

    PubMed

    Baker, A D; Bassran, A; Paterson-Brown, S

    2001-10-01

    The purpose of this study was to ascertain the views of patients and the public on NHS priorities. Data were gathered by interview questionnaire throughout Edinburgh city centre, and within various departments of one large teaching hospital. Of the 1502 responses, 462 were from within the hospital and 1040 were from city centre locations. 1497 (99.7%) were in favour of treating emergencies, and 1467 (97.7%) life threatening conditions as a priority. 1315 (88%) agreed that treatable conditions that seriously affect quality of life should also be considered a priority and 1127 (75%) were in favour of treating patients with incurable terminal disease regardless of cost. In order to provide these services 584 (39%) considered it acceptable to make patients with less serious conditions wait longer. Of the 918 (61%) who considered it not acceptable to wait longer 812 (88%) would be prepared to pay more in tax to provide this. The General Public do support the treatment of emergency and life threatening conditions as an absolute priority. The majority also support the prioritization of conditions which are treatable and seriously affect quality of life. If in establishing these priorities waiting times for other conditions are likely to rise, the public would generally accept increased taxation or some form of fee for service.

  9. Treatment techniques for the recycling of bottle washing water in the soft drinks industry.

    PubMed

    Ramirez Camperos, E; Mijaylova Nacheva, P; Diaz Tapia, E

    2004-01-01

    The soft drink production is an important sector in the manufacturing industry of Mexico. Water is the main source in the production of soft drinks. Wastewater from bottle washing is almost 50% of the total wastewater generated by this industry. In order to reduce the consumption of water, the water of the last bottle rinse can be reused in to the bottle pre-rinse and pre-washing cycles. This work presents the characterization of the final bottle washing rinse discharge and the treatability study for the most appropriate treatment system for recycling. Average characteristics of the final bottle wash rinse were as follows: Turbidity 40.46 NTU, COD 47.7 mg/L, TSS 56 mg/L, TS 693.6 mg/L, electrical conductivity 1,194 microS/cm. The results of the treatability tests showed that the final rinse water can be used in the pre-rinse and pre-washing after removing the totality of the suspended solids, 80% of the COD and 75% of the dissolved solids. This can be done using the following treatment systems: filtration-adsorption-reverse osmosis, or filtration-adsorption-ion exchange. The installation of these treatment techniques in the soft drink industry would decrease bottle washing water consumption by 50%.

  10. Revisiting doxycycline in pregnancy and early childhood--time to rebuild its reputation?

    PubMed

    Cross, Ruby; Ling, Clare; Day, Nicholas P J; McGready, Rose; Paris, Daniel H

    2016-01-01

    Doxycycline is highly effective, inexpensive with a broad therapeutic spectrum and exceptional bioavailability. However these benefits have been overshadowed by its classification alongside the tetracyclines - class D drugs, contraindicated in pregnancy and in children under 8 years of age. Doxycycline-treatable diseases are emerging as leading causes of undifferentiated febrile illness in Southeast Asia. For example scrub typhus and murine typhus have an unusually severe impact on pregnancy outcomes, and current mortality rates for scrub typhus reach 12-13% in India and Thailand. The emerging evidence for these important doxycycline-treatable diseases prompted us to revisit doxycycline usage in pregnancy and childhood. A systematic review of the available literature on doxycycline use in pregnant women and children revealed a safety profile of doxycycline that differed significantly from that of tetracycline; no correlation between the use of doxycycline and teratogenic effects during pregnancy or dental staining in children was found. The change of the US FDA pregnancy classification scheme to an evidence-based approach will enable adequate evaluation of doxycycline in common tropical illnesses and in vulnerable populations in clinical treatment trials, dosage-optimization pharmacokinetic studies and for the empirical treatment of undifferentiated febrile illnesses, especially in pregnant women and children.

  11. Revisiting doxycycline in pregnancy and early childhood – time to rebuild its reputation?

    PubMed Central

    Cross, Ruby; Ling, Clare; Day, Nicholas P. J.; McGready, Rose; Paris, Daniel H.

    2016-01-01

    ABSTRACT Introduction: Doxycycline is highly effective, inexpensive with a broad therapeutic spectrum and exceptional bioavailability. However these benefits have been overshadowed by its classification alongside the tetracyclines – class D drugs, contraindicated in pregnancy and in children under 8 years of age. Doxycycline-treatable diseases are emerging as leading causes of undifferentiated febrile illness in Southeast Asia. For example scrub typhus and murine typhus have an unusually severe impact on pregnancy outcomes, and current mortality rates for scrub typhus reach 12-13% in India and Thailand. The emerging evidence for these important doxycycline-treatable diseases prompted us to revisit doxycycline usage in pregnancy and childhood. Areas Covered: A systematic review of the available literature on doxycycline use in pregnant women and children revealed a safety profile of doxycycline that differed significantly from that of tetracycline; no correlation between the use of doxycycline and teratogenic effects during pregnancy or dental staining in children was found. Expert Opinion: The change of the US FDA pregnancy classification scheme to an evidence-based approach will enable adequate evaluation of doxycycline in common tropical illnesses and in vulnerable populations in clinical treatment trials, dosage-optimization pharmacokinetic studies and for the empirical treatment of undifferentiated febrile illnesses, especially in pregnant women and children. PMID:26680308

  12. Effect of source, drying method and treatment schedule on treatability of red pine

    Treesearch

    Stan Lebow; Cherilyn Hatfield; Steve Halverson

    2006-01-01

    Although sapwood of pine species is generally considered to be readily treated with preservatives, penetration is sometimes variable. The cause of this variability is poorly understood. This study evaluated the effect of geographic source, method of drying, and treatment parameters on penetration of a preservative in red pine lumber. Lumber from Wisconsin and Michigan...

  13. Effects of incising on treatability and leachability of CCA-C-treated eastern hemlock

    Treesearch

    S. Nami Kartal

    2002-01-01

    Incising is used to increase exposed wood surface and improve uptake and penetration of preservative during pressure treatment of refractory species. However, incising may also cause increased leaching of preservative when the wood is placed in service. This study compared the rate of leaching from unincised eastern hemlock to that of wood that had been incised to two...

  14. Sheehan's syndrome in modern times: a nationwide retrospective study in Iceland.

    PubMed

    Kristjansdottir, Hallgerdur Lind; Bodvarsdottir, Sigrun Perla; Sigurjonsdottir, Helga Agusta

    2011-03-01

    Half a century ago the prevalence of Sheehan's syndrome (SS) was 10-20 per 100,000 women. With better obstetric help the prevalence is assumed to have decreased, especially in developed countries. The aim of this study is to estimate the prevalence of SS in modern times in Iceland. We studied the prevalence of SS in 2009 in a nationwide retrospective population-based study. All patients with diagnosed SS were identified, and information regarding obstetric care, clinical presentation and hormonal assays was collected. Correlation was calculated with Kendall's tau-b. Significance level: P<0.05. Eight women were identified with SS; thus, the prevalence of SS in 2009 was 5.1 per 100,000 women. The mean age at delivery and diagnosis was 33.0 and 36.6 respectively, resulting in a diagnostic delay (DD) of 1-240 months. Four women had low blood pressure during delivery, and five had massive blood loss (>1000 ml). Six had complicated deliveries. The most common clinical presentation was failure to lactate and failure to resume menstruation. The patients had three to five failing pituitary axis. There was no correlation between bleeding at delivery or the number of hormonal axes affected and DD. The prevalence of SS in Iceland was higher than we expected in a country with modern obstetric care. Long DD and incidental diagnosis indicate that women might be lacking correct diagnosis and treatment, and thus the prevalence of SS is even higher. As SS is easily diagnosed and treatable, but can be life-threatening if unrecognised, doctors need to be aware of the disease.

  15. Outbreak-associated Vibrio cholerae genotypes with identical pulsotypes, Malaysia, 2009.

    PubMed

    Teh, Cindy Shuan Ju; Suhaili, Zarizal; Lim, King Ting; Khamaruddin, Muhamad Afif; Yahya, Fariha; Sajili, Mohd Hailmi; Yeo, Chew Chieng; Thong, Kwai Lin

    2012-07-01

    A cholera outbreak in Terengganu, Malaysia, in November 2009 was caused by 2 El Tor Vibrio cholerae variants resistant to typical antimicrobial drugs. Evidence of replacement of treatable V. cholerae infection in the region with antimicrobial-resistant strains calls for increased surveillance and prevention measures.

  16. Severe depression masquerading as Creutzfeldt-Jakob disease

    PubMed Central

    Shiner, Elizabeth; Taylor, Lauren; Mohan, Adith; Watson, Shaun; Sachdev, Perminder Singh

    2014-01-01

    We report a case of melancholic depression with catatonic features presenting as a rapidly progressive organic brain syndrome, initially thought to be probable Creutzfeldt-Jakob disease. The case highlights the fundamental importance of thorough exclusion of treatable pathology masquerading as an irreversible syndrome. PMID:24748140

  17. Reninoma presenting as cardiac syncope

    PubMed Central

    Tak, Shahid I; Wani, Mohd Lateef; Khan, Khursheed A; Alai, Mohd Sultan; Shera, Altaf Hussain; Ahangar, Abdul G; Khan, Yasir Bashir; Nayeem-ul-Hassan; Irshad, Ifat

    2011-01-01

    Reninoma, a renin-secreting tumor of the juxta-glomerular cells of the kidney, is a rare but surgically treatable cause of secondary hypertension in children. We report a case of reninoma presenting as cardiac syncope with long QTc on electrocardiogram due to hypokalemia. PMID:21677812

  18. Syphilis returns to the suburbs.

    PubMed

    Hargrove, Anna; Curtis, Nigel

    2006-05-01

    Congenital syphilis is now rare in Australia, particularly in suburban areas. The disease is both preventable and treatable, however, missed or late diagnosis can lead to catastrophic effects. We report an infant who developed congenital syphilis after multiple opportunities for preventing this condition were missed.

  19. ENVIROGEN PROPANE BIOSTIMULATION TECHNOLOGY FOR THE IN-SITU TREATMENT OF MTBE-CONTAMINATED GROUND WATER INNOVATIVE TECHNOLOGY EVALUATION REPORT

    EPA Science Inventory

    The primary objective of the Biostimulation Technology Evaluation was to determine if biodegradation was occurring in a ground-water Test Plot to a sufficient degree to reduce intrinsic MTBE to the State of California's treatability criteria of 5 mg/L or below. The evaluation wa...

  20. Visual impairment and blindness among the students of blind schools in Allahabad and its vicinity: A causal assessment

    PubMed Central

    Bhalerao, Sushank Ashok; Tandon, Mahesh; Singh, Satyaprakash; Dwivedi, Shraddha; Kumar, Santosh; Rana, Jagriti

    2015-01-01

    Background/Aims: Information on eye diseases in blind school children in Allahabad is rare and sketchy. A cross-sectional study was performed to identify causes of blindness (BL) in blind school children with an aim to gather information on ocular morbidity in the blind schools in Allahabad and in its vicinity. Study Design and Setting: A cross-sectional study was carried out in all the four blind schools in Allahabad and its vicinity. Materials and Methods: The students in the blind schools visited were included in the study and informed consents from parents were obtained. Relevant ocular history and basic ocular examinations were carried out on the students of the blind schools. Results: A total of 90 students were examined in four schools of the blind in Allahabad and in the vicinity. The main causes of severe visual impairment and BL in the better eye of students were microphthalmos (34.44%), corneal scar (22.23%), anophthalmos (14.45%), pseudophakia (6.67%), optic nerve atrophy (6.67%), buphthalmos/glaucoma (3.33%), cryptophthalmos (2.22%), staphyloma (2.22%), cataract (2.22%), retinal dystrophy (2.22%), aphakia (1.11%), coloboma (1.11%), retinal detachment (1.11%), etc. Of these, 22 (24.44%) students had preventable causes of BL and another 12 (13.33%) students had treatable causes of BL. Conclusion: It was found that hereditary diseases, corneal scar, glaucoma and cataract were the prominent causes of BL among the students of blind schools. Almost 38% of the students had preventable or treatable causes, indicating the need of genetical counseling and focused intervention. PMID:25971172

  1. Emerging Contaminants in Wet-Weather Flow: Characterization and Treatability

    EPA Science Inventory

    An extensive literature review was conducted on the presence and magnitude of emerging contaminants (ECs) in wet-weather flow (WWF) including separate stormwater, combined sewer overflow (CSO), and sanitary sewer overflow (SSO). Although little information exists for stormwater ...

  2. [Treatable diseases of the nervous system with cataract formation].

    PubMed

    Baumgartner, R W; Waespe, W

    1993-02-01

    The detection of a cataract in combination with a neurological deficit may provide the physician with important diagnostic help. But a minority of underlying diseases (angiokeratoma corporis diffusum, cerebrotendinous xanthomatosis, diabetes mellitus, galactosemia, hypocalcemia, Refsum's disease, Wilson's disease; Charles Bonnet syndrome; relapsing Perichondritis; adverse effects of medication and intoxications) can be treated causally. Therefore they are summed up and discussed in this paper.

  3. [Second opinion clinic: is the Web Babel Syndrome treatable?].

    PubMed

    Palmieri, B; Iannitti, T; Capone, S; Fistetto, G; Arisi, E

    2011-01-01

    The term "second opinion" has been widely used, since the 70's in the American hospitals with the aim of reducing the skyrocketing costs of the patients' healthcare, improving their diagnosis, the patient's care and his healing process at the same time. In this paper, after a short review of the "second opinion" impact on different medical fields, we give the reasons why, nowadays, patients are strongly addressed towards a second opinion seeking behaviour. In fact, due to the spreading of the world wide web, the patient can obtain any kind of medical information, even if it is an unqualified one. This fact leads the patient to carry out an obsessive search that can result in confusion and disorientation. We have defined this psychological distress the "Web Babel Syndrome". Building upon these foundations, we strongly support a "second opinion medical clinic" that can face the patient's needs and help those patients with impending single or multiple unresolved illnesses. They need a multispecialty diagnostic or therapeutic medical or surgical approach in order to heal properly or achieve a better quality of life.

  4. A new, treatable source of recurrent meningitis: basioccipital meningocele.

    PubMed

    Hemphill, M; Freeman, J M; Martinez, C R; Nager, G T; Long, D M; Crumrine, P

    1982-12-01

    A 19-month-old boy suffered eight episodes of bacterial meningitis. During the ninth episode a meningocele of the basioccipital clivus communicating with the nasopharynx was discovered. Identification of the organism causing the episodes of meningitis was not helpful in pointing to the site of this congenital anatomic defect. Surgical closure of the defect has prevented further recurrences.

  5. Guanidinoacetate methyltransferase (GAMT) deficiency: a rare but treatable epilepsy.

    PubMed

    Stern, William M; Winston, Joel S; Murphy, Elaine; Cross, J Helen; Sander, Josemir W

    2017-06-01

    Epilepsy commonly presents in childhood as part of a syndrome, and some such children may reach adult services without an underlying syndromic diagnosis. For adult neurologists taking over their care, it is often unclear how hard to search for an underlying diagnosis. The diagnostic yield may be small and such a diagnosis may not change management. Young adults with learning difficulties are also challenging to investigate, as they may not tolerate standard epilepsy tests.We present such a case in which simple tests identified a unifying diagnosis. With the new diagnosis came a new treatment that had a significant impact on seizures and quality of life. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  6. [Communicate instead of stigmatizing - does social contact with a depressed person change attitudes of medical students towards psychiatric disorders? A study of attitudes of medical students to psychiatric patients].

    PubMed

    Schenner, Manuela; Kohlbauer, Daniela; Günther, Verena

    2011-01-01

    The aim of the present study was to investigate how attitudes to psychiatric patients of medical students change, when given an opportunity to have social contact with a depressed individual, during their usual psychiatric practical. In the course of their compulsory practical at the University Clinic for General and Social Psychiatry, 127 students additionally participated in an information session in which a person suffering from depression reported on his/her life, illness and experiences with the illness. The control group comprised 98 students who did only the psychiatry practical. Both at the beginning and end of the practical, students filled in a questionnaire, among others, on cognitive and affective dimensions and social distance. The questionnaire was preceded by 4 different case vignettes describing a fictional person (a man/woman suffering from paranoid schizophrenia and a man/woman suffering from unipolar depression). The results of our study show that before students took their practical, female students felt more pro-social and socially closer, but at the same time more fearful, in relation to mentally ill persons than male students. Females also considered psychiatric illnesses as better treatable than males. Basically, students felt socially closer towards depressed persons than towards schizophrenic patients who were also perceived to be more severely ill, more dangerous and more unpredictable. Students with personal contact with a female depressed patient during their practical demonstrated significant reduction of social distance and fear in relation to depressed persons, and in the sense of a generalization effect, there was also a significant reduction in their assessment of the danger and unpredictability of schizophrenic patients. As against this, students who did only their compulsory practical developed an even stronger stereotype of schizophrenic patients as being dangerous and unpredictable. Additionally, contact with a depressed person

  7. Symptom profile and short term outcome of catatonia: an exploratory clinical study.

    PubMed

    Worku, Benyam; Fekadu, Abebaw

    2015-07-22

    Catatonia is a potentially life-threatening but treatable neuropsychiatric condition. Although considered more common in low income countries, data is particularly sparse in these settings. In this study we explore the symptomatology, treatment, and short-term outcome of catatonia in Ethiopia, a low income country. The study was a prospective evaluation of patients admitted with a DSM-IV diagnosis of catatonia. Diagnosis of Catatonia and its severity were further assessed with the Bush-Francis Catatonia Rating Scale (BFCRS). Twenty participants, 5 male and 15 female, were included in the study: 15 patients (75 %) had underlying mood disorders, 4 patients (20 %) had schizophrenia and 1 patient (5 %) had general medical condition. The most common catatonic symptoms, occurring in over two-thirds of participants, were mutism, negativism, staring and immobility (stupor). Eighteen (90 %) of the twenty patients were on multiple medications. Antipsychotics were the most commonly prescribed medications. ECT was required in seven patients (35.0 %). Dehydration, requiring IV rehydration, and infections were the most important complications ascribed to the catatonia. These occurred in seven patients (25 %). Almost all patients (n = 19/20) were discharged with significant improvement. This study supports the growing consensus that catatonia is most often associated with mood disorders. Overall prognosis appears very good although the occurrence of life-threatening complications underlines the serious nature of catatonia. This has implication for "task-shifted" service scale up plans, which aim to improve treatment coverage by training non-specialist health workers to provide mental health care in low income countries. Further larger scale studies are required to clarify the nature and management, as well as, service requirements for catatonia.

  8. Poststroke Depression: Social Workers' Role in Addressing an Underrecognized Psychological Problem for Couples Who Have Experienced Stroke

    ERIC Educational Resources Information Center

    McCarthy, Michael J.; Powers, Laurie E.; Lyons, Karen S.

    2011-01-01

    Depression is the most common psychological challenge faced by many individuals and families following stroke. Fortunately, poststroke depression is treatable, and even preventable, if social work and other rehabilitation practitioners understand the most common risk factors and become familiar with measures for assessing for depression among…

  9. Outbreak-associated Vibrio cholerae Genotypes with Identical Pulsotypes, Malaysia, 2009

    PubMed Central

    Teh, Cindy Shuan Ju; Suhaili, Zarizal; Lim, King Ting; Khamaruddin, Muhamad Afif; Yahya, Fariha; Sajili, Mohd Hailmi; Yeo, Chew Chieng

    2012-01-01

    A cholera outbreak in Terengganu, Malaysia, in November 2009 was caused by 2 El Tor Vibrio cholerae variants resistant to typical antimicrobial drugs. Evidence of replacement of treatable V. cholerae infection in the region with antimicrobial-resistant strains calls for increased surveillance and prevention measures. PMID:22709679

  10. Stress and Burnout: An Organizational Synthesis.

    ERIC Educational Resources Information Center

    McLean, Leslie H.; Clouse, R. Wilburn

    In the care, prevention, and treatment, of burnout, the reoccurring theme is "control and balance" between expectation and performance. Burnout is treatable and preventable, but changes and interventions must occur on all levels, (individual, organizational, and societal). Recent research, which has expanded the already complex definition of…

  11. Post-Traumatic Stress Disorder in Young People with Intellectual Disability

    ERIC Educational Resources Information Center

    Turk, J.; Robbins, I.; Woodhead, M.

    2005-01-01

    Background: Post-traumatic stress disorder (PTSD) is common and treatable. There is extensive research on people of average intelligence yet little on individuals with developmental disabilities. Methods: We report two people with intellectual disability (ID) who experienced PTSD. The relevance of their developmental difficulties, social and…

  12. 40 CFR 463.33 - Effluent limitations guidelines representing the degree of effluent reduction attainable by the...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... BAT effluent limitations guidelines for bis(2-ethylhexyl) phthalate, di-n-butyl phthalate, and dimethyl phthalate are reserved. (b) The Agency has determined that, with the exception of bis(2-ethylhexyl) phthalate, di-n-butyl phthalate, and dimethyl phthalate, there are no toxic pollutants in treatable...

  13. 40 CFR 463.33 - Effluent limitations guidelines representing the degree of effluent reduction attainable by the...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... BAT effluent limitations guidelines for bis(2-ethylhexyl) phthalate, di-n-butyl phthalate, and dimethyl phthalate are reserved. (b) The Agency has determined that, with the exception of bis(2-ethylhexyl) phthalate, di-n-butyl phthalate, and dimethyl phthalate, there are no toxic pollutants in treatable...

  14. Spotlight on Support for Impaired Nurses.

    ERIC Educational Resources Information Center

    Penny, Jean T.

    1986-01-01

    Describes Florida's Impaired Nurse Program, the goals of which are to protect the public from unsafe nursing care, to recognize chemical addiction as a treatable disease (thus conserving the valuable resource nursing represents to society), and to work to solve a problem that affects nurses nationwide. (CT)

  15. Eating Disorders. What Parents Need to Know About Anorexia and Bulimia.

    ERIC Educational Resources Information Center

    Our Children, 1998

    1998-01-01

    Examines facts about eating disorders, which typically affect females in their teens, discussing the causes of anorexia and bulimia, describing their effects on the body, and explaining available treatment. Though eating disorders are very serious and potentially fatal, they are treatable. Treatment includes physician evaluation, possible…

  16. Alateen Members' and Non-Members' Understanding of Alcoholism.

    ERIC Educational Resources Information Center

    Weber, Joseph A.; McCormick, Peggy

    1992-01-01

    Alateen (n=49) and non-Alateen (n=52) members were compared on knowledge and understanding of alcoholism. Results indicated Alateen members understood alcoholism as family disease and alcoholism as treatable. Alateen members suggested educational curriculum with message of successful treatment for alcoholic, whereas non-Alateen members stressed…

  17. Prolonged ictal aphasia: a diagnosis to consider.

    PubMed

    Herskovitz, Moshe; Schiller, Yitzhak

    2012-11-01

    Aphasia is a common symptom encountered by clinical neurologists. It is usually caused by strokes or lesions involving language regions of the brain, yet prolonged aphasia is rarely the sole manifestation of a simple partial status epilepticus. We report six patients, who suffered from prolonged ictal aphasia. All but one patient had a structural lesion in the left hemisphere, only three suffered from clinical seizures during or shortly prior to the aphasic episode. All patients had ictal patterns on the electroencephalogram (EEG), four of whom had periodic lateralized epileptiform discharges, and five showed frequent recurrent electrographic seizures during the aphasic state. The aphasia lasted several days in all patients, and it resolved after administration of antiepileptic drug treatment. In conclusion, prolonged ictal aphasia is a rare but important treatable cause of aphasia. Surface EEG recordings should be obtained in all patients with unexplained prolonged aphasia to diagnose this rare but treatable entity. Crown Copyright © 2012. Published by Elsevier Ltd. All rights reserved.

  18. Diagnosis of reversible causes of coma.

    PubMed

    Edlow, Jonathan A; Rabinstein, Alejandro; Traub, Stephen J; Wijdicks, Eelco F M

    2014-12-06

    Because coma has many causes, physicians must develop a structured, algorithmic approach to diagnose and treat reversible causes rapidly. The three main mechanisms of coma are structural brain lesions, diffuse neuronal dysfunction, and, rarely, psychiatric causes. The first priority is to stabilise the patient by treatment of life-threatening conditions, then to use the history, physical examination, and laboratory findings to identify structural causes and diagnose treatable disorders. Some patients have a clear diagnosis. In those who do not, the first decision is whether brain imaging is needed. Imaging should be done in post-traumatic coma or when structural brain lesions are probable or possible causes. Patients who do not undergo imaging should be reassessed regularly. If CT is non-diagnostic, a checklist should be used use to indicate whether advanced imaging is needed or evidence is present of a treatable poisoning or infection, seizures including non-convulsive status epilepticus, endocrinopathy, or thiamine deficiency. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Determination of dairy wastewater treatability by bio-trickling filter packed with lava rocks - case study PEGAH dairy factory.

    PubMed

    Mehrdadi, N; Bidhendi, G R Nabi; Shokouhi, M

    2012-01-01

    This paper investigates the effectiveness of a biological trickling filter for the treatment of wastewaters produced by a company manufacturing dairy products. First a bio-trickling column with a height of 150 cm was packed with lava rocks from north mountain of Tehran. It operates with the recirculation of liquid through the packing. In order to startup the pilot scale, steady state condition was gained by pumping activated sludge and dairy wastewater for 23 days. Afterwards, dairy wastewater was added to liquid tank for treatment. Hydraulic retention time (HRT) of treatment decreases from 5 days to 1 day then at HRT of 12, 8, 7, 6 and 4 h. Results show that the average chemical oxygen demand (COD) decreased from 2,750 to 98 mg/L at HRT of 7 h and efficiency of TKN removal was more than 70%. The microorganisms developed in the bio-trickling filter were able to efficiently remove COD levels up to 2,750 mg/L, under aerobic conditions at pH values between 6.8 and 7.2 under low temperature condition between 10 and 13 °C.

  20. Treatability Study in Support of Intrinsic Remediation for the Hangar 10 Site. Elmendorf Air Force Base, Anchorage, Alaska

    DTIC Science & Technology

    1995-03-01

    Monitoring Well Installation ....................................... 2-8 2.1.3.1 Well Materials Decontamination ..................... 2-9 2.1.3.2 Well...event, with a clean water/phosphate-free detergent mix and a clean water rinse. All well completion materials were factory sealed. All... materials were not stored near or in areas which could be affected by these substances. 2.1.2.3 Drilling and Soil Sampling Drilling was accomplished by using

  1. Neurologic manifestations of the cryopyrin-associated periodic syndrome.

    PubMed

    Kitley, Joanna L; Lachmann, Helen J; Pinto, Ashwin; Ginsberg, Lionel

    2010-04-20

    The cryopyrin-associated periodic syndrome (CAPS) is a rare but treatable hereditary autoinflammatory condition. Without treatment, one third of patients develop amyloidosis with consequent renal failure and death. CAPS encompasses 3 conditions: familial cold autoinflammatory syndrome, Muckle-Wells syndrome, and chronic infantile, neurologic, cutaneous, and articular syndrome. Neurologic complications are common in children with the chronic infantile, neurologic, cutaneous, and articular phenotype, but there are no previous published reports of neurologic features in adults with milder phenotypes. In this case series, we report in detail an adult case of CAPS and summarize the neurologic features seen in 12 other adults with genetically proven CAPS. These patients participated in a recent randomized study of canakinumab in CAPS and we used pretreatment data collected in this study. Twelve of the 13 patients (92%) had headache, of whom 10 (77%) had features of migraine. Seven patients (54%) had sensorineural deafness. Nine patients (69%) reported myalgia. Six patients (46%) had papilledema and a further 2 (15%) had optic disc pallor. MRI brain scan was normal in all patients. CAPS is a rare but treatable condition that may be encountered by neurologists in adult clinical practice since it can present with headache, myalgia, papilledema, sensorineural deafness, and aseptic meningitis. Unrecognized and untreated, it can lead to significant morbidity and mortality from renal failure. Treatment with anti-interleukin-1 therapy leads to complete resolution of symptoms and should also prevent progression to amyloidosis and subsequent renal failure.

  2. Long-term mortality risks associated with mild anaemia in older persons: the Busselton Health Study.

    PubMed

    Chalmers, Kerry A; Knuiman, Matthew W; Divitini, Mark L; Bruce, David G; Olynyk, John K; Milward, Elizabeth A

    2012-11-01

    up to 25% of older people in the USA and other Western countries are anaemic by World Health Organization (WHO) criteria. The objective of this study was to examine the long-term relationships of haemoglobin concentration with all-cause and cause-specific mortality in a community-based sample of Australian adults surveyed in 1978. a community survey of 2,194 adults aged 40+ years in Busselton, Western Australia in 1978 with mortality follow-up to 2001. Cox regression models were used to investigate the relationships of haemoglobin as a continuous measure and anaemia by WHO criteria (women <12 g/dl (7.5 mmol/l); men <13 g/dl (8.1 mmol/l)) with all-cause, cardiovascular and cancer mortality. anaemia was predominantly mild (>10 g/dl) and normocytic. There was an increased risk of death from all causes and from cancer for men with low haemoglobin. Cancers were predominantly of the prostate and genito-urinary organs, and to a lesser extent the gastrointestinal tract. There was no increased risk of all cause or cancer death in women. mild, normocytic anaemia is associated with survival reductions in middle-aged and older men, where it often occurs with prostate, gastrointestinal and other cancers, and should be investigated to exclude treatable causes.

  3. Differential Diagnosis and Treatment of Depressive Features in Down's Syndrome: A Case Illustration.

    ERIC Educational Resources Information Center

    Storm, Wolfgang

    1990-01-01

    A 21-year-old man with Down's syndrome who exhibited unexplained depressive symptoms and intermittent features of a Parkinson-like syndrome was treated with amitriptyline for 18 months. Gradual improvements eventually saw almost complete recovery of his former personality. Discussion of undiagnosed but treatable depression among Down's syndrome…

  4. Nanotechnology : implications for the wood preservation industry

    Treesearch

    Carol A. Clausen

    2007-01-01

    Nanotechnology has the potential to greatly impact the wood protection industry through the creation of nanomaterials with unique properties. Nanobiocides may find applications as co-biocides, or may alter treatability properties such as penetration and biocide distribution. Nanocarrier delivery systems may increase the applications for organic biocides through...

  5. Thermal treatment and mechanical properties of aluminum-2021

    NASA Technical Reports Server (NTRS)

    Brennecke, M. W.

    1970-01-01

    Mechanical properties, after thermal treatments, are summarized for sheet and plate of copper-rich, high-strength, heat-treatable aluminum-2021. The alloy is quench sensitive, quench rate and variations in aging affect corrosion behavior. Aging effects on yield strength, tensile strength, and elongation of sheet and plate are compared.

  6. Biotechnology on the Battlefield: An Application of Agent-based Modelling for Emerging Technology Assessment

    DTIC Science & Technology

    2015-03-01

    UNCLASSIFIED UNCLASSIFIED Biotechnology on the Battlefield: An Application of Agent-based Modelling for Emerging Technology Assessment...wounds might be treatable using advanced biotechnologies to control haemorrhaging and reduce blood-loss until medical evacuation can be completed. This...APPROVED FOR PUBLIC RELEASE UNCLASSIFIED UNCLASSIFIED Biotechnology on the Battlefield: An Application

  7. SUPERFUND TREATABILITY CLEARINGHOUSE: DEVELOPMENT OF TREATMENT DATA ON THE KPEG PROCESS FOR CERCLA/BDAT STANDARDS

    EPA Science Inventory

    This report describes the results of laboratory studies on KPEG treatment of synthetic soils contaminated with a variety of compounds, both organic and inorganic. The U.S. EPA provided soils to Wright State University to conduct the KPEG study. Problems were encountered i...

  8. Visual impairment and blindness among the students of blind schools in Allahabad and its vicinity: A causal assessment.

    PubMed

    Bhalerao, Sushank Ashok; Tandon, Mahesh; Singh, Satyaprakash; Dwivedi, Shraddha; Kumar, Santosh; Rana, Jagriti

    2015-03-01

    Information on eye diseases in blind school children in Allahabad is rare and sketchy. A cross-sectional study was performed to identify causes of blindness (BL) in blind school children with an aim to gather information on ocular morbidity in the blind schools in Allahabad and in its vicinity. A cross-sectional study was carried out in all the four blind schools in Allahabad and its vicinity. The students in the blind schools visited were included in the study and informed consents from parents were obtained. Relevant ocular history and basic ocular examinations were carried out on the students of the blind schools. A total of 90 students were examined in four schools of the blind in Allahabad and in the vicinity. The main causes of severe visual impairment and BL in the better eye of students were microphthalmos (34.44%), corneal scar (22.23%), anophthalmos (14.45%), pseudophakia (6.67%), optic nerve atrophy (6.67%), buphthalmos/glaucoma (3.33%), cryptophthalmos (2.22%), staphyloma (2.22%), cataract (2.22%), retinal dystrophy (2.22%), aphakia (1.11%), coloboma (1.11%), retinal detachment (1.11%), etc. Of these, 22 (24.44%) students had preventable causes of BL and another 12 (13.33%) students had treatable causes of BL. It was found that hereditary diseases, corneal scar, glaucoma and cataract were the prominent causes of BL among the students of blind schools. Almost 38% of the students had preventable or treatable causes, indicating the need of genetical counseling and focused intervention.

  9. Electrocoagulation and decolorization of landfill leachate

    NASA Astrophysics Data System (ADS)

    Mussa, Zainab Haider; Othman, Mohamed Rozali; Abdullah, Md Pauzi

    2013-11-01

    In this study, several operating conditions such as electrode material, treatment time, applied voltage, Cl□ concentration and PH of solution were tested on treatability of landfill leachate by using electrocoagulation (EC) method. According to the results, EC method can be used efficiently for the treatment of landfill leachate by using proper operating conditions. The best removal rats were obtained when C (rod) electrode as anode, operating time is 120 min, voltage applied is 10 V, NaCl concentration is 5.85 g/L and the raw PH, for these conditions, 70% color removal was obtained.

  10. RCRA/UST, superfund, and EPCRA hotline training module. Introduction to: Solid and hazardous waste exclusions (40 CFR section 261.4) updated as of July 1995

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1995-11-01

    This module explains each waste exclusion and its scope, so one can apply this knowledge in determining wheather a given waste is or is not regulated under RCRA Subtitle C. It cites the regulatory section for exclusions and identifies materials that are not solid wastes and solid wastes that are not hazardous wastes. It locates the manufacturing process unit exclusion and identifies the sample and treatability study exclusions and their applicability. It outlines and specifies the conditions for meeting the exclusions for household wastes and mixtures of domestic sewage.

  11. Community based retrospective study of sex in infant mortality in India

    PubMed Central

    Khanna, R; Kumar, A; Vaghela, J F; Sreenivas, V; Puliyel, J M

    2003-01-01

    Objective To determine whether the imbalance in the sex ratio in India can be explained by less favourable treatment of girls in infancy. Design Analysis of results of verbal autopsy reports over a five year period. Setting Community health project in urban India. Main outcome measures Deaths from all causes in infants aged less than 1 year. Results The sex ratio at birth was 869 females per 1000 males. The mean infant mortality was 1.3 times higher in females than in males (72 v 55 per 1000). Diarrhoea was responsible for 22% of deaths overall, though twice as many girls died from diarrhoea. There were no significant differences in the numbers of deaths from causes such as birth asphyxia, septicaemia, prematurity, and congenital anomalies. In 10% of deaths there was no preceding illness and no satisfactory cause was found. Three out of every four such deaths were in girls. Conclusions The excess number of unexplained deaths and deaths due to treatable conditions such as diarrhoeal disease in girls may be because girls are regarded and treated less favourably in India. PMID:12869451

  12. Economic downturns, universal health coverage, and cancer mortality in high-income and middle-income countries, 1990-2010: a longitudinal analysis.

    PubMed

    Maruthappu, Mahiben; Watkins, Johnathan; Noor, Aisyah Mohd; Williams, Callum; Ali, Raghib; Sullivan, Richard; Zeltner, Thomas; Atun, Rifat

    2016-08-13

    The global economic crisis has been associated with increased unemployment and reduced public-sector expenditure on health care (PEH). We estimated the effects of changes in unemployment and PEH on cancer mortality, and identified how universal health coverage (UHC) affected these relationships. For this longitudinal analysis, we obtained data from the World Bank and WHO (1990-2010). We aggregated mortality data for breast cancer in women, prostate cancer in men, and colorectal cancers in men and women, which are associated with survival rates that exceed 50%, into a treatable cancer class. We likewise aggregated data for lung and pancreatic cancers, which have 5 year survival rates of less than 10%, into an untreatable cancer class. We used multivariable regression analysis, controlling for country-specific demographics and infrastructure, with time-lag analyses and robustness checks to investigate the relationship between unemployment, PEH, and cancer mortality, with and without UHC. We used trend analysis to project mortality rates, on the basis of trends before the sharp unemployment rise that occurred in many countries from 2008 to 2010, and compared them with observed rates. Data were available for 75 countries, representing 2.106 billion people, for the unemployment analysis and for 79 countries, representing 2.156 billion people, for the PEH analysis. Unemployment rises were significantly associated with an increase in all-cancer mortality and all specific cancers except lung cancer in women. By contrast, untreatable cancer mortality was not significantly linked with changes in unemployment. Lag analyses showed significant associations remained 5 years after unemployment increases for the treatable cancer class. Rerunning analyses, while accounting for UHC status, removed the significant associations. All-cancer, treatable cancer, and specific cancer mortalities significantly decreased as PEH increased. Time-series analysis provided an estimate of more than

  13. Educating Readers: Breast Cancer in Australian Women's Magazines

    ERIC Educational Resources Information Center

    Mckay, Susan; Bonner, Frances

    2004-01-01

    Women's magazines in Australia have become increasingly involved in various public health awareness campaigns. In particular, breast cancer has been targeted as an issue for attention. This disease occupies a privileged position in women's magazines, being represented as treatable and survivable with an emphasis on the advocacy of early detection…

  14. New Headings: Navy Alcoholism Prevention Program. Third Edition.

    ERIC Educational Resources Information Center

    Bureau of Naval Personnel, Washington, DC.

    This brief booklet outlines the goals and rationale behind the Navy Alcoholism Prevention Program (NAPP). The program is built upon the assumption that alcoholism is a preventable and treatable illness. More than half the directors, counselors, and support staff at NAPP are sober alcoholics whose primary objectives involve aiding other alcoholics…

  15. 25 CFR 700.545 - Alcoholism and drug abuse.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Alcoholism and drug abuse. 700.545 Section 700.545... Employee Responsibility and Conduct § 700.545 Alcoholism and drug abuse. An employee who habitually uses... and drug abuse as serious and treatable illnesses. Excessive absence and poor work performance are two...

  16. 25 CFR 700.545 - Alcoholism and drug abuse.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 2 2011-04-01 2011-04-01 false Alcoholism and drug abuse. 700.545 Section 700.545... Employee Responsibility and Conduct § 700.545 Alcoholism and drug abuse. An employee who habitually uses... and drug abuse as serious and treatable illnesses. Excessive absence and poor work performance are two...

  17. 25 CFR 700.545 - Alcoholism and drug abuse.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 2 2013-04-01 2013-04-01 false Alcoholism and drug abuse. 700.545 Section 700.545... Employee Responsibility and Conduct § 700.545 Alcoholism and drug abuse. An employee who habitually uses... and drug abuse as serious and treatable illnesses. Excessive absence and poor work performance are two...

  18. 25 CFR 700.545 - Alcoholism and drug abuse.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 2 2012-04-01 2012-04-01 false Alcoholism and drug abuse. 700.545 Section 700.545... Employee Responsibility and Conduct § 700.545 Alcoholism and drug abuse. An employee who habitually uses... and drug abuse as serious and treatable illnesses. Excessive absence and poor work performance are two...

  19. Current Medications for the Treatment of Attention-Deficit/Hyperactivity Disorder

    ERIC Educational Resources Information Center

    Vaughan, Brigette S.; Roberts, Holly J.; Needelman, Howard

    2009-01-01

    Attention-Deficit/Hyperactivity Disorder (ADHD) is common among children. Fortunately, ADHD is highly treatable with medication. The purpose of this article is to serve as a primer on medication treatment for ADHD for school psychologists. The article discusses the available stimulant and nonstimulant medication for the treatment of ADHD.…

  20. 25 CFR 700.545 - Alcoholism and drug abuse.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 2 2014-04-01 2014-04-01 false Alcoholism and drug abuse. 700.545 Section 700.545... Employee Responsibility and Conduct § 700.545 Alcoholism and drug abuse. An employee who habitually uses... and drug abuse as serious and treatable illnesses. Excessive absence and poor work performance are two...

  1. The History, Biology and Medical Aspects of Leprosy.

    ERIC Educational Resources Information Center

    Eichman, Phillip

    1999-01-01

    Presents information about the history, biology, and medical aspects of leprosy, including its description in historical documents, its cause and effects, statistics on its prevalence, and various attempts at treatment. Notes that leprosy is one of the few infectious diseases that, although treatable with medication, remains incurable. Contains 30…

  2. Behavioral Parent-Training Approaches for the Treatment of Bedtime Noncompliance in Young Children

    ERIC Educational Resources Information Center

    Ortiz, Camilo; McCormick, Lauren

    2007-01-01

    Bedtime noncompliance is one of the most common and treatable types of child sleep problems. Children who are noncompliant at bedtime are more likely to exhibit daytime somnolescence, which may in turn lead children to exhibit daytime misbehavior, impaired social functioning and poorer school achievement. In addition, these bedtime problems can…

  3. Concerns on Little League Elbow.

    ERIC Educational Resources Information Center

    Wells, Michael J.; Bell, Gerald W.

    1995-01-01

    Little league elbow is a common overuse injury resulting from repetitive valgus stress on the elbow during overhead throwing. Prevention and treatment should emphasize education of athletes, parents, and coaches about its etiology. The paper examines bone development, noting that the condition is highly treatable if diagnosed in early development.…

  4. Anserina Bursitis—A Treatable Cause of Knee Pain in Patients with Degenerative Arthritis

    PubMed Central

    Brookler, Morton I.; Mongan, Edward S.

    1973-01-01

    The anserina bursa is located on the medial surface of the tibia deep to the tendons of the sartorius, gracilis, and semimembranosus muscles and superficial to the insertion of the tibial collateral ligament. Knee pain, a palpable swelling of the bursa, and tenderness over the medial anterior aspect of the tibia just below the knee are the hallmarks of anserina bursitis. In a three-year period, 24 patients with anserina bursitis were seen in a rheumatology clinic. All but one were women, 18 were obese, and only four were under 50 years old. Knee x-ray studies showed degenerative arthritis in 20 of the 24 patients. In ten, varus knee deformities were present, while three had valgus deformities. Ultrasound or local steroid injections gave dramatic relief in all but one patient. PMID:4731586

  5. Effect of hot acid hydrolysis and hot chlorine dioxide stage on bleaching effluent biodegradability.

    PubMed

    Gomes, C M; Colodette, J L; Delantonio, N R N; Mounteer, A H; Silva, C M

    2007-01-01

    The hot acid hydrolysis followed by chlorine dioxide (A/D*) and hot chlorine dioxide (D*) technologies have proven very useful for bleaching of eucalyptus kraft pulp. Although the characteristics and biodegradability of effluents from conventional chlorine dioxide bleaching are well known, such information is not yet available for effluents derived from hot acid hydrolysis and hot chorine dioxide bleaching. This study discusses the characteristics and biodegradability of such effluents. Combined whole effluents from the complete sequences DEpD, D*EpD, A/D*EpD and ADEpD, and from the pre-bleaching sequences DEp, D*Ep, A/D*Ep and ADEp were characterized by quantifying their colour, AOX and organic load (BOD, COD, TOC). These effluents were also evaluated for their treatability by simulation of an activated sludge system. It was concluded that treatment in the laboratory sequencing batch reactor was efficient for removal of COD, BOD and TOC of all effluents. However, colour increased after biological treatment, with the greatest increase found for the effluent produced using the AD technology. Biological treatment was less efficient at removing AOX of effluents from the sequences with D*, A/D* and AD as the first stages, when compared to the reference D stage; there was evidence of the lower treatability of these organochlorine compounds from these sequences.

  6. Accuracy of diagnosis criteria in patients with suspected diagnosis of sporadic Creutzfeldt-Jakob disease and detection of 14-3-3 protein, France, 1992 to 2009

    PubMed Central

    Peckeu, Laurene; Delasnerie-Lauprètre, Nicole; Brandel, Jean-Philippe; Salomon, Dominique; Sazdovitch, Véronique; Laplanche, Jean-Louis; Duyckaerts, Charles; Seilhean, Danielle; Haïk, Stéphane; Hauw, Jean-Jacques

    2017-01-01

    Diagnostic criteria of Creutzfeldt–Jakob disease (CJD), a rare and fatal transmissible nervous system disease with public health implications, are determined by clinical data, electroencephalogram (EEG), detection of 14-3-3 protein in cerebrospinal fluid (CSF), brain magnetic resonance imaging and prion protein gene examination. The specificity of protein 14-3-3 has been questioned. We reviewed data from 1,572 autopsied patients collected over an 18-year period (1992–2009) and assessed whether and how 14-3-3 detection impacted the diagnosis of sporadic CJD in France, and whether this led to the misdiagnosis of treatable disorders. 14-3-3 detection was introduced into diagnostic criteria for CJD in 1998. Diagnostic accuracy decreased from 92% for the 1992–1997 period to 85% for the 1998–2009 period. This was associated with positive detections of 14-3-3 in cases with negative EEG and alternative diagnosis at autopsy. Potentially treatable diseases were found in 163 patients (10.5%). This study confirms the usefulness of the recent modification of diagnosis criteria by the addition of the results of CSF real-time quaking-induced conversion, a method based on prion seed-induced misfolding and aggregation of recombinant prion protein substrate that has proven to be a highly specific test for diagnosis of sporadic CJD. PMID:29043964

  7. A Legacy of Wildfire-associated Nutrient Releases to Drinking Water Supplies: Treatment Challenges and Adaptations Opportunities

    NASA Astrophysics Data System (ADS)

    Emelko, M.; Silins, U.; Stone, M.

    2016-12-01

    Wildfire remains the most catastrophic agent of landscape disturbance in many forested source water regions. Notably, while wildfire impacts on water have been well studied, little if any of that work has specifically focused on drinking water treatability impacts, which will have both significant regional differences and similarities. Wildfire effects on water quality, particularly nutrient concentrations and character/forms, can be significant. The longevity and downstream propagation of these effects, as well as the geochemical mechanisms regulating them have been largely undocumented at larger river basin scales. This work demonstrates that fine sediment in gravel-bed rivers is a significant, long-term source of in-stream bioavailable P that contributes to a legacy of wildfire impacts on downstream water quality, aquatic ecology, and drinking water treatability in some ecoregions. The short- and mid-term impacts include increases in primary productivity and dissolved organic carbon, associated changes in carbon character, and increased potential for the formation of disinfection byproducts during drinking water treatment. The longer term impacts also may include increases in potentially toxic algal blooms and the production of taste and odor compounds. These documented impacts, as well as strategies for assessing the risk of wildfire-associated water service disruptions and infrastructure and land management-associated opportunities for adaptation to and mitigation of wildfire risk to drinking water supply will be discussed.

  8. 100-N Area Strontium-90 Treatability Demonstration Project: Food Chain Transfer Studies for Phytoremediation Along the 100-N Columbia River Riparian Zone

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Fellows, Robert J.; Fruchter, Jonathan S.; Driver, Crystal J.

    Strontium-90 (90Sr) exceeds the U.S. Environmental Protection Agency’s drinking water standards for groundwater (8 picocuries/L) by as much as a factor of 1000 at several locations within the Hanford 100-N Area and along the 100-N Area Columbia River shoreline). Phytoextraction, a managed remediation technology in which plants or integrated plant/rhizosphere systems are employed to phytoextract and/or sequester 90Sr, is being considered as a potential remediation system along the riparian zone of the Columbia River as part of a treatment train that includes an apatite barrier to immobilize groundwater transport of 90Sr. Phytoextraction would employ coyote willow (Salix exigua) to extractmore » 90Sr from the vadose zone soil and aquifer sediments (phytoextraction) and filter 90Sr (rhizofiltration) from the shallow groundwater along the riparian zone of the Columbia River. The stem and foliage of coyote willows accumulating 90Sr may present not only a mechanism to remove the contaminant but also can be viewed as a source of nutrition for natural herbivores, therefore becoming a potential pathway for the isotope to enter the riparian food chain. Engineered barriers such as large and small animal fencing constructed around the field plot will control the intrusion of deer, rodents, birds, and humans. These efforts, however, will have limited effect on mobile phytophagous insects. Therefore, this study was undertaken to determine the potential for food chain transfer by insects prior to placement of the remediation technology at 100-N. Insect types include direct consumers of the sap or liquid content of the plants vascular system (xylem and phloem) by aphids as well as those that would directly consume the plant foliage such as the larvae (caterpillars) of Lepidoptera species. Heavy infestations of aphids feeding on the stems and leaves of willows growing in 90Sr-contaminated soil can accumulate a small amount (~0.15 ± 0.06%) of the total label removed from the

  9. Prevalence and etiology of epilepsy in a Norwegian county-A population based study.

    PubMed

    Syvertsen, Marte; Nakken, Karl Otto; Edland, Astrid; Hansen, Gunnar; Hellum, Morten Kristoffer; Koht, Jeanette

    2015-05-01

    Epilepsy represents a substantial personal and social burden worldwide. When addressing the multifaceted issues of epilepsy care, updated epidemiologic studies using recent guidelines are essential. The aim of this study was to find the prevalence and causes of epilepsy in a representative Norwegian county, implementing the new guidelines and terminology suggested by the International League Against Epilepsy (ILAE). Included in the study were all patients from Buskerud County in Norway with a diagnosis of epilepsy at Drammen Hospital and the National Center for Epilepsy at Oslo University Hospital. The study period was 1999-2014. Patients with active epilepsy were identified through a systematic review of medical records, containing information about case history, electroencephalography (EEG), cerebral magnetic resonance imaging (MRI), genetic tests, blood samples, treatment, and other investigations. Epilepsies were classified according to the revised terminology suggested by the ILAE in 2010. In a population of 272,228 inhabitants, 1,771 persons had active epilepsy. Point prevalence on January 1, 2014 was 0.65%. Of the subjects registered with a diagnostic code of epilepsy, 20% did not fulfill the ILAE criteria of the diagnosis. Epilepsy etiology was structural-metabolic in 43%, genetic/presumed genetic in 20%, and unknown in 32%. Due to lack of information, etiology could not be determined in 4%. Epilepsy is a common disorder, affecting 0.65% of the subjects in this cohort. Every fifth subject registered with a diagnosis of epilepsy was misdiagnosed. In those with a reliable epilepsy diagnosis, every third patient had an unknown etiology. Future advances in genetic research will probably lead to an increased identification of genetic and hopefully treatable causes of epilepsy. Wiley Periodicals, Inc. © 2015 International League Against Epilepsy.

  10. Using Intervention Mapping as a Participatory Strategy: Development of a Cervical Cancer Screening Intervention for Hispanic Women

    ERIC Educational Resources Information Center

    Byrd, Theresa L.; Wilson, Katherine M.; Smith, Judith Lee; Heckert, Andrea; Orians, Carlyn E.; Vernon, Sally W.; Fernandez-Esquer, Maria E.; Fernandez, Maria E.

    2012-01-01

    Cervical cancer is preventable with treatment of precancerous lesions and treatable at early stages. Hispanics have higher rates of cervical cancer and lower rates of screening. "Ayndando a las Mujeres con Informaccion, Guia, y Amor para su Salud" (AMIGAS) is an intervention to increase cervical cancer screening in U.S. women of Mexican…

  11. Audit of Cardiovascular Disease Risk Factors among Supported Adults with Intellectual Disability Attending an Ageing Clinic

    ERIC Educational Resources Information Center

    Wallace, Robyn A.; Schluter, Philip

    2008-01-01

    Background: Little is known about the cardiovascular disease (CVD) risk factor profile for older adults with intellectual disability (ID). As many CVD risk factors are treatable by lifestyle changes, confirmation of the risk factor profile for older adults with ID could substantially impact upon preventive health practices for this group. Method:…

  12. Psychotherapy of Personality Disorders

    PubMed Central

    Gabbard, Glen O.

    2000-01-01

    Although personality disorders are often regarded as “untreatable” by third-party payers, there is actually a growing empirical literature suggesting that Axis II conditions may be eminently treatable by psychotherapy. This literature is critically reviewed, the implications for length of treatment are discussed, and cost-effectiveness issues are examined. PMID:10608903

  13. [Local anesthesia in dentistry. Additional techniques].

    PubMed

    Makkes, P C; Bouvy-Berends, E C; Rupreht, J

    1996-05-01

    Patients with insufficient coping abilities can yet be dentally treated by practising several additional techniques. Behaviour management should always be the starting point of all dental treatment strategies. In the end the administration of well selected drugs should lead, via anxiolysis, sedation or general anaesthesia, to a painfree and optimal treatable patient.

  14. The Effects of Education on the Attitudes of Counselors in Training toward Alcoholism

    ERIC Educational Resources Information Center

    Van Kampen, Pamela Sue

    2010-01-01

    The purpose of this paper is to determine the effects of education on the attitudes of counselors in training toward alcoholism. Alcoholism is a treatable disease if recognized, properly diagnosed and the appropriate interventions are made available to the alcoholic and their families. There is estimated to be more than two billion people…

  15. Prevalence and Clinical Correlates of Hypothyroidism in a School for Children with Mental Retardation

    ERIC Educational Resources Information Center

    Jaswal, Shivani; Kaur, Jasbinder; Chavan, B. S.; Gupta, Seema; Kaur, Harjeet

    2011-01-01

    Objective: Pediatrician is the first contact in the Pathway to Care in children with Mental retardation (MR). Following the recent advancements in the area of molecular genetics, understanding of specific conditions of MR or Developmental Delay (DD) is expanding. Hypothyroidism is a treatable metabolic/endocrinological cause of MR. The aim of this…

  16. The School Nurse's Role in Homeopathic Interventions.

    ERIC Educational Resources Information Center

    Selekman, Janice; Thomas, Elizabeth; McLean, Kay

    1998-01-01

    Describes the practices of homeopathy and how they affect the scope of practice of school nurses. Includes a definition of homeopathy, a discussion of remedies and the specific symptoms for which they are effective, and an examination of conditions treatable by homeopathic physicians. Nine guidelines for managing homeopathic products in the school…

  17. A case of young woman with recurrent right pleural effusion.

    PubMed

    Mehta, Asmita A; Gupta, Amit; Venkitakrishnan, Rajesh

    2015-01-01

    Endomterisois is usually found in women of child-bearing age. A case is presented of massive right-sided pleural effusion caused by endometriosis. The final diagnosis was made by thoracoscopic pleural biopsy. Physicians should be aware of this potentially treatable cause of pleural effusion having excluded other possibilities such as malignancy and tuberculosis.

  18. Pilot Study of Blood Pressure in Girls With Turner Syndrome: An Awareness Gap, Clinical Associations, and New Hypotheses.

    PubMed

    Los, Evan; Quezada, Emilio; Chen, Zunqiu; Lapidus, Jodi; Silberbach, Michael

    2016-07-01

    Cardiovascular disease is the major factor that reduces lifespan in Turner syndrome. High blood pressure (BP) is common in Turner syndrome and is the most easily treatable cardiovascular risk factor. We studied the prevalence of elevated screening systemic BP, awareness of the problem, and its clinical associations in a large group of girls attending the annual meeting of the Turner Syndrome Society of the United States. Among 168 girls aged 2 to 17 years, 42% had elevated screening BP (systolic and diastolic), yet only 8% reported a previous diagnosis of hypertension. History of aortic coarctation repair (17%) was positively associated with elevated systolic BP (52% versus 32%; P<0.05). Elevated systolic BP was positively associated with obesity (56% versus 31%; P<0.05). Because the prevalence of obesity in the studied population was similar to Center for Disease Control published data for obesity in all girls and the prevalence of increased BP is approximately twice that of the general population, the Turner syndrome phenotype/genotype probably includes an intrinsic risk for hypertension. Obesity and repaired aortic coarctation increase this risk further. There seems to be a BP awareness gap in girls with Turner syndrome. Because girls living with Turner syndrome are a sensitized population for hypertension, further study may provide clues to genetic factors leading to a better understanding of essential hypertension in the general population. © 2016 American Heart Association, Inc.

  19. Diagnosis of Persistent Fever in the Tropics: Set of Standard Operating Procedures Used in the NIDIAG Febrile Syndrome Study.

    PubMed

    Alirol, Emilie; Horie, Ninon Seiko; Barbé, Barbara; Lejon, Veerle; Verdonck, Kristien; Gillet, Philippe; Jacobs, Jan; Büscher, Philippe; Kanal, Basudha; Bhattarai, Narayan Raj; El Safi, Sayda; Phe, Thong; Lim, Kruy; Leng, Long; Lutumba, Pascal; Mukendi, Deby; Bottieau, Emmanuel; Boelaert, Marleen; Rijal, Suman; Chappuis, François

    2016-11-01

    In resource-limited settings, the scarcity of skilled personnel and adequate laboratory facilities makes the differential diagnosis of fevers complex [1-5]. Febrile illnesses are diagnosed clinically in most rural centers, and both Rapid Diagnostic Tests (RDTs) and clinical algorithms can be valuable aids to health workers and facilitate therapeutic decisions [6,7]. The persistent fever syndrome targeted by NIDIAG is defined as presence of fever for at least one week. The NIDIAG clinical research consortium focused on potentially severe and treatable infections and therefore targeted the following conditions as differential diagnosis of persistent fever: visceral leishmaniasis (VL), human African trypanosomiasis (HAT), enteric (typhoid and paratyphoid) fever, brucellosis, melioidosis, leptospirosis, malaria, tuberculosis, amoebic liver abscess, relapsing fever, HIV/AIDS, rickettsiosis, and other infectious diseases (e.g., pneumonia). From January 2013 to October 2014, a prospective clinical phase III diagnostic accuracy study was conducted in one site in Cambodia, two sites in Nepal, two sites in Democratic Republic of the Congo (DRC), and one site in Sudan (clinicaltrials.gov no. NCT01766830). The study objectives were to (1) determine the prevalence of the target diseases in patients presenting with persistent fever, (2) assess the predictive value of clinical and first-line laboratory features, and (3) assess the diagnostic accuracy of several RDTs for the diagnosis of the different target conditions.

  20. Periodontitis as a Modifiable Risk Factor for Dementia: A Nationwide Population-Based Cohort Study.

    PubMed

    Lee, Yao-Tung; Lee, Hsin-Chien; Hu, Chaur-Jongh; Huang, Li-Kai; Chao, Shu-Ping; Lin, Chia-Pei; Su, Emily Chia-Yu; Lee, Yi-Chen; Chen, Chu-Chieh

    2017-02-01

    To determine whether periodontitis is a modifiable risk factor for dementia. Prospective cohort study. National Health Insurance Research Database in Taiwan. Individuals aged 65 and older with periodontitis (n = 3,028) and an age- and sex-matched control group (n = 3,028). Individuals with periodontitis were compared age- and sex-matched controls with for incidence density and hazard ratio (HR) of new-onset dementia. Periodontitis was defined according to International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes 523.3-5 diagnosed by dentists. To ensure diagnostic validity, only those who had concurrently received antibiotic therapies, periodontal treatment other than scaling, or scaling more than twice per year performed by certified dentists were included. Dementia was defined according to ICD-9-CM codes 290.0-290.4, 294.1, 331.0-331.2. After adjustment for confounding factors, the risk of developing dementia was calculated to be higher for participants with periodontitis (HR = 1.16, 95% confidence interval = 1.01-1.32, P = .03) than for those without. Periodontitis is associated with greater risk of developing dementia. Periodontal infection is treatable, so it might be a modifiable risk factor for dementia. Clinicians must devote greater attention to this potential association in an effort to develop new preventive and therapeutic strategies for dementia. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

  1. In Situ Bioremediation of Energetic Compounds in Groundwater

    DTIC Science & Technology

    2012-05-01

    42  Figure 16. Semi-passive bioremediation alternative with cheese whey for whole plume treatment...cheese whey for plume cutoff. ............. 46  Figure 18. Passive biobarrier alternative with EVO for plume cutoff... whey was utilized as a cosubstrate during the project based on extensive treatability testing. The overall performance of this design for remediation

  2. Human Injury Criteria for Underwater Blasts

    DTIC Science & Technology

    2014-09-08

    discomfort/pain; OR localized rigidity; NO general rigidity Contusion or hematoma without devascularization; OR partial-thickness laceration without...airway); OR hematoma (nonexpanding intraparenchymal) 4 Severe Severe symptoms, treatable by modern medical practice, possible recovery or fatality...Laceration (major airway leak); OR hematoma (expanding hematoma ); OR vascular (primary branch intrapulmonary vessel disruption) 5 Critical Severe

  3. The Buoyancy Approach to U-Tube Problems

    ERIC Educational Resources Information Center

    Binder, P.-M.; Magowan, M. A.

    2016-01-01

    In this note we unify two physical situations treatable with hydrostatics: an object floating on a denser fluid and an open U-shaped tube with two immiscible fluids. We begin by reviewing the problem of a partially floating uniform, rectangular prism of horizontal area "A" immersed in a denser fluid, with respective densities ?[subscript…

  4. Simulations of alternative mechanical thinning treatment programs on western timberland

    Treesearch

    Karen L. Abt; Jeffrey P. Prestemon; Kenneth E. Skog; R. James Barbour; Miles A, Hemstrom; Robert J. Huggett

    2011-01-01

    We used the Economics of Biomass Removals model to evaluate the required treatment acreages, volumes removed, treatment costs and product revenues from national forest and other ownerships. We used three distinct treatment prescriptions to achieve two hazard reduction goals for treatable timberlands in the Western United States. The two hazard reduction goals were to...

  5. Epileptic Encephalopathy in Childhood: A Stepwise Approach for Identification of Underlying Genetic Causes.

    PubMed

    Patel, Jaina; Mercimek-Mahmutoglu, Saadet

    2016-10-01

    Epilepsy is one of the most common neurological disorders in childhood. Epilepsy associated with global developmental delay and cognitive dysfunction is defined as epileptic encephalopathy. Certain inherited metabolic disorders presenting with epileptic encephalopathy can be treated with disease specific diet, vitamin, amino acid or cofactor supplementations. In those disorders, disease specific therapy is successful to achieve good seizure control and improve long-term neurodevelopmental outcome. For this reason, intractable epilepsy with global developmental delay or history of developmental regression warrants detailed metabolic investigations for the possibility of an underlying treatable inherited metabolic disorder, which should be undertaken as first line investigations. An underlying genetic etiology in epileptic encephalopathy has been supported by recent studies such as array comparative genomic hybridization, targeted next generation sequencing panels, whole exome and whole genome sequencing. These studies report a diagnostic yield up to 70%, depending on the applied genetic testing as well as number of patients enrolled. In patients with epileptic encephalopathy, a stepwise approach for diagnostic work-up will help to diagnose treatable inherited metabolic disorders quickly. Application of detailed genetic investigations such as targeted next generation sequencing as second line and whole exome sequencing as third line testing will diagnose underlying genetic disease which will help for genetic counseling as well as guide for prenatal diagnosis. Knowledge of underlying genetic cause will provide novel insights into the pathogenesis of epileptic encephalopathy and pave the ground towards the development of targeted neuroprotective treatment strategies to improve the health outcome of children with epileptic encephalopathy.

  6. Combined coagulation-flocculation and sequencing batch reactor with phosphorus adjustment for the treatment of high-strength landfill leachate: experimental kinetics and chemical oxygen demand fractionation.

    PubMed

    El-Fadel, M; Matar, F; Hashisho, J

    2013-05-01

    The treatability of high-strength landfill leachate is challenging and relatively limited. This study examines the feasibility of treating high-strength landfill leachate (chemical oxygen demand [COD]: 7,760-11,770 mg/L, biochemical oxygen demand [BOD5]: 2,760-3,569 mg/L, total nitrogen [TN] = 980-1,160 mg/L) using a sequencing batch reactor (SBR) preceded by a coagulation-flocculation process with phosphorus nutritional balance under various mixing and aeration patterns. Simulations were also conducted to define kinetic parameters and COD fractionation. Removal efficiencies reached 89% for BOD5, 60% for COD, and 72% for TN, similar to and better than reported studies, albeit with a relatively lower hydraulic retention time (HRT) and solid retention time (SRT). The coupled experimental and simulation results contribute in filling a gap toward managing high-strength landfill leachate and providing guidelines for corresponding SBR applications. The treatability of high-strength landfill leachate, which is challenging and relatively limited, was demonstrated using a combined coagulation-flocculation with SBR technology and nutrient balance adjustment. The most suitable coagulant, kinetic design parameters, and COD fractionation were defined using coupled experimental and simulation results contributing in filling a gap toward managing high-strength leachate by providing guidelines for corresponding SBR applications and anticipating potential constraints related to the non-biodegradable COD fraction. In this context, while the combined coagulation-flocculation and SBR process improved removal efficiencies, posttreatment may be required for high-strength leachate, depending on discharge standards and ultimate usage of the treated leachate.

  7. Treatability Study in Support of Intrinsic Remediation for the AAFES service Station Site 56. MacDill AFB, Tampa, Florida

    DTIC Science & Technology

    1996-10-01

    12) + 6(1) = 78 gm Oxygen 7.5(32) = 240 gm Mass Ratio of Oxygen to Benzene = 240/78 = 3.08:1 Therefore, in the absence of microbial cell production ...3.08 mg of oxygen are required to completely metabolize 1 mg of benzene. Similar calculations can be completed for toluene (3.13 mg oxygen to 1 mg... oxygen is required to mineralize 1 mg of benzene. Similar calculations can be made for toluene, ethylbenzene, and the xylenes. Based on these

  8. Treatability studies with granular activated carbon (GAC) and sequencing batch reactor (SBR) system for textile wastewater containing direct dyes.

    PubMed

    Sirianuntapiboon, Suntud; Sansak, Jutarat

    2008-11-30

    The GAC-SBR efficiency was decreased with the increase of dyestuff concentration or the decrease of bio-sludge concentration. The system showed the highest removal efficiency with synthetic textile wastewater (STWW) containing 40 mg/L direct red 23 or direct blue 201 under MLSS of 3,000 mg/L and hydraulic retention time (HRT) of 7.5 days. But, the effluent NO(3)(-) was higher than that of the influent. Direct red 23 was more effective than direct blue 201 to repress the GAC-SBR system efficiency. The dyes removal efficiency of the system with STWW containing direct red 23 was reduced by 30% with the increase of direct red 23 from 40 mg/L to 160 mg/L. The system with raw textile wastewater (TWW) showed quite low BOD(5) TKN and dye removal efficiencies of only 64.7+/-4.9% and 50.2+/-6.9%, respectively. But its' efficiencies could be increased by adding carbon sources (BOD(5)). The dye removal efficiency with TWW was increased by 30% and 20% by adding glucose (TWW+glucose) or Thai rice noodle wastewater (TWW+TRNWW), respectively. SRT of the systems were 28+/-1 days and 31+/-2 days with TWW+glucose and TWW+TRNWW, respectively.

  9. Perform MetalMapper Classification Treatability Investigations as Part of Remedial Investigation/Feasibility Studies: Live Site Demonstrations: Pueblo Chemical Depot

    DTIC Science & Technology

    2016-03-14

    DoD Department of Defense EMI electromagnetic induction ESTCP Environmental Security Technology Certification Program ft. foot GPS global...three primary objectives:  Test and validate detection and discrimination capabilities of a currently available advanced electromagnetic induction ... induction (EMI) sensors in dynamic and static data acquisition modes and associated analysis software. To achieve these objectives, a controlled test was

  10. Draft Treatability Study in Support of Remediation by Natural Attenuation Building 1212 at Fairchild Air Force Base, Spokane, Washington

    DTIC Science & Technology

    1997-01-01

    1975; Atlas , 1981, 1984, and 1988; Gibson and Subramanian, 1984; Reinhard et al., 1984; Young, 1984; Bartha , 1986; Wilson et al., 1986, 1987, and...Biotechnology of petroleum pollutant biodegradation: Microbial Ecology , vol. 12, p. 155-172. Bauman, B., 1991, Biodegradation research of the American...Perry, J.J., 1984, Microbial Metabolism of Cyclic Alkanes, In: Atlas , R.M ed. Petroleum Microbiology. Macmillan Publishing Co., New York, New York

  11. UTILIZATION OF TREATABILITY AND PILOT TESTS TO PREDICT CAH BIOREMEDIATION

    EPA Science Inventory

    Multiple tools have been suggested to help in the design of enhanced anaerobic bioremediation systems for CAHs:
    - Extensive high quality microcosm testing followed by small-scale, thoroughly observed field pilot tests (i.e., RABITT Protocol, Morse 1998)
    - More limited ...

  12. Treatability of U.S. wood species with pigment emulsified creosote

    Treesearch

    Douglas M. Crawford; Rodney C. De Groot; John B. Watkins; Harry Greaves; Karl J. Schmalzl; T. L. Syers

    2000-01-01

    Since the 1920s creosote has been used extensively in the United States for treatment of construction timbers, poles, and posts. However, creosote has the tendency to exude or bbleedc from some treated commodities, producing a tar-like covered surface. In the United States, creosote-treated products exhibiting cleaner dried surfaces and a reduced tendency to bleed have...

  13. Assessment of the Treatability of Toxic Organics by Overland Flow,

    DTIC Science & Technology

    1983-01-01

    Tab’ I . Occunrence of organic chemsicals in household products . (After Hathaway 1980.1 Product Classter of organ iCs Product Classe of organirs...volatilization. the various classes of organics and their presence in Another important property of organic chemicals household products are given in Table 1...23 iv TABLES Table Page I. Occurrence of organic chemicals in household

  14. Treatability of SPF framing lumber with CCA and borate preservatives

    Treesearch

    Cherilyn Hatfield

    2005-01-01

    There is increasing interest in preservative pressure-treatment of framing lumber to prevent attack by decay fungi and insects. However, the Spruce– pine–Fir species group that is often used in framing construction can be difficult to penetrate with preservatives. We compared solution uptake and penetration of boron and copper from a borax–copper (BC) preservative to...

  15. Friable but treatable: coronary artery dissections in Ehlers-Danlos syndrome.

    PubMed

    Zago, Alexandre C; Matte, Bruno S

    2013-01-01

    Vascular Ehlers-Danlos syndrome is a rare connective tissue disorder associated with arterial dissection or rupture. Percutaneous coronary intervention (PCI) is often critical in patients with this syndrome because their coronary arteries are prone to dissection, enhancing the risk of stent borders dissection when conventional stent deployment pressures are used. Coronary artery bypass graft (CABG) treatment for these patients may also raise concerns because the left internal mammary artery is probably friable. Therefore, coronary artery revascularization in vascular Ehlers-Danlos syndrome either using PCI or CABG is challenging due to the arteries friability. A small number of cases have been published describing the friability of the vessels and associated complications; nevertheless, the optimum treatment remains unclear. We report the case of a 54-year-old woman treated successfully with PCI and CABG in two different acute coronary syndrome episodes, in which specific technical issues related to both procedures were decisive. Copyright © 2011 Wiley Periodicals, Inc.

  16. Treatability Variance for Containerised Liquids in Mixed Debris Waste - 12101

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Alstatt, Catherine M.

    2012-07-01

    The TRU Waste Processing Center (TWPC) is a Department of Energy facility whose mission is to receive and process for appropriate disposal legacy Contact Handled (CH) and Remote Handled (RH) waste, including debris waste stored at various DOE Oak Ridge facilities. Acceptable Knowledge (AK) prepared for the waste characterizes the waste as mixed waste, meaning it is both radioactive and regulated under the Resource Conservation and Recovery Act (RCRA). The AK also indicates that a number of the debris waste packages contain small amounts of containerised liquids. The documentation indicates liquid wastes generated in routine lab operations were typically collectedmore » for potential recovery of valuable isotopes. However, during activities associated with decontamination and decommissioning (D and D), some containers with small amounts of liquids were placed into the waste containers with debris waste. Many of these containers now hold from 2.5 milliliters (ml) to 237 ml of liquid; a few contain larger volumes. At least some of these containers were likely empty at the time of generation, but documentation of this condition is lacking. Since WIPP compliant AK is developed on a waste stream basis, rather than an individual container basis, and includes every potential RCRA hazardous constituent within the waste stream, it is insufficient for the purpose of characterizing individual containers of liquid. Debris waste is defined in 40 CFR 268.2(g) as 'solid material exceeding a 60 mm particle size that is intended for disposal and that is: a manufactured object; or plant or animal matter; or natural geologic material'. The definition further states that intact containers of hazardous waste that are not ruptured and that retain at least 75% of their original volume are not debris. The prescribed treatment is removal of intact containers from the debris waste, and treatment of their contents to meet specific Land Disposal Restrictions (LDR) standards. This is true for containers with incidental amounts of liquids, even if the liquid is less than 50% of the total waste volume. Under the proposed variance, all free or containerised liquids (up to 3.8 liters(L)) found in the debris would be treated and returned in solid form to the debris waste stream from which they originated. The waste would then be macro-encapsulated. (author)« less

  17. Aerobic Treatability of Waste Effluent from the Leather Finishing Industry

    DTIC Science & Technology

    1993-12-01

    Thesis in Environmental Engineering by Jeffery A. Vinger Submitted in Partial Fulfillment / of the Requirements Acceslon -for [ for the Degree of NeS CRA...respirometer tests of the raw wastes and mass balance analysis. The results of Phase I were published in a report to the Seton Company as Environmental ...Randall (1992) states that the main driving forces behind the changes in paints and coatings toward water-based mixtures has been the environmental

  18. Treatability of Aqueous Film-Forming Foams Used for Fire Fighting.

    DTIC Science & Technology

    BIODETERIORATION, *FIRE EXTINGUISHING AGENTS, SURFACE ACTIVE SUBSTANCES, FLUORINATED HYDROCARBONS, FOAM , ACTIVATED SLUDGE PROCESS, ACTIVATED CARBON, TOXICITY, WASTE DISPOSAL, TABLES(DATA), ADSORPTION.

  19. WASTE TREATABILITY TESTS OF SPENT SOLVENT AND OTHER ORGANIC WASTEWATERS

    EPA Science Inventory

    Some commercial and industrial facilities treat RCRA spent solvent wastewaters by steam stripping, carbon adsorption, and/or biological processes. Thirteen facilities were visited by EPA's Office of Research and Development (ORD) from June 1985 to September 1986, to conduct sampl...

  20. Mercury recovery using a fluidized bed

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Harriss, C.; Baum, D.L. Jr.

    1996-12-31

    Philip Environmental Services Corporation`s (Philip`s) innovative fluidized bed thermal desorption system recovers mercury from contaminated soil. Referred to as the Thermal Recycling System, Philip has constructed a mobile thermal desorption system that has a processing rate up to five tons per hour. The system includes a continuous-feed system, all radiant heat, inert gas atmosphere, hot gas filter, two-stage cooling, and a water treatment system. Based on treatability studies, the processed soil can meet cleanup objectives as low as two milligrams per kilogram and passes the mercury toxicity characteristic leaching procedure test. 4 refs., 2 figs., 1 tab.

  1. Autoimmune synaptopathies.

    PubMed

    Crisp, Sarah J; Kullmann, Dimitri M; Vincent, Angela

    2016-02-01

    Autoantibodies targeting proteins at the neuromuscular junction are known to cause several distinct myasthenic syndromes. Recently, autoantibodies targeting neurotransmitter receptors and associated proteins have also emerged as a cause of severe, but potentially treatable, diseases of the CNS. Here, we review the clinical evidence as well as in vitro and in vivo experimental evidence that autoantibodies account for myasthenic syndromes and autoimmune disorders of the CNS by disrupting the functional or structural integrity of synapses. Studying neurological and psychiatric diseases of autoimmune origin may provide new insights into the cellular and circuit mechanisms underlying a broad range of CNS disorders.

  2. Treatment of VGKC complex antibody-associated limbic encephalitis: a systematic review.

    PubMed

    Radja, Guirindhra Koumar; Cavanna, Andrea Eugenio

    2013-01-01

    Limbic encephalitis is an autoimmune neuropsychiatric condition characterized by subacute cognitive symptoms, seizures, and affective changes. Although limbic encephalitis is usually caused by an immune reaction secondary to neoplasms, different types of potentially treatable non-paraneoplastic limbic encephalitis (nPLE) have recently been described. In particular, published studies have reported variable responses to immunosuppressive therapy in Voltage-Gated Potassium Channel (VGKC) complex antibody-associated nPLE. This systematic literature review found that the most significant improvements were reported by patients presenting with affective symptoms and consistent neuroradiological changes. In these patients, improved clinical outcomes correlated with the largest decreases in antibody titers.

  3. [Cerebrotendinous xanthomatosis is a rare disorder, which requires a specific treatment].

    PubMed

    Blaabjerg, Morten; Marjanovic, Dragan

    2013-01-28

    Cerebrotendinous xanthomatosis (CTX) is a rare, but treatable lipid storage disorder caused by mutation in the CYP27A1 gene. The disorder results in deposition of cholestanol in various tissues. The classical CTX phenotype includes diarrhoea, juvenile cataract, xanthoma and progressive neurological symptoms. Studies have shown that progression of symptoms can be halted or even reversed, if treatment with chenodeoxycholic acid is initiated early. The diagnosis of CTX is often delayed due to lack of awareness of the disease. We describe the history, clinical features, biochemical, genetic and magnetic resonance imaging findings of the first reported case of CTX in Denmark.

  4. Removal of phenol from synthetic wastewater using carbon-mineral composite: Batch mechanisms and composition study

    NASA Astrophysics Data System (ADS)

    Kamaruddin, Mohamad Anuar; Alrozi, Rasyidah; Aziz, Hamidi Abdul; Han, Tan Yong; Yusoff, Mohd Suffian

    2017-09-01

    This study investigates the treatability of composite adsorbent made from waste materials and minerals which is widely available in Malaysia. The composite adsorbent was prepared based on wet attrition method which focuses on the determination of optimum dosage of each of raw materials amount by conventional design of experiment work. Zeolite, activated carbon, rice husk and limestone were ground to obtained particle size of 150 µm. 45.94% zeolite, 15.31% limestone, 4.38% activated carbon, 4.38% rice husk carbon and 30% of ordinary Portland cement (OPC). The mixture was mixed together under pre-determined mixing time. About 60% (by weight) of water was added and the mixture paste was allowed to harden for 24 hours and then submersed in water for three days for curing. Batch experimental study was performed on synthetic dissolving a known amount of solid crystal phenol with distilled water into the volumetric flasks. From the batch experimental study, it was revealed that the optimum shaking speed for removal of phenol was 200 rpm. The removal efficiency was 65%. The optimum shaking time for removing phenol was 60 minutes; the percentage achieved was 55%. The removal efficiency increased with the increased of the amount of composite adsorbent. The removal efficiency for optimum adsorbent dosage achieved 86%. Furthermore, the influence of pH solution was studied. The optimum pH for removing phenol was pH 6, with the removal percentage of 95%. The results implies that carbon-mineral based composite adsorbent is promising replacement for commercial adsorbent that provides alternative source for industrial adsorption application in various types of effluent treatment system.

  5. Mechanisms of Mitochondrial Defects in Gulf War Syndrome

    DTIC Science & Technology

    2013-10-01

    Leber hereditary  optic   neuropathy  (LHON) (at a  higher frequency than controls; Biochemical and Biophysical Research Communications. 196 (2): 810‐ 815...small fiber neuropathies . Cerebral folate defects are treatable metabolic defects. Progress An essential aspect of the Gulf War Syndrome patient

  6. Engineering and Development Support of General Decon Technology for the DARCOM Installation Restoration Program. Task 2. Desensitization of Explosive- Laden Soils/Sediments. Volume 1

    DTIC Science & Technology

    1983-06-01

    8217rAPTYT 24. PAý’XI?!C (󈧕 ALTF??iATIVFS (CASJF TWC- RA Ar ’FP!NATTV\\F COPTACTI’G METHOD 1 Chpmrical Feciiiction Linu ~i/Tacgnon 2 (-,a m ra Trra.Ii a...Clifford Randall, and Paul King (1974), "Biological Treatability of Trinitrotoluene Manufacturing Wastewater," Journal of the Water Pollution Control

  7. Using Dynamic Risk and Protective Factors to Predict Inpatient Aggression: Reliability and Validity of START Assessments

    ERIC Educational Resources Information Center

    Desmarais, Sarah L.; Nicholls, Tonia L.; Wilson, Catherine M.; Brink, Johann

    2012-01-01

    The Short-Term Assessment of Risk and Treatability (START; C. D. Webster, M. L. Martin, J. Brink, T. L. Nicholls, & S. L. Desmarais, 2009; C. D. Webster, M. L. Martin, J. Brink, T. L. Nicholls, & C. Middleton, 2004) is a relatively new structured professional judgment guide for the assessment and management of short-term risks associated…

  8. Direct questioning is more effective than patient-initiated report for the detection of sexually transmitted infections in a primary care HIV clinic in Western Kenya.

    PubMed

    Woo, Victoria Gah Hay; Cohen, Craig R; Bukusi, Elizabeth A; Huchko, Megan J

    2013-02-01

    In resource-limited settings, detection of sexually transmitted infections (STIs) often relies on self-reported symptoms to initiate management. We found self-report demonstrated poor sensitivity for STI detection. Adding clinician-initiated questions about symptoms improved detection rates. Vaginal examination further increased sensitivity. Including clinician-initiated screening in resource-limited settings would improve management of treatable STIs.

  9. Dyssynergic defecation: a treatable cause of persistent symptoms when inflammatory bowel disease is in remission.

    PubMed

    Perera, Lilani P; Ananthakrishnan, Ashwin N; Guilday, Corinne; Remshak, Kristin; Zadvornova, Yelena; Naik, Amar S; Stein, Daniel J; Massey, Benson T

    2013-12-01

    Introduction of biologic agents in inflammatory bowel disease (IBD) has increased the likelihood of disease remission. Despite resolution of active inflammation, a subset of IBD patients report persistent defecatory symptoms. To evaluate a group of patients with inflammatory bowel disease with suspected functional defecatory disorders, by use of anorectal manometric testing and subsequent biofeedback therapy. A group of IBD patients with persistent defecatory problems despite clinical improvement were included in this study. These patients had no evidence of left-sided disease. Endoscopic and radiographic study findings and timing in relation to the manometry study were recorded. Anorectal manometry was performed by the standard protocol and included rectal sensory assessment, ability to expel a balloon, and pressure dynamics with simulated defecation. Thirty IBD patients (Crohn's 23 patients; ulcerative colitis six patients) presented with defecatory disorders including constipation (67%) increased stooling (10%), and rectal urgency and/or incontinence and rectal pain (6%). All but one patient had anorectal manometric criteria of dyssynergia (presence of anismus motor pattern and inability to expel the balloon). Of the patients who completed biofeedback therapy, 30% had a clinically significant (≥7-point) improvement in SIBDQ score, with a reduction in health-care utilization after a six-month period (p=0.02). Despite remission, some inflammatory bowel disease patients have persistent defecatory symptoms. Defecatory symptoms may not be predictive of an underlying inflammatory disorder. Lack of inflammatory activity and absence of left-sided disease should prompt investigation of functional disorders. Anorectal manometric testing and biofeedback therapy for patients with a diagnosis of dyssynergia may be a useful therapy.

  10. Soil Flushing Through a Thick Vadose Zone: Perchlorate Removal Documented at Edwards AFB, California

    NASA Astrophysics Data System (ADS)

    Battey, T. F.; Shepard, A. J.; Tait, R. J.

    2007-12-01

    There are currently few viable alternatives for perchlorate remediation in the vadose zone, particularly for the relatively thick vadose zones that are typical in the arid southwest where many perchlorate sites occur. Perchlorate in the vadose zone occurs in the form of highly soluble salts that may represent a risk to human or ecological receptors, and may also represent a threat to the underlying groundwater. A soil flushing treatability study was conducted at Edwards Air Force Base in the Mojave Desert of southern California at a site with a 129-foot thick vadose zone consisting primarily of clayey sand. This study utilized an infiltration gallery in conjunction with extraction, treatment, and re-injection of groundwater at the site, which contained perchlorate-contaminated soil and groundwater. The study objective was to evaluate the effectiveness of the infiltration gallery to 1) introduce treated groundwater back into the aquifer and 2) wash the perchlorate from the vadose zone soils to the aquifer. The infiltration gallery consisted of slotted PVC pipes within a highly permeable engineered bed of washed gravel. The initial water introduced into the gallery was amended with potassium bromide tracer. A downhole neutron probe was used to track the movement of the wetting front downward and outward from the gallery. Successive neutron measurements in vertical access tubes revealed that the introduced water reached the 125-foot bottom of the access tubes 14 weeks after the water was introduced into the gallery. The bromide tracer was detected in groundwater immediately below the gallery approximately 1 week later. The infiltration gallery was able to sustain an average flow rate of 2.3 gallons per minute. Prior to infiltration, the perchlorate concentration in groundwater below the gallery was 4,500 µg/L. Approximately 18 weeks after the start of infiltration, a perchlorate spike of 72,400 µg/L was detected below the gallery. The increase in perchlorate

  11. Uncertainties of stormwater characteristics and removal rates of stormwater treatment facilities: implications for stormwater handling.

    PubMed

    Langeveld, J G; Liefting, H J; Boogaard, F C

    2012-12-15

    Stormwater runoff is a major contributor to the pollution of receiving waters. This study focuses at characterising stormwater in order to be able to determine the impact of stormwater on receiving waters and to be able to select the most appropriate stormwater handling strategy. The stormwater characterisation is based on determining site mean concentrations (SMCs) and their uncertainties as well as the treatability of stormwater by monitoring specific pollutants concentration levels (TSS, COD, BOD, TKN, TP, Pb, Cu, Zn, E.coli) at three full scale stormwater treatment facilities in Arnhem, the Netherlands. This has resulted in 106 storm events being monitored at the lamella settler, 59 at the high rate sand filter and 132 at the soil filter during the 2 year monitoring period. The stormwater characteristics in Arnhem in terms of SMCs for main pollutants TSS and COD and settling velocities differ from international data. This implies that decisions for stormwater handling made on international literature data will very likely be wrong due to assuming too high concentrations of pollutants and misjudgement of the treatability of stormwater. The removal rates monitored at the full scale treatment facilities are within the expected range, with the soil filter and the sand filter having higher removal rates than the lamella settler. The full scale pilots revealed the importance of incorporating gross solids removal in the design of stormwater treatment facilities, as the gross solids determine operation and maintenance requirements. Copyright © 2012 Elsevier Ltd. All rights reserved.

  12. Illness perceptions among cardiac patients: Relation to depressive symptomatology and sex

    PubMed Central

    Grace, Sherry L.; Krepostman, Suzan; Brooks, Dina; Arthur, Heather; Scholely, Pat; Suskin, Neville; Jaglal, Susan; Abramson, Beth L.; Stewart, Donna E.

    2010-01-01

    Objective This study examined cardiovascular disease (CVD) illness perceptions and how they relate to depressive symptomatology among women and men. Methods Acute coronary syndrome (ACS) patients at two hospitals were approached, and 661 consented to participate (504 men, 157 women; 75% response rate). Participants completed a survey including the Hospital Anxiety and Depression Scale (HADS) and Illness Perception Questionnaire (IPQ). Results Women perceived a significantly more chronic course (P<.001) and more cyclical episodes (P<.05)than men did, while men perceived greater personal control (P<.001) and treatability (P<.05)than women did. Participants perceived diet, heredity, and stress as the greatest CVD causes. For women (F=5.49, P<.001), greater depressive symptomatology was significantly related to younger age (P<.05), lower activity status (P<.001), and perceiving a chronic time course (P<.01). For men (F=7.68, P<.001), greater depressive symptomatology was significantly related to being non-white (P<.05), lower activity status (P<.001), less exercise behavior (P=.01), and three illness perceptions, namely, perceiving a chronic course (P<.05), greater consequences (P<.001), and lower treatability (P<.05). Conclusion Women, compared with men, are more likely to attribute CVD to causes beyond their control and to perceive CVD as a chronic, untreatable condition. Illness perceptions were related to depressive symptomatology, which suggests that interventions to reframe these perceptions may be warranted to improve emotional health in the context of CVD. PMID:16198188

  13. Uncorrected amteropia among children hospitalized for headache evaluation: a clinical descriptive study.

    PubMed

    Dotan, Gad; Stolovitch, Chaim; Moisseiev, Elad; Cohen, Shlomi; Kesler, Anat

    2014-09-29

    Headache is a common complaint in children occasionally requiring hospital admission. The purposes of the present study were to analyze the prevalence of uncorrected ametropia in children with headache admitted to the hospital, and evaluate the importance of refraction assessment as part of their evaluation. A retrospective review of children admitted to the Tel Aviv Medical Center for headache evaluation from December 2008 to March 2013, in whom the only abnormality found was an uncorrected refractive error. During the study period 917 children with headache were hospitalized for evaluation and 16 (1.7%) of them (9 boys, mean age 12 years, range 8-18 years) were found to have an uncorrected ametropia. Average headache duration was 4 months (range, 1 week to 1 year) and mean follow-up was 15 months (range, 1 month to 3 years). Twelve (75%) children had brain imaging and 4 children (25%) had a lumbar puncture before their refractive abnormality was identified. Anisometropia and myopia were the most common refractive errors encountered (n = 10 each), followed by hyperopia (n = 6) and astigmatism (n = 3). Despite having uncorrected refractive errors most children (n = 10) did not complain of any visual difficulty. All children were given proper refractive correction and 14 of them reported complete headache resolution on re-examination one month later. Uncorrected ametropia is a possible cause of headache among hospitalized children. Therefore, complete ophthalmic evaluation, which includes proper refraction assessment, is important as it can identify a treatable headache etiology. Children without visual difficulty should be equally evaluated, as many children with headache and uncorrected amteropia do not have vision complaints.

  14. Poland petroleum refinery sludge lagoon demonstration project

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Altman, D.J.

    The US Department of Energy and the Institute for Ecology of Industrial Area have been working together to develop mutually beneficial, cost-effective environmental remediation technologies such as the demonstration of bioremediation techniques for the clean up of acidic petroleum sludge impacted soils at an oil refinery in southern Poland. After an expedited site characterization, treatability study, and a risk assessment study, a remediation strategy was devised. The waste material was composed primarily of high molecular weight paraffinic and polynuclear aromatic hydrocarbons. A biopile design which employed a combination of passive and active aeration in conjunction with nutrient and surfactant applicationmore » as used to increase the biodegradation of the contaminants of concern.« less

  15. A study of mechanical properties for aluminum GMA weldments

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kluken, A.O.; Bjoerneklett, B.

    1997-02-01

    Medium- to high-strength aluminum alloys represent an attractive alternative to steel as a material for critical structural members. One area of great interest for their use is the transportation industry due to the increasing demands for less environmental impact through improved fuel efficiency, weight reductions, and increased load capacity. Fabrication of structural bodies involves, in most instances, the application of a joining process. Load-carrying members must be joined together or nonload-carrying parts attached to the primary structure. Although adhesive bonding, laser beam welding and friction stir welding are attractive processes for joining of aluminum, gas metal arc welding (GMAW) ismore » by far the most widely used process at present. Fusion welding of a heat-treatable aluminum alloy represents an additional local heat treatment of material that previously has been processed through tight temperature control to obtain the desired mechanical properties. Hence, great attention must be given to selection of alloy and temper condition, welding parameters, and postweld aging procedures for a given application. The objective of this investigation was to establish mechanical property data, i.e., tensile strength and impact toughness, for Al-Mg-Si and Al-Zn-Mg gas metal arc weldments applicable to the automotive and shipbuilding industries.« less

  16. Epiretinal membrane: a treatable cause of visual disability in myotonic dystrophy type 1.

    PubMed

    Kersten, Hannah M; Roxburgh, Richard H; Child, Nicholas; Polkinghorne, Philip J; Frampton, Chris; Danesh-Meyer, Helen V

    2014-01-01

    A wide range of ocular abnormalities have been documented to occur in patients with myotonic dystrophy type 1. The objectives of this study were to investigate the macular and optic nerve morphology using optical coherence tomography in patients with myotonic dystrophy type 1. A total of 30 myotonic dystrophy type 1 patients and 28 controls were recruited for participation. All participants underwent a thorough ophthalmologic examination, including spectral-domain optical coherence tomography of the macula and retinal nerve fibre layer. Images were reviewed by a retinal specialist ophthalmologist, masked to the diagnosis of the participants. Average macular thickness was significantly greater in the myotonic dystrophy group compared to controls [327.3 μm vs. 308.5 μm (p < 0.001)]. Macular thickness was significantly greater (p < 0.005) in five of the nine macular regions. The increase in macular thickness was due to the increased prevalence of epiretinal membranes in the myotonic dystrophy patient group (p = 0.0002): 48.2 % of myotonic dystrophy patient eyes had evidence of epiretinal membrane, compared with 12.5 % of control eyes. Examination revealed that 56.7 % of myotonic dystrophy patients had an epiretinal membrane in at least one eye. Visual acuity was reduced due to the presence of epiretinal membrane in six patient eyes and none of the control eyes. The presence of an epiretinal membrane was significantly correlated with increasing age in the patient group. We report an increased prevalence of epiretinal membrane in the myotonic dystrophy type 1 group. This may be a previously under-recognised form of visual impairment in this group. Epiretinal membranes can be treated surgically. We suggest that, in addition to a comprehensive clinical examination, optical coherence tomography examination is implemented as part of an ophthalmological assessment for the myotonic dystrophy type 1 patient with reduced visual acuity.

  17. Health-related quality of life among colorectal cancer patients in Malaysia: a study protocol

    PubMed Central

    2012-01-01

    Background Colorectal cancer is a major public health problem in Malaysia. However, it is also one of the most treatable cancers, resulting in significant numbers of survivors. Therefore, the impact of surviving treatment for colorectal cancer on health related quality of life is important for the patients, clinicians and policy makers, and may differ in different cultures and populations. The aim of this study was to validate the Malaysian versions of the European Organization for Research and Treatment of Cancer quality of life instruments among colorectal cancers patients. Methods/design This is a cross sectional multi centre study. Three hospitals were included, the University of Malaya Medical Centre, the Universiti Kebangsaan Malaysia Medical Centre and Hospital Tuanku Jaafar Seremban. Malaysian citizens and permanent residence were studied and demographic and clinical information obtained from hospital records. The European Organization for Research and Treatment of Cancer Quality of life Core 30, colorectal cancer CR29, and the colorectal cancer liver metastasis LMC 21 were used and an observer assessment of performance obtained with the Karnofsky Performance Scale. Questionnaires were translated into three most commonly spoken languages in Malaysia (Bahasa Malaysia, Chinese and Tamil), then administered, scored and analyzed following the developers’ guidelines. Ethical approval was obtained from the participating centres. Tests of reliability and validity were performed to examine the validity of these instruments. Conclusion The result of pilot testing shows that the use of the Malaysian versions of EORTC QLQ C30, CR29 instruments is feasible in our sample of colorectal cancer patients. Instructions for completion as well as questions were well understood except the questions on the overall quality of life, overall health status and sexual activity. Thus we anticipate obtaining good psychometric properties for the instruments at the end of the study

  18. Health-related quality of life among colorectal cancer patients in Malaysia: a study protocol.

    PubMed

    Magaji, Bello Arkilla; Moy, Foong Ming; Roslani, April Camilla; Sagap, Ismail; Zakaria, Jasiah; Blazeby, Jane M; Law, Chee Wei

    2012-09-03

    Colorectal cancer is a major public health problem in Malaysia. However, it is also one of the most treatable cancers, resulting in significant numbers of survivors. Therefore, the impact of surviving treatment for colorectal cancer on health related quality of life is important for the patients, clinicians and policy makers, and may differ in different cultures and populations. The aim of this study was to validate the Malaysian versions of the European Organization for Research and Treatment of Cancer quality of life instruments among colorectal cancers patients. This is a cross sectional multi centre study. Three hospitals were included, the University of Malaya Medical Centre, the Universiti Kebangsaan Malaysia Medical Centre and Hospital Tuanku Jaafar Seremban. Malaysian citizens and permanent residence were studied and demographic and clinical information obtained from hospital records. The European Organization for Research and Treatment of Cancer Quality of life Core 30, colorectal cancer CR29, and the colorectal cancer liver metastasis LMC 21 were used and an observer assessment of performance obtained with the Karnofsky Performance Scale. Questionnaires were translated into three most commonly spoken languages in Malaysia (Bahasa Malaysia, Chinese and Tamil), then administered, scored and analyzed following the developers' guidelines. Ethical approval was obtained from the participating centres. Tests of reliability and validity were performed to examine the validity of these instruments. The result of pilot testing shows that the use of the Malaysian versions of EORTC QLQ C30, CR29 instruments is feasible in our sample of colorectal cancer patients. Instructions for completion as well as questions were well understood except the questions on the overall quality of life, overall health status and sexual activity. Thus we anticipate obtaining good psychometric properties for the instruments at the end of the study.

  19. A Comparison of Insomnia and Depression as Predictors of Disability Pension: The HUNT Study

    PubMed Central

    Overland, Simon; Glozier, Nicholas; Sivertsen, Børge; Stewart, Robert; Neckelmann, Dag; Krokstad, Steinar; Mykletun, Arnstein

    2008-01-01

    Study Objectives: Depression and insomnia are common and frequently comorbid. Unlike the priority now accorded to depression, insomnia is comparatively ignored as a reason for impaired occupational functioning. The objective of this study was to compare their relative impact upon medically certified disability pension award. Design: Historical cohort study Setting: Data from a population-based health survey in Nord-Trøndelag County in Norway (HUNT-2) was linked with a comprehensive national social security database. Participants: Participants within working age (20-66 years of age) not claiming disability pension (N = 37,302). Interventions: N/A Measurements and Results: We compared complaints of insomnia and depression as predictors of disability pension award 18–48 months after a health survey. Insomnia complaints and depression each were similarly associated with disability pension award after adjustment for multiple health and sociodemographic factors, with similar odds ratios (1.66 [1.37–2.01] and 1.56 [1.24–1.96] respectively). Comorbidity did not contribute to disability beyond that expected from each condition. Taking the higher prevalence of insomnia complaints into account, insomnia complaints contributed as much or even more than depression to work-related disability. Conclusions: Depression is regarded as a major contributor to work disability and is increasingly the primary diagnosis in disability pension award. Our results suggest that although rarely reported in official registries of disability pension causes, insomnia has an equally important and independent role, particularly among the younger group. This suggests that this potentially treatable factor has considerable economic impact and should receive more attention in clinical and public health management. Citation: Overland S; Glozier N; Sivertsen B; Stewart R; Neckelmann D; Krokstad S; Mykletun A. A Comparison of Insomnia and Depression as Predictors of Disability Pension: The HUNT

  20. Congenital Syphilis Masquerading as Leukemia.

    PubMed

    Lee, Tiffany; Bell, Stephanie; Scimeme, Jason; Maraqa, Nizar

    2017-07-01

    As of late, the incidence of congenital syphilis in the United States is increasing. Each new case represents a failure of preventing, diagnosing, and treating syphilis in pregnant women. Pediatricians should confirm that all women have received adequate screening for and management of syphilis during pregnancy. Congenital syphilis is easily treatable but may be a diagnostic challenge with high morbidity and mortality.

  1. Methaemoglobinaemia during Holi festival.

    PubMed

    Zaki, S A; Jadhav, A; Chandane, P

    2009-09-01

    We report eight children who developed methaemoglobinaemia after exposure to contaminated colours used during Holi, a traditional festival celebrated in India. Methaemoglobinaemia can be life-threatening, but outcome is good if treated in time with intravenous methylene blue. Physicians might encounter such cases after exposure to Holi colours and hence should be aware of this life-threatening but easily treatable complication.

  2. Biopsy of small kidneys: A safe and a useful guide to potentially treatable kidney disease.

    PubMed

    El-Reshaid, Kamel; El-Reshaid, Wael; Al-Bader, Dalal; Varro, Jozsef; Madda, John; Sallam, Hosameldin Tawfik

    2017-01-01

    Over the past four years, all patients with unexplained rapid progression of their renal disease were subjected to kidney biopsy, despite their small size (<9 cm), to define its etiology. Children, pregnant women, morbidly obese patients, and those with an unstable cardiovascular state, septicemia, bleeding diathesis as well as those kidney size with size <6 cm were excluded from the study. Doppler ultrasound was used to exclude renovascular/ischemic nephropathy. The procedure was performed by an interventional radiologist using a biopsy gun technique and under ultrasound guidance. The actual diagnosis was established in 29 cases while seven had advanced sclerosing glomerulonephritis. Eleven cases had evidence of vasculitis, of which two were due to polyarteritis nodosa and two were due to crescentic immunoglobulin A disease. The remaining patients had a secondary form of focal segmental glomerulosclerosis (n = 4), interstitial nephritis (n = 4), malignant nephro-angiosclerosis (n = 2), and single patient with primary hyperoxaluria, light chain cast nephropathy, amyloidosis, and thrombotic microangiopathy. All, except eight with advanced glomerulosclerosis, had improved or became stable with specific treatment. Our study shows that biopsy of small-sized kidneys, in patients with unexplained renal deterioration, is safe, and its diagnostic value can improve their morbidity and even mortality.

  3. Non-diabetic renal disease in patients with type 2 diabetes: a single centre study.

    PubMed

    Fan, Jian-Zhen; Wang, Rong

    2018-04-01

    Non-diabetic renal disease (NDRD) has been widely known in diabetic patients. The clinical differentiation between diabetic nephropathy (DN) and NDRD is still not so clear and effective. To analyse the pathological characteristics and distribution of renal injury in selected type 2 diabetic patients. Comparison between DN and NDRD in clinical characteristics, to find important predictors for NDRD. To conduct retrospective analysis of clinical, laboratory and pathohistological data of type 2 diabetic patients in whom renal biopsies were performed from March 2010 to September 2014 in Shandong Provincial Hospital affiliated to Shandong University (n = 88). According to the findings of renal biopsy, the incidences of DN, NDRD and DN complicated with NDRD were 20.46, 72.73 and 6.82% respectively. The most common NDRD found were: membranous nephropathy, followed by IgA nephropathy and focal segmental glomerulosclerosis. In multivariate logistic-analysis, fasting blood glucose (odds ratio (OR) 0.714; 95% confidence interval (CI) = 0.543-0.939; P = 0.016) and absence of diabetic retinopathy (OR 18.602; 95% CI = 2.176-159.018; P = 0.003) were independent predictors of NDRD. This study confirmed a considerably high prevalence of NDRD in type 2 diabetic patients with renal injury. As some cases of NDRD are readily treatable or remittable, we should consider renal biopsy in selected diabetic patients with renal involvement, especially in those with effective blood glucose control and the absence of diabetic retinopathy. © 2017 Royal Australasian College of Physicians.

  4. Papillary Thyroid Cancer: The Good and Bad of the "Good Cancer".

    PubMed

    Randle, Reese W; Bushman, Norah M; Orne, Jason; Balentine, Courtney J; Wendt, Elizabeth; Saucke, Megan; Pitt, Susan C; Macdonald, Cameron L; Connor, Nadine P; Sippel, Rebecca S

    2017-07-01

    Papillary thyroid cancer is often described as the "good cancer" because of its treatability and relatively favorable survival rates. This study sought to characterize the thoughts of papillary thyroid cancer patients as they relate to having the "good cancer." This qualitative study included 31 papillary thyroid cancer patients enrolled in an ongoing randomized trial. Semi-structured interviews were conducted with participants at the preoperative visit and two weeks, six weeks, six months, and one year after thyroidectomy. Grounded theory was used, inductively coding the first 113 interview transcripts with NVivo 11. The concept of thyroid cancer as "good cancer" emerged unprompted from 94% (n = 29) of participants, mostly concentrated around the time of diagnosis. Patients encountered this perception from healthcare providers, Internet research, friends, and preconceived ideas about other cancers. While patients generally appreciated optimism, this perspective also generated negative feelings. It eased the diagnosis of cancer but created confusion when individual experiences varied from expectations. Despite initially feeling reassured, participants described feeling the "good cancer" characterization invalidated their fears of having cancer. Thyroid cancer patients expressed that they did not want to hear that it's "only thyroid cancer" and that it's "no big deal," because "cancer is cancer," and it is significant. Patients with papillary thyroid cancer commonly confront the perception that their malignancy is "good," but the favorable prognosis and treatability of the disease do not comprehensively represent their cancer fight. The "good cancer" perception is at the root of many mixed and confusing emotions. Clinicians emphasize optimistic outcomes, hoping to comfort, but they might inadvertently invalidate the impact thyroid cancer has on patients' lives.

  5. Potentially preventable infant and child deaths identified at autopsy; findings and implications.

    PubMed

    Bamber, Andrew R; Mifsud, William; Wolfe, Ingrid; Cass, Hilary; Pryce, Jeremy; Malone, Marian; Sebire, Neil J

    2015-09-01

    The purpose of the study was to determine the proportion of pediatric deaths investigated by HM Coronial autopsy which were potentially preventable deaths due to treatable natural disease, and what implications such findings may have for health policies to reduce their occurrence. A retrospective study of 1779 autopsies of individuals between 7 days and 14 years of age requested by HM Coroner, taking place in one specialist pediatric autopsy center, was undertaken. Cases were included if they involved a definite natural disease process in which appropriate recognition and treatment was likely to have affected their outcome. Strict criteria were used and cases were excluded where the individual had any longstanding condition which might have predisposed them to, or altered the recognition of, acute illness, or its response to therapy. Almost 8% (134/1779) of the study group were potentially preventable deaths as a result of natural disease, the majority occurring in children younger than 2 years of age. Most individuals reported between 1 and 7 days of symptoms before their death, and the majority had sought medical advice during this period, including from general practitioners within working hours, and hospital emergency departments. Of those who had sought medical attention, around one-third had done so more than once (28%, 15/53). Sepsis and pneumonia accounted for the majority of deaths (46 and 34% respectively), with all infections (sepsis, pneumonia and meningitis) accounting for 110/134 (82%). Around 10% of pediatric deaths referred to HM Coroner are potentially preventable, being the result of treatable natural acute illnesses. In many cases medical advice had been sought during the final illness. The results highlight how a review of autopsy data can identify significant findings with the potential to reduce mortality, and the importance of centralized investigation and reporting of pediatric deaths.

  6. Experiences with, perceptions of and attitudes towards traditional Korean medicine (TKM) in patients with chronic fatigue: a qualitative, one-on-one, in-depth interview study.

    PubMed

    Son, Haeng-Mi; Park, Eun Young; Kim, Duck Hee; Kim, Eunjeong; Shin, Mi-Suk; Kim, Tae-Hun

    2015-09-08

    To explore perceptions and experiences of patients with chronic fatigue with traditional Korean medicine (TKM) and their motivation for choosing TKM. Qualitative, one-on-one, in-depth interview study. Primary TKM hospitals in Seoul, Incheon and Daejeon, South Korea. 15 patients with chronic fatigue were interviewed in this study. Patients with chronic fatigue experienced physical and psychological symptoms that resulted in severe difficulties associated with routine daily activities. The motivations for choosing TKM were primarily dissatisfaction with conventional medicine and previous positive experiences with TKM. While undergoing TKM treatment, patients found that TKM practitioners considered fatigue to be a treatable illness; also, patients felt comfortable with the doctor-patient relationship in TKM. Healthcare providers need to be concerned about the symptoms of chronic fatigue to a degree that is in line with the patient's own perceptions. Korean patients with chronic fatigue choose TKM as an alternative to fulfil their long-term needs that were unmet by conventional medicine, and they are greatly positively influenced by TKM. TKM may present a possible therapy to alleviate symptoms of diseases that conventional medicine does not address and is an approach that has a considerable effect on Korean patients. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  7. Litigation as TB Rights Advocacy: A New Delhi Case Study.

    PubMed

    McBroom, Kerry

    2016-06-01

    One thousand people die every day in India as a result of TB, a preventable and treatable disease, even though the Constitution of India, government schemes, and international law guarantee available, accessible, acceptable, quality health care. Failure to address the spread of TB and to provide quality treatment to all affected populations constitutes a public health and human rights emergency that demands action and accountability. As part of a broader strategy, health activists in India employ Public Interest Litigation (PIL) to hold the state accountable for rights violations and to demand new legislation, standards for patient care, accountability for under-spending, improvements in services at individual facilities, and access to government entitlements in marginalized communities. Taking inspiration from right to health PIL cases (PILs), lawyers in a New Delhi-based rights organization used desk research, fact-findings, and the Right To Information Act to build a TB PIL for the Delhi High Court, Sanjai Sharma v. NCT of Delhi and Others (2015). The case argues that inadequate implementation of government TB schemes violates the Constitutional rights to life, health, food, and equality. Although PILs face substantial challenges, this paper concludes that litigation can be a crucial advocacy and accountability tool for people living with TB and their allies.

  8. Severe anemia in pregnancy in rural Ghana: a case-control study of causes and management.

    PubMed

    Geelhoed, Diederike; Agadzi, Florence; Visser, Lucia; Ablordeppey, Emelia; Asare, Kofi; O'Rourke, Peter; van Leeuwen, Jules Schagen; van Roosmalen, Jos

    2006-01-01

    Various factors contribute to severe anemia in pregnancy in low-income countries. This study assesses which of these are of importance in rural Ghana, and evaluates management. Prospective case-control study in two (sub)district hospitals in rural Ghana among 175 severely anemic pregnant women (Hb < 8.0 g/dl), receiving a comprehensive treatment package; and 152 non-anemic pregnant women (Hb > or = 10.9 g/dl), giving birth at the study hospitals, matched for age and parity. Evaluated characteristics were need for treatment for urinary tract infection and schistosomiasis; sickle cell and HIV status; antenatal care characteristics; and Hb increase after treatment. Statistical analysis included Chi square test and general linear modeling. Associated with severe anemia were multiple pregnancy (OR 8.9; 95%CI 1.1-71.0), urinary tract infection (OR 6.2; 95%CI 3.5-11.0), residence outside study (sub)district (OR 2.7; 95%CI 1.7-4.3), body mass index < 20.0 (OR 2.0; 95%CI 1.2-3.4), and less than 4 antenatal clinic visits (OR 1.9; 95%CI 1.2-3.0). No association was found with sickle cell or HIV status, schistosomiasis treatment, blood loss in pregnancy, or gestational age at antenatal care registration. After treatment, mean Hb in the severe anemia group increased by 3.2 g/dl, significantly more than in the control group (0.2 g/dl; p<0.001). Modeling showed that the number of antenatal visits and the lowest Hb together explained approximately 25% of the variability in Hb prior to childbirth among women with severe anemia. Treatable causes contribute considerably to severe anemia in pregnancy in low-income countries. Even with limited resources, a substantial increase of Hb can be achieved.

  9. Expanded newborn screening by mass spectrometry: New tests, future perspectives.

    PubMed

    Ombrone, Daniela; Giocaliere, Elisa; Forni, Giulia; Malvagia, Sabrina; la Marca, Giancarlo

    2016-01-01

    Tandem mass spectrometry (MS/MS) has become a leading technology used in clinical chemistry and has shown to be particularly sensitive and specific when used in newborn screening (NBS) tests. The success of tandem mass spectrometry is due to important advances in hardware, software and clinical applications during the last 25 years. MS/MS permits a very rapid measurement of many metabolites in different biological specimens by using filter paper spots or directly on biological fluids. Its use in NBS give us the chance to identify possible treatable metabolic disorders even when asymptomatic and the benefits gained by this type of screening is now recognized worldwide. Today the use of MS/MS for second-tier tests and confirmatory testing is promising especially in the early detection of new disorders such as some lysosomal storage disorders, ADA and PNP SCIDs, X-adrenoleucodistrophy (X-ALD), Wilson disease, guanidinoacetate methyltransferase deficiency (GAMT), and Duchenne muscular dystrophy. The new challenge for the future will be reducing the false positive rate by using second-tier tests, avoiding false negative results by using new specific biomarkers and introducing new treatable disorders in NBS programs. © 2015 Wiley Periodicals, Inc.

  10. Peripheral neuropathy in complex inherited diseases: an approach to diagnosis.

    PubMed

    Rossor, Alexander M; Carr, Aisling S; Devine, Helen; Chandrashekar, Hoskote; Pelayo-Negro, Ana Lara; Pareyson, Davide; Shy, Michael E; Scherer, Steven S; Reilly, Mary M

    2017-10-01

    Peripheral neuropathy is a common finding in patients with complex inherited neurological diseases and may be subclinical or a major component of the phenotype. This review aims to provide a clinical approach to the diagnosis of this complex group of patients by addressing key questions including the predominant neurological syndrome associated with the neuropathy, for example, spasticity, the type of neuropathy and the other neurological and non-neurological features of the syndrome. Priority is given to the diagnosis of treatable conditions. Using this approach, we associated neuropathy with one of three major syndromic categories: (1) ataxia, (2) spasticity and (3) global neurodevelopmental impairment. Syndromes that do not fall easily into one of these three categories can be grouped according to the predominant system involved in addition to the neuropathy, for example, cardiomyopathy and neuropathy. We also include a separate category of complex inherited relapsing neuropathy syndromes, some of which may mimic Guillain-Barré syndrome, as many will have a metabolic aetiology and be potentially treatable. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  11. Workplace Social Capital and Adherence to Antihypertensive Medication: A Cohort Study

    PubMed Central

    Oksanen, Tuula; Kawachi, Ichiro; Kouvonen, Anne; Suzuki, Etsuji; Takao, Soshi; Sjösten, Noora; Virtanen, Marianna; Pentti, Jaana

    2011-01-01

    Background While hypertension is a common and treatable health problem, adherence to antihypertensive medication remains a challenge. This study examines the hypothesis that workplace social capital may influence adherence to antihypertensive medication among hypertensive employees. Methodology/Principal Findings We linked survey responses to nationwide pharmacy records for a cohort of 3515 hypertensive employees (mean age 53.9 years, 76% women) who required continuous antihypertensive drug therapy (the Finnish Public Sector study). A standard scale was used to measure workplace social capital from co-workers' assessments and self-reports in 2000–2004. Non-adherence to antihypertensive medication was determined based on the number of days-not-treated at the year following the survey using comprehensive prescription records. Negative binomial regression models were conducted adjusting for socio-demographic characteristics, duration of hypertension, behaviour-related risk factors, and co-morbid conditions. The overall rate of days-not-treated was 20.7 per person-year (78% had no days-not-treated). Higher age, obesity, and presence of somatic co-morbidities were all associated with better adherence, but this was not the case for co-worker-assessed or self-reported workplace social capital. The rate of days-not-treated was 19.7 per person-year in the bottom fourth of co-worker-assessed workplace social capital, compared to 20.4 in the top fourth. The corresponding rate ratio from the fully-adjusted model was 0.95 (95% confidence interval (CI) 0.58–1.56). In a subgroup of 907 new users of antihypertensive medication this rate ratio was 0.98 (95% CI 0.42–2.29). Conclusions/Significance We found no consistent evidence to support the hypothesized effect of workplace social capital on adherence to drug therapy among employees with chronic hypertension. PMID:21931836

  12. Treatability Study in Support of Intrinsic Remediation for Site OT 24 at MacDill Air Force Base, Florida. Volume 2

    DTIC Science & Technology

    1997-01-01

    Not Sampled f PJ)ll PARSONS SAA - Some As Above Y Water level drilled LF-JENGINEERING SCIENCE.INC. Denver, Colorado L:\\45021\\,DRAWINGS\\BORELOGS\\OT-24...Remnediotion TS TOC - Top of Cosing G - GRAB MacDill Air Force Base, Florida NS- Not Sampled .PARUONU SAA - Same As Above VWater level drilled L!LJ...GRAB MacDill Air Force Base. Florida NS - Not Sampled fj•--PAMMMNuI SAA - Some As Above Y Water level drilled *NIIN I N Denver. Colorado L:\\45021

  13. Treatability Study in Support of Intrinsic Remediation for Pumphouse 75 (Site 57) at MacDill Air Force Base, Tampa, Florida

    DTIC Science & Technology

    1997-01-01

    mechanisms (Grbic’-Galic’, 1990; Belier et al., 1992; Edwards et al., 1992; Edwards and Grbic’-Galic’, 1992, Grbic’-Galic’ and Vogel, 1987; Lovely et al...Bear, J. 1979. Hydraulics of Groundwater: McGraw-Hill, Inc., New York, 569 p. Belier , H.R., M. Reinhard, and D. Grbic-Galic. 1992. Metabolic

  14. Final Treatability Study in Support of Remediation by Natural Attenuation Site FT-1 at Fairchild Air Force Base, Spokane, Washington

    DTIC Science & Technology

    1997-10-01

    and xylene (BTEX) in the shallow groundwater system at the site. Dissolved chlorinated aliphatic hydrocarbons (CAHs) also are present in the shallow...micrograms per liter (gg/L)], RNA with LTM I should be used to complement the ROD-mandated bioventing and air sparging systems . 0 When bioventing and...The ROD identifies benzene as the primary contaminant of concern (COC) for FT-i and specifies the use of air sparging in the remediation system

  15. Differences in the indicators of depressive symptoms among a community sample of African-American and Caucasian older adults.

    PubMed

    Mills, Terry L; Alea, Nicole L; Cheong, Josepha A

    2004-08-01

    Depression among older adults is a major public health concern in the U.S. Yet, time and again this condition goes undiagnosed, or attributed to other causes. Despite being treatable, few individuals older than age 65 are treated for this disorder. Using a community sample of 404 African-American and Caucasian older adults, the aim of this study was to identify the sources of racial group variance in self-reports of depressive symptoms. Descriptive and multivariate analyses reveal no racial/ethnic differences in the mean level of depressive symptoms, but differences in the correlates of self-reported depression, as well as differences in the distribution of individual indicators of depressive symptoms.

  16. Obstructive sleep apnea and neurodegenerative diseases: A bidirectional relation

    PubMed Central

    Bahia, Christianne Martins Corrêa da Silva; Pereira, João Santos

    2015-01-01

    Sleep disorders are common during the clinical course of the main neurodegenerative diseases. Among these disorders, obstructive sleep apnea has been extensively studied in the last decade and recent knowledge regarding its relationship with the neurodegenerative process points a bidirectional relationship. Neurodegenerative diseases can lead to functional changes in the respiratory system that facilitate the emergence of apnea. On the other hand, obstructive sleep apnea itself can lead to acceleration of neuronal death due to intermittent hypoxia. Considering that obstructive sleep apnea is a potentially treatable condition, its early identification and intervention could have a positive impact on the management of patients with neurodegenerative diseases. PMID:29213936

  17. Appropriate drinking water treatment processes for organic micropollutants removal based on experimental and model studies - a multi-criteria analysis study.

    PubMed

    Sudhakaran, Sairam; Lattemann, Sabine; Amy, Gary L

    2013-01-01

    The presence of organic micropollutants (OMPs), pharmaceuticals and personal care products (PPCPs) in potable water is of great environmental and public health concern. OMPs are included in the priority list of contaminants in United States EPA and European framework directives. Advanced treatment processes such as reverse osmosis, nanofiltration, ozonation and adsorption are the usual industry-recommended processes for OMPs removal, however, natural systems, e.g., riverbank filtration and constructed wetlands, are also potentially efficient options for OMPs removal. In this study, a decision support system (DSS) based on multi-criteria analysis (MCA) was created to compare processes for OMPs removal under various criteria. Multi-criteria analysis (MCA), a transparent and reliable procedure, was adopted. Models were built for both experimental and predicted percent-removals for a range of OMPs reflecting different physicochemical properties. The experimental percent-removals for several processes (riverbank filtration (RBF), ozonation, advanced oxidation, adsorption, reverse osmosis, and nanofiltration) were considered. The predicted percent-removals were taken from validated quantitative structure activity relationship (QSAR) models. Analytical methods to detect OMPs in water are very laborious, thus a modeling approach such as QSAR is an attractive option. A survey among two groups of participants including academics (PhD students and post-doctoral research associates) and industry (managers and operators) representatives was conducted to assign weights for the following criteria: treatability, costs, technical considerations, sustainability and time. The process rankings varied depending on the contaminant species and personal preferences (weights). The results indicated that RBF and oxidation were preferable over adsorption and membranes processes. The results also suggest that the use of a hybrid treatment process, e.g., combining a natural system with an

  18. Posterior headache as a warning symptom of vertebral dissection: a case report.

    PubMed

    Lanfranchi, S; Di Falco, M; Perini, M; Zarcone, D

    2005-12-01

    Cervicocerebral arterial dissection is an important cause of stroke in young adults; the onset is often characterised by severe occipital headache, followed by nausea, vomiting and vertigo, mimicking a migraine attack. We describe herewith a case of vertebral arterial dissection with cerebellar infarction, which started with a posterior headache and neurovegetative symptoms, without other signs. Recommendations for recognition of similar cases, potentially dangerous and treatable, are discussed.

  19. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Mayberry, J.; Stelle, S.; O`Brien, M.

    The Mixed Waste Integrated Program Logic Diagram was developed to provide technical alternative for mixed wastes projects for the Office of Technology Development`s Mixed Waste Integrated Program (MWIP). Technical solutions in the areas of characterization, treatment, and disposal were matched to a select number of US Department of Energy (DOE) treatability groups represented by waste streams found in the Mixed Waste Inventory Report (MWIR).

  20. Project INSPIRE-HBCU Undergraduate Collaborative Summer Training Program to Inspire Students in Prostate Cancer Research

    DTIC Science & Technology

    2007-02-01

    rate – Factors impacting these disparities – Cancer Education/Awareness /Interventions Health Literacy Community Health Fairs Faith-based...approaches that have been developed to address cancer health disparities. One approach considers increasing health literacy as a measure to lessen the...lead to a decreased mortality rate because the cancers would be caught earlier when they are less aggressive and more treatable. The health literacy approach

  1. Developing mental health services in Nigeria : the impact of a community-based mental health awareness programme.

    PubMed

    Eaton, Julian; Agomoh, Ahamefula O

    2008-07-01

    This grass-roots level mental health awareness programme considerably increased use of community-based mental health services in a part of Nigeria where knowledge about treatability of mental illness was limited. The benefits of the programme were sustained for a significant period after the initial awareness programme. In order for attitude changes to be reinforced, similar awareness programmes must be repeated at regular intervals.

  2. The Characterization and Treatment of Aggressive Breast Cancer

    DTIC Science & Technology

    2007-05-01

    of febrile neutropenia , G- CSF should be given with the next cycle. For an episode of febrile neutropenia despite dose reduction and G-CSF, protocol...permitted, and should be documented. 5.2.3 The use of granulocyte colony stimulating agents should only be used if there is persistent neutropenia ... neutropenia , leukopenia, more pronounced in patients with compromised renal function Gastrointestinal: nausea and vomiting, treatable with moderate doses

  3. Unilateral phrenic nerve lesion in Lyme neuroborreliosis

    PubMed Central

    2013-01-01

    Background Among a variety of more common differential diagnoses, the aetiology of acute respiratory failure includes Lyme neuroborreliosis. Case presentation We report an 87-years old huntsman with unilateral phrenic nerve palsy as a consequence of Lyme neuroborreliosis. Conclusion Although Lyme neuroborreliosis is a rare cause of diaphragmatic weakness, it should be considered in the differential workup because of its potentially treatable nature. PMID:23327473

  4. Treatment of RDX and/or HMX Using Mulch Biowalls

    DTIC Science & Technology

    2008-04-01

    industrial classification TAL target analyte list TCE trichloroethene TCLP toxicity characteristic leachate procedure TNB 1,3,5-Trinitobenzene TNT... leachate procedure (TCLP) testing results for the mulch fill in the site-specific treatability phase confirmed no leaching of the target...0.01% 1 ɘ.001% 0.1% * i. Presence of other remediation technologies in the immediate vicinity No 4 No Yes, active phytoremediation in Pink Water

  5. Characterizing Treatable Causes of Small Fiber Polyneuropathy in Gulf War Veterans

    DTIC Science & Technology

    2016-10-01

    autoimmune thyroid disease . Clin Rheumatol 33(7):885–891 31. Ørstavik K, Norheim I, Jorum E (2006) Pain and small-fiber neu- ropathy in patients with ...neuronopathy associated with celiac disease : skin biopsy findings. Arch Neurol 62:1574–1578 38. Chin RL, Latov N (2005) Peripheral neuropathy and celiac dis...patients with biopsy-verified celiac disease . JAMA Neurol 72(7):806–811 40. Tavee J, Zhou L (2009) Small fiber neuropathy: a burning problem. Cleve Clin

  6. Novel test procedure to evaluate the treatability of wastewater with ozone.

    PubMed

    Schindler Wildhaber, Yael; Mestankova, Hana; Schärer, Michael; Schirmer, Kristin; Salhi, Elisabeth; von Gunten, Urs

    2015-05-15

    Organic micropollutants such as pharmaceuticals, estrogens or pesticides enter the environment continuously through the effluent of municipal wastewater treatment plants (WWTPs). Enhanced treatment of wastewater (WW) by ozone (O3) is probably one of the simplest measures for abatement of organic micropollutants to avoid their discharge to the aquatic environment. During ozonation most organic micropollutants present in treated WW are oxidized either by a direct reaction with O3 or by secondarily formed hydroxyl radicals (OH). However, undesired oxidation by-products from the oxidative transformation of matrix components can also be formed. A modular laboratory decision tool based on the findings of previous investigations is presented to test the feasibility of ozonation as an option to upgrade specific WWTPs. These modules consist of investigations to assess (i) the matrix effects on ozone stability, (ii) the efficiency of micropollutant removal, (iii) the oxidation by-product formation, as well as (iv) bioassays to measure specific and unspecific toxicity of the treated WWs. Matrix effects on ozone stability (quantified as O3 and OH exposures) can give first indications on the suitability of an ozonation step. Ozonation of WWs yielding O3 and OH exposures and micropollutant abatement similar to reference values evoked a significant improvement of the water quality as indicated by a broad range of bioassays. Irregular behavior of the ozonation points towards unknown compounds, possibly leading to the formation of undesired degradation products. It has been observed that in such WWs ozonation partly enhanced toxicity. In summary, the presented tiered laboratory test procedure represents a relatively cheap and straight-forward methodology to evaluate the feasibility of ozonation to upgrade specific WWTPs for micropollutant removal based on chemical and biological measurements. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. UTILIZATION OF TREATABILITY AND PILOT TESTS TO PREDICT CAH BIOREMEDIATION (Battelle)

    EPA Science Inventory

    Multiple tools have been suggested to help in the design of enhanced anaerobic bioremediation systems for CAHs:
    Extensive high quality microcosm testing followed by small-scale, thoroughly observed, induced flow field pilot tests (i.e. RABITT Protocol, Morse 1998)
    More...

  8. SUPERFUND TREATABILITY CLEARINGHOUSE: LABORATORY FEASIBILITY TESTING OF PROTOTYPE SOIL WASHING CONCEPTS

    EPA Science Inventory

    This draft document reports on laboratory testing of several washing solutions to decontaminate soils contaminated vith dioxins. The following extractants were evaluated; surfactant mixtures of 0.5% to 3% Adsee 799 and 0.5* to 3% Hyonic NP90 in distilled water, Freon TF with ...

  9. Treatability of nonylphenol ethoxylate surfactants in on-site wastewater disposal systems.

    PubMed

    Huntsman, Brent E; Staples, Charles A; Naylor, Carter G; Williams, Jim-Bob

    2006-11-01

    The fate of nine-mole nonylphenol ethoxylate (NPE9) discharged to an on-site wastewater disposal (septic) system was the focus of a 2-year investigation. Known amounts of NPE9-based detergent were metered daily into the plumbing at a single-family household. The ethoxylate-containing wastewater was discharged to the highly anoxic environment of a 4500-L septic tank before distribution to the oxic subsurface via 100 m of leach line. After 180 days of injecting detergent to the septic system, periodic soil pore water and/or groundwater samples were collected and analyzed for nonylphenol ethoxylates (NPEs), nonylphenol ether carboxylates, and nonylphenol. The NPE9 and degradation intermediates that were measured were reduced by 99.99% on a molar basis. An 18% reduction in molar concentration within the septic tank was observed. This was followed by a further 96.7% reduction of molar concentration within the leach lines. As the pore water migrated through the vadose zone, an additional 99.69% reduction in molar concentration was measured between the bottom of the leach lines (leach line effluent) and the lowest vadose zone monitoring location. The results obtained from these analyses indicate that degradation of the surfactant occurs within the anoxic portion of the disposal system with continued rapid biodegradation in the oxic unsaturated zone. Only trace amounts of degradation residuals were detected in soil pore water. The concentration and distribution of various degradation intermediates with respect to location, time, and ambient physical conditions were evaluated. Rapid and systematic degradation of NPE in on-site wastewater disposal systems was documented.

  10. Treatable newborn and infant seizures due to inborn errors of metabolism.

    PubMed

    Campistol, Jaume; Plecko, Barbara

    2015-09-01

    About 25% of seizures in the neonatal period have causes other than asphyxia, ischaemia or intracranial bleeding. Among these are primary genetic epileptic encephalopathies with sometimes poor prognosis and high mortality. In addition, some forms of neonatal infant seizures are due to inborn errors of metabolism that do not respond to common AEDs, but are amenable to specific treatment. In this situation, early recognition can allow seizure control and will prevent neurological deterioration and long-term sequelae. We review the group of inborn errors of metabolism that lead to newborn/infant seizures and epilepsy, of which the treatment with cofactors is very different to that used in typical epilepsy management.

  11. Treatable childhood neuronopathy caused by mutations in riboflavin transporter RFVT2

    PubMed Central

    Foley, A. Reghan; Menezes, Manoj P.; Pandraud, Amelie; Gonzalez, Michael A.; Al-Odaib, Ahmad; Abrams, Alexander J.; Sugano, Kumiko; Yonezawa, Atsushi; Manzur, Adnan Y.; Burns, Joshua; Hughes, Imelda; McCullagh, B. Gary; Jungbluth, Heinz; Lim, Ming J.; Lin, Jean-Pierre; Megarbane, Andre; Urtizberea, J. Andoni; Shah, Ayaz H.; Antony, Jayne; Webster, Richard; Broomfield, Alexander; Ng, Joanne; Mathew, Ann A.; O’Byrne, James J.; Forman, Eva; Scoto, Mariacristina; Prasad, Manish; O’Brien, Katherine; Olpin, Simon; Oppenheim, Marcus; Hargreaves, Iain; Land, John M.; Wang, Min X.; Carpenter, Kevin; Horvath, Rita; Straub, Volker; Lek, Monkol; Gold, Wendy; Farrell, Michael O.; Brandner, Sebastian; Phadke, Rahul; Matsubara, Kazuo; McGarvey, Michael L.; Scherer, Steven S.; Baxter, Peter S.; King, Mary D.; Clayton, Peter; Rahman, Shamima; Reilly, Mary M.; Ouvrier, Robert A.; Christodoulou, John; Züchner, Stephan; Muntoni, Francesco

    2014-01-01

    Childhood onset motor neuron diseases or neuronopathies are a clinically heterogeneous group of disorders. A particularly severe subgroup first described in 1894, and subsequently called Brown-Vialetto-Van Laere syndrome, is characterized by progressive pontobulbar palsy, sensorineural hearing loss and respiratory insufficiency. There has been no treatment for this progressive neurodegenerative disorder, which leads to respiratory failure and usually death during childhood. We recently reported the identification of SLC52A2, encoding riboflavin transporter RFVT2, as a new causative gene for Brown-Vialetto-Van Laere syndrome. We used both exome and Sanger sequencing to identify SLC52A2 mutations in patients presenting with cranial neuropathies and sensorimotor neuropathy with or without respiratory insufficiency. We undertook clinical, neurophysiological and biochemical characterization of patients with mutations in SLC52A2, functionally analysed the most prevalent mutations and initiated a regimen of high-dose oral riboflavin. We identified 18 patients from 13 families with compound heterozygous or homozygous mutations in SLC52A2. Affected individuals share a core phenotype of rapidly progressive axonal sensorimotor neuropathy (manifesting with sensory ataxia, severe weakness of the upper limbs and axial muscles with distinctly preserved strength of the lower limbs), hearing loss, optic atrophy and respiratory insufficiency. We demonstrate that SLC52A2 mutations cause reduced riboflavin uptake and reduced riboflavin transporter protein expression, and we report the response to high-dose oral riboflavin therapy in patients with SLC52A2 mutations, including significant and sustained clinical and biochemical improvements in two patients and preliminary clinical response data in 13 patients with associated biochemical improvements in 10 patients. The clinical and biochemical responses of this SLC52A2-specific cohort suggest that riboflavin supplementation can ameliorate the progression of this neurodegenerative condition, particularly when initiated soon after the onset of symptoms. PMID:24253200

  12. Treatable childhood neuronopathy caused by mutations in riboflavin transporter RFVT2.

    PubMed

    Foley, A Reghan; Menezes, Manoj P; Pandraud, Amelie; Gonzalez, Michael A; Al-Odaib, Ahmad; Abrams, Alexander J; Sugano, Kumiko; Yonezawa, Atsushi; Manzur, Adnan Y; Burns, Joshua; Hughes, Imelda; McCullagh, B Gary; Jungbluth, Heinz; Lim, Ming J; Lin, Jean-Pierre; Megarbane, Andre; Urtizberea, J Andoni; Shah, Ayaz H; Antony, Jayne; Webster, Richard; Broomfield, Alexander; Ng, Joanne; Mathew, Ann A; O'Byrne, James J; Forman, Eva; Scoto, Mariacristina; Prasad, Manish; O'Brien, Katherine; Olpin, Simon; Oppenheim, Marcus; Hargreaves, Iain; Land, John M; Wang, Min X; Carpenter, Kevin; Horvath, Rita; Straub, Volker; Lek, Monkol; Gold, Wendy; Farrell, Michael O; Brandner, Sebastian; Phadke, Rahul; Matsubara, Kazuo; McGarvey, Michael L; Scherer, Steven S; Baxter, Peter S; King, Mary D; Clayton, Peter; Rahman, Shamima; Reilly, Mary M; Ouvrier, Robert A; Christodoulou, John; Züchner, Stephan; Muntoni, Francesco; Houlden, Henry

    2014-01-01

    Childhood onset motor neuron diseases or neuronopathies are a clinically heterogeneous group of disorders. A particularly severe subgroup first described in 1894, and subsequently called Brown-Vialetto-Van Laere syndrome, is characterized by progressive pontobulbar palsy, sensorineural hearing loss and respiratory insufficiency. There has been no treatment for this progressive neurodegenerative disorder, which leads to respiratory failure and usually death during childhood. We recently reported the identification of SLC52A2, encoding riboflavin transporter RFVT2, as a new causative gene for Brown-Vialetto-Van Laere syndrome. We used both exome and Sanger sequencing to identify SLC52A2 mutations in patients presenting with cranial neuropathies and sensorimotor neuropathy with or without respiratory insufficiency. We undertook clinical, neurophysiological and biochemical characterization of patients with mutations in SLC52A2, functionally analysed the most prevalent mutations and initiated a regimen of high-dose oral riboflavin. We identified 18 patients from 13 families with compound heterozygous or homozygous mutations in SLC52A2. Affected individuals share a core phenotype of rapidly progressive axonal sensorimotor neuropathy (manifesting with sensory ataxia, severe weakness of the upper limbs and axial muscles with distinctly preserved strength of the lower limbs), hearing loss, optic atrophy and respiratory insufficiency. We demonstrate that SLC52A2 mutations cause reduced riboflavin uptake and reduced riboflavin transporter protein expression, and we report the response to high-dose oral riboflavin therapy in patients with SLC52A2 mutations, including significant and sustained clinical and biochemical improvements in two patients and preliminary clinical response data in 13 patients with associated biochemical improvements in 10 patients. The clinical and biochemical responses of this SLC52A2-specific cohort suggest that riboflavin supplementation can ameliorate the progression of this neurodegenerative condition, particularly when initiated soon after the onset of symptoms.

  13. Characterizing Treatable Causes of Small Fiber Polyneuropathy in Gulf War Veterans

    DTIC Science & Technology

    2015-10-01

    multisymptom illness CWP Chronic widespread pain DOD Department of Defense ESR Erythrocyte sedimentation rate GTT Glucose tolerance test Hgb Hemoglobin...War Veterans 5b. GRANT NUMBER W81XWH-14-1-0499 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Anne Louise Oaklander MD, PhD 5d. PROJECT NUMBER Max M...widespread pain, chronic multisymptom illness, small- fiber polyneuropathy, case definition ACCOMPLISHMENTS: What were the major goals of the project

  14. "Wash leather scrotum" (scrotal dermatitis): a treatable cause of male infertility.

    PubMed

    Hendry, W F; Munro, D D

    1990-02-01

    A group of 16 male patients with infertility had dermatitis of the scrotum and groins giving lichenified oedematous skin; the resulting thickening and loss of rugosity produced a characteristic appearance that we have termed wash leather scrotum. Treatment of the dermatosis resulted in an improvement in sperm count and motility in most patients, and 5 couples produced one or more pregnancies.

  15. What, where and when? Using Google Trends and Google to investigate patient needs and inform pharmacy practice.

    PubMed

    Hanna, Alan; Hanna, Lezley-Anne

    2018-03-30

    The aim was to provide a comprehensive overview (using pertinent examples) of the various ways that Google Trends and Google data could inform pharmacy practice. The objectives were to: examine what type of information people search for in relation to a common class of medicines; ascertain where people are directed to (websites) following an initial search for a medicine or medical condition; and establish information about when they search. The methodology differed depending on whether Google Trends or Google was being interrogated, but the search domain was always limited to the United Kingdom. Google Trends was queried, typically for a 5-year time frame, and data downloaded for many search inputs relating to medical conditions (self-treatable and non-self-treatable) and medicines (bought over-the-counter and prescribed). Google was queried and data collected for searches related to 'antibiotics'. Google Trends revealed a previously unknown seasonality pattern for irritable bowel syndrome. Related searches for 'antibiotics' revealed a high level of interest in the appropriateness of concomitant alcohol consumption and queries about what antibiotics are. Largely, people were being directed to reputable websites following their initial search input about a prescription-only medicine. However, searches for over-the-counter medicines were more likely to lead to commercial domains. This is one of the first studies to investigate use of Google Trends and Google in a pharmacy-specific context. It is relevant for practice as it could inform marketing strategies, public health policy and help tailor patient advice and counselling. © 2018 Royal Pharmaceutical Society.

  16. Innovative patient-centered skills training addressing challenging issues in cancer communications: Using patient's stories that teach.

    PubMed

    Bishop, Thomas W; Gorniewicz, James; Floyd, Michael; Tudiver, Fred; Odom, Amy; Zoppi, Kathy

    2016-05-01

    This workshop demonstrated the utility of a patient-centered web-based/digital Breaking Bad News communication training module designed to educate learners of various levels and disciplines. This training module is designed for independent, self-directed learning as well as group instruction. These interactive educational interventions are based upon video-recorded patient stories. Curriculum development was the result of an interdisciplinary, collaborative effort involving faculty from the East Tennessee State University (ETSU) Graduate Storytelling Program and the departments of Family and Internal Medicine at the James H. Quillen College of Medicine. The specific goals of the BBN training module are to assist learners in: (1) understanding a five-step patient-centered model that is based upon needs, preferences, and expectations of patients with cancer and (2) individualizing communication that is consistent with patient preferences in discussing emotions, informational detail, prognosis and timeline, and whether or not to discuss end-of-life issues. The pedagogical approach to the training module is to cycle through Emotional Engagement, Data, Modeled Practices, Adaptation Opportunities, and Feedback. The communication skills addressed are rooted in concepts found within the Reaching Common Ground communication training. A randomized control study investigating the effectiveness of the Breaking Bad News module found that medical students as well as resident physicians improved their communication skills as measured by an Objective Structured Clinical Examination. Four other similarly designed modules were also created: Living Through Treatment, Transitions: From Curable to Treatable/From Treatable to End-of-Life, Spirituality, and Family. © The Author(s) 2016.

  17. Asian Americans and European Americans' stigma levels in response to biological and social explanations of depression.

    PubMed

    Cheng, Zhen Hadassah

    2015-05-01

    Mental illness stigma is prevalent among Asian Americans, and it is a key barrier that prevents them from seeking psychological services. Limited studies have experimentally examined how Asian Americans respond to biological and social explanations of mental illness. Understanding how to educate and communicate about mental illness effectively is crucial in increasing service utilization among Asian Americans. To assess how genetic, neurobiological, and social explanations for the onset of depression affects Asian American and European American's mental illness stigma. 231 Asian Americans and 206 European Americans read about an individual with major depression and were randomly assigned to be informed that the cause was either genetic, neurobiological, social, or unknown. Various stigma outcomes, including social distance, fear, and depression duration were assessed. Consistent with prior research, Asian Americans had higher baseline levels of stigma compared to European Americans. Greater social essentialist beliefs predicted positive stigma outcomes for Asian Americans, such as a greater willingness to be near, help, and hire someone with depression, but genetic essentialist beliefs predicted negative stigma outcomes, such as fear. In addition, a social explanation for the etiology of depression led to lower stigma outcomes for Asian Americans; it decreased their fear of someone with depression and increased the perception that depression is treatable. For European Americans, both genetic and social essentialist beliefs predicted a greater perception of depression treatability. Although genetics do play a role in the development of depression, emphasizing a social explanation for the origin of depression may help reduce stigma for Asian Americans.

  18. Determinants of shoulder and elbow flexion range: results from the San Antonio Longitudinal Study of Aging.

    PubMed

    Escalante, A; Lichtenstein, M J; Hazuda, H P

    1999-08-01

    To gain a knowledge of factors associated with impaired upper extremity range of motion (ROM) in order to understand pathways that lead to disability. Shoulder and elbow flexion range was measured in a cohort of 695 community-dwelling subjects aged 65 to 74 years. Associations between subjects' shoulder and elbow flexion ranges and their demographic and anthropometric characteristics, as well as the presence of diabetes mellitus or self-reported physician-diagnosed arthritis, were examined using multivariate regression models. The relationship between shoulder or elbow flexion range and subjects' functional reach was examined to explore the functional significance of ROM in these joints. The flexion range for the 4 joints studied was at least 120 degrees in nearly all subjects (> or = 99% of the subjects for each of the 4 joints). Multivariate models revealed significant associations between male sex, Mexican American ethnic background, the use of oral hypoglycemic drugs or insulin to treat diabetes mellitus, and a lower shoulder flexion range. A lower elbow flexion range was associated with male sex, increasing body mass index, and the use of oral hypoglycemic drugs or insulin. A higher shoulder or elbow flexion range was associated with a lower likelihood of having a short functional reach. The great majority of community-dwelling elderly have a flexion range of shoulder and elbow joints that can be considered functional. Diabetes mellitus and obesity are two potentially treatable factors associated with reduced flexion range of these two functionally important joints.

  19. Five-Year Incidence of Visual Impairment in Middle-Aged Iranians: The Shahroud Eye Cohort Study.

    PubMed

    Hashemi, Hassan; Mehravaran, Shiva; Emamian, Mohammad Hassan; Fotouhi, Akbar

    2017-02-01

    To study the 5-year incidence of visual impairment and its causes and risk factors, in the middle-aged Iranian sample of the Shahroud Eye Cohort Study (ShECS). Data from subjects who had participated in both phases of the ShECS were used to determine age- and sex-specific incidence rates of visual impairment using the World Health Organization (WHO) definitions for bilateral low vision (visual acuity, VA, >0.5 and ≤1.3 LogMAR in the better eye) and blindness (VA worse than 1.3 LogMAR in the better eye). Risk ratios (RR) and 95% confidence intervals (CIs) were calculated using multivariable log-binomial regression. Of the 5079 ShECS I survivors, 4737 (93.3%) completed the 5-year follow-up. Their mean age at baseline was 50.9 ± 6.2 years, and 58.9% were female. The incidence of visual impairment was 1.12% (95% CI 0.82-1.42%) by presenting VA and 0.19% (95% CI 0.07-0.32%) by best-corrected VA; leading causes of the former were uncorrected refractive error (81.3%) and diabetic retinopathy (15.1%). In the multivariable model, risk factors for incident visual impairment by presenting VA were older age (RR 1.05, p = 0.044), lower education (RR 0.89, p = 0.002), and diabetes (RR 3.74, p < 0.001). This is the first incidence study of visual impairment in a middle-aged Iranian population. Since age is a major risk factor, the number of visually impaired is expected to increase as the population ages, and less treatable causes such as diabetic retinopathy begin to surface. Measures for tackling uncorrected refractive error and enhancing diabetes screening and preventive programs are recommended.

  20. Auditory hallucinations in adults with hearing impairment: a large prevalence study.

    PubMed

    Linszen, M M J; van Zanten, G A; Teunisse, R J; Brouwer, R M; Scheltens, P; Sommer, I E

    2018-03-20

    Similar to visual hallucinations in visually impaired patients, auditory hallucinations are often suggested to occur in adults with hearing impairment. However, research on this association is limited. This observational, cross-sectional study tested whether auditory hallucinations are associated with hearing impairment, by assessing their prevalence in an adult population with various degrees of objectified hearing impairment. Hallucination presence was determined in 1007 subjects aged 18-92, who were referred for audiometric testing to the Department of ENT-Audiology, University Medical Center Utrecht, the Netherlands. The presence and severity of hearing impairment were calculated using mean air conduction thresholds from the most recent pure tone audiometry. Out of 829 participants with hearing impairment, 16.2% (n = 134) had experienced auditory hallucinations in the past 4 weeks; significantly more than the non-impaired group [5.8%; n = 10/173; p < 0.001, odds ratio 3.2 (95% confidence interval 1.6-6.2)]. Prevalence of auditory hallucinations significantly increased with categorized severity of impairment, with rates up to 24% in the most profoundly impaired group (p < 0.001). The corrected odds of hallucination presence increased 1.02 times for each dB of impairment in the best ear. Auditory hallucinations mostly consisted of voices (51%), music (36%), and doorbells or telephones (24%). Our findings reveal that auditory hallucinations are common among patients with hearing impairment, and increase with impairment severity. Although more research on potential confounding factors is necessary, clinicians should be aware of this phenomenon, by inquiring after hallucinations in hearing-impaired patients and, conversely, assessing hearing impairment in patients with auditory hallucinations, since it may be a treatable factor.

  1. Fever and rash.

    PubMed

    Schlossberg, D

    1996-03-01

    The combination of fever and rash comprises an extensive differential diagnosis. Many of the causes of this presentation are life-threatening. In this article, rashes are categorized as petechial, maculopapular, vesicular, erythematous, and urticarial. Each type of rash is then divided into infectious etiologies, both treatable and nontreatable, and noninfectious etiologies. It is usually possible to arrive at a workable differential diagnosis when clinical, historical, and epidemiologic factors are considered.

  2. Chronic Inflammatory Demyelinating Polyradiculoneuropathy: From Bench to Bedside

    PubMed Central

    Peltier, Amanda C.; Donofrio, Peter D.

    2015-01-01

    Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP) is the most common treatable chronic autoimmune neuropathy. Multiple diagnostic criteria have been established, with the primary goal of identifying neurophysiologic hallmarks of acquired demyelination. Treatment modalities have expanded to include numerous immuno-modulatory therapies, although the best evidence continues to be for corticosteroids, plasma exchange, and intravenous immunoglobulins (IVIg). This review describes the pathology, epidemiology, pathogenesis, diagnosis, and treatment of CIDP. PMID:23117943

  3. Non-Invasive Gene Therapy of Experimental Parkinson’s Disease

    DTIC Science & Technology

    2006-09-01

    Dejneka NS, Bennett J. Gene therapy and retinitis pigmentosa : advances and future challenges. Bioessays 2001; 23:662-8. 3. Hauswirth WW, McInnes RR...NM_001940 Blindness Retinitis pigmentosa -1 RHO NM_000539 Peripherin-related retinal degeneration RDS NM_000322 Gyrate atrophy OAT NM_000274 CNS tumor...September 2003 | Published 3 October 2003 Many forms of blindness are potentially treatable with retinal gene therapy [1,2]. The retinal

  4. Effect of Sensitization on Corrosion-Fatigue Cracking in Al 5083 Alloy

    DTIC Science & Technology

    2015-01-21

    Report Corrosion-fatigue Stress-corrosion cracking Aluminum alloys Sensitization October 2011 – September 2014 63-2634-A4 Unclassified Unlimited... alloy 5083-H131 is an armor-grade aluminum alloy that is non-heat-treatable and derives its strength from magnesium solute hardening and strain hardening...marine environments (references1-2). Even though the damaging effect of grain boundary β and sensitization on SCC in 5 -series aluminum alloys is

  5. Insomnia management in prisons in England and Wales: a mixed-methods study.

    PubMed

    Dewa, Lindsay H; Hassan, Lamiece; Shaw, Jenny J; Senior, Jane

    2017-06-01

    Insomnia in prison is common; however, research is limited regarding the management strategies that prison establishments employ. To address this knowledge gap, we conducted a survey to identify how insomnia is detected, diagnosed and treated in adult prisons in England and Wales. Telephone interviews with a purposive sample of health-care managers were then conducted. The survey was sent to all establishments holding adult prisoners, covering screening and assessment methods to detect insomnia; treatment options, both pharmacological and non-pharmacological; the importance of insomnia as a treatable condition; and staff training available. Eighty-four (73%) prisons completed the survey. Few had a stepped approach to insomnia management, as recommended by National Institute for Health and Care Excellence (NICE) guidelines. The most common treatments available were sleep hygiene education and medication, offered by 94 and 88% of respondents, respectively. Analysis of telephone interviews revealed four main themes: insomnia as a normal occurrence in prison; the problem of medication in prison; the negative impact of the prison environment; and effective management of insomnia in prison. The current findings suggest that logistical, ethical and security barriers and a lack of staff knowledge and training impact negatively on the management of insomnia in prison. © 2017 European Sleep Research Society.

  6. Alternative treatment technology information center computer database system

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sullivan, D.

    1995-10-01

    The Alternative Treatment Technology Information Center (ATTIC) computer database system was developed pursuant to the 1986 Superfund law amendments. It provides up-to-date information on innovative treatment technologies to clean up hazardous waste sites. ATTIC v2.0 provides access to several independent databases as well as a mechanism for retrieving full-text documents of key literature. It can be accessed with a personal computer and modem 24 hours a day, and there are no user fees. ATTIC provides {open_quotes}one-stop shopping{close_quotes} for information on alternative treatment options by accessing several databases: (1) treatment technology database; this contains abstracts from the literature on all typesmore » of treatment technologies, including biological, chemical, physical, and thermal methods. The best literature as viewed by experts is highlighted. (2) treatability study database; this provides performance information on technologies to remove contaminants from wastewaters and soils. It is derived from treatability studies. This database is available through ATTIC or separately as a disk that can be mailed to you. (3) underground storage tank database; this presents information on underground storage tank corrective actions, surface spills, emergency response, and remedial actions. (4) oil/chemical spill database; this provides abstracts on treatment and disposal of spilled oil and chemicals. In addition to these separate databases, ATTIC allows immediate access to other disk-based systems such as the Vendor Information System for Innovative Treatment Technologies (VISITT) and the Bioremediation in the Field Search System (BFSS). The user may download these programs to their own PC via a high-speed modem. Also via modem, users are able to download entire documents through the ATTIC system. Currently, about fifty publications are available, including Superfund Innovative Technology Evaluation (SITE) program documents.« less

  7. Chronic obstructive pulmonary disease, bronchial asthma and allergic rhinitis in the adult population within the commonwealth of independent states: rationale and design of the CORE study.

    PubMed

    Feshchenko, Yuriy; Iashyna, Liudmyla; Nugmanova, Damilya; Gyrina, Olga; Polianska, Maryna; Markov, Alexander; Moibenko, Maryna; Makarova, Janina; Tariq, Luqman; Pereira, Marcelo Horacio S; Mammadbayov, Eljan; Akhundova, Irada; Vasylyev, Averyan

    2017-10-10

    Main treatable Chronic Respiratory Diseases (CRDs) like Chronic Obstructive Pulmonary Disease (COPD), Bronchial Asthma (BA) and Allergic Rhinitis (AR) are underdiagnosed and undertreated worldwide. CORE study was aimed to assess the point prevalence of COPD, BA and AR in the adult population of major cities of Commonwealth of Independent States (CIS) countries - Azerbaijan, Kazakhstan, and Ukraine based on study questionnaires and/or spirometry, and to document risk factors, characterize the COPD, BA and AR population to provide a clearer "epidemiological data". A descriptive, cross-sectional, population-based epidemiological study conducted from 2013 to 2015 with two-stage cluster geographical randomization. Interviewers conducted face-to-face visits at respondent's household after informed consent and eligibility assessment including interviews, anthropometry, spirometry (with bronchodilator test) and completion of disease-specific questionnaires. Two thousand eight hundred forty-two respondents (Ukraine: 964 from Ukraine; 945 from Kazakhstan; 933 Azerbaijan) were enrolled. Mean age was 40-42 years and males were 37%-42% across three countries. In Kazakhstan 62.8% were Asians, but in Ukraine and in Azerbaijan 99.7% and 100.0%, respectively, were Caucasians. Manual labourers constituted 40.5% in Ukraine, 22.8% in Kazakhstan and 22.0% in Azerbaijan, while office workers were 16.1%, 31.6% and 36.8% respectively. 51.3% respondents in Ukraine, 64.9% in Kazakhstan and 69.7% in Azerbaijan were married. CORE study collected information that can be supportive for health policy decision makers in allocating healthcare resources in order to improve diagnosis and management of CRDs. The detailed findings will be described in future publications. Study Protocol Summary is disclosed at GlaxoSmithKline Clinical Study Register on Jun 06, 2013, study ID 116757 .

  8. Coming to terms with fear

    PubMed Central

    LeDoux, Joseph E.

    2014-01-01

    The brain mechanisms of fear have been studied extensively using Pavlovian fear conditioning, a procedure that allows exploration of how the brain learns about and later detects and responds to threats. However, mechanisms that detect and respond to threats are not the same as those that give rise to conscious fear. This is an important distinction because symptoms based on conscious and nonconscious processes may be vulnerable to different predisposing factors and may also be treatable with different approaches in people who suffer from uncontrolled fear or anxiety. A conception of so-called fear conditioning in terms of circuits that operate nonconsciously, but that indirectly contribute to conscious fear, is proposed as way forward. PMID:24501122

  9. Biotinidase deficiency presenting as recurrent myelopathy in a 7-year-old boy and a review of the literature.

    PubMed

    Raha, Sarbani; Udani, Vrajesh

    2011-10-01

    Biotinidase deficiency may produce variable neurologic manifestations. Brainstem and spinal cord disease comprises an uncommon presentation of biotinidase deficiency. We describe a 7-year old boy with subacute progressive quadriplegia and "sighing" respirations. Severe biotinidase deficiency was established, and the patient demonstrated complete recovery with biotin supplementation. Genetic studies revealed presence of homozygous mutation in the BTD gene [c.133C>T (p.H447Y)]. Biotinidase deficiency should be considered in the differential diagnosis for subacute, long segment myelopathy, particularly with brainstem involvement. This entity is treatable; a high index of suspicion can be life-saving. We also review the literature on biotinidase deficiency presenting as spinal cord demyelinating disease. Copyright © 2011 Elsevier Inc. All rights reserved.

  10. Chlamydia trachomatis Infection in Pregnancy: The Global Challenge of Preventing Adverse Pregnancy and Infant Outcomes in Sub-Saharan Africa and Asia

    PubMed Central

    Adachi, Kristina; Nielsen-Saines, Karin

    2016-01-01

    Screening and treatment of sexually transmitted infections (STIs) in pregnancy represents an overlooked opportunity to improve the health outcomes of women and infants worldwide. Although Chlamydia trachomatis is the most common treatable bacterial STI, few countries have routine pregnancy screening and treatment programs. We reviewed the current literature surrounding Chlamydia trachomatis in pregnancy, particularly focusing on countries in sub-Saharan Africa and Asia. We discuss possible chlamydial adverse pregnancy and infant health outcomes (miscarriage, stillbirth, ectopic pregnancy, preterm birth, neonatal conjunctivitis, neonatal pneumonia, and other potential effects including HIV perinatal transmission) and review studies of chlamydial screening and treatment in pregnancy, while simultaneously highlighting research from resource-limited countries in sub-Saharan Africa and Asia. PMID:27144177

  11. Spectrum of mutations in Glutaryl-CoA dehydrogenase gene in glutaric aciduria type I--Study from South India.

    PubMed

    Radha Rama Devi, A; Ramesh, Vakkalagadda A; Nagarajaram, H A; Satish, S P S; Jayanthi, U; Lingappa, Lokesh

    2016-01-01

    Glutaric aciduria type I is an autosomal recessive organic acid disorder. The primary defect is the deficiency of Glutaryl-CoA dehydrogenase (EC number 1.3.99.7) enzyme that is involved in the catabolic pathways of the amino acids l-lysine, l-hydroxylysine, and l-tryptophan. It is a treatable neuro-metabolic disorder. Early diagnosis and treatment helps in preventing brain damage. The Glutaryl-CoA dehydrogenase gene (GCDH) gene was sequenced to identify disease causing mutations by direct sequencing of all the exons in twelve patients who were biochemically confirmed with GA I. We identified eleven mutations of which nine are homozygous mutations, one heterozygous and two synonymous mutations. Among the eleven mutations, four mutations p.Q162R, p.P286S, p.W225X in two families and p.V410M are novel. A milder clinical presentation is observed in those families who are either heterozygous or with a benign synonymous SNP. Multiple sequence alignment (MSA) of GCDH with its homologues revealed that the observed novel mutations are not tolerated by protein structure and function. The present study indicates genetic heterogeneity in GCDH gene mutations among South Indian population. Genetic analysis is useful in prenatal diagnosis and prevention. Mutation analysis is a useful tool in the absence of non-availability of enzyme assay in GA I. Copyright © 2015 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.

  12. Operationalizing the assessment and management of violence risk in the short-term.

    PubMed

    Doyle, Michael; Logan, Caroline

    2012-01-01

    Assessing risk of violence in the short term is crucial for managing and preventing violence, especially in institutions such as psychiatric units and prisons. Despite a lack of consensus on the definition of "short term", a number of recent tools and guidelines have been developed to aid short-term clinical decision-making. Whereas the supporting evidence for the new tools is impressive, limitations remain in terms of the focus on prediction, limited consideration of strengths, and poor integration with formulation and risk management. The Short-Term Assessment of Risk and Treatability (START) is a brief clinical guide for the dynamic assessment of risks, strengths and treatability. It focuses on short-term risks and the characteristics of the individual that, if changed, might lead to an increase or decrease in risk. The START has the potential to operationalize the structured professional judgment (SPJ) approach in order to inform the evaluation of multiple risk domains relevant to everyday psychiatric clinical practice. However, explicit guidance on integrating risk assessment, formulation and management is limited in the START and this paper describes the SPJ approach, reviews recent developments in approaches to risk, and considers how the START can be used to inform SPJ approaches and link risk assessment, formulation, and management. Copyright © 2012 John Wiley & Sons, Ltd.

  13. Causes of severe visual impairment and blindness in children in the Republic of Suriname.

    PubMed

    Heijthuijsen, Astrid Anna Maria; Beunders, Victoria Apollonia Annemarie; Jiawan, Dinesh; de Mesquita-Voigt, Anne-Marie Bueno; Pawiroredjo, Jerrel; Mourits, Maarten; Tanck, Michael; Verhoeff, Joost; Saeed, Peerooz

    2013-07-01

    To determine the causes of severe visual impairment and blindness (SVI/BL) in children in Suriname (Dutch Guyana) and to identify preventable and treatable causes. 4643 children under 16 years of age were recruited from two locations: 33 children attending the only school for the blind were examined and 4610 medical records were analysed at an eye clinic. Data have been collected using the WHO Prevention of Blindness Programme eye examination record for children. 65 children were identified with SVI/BL, 58.5% were blind and 41.5% were severely visually impaired (SVI). The major anatomical site of SVI/BL was the retina in 33.8%, lens in 15.4% and normal appearing globe in 15.4%. The major underlying aetiology of SVI/BL was undetermined in 56.9% (mainly cataract and abnormality since birth) and perinatal factors 21.5% (mainly retinopathy of prematurity (ROP)). Avoidable causes of SVI/BL accounted for 40% of cases; 7.7% were preventable and 32.3% were treatable with cataracts and ROP the most common causes (15.4% and 12.3%, respectively). More than a third of the SVI/BL causes are potentially avoidable, with childhood cataract and ROP the leading causes. Corneal scarring from vitamin A deficiency does not seem to be a continuing issue in Suriname.

  14. Hyperprolinemia in Type 2 Glutaric Aciduria and MADD-Like Profiles.

    PubMed

    Pontoizeau, Clément; Habarou, Florence; Brassier, Anaïs; Veauville-Merllié, Alice; Grisel, Coraline; Arnoux, Jean-Baptiste; Vianey-Saban, Christine; Barouki, Robert; Chadefaux-Vekemans, Bernadette; Acquaviva, Cécile; de Lonlay, Pascale; Ottolenghi, Chris

    2016-01-01

    Classical neonatal-onset glutaric aciduria type 2 (MAD deficiency) is a severe disorder of mitochondrial fatty acid oxidation associated with poor survival. Secondary dysfunction of acyl-CoA dehydrogenases may result from deficiency for riboflavin transporters, leading to severe disorders that, nevertheless, are treatable by riboflavin supplementation. In the last 10 years, we identified nine newborns with biochemical features consistent with MAD deficiency, only four of whom survived past the neonatal period. A likely iatrogenic cause of riboflavin deficiency was found in two premature newborns having parenteral nutrition, one of whom recovered upon multivitamin supplementation, whereas the other died before diagnosis. Four other patients had demonstrated mutations involving ETF or ETF-DH flavoproteins, whereas the remaining three patients presumably had secondary deficiencies of unknown mechanism. Interestingly, six newborns among the seven tested for plasma amino acids had pronounced hyperprolinemia. In one case, because the initial diagnostic workup did not include organic acids and acylcarnitine profiling, clinical presentation and hyperprolinemia suggested the diagnosis. Analysis of our full cohort of >50,000 samples from >30,000 patients suggests that the proline/alanine ratio may be a good marker of MAD deficiency and could contribute to a more effective management of the treatable forms.

  15. Translating new knowledge into practices: reconceptualising stroke as an emergency condition

    PubMed Central

    Snow, Stephanie J

    2013-01-01

    Objectives To examine how the new concept of stroke as an emergency condition led to the development of new clinical pathways for stroke patients in Newcastle Upon Tyne, implemented through protocols which were then rapidly adopted across the UK and further afield. Methods Historical analysis using health policy documents, published papers and correspondence on stroke alongside 17 interviews with stroke clinicians and managers in the UK and the US. Results The challenges of implementation stemmed from organisational and professional barriers rather than scientific or technological difficulties. Stroke’s historical status as a non-treatable illness was a barrier to the adoption of acute treatments. Building new pathways for stroke patients by developing protocols for paramedics and emergency room staff originated as a local solution to a local problem but were taken up widely. Discussion Understanding the clinical response to the reconceptualisation of stroke as a treatable disease contributes to our understandings of the relations between clinical research and practice. These findings have implications for how we understand the translation of new knowledge into practice and its transfer across different clinical communities and settings. Protocols are shown to be a particularly valuable tool, bridging knowledge between communities and manifesting a new identity for stroke. PMID:23129788

  16. Treatability Study in Support of the Intrinsic Remediation Option at the Current Fire Training Area, Westover Air Reserves Base, Chicopee, Massachusetts

    DTIC Science & Technology

    1997-02-01

    Winter, 1987, p. 64-71. Bartha , R., 1986, Biotechnology of petroleum pollutant biodegradation: Microbial Ecology , vol. 12, p. 155-172. Bauman, B., 1991...Prepared for Air Force Systems Command, Wright-Patterson Air Force Base, Ohio, June. Atlas , R.M., 1981, Microbial degradation of petroleum hydrocarbons...of jet fuel and gasoline, including the BTEX compounds (e.g., lamison et at., 1975; Atlas , 1981, 1984, 1988; Gibson and Subramanian, 1984; Reinhard et

  17. Rapid enteric testing to permit targeted antimicrobial therapy, with and without Lactobacillus reuteri probiotics, for paediatric acute diarrhoeal disease in Botswana: A pilot, randomized, factorial, controlled trial.

    PubMed

    Pernica, Jeffrey M; Steenhoff, Andrew P; Mokomane, Margaret; Moorad, Banno; Lechiile, Kwana; Smieja, Marek; Mazhani, Loeto; Cheng, Ji; Kelly, Matthew S; Loeb, Mark; Stordal, Ketil; Goldfarb, David M

    2017-01-01

    Diarrhoeal disease is the second-leading cause of death in young children. Current guidelines recommend treating children with acute non-bloody diarrhea with oral rehydration solutions and zinc, but not antimicrobials. However, in many resource-limited settings, infections with treatable enteric bacterial and protozoan pathogens are common. Probiotics have shown promise as an adjunct treatment for diarrhoea but have not been studied in sub-Saharan Africa. We conducted a pilot, factorial, randomized, placebo-controlled trial of children aged 2-60 months hospitalized in Botswana for acute non-bloody diarrhoea. A rapid test-and-treat intervention, consisting of multiplex PCR testing of rectal swabs taken at enrolment, accompanied by targeted antimicrobial therapy if treatable pathogens were detected, was compared to the reference standard of no stool testing. Additionally, Lactobacillus reuteri DSM 17938 x 60 days was compared to placebo treatment. The main objective of this pilot study was to assess feasibility. The primary clinical outcome was the increase in age-standardized height (HAZ) at 60 days adjusted for baseline HAZ. Seventy-six patients were enrolled over a seven-month study period. We judged that the recruitment rate, lab processing times, communication protocols, provision of specific antimicrobials, and follow-up rates were acceptable. Compared to the reference arm (no stool testing and placebo treatment), the combination of the rapid test-and-treat strategy plus L. reuteri DSM 17938 was associated with an increase of 0.61 HAZ (95% CI 0.09-1.13) and 93% lower odds of recurrent diarrhoea (OR 0.07, 95%CI 0.01-0.61) at 60 days. We demonstrated that it was feasible to evaluate the study interventions in Botswana. Despite the small sample size, we observed a statistically significant increase in HAZ at 60 days and significantly lower odds of recurrent diarrhoea in children receiving both rapid test-and-treat and L. reuteri. There is sufficient evidence to

  18. Aggressive Treatment of Performance Status 1 and 2 HCC Patients Significantly Improves Survival - an Egyptian Retrospective Cohort Study of 524 Cases.

    PubMed

    Aziz, Ashraf Omar Abdel; Omran, Dalia; Nabeel, Mohamed Mahmoud; Elbaz, Tamer Mahmoud; Abdelmaksoud, Ahmed Hosni; Attar, Inas El; Shousha, Hend Ibrahim

    2016-01-01

    In the Barcelona Clinic Liver Cancer (BCLC) system, only sorafenib is suggested for HCC patients having performance status (PS) 1 or 2 even if they have treatable lesions. In the current study, we aimed to explore the outcome of using aggressive treatment for HCC patients with PS 1 and 2. Five hundred and twenty four patients with HCC were enrolled in this study and divided into 2 groups: 404 PS 1 and 120 PS 2. Of the included 524 patients, 136 recceived non-aggressive supportive treatment and sorafenib, while 388 patients were offered aggressive treatment in the form of surgical resection, transplantation, percutaneous ablation, trans-arterial chemoembolization and/or chemoperfusion. All the patients were followed up for a period of 2 years to determine their survival. Most HCC patients were CHILD A and B grades (89.4% versus 85.0%, for PS1 and PS2, respectively). Patients with PS1 were significantly younger. Out of the enrolled 524 patients, 388 were offered aggressive treatment, 253 (65.2%) having their lesions fully ablated, 94 (24.2%) undergoing partial ablation and 41 patients with no ablation (10.6%). The median survival of the patients with PS 1 who were offered aggressive treatment was 20 months versus 9 months only for those who were offered supportive treatment and sorafenib (<0.001). Regarding HCC patients with PS 2, the median survivals were similarly 19.7 months versus 8.7 months only (<0.001). Aggressive treatment of HCC patients with PS 1 and 2 significantly improves their survival. Revising the BCLC guidelines regarding such patients is recommended.

  19. How health affects small business in South Africa.

    PubMed

    Chao, Li-Wei; Pauly, Mark V

    2007-03-01

    Preventable and treatable diseases have taken a devastating human and economic toll on many developing countries. That economic toll is likely to be underestimated because most studies focus on productivity losses in the formal, or large-firm, sector; yet, a large portion of the population of developing countries works in the informal sector in very small businesses, either as an owner-worker or as an employee. It is plausible that ill health might affect small businesses most severely, possibly putting the entire business at risk. This Issue Brief summarizes a three-year study that tracks small businesses in Durban, South Africa, and investigates the connection between the owner's health and business growth, survival, or closure. The results bolster the economic case for investing resources in the prevention and treatment of disease in developing countries.

  20. Corrosion Embrittlement of Duralumin II Accelerated Corrosion Tests and the Behavior of High-Strength Aluminum Alloys of Different Compositions

    NASA Technical Reports Server (NTRS)

    Rawdon, Henry S

    1928-01-01

    The permanence, with respect to corrosion, of light aluminum alloy sheets of the duralumin type, that is, heat-treatable alloys containing Cu, Mg, Mn, and Si is discussed. Alloys of this type are subject to surface corrosion and corrosion of the interior by intercrystalline paths. Results are given of accelerated corrosion tests, tensile tests, the effect on corrosion of various alloying elements and heat treatments, electrical resistance measurements, and X-ray examinations.

  1. Three Models of Anthrax Toxin Effects on the MAP-Kinase Pathway and Macrophage Survival

    DTIC Science & Technology

    2008-03-01

    USAMRIID, April 2005. van Aken, Jan and Edward Hammond. “Genetic engineering and biological weapons,” EMBO Reports, 4:S57-S60 (2003). Vitale, Gaetano...must be preventable or treatable ( van Aken and Hammond, 2003:S58). The latter requirement applies primarily to a nation state using bioagents against...where the only specification not met is in the ability to successfully treat anthrax victims “even several days after infection” ( van Aken and

  2. [Supportive care during chemotherapy for lung cancer in daily practice].

    PubMed

    Müller, Veronika; Tamási, Lilla; Gálffy, Gabriella; Losonczy, György

    2012-09-01

    Active oncotherapy, combination chemotherapy of lung cancer is accompanied with many side effects which may impair patients' quality of life and compromise the effectiveness of chemotherapy. Most side effects of chemotherapy are preventable or treatable with optimal supportive care which enhances success in patient care and treatment. The aim of this review is to summarize the most important conditions that may be associated with combined chemotherapy of lung cancer from the practical point of view.

  3. Psychiatric aspects of chronic organic brain syndrome.

    PubMed

    Peterson, G C

    1976-11-01

    In chronic organic brain syndrome, or dementia, the patient generally retreats to simple, familiar situations and resists involvement in others. The symptoms represent both organic deficits due to brain damage and psychologic reactions to the deficits. Some causes are treatable. Because of progressive change in the total behavior of the patient, major rearrangement of life-style is often necessary. The physician should guide both patient and family in this process. Medication may also be helpful.

  4. Wheelchair economy class syndrome in amyotrophic lateral sclerosis.

    PubMed

    Kimura, Fumiharu; Ishida, Simon; Furutama, Daisuke; Hirata, Yuuji; Sato, Toshihiko; Hosokawa, Takashi; Hanafusa, Toshiaki

    2006-03-01

    A wheelchair-bound 61-year-old diabetic man with amyotrophic lateral sclerosis (ALS) developed sudden respiratory failure. Specific findings for hypoxemia and hypocapnia were incompatible with type II respiratory failure seen in the terminal stages of ALS. 'Economy class syndrome' was diagnosed, with massive thrombosis in the pulmonary arteries and deep vein thrombosis. This case offers a warning for long-term wheelchair users, particularly hypoxemic ALS patients, regarding the risks of treatable pulmonary thromboembolism.

  5. Conversion of hazardous materials using supercritical water oxidation

    DOEpatents

    Rofer, Cheryl K.; Buelow, Steven J.; Dyer, Richard B.; Wander, Joseph D.

    1992-01-01

    A process for destruction of hazardous materials in a medium of supercritical water without the addition of an oxidant material. The harzardous material is converted to simple compounds which are relatively benign or easily treatable to yield materials which can be discharged into the environment. Treatment agents may be added to the reactants in order to bind certain materials, such as chlorine, in the form of salts or to otherwise facilitate the destruction reactions.

  6. Supporting Readiness: Ensuring Excellent PTSD and Depression Care for Service Members

    DTIC Science & Technology

    2016-01-01

    P osttraumatic stress disorder (PTSD) and depression are common and treatable psychological health concerns. Without appropriate treatment, these...independent look to date at how the MHS treats service members with PTSD and depression through a research initiative supported by the Department of...and Depression Care for Service Members BRIEF C O R P O R A T I O N Service members with PTSD or depression need excellent care to meet their

  7. Development of a Robust and Cost-Effective Friction Stir Welding Process for Use in Advanced Military Vehicles

    DTIC Science & Technology

    2011-01-01

    aluminum alloys, as well 81 as aluminum matrix composites can be readily FSWed; 82 (j) due to lower attendant temperatures, the residual stres - 83 ses... role of the precipitation hardening mechanism in heat- 372treatable alloys is concerned, the following main observations 373can be made. Typically in...stirring/mixing 470(which plays a critical role in weld quality/joint-strength) is 471increased. 472Nodal Velocity Field. The distribution of nodal

  8. Effect of solution treatment on the microstructure, tensile properties, and corrosion behavior of the Mg-5Sn-2Zn-0.1Mn alloy

    NASA Astrophysics Data System (ADS)

    El Mahallawy, N.; Hammouda, R.; Shoeib, M.; Diaa, Alia A.

    2018-01-01

    Working on magnesium alloys containing relatively inexpensive alloying elements such as tin, zinc, and manganese have been a target for many studies. The binary Mg-Sn and Mg-Zn systems have a wide range of solid solubility which make them heat-treatable alloys. In the present study, the microstructure, tensile properties, and corrosion behavior of the Mg-5Sn-2Zn-0.1Mn alloy was studied in the as cast state and after heat treatment at a temperature reaching 450 °C for about 24 h. It was found that a noticeable enhancement in strength and corrosion resistance was achieved through heat treatment. The strength of the as cast alloy increased from 76.24 ± 6.21 MPa to 187.33 ± 10.3 MPa, while the corrosion rate decreased from 1.129 to 0.399 mm y-1.

  9. Changes in the quality of river water before, during and after a major flood event associated with a La Niña cycle and treatment for drinking purposes.

    PubMed

    Murshed, Mohamad Fared; Aslam, Zeeshan; Lewis, Rosmala; Chow, Christopher; Wang, Dongsheng; Drikas, Mary; van Leeuwen, John

    2014-10-01

    The treatment of organics present in the lower reaches of a major river system (the Murray-Darling Basin, Australia) before (March-July 2010), during (December 2010-May 2011) and after (April-December 2012) a major flood period was investigated. The flood period (over 6months) occurred during an intense La Niña cycle, leading to rapid and high increases in river flows and organic loads in the river water. Dissolved organic carbon (DOC) increased (2-3 times) to high concentrations (up to 16mg/L) and was found to correlate with river flow rates. The treatability of organics was studied using conventional jar tests with alum and an enhanced coagulation model (mEnCo©). Predicted mean alum dose rates (per mg DOC) were higher before (9.1mg alum/mg DOC) and after (8.5mg alum/mg DOC) than during the flood event (8.0mg alum/mg DOC), indicating differences in the character of the organics in raw waters. To assess the character of natural organic matter present in raw and treated waters, high performance size exclusion chromatography with UV and fluorescence detectors were used. During the flood period, high molecular weight UV absorbing compounds (>2kDa) were mostly detected in waters collected, but were not evident in waters collected before and afterwards. The relative abundances of humic-like and protein-like compounds during and following the flood period were also investigated and found to be of a higher molecular weight during the flood period. The treatability of the organics was found to vary over the three climate conditions investigated. Copyright © 2014. Published by Elsevier B.V.

  10. Coverage of HIV prevention components among people with long-standing diagnosed HIV infection in El Salvador.

    PubMed

    Jacobson, Jerry O; Creswell, Jacob; Guardado, Maria Elena; Lee, Janet C; Isabel Nieto, Ana; Paz-Bailey, Gabriela

    2012-09-01

    There is scarce information on prevention coverage and management of sexually transmitted infections (STIs) in people with HIV in resource-limited settings. Six hundred eighty nine sexually active people diagnosed with HIV ≥12 months before the study, including 110 men who have sex with men, 237 heterosexual men, and 342 women, were recruited from HIV support groups and hospitals in El Salvador and completed self-administered computer-assisted questionnaires and STI testing. Logistic models identified correlates of exposure to posttest counseling (POC) and subsequent prevention interventions (PIs). Past-year transmission risk factors included unprotected sex with noncommercial partners (28.7%), having multiple sex partners (76.4%), a casual sex partner (31.4%), selling (3.5%) and purchasing sex (6.4%), herpes simplex virus type 2 (86.3%), and treatable STIs (18.6%). Men who have sex with men reported more recent casual partners, sex work, and alcohol and drug use than other subgroups. POC (22.8%), PIs (31.3%), and access to advice and information regarding HIV at the point of HIV care (24.1%) were limited. Of subjects with past-year STI symptoms (N = 267), 44.1% had sought medical attention. In multivariate analysis, POC was negatively associated with multiple partners. PI was associated with self-initiated testing, treatable STIs, and female sex. Both outcomes were associated with HIV-related discrimination outside of the health services context. Coverage of POC, PIs, and treatment-seeking for STI symptoms was low among individuals with diagnosed HIV infection, although most were in regular contact with care and treatment. Prevention programs at testing and treatment sites should be intensified and should incorporate risk behavior screening to improve targeting.

  11. Childhood blindness and severe visual impairment in Malaysia: a nationwide study

    PubMed Central

    Patel, D K; Tajunisah, I; Gilbert, C; Subrayan, V

    2011-01-01

    Aim To determine the causes of childhood blindness and severe visual impairment (BL/SVI) in schools for the blind in Malaysia. Methods All children ≤15years attending 24 schools for the blind throughout the country were examined using the WHO Prevention of Blindness Programme (WHO/PBL) eye examination record for children, and visual loss was classified according to the International Classification of Disease (ICD). Results In all, 469 children were examined, of whom 448 (95.6%) had BL/SVI. The major causes of visual loss were retinal disorders (n=148, 33% mainly retinopathy of prematurity (n=78, 17.4%)), cataract/pseudophakia/aphakia (n=77, 17.2%), and anomalies affecting the whole globe. (n=86, 19.2%). The major underlying etiology was undetermined (n=193, 43.1%), followed by hereditary factors, 21.7% (mainly retinal dystrophies), and perinatal factors, 20.5%. More than 34 (7.6%) cases were considered potentially preventable and 192 (42.9%) potentially treatable. Conclusion Diseases of the retina are the major cause of visual impairment, with retinopathy of prematurity being an important avoidable cause. This reflects expansion of neonatal services in Malaysia, and improved survival of very low birth weight and preterm babies. Lens-related causes of visual impairment reflect the need to further improve pediatric ophthalmology services in Malaysia. PMID:21350565

  12. HIV, antiretroviral treatment, hypertension, and stroke in Malawian adults: A case-control study.

    PubMed

    Benjamin, Laura A; Corbett, Elizabeth L; Connor, Myles D; Mzinganjira, Henry; Kampondeni, Sam; Choko, Augustine; Hopkins, Mark; Emsley, Hedley C A; Bryer, Alan; Faragher, Brian; Heyderman, Robert S; Allain, Theresa J; Solomon, Tom

    2016-01-26

    To investigate HIV, its treatment, and hypertension as stroke risk factors in Malawian adults. We performed a case-control study of 222 adults with acute stroke, confirmed by MRI in 86%, and 503 population controls, frequency-matched for age, sex, and place of residence, using Global Positioning System for random selection. Multivariate logistic regression models were used for case-control comparisons. HIV infection (population attributable fraction [PAF] 15%) and hypertension (PAF 46%) were strongly linked to stroke. HIV was the predominant risk factor for young stroke (≤45 years), with a prevalence of 67% and an adjusted odds ratio (aOR) (95% confidence interval) of 5.57 (2.43-12.8) (PAF 42%). There was an increased risk of a stroke in patients with untreated HIV infection (aOR 4.48 [2.44-8.24], p < 0.001), but the highest risk was in the first 6 months after starting antiretroviral therapy (ART) (aOR 15.6 [4.21-46.6], p < 0.001); this group had a lower median CD4(+) T-lymphocyte count (92 vs 375 cells/mm(3), p = 0.004). In older participants (HIV prevalence 17%), HIV was associated with stroke, but with a lower PAF than hypertension (5% vs 68%). There was no interaction between HIV and hypertension on stroke risk. In a population with high HIV prevalence, where stroke incidence is increasing, we have shown that HIV is an important risk factor. Early ART use in immunosuppressed patients poses an additional and potentially treatable stroke risk. Immune reconstitution inflammatory syndrome may be contributing to the disease mechanisms. © 2015 American Academy of Neurology.

  13. Infant hospitalization and maternal depression, poverty and single parenthood - a population-based study.

    PubMed

    Guttmann, A; Dick, P; To, T

    2004-01-01

    There is variation in rates of hospitalization for young children which is unexplained by differences in health. We used population-based survey data to examine the contribution of family sociodemographic and psychodynamic factors to the risk of hospitalization in children under the age of 2 years in Canada. Baseline data from the National Longitudinal Survey of Children and Youth (a population-based study of child health and well-being) were used. A weighted sample of 332 697 (unweighted n = 2184) children between the age of 12 and 24 months, whose biological mother reported data on hospitalization over the past year, were included. Logistic regression analyses were conducted to estimate the risk of hospitalization by sociodemographic and psychodynamic factors controlling for important biological covariates. The overall proportion of children who were hospitalized was 11.2%. After adjusting for prematurity, the only statistically significant biological factor associated with the risk of hospitalization was reported present health [odds ratio (OR) 4.04, 95% confidence intervals (CI): 2.93, 5.58]. However, three family variables were significantly associated with hospitalization: low income adequacy (OR 1.66, 95% CI: 1.15, 2.40), single parenthood (OR 1.55, 95% CI: 1.03, 2.34) and maternal depression (OR 1.81, 95% CI: 1.22, 2.69). Having a parent who is a recent immigrant to Canada is associated with a reduced risk of hospitalization (OR 0.53, 95% CI: 0.35, 0.78). Most of the significant associations with hospitalization in the first 2 years of life in the Canadian population relate to the overall family's social and mental health. Maternal depression is a treatable disorder which if recognized might prevent some infant morbidity.

  14. 20-Day Trend of Serum Potassium Changes in Bam Earthquake Victims with Crush Syndrome; a Cross-sectional Study.

    PubMed

    Safari, Saeed; Najafi, Iraj; Hosseini, Mostafa; Baratloo, Alireza; Yousefifard, Mahmoud; Mohammadi, Hamidreza

    2017-01-01

    Many of those who survive following an earthquake die in the next phase due to preventable and treatable medical conditions such as hyperkalemia. The present study aimed to evaluate the trend of potassium changes in crush syndrome patients of Bam earthquake. In this retrospective cross-sectional study, using the database of Bam earthquake victims, which were developed by Iranian Society of Nephrology following Bam earthquake, Iran, 2003, the 20-day trend of potassium changes in > 15 years old crush syndrome patients was evaluated. 135 crush syndrome patients with the mean age of 29.9 ± 9.91 years were evaluated (56.3% male). Mean potassium concentration during the first 3 days of admission was 5.6 ± 1.3 mEq/L. On the day of admission, 43.1% (95% CI: 34.0 - 52.2) had normal potassium concentration, 3.4% (95% CI: 0.1 - 6.8) had hypokalemia, and 53.4% (44.3 - 62.6) had hyperkalemia. During 20-day follow-up, 62.3% (95% CI: 66.7-71.9) of the patients had normal potassium. While, 11.5% (95% CI: 9.7-13.3) had hypokalemia and 19.2% (95% CI: 17.0-21.5) had hyperkalemia. As the days of hospitalization increased, prevalence of hyperkalemia decreased while hypokalemia increased. On the 17 th day 21.2% (95% CI: 2.2-39.9) had hypokalemia and 10.5% (95% CI: 0.1 - 24.7) had hyperkalemia. Findings of the present study showed that following urine alkalinization and fluid resuscitation, the prevalence of hyperkalemia reduced, but hypokalemia developed. It seems that the correction of serum potassium level should be accompanied by precise monitoring of intake and output of the patient and prescription of reasonable amount of intravenous fluid.

  15. Survey of Low Vision among Students Attending Schools for the Blind in Nigeria: A Descriptive and Interventional Study

    PubMed Central

    Mosuro, Adedamola L.; Ajaiyeoba, Ayotunde I.; Bekibele, Charles O.; Eniola, Michael S.; Adedokun, Babatunde A.

    2012-01-01

    Purpose: The aim of this study is to determine the prevalence of low vision among students attending all the schools for the blind in Oyo State, Nigeria. The study set out to determine the proportion of students with low vision/severe visual impairment after best correction, to determine the causes of the low vision, to document the associated pathologies, to determine the types of treatment and visual aid devices required, and to provide the visual aids needed to the students in the schools. Materials and Methods: All schools students for the blind in Oyo State were evaluated between August 2007 and January 2008. All the students underwent a thorough ophthalmic examination that included measurement of visual acuity, retinoscopy and subjective refraction, tests for visual aids where indicated, and a structured questionnaire was administered. Results: A total of 86 students were included in the study and the mean age was 19.4 ± 8.19 years. Twenty six (30%) were under 16 years of age. The most common cause of blindness was bilateral measles keratopathy/vitamin A deficiency (VAD) in 25 students (29.1%). The most common site affected was the cornea in 25 students (29.1%), the lens in 23 (26.7%), and the retina/optic nerve in 16 (18.6%). Preventable blindness was mainly from measles keratopathy/VAD (29.1%). Eleven students benefited from refraction and correction with visual aids; two having severe visual impairment (SVI), and nine having visual impairment (VI) after correction. Conclusion: The prevalence of low vision in the schools for the blind in Oyo State is 2.3%, while the prevalence of visual impairment is 10.5%. These results suggest that preventable and treatable ocular conditions are the source of significant childhood blindness in Oyo State. PMID:23248540

  16. Survey of low vision among students attending schools for the blind in Nigeria: a descriptive and interventional study.

    PubMed

    Mosuro, Adedamola L; Ajaiyeoba, Ayotunde I; Bekibele, Charles O; Eniola, Michael S; Adedokun, Babatunde A

    2012-10-01

    The aim of this study is to determine the prevalence of low vision among students attending all the schools for the blind in Oyo State, Nigeria. The study set out to determine the proportion of students with low vision/severe visual impairment after best correction, to determine the causes of the low vision, to document the associated pathologies, to determine the types of treatment and visual aid devices required, and to provide the visual aids needed to the students in the schools. All schools students for the blind in Oyo State were evaluated between August 2007 and January 2008. All the students underwent a thorough ophthalmic examination that included measurement of visual acuity, retinoscopy and subjective refraction, tests for visual aids where indicated, and a structured questionnaire was administered. A total of 86 students were included in the study and the mean age was 19.4 ± 8.19 years. Twenty six (30%) were under 16 years of age. The most common cause of blindness was bilateral measles keratopathy/vitamin A deficiency (VAD) in 25 students (29.1%). The most common site affected was the cornea in 25 students (29.1%), the lens in 23 (26.7%), and the retina/optic nerve in 16 (18.6%). Preventable blindness was mainly from measles keratopathy/VAD (29.1%). Eleven students benefited from refraction and correction with visual aids; two having severe visual impairment (SVI), and nine having visual impairment (VI) after correction. The prevalence of low vision in the schools for the blind in Oyo State is 2.3%, while the prevalence of visual impairment is 10.5%. These results suggest that preventable and treatable ocular conditions are the source of significant childhood blindness in Oyo State.

  17. Radiation-induced leukemia: Comparative studies in mouse and man

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Haas, M.

    1991-01-01

    We now have a clear understanding of the mechanism by which radiation-induced (T-cell) leukemia occurs. In irradiated mice (radiation-induced thymic leukemia) and in man (acute lymphoblastic T-cell leukemia, T-ALL) the mechanism of leukemogenesis is surprisingly similar. Expressed in the most elementary terms, T-cell leukemia occurs when T-cell differentiation is inhibited by a mutation, and pre-T cells attempt but fail to differentiate in the thymus. Instead of leaving the thymus for the periphery as functional T-cells they continue to proliferate in the thymus. The proliferating pre- (pro-) T-cells constitute the (early) acute T-cell leukemia (A-TCL). This model for the mechanism ofmore » T-cell leukemogenesis accounts for all the properties of both murine and human A-TCL. Important support for the model has recently come from work by Ilan Kirsch and others, who have shown that mutations/deletions in the genes SCL (TAL), SIL, and LCK constitute primary events in the development of T-ALL, by inhibiting differentiation of thymic pre- (pro-) T-cells. This mechanism of T-cell leukemogenesis brings several specific questions into focus: How do early A-TCL cells progress to become potently tumorigenic and poorly treatable Is it feasible to genetically suppress early and/or progressed A-TCL cells What is the mechanism by which the differentiation-inhibited (leukemic) pre-T cells proliferate During the first grant year we have worked on aspects of all three questions.« less

  18. Factors associated with distal symmetric polyneuropathies in adult Zambians: A cross-sectional, observational study of the role of HIV, non-antiretroviral medication exposures, and nutrition.

    PubMed

    Kvalsund, Michelle; Chidumayo, Takondwa; Hamel, Johanna; Herrmann, David; Heimburger, Douglas; Peltier, Amanda; Birbeck, Gretchen

    2018-05-15

    Non-antiretroviral (ART) drug exposures and poor nutrition may be important modifiable risk factors for distal symmetric polyneuropathies (DSP) in sub-Saharan Africa. We conducted a cross-sectional study of DSP prevalence and factors associated with DSP among clinic attendees in urban and rural Zambia. All participants underwent neurologist-performed examination. Laboratory investigations seeking comorbid risk factors for DSP were performed for DSP cases. We identified 31/137 (22.6%) HIV+ and 21/177 (11.9%) HIV- DSP cases. DSP prevalence did not differ by urbanicity, although rural participants were significantly more likely to have one asymptomatic DSP sign. Low dietary diversity, history of syphilis, history of tuberculosis, and prior metronidazole and ciprofloxacin use were associated with DSP amongst HIV+ cases, while age and education were associated with DSP in HIV- participants (all p-values < 0·05). In a multivariate logistic regression model, HIV (p = 0·0001) and age (p < 0·0001), and ciprofloxacin exposure (p = 0·01) remained independently associated with DSP. While diabetes was rare, supoptimal micronutrients levels were common among DSP cases regardless of HIV status. While HIV infection is strongly associated with DSP in Zambia, history of non-ART drug exposures and low dietary diversity are also important determinants of DSP in HIV+ individuals. Treatable micronutrient deficiencies were common. Copyright © 2018 Elsevier B.V. All rights reserved.

  19. Comparative study of the degradation of real textile effluents by photocatalytic reactions involving UV/TiO2/H2O2 and UV/Fe2+/H2O2 systems.

    PubMed

    Garcia, J C; Oliveira, J L; Silva, A E C; Oliveira, C C; Nozaki, J; de Souza, N E

    2007-08-17

    This work investigated the treatability of real textile effluents using several systems involving advanced oxidation processes (AOPs) such as UV/H2O2, UV/TiO2, UV/TiO2/H2O2, and UV/Fe2+/H2O2. The efficiency of each technique was evaluated according to the reduction levels observed in the UV absorbance of the effluents, COD, and organic nitrogen reduction, as well as mineralization as indicated by the formation of ammonium, nitrate, and sulfate ions. The results indicate the association of TiO2 and H2O2 as the most efficient treatment for removing organic pollutants from textile effluents. In spite of their efficiency, Fenton reactions based treatment proved to be slower and exhibited more complicated kinetics than the ones using TiO2, which are pseudo-first-order reactions. Decolorization was fast and effective in all the experiments despite the fact that only H2O2 was used.

  20. A zebrafish model of manganism reveals reversible and treatable symptoms that are independent of neurotoxicity

    PubMed Central

    Bakthavatsalam, Subha; Das Sharma, Shreya; Sonawane, Mahendra; Thirumalai, Vatsala; Datta, Ankona

    2014-01-01

    Manganese (manganese ion; referred to as Mn) is essential for neuronal function, yet it is toxic at high concentrations. Environmental and occupational exposure to high concentrations of Mn causes manganism, a well-defined movement disorder in humans, with symptoms resembling Parkinson’s disease (PD). However, manganism is distinct from PD and the neural basis of its pathology is poorly understood. To address this issue, we generated a zebrafish model of manganism by incubating larvae in rearing medium containing Mn. We find that Mn-treated zebrafish larvae exhibit specific postural and locomotor defects. Larvae begin to float on their sides, show a curved spine and swim in circles. We discovered that treatment with Mn causes postural defects by interfering with mechanotransduction at the neuromasts. Furthermore, we find that the circling locomotion could be caused by long-duration bursting in the motor neurons, which can lead to long-duration tail bends in the Mn-treated larvae. Mn-treated larvae also exhibited fewer startle movements. Additionally, we show that the intensity of tyrosine hydroxylase immunoreactivity is reversibly reduced after Mn-treatment. This led us to propose that reduced dopamine neuromodulation drives the changes in startle movements. To test this, when we supplied an external source of dopamine to Mn-treated larvae, the larvae exhibited a normal number of startle swims. Taken together, these results indicate that Mn interferes with neuronal function at the sensory, motor and modulatory levels, and open avenues for therapeutically targeted studies on the zebrafish model of manganism. PMID:25261567

  1. Management of landfill leachate: The legacy of European Union Directives.

    PubMed

    Brennan, R B; Healy, M G; Morrison, L; Hynes, S; Norton, D; Clifford, E

    2016-09-01

    Landfill leachate is the product of water that has percolated through waste deposits and contains various pollutants, which necessitate effective treatment before it can be released into the environment. In the last 30years, there have been significant changes in landfill management practices in response to European Union (EU) Directives, which have led to changes in leachate composition, volumes produced and treatability. In this study, historic landfill data, combined with leachate characterisation data, were used to determine the impacts of EU Directives on landfill leachate management, composition and treatability. Inhibitory compounds including ammonium (NH4-N), cyanide, chromium, nickel and zinc, were present in young leachate at levels that may inhibit ammonium oxidising bacteria, while arsenic, copper and silver were present in young and intermediate age leachate at concentrations above inhibitory thresholds. In addition, the results of this study show that while young landfills produce less than 50% of total leachate by volume in the Republic of Ireland, they account for 70% of total annual leachate chemical oxygen demand (COD) load and approximately 80% of total 5-day biochemical oxygen demand (BOD5) and NH4-N loads. These results show that there has been a decrease in the volume of leachate produced per tonne of waste landfilled since enactment of the Landfill Directive, with a trend towards increased leachate strength (particularly COD and BOD5) during the initial five years of landfill operation. These changes may be attributed to changes in landfill management practices following the implementation of the Landfill Directive. However, this study did not demonstrate the impact of decreasing inputs of biodegradable municipal waste on leachate composition. Increasingly stringent wastewater treatment plant (WWTP) emission limit values represent a significant threat to the sustainability of co-treatment of leachate with municipal wastewater. In addition

  2. [A prospective, randomized, double-blinded control study on comparison of tramadol, clonidine and dexmedetomidine for post spinal anesthesia shivering].

    PubMed

    Venkatraman, Rajagopalan; Karthik, Krishnamoorthy; Pushparani, Anand; Mahalakshmi, Annadurai

    Shivering, a common intraoperative problem under spinal anesthesia increases the oxygen consumption considerably and is uncomfortable and distressing to the patient, anesthesiologist as well as surgeon. The present study was designed to explore the effectiveness of tramadol, clonidine and dexmedetomidine in the treatment of post spinal anesthesia shivering and to look for their adverse effects. This prospective, randomized, double blinded control study was done on 90 patients who developed shivering under spinal anesthesia. They were randomly allocated into three groups with Group T receiving tramadol 1mg.kg -1 , Group C getting clonidine 1mcg.kg -1 and Group D patients receiving dexmedetomidine 0.5mcg.kg -1 . The time taken to control shivering, recurrence rate, hemodynamic variables, sedation score and adverse effects were observed. Dexmedetomidine was faster in the control of shivering in 5.7±0.79minutes (min) whereas tramadol took 6.76±0.93min and clonidine was slower with 9.43±0.93min. The recurrence rate was much lower in the dexmedetomidine group with 3.3% than for clonidine (10%) and tramadol (23.3%) group. The sedation achieved with dexmedetomidine was better than clonidine and tramadol. The tramadol group had more cases of vomiting (four) and dexmedetomidine group had six cases of hypotension and two cases of bradycardia. Two of the clonidine patients encountered bradycardia and hypotension. Dexmedetomidine is better than tramadol and clonidine in the control of shivering because of its faster onset and less recurrence rate. Though complications are encountered in the dexmedetomidine group, they are treatable. Copyright © 2016 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

  3. Comparison of complex effluent treatability in different bench scale microbial electrolysis cells.

    PubMed

    Ullery, Mark L; Logan, Bruce E

    2014-10-01

    A range of wastewaters and substrates were examined using mini microbial electrolysis cells (mini MECs) to see if they could be used to predict the performance of larger-scale cube MECs. COD removals and coulombic efficiencies corresponded well between the two reactor designs for individual samples, with 66-92% of COD removed for all samples. Current generation was consistent between the reactor types for acetate (AC) and fermentation effluent (FE) samples, but less consistent with industrial (IW) and domestic wastewaters (DW). Hydrogen was recovered from all samples in cube MECs, but gas composition and volume varied significantly between samples. Evidence for direct conversion of substrate to methane was observed with two of the industrial wastewater samples (IW-1 and IW-3). Overall, mini MECs provided organic treatment data that corresponded well with larger scale reactor results, and therefore it was concluded that they can be a useful platform for screening wastewater sources. Copyright © 2014 Elsevier Ltd. All rights reserved.

  4. SUPERFUND TREATABILITY CLEARINGHOUSE: PCB SEDIMENT DECONTAMINATION PROCESS-SELECTION FOR TEST AND EVALUATION

    EPA Science Inventory

    This document is a report describing the assessment of seven alternative treatment processes that show potential for decontaminating polychlorinated biphenyl (PCB)-contaminated sediments. The processes are KPEG, MODAR Supercritical Water Oxidation, Bio-Clean, Ultrasonics/UV, C...

  5. Congenital extrahepatic portosystemic shunt: an underdiagnosed but treatable cause of hepatopulmonary syndrome.

    PubMed

    Fu, Lijun; Wang, Qian; Wu, Jinjin; Guo, Ying; Huang, Meirong; Liu, Tingliang; Chen, Qimin; Li, Fen

    2016-02-01

    Congenital extrahepatic portosystemic shunt (CEPS) is a rare malformation of the mesenteric vasculature, which may lead to severe complications. In this report, we describe a case series of three children with type II CEPS (presenting as hypoxemia) and hepatopulmonary syndrome (HPS). The first patient was a 4-year-old male who did not receive any specific treatment and subsequently died of brain abscess 5 years after the diagnosis. The second patient was a 10-year-old female with a 5-year history of cyanosis and dyspnea on exertion. She had partial regression of hypoxemia and improved exercise tolerance at 8 months after a surgical shunt closure. The third patient was a 4-year-old male with a 3-year history of cyanosis and decreased exercise tolerance. He had full regression of hypoxemia at 3 months after a transcatheter shunt closure. These results indicate that CEPS may present in children with unexplained hypoxemia, which may lead to devastating clinical consequences. Closure of portosystemic shunts may result in resolution of HPS in type II CEPS and the length of period for resolution varies depending on the severity of HPS. Congenital extrahepatic portosystemic shunt (CEPS) is a rare cause of hepatopulmonary syndrome (HPS). There have been few reports in the literature about the management and outcome of HPS in children with CEPS. CEPS may present in children with unexplained hypoxemia, which may lead to devastating clinical consequences. Closure of portosystemic shunts may result in resolution of HPS in type II CEPS.

  6. Studies on sustainability of simulated constructed wetland system for treatment of urban waste: Design and operation.

    PubMed

    Upadhyay, A K; Bankoti, N S; Rai, U N

    2016-03-15

    New system configurations and wide range of treatability make constructed wetland (CW) as an eco-sustainable on-site approach of waste management. Keeping this view into consideration, a novel configured three-stage simulated CW was designed to study its performance efficiency and relative importance of plants and substrate in purification processes. Two species of submerged plant i.e., Potamogeton crispus and Hydrilla verticillata were selected for this study. After 6 months of establishment, operation and maintenance of simulated wetland, enhanced reduction in physicochemical parameters was observed, which was maximum in the planted CW. The percentage removal (%) of the pollutants in three-stage mesocosms was; conductivity (60.42%), TDS (67.27%), TSS (86.10%), BOD (87.81%), NO3-N (81.28%) and PO4-P (83.54%) at 72 h of retention time. Submerged macrophyte used in simulated wetlands showed a significant time dependent accumulation of toxic metals (p ≤ 0.05). P. crispus accumulated the highest Mn (86.36 μg g(-1) dw) in its tissue followed by Cr (54.16 μg g(-1) dw), Pb (31.56 μg g(-1) dw), Zn (28.06 μg g(-1) dw) and Cu (25.76 μg g(-1) dw), respectively. In the case of H. verticillata, it was Zn (45.29), Mn (42.64), Pb (22.62), Cu (18.09) and Cr (16.31 μg g(-1) dw). Thus, results suggest that the application of simulated CW tackles the water pollution problem more efficiently and could be exploited in small community level as alternative and cost effective tools of phytoremediation. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Psychiatric disorders in individuals diagnosed with infantile autism as children: a case control study.

    PubMed

    Mouridsen, Svend Erik; Rich, Bente; Isager, Torben; Nedergaard, Niels Jørgen

    2008-01-01

    The objective of this study was to compare the prevalence and types of psychiatric disorders in a clinical sample of 118 individuals diagnosed as children with infantile autism (IA) with psychiatric disorders in 336 matched controls from the general population using data from the nationwide Danish Psychiatric Central Register. The average observation time was 32.5 years, and mean age at follow-up was 40.6 years (range 25-55 years). Of the 118 individuals with IA, 57 (48.3%) had been in contact with psychiatric hospitals (inpatient hospitalization or outpatient visits) during the follow-up period, compared with 20/336 (6.0%) in the control group (p < 0.0001). This observation should alert general psychiatrists to the possibility of additional treatable psychiatric disorders occurring in individuals with IA. Of the 118 individuals in the IA group, 20 individuals (17%) had been given a comorbid psychiatric diagnosis during the observation period, compared with 9 individuals (2.7%) in the control group. Of the subjects with IA, 3.4% had received a diagnosis of schizophrenia (F20) at least once since the index admission in childhood, 0.8% had been diagnosed with delusional disorder (F22), 0.8% with acute psychotic disorder (F23), and 1.6% with unspecified non-organic psychosis (F29). In the control group, 0.9% had been diagnosed with schizophrenia (p = 0.08). In the group with IA, 3.4% had received a diagnosis in the broad category of affective disorders compared with 1.2% in the control group (p = 0.21). Issues associated with using registers in the ascertainment of co-occurring psychiatric disorders in IA are discussed.

  8. SUMMARY CONCLUSIONS FOR THE PILOT IN-SITU CHROMIUM REDUCTION TEST AT RIVERBANK ARMY AMMUNITIONS PLANT

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ridley, M

    2007-04-25

    A treatability study was conducted at Riverbank Army Ammunition Plant's (RBAAP) Site 17, to evaluate the effectiveness of a permeable reactive barrier (PRB) for the treatment of hexavalent chromium (Cr{sup 6+}). The chromium contamination at Site 17 is hydrologically isolated and unsuitable for standard extraction and treatment (pump and treat). The majority of the chromium contamination at Site 17 is trapped within the fine grain sediments of a clay/slit zone (45 to 63). The PRB was established above and adjacent to the contaminated zone at Site 17 to reduce the hexavalent chromium as it leaches out of the contaminated clay/siltmore » zone separating the A zone from the A zone. Site 17 and the monitoring network are described in the In-Situ Chromium Reduction Treatability Study Work Plan (CH2MHILL, January 2004). The PRB was created by reducing naturally occurring Fe{sup 3+} to Fe{sup 2+} with the injection of a buffered sodium dithionite solution into subsurface chromium source area. The Cr{sup 6+} leaching out of the contaminated clay/silt zone and migrating through the PRB is reduced by Fe{sup 2+} to Cr{sup 3+} and immobilized (Amonette, et al., 1994). The sodium dithionite will also reduce accessible Cr{sup 6+}, however the long-term reductant is the Fe{sup 2+}. Bench scale tests (Appendix A) were conducted to assess the quantity and availability of the naturally occurring iron at Site 17, the ability of the sodium dithionite to reduce the hexavalent chromium and Fe within the sediments, and the by-products produced during the treatment. Appendix A, provides a detailed description of the laboratory treatability tests, and provides background information on the technologies considered as possible treatment options for Site 17. Following the sodium dithionite treatment, groundwater/treatment solution was extracted to remove treatment by-products (sulfate, manganese, and iron). The following sections briefly discuss the current treatment status, future

  9. Cerebral syphilitic gumma: a case report and review of the literature.

    PubMed

    Li, Jing-Cheng; Mahta, Ali; Kim, Ryan Y; Saria, Marlon; Kesari, Santosh

    2012-10-01

    A 45-year-old male presented with subacute onset of a right-sided hemiparesis, right homonymous hemianopsia, and slurred speech. The brain imaging revealed two separate intraparenchymal enhancing lesions. The cerebrospinal fluid rapid plasma reagin and venereal disease research laboratory test were positive and consistent with syphilitic gumma, and the patient responded dramatically to penicillin G. Despite, currently low incidence of syphilis; CNS gummas should be in the differential of mass lesions as they are eminently treatable.

  10. Depression in the classroom: considerations and strategies.

    PubMed

    Calear, Alison L

    2012-01-01

    Depression is a prevalent and debilitating disorder that can severely affect a young person’s social, emotional, and academic functioning. Identifying depression early is essential to reducing the impact of this disorder. Depression is treatable. However, there are a number of classroom and school supports that can be put in place to assist a young person experiencing or recovering from depression. Preventing the development of depression through effective classroom programs should be encouraged and supported within the school environment.

  11. Sleep-Disordered Breathing in Hypertrophic Cardiomyopathy

    PubMed Central

    Somers, Virend K.

    2014-01-01

    Sleep-disordered breathing (SDB) may be a treatable risk factor in patients with hypertrophic cardiomyopathy (HCM), the most common inherited cardiomyopathy. Evidence suggests a high prevalence of SDB in HCM. We summarize the pathophysiology of SDB as it relates to hypertension, coronary artery disease, atrial fibrillation, and sudden cardiac death in patients with HCM. The implications regarding the care of patients with HCM and SDB are discussed as well as the knowledge deficits needing further exploration. PMID:25010966

  12. Anti-N-Methyl-D-aspartate Receptor Encephalitis: A Severe, Potentially Reversible Autoimmune Encephalitis.

    PubMed

    Liu, Cai-Yun; Zhu, Jie; Zheng, Xiang-Yu; Ma, Chi; Wang, Xu

    2017-01-01

    Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is potentially lethal, but it is also a treatable autoimmune disorder characterized by prominent psychiatric and neurologic symptoms. It is often accompanied with teratoma or other neoplasm, especially in female patients. Anti-NMDAR antibodies in cerebrospinal fluid (CSF) and serum are characteristic features of the disease, thereby suggesting a pathogenic role in the disease. Here, we summarize recent studies that have clearly documented that both clinical manifestations and the antibodies may contribute to early diagnosis and multidisciplinary care. The clinical course of the disorder is reversible and the relapse could occur in some patients. Anti-NMDAR encephalitis coexisting with demyelinating disorders makes the diagnosis more complex; thus, clinicians should be aware of the overlapping diseases.

  13. Anti-N-Methyl-D-aspartate Receptor Encephalitis: A Severe, Potentially Reversible Autoimmune Encephalitis

    PubMed Central

    Liu, Cai-yun; Zheng, Xiang-Yu; Ma, Chi

    2017-01-01

    Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is potentially lethal, but it is also a treatable autoimmune disorder characterized by prominent psychiatric and neurologic symptoms. It is often accompanied with teratoma or other neoplasm, especially in female patients. Anti-NMDAR antibodies in cerebrospinal fluid (CSF) and serum are characteristic features of the disease, thereby suggesting a pathogenic role in the disease. Here, we summarize recent studies that have clearly documented that both clinical manifestations and the antibodies may contribute to early diagnosis and multidisciplinary care. The clinical course of the disorder is reversible and the relapse could occur in some patients. Anti-NMDAR encephalitis coexisting with demyelinating disorders makes the diagnosis more complex; thus, clinicians should be aware of the overlapping diseases. PMID:28698711

  14. FY01 Phytoremediation of Chlorinated Ethenes in Southern Sector Seepline Sediments of SRS

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Brigmon, R.L.

    This treatability study is now in the second year of deployment for the Southern Sector Phytoremediation Project. Phytoremediation is the use of vegetation and associated media to treat contaminated soils, sediments, and groundwater. Phytoremediation is a rapidly developing technology that promises effective and safe cleanup of certain hazardous wastes. This ongoing work addresses the fate of volatile organic contaminants (VOCs) in an experiment that simulates a vegetated seepline supplied with trichloroethylene- (TCE-) and perchloroethylene- (PCE-) contaminated groundwater. The primary objective is to determine how the trees and sediments uptake groundwater TCE and PCE, biodegrade it, and/or transform it. The experimentalmore » focus of this project is the biological removal of VOCs from seepline groundwater and sediments.« less

  15. Development of a common priority list of pharmaceuticals relevant for the water cycle.

    PubMed

    de Voogt, P; Janex-Habibi, M-L; Sacher, F; Puijker, L; Mons, M

    2009-01-01

    Pharmaceutically active compounds (PhACs), including prescription drugs, over-the-counter medications, drugs used in hospitals and veterinary drugs, have been found throughout the water cycle. A desk study was initiated by the Global Water Research Coalition to consolidate a uniform selection of such compounds in order to judge risks of PhACs for the water cycle. By identifying major existing prioritization efforts and evaluating the criteria they use, this study yields a representative and qualitative profile ('umbrella view') of priority pharmaceuticals based on an extensive set of criteria. This can then be used for further studies on analytical methods, occurrence, treatability and potential risks associated with exposure to PhACs in water supply, identifying compounds most likely to be encountered and that may have significant impact on human health. For practical reasons, the present study excludes veterinary drugs. The pragmatic approach adopted provides an efficient tool to manage risks related to pharmaceuticals and provides assistance for selecting compounds for future studies.

  16. Causes of severe visual impairment and blindness in children in the Republic of Suriname

    PubMed Central

    Heijthuijsen, Astrid Anna Maria; Beunders, Victoria Apollonia Annemarie; Jiawan, Dinesh; de Mesquita-Voigt, Anne-Marie Bueno; Pawiroredjo, Jerrel; Mourits, Maarten; Tanck, Michael; Verhoeff, Joost; Saeed, Peerooz

    2013-01-01

    Aims To determine the causes of severe visual impairment and blindness (SVI/BL) in children in Suriname (Dutch Guyana) and to identify preventable and treatable causes. Methods 4643 children under 16 years of age were recruited from two locations: 33 children attending the only school for the blind were examined and 4610 medical records were analysed at an eye clinic. Data have been collected using the WHO Prevention of Blindness Programme eye examination record for children. Results 65 children were identified with SVI/BL, 58.5% were blind and 41.5% were severely visually impaired (SVI). The major anatomical site of SVI/BL was the retina in 33.8%, lens in 15.4% and normal appearing globe in 15.4%. The major underlying aetiology of SVI/BL was undetermined in 56.9% (mainly cataract and abnormality since birth) and perinatal factors 21.5% (mainly retinopathy of prematurity (ROP)). Avoidable causes of SVI/BL accounted for 40% of cases; 7.7% were preventable and 32.3% were treatable with cataracts and ROP the most common causes (15.4% and 12.3%, respectively). Conclusions More than a third of the SVI/BL causes are potentially avoidable, with childhood cataract and ROP the leading causes. Corneal scarring from vitamin A deficiency does not seem to be a continuing issue in Suriname. PMID:23603759

  17. Creatine deficiency syndromes.

    PubMed

    Schulze, Andreas

    2013-01-01

    The lack of creatine in the central nervous system causes a severe but treatable neurological disease. Three inherited defects, AGAT, GAMT, and CrT deficiency, compromising synthesis and transport of creatine have been discovered recently. Together these so-called creatine deficiency syndromes (CDS) might represent the most frequent metabolic disorders with a primarily neurological phenotype. Patients with CDS present with global developmental delays, mental retardation, speech impairment especially affecting active language, seizures, extrapyramidal movement disorder, and autism spectrum disorder. The two defects in the creatine synthesis, AGAT and GAMT, are autosomal recessive disorders. They can be diagnosed by analysis of the creatine, guanidinoacetate, and creatinine in body fluids. Treatment is available and, especially when introduced in infancy, has a good outcome. The defect of creatine transport, CrT, is an X-linked condition and perhaps the most frequent reasons for X-linked mental retardation. Diagnosis is made by an increased ratio of creatine to creatinine in urine, but successful treatment still needs to be explored. CDS are under-diagnosed because easy to miss in standard diagnostic workup. Because CDS represent a frequent cause of cognitive and neurological impairment that is treatable they warrant consideration in the workup for genetic mental retardation syndromes, for intractable seizure disorders, and for neurological diseases with a predominant lack of active speech. Copyright © 2013 Elsevier B.V. All rights reserved.

  18. Ventricular assist devices in pediatrics

    PubMed Central

    Fuchs, A; Netz, H

    2001-01-01

    The implantation of a mechanical circulatory device for end-stage ventricular failure is a possible therapeutic approach in adult and pediatric cardiac surgery and cardiology. The aim of this article is to present mechanical circulatory assist devices used in infants and children with special emphasis on extracorporeal membrane oxygenation, Berlin Heart assist device, centrifugal pump and Medos assist device. The success of long-term support with implantable ventricular assist devices in adults and children has led to their increasing use as a bridge to transplantation in patients with otherwise non-treatable left ventricular failure, by transforming a terminal phase heart condition into a treatable cardiopathy. Such therapy allows rehabilitation of patients before elective cardiac transplantation (by removing contraindications to transplantation mainly represented by organ impairment) or acting as a bridge to recovery of the native left ventricular function (depending on underlying cardiac disease). Treatment may also involve permanent device implantation when cardiac transplantation is contraindicated. Indications for the implantation of assisted circulation include all states of cardiac failure that are reversible within a variable period of time or that require heart transplantation. This article will address the current status of ventricular assist devices by examining historical aspects of its development, current technical issues and clinical features of pediatric ventricular assist devices, including indications and contraindications for support. PMID:22368605

  19. Myocardial infarction in intensive care units: A systematic review of diagnosis and treatment

    PubMed Central

    Mount, Thomas; Atkinson, Dougal

    2016-01-01

    Introduction Patients in the intensive care unit are vulnerable to myocardial injury from a variety of causes, both ischaemic and non-ischaemic. It is challenging for ICU clinicians to apply the conventional guidance concerning diagnosis and treatment. We conducted this review to examine the evidence concerning diagnosis and treatment of myocardial infarction in the ICU. Methods A systematic review was performed to identify relevant studies. Results 19 studies concerning use of ECG, cardiac enzymes, echocardiography and angiography were identified. 4 studies considered treatment of myocardial infarction. Conclusions Regular 12 lead ECG or 12 lead ECG monitoring is more sensitive than 2 lead monitoring, regular measurement of cardiac enzymes is more sensitive than when provoked by symptoms. Coronary angiography rarely identifies treatable lesions, without regional wall motion abnormality on echocardiography. Evidence relating to treatment was limited. A potential strategy to diagnose myocardial infarctions in the ICU is proposed. PMID:28979516

  20. Conventional and thermophilic aerobic treatability of high strength oily pet food wastewater using membrane-coupled bioreactors.

    PubMed

    Kurian, R; Acharya, C; Nakhla, G; Bassi, A

    2005-11-01

    Although thermophilic treatment systems have recently gained considerable interest, limited information exists on the comparative performances of membrane-coupled bioreactors (MBR) at thermophilic and conventional conditions. In this study aerobic MBRs operating at room temperature (20 degrees C) and at lower thermophilic range (45 degrees C) were investigated for the treatment of dissolved air flotation (DAF) pretreated pet food wastewater. The particular wastewater is characterized by oil and grease (O & G) concentrations as high as 6 g/L, COD of 51 g/L, BOD of 16 g/L and volatile fatty acid (VFA) of 8.3 g/L. The performances of the two systems in terms of COD, BOD and O & G removal at varying hydraulic retention time (HRT) are compared. COD removal efficiencies in the thermophilic MBR varied from 75% to 98% and remained constant at 94% in the conventional MBR. The O & G removal efficiencies were 66-86% and 98% in the thermophilic and conventional MBR, respectively. Interestingly, high concentrations of VFA were recorded, equivalent to 50-73% of total COD, in the thermophilic MBR effluent. The observed yield in the thermophilic MBR was 40% of that observed in the conventional MBR.