Renewable adsorbents from the solid residue of sewage sludge hydrothermal liquefaction for wastewater treatment.

Solid residue from hydrothermal liquefaction (HTL) of nutrient rich feedstock presents a promising source to recover valuable nutrients, such as phosphorus, in the solid form. The present work shows for the first time the potential of utilizing the waste residue remaining after nutrients extraction from HTL of sewage sludge, as renewable adsorbents. A parametric study was undertaken to investigate the influence of chemical activation conditions (temperature, residence time, activation agent loading, washing after activation) on raw and partially demineralized HTL solids. Kinetic and equilibrium adsorption investigation was undertaken for the removal of methylene blue (MB) from aqueous solution. For comparison purposes, a commercial activated charcoal (AC) was used. Demineralization was found to have a significant influence in the adsorption capacity of the resultant adsorbents. Three adsorbents were found to follow the Langmuir adsorption model, while the acid washed demineralized adsorbent had higher adsorption capacity than AC and was found to follow the Freundlich adsorption model. The superior performance of the acid washed demineralized adsorbent was verified from the kinetic study where all adsorbents were found to best fit the pseudo-second order model. Adsorption capacities for MB at equilibrium were 367.1, 332.3, 297.4 and 87.6 mg/g, for acid washed demineralized adsorbent, AC, demineralized adsorbent, and raw adsorbent, respectively. Finally, the most promising adsorbents were assessed for their adsorption capacity to remove pharmaceuticals present in a real wastewater treatment effluent. Results indicated ultimate concentration for all targeted compounds below the detection limits for acid washed demineralized adsorbent, AC and demineralized adsorbent. Future implementation of HTL technology in wastewater treatment facilities, will not only provide an efficient way to valorize sewage sludge into bio-crude and nutrients, but can also enhance technology integration by providing the precursors for renewable adsorbents needed in tertiary treatment of wastewater.

Canyon Wall and Floor Debris Deposits in Aeolis Mons, Mars.

Aeolis Mons (informally, Mount Sharp) exhibits a number of canyons, including Gediz and Sakarya Valles. Poorly sorted debris deposits are evident on both canyon floors and connect with debris extending down the walls for canyon segments that cut through sulphate-bearing strata. On the floor of Gediz Vallis, debris overfills a central channel and merges with a massive debris ridge located at the canyon terminus. One wall-based debris ridge is evident. In comparison, the floor of Sakarya Vallis exhibits a complex array of debris deposits. Debris deposits on wall segments within Sakarya Vallis are mainly contained within chutes that extend downhill from scarps. Lateral debris ridges are also evident on chute margins. We interpret the debris deposits in the two canyons to be a consequence of one or more late-stage hydrogeomorphic events that increased the probability of landslides, assembled and channelized debris on the canyon floors, and moved materials down-canyon. The highly soluble nature of the sulphate-bearing rocks likely contributed to enhanced debris generation by concurrent aqueous weathering to produce blocky regolith for transport downslope by fluvial activity and landslides, including some landslides that became debris flows. Subsequent wind erosion in Gediz Vallis removed most of the debris deposits within that canyon and partially eroded the deposits within Sakarya Vallis. The enhanced wind erosion within Gediz Vallis was a consequence of the canyon's alignment with prevailing slope winds.

Addition of rituximab to fludarabine and cyclophosphamide in patients with chronic lymphocytic leukaemia: a randomised, open-label, phase 3 trial.

BACKGROUND: On the basis of promising results that were reported in several phase 2 trials, we investigated whether the addition of the monoclonal antibody rituximab to first-line chemotherapy with fludarabine and cyclophosphamide would improve the outcome of patients with chronic lymphocytic leukaemia. METHODS: Treatment-naive, physically fit patients (aged 30-81 years) with CD20-positive chronic lymphocytic leukaemia were randomly assigned in a one-to-one ratio to receive six courses of intravenous fludarabine (25 mg/m(2) per day) and cyclophosphamide (250 mg/m(2) per day) for the first 3 days of each 28-day treatment course with or without rituximab (375 mg/m(2) on day 0 of first course, and 500 mg/m(2) on day 1 of second to sixth courses) in 190 centres in 11 countries. Investigators and patients were not masked to the computer-generated treatment assignment. The primary endpoint was progression-free survival (PFS). Analysis was by intention to treat. This study is registered with ClinicalTrials.gov, number NCT00281918. FINDINGS: 408 patients were assigned to fludarabine, cyclophosphamide, and rituximab (chemoimmunotherapy group) and 409 to fludarabine and cyclophosphamide (chemotherapy group); all patients were analysed. At 3 years after randomisation, 65% of patients in the chemoimmunotherapy group were free of progression compared with 45% in the chemotherapy group (hazard ratio 0·56 [95% CI 0·46-0·69], p<0·0001); 87% were alive versus 83%, respectively (0·67 [0·48-0·92]; p=0·01). Chemoimmunotherapy was more frequently associated with grade 3 and 4 neutropenia (136 [34%] of 404 vs 83 [21%] of 396; p<0·0001) and leucocytopenia (97 [24%] vs 48 [12%]; p<0·0001). Other side-effects, including severe infections, were not increased. There were eight (2%) treatment-related deaths in the chemoimmunotherapy group compared with ten (3%) in the chemotherapy group. INTERPRETATION: Chemoimmunotherapy with fludarabine, cyclophosphamide, and rituximab improves progression-free survival and overall survival in patients with chronic lymphocytic leukaemia. Moreover, the results suggest that the choice of a specific first-line treatment changes the natural course of chronic lymphocytic leukaemia. FUNDING: F Hoffmann-La Roche.

Evidence for a Diagenetic Origin of Vera Rubin Ridge, Gale Crater, Mars: Summary and Synthesis of Curiosity's Exploration Campaign.

This paper provides an overview of the Curiosity rover's exploration at Vera Rubin ridge (VRR) and summarizes the science results. VRR is a distinct geomorphic feature on lower Aeolis Mons (informally known as Mount Sharp) that was identified in orbital data based on its distinct texture, topographic expression, and association with a hematite spectral signature. Curiosity conducted extensive remote sensing observations, acquired data on dozens of contact science targets, and drilled three outcrop samples from the ridge, as well as one outcrop sample immediately below the ridge. Our observations indicate that strata composing VRR were deposited in a predominantly lacustrine setting and are part of the Murray formation. The rocks within the ridge are chemically in family with underlying Murray formation strata. Red hematite is dispersed throughout much of the VRR bedrock, and this is the source of the orbital spectral detection. Gray hematite is also present in isolated, gray-colored patches concentrated toward the upper elevations of VRR, and these gray patches also contain small, dark Fe-rich nodules. We propose that VRR formed when diagenetic event(s) preferentially hardened rocks, which were subsequently eroded into a ridge by wind. Diagenesis also led to enhanced crystallization and/or cementation that deepened the ferric-related spectral absorptions on the ridge, which helped make them readily distinguishable from orbit. Results add to existing evidence of protracted aqueous environments at Gale crater and give new insight into how diagenesis shaped Mars' rock record.

The surface chemistry of sapphire-c: A literature review and a study on various factors influencing its IEP.

A wide range of isoelectric points (IEPs) has been reported in the literature for sapphire-c (α-alumina), also referred to as basal plane, (001) or (0001), single crystals. Interestingly, the available data suggest that the variation of IEPs is comparable to the range of IEPs encountered for particles, although single crystals should be much better defined in terms of surface structure. One explanation for the range of IEPs might be the obvious danger of contaminating the small surface areas of single crystal samples while exposing them to comparatively large solution reservoirs. Literature suggests that factors like origin of the sample, sample treatment or the method of investigation all have an influence on the surfaces and it is difficult to clearly separate the respective, individual effects. In the present study, we investigate cause-effect relationships to better understand the individual effects. The reference IEP of our samples is between 4 and 4.5. High temperature treatment tends to decrease the IEP of sapphire-c as does UV treatment. Increasing the initial miscut (i.e. the divergence from the expected orientation of the crystal) tends to increase the IEP as does plasma cleaning, which can be understood assuming that the surfaces have become less hydrophobic due to the presence of more and/or larger steps with increasing miscut or due to amorphisation of the surface caused by plasma cleaning. Pre-treatment at very high pH caused an increase in the IEP. Surface treatments that led to IEPs different from the stable value of reference samples typically resulted in surfaces that were strongly affected by subsequent exposure to water. The streaming potential data appear to relax to the reference sample behavior after a period of time of water exposure. Combination of the zeta-potential measurements with AFM investigations support the idea that atomically smooth surfaces exhibit lower IEPs, while rougher surfaces (roughness on the order of nanometers) result in higher IEPs compared to reference samples. Two supplementary investigations resulted in either surprising or ambiguous results. On very rough surfaces (roughness on the order of micrometers) the IEP lowered compared to the reference sample with nanometer-scale roughness and transient behavior of the rough surfaces was observed. Furthermore, differences in the IEP as obtained from streaming potential and static colloid adhesion measurements may suggest that hydrodynamics play a role in streaming potential experiments. We finally relate surface diffraction data from previous studies to possible interpretations of our electrokinetic data to corroborate the presence of a water film that can explain the low IEP. Calculations show that the surface diffraction data are in line with the presence of a water film, however, they do not allow to unambiguously resolve critical features of this film which might explain the observed surface chemical characteristics like the dangling OH-bond reported in sum frequency generation studies. A broad literature review on properties of related surfaces shows that the presence of such water films could in many cases affect the interfacial properties. Persistence or not of the water film can be crucial. The presence of the water film can in principle affect important processes like ice-nucleation, wetting behavior, electric charging, etc.

Revisiting Morrison and Osterle 1965: the efficiency of membrane-based electrokinetic energy conversion.

We revisit Morrison and Osterle (1965) who derived a phenomenological expression for the 'figure-of-merit' [Formula: see text] of the electrokinetic energy conversion (EKEC) of a pressure difference into electric energy (and vice versa) using charged nanotubes, nanopores or ion-exchange membranes. We show the equivalence with Morrison and Osterle of a novel expression of [Formula: see text] derived by Bentien et al (2013). We analyze two physical models for ionic and solvent flow which directly relate [Formula: see text] to nanopore characteristics such as pore size and wall charge density. For the uniform potential model, we derive an analytical expression as a function of pore size, viscosity, ion diffusion coefficients and membrane charge density, and compare results with the full space-charge model by Osterle and co-workers as a function of pore size and ion diffusion coefficient. We present a novel expression for [Formula: see text] for salt solutions with ions with unequal diffusion coefficients (mobilities) and show that to increase [Formula: see text] the counterion mobility must be low and the coion mobility high.

No increase in relapse in patients with myeloid leukaemias receiving rhGM-CSF after allogeneic bone marrow transplantation.

Twenty patients with leukaemia received recombinant human GM-CSF (rhGM-CSF) after allogeneic bone marrow transplantation (BMT) in a double blind controlled trial, with a significant promotion of granulopoiesis when compared with 20 control patients. The follow-up in survivors is now sufficiently long to assess the potential for promotion of relapse in the patients with myeloid leukaemias. Six patients with myeloid leukaemias are alive 22-38 months after transplantation. Eight other patients with myeloid leukaemias died within 12 weeks of transplantation without active active disease. None of these 14 patients with myeloid leukaemias have relapsed. This study supports the view that rhGM-CSF does not increase the probability of relapse after allogeneic BMT in patients with myeloid leukaemia.

Feasibility and efficacy of maintenance chemotherapy following autologous bone marrow transplantation for first remission acute lymphoblastic leukaemia.

Thirty-eight patients with poor risk ALL in first remission received maintenance chemotherapy following ABMT. Patients were conditioned for ABMT with high-dose melphalan and single fraction total body irradiation. Maintenance chemotherapy was commenced in a total of 26 patients and was tolerated to a median daily dose of 6-mercaptopurine of 40.5 mg/m2 and a median weekly dose of MTX 8.3 mg/m2. Twenty patients remain alive in first remission with a projected disease-free survival of 50% and a median follow-up in survivors of 200 weeks (range 48-387 weeks). Eleven patients have relapsed at a median of 4.5 months from ABMT. These patients were compared with remission patients with ALL receiving conventional chemotherapy on the United Kingdom Medical Research Council trials UKALL X and XA. After stratifying for major risk factors and allowing for the delay from remission to transplant, we have shown a significant reduction in the risk of relapse after ABMT (p = 0.04). Disease-free survival was not significantly increased due to transplant-related toxicity. This study suggests that maintenance chemotherapy to prevent relapse after ABMT for ALL is well tolerated and warrants assessment in a formal controlled trial.

Results of a double blind placebo controlled study of ondansetron as an antiemetic during total body irradiation in patients undergoing bone marrow transplantation.

Total body irradiation (TBI) is a highly emetogenic component of the majority of conditioning regimens in use for bone marrow transplantation. Conventional antiemetic therapy fails to control nausea and vomiting induced by single fraction TBI in as many as 50% of patients. In a double blind study of 20 patients undergoing marrow transplantation, a single 8 mg ondansetron dose was compared with placebo given immediately prior to TBI. Our routine premedication of phenobarbitone and corticosteroid was also administered to all patients. All patients had received high dose melphalan the previous evening. Only 1 of the 10 patients in the ondansetron group experienced an emetic event compared with 5 of the 10 in the comparison group (p = 0.029). No significant adverse events were observed. Ondansetron appears to have extremely useful antiemetic activity during single fraction low dose rate TBI.

Tumour lysis following hydrocortisone prior to a blood product transfusion in T-cell acute lymphoblastic leukaemia.

The acute tumour lysis syndrome is a well recognised complication of chemotherapy for lymphoid malignancies. There are few reports, however, of this complication after corticosteroid therapy alone. We report a case of T-cell acute lymphoblastic leukaemia who developed the biochemical picture of tumour lysis after two doses of hydrocortisone given prior to platelet transfusion. Prophylactic corticosteroids prior to blood product infusion should be reserved for patients who have experienced febrile or allergic reactions in the past and it is suggested that they should only be administered to patients with active lymphoid malignancies with due caution.

The pullout strength of titanium alloy MRI-compatible and stainless steel MRI-incompatible Gardner-Wells tongs.

The stainless steel Gardner-Wells tongs and pins previously employed to reduce cervical spine fractures are increasingly being replaced by magnetic resonance imaging (MRI)-compatible graphite tongs and titanium pins. Concern regarding the relative pullout strengths of these two systems, however, prompted the performance of a cadaver study in which tongs and pins were placed in 10 cadaver skulls and tested to failure. The MRI-compatible tongs failed due to plastic deformation of the titanium pin tips resulting in tong slippage and loss of fixation, whereas the stainless steel tongs and pins failed when the skull fractured. These results indicated that MRI-compatible systems must be used with extreme caution, particularly when traction exceeds 50 pounds.

The effect of rest following massed practice of continuous and discrete motor tasks.

Theories of the rest-related phenomena of reminiscence and warm-up decrement regard them as independent, being due to different factors. In this study it was found that rest following massed practice of a continuous task increased performance (reminiscence) and rest following massed practice of a discrete task lowered performance (warm-up decrement). The near-zero correlation found between the phenomena indicates that they are indeed independent and task-specific. Implications of the findings for the prediction of the effect of rest, and the fact that much motor learning and performance is task-specific, is discussed.

The effect of failure and the nature of the audience on performance of a complex motor task.

Social facilitation theory states that an audience functions as a conditioned stimulus for generalized drive and that this drive effect is learned through classical conditioning. In the present study an attempt was made to classically condition an aversive drive to an audience by having a subject fail a task in front of an audience. A sample of 72 subjects (12 per group) took part in a 3 × 2 factorial design. Half of the subjects were exposed to failure in front of an audience on a first task. These subjects then performed a second complex motor task in front of the same audience who were described as either experts on this second task or as students who were interested in the task (non-expert audience). No differences in performance were found between those groups that had failed a first task and those that had not. However, significant differences in performance were found between the no-audience control, non-expert audience, and expert audience conditions.

Strabismus.

Patients with strabismus should be viewed as having a serious ocular disorder requiring early diagnosis and evaluation. They should also be encouraged to have proper therapy so that they may be returned to a more normal ocular status at the earliest possible age. The ultimate goal of the pediatric ophthalmologist is always good vision and proper alignment. Neither alone is acceptable. The pediatric practitioner should diagnose strabismus disorders at the earliest possible age so that full and proper treatment may be brought to bear, thus allowing the patient to enjoy binocular vision function throughout life.

Treatment of the sequelae of pilon fractures.

Intra-articular fractures of the distal end of the tibia represent a wide spectrum of articular and metaphyseal damage and are relatively infrequent injuries. This article summarizes possible early and late complications involved in the treatment of pilon fractures. Diagnostic and treatment guidelines for these complications also are reviewed.

Treatments not specifically listed in the living will: the ethical dilemmas.

Because of publicity regarding living wills and laws on required request, the number of patients with them has increased. Consequently, related ethical dilemmas are also becoming more common. One example of such an ethical dilemma occurs when a living will fails to describe the current patient situation. The following case illustrates this type of problem, one which critical care nurses are likely to encounter more often over the next few years.

Rotary pursuit performance as a function of sex, sex-role, and intertrial interval.

Rotary pursuit performance (time on target) and reminiscence data were collected for 113 androgynous and feminine men and women under massed or distributed practice conditions. On the final (eighth) block of practice men performed better than women under conditions of massed practice; while no sex differences were found under distributed practice conditions. Under distributed practice conditions androgynous women performed better than feminine women. In addition, men performed better over-all than women, and subjects in the distributed practice condition performed better than subjects in the massed practice condition. Reminiscence data indicated that under massed practice feminine women obtained larger scores than did feminine men and androgynous women. For women sex-role as well as practice condition influenced performance and reminiscence.

Reactivity in extroverts and introverts.

The response times of 17 introverts and 24 extroverts to red and blue stimulus lights were compared. While no differences were found between the groups, introverts responded faster to the presentation of the red stimulus light than the blue one.

The blocked-random effect in pictures and words.

Picture and word recall was examined in conjunction with list organization. 60 subjects studied a list of 30 items, either words or their pictorial equivalents. The 30 words/pictures, members of five conceptual categories, each represented by six exemplars, were presented either blocked by category or in a random order. While pictures were recalled better than words and a standard blocked-random effect was observed, the interaction indicated that the recall advantage of a blocked presentation was restricted to the word lists. A similar pattern emerged for clustering. These findings are discussed in terms of limitations upon the pictorial superiority effect.

Using multidimensional scaling and cluster analysis for understanding information processing and schizophrenia.

This comprehensive review of information processing theory together with multidimensional scaling and cluster analysis methods is used to examine proposed models, developing taxonomies, and treatment for schizophrenia. Studies cited link attention deficit with schizophrenia, suggest that for some tasks, the irregular performance of people with schizophrenia is the major problem, add evidence of treatment effects on sufferers' mental organization, provide a critique of current diagnostic instruments, and highlight the importance of supporting coping skills. The author concludes that multidimensional scaling and cluster analysis are important tools for the development of theory and knowledge and act as a check against theoretical bias.