Potassium permanganate as an alternative preoxidant for enhancing algal coagulation--pilot and bench scale studies.

Pilot- and laboratory-scale studies were conducted to evaluate the effects of permanganate preoxidation on the removal of algae removal by coagulation. Experimental results indicate that permanganate was capable of enhancing algal coagulation. An optimum permanganate dosage for algal coagulation was identified for pilot and laboratory tests. Permanganate caused cells to liberate extracellular organic matter at the cell surfaces, thereby improving cell aggregation and increasing algae removal. Calcium enhanced the permanganate preoxidation during algal coagulation.

Semicontinuous microcosm study of aerobic cometabolism of trichloroethylene using toluene.

A semicontinuous slurry-microcosm method was applied to mimic trichloroethylene (TCE) cometabolic biodegradation field results at the Que-Jen in-situ pilot study. The microcosm study confirmed the process of aerobic cometabolism of TCE using toluene as the primary substrate. Based on the nucleotide sequence of 16S rRNA genes, the toluene-oxidizing bacteria in microcosms were identified, i.e. Ralstonia sp. P-10 and Pseudomonasputida. The first-order constant of TCE-degradation rate was 0.5 day(-1) for both Ralstonia sp. P-10 and P.putida. The TCE cometabolic-biodegradation efficiency measured from the slurry microcosms was 46%, which appeared pessimistic compared to over 90% observed from the in-situ pilot study. The difference in the TCE cometabolic-biodegradation efficiency was likely due to the reactor configurations and the effective time duration of toluene presence in laboratory microcosms (1 days) versus in-situ pilot study (3 days). The results of microcosm experiments using different toluene-injection schedules supported the hypothesis. With a given amount of toluene injection, it is recommended to maximize the effective time duration of toluene presence in reactor design for TCE cometabolic degradation.

Microbial-ecological significance of sulfide precipitation within anaerobic granular sludge revealed by micro-electrodes study.

Micro-electrodes were applied to anaerobic granular sludge, which was developed in a UASB reactor, to examine intra-granule profiles with respect to pH, glucose and sulfide. When glucose was employed as a bulk liquid substrate, the micro-electrodes study demonstrated the pH behavior along granule depth: pH decrement at the granule exterior portion due to acid formation (buildup of acidity), and subsequent pH increment at the granule inner portion due to the consumption of acid (buildup of alkalinity). Sulfide micro-electrode proved sulfate reduction that mostly occurred at the granule exterior portion. Chemical equilibrium consideration evidently explained the occurrence of ferric sulfide predominantly in the interior portion, which accounts well for the morphology of a representative double-layered structure of granules grown on a low level of sulfite. Inorganic elements distribution within anaerobic granule was examined by electron probe X-ray micro analysis (EPMA) and ICP methods. The presence of crystalline calcium carbonate (calcite) was identified by X-ray diffraction analysis.

[Floating shoulder (ipsilateral scapular neck and clavicle fracture)--two cases report].

Fracture of either clavicle or scapular neck alone are generally stable and have satisfactory results by conservative treatment. However, displaced scapular neck and ipsilateral clavicle fractures are relatively unstable. Those sequelae as drooping shoulder and limited range of motion may develop if treated conservatively. Surgical intervention either fixation of clavicle alone or fixation of clavicle and scapular neck simultaneously can achieve stable reduction of the fractures and prevent those sequelae. We present two cases of floating shoulder treated surgically with excellent results.

Mortality after successful transcatheter arterial embolization in patients with unstable pelvic fractures: rate of blood transfusion as a predictive factor.

BACKGROUND: To determine the factors predictive of mortality in patients with unstable pelvic fractures after successful transcatheter arterial embolization. METHODS: A retrospective study of pelvic fractures between May of 1995 and April of 1998 was performed. Of 507 patients, 17 who were unstable underwent embolization. The success rate of embolization and the mortality rate after successful embolization were reviewed. Predictive factors (contrast medium extravasation, initial blood pressure, Injury Severity Score, timing of external fixation, time to angiography, volume of blood transfusion, rate of blood transfusion) of the final outcome were statistically analyzed. RESULTS: Embolization was 100% effective in stopping pelvic hemorrhage. The mortality of patients treated successfully with embolization was 17.6%. Among the predictive factors analyzed, only the rate of blood transfusion before embolization, 11.3 +/- 11.0 units/h (death) versus 3.2 +/- 1.9 units/h (survival) showed statistical significance with an odds ratio of 1.62 (95% confidence interval, 1.07-2.46). CONCLUSION: The success rate of embolization was 100% in stopping arterial hemorrhage of unstable pelvic fractures. The survival rate after successful embolization was 82.4%. Patients who had rapid blood transfusion before embolization had a poor final outcome. The risk of dying increased by 62% for every 1 unit/h increase of transfusion rate.