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This study mainly focuses on the process of electrocoagulation (EC) for the wastewater treatment from biodiesel production using waste cooking oil. The effects of current density, initial pH and electrolysis time on the EC process using aluminum (Al) and iron (Fe) electrodes were investigated for removal of chemical oxygen demand (COD). The COD removal efficiencies were found to be 62.7% and 63.4% at optimum conditions for Al (current density: 43 mA/cm2, pH: 5, time: 21 min) and Fe (current density: 47 mA/cm2, pH: 7.7, time: 30 min) electrodes, respectively. At these optimum conditions, the removal efficiencies of oil & grease, total phosphorus (TP), orthophosphate (PO4-P) and total suspended solids (TSS) were determined respectively to be above 89.9%, 98.9%, 99.5%, 86.7% for Al electrodes and 90.8%, 98.5%, 97.6%, 89.6% for Fe electrodes. Total operating costs were also found to be 6.43 /m3 and 7.01 /m3 for Al and Fe electrodes, respectively. The results indicate that the EC process using both types of electrodes seems to ensure an efficient treatment of biodiesel wastewater in terms of oil & grease and TP.
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Biocombustibles , Eliminación de Residuos Líquidos/métodos , Aguas Residuales , Aluminio , Culinaria , Electrocoagulación , Electrodos , Concentración de Iones de Hidrógeno , Residuos IndustrialesRESUMEN
In this study, a binary mixture in dispersive liquid-liquid microextraction was used for the preconcentration and determination of selected pesticides, pharmaceutical and hormone by GC-MS. A Box-Behnken experimental design was used to optimize the amounts of binary mixture, dispersive solvent and salt. The optimum parameters obtained were dichloromethane/1,2-dichloroethane binary mixture (200 µL), ethanol (2.0 mL) and potassium nitrate (1.0 g). Analytical performance of each analyte was determined under the optimum conditions and the lowest and highest detection limits calculated were 0.43 and 5.9 ng/mL. Low relative standard deviations were obtained even in the lowest concentrations in linear calibration plots, signifying high precision for the sample preparation procedure and instrumental measurement. Accuracy of the developed method and applicability to real samples was tested on well, lake, hospital and municipal wastewater. The percent recoveries acquired at different spiked concentrations were satisfactory (89%-108%), validating the accuracy of the method for the quantification of the analytes in the selected matrices.
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Lagos/química , Microextracción en Fase Líquida/métodos , Aguas Residuales/química , Contaminantes Químicos del Agua/análisis , Pozos de Agua , Calibración , Cromatografía de Gases y Espectrometría de Masas/métodos , Hormonas/análisis , Límite de Detección , Plaguicidas/análisis , Preparaciones Farmacéuticas/análisis , Solventes/análisis , Aguas Residuales/análisisRESUMEN
Oculo-auriculo-vertebral spectrum and frontonasal dysplasia are two well-known examples of dysmorphology syndromes. Oculoauriculofrontonasal syndrome (OAFNS) is a clinical entity involving the characteristics of both OAVS and FND and is thought to be a result of the abnormal development of structures in the first and the second branchial arches, including the abnormal morphogenesis of maxillary processes. Herein we report a case of OAFNS with cliteral hypertrophy, premaxillary teeth, and inguinal hernia, features not previously reported in the literature.
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Anomalías Craneofaciales/diagnóstico , Anomalías Craneofaciales/terapia , Oído Externo/anomalías , Anomalías del Ojo/diagnóstico , Anomalías del Ojo/terapia , Anomalías del Sistema Respiratorio/diagnóstico , Anomalías del Sistema Respiratorio/terapia , Columna Vertebral/anomalías , Anomalías Craneofaciales/diagnóstico por imagen , Diagnóstico Diferencial , Oído Externo/diagnóstico por imagen , Anomalías del Ojo/diagnóstico por imagen , Femenino , Humanos , Recién Nacido , Anomalías del Sistema Respiratorio/diagnóstico por imagen , Columna Vertebral/diagnóstico por imagenRESUMEN
To evaluate the anthropometric features of girls with Turner syndrome (TS) at birth and presentation and the effect of karyotype on these parameters. Data were collected from 842 patients with TS from 35 different centers, who were followed-up between 1984 and 2014 and whose diagnosis age ranged from birth to 18 years. Of the 842 patients, 122 girls who received growth hormone, estrogen or oxandrolone were excluded, and 720 girls were included in the study. In this cohort, the frequency of small for gestational age (SGA) birth was 33%. The frequency of SGA birth was 4.2% (2/48) in preterm and 36% (174/483) in term neonates (P < 0.001). The mean birth length was 1.3 cm shorter and mean birth weight was 0.36 kg lower than that of the normal population. The mean age at diagnosis was 10.1 ± 4.4 years. Mean height, weight and body mass index standard deviation scores at presentation were -3.1 ± 1.7, -1.4 ± 1.5, and 0.4 ± 1.7, respectively. Patients with isochromosome Xq were significantly heavier than those with other karyotype groups (P = 0.007). Age at presentation was negatively correlated and mid-parental height was positively correlated with height at presentation. Mid-parental height and age at presentation were the only parameters that were associated with height of children with TS. The frequency of SGA birth was found higher in preterm than term neonates but the mechanism could not be clarified. We found no effect of karyotype on height of girls with TS, whereas weight was greater in 46,X,i(Xq) and 45,X/46,X,i(Xq) karyotype groups.
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Cariotipo Anormal , Antropometría , Síndrome de Turner/diagnóstico , Síndrome de Turner/genética , Adolescente , Adulto , Niño , Preescolar , Femenino , Humanos , Lactante , Recién Nacido , Fenotipo , Adulto JovenRESUMEN
BACKGROUND: Obesity is a well-established risk factor for asthma. Previous studies have reported that central obesity is associated with asthma. OBJECTIVE: To investigate the association between fat distribution, which is determined by anthropometric measures, including neck circumference (NC), and asthma in school-aged children. METHODS: Children diagnosed as having asthma were enrolled along with controls who were admitted to our outpatient department with allergic symptoms, such as rhinitis, urticaria and atopic dermatitis. Anthropometric measures, including height, weight, NC, waist circumference, and hip circumference, were obtained. Skin prick tests, blood eosinophil counts, and serum total IgE level measurements were performed. RESULTS: A total of 196 children (92 male [46.9%]) were included. Asthma was present in 102 patients (52.1%). Ninety-one of the patients (46.4%) were overweight, and 45 patients (22.9%) were obese. The NC of children with asthma was significantly higher than that of children in the control group. Grades defined according to NC percentiles were also significantly different between groups. In children with asthma, the prevalence of children with an NC higher than the 90th percentile (grade 6) was more frequent when compared with controls. The median NC of obese-overweight children with asthma was significantly higher compared with obese-overweight controls without asthma. Results of multivariable logistic regression analysis revealed that the presence of an NC in the greater than 90th percentile was associated with asthma in obese-overweight children. CONCLUSION: This study found that NC, which is a simple anthropometric measure, is associated with asthma in obese children.
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Asma/diagnóstico , Cuello/anatomía & histología , Obesidad/diagnóstico , Alérgenos/inmunología , Asma/sangre , Pesos y Medidas Corporales , Niño , Eosinófilos/inmunología , Femenino , Humanos , Inmunoglobulina E/sangre , Recuento de Leucocitos , Masculino , Obesidad/sangre , Pruebas CutáneasRESUMEN
Ventricle sizes are important for the early diagnosis of hydrocephalus or for follow-up after ventriculostomy. Diameters of ventricles may change, especially in childhood. This study aims to provide normative data about ventricle diameters. Among 14,854 cranial MRI performed between 2011 and 2013, 2,755 images of Turkish children aged 0-18 years were obtained. After exclusions, 517 images were left. Four radiologists were trained by a pediatric radiologist. Twenty images were assessed by all radiologists for a pilot study to see that there was no interobserver variation. There were 10-22 children in each age group. The maximum width of the third ventricle was 5.54 ± 1.29 mm in males in age group 1 and 4.98 ± 1.08 mm in females in age group 2. The Evans' index was <0.3 and consistent with the literature. The third ventricle/basilar artery width ratio was found to be >1 and <2 in all age groups and both gender groups. Our study showed the ventricle size data of children in various age groups from newborn to adolescent. The ventricle volume/cerebral parenchyma ratio seems to decrease with age. We think that these data can be applied in clinical practice, especially for the early diagnosis of hydrocephalus.
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Cuarto Ventrículo/anatomía & histología , Ventrículos Laterales/anatomía & histología , Tercer Ventrículo/anatomía & histología , Adolescente , Factores de Edad , Ventrículos Cerebrales/anatomía & histología , Ventrículos Cerebrales/crecimiento & desarrollo , Niño , Preescolar , Femenino , Cuarto Ventrículo/crecimiento & desarrollo , Humanos , Hidrocefalia/diagnóstico , Lactante , Recién Nacido , Ventrículos Laterales/crecimiento & desarrollo , Imagen por Resonancia Magnética/métodos , Masculino , Tamaño de los Órganos , Tercer Ventrículo/crecimiento & desarrolloRESUMEN
Fluoxetine (FLX) is a selective serotonin reuptake inhibitor (SSRI) medication commonly used to treat mental health disorders, but it can be harmful to the environment if not properly disposed of due to incomplete metabolism. In this study, electrochemical anodic oxidation with mixed metal oxide anodes was studied as a method to remove FLX from water and wastewater. Iridium dioxide-coated titanium (Ti/IrO2) and ruthenium dioxide-coated Ti (Ti/RuO2) electrodes were found to be more effective than platinum-coated Ti (Ti/Pt) electrodes, with removal efficiencies of 91.5% and 93.9%, respectively. Optimal conditions for FLX removal were determined to be an applied current of 150 mA, initial pH of 5, and oxidation time of 120 min. The rate of FLX degradation (kFLX) for the Ti/Pt, Ti/IrO2, and Ti/RuO2 electrodes were determined to be 0.0081 min-1 (R2:0,8161), 0.0163 min-1 (R2:0,9823), and 0.0168 (R2:0,9901) min-1 for 25 mg/L initial FLX concentration, respectively. The kFLX values varied based on the initial FLX concentration and decreased as the initial FLX concentration increased. The specific energy consumption (SEC) after 120 min of operation was 51.0 kWh/m3 for the Ti/Pt electrode, 39.6 kWh/m3 for the Ti/IrO2 electrode, and 48.6 kWh/m3 for the Ti/RuO2 electrode under optimised conditions. Overall, electrochemical anodic oxidation is an effective method for removing FLX from water and wastewater, with Ti/IrO2 and Ti/RuO2 electrodes providing superior performance compared to Ti/Pt electrodes.
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Patients with Albright hereditary osteodystrophy (AHO) phenotype are usually seen in pediatric endocrinology policlinics when they are evaluated for short stature and/or obesity. Brachydactyly mental retardation syndrome (BDMR, OMIM #600430) is a rare genetic disorder caused by aberrations of chromosomal region 2q37 and characterized with AHO-like phenotype without any hormone resistance. Diagnosis of BDMR is based on the detection of the deletion on the long arm of chromosome 2. Diagnosis can usually be made with karyotype analysis but sometimes chromosomal deletion can only be detected by fluorescent in situ hybridization (FISH) screening. We report a patient with the AHO phenotype whose karyotype was normal but who was diagnosed with BDMR with FISH analysis showing 2q deletion. In pediatric endocrinology practice, in patients with AHO phenotype but without parathormone (PTH) resistance, BDMR should be considered. For the diagnosis of BDMR, the subtelomeric region of chromosome 2 should be screened for deletion by FISH analysis even in patients with normal karyotypes.
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Braquidactilia/genética , Discapacidad Intelectual/genética , Seudoseudohipoparatiroidismo/diagnóstico , Niño , Diagnóstico Diferencial , Femenino , Humanos , Seudoseudohipoparatiroidismo/genéticaRESUMEN
An underground municipal solid waste (MSW) container should be washed periodically to prevent/reduce odor and leachate production. In this study, the treatment process of wastewater derived from the washing process of an MSW container was investigated using the electrochemical (EC) treatment process with different anode materials (Fe, TiO2, and graphite). Response surface methodology (RSM) was used to evaluate the effect of process parameters such as initial pH, applied current, and reaction time on chemical oxygen demand (COD), Tannin/Lignin, and color removals. According to the results obtained from the RSM models, all process parameters were significant. The optimum process parameters in terms of COD removal were derived from the models for each anode material. Under the optimized conditions, the COD removals were determined to be 93.25%, 75.95%, and 98.46% for Fe-Fe, TiO2-Fe, and graphite-Fe electrode pairs, respectively. The color and Tannin/Lignin removals were determined as 98.12% and 77.78% for the Fe-Fe, 92.76% and 98.45% for the TiO2-Fe and 94.50% and 79.56% for the graphite-Fe electrode pair, respectively. The specific energy consumption (SEC) values were found as 46.95, 300.02, and 32.95 kWh/m3 for each electrode combination given above, respectively. In terms of both removal efficiencies and SEC, the most effective anode material was determined as graphite, followed by iron.
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Grafito , Contaminantes Químicos del Agua , Aguas Residuales , Eliminación de Residuos Líquidos/métodos , Residuos Sólidos , Lignina , Electrodos , Análisis de la Demanda Biológica de Oxígeno , Residuos Industriales/análisisRESUMEN
The present investigation sought to assess the practicality of utilizing a combined pre-treatment approach comprising electrocoagulation, peroxide, and hypochlorite treatments for the removal of chemical oxygen demand (COD) and tannin/lignin from paper mill wastewater. The study aimed to optimize the operating parameters with a view to maximizing the removal efficiencies while minimizing energy consumption. A pair of iron electrodes were used as anode and cathode in the study, and the main operating parameters were determined as initial pH, applied current, treatment time and oxidant dosage/COD ratio. Response surface methodology (RSM) was used to evaluate the effect of these parameters on COD and tannin/lignin removals. The primary findings of the investigation indicated that the integration of electrocoagulation with peroxide and hypochlorite treatments exhibited efficacy in removing COD, tannin/lignin, colour, phenol, and turbidity from paper mill wastewater. The optimized conditions resulted in COD removal efficiencies of 48.13 ± 2.2% and 29.53 ± 1.4% for EC with H2O2 and Ca(OCl)2, respectively. Tannin/lignin removal efficiencies were 92.59 ± 3.6% and 94.09 ± 1.8% for EC-H2O2 and EC-Ca(OCl)2, respectively. The specific energy consumption (SEC) values showed that EC-Ca(OCl)2 required 7 times more energy than EC-H2O2 for removing 1â kg COD. The principal deduction drawn from the study was that EC-H2O2 pre-treatment demonstrated superior COD removal efficiency and lower energy consumption, while EC-Ca(OCl)2 pre-treatment exhibited greater efficiency in removing toxic and recalcitrant pollutants. In future studies, it would be useful to conduct research to increase COD removal efficiency in addition to tannin/lignin removal in EC-Ca(OCl)2 process.
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Microplastics (MPs) have become prevalent in various environmental compartments, including air, water, and soil, attracting attention as significant pollutant parameters. This study investigated the prevalence of MP pollution in surface sediments along Istanbul's Marmara Sea, encompassing the megacity and the Bosphorus. A comprehensive sampling approach was employed, covering 43 stations across four seasons and depths ranging from 5 to 70 m. The objective was to assess the impact of terrestrial, social, and industrial activities on MPs. The average concentrations varied per season, with fall, winter, spring, and summer values recorded as 2000 ± 4100, 1600 ± 3900, 4300 ± 12,000, and 9500 ± 20,300 particles/kg-DW. The study identified river stations in the Golden Horn and sea discharge locations as hotspots for high concentrations. Notably, the dominant shape shifted from fibers in fall, winter, and spring to fragments during summer, coinciding with mucilage occurrences. The study identified 11 different polymers, with polyethylene (44 %) and polypropylene (31 %) being the most common.
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OBJECTIVES: Modified adult disease severity scoring systems are being used for childhood FMF. We aim to test the clinical consistency of two common severity scoring systems and to evaluate the correlation of scores with the type of FMF mutations in paediatric FMF patients since certain mutations are prone to severe disease. METHODS: Two hundred and fifty-eight children with FMF were cross-sectionally studied. Assessment of the disease severity was performed by using the modified scoring systems of Mor et al. and Pras et al. Genetic analysis was performed using PCR and restriction endonuclease digestion methods for the presence of 15 FMF gene mutations. FMF mutations were grouped into three based on well-known genotypic-phenotypic associations. Correlation between the mutation groups and the severity scoring systems was assessed. The consistency of the severity scoring systems was evaluated. RESULTS: The results of two scoring systems were not statistically consistent with each other (κ = 0.171). This inconsistency persisted even in a more homogeneous subgroup of patients with only homozygote mutations of M694V, M680I and M694I (κ = 0.125). There was no correlation between the mutation groups and either of the scoring systems (P = 0.002, r = 0,196 for scoring systems of Mor et al.; P = 0.009, r = 0.162 for Pras et al.). CONCLUSIONS: The inconsistency of the two scoring systems and lack of correlation between the scoring systems and mutation groups raises concerns about the reliability of these scoring systems in children. There is a need to develop a scoring system in children based on a prospective registry.
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Fiebre Mediterránea Familiar/diagnóstico , Índice de Severidad de la Enfermedad , Adolescente , Factores de Edad , Niño , Preescolar , Estudios Transversales , Fiebre Mediterránea Familiar/genética , Femenino , Frecuencia de los Genes , Predisposición Genética a la Enfermedad , Humanos , Masculino , Mutación , Reproducibilidad de los ResultadosRESUMEN
Hashimoto thyroiditis (chronic autoimmune thyroiditis) is the most common form of thyroiditis in childhood. Previous studies have found autonomic dysfunction of varying magnitude in patients with autoimmune diseases, which is considered a cardiovascular risk factor. We aimed to evaluate the heart rate variability (HRV), a measure of cardiac autonomic modulation, in children with euthyroid Hashimoto thyroiditis (eHT). The study included 32 patients with eHT (27 girls and 5 boys; mean age 11 ± 4.1 years, range 8-16; body mass index 0.47 ± 0.69 kg/m(2)), as judged by normal or minimally elevated serum TSH levels (normal range: 0.34-5.6 mIU/l) and normal levels of free thyroid hormones (FT4 and FT3) and 38 euthyroid age-matched controls. Patients with eHT and control subjects underwent physical examination and 24-hour ambulatory ECG monitoring. Time-domain parameters of HRV were evaluated for cardiac autonomic functions. Children with eHT displayed significantly lower values of time-domain parameters of SDANN (standard deviation of the averages of NN intervals), RMSSD (square root of the mean of the sum of the squares of differences between adjacent NN intervals), NN50 counts (number of pairs of adjacent NN intervals differing by more than 50 ms) and PNN50 (NN50 count divided by the total number of all NN intervals) for each 5-min interval, compared to healthy controls (p < 0.05 for each), indicating the decreased beat-to-beat variation of heart rate. In conclusion, eHT is associated with disturbed autonomic regulation of heart rate. Hence, the children with eHT are at higher risk for developing cardiovascular diseases.
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Sistema Nervioso Autónomo/fisiopatología , Fenómenos Fisiológicos Cardiovasculares , Enfermedad de Hashimoto/fisiopatología , Corazón/fisiología , Adolescente , Sistema Nervioso Autónomo/fisiología , Niño , Femenino , Humanos , Masculino , Estudios Retrospectivos , Hormonas Tiroideas/sangreRESUMEN
ABSTRACTThe combination of electrochemical (EC) pretreatment with hydrogen peroxide (HP) and calcium hypochlorite (CHC) was investigated in this study for their effect on soluble chemical oxygen demand (CODs) and disintegration degree (DD) of waste activated sludge (WAS). For this aim, response surface methodology (RSM) and Box-Behnken design (BBD) were applied the determination of the optimum operational conditions. Operational conditions were varied between 0.2 and 2.0â mmol/g SS for HP and CHC dosages, 1-5â A for the applied current, 2-10 for the initial pH, and 15-45â min for the treatment time. Obtained results for each treatment were accurate and significant with correlation coefficients (R2) of 0.8639% and 0.9189% for EC combined with HP pretreatment and EC combined with CHC pretreatment, respectively. According to the obtained results, CODs increased in comparison to the raw sludge (168â mg/L) noting that CODs for EC - CHC (1155 ± 21â mg/L) was higher than EC - HP (811.5 ± 15â mg/L) at optimized conditions (for EC-HP pretreatment: HP dosage: 0.34â mmol/g TSS, Applied current:5â A, Initial pH:10, Time: 45â min, For EC-CHC pretreatment: CHC dosage: 0.23â mmol/g TSS, Applied current:4.83â A, Initial pH:10, Time: 40â min). Besides, the DD in terms of COD, total nitrogen (TN) and total organic carbon (TOC) (DDCOD, DDTN and DDTOC) registered increased values after the application of the EC treatment with both oxidants. The highest DDCOD, DDTN and DDTOC values were obtained with EC-CHC pretreatment for 11.34%, 20.34% and 9.18% respectively compared to EC-HP pretreatment (DDCOD: 7.37%, DDTN: 15.18% and DDTOC: 6.94%).
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The presence of reactive dyes in textile wastewater is a serious environmental concern due to their associated mutagenic and carcinogenic effects. The present study aims to analyze the effect of different anodic materials on the decolorization of a real textile wastewater effluent. For this purpose, four different anodic materials-TiO2 -coated platine, TiO2 -coated ruthenium dioxide (RuO2 ) (viz., RuO2 ), titanium dioxide (TiO2 ), and graphite-were connected, respectively, to titanium dioxide (TiO2 ) used as a cathode electrode. Color and cost optimization studies were performed using the response surface methodology and the Box-Behnken experimental design (BBD). According to ANOVA results, the R2 values for Pt/TiO2 , RuO2 /TiO2 , TiO2 /TiO2 , and graphite/TiO2 electrode pairs were found to be 97.4%, 93.8%, 92.44%, and 92.2%, respectively, indicating a good compatibility as it is close to one. The results show that color removal efficiencies at the optimal conditions were 86.3%, 90.8%, 91.5%, and 93.6% for Pt/TiO2 , graphite/TiO2 , TiO2 /TiO2 , and RuO2 /TiO2 , respectively. Furthermore, energy consumption cost at the optimum conditions was also evaluated, and the results were as follows: Pt/TiO2 (0.95 /m3 ), graphite/TiO2 (0.74 /m3 ), TiO2 /TiO2 (0.31 /m3 ), and RuO2 /TiO2 (0.26 /m3 ). Consequently, this research paper shows that all of the tested anodic materials give satisfactory color removal efficiencies higher than 86%. When energy consumption and color removal are considered together, the use of TiO2 /TiO2 and RuO2 /TiO2 pairs would be preferred. PRACTITIONER POINTS: Anodic contribution was investigated for decolorization of textile wastewater by electrooxidation process. Graphite, TiO2 -coated Pt, TiO2 -coated RuO2 , and TiO2 were used as anode materials. Highest color removal with lowest energy consumption was achieved with TiO2 -coated RuO2 anode material (93.6%).
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This study is carried out to investigate the effect of the cathodic contribution in the performance of electro-oxidation process for decolorization of the textile wastewater effluent pre-treated with a lab-scale moving bed-membrane bioreactor. For this purpose, titanium dioxide (TiO2) was used as anode electrode and four different cathodic electrode materials: Graphite, TiO2, TiO2-coated Platine, and TiO2-coated ruthenium dioxide (RuO2) (namely RuO2) were tested and compared for their color removal efficiencies. Besides, the optimization parameters that affect color removal in correspondence to the electrode materials, such as applied current, electrolysis time, and pH were studied. In this context, the optimum parameters for each electrode material were selected, and the color removal percentages were found as 92.95%, 91.58%, 91.40%, and 89.17% for TiO2/Graphite, TiO2/Platine, TiO2/TiO2, and TiO2/RuO2, respectively. Finally, the operational cost for each of the tested cathodic electrode materials was calculated in each of the studied optimization parameters making it easier and practical for the selection and evaluation of the electrode materials by the readers. The correlation coefficients (R2) were 81.2%, 87.1%, 86.7%, and 88.6% respectively as a result of the optimization study using the nonlinear regression modeling.
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Aguas Residuales , Contaminantes Químicos del Agua , Reactores Biológicos , Electrodos , Electrólisis , Oxidación-Reducción , Textiles , Titanio , Contaminantes Químicos del Agua/análisisRESUMEN
Alpha fetoprotein (AFP) is generally used as a marker in diagnosis and follow-up of germ cell tumors and hepatoblastomas. However, serum AFP levels were elevated in our three patients with Wilms tumor. The elevated levels could only be decreased completely by surgery and not by chemotherapy. Histopathologically, the tumors consisted of blastemal, stromal, and epithelial cells. Chemotherapy was only effective on stromal and epithelial components of the tumors. In AFP staining, the source of AFP production was identified as blastemal tumor cells. Because the increased AFP levels were decreased after surgery, AFP levels may be used in the follow-up of the patients with Wilms tumor. Herein, we report three patients with Wilms tumor whose serum AFP levels were elevated and who had diffuse WT-1 and focal AFP expression in all tumors, immunohistochemically.
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Neoplasias Renales/metabolismo , Tumor de Wilms/metabolismo , alfa-Fetoproteínas/metabolismo , Biomarcadores de Tumor/metabolismo , Quimioterapia Adyuvante , Preescolar , Femenino , Humanos , Lactante , Neoplasias Renales/patología , Neoplasias Renales/terapia , Estadificación de Neoplasias , Nefrectomía , Pronóstico , Inducción de Remisión , Tumor de Wilms/patología , Tumor de Wilms/terapiaRESUMEN
In this study, conventional membrane bioreactor (MBR) and moving bed-membrane bioreactor (MB-MBR) processes were compared in synthetic textile wastewater treatment. For this purpose, the bioreactors were operated as a conventional MBR, an MB-MBR with a biocarrier filling ratio of 20 % and an MB-MBR with a biocarrier filling ratio of 10 %, respectively. In the conventional MBR operation, 93.1 % chemical oxygen demand (COD) and 87.1 % color (Reactive Red 390) removal efficiencies were obtained. In both MB-MBR operations, almost equal COD and color removal efficiencies were found as 98.5 % and 89.5 %, respectively. Moreover, offline physical and chemical membrane cleaning processes were applied every other day and every 15 days throughout the conventional MBR operation, respectively, while no physical or chemical membrane cleaning was required during both MB-MBR operations. Furthermore, lower polysaccharide concentrations of extracellular polymeric substances (EPS) and floc sizes of sludge and higher zeta potential of sludge were determined in MB-MBR. Considering the obtained results, it may be stated that the MB-MBR process is an attractive treatment technology for reducing membrane fouling propensity for treatment of textile wastewater.
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Membrane bioreactors (MBRs) are rapidly developing systems widely used for the treatment of municipal and industrial wastewater prior to their discharge into the environment. Membrane fouling is the most important challenge in MBRs, because it negatively affects membrane performance, resulting in low permeate flux, higher transmembrane pressure and frequent membrane cleaning/replacement. In this study, the effect of tea and coffee on sludge characteristics, membrane fouling and the bacterial signalling molecule N-butyryl-l-homoserine lactone (C4-HSL) in a membrane bioreactor system were investigated. For this purpose, four different continuously operated membrane bioreactors, treating synthetic domestic wastewater and dairy wastewater were operated in parallel under the same conditions. The results indicated that the soluble microbial products (SMP) and the extracellular polymeric substances (EPS) in the reactors showed similar trends for both synthetic domestic and dairy wastewater, where protein levels were higher than carbohydrate levels. Other parameters such as floc size, zeta potential, hydrophobicity, sludge volume index and capillary suction time were also analysed prior to and after the addition of coffee and tea. Analysis of the wastewater samples by GC-MS revealed that coffee and tea significantly enhance the extraction efficiency of C4-HSL. The results obtained in this study can serve as a good basis for further research.