Performance of a pilot showcase of different wetland systems in an urban setting in Singapore.

The Alexandra Wetlands, part of PUB's Active, Beautiful, Clean Waters (ABC Waters) Programme, showcase a surface flow wetland, an aquatic pond and a sub-surface flow wetland on a 200 m deck built over an urban drainage canal. Water from the canal is pumped to a sedimentation basin, before flowing in parallel to the three wetlands. Water quality monitoring was carried out monthly from April 2011 to December 2012. The order of removal efficiency is sub-surface flow (81.3%) >aquatic pond (58.5%) >surface flow (50.7%) for total suspended solids (TSS); sub-surface (44.9%) >surface flow (31.9%) >aquatic pond (22.0%) for total nitrogen (TN); and surface flow (56.7%) >aquatic pond (39.8%) >sub-surface flow (5.4%) for total phosphorus (TP). All three wetlands achieved the Singapore stormwater treatment objectives (STO) for TP removal, but only the sub-surface flow wetland met the STO for TSS, and none met the STO for TN. Challenges in achieving satisfactory performance include inconsistent feed water quality, undesirable behaviour such as fishing, release of pets and feeding of animals in the wetlands, and canal dredging during part of the monitoring period. As a pilot showcase, the Alexandra Wetlands provide useful lessons for implementing multi-objective wetlands in an urban setting.

Management and treatment of landfill leachate by a system of constructed wetlands and ponds in Singapore.

Lorong Halus, Singapore's first landfill leachate treatment system, consists of a pre-treatment system (8,000 m(2)), five constructed reed beds (38,000 m(2)), five polishing ponds (13,000 m(2)), an education centre and a learning trail for visitors. Eight species of wetland plants (total 160,000 plants) were selected for their ability to uptake nutrients, tolerance to low phosphorus concentrations and resistance to pest infestations. The wetland was launched in March 2011 and water quality monitoring started in April 2011. The removal efficiencies of the pre-treatment system from April 2011 to August 2012 are biochemical oxygen demand (BOD5) 57.4%; chemical oxygen demand (COD) 23.6%; total suspended solids (TSS) 55.1%; ammoniacal nitrogen (NH4-N) 76.8%; total phosphorus (TP) 33.3% and total nitrogen (TN) 60.2%. Removal efficiencies of the reed beds are BOD5 47.0%; COD 42.2%; TSS 57.0%; NH4-N 82.5%; TP 29.3% and TN 83.9%. Plant growth is generally satisfactory, but the lower than designed volume of leachate has adversely affected some sections of plants and resulted in uneven flow distribution in reed beds. The plant management programme includes improving plant regrowth by harvesting of alternate strips of plants and replanting. The treated effluent meets water quality limits for discharge to the public sewer and is subsequently treated by the NEWater treatment system, which recycles water for industrial and indirect potable use.

A randomized controlled trial of rivastigmine in patients with cognitive impairment no dementia because of cerebrovascular disease.

OBJECTIVES: The safety and efficacy of early acetylcholinesterase inhibitors therapy in patients with cognitive impairment no dementia (CIND) after a cerebrovascular accident have not been examined. In this study, we investigated the safety and efficacy of rivastigmine in cognition, particularly executive function in patients with CIND because of cerebrovascular disease. METHODS: This study was a 24-week, double-blind, randomized, placebo-controlled trial of ischemic stroke patients seen at a tertiary hospital who had cognitive impairment no dementia because of cerebrovascular disease. The intervention was either rivastigmine or placebo up to 9 mg/day. The primary outcome of interest was mean change from baseline in the Ten-Point Clock Drawing and Color Trails 1 and 2. RESULTS: Fifty patients were randomized into rivastigmine (n = 25) and placebo (n = 25) arms. Patients in the rivastigmine group showed statistically significant improvement (1.70 vs 0.13, P = 0.02) on the animal subtask of the verbal fluency measure compared with placebo. There was also a trend (non-significant) towards improvement in Color Trails II. CONCLUSIONS: In this pilot study, we demonstrated that rivastigmine was well tolerated in patients with CIND because of cerebrovascular disease and may potentially improve executive functioning.

Esthetic arch bar for maxillomandibular fixation in orthognathic surgery.

Arch bars are well-known dental appliances for the management of fractures and orthognathic surgery. Traditionally both the commercially available, prefabricated arch bars as well as the custom-made arch bars are made of metal so as to provide good rigidity. Each of these types of arch bars has its own advantages as well as drawbacks. This article looks at a type of custom-made arch bar that is easy to construct and use. At the same time, it provides good rigidity, fit, and esthetics.

Latent-class analysis of recurrence risks for complex phenotypes with selection and measurement error: a twin and family history study of autism.

The use of the family history method to examine the pattern of recurrence risks for complex disorders such as autism is not straightforward. Problems such as uncertain phenotypic definition, unreliable measurement with increased error rates for more distant relatives, and selection due to reduced fertility all complicate the estimation of risk ratios. Using data from a recent family history study of autism, and a similar study of twins, this paper shows how a latent-class approach can be used to tackle these problems. New findings are presented supporting a multiple-locus model of inheritance, with three loci giving the best fit.