Acclimatizing waste activated sludge in a thermophilic anaerobic fixed-bed biofilm reactor to maximize biogas production for food waste treatment at high organic loading rates.

Thermophilic anaerobic digestion (TAD) provides a promising solution for sustainable high-strength waste treatment due to its enhanced methane-rich biogas recovery. However, high organic loading rates (OLR) exceeding 3.0 kgCOD/m3/day and short hydraulic retention times (HRT) below 10 days pose challenges in waste-to-energy conversion during TAD, stemming from volatile fatty acids (VFAs) accumulation and methanogenesis failure. In this study, we implemented a stepwise strategy for acclimatizing waste activated sludge (WAS) in a thermophilic anaerobic fixed-bed biofilm reactor (TA-FBBR) to optimize methanogen populations, thereby enhancing waste-to-energy efficiencies under elevated OLRs in food waste treatment. Results showed that following stepwise acclimatization, the TA-FBBR achieved stable methane production of approximately 5.8 L/L-reactor/day at an ultrahigh OLR of ∼20 kgCOD/m3/day and ∼15 kgVS/m3/day at 6-day HRT in food waste treatment. The average methane yield reached 0.45 m3/kgCODremoval, attaining the theoretical production in TAD. Moreover, VFA concentrations were stabilized below 1000 mg/L at the ultrahigh OLR under 6-day HRT, while maintaining an acetate/propionate ratio of > 1.8 and a VFA/TAK ratio of < 0.3 serving as effective indicators of system stability and methane yield potential. The microbial community analysis revealed that the WAS acclimatization strategy fostered the microbial diversity and abundance of Methanothermobacter and Methanosarcina. Methanosarcina in the biofilm were observed to be twice as abundant as Methanothermobacter, indicating a potential preference for biofilm existence among methanogens. The findings demonstrated an effective strategy, specifically the stepwise acclimatization of WAS in a thermophilic fixed-bed biofilm reactor, to enhance the food waste treatment performance at high OLRs, contributing valuable mechanistic and technical insights for future sustainable high-strength waste management.

Sustainable microalgal cultivation in poultry slaughterhouse wastewater for biorefinery products and pollutant removal.

Microalgae's ability to grow in poultry slaughterhouse wastewater (PSHWW) is attracting interest for low-cost biomass production and wastewater treatment. In this study, PSHWW is evaluated by the cultivation of Chlorella sp. andNeochloris sp. for biomass,bioproducts, and nutrient removal. Results showed that Neochloris sp.produced the maximum of 1.4 g L-1 biomass and 38% lipids compared toChlorella sp. (1.3 g L-1 and 36%). The maximum carotenoids, proteins, and carbohydrates obtained from Neochloris sp. are 38 mg/g DW, 41.7%, and 29%, respectively. COD, nitrite, and phosphate removal efficiencies of 96.8%, 95%, and 79%, respectively, by Neochloris sp. and 89%, 93.5%, and 64.5%, respectively, by Chlorella sp. FTIR confirms the role of functional groups in pollutant absorption by microalgae. The predominant fatty acids found were C16, C18, C18:1, C18:2, C18:3, C20:5, and C22:6. The research demonstrated that microalgae can be used for the treatment of wastewater, nutraceuticals, food additives, and biofuels.

3D spray-coated gradient profile ceramic membranes enables improved filtration performance in aerobic submerged membrane bioreactor.

Rational design of cross-sectional microstructure in ceramic membranes has shown to improve membrane filtration efficacy without affecting rejection performance. In this work, we adopted 3D spray-coating technique to generate multi-layered membrane layers on macro-porous flat-sheet ceramic supports. The thickness of each layer was controlled by spray-coating cycles, and a gradient membrane layer was rationalized by successively coating three ceramic slurries containing alumina powders of gradually refined particle sizes, followed by co-sintering. Gradient membrane layers on both sides of the various sized flat-sheet ceramic supports were fabricated. Compared to the non-gradient counterpart, the gradient membranes showed both higher pure water flux (at the same TMP) and lower membrane resistance, which clearly evidenced the benefits of gradient profile in the membrane layer. Further, their performance in aerobic membrane bioreactors (AeMBR) was comparably studied for the first time. The treatment performance was not significantly affected by the types of membranes used, while the gradient membrane showed better filtration performance (i.e., a slower rise in TMP). Although the fouling mechanisms were revealed to be similar, the fouling layer in the gradient membrane was composed of a higher percentage of smaller foulants compared to that of the non-gradient counterpart. The observed differences were closely correlated to the larger internal pore structure in the gradient membrane. The present work provides a feasible 3D spray-coating technique for the fabrication of gradient flat-sheet ceramic membranes, and clarifies the benefits in AeMBR for domestic wastewater treatment.

Feasibility of implementing quorum quenching technology to mitigate membrane fouling in MBRs treating phenol-rich pharmaceutical wastewater: Application of Rhodococcus sp. BH4 and quorum quenching consortium.

This study aimed to implement quorum quenching (QQ) to mitigate membrane fouling in membrane bioreactors (MBRs) treating phenol-rich pharmaceutical wastewater using Rhodococcus sp. BH4 and isolated QQ consortium (QQcs) from activated sludge. Neither BH4 nor QQcs impacted the removal efficiency of chemical oxygen demand (COD) (>94%), phenol (>99%), and ammonium (>99%), indicating that QQ did not have adverse impact on treatment performance. In addition, both BH4 and QQcs effectively retarded membrane fouling, which could be attributed to the reduction of soluble microbial products (SMP). Interestingly, the TMP increase was delayed 68.7% by Rhodococcus sp. BH4, while 31.3% was achieved by QQcs. This difference may be due to the relatively higher degradation for short- and medium-chain N-acyl-homoserine lactones (AHLs) by BH4 compared to the QQcs. Furthermore, the possible presence of quorum sensing (QS) bacteria within QQcs also could have contributed to the less effective fouling control than that of BH4.

Enriched autoinducer-2 (AI-2)-based quorum quenching consortium in a ceramic anaerobic membrane bioreactor (AnMBR) for biofouling retardation.

This study is the first to enrich a facultative QQ consortium for AI-2-based quorum sensing (QS) disruption (FQQ2) and discover its quorum quenching (QQ) performance in an anaerobic membrane bioreactor (AnMBR) for membrane fouling retardation. Herein, FQQ2 was enriched by the enrichment culture using 4,5-dihydroxy-2,3-pentanedione (DPD) followed by anaerobic screening. FQQ2 was composed of various facultative AI-2-based QQ microorganisms including Acinetobacter, Comamonas, Stenotrophomonas, and FQQ2 was capable to degrade 96.96% of DPD in 9 h. More importantly, FQQ2 prolonged membrane filtration operation by an average of 3.72 times via reduction of DPD in the AnMBR treating domestic wastewater (p ≤ 0.05). QQ was implicated to reduce the content of proteins and carbohydrates of the extracellular polymeric substances (EPS) of suspended biomass by 24.16% and 10.39%, respectively, and concentration of proteins of the soluble microbial products (SMP) by 18.77%. Parallel factor (PARAFAC) modelling of excitation-emission matrix (EEM) demonstrated that QQ could reduce the content of fulvic acid-like and humic acid-like substances, aromatic proteins and soluble-microbial-by-product-like proteins of the EPS (p ≤ 0.05) and abate the content of soluble-microbial-by-product-like proteins in the SMP (p ≤ 0.05). The lower EPS content of suspended biomass could be rendered with the reduced relative abundance of AI-2-regulated Christensenellaceae;g-, Hyphomicrobium, Leucobacter and Microbacterium by 48.48%, 76.56%, 64.78% and 59.26%, respectively, and QQ led to the reduction of the relative abundance of Christensenellaceae;g- and Leucobacter in the cake layer by 31.07% and 51.43%, respectively. Moreover, quantity of organics as well as planktonic microorganisms in the supernatant decreased in presence of FQQ2 (p ≤ 0.05). Of note, markedly lower relative abundance of AI-2-regulated Sulfurovum in supernatant by 97.74% resulted in its lower abundance of cake layer. Intriguingly, in the presence of QQ, methane production was statistically enhanced by 62.5% (p ≤ 0.05). It was closely linked to the decrease of sulfate reduction (p ≤ 0.05), which resulted from 37.93% lower abundance of sulfate-reduction Desulfomonile in the suspended biomass (p ≤ 0.05). Collectively, this study sheds lights on the development of AI-2-based QQ for biofouling control in AnMBRs.

Insights on fouling development and characteristics during different fouling stages between a novel vibrating MBR and an air-sparging MBR for domestic wastewater treatment.

Membrane fouling remains a major hindrance to a prevalent application of membrane bioreactor (MBR) for wastewater treatment. Vibrating membrane technology has recently attracted increasing attention in energy-efficient fouling control in MBR compared to air sparging. However, little is known about its fundamental fouling control mechanism and whether the vibrating MBR (VMBR) is a highly effective strategy to control fouling constitutions and fouling sources compared to the conventional air-sparging MBR (ASMBR). This study operated two parallel MBRs with vibrating or air-sparging membrane modules for long-term (215 d) real domestic wastewater treatment. Effects of air sparging and vibration rates on fouling control, fouling development and fouling sources across three fouling stages were comprehensively evaluated. Results showed that the VMBR achieved 70% lower fouling rates compared to the ASMBR due to a remarkable retardation in each fouling stage by membrane vibration. The VMBR significantly reduced over 62.7% of colloidCL and SMPCL within the cake layer (CL) to simultaneously alleviate the reversible and irreversible fouling compared to the ASMBR. The comparatively lower dissolved organic matter (DOM) and biopolymer contents in the cake layer of the VMBR resulted in a slower TMP rise. The main DOMs in the foulants of both MBRs were found in the following order: aromatic protein > soluble microbial by-products > other organics. EPSML from mixed liquor (ML) contributed more DOMs to form membrane foulant than the SMPML in both MBRs. Aromatic proteins and soluble microbial products in the EPSML were markedly reduced in the VMBR but increased in the ASMBR in high-shear phase, demonstrating higher effectiveness in fouling control by membrane vibration. This study provided insights into understanding fouling control, fouling development characteristics and fouling mechanisms between the VMBR and ASMBR, which might guide the researchers and engineers to apply novel vibrating MBRs to better control membrane fouling for holistic wastewater treatment in full scale.

Quorum quenching affects biofilm development in an anaerobic membrane bioreactor (AnMBR): from macro to micro perspective.

The first experimental study on the influence of acyl homoserine lactones (AHLs) degrading quorum quenching (QQ) consortium on the dynamics of biofilm bio-communities (i.e., from suspended biomass to initial biofilm and mature biofilm) in an anaerobic membrane bioreactor (AnMBR) at a microscopic scale (denoted as QQAnMBR) was reported. QQ did not change the overall bacterial community of the suspended biomass, inclusive of the key functional bacteria. Moreover, the retarded initial biofilm formation was attributed to not only the lower extracellular polymeric substance content of suspended biomass, but also the decelerated colonization of the AHL-regulated low-abundance in suspended biomass but pioneering keystone taxa Rhodocyclaceae;g- on membrane surface. However, pioneering fouling-related taxa such as Sulfurovum and Rhodocyclaceae;g- still played paramount roles in the delayed initial biofilm formation in the QQAnMBR. Furthermore, the microbial assemblies of the mature biofilm were changed in the QQAnMBR, probably attributable to the abiotic microbial floc attachment.

Comparison between novel vibrating ceramic MBR and conventional air-sparging MBR for domestic wastewater treatment: Performance, fouling control and energy consumption.

Two crucial themes emerge from the growing application of MBRs treating domestic wastewater so far: fouling control and energy demand. The significance of in-situ shear-enhanced methods for fouling control in MBRs has been widely acknowledged with air sparging over decades. However, it is still a challenge to develop energy-efficient ways to replace energy-intensive air sparging for effective fouling control during long-term real domestic wastewater treatment. A novel vibrating flat-sheet ceramic MBR (VMBR) was established for investigating the effects of different shear rates on treatment performance, fouling control and specific energy demand compared with air-sparging MBR (ASMBR). Three levels of shear rates with vibration speed of 120, 80, and 40 RPM in the VMBR, versus specific aeration rate of 1.5, 1.0 and 0.5 LPM in the ASMBR were examined as high-, middle- and low-shear phases. Results showed that the VMBR removed over 78.35% TOC, 89.89% COD and 99.9% NH4-N over three phases, and retarded initial increases in transmembrane pressure to control membrane fouling effectively with average fouling rate around 2.31 kPa/d, 3.59 kPa/d and 10.15 kPa/d, almost 70% lower than the ASMBR in Phase 1, 2 and 3, respectively. Particle size distribution of mixed liquor revealed that colloids and biopolymer clusters were significantly reduced in the VMBR showing less propensity for foulant formation. DOM characteristics further indicated that lower production of polysaccharides and protein (by approximately half in Phases 1 and 2) of SMP and EPS in the VMBR generated lower biopolymer content, promoting better fouling mitigation and enhanced dewaterability compared to the ASMBR. Moreover, the VMBR showed superior energy efficiency for fouling control and could save 51.7% to 78.5% energy of the ASMBR under similar-shear condition. The combination of excellent treatment performance, fouling control and energy efficiency from the VMBR makes this an attractive strategy for future improvement of MBR designs in full-scale application with the potential to replace conventional ASMBR.

Overcoming the Trade-off between Water Permeation and Mechanical Strength of Ceramic Membrane Supports by Interfacial Engineering.

Porous ceramic membrane supports with high mechanical strength and permeation are required for highly permeable ceramic membranes. The water permeation of a ceramic membrane support is largely dependent on its level of open porosity, which can be however generally detrimental to the mechanical strength. In this work, low-cost kaolin nanoflakes were rationally composited with coarse alumina particles, and multichannel flat-sheet ceramic supports were successfully fabricated by extrusion and subsequent partial sintering. The macroscopic properties, microstructure characteristics, permeability, and mechanical strength of the ceramic membrane supports were systematically established and comprehensively studied. The incorporation of kaolin nanoflakes effectively reduced the sintering temperature to about 1200 °C. An interesting evolution of the pore structure was evidenced with the increase in sintering temperature. Interestingly, the porous ceramic supports prepared at 1400 °C with a nominal pore size of 1.47 µm showed the highest water permeability of 9911.9 ± 357.5 LMHB, and at the same time the flexural strength reached 109.6 ± 4.6 MPa. The much improved permeability was attributed to the unique multilevel pore structures, and the enhanced flexural strength mainly originated from the strongly interfacial bonding, as evidenced by the trans-granular fracture behavior. Also, the ceramic membrane supports exhibited excellent chemical resistance and good removal efficiency for oily wastewater. This work highlights the significant role of interfacial engineering in simultaneously improving the water permeation and mechanical strength, thereby overcoming their trade-off in porous ceramic membrane supports.

Effect of quorum quenching on EPS and size-fractioned particles and organics in anaerobic membrane bioreactor for domestic wastewater treatment.

Quorum quenching (QQ) has been applied as a promising membrane fouling control strategy for anaerobic membrane bioreactors (AnMBRs). Nevertheless, long-term operation of AnMBRs for real domestic wastewater (DWW) treatment needs to be systematically studied to evaluate comprehensive membrane fouling mechanisms and bioprocess performance. In this study, the impact of QQ on membrane fouling was investigated using a quorum quenching AnMBR (QQAnMBR) deploying a bead-entrapped facultative quorum quenching consortium (FQQ) to treat DWW. FQQ was shown to prolong membrane filtration operation by an average of 75%. Reduced proteins (p < 0.005) and carbohydrates (p < 0.005) in the extracellular polymeric substances (EPS) of mixed liquor (ML) were key differentiators that led to lower cake layer (CL) formation. Additionally, reduced biopolymers production (p < 0.05) in EPS improved sludge dewaterability. The findings suggested that QQ could alter fluorescent microbial metabolites of both EPS and CL as unveiled by excitation-emission matrix spectra pattern. Furthermore, colloidal particles (i.e., particles with size larger than 0.45 µm in ML supernatants) production was retarded by QQ, thereafter, also contributed to the reduced CL formation. Pore blockage was slightly increased by QQ, which might be attributed to pore blockage by large (∼230 nm) and small organic compounds (∼51 nm) in soluble microbial products (SMP). However, QQ had no significant impact on organic concentration of SMP, and QQ was not associated with particle size distribution of biomass. QQ performance was further affirmed through suppressed production of C4-HSL, 3-OXO-C6-HSL, and C6-HSL. The overall AHLs degradability of FQQ was well-maintained even after five membrane service cycles (total operation of 70 d). Moreover, QQ had no compromised impact on treatment performance (i.e., chemical oxygen demand (COD) removal and methane yield). Collectively, this study bridged the knowledge gap to bring forward QQ technology in AnMBR for widespread domestic wastewater treatment application.

The incremental benefit of EUS for the identification of malignancy in indeterminate extrahepatic biliary strictures: A systematic review and meta-analysis.

This systematic review aims to assess the literature to determine the impact of EUS for diagnosing malignancy among indeterminate extrahepatic biliary strictures. A systematic review was performed using MEDLINE, EMBASE, Cochrane, and conference proceedings from inception to July 2016. Pooled results were calculated using random-effects model, and heterogeneity was explored using stratified meta-analysis and meta-regression. The main outcome was the incremental benefit of EUS (IBEUS) for the diagnosis of malignancy among patients who have undergone ERCP with brushing cytology for extrahepatic biliary strictures. Of 3131 identified citations, ten met the inclusion criteria and were included in the final analyses (study periods from 1998 to 2014). Pooled IBEUS estimate with the adjustment for publication bias was 14% (95% confidence interval, 7%-20%). Individual studies demonstrate that the IBEUS is greater for distal biliary strictures or when an extrinsic mass is identified on cross-sectional imaging. EUS increases the identification of malignancy for indeterminate biliary strictures following a nondiagnostic ERCP, particularly those that are distal or related to extrinsic compression.

MedTalks: developing teaching abilities and experience in undergraduate medical students.

OBJECTIVES: According to the CanMEDS' Scholar competency, physicians are expected to facilitate the learning of colleagues, patients and other health professionals. However, most medical students are not provided with formal opportunities to gain teaching experience with objective feedback. METHODS: To address this, the University's Medical Education Interest Group (MEIG) created a pilot teaching program in January 2015 entitled 'MedTalks'. Four 3-hour sessions were held at the University Faculty of Medicine, where first and second year medical students taught clinically oriented topics to undergraduate university students. Each extracurricular session included three 30-minute content lectures, and a 90-minute small group session on physical examination skills. Each medical student-teacher received formal feedback from undergraduate students and from faculty educators regarding teaching style, communication abilities, and professionalism. In addition, medical student-teachers self-evaluated their own teaching experience. RESULTS: Over 50 medical students from the University participated as medical student-teachers. Based on quantitative and qualitative evaluation surveys, 100% of medical students agreed that MedTalks was a useful way to develop teaching skills and 92% gained a greater confidence in individual teaching capabilities, based largely on the opportunity to gain experience (with feedback) in teaching roles. CONCLUSIONS: A program designed to give medical students multi-source teaching experience (lecture- and small group-based) and feedback on their teaching (from learners and Faculty observers, in addition to their own self-reflection) can improve medical student confidence and enthusiasm towards teaching. Future studies will clarify if medical student self-perceived enhancements in teaching ability can be corroborated by independent (Faculty, learner) observations of future teaching activity.

Identification and analysis of a glutamatergic local interneuron lineage in the adult Drosophila olfactory system.

BACKGROUND: The antennal lobe of Drosophila is perhaps one of the best understood neural circuits, because of its well-described anatomical and functional organization and ease of genetic manipulation. Olfactory lobe interneurons - key elements of information processing in this network - are thought to be generated by three identified central brain neuroblasts, all of which generate projection neurons. One of these neuroblasts, located lateral to the antennal lobe, also gives rise to a population of local interneurons, which can either be inhibitory (GABAergic) or excitatory (cholinergic). Recent studies of local interneuron number and diversity suggest that additional populations of this class of neurons exist in the antennal lobe. This implies that other, as yet unidentified, neuroblast lineages may contribute a substantial number of local interneurons to the olfactory circuitry of the antennal lobe. RESULTS: We identified and characterized a novel glutamatergic local interneuron lineage in the Drosophila antennal lobe. We used MARCM (mosaic analysis with a repressible cell marker) and dual-MARCM clonal analysis techniques to identify this novel lineage unambiguously, and to characterize interneurons contained in the lineage in terms of structure, neurotransmitter identity, and development. We demonstrated the glutamatergic nature of these interneurons by immunohistochemistry and use of an enhancer-trap strain, which reports the expression of the Drosophila vesicular glutamate transporter (DVGLUT). We also analyzed the neuroanatomical features of these local interneurons at single-cell resolution, and documented the marked diversity in their antennal lobe glomerular innervation patterns. Finally, we tracked the development of these dLim-1 and Cut positive interneurons during larval and pupal stages. CONCLUSIONS: We have identified a novel neuroblast lineage that generates neurons in the antennal lobe of Drosophila. This lineage is remarkably homogeneous in three respects. All of the progeny are local interneurons, which are uniform in their glutamatergic neurotransmitter identity, and form oligoglomerular or multiglomerular innervations within the antennal lobe. The identification of this novel lineage and the elucidation of the innervation patterns of its local interneurons (at single cell resolution) provides a comprehensive cellular framework for emerging studies on the formation and function of potentially excitatory local interactions in the circuitry of the Drosophila antennal lobe.

Characterisation of initial fouling in aerobic submerged membrane bioreactors in relation to physico-chemical characteristics under different flux conditions.

The initial fouling characteristics of aerobic submerged membrane bioreactors (MBRs) were analysed under different flux conditions. Physico-chemical analyses of the mixed liquor hinted that carbohydrates were more important to membrane fouling than proteins. However, this contrasted with the characterisation of foulants on the membrane surfaces. Micro-structural analyses of the foulants on the membrane surfaces showed that the dominant foulants were different under different flux conditions. Membrane fouling occurred through a biofilm-dominated process under lower flux conditions, but the mechanism shifted towards a non-biofilm, organic fouling process as the flux was increased. In spite of the differences in fouling mechanisms, it was found that the protein fraction on the membrane surfaces, in the initial stages of MBR operations, had the greatest impact in the rise of transmembrane pressure.

Tools for creating and manipulating voxel phantoms.

The National Internal Radiation Assessment Section's Human Monitoring Laboratory (HML) has purchased and developed a number of in-house tools to create and edit voxel phantoms. This paper describes the methodology developed in the HML using those tools to prepare input files for Monte Carlo simulations using voxel phantoms. Three examples are given. The in-house tools described in this paper, and the phantoms that have been created using them, are all publically available upon request from the corresponding author.

HML's whole body counter: measuring highly radioactive persons.

The National Internal Radiation Assessment Section's Human Monitoring Laboratory (HML) has the responsibility to measure persons who may become internally contaminated following an accidental or intentional release of radioactivity. In preparation for measuring individuals who may be highly internally contaminated, the HML has reconfigured and recalibrated its whole body counter for this event. The calibration was performed using Monte Carlo simulations and validated by experimental measurements. An equation was developed that related the counting efficiency as a function of photon energy and phantom-to-detector distance. The equation could predict efficiencies to within 10% or better. Dead time problems, as a result of high internal activities, have been minimized by having a variety of counting positions. Six example nuclides have been used (Co, Co, Y, Ba, Cs, and Am) to show what is achievable and what is not.

A methodology for improving throughput using portal monitors.

The National Internal Radiation Assessment Section (NIRAS), which operates the Canadian National Calibration Reference Centre for Bioassay and In Vivo Monitoring, has field deployable equipment for emergency response. A substantial part of this tool kit is a set of portal monitors that can be used to quickly screen people into the 'uncontaminated' and the 'contaminated'. The former term refers to a person who has <60 kBq (empirical practical detection limit) of activation/fission products and the latter group is contaminated by that amount or more. Recent field work has shown that one type of the NIRAS's portal monitors can be alarmed at significant distances if the level of contamination is high enough. The other types, which do not initiate a count until either an infra-red beam is broken or a proximity detector is activated, do not alarm but their background will be raised and this causes other problems. This paper proposes a method of group monitoring to help speed up the process of screening a large number of potentially contaminated persons using portal monitors. In short, the group of potentially contaminated persons will be kept isolated from the portal stations. Depending on a real-time estimate of the percentage of contaminated persons in the crowd, groups of persons will be selected for screening. The hypergeometric distribution has been used to decide on the sampling group size with an expectation that 90% of the time no contaminated person will be present in the group. Once removed from the main waiting area, the group will be pre-screened and then, depending on the result, sent to the appropriate portal. It is anticipated that this will greatly speed up processing as it substantially reduces the transit time. Transits times have also been estimated in addition to the number of personnel required to run all of NIRAS's field deployable equipment.

Neuronal activity and Wnt signaling act through Gsk3-beta to regulate axonal integrity in mature Drosophila olfactory sensory neurons.

The roles played by signaling pathways and neural activity during the development of circuits have been studied in several different contexts. However, the mechanisms involved in maintaining neuronal integrity once circuits are established are less well understood, despite their potential relevance to neurodegeneration. We demonstrate that maintenance of adult Drosophila olfactory sensory neurons requires cell-autonomous neuronal activity. When activity is silenced, development occurs normally, but neurons degenerate in adulthood. These detrimental effects can be compensated by downregulating Glycogen synthase kinase-3beta (Gsk-3beta). Conversely, ectopic expression of activated Gsk-3beta or downregulation of Wnt effectors also affect neuron stability, demonstrating a role for Wnt signaling in neuroprotection. This is supported by our observation that activated adult neurons are capable of increased Wingless release, and its targeted expression can protect neurons against degeneration. The role of Wnt signaling in this process is non-transcriptional, and may act on cellular mechanisms that regulate axonal or synaptic stability. Together, we provide evidence that Gsk-3beta is a key sensor involved in neural circuit integrity, maintaining axon stability through neural activity and the Wnt pathway.

Intraoperative contralateral tension pneumothorax during pneumonectomy.

Unrecognized tension pneumothorax can have catastrophic consequences. We report a case of a patient who developed a contralateral tension pneumothorax during thoracotomy without the classic signs of marked hypoxemia and hemodynamic instability. A tension pneumothorax should be considered in any patient who develops high peak inspiratory pressures during one-lung ventilation with an open chest, even in the absence of the classic signs of hypoxemia and hypotension.