Leaching of organic matter and iodine, formation of iodinated disinfection by-products and toxic risk from Laminaria japonica during simulated household cooking.

Iodinated disinfection by-products (I-DBPs) exhibited potential health risk owing to the high toxicity. Our recent study demonstrated that I-DBPs from Laminaria japonica (Haidai), the commonly edible seaweed, upon simulated household cooking condition were several hundred times more than the concentration of drinking water. Here, the characterization of Haidai and its leachate tandem with the formation, identification and toxicity of I-DBPs from the cooking of Haidai were systemically investigated. The dominant organic matter in Haidai leachate were polysaccharides, while the highest iodine specie was iodide (∼90% of total iodine). Several unknown I-DBPs generated from the cooking of Haidai were tentatively proposed, of which 3,5-diiodo-4-hydroxybenzaldehyde was dominant specie. Following a simulated household cooking with real chloraminated tap water, the presence of Haidai sharply increased aggregate iodinated trihalomethanes, iodinated haloacetic acids, and total organic iodine concentrations to 97.4 ± 7.6 µg/L,16.4 ± 2.1 µg/L, and 0.53 ± 0.06 mg/L, respectively. Moreover, the acute toxicity of Haidai soup to Vibrio qinghaiensis sp.-Q67 was around 7.3 times higher than that of tap water in terms of EC50. These results demonstrated that the yield of I-DBPs from the cooking of Haidai and other seaweed should be carefully considered.

Removal of disinfection by-product precursors by Al-based coagulants: A comparative study on coagulation performance.

Coagulation is well-established for controlling regulated disinfection by-products (DBPs), but its effectiveness for controlling unregulated DBPs remains unclear. The efficiency of coagulation in controlling unregulated DBPs requires clarification owing to their relatively high toxicity. In this study, three Al-based coagulants, aluminum sulfate (Alum), polyaluminum chloride (PAC), and a novel type of covalently bond hybrid coagulant (CBC, synthesized using AlCl3) were selected, and the coagulation performance of these Al-based coagulants in controlling DBPs and DBP-associated toxicity was compared over 5 classes of DBPs, including trihalomethanes, haloacetic acids, haloacetaldehydes, haloacetonitriles, and halonitromethanes. The results showed that Alum was the least efficient in removing DBP precursors among the three coagulants. The effectiveness of CBC and PAC for DBP control varied with the characteristics of source waters. CBC had an advantage in water with a low content of humic acids, and reduced DBP concentration and DBP-associated toxicity by 47% and 25%, respectively. For water rich in aromatic organics, CBC might serve as DBP precursors at a high-required dosage, suggesting that a trade-off between enhanced DBP control and serving as DBP precursors should be considered for CBC coagulation; PAC achieved the most reduction in DBP concentration and DBP-associated toxicity by 50% and 34%, respectively.

Comparison of long-term outcomes of laparoscopic and open sphincter-preserving total mesorectal excision for low rectal cancer.

PURPOSE: The purpose of this study was to compare the long-term outcomes of laparoscopic and open sphincter-preserving total mesorectal excision (TME) for low rectal cancer (LRC) using propensity score matching (PSM). METHODS: The clinical and follow-up data of 169 patients with LRC who underwent sphincter-preserving TME at our institution between January 2011 and January 2014 were retrospectively analyzed. Patients were divided into laparoscopic and open group based on the surgical approach. PSM including age, sex, body mass index, clinical stage, and American Society of Anesthesiologists score with a 1:1 ratio was subsequently performed. Sixty-eight patients in each group were ultimately included, and short- and long-term outcomes were compared between groups. RESULTS: Compared with the open group, the laparoscopic group had less intraoperative blood loss, more rapid postoperative recovery, and lower incidence of 30-day postoperative complications. However, there were no significant differences in severity of postoperative 30-day complications between the two groups. Both groups had no intraoperative or 30-day postoperative mortality. Regarding survival outcome, tumor recurrence rate, tumor recurrence site, 5-year overall survival, and 5-year disease-free survival, there were no significant differences between groups. CONCLUSION: Laparoscopic sphincter-preserving TME can achieve long-term outcomes similar to those of open TME for LRC.

Application of coagulation-ultrafiltration-nanofiltration in a pilot study for Tai Lake water treatment.

In this study, the inline coagulation was combined with ultrafiltration and nanofiltration (UF-NF) in a pilot study for Tai Lake water treatment. The results showed that the combination process was very effective for Tai Lake water treatment in terms of organic removal and membrane fouling control. With inline coagulation, no irreversible membrane fouling was observed for either UF or NF at fluxes of 65-90 and 22-26 L/(m2  hr), respectively. The membrane foulants were analyzed, and the results indicated that the low molecular weight fractions in the feed were main membrane fouling contributors for both UF and NF, where hydrophilic substances and proteins, as well as neutral substances and humic acids with polycarboxyl groups, contributed significantly to UF and NF membrane fouling, respectively. Compared with direct UF-NF filtration without coagulation, the coagulants could aggregate organic micromolecules for cake formation. With inline coagulation, the moving flocs could generate shear stress to scrub the membrane surface for fouling control of UF. Moreover, with inline coagulation, the organics removal efficiency could be further increased by 10%-20%. With NF, the permeate had a TOC concentration of less than 0.5 mg/L, satisfying the drinking water quality. Therefore, the coagulation-UF-NF is very useful for Tai Lake water treatment. PRACTITIONER POINTS: Inline coagulation-UF-NF for Tai Lake Water treatment is implemented. Inline coagulation can aggregate hydrophilic substances to reduce membrane fouling. Moving flocs produce shear stress for fouling control of UF-NF. Superior quality of permeate is achieved with the combined coagulation-UF-NF process.