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1.
Sci Total Environ ; 932: 173033, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38723954

RESUMO

Microplastics (MPs) pollution has emerged as a global concern, and wastewater treatment plants (WWTPs) are one of the potential sources of MPs in the environment. However, the effect of polyethylene MPs (PE) on nitrogen (N) removal in moving bed biofilm reactor (MBBR) remains unclear. We hypothesized that PE would affect N removal in MBBR by influencing its microbial community. In this study, we investigated the impacts of different PE concentrations (100, 500, and 1000 µg/L) on N removal, enzyme activities, and microbial community in MBBR. Folin-phenol and anthrone colorimetric methods, oxidative stress and enzyme activity tests, and high-throughput sequencing combined with bioinformation analysis were used to decipher the potential mechanisms. The results demonstrated that 1000 µg/L PE had the greatest effect on NH4+-N and TN removal, with a decrease of 33.5 % and 35.2 %, and nitrifying and denitrifying enzyme activities were restrained by 29.5-39.6 % and 24.6-47.4 %. Polysaccharide and protein contents were enhanced by PE, except for 1000 µg/L PE, which decreased protein content by 65.4 mg/g VSS. The positive links of species interactions under 1000 µg/L PE exposure was 52.07 %, higher than under 500 µg/L (51.05 %) and 100 µg/L PE (50.35 %). Relative abundance of some metabolism pathways like carbohydrate metabolism and energy metabolism were restrained by 0.07-0.11 % and 0.27-0.4 %. Moreover, the total abundance of nitrification and denitrification genes both decreased under PE exposure. Overall, PE reduced N removal by affecting microbial community structure and species interactions, inhibiting some key metabolic pathways, and suppressing key enzyme activity and functional gene abundance. This paper provides new insights into assessing the risk of MPs to WWTPs, contributing to ensuring the health of aquatic ecosystems.


Assuntos
Biofilmes , Reatores Biológicos , Microbiota , Nitrogênio , Polietileno , Eliminação de Resíduos Líquidos , Poluentes Químicos da Água , Nitrogênio/metabolismo , Reatores Biológicos/microbiologia , Poluentes Químicos da Água/análise , Eliminação de Resíduos Líquidos/métodos , Microbiota/efeitos dos fármacos , Microplásticos , Águas Residuárias/química
2.
J Hazard Mater ; 473: 134579, 2024 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-38761761

RESUMO

Ciprofloxacin (CIP) has received considerable attention in recent decades due to its high ecological risk. However, little is known about the potential response of macrophytes and microbes to varying levels of CIP exposure in constructed wetlands. Therefore, lab-scale manganese ore-based tidal flow constructed wetlands (MO-TFCWs) were operated to evaluate the responses of macrophytes and microbes to CIP over the long term. The results indicated that total nitrogen removal improved from 79.93% to 87.06% as CIP rose from 0 to 4 mg L-1. The chlorophyll content and antioxidant enzyme activities in macrophytes were enhanced under CIP exposure, but plant growth was not inhibited. Importantly, CIP exposure caused a marked evolution of the substrate microbial community, with increased microbial diversity, expanded niche breadth and enhanced cooperation among the top 50 genera, compared to the control (no CIP). Co-occurrence network also indicated that microorganisms may be more inclined to co-operate than compete. The abundance of the keystone bacterium (involved in nitrogen transformation) norank_f__A0839 increased from 0.746% to 3.405%. The null model revealed drift processes (83.33%) dominated the community assembly with no CIP and 4 mg L-1 CIP. Functional predictions indicated that microbial carbon metabolism, electron transfer and ATP metabolism activities were enhanced under prolonged CIP exposure, which may contribute to nitrogen removal. This study provides valuable insights that will help achieve stable nitrogen removal from wastewater containing antibiotic in MO-TFCWs.

3.
Environ Sci Ecotechnol ; 20: 100412, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38560759

RESUMO

Effective management of large basins necessitates pinpointing the spatial and temporal drivers of primary index exceedances and urban risk factors, offering crucial insights for basin administrators. Yet, comprehensive examinations of multiple pollutants within the Yangtze River Basin remain scarce. Here we introduce a pollution inventory for urban clusters surrounding the Yangtze River Basin, analyzing water quality data from 102 cities during 2018-2019. We assessed the exceedance rates for six pivotal indicators: dissolved oxygen (DO), ammonia nitrogen (NH3-N), chemical oxygen demand (COD), biochemical oxygen demand (BOD), total phosphorus (TP), and the permanganate index (CODMn) for each city. Employing random forest regression and SHapley Additive exPlanations (SHAP) analyses, we identified the spatiotemporal factors influencing these key indicators. Our results highlight agricultural activities as the primary contributors to the exceedance of all six indicators, thus pinpointing them as the leading pollution source in the basin. Additionally, forest coverage, livestock farming, chemical and pharmaceutical sectors, along with meteorological elements like precipitation and temperature, significantly impacted various indicators' exceedances. Furthermore, we delineate five core urban risk components through principal component analysis, which are (1) anthropogenic and industrial activities, (2) agricultural practices and forest extent, (3) climatic variables, (4) livestock rearing, and (5) principal polluting sectors. The cities were subsequently evaluated and categorized based on these risk components, incorporating policy interventions and administrative performance within each region. The comprehensive analysis advocates for a customized strategy in addressing the discerned risk factors, especially for cities presenting elevated risk levels.

4.
Water Res ; 256: 121600, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38640563

RESUMO

A limited understanding of microbial interactions and community assembly mechanisms in constructed wetlands (CWs), particularly with different substrates, has hampered the establishment of ecological connections between micro-level interactions and macro-level wetland performance. In this study, CWs with distinct substrates (zeolite, CW_A; manganese ore, CW_B) were constructed to investigate the nutrient removal efficiency, microbial interactions, metabolic mechanisms, and ecological assembly for treating rural sewage with a low carbon-to-nitrogen ratio. CW_B showed higher removal of ammonia nitrogen and total nitrogen by about 1.75-6.75 % and 3.42-5.18 %, respectively, compared to CW_A. Candidatus_Competibacter (denitrifying glycogen-accumulating bacteria) was the dominant microbial genus in CW_A, whereas unclassified_f_Blastocatellaceae (involved in carbon and nitrogen transformation) dominated in CW_B. The null model revealed that stochastic processes (drift) dominated community assembly in both CWs; however, deterministic selection accounted for a higher proportion in CW_B. Compared to those in CW_A, the interactions between microbes in CW_B were more complex, with more key microbes involved in carbon, nitrogen, and phosphorus conversion; the synergistic cooperation of functional bacteria facilitated simultaneous nitrification-denitrification. Manganese ores favour biofilm formation, increase the activity of the electron transport system, and enhance ammonia oxidation and nitrate reduction. These results elucidated the ecological patterns exhibited by microbes under different substrate conditions thereby contributing to our understanding of how substrates shape distinct microcosms in CW systems. This study provides valuable insights for guiding the future construction and management of CWs.


Assuntos
Carbono , Nitrogênio , Eliminação de Resíduos Líquidos , Águas Residuárias , Áreas Alagadas , Nitrogênio/metabolismo , Carbono/metabolismo , Eliminação de Resíduos Líquidos/métodos , Bactérias/metabolismo
5.
Sci Total Environ ; 929: 172651, 2024 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-38653406

RESUMO

The widespread use of microplastics (MPs) has led to an increase in their discharge to wastewater treatment plants. However, the knowledge of impact of MPs on macro-performance and micro-ecology in simultaneous nitrification, denitrification, and phosphorus removal (SNDPR) systems is limited, hampering the understanding of potential risks posed by MPs. This study firstly comprehensively investigated the performance, species interactions, and community assembly under polystyrene (PS) and polyvinyl chloride (PVC) exposure in SNDPR systems. The results showed under PS (1, 10 mg/L) and PVC (1, 10 mg/L) exposure, total nitrogen removal was reduced by 3.38-10.15 %. PS and PVC restrained the specific rates of nitrite and nitrate reduction (SNIRR, SNRR), as well as the activities of nitrite and nitrate reductase enzymes (NIR, NR). The specific ammonia oxidation rate (SAOR) and activity of ammonia oxidase enzyme (AMO) were reduced only at 10 mg/L PVC. PS and PVC enhanced the size of co-occurrence networks, niche breadth, and number of key species while decreasing microbial cooperation by 5.85-13.48 %. Heterogeneous selection dominated microbial community assembly, and PS and PVC strengthened the contribution of stochastic processes. PICRUSt prediction further revealed some important pathways were blocked by PS and PVC. Together, the reduced TN removal under PS and PVC exposure can be attributed to the inhibition of SAOR, SNRR, and SNIRR, the restrained activities of NIR, NR, and AMO, the changes in species interactions and community assembly mechanisms, and the suppression of some essential metabolic pathways. This paper offers a new perspective on comprehending the effects of MPs on SNDPR systems.


Assuntos
Desnitrificação , Microplásticos , Nitrificação , Fósforo , Eliminação de Resíduos Líquidos , Poluentes Químicos da Água , Fósforo/metabolismo , Poluentes Químicos da Água/metabolismo , Poluentes Químicos da Água/análise , Eliminação de Resíduos Líquidos/métodos , Águas Residuárias , Microbiota
6.
Bioresour Technol ; 399: 130643, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38552855

RESUMO

This study proposed an efficient framework for optimizing the design and operation of combined systems of wastewater treatment plants (WWTP) and constructed wetlands (CW). The framework coupled a WWTP model with a CW model and used a multi-objective evolutionary algorithm to identify trade-offs between energy consumption, effluent quality, and construction cost. Compared to traditional design and management approaches, the framework achieved a 27 % reduction in WWTP energy consumption or a 44 % reduction in CW cost while meeting strict effluent discharge limits for Chinese WWTP. The framework also identified feasible decision variable ranges and demonstrated the impact of different optimization strategies on system performance. Furthermore, the contributions of WWTP and CW in pollutant degradation were analyzed. Overall, the proposed framework offers a highly efficient and cost-effective solution for optimizing the design and operation of a combined WWTP and CW system.


Assuntos
Eliminação de Resíduos Líquidos , Purificação da Água , Áreas Alagadas , Águas Residuárias , Aprendizado de Máquina
7.
Bioresour Technol ; 396: 130383, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38316227

RESUMO

The addition of biochar resulted in a 31.5 % to 44.6 % increase in decolorization efficiency and favorable decolorization stability. Biochar promoted extracellular polymeric substances (EPS) secretion, especially humic-like and fulvic-like substances. Additionally, biochar enhanced the electron transfer capacity of anaerobic sludge and facilitated surface attachment of microbial cells. 16S rRNA gene sequencing analysis indicated that biochar reduced microbial species diversity, enriching fermentative bacteria such as Trichococcus. Finally, a machine learning model was employed to establish a predictive model for biochar characteristics and decolorization efficiency. Biochar electrical conductivity, H/C ratio, and O/C ratio had the most significant impact on RR2 anaerobic decolorization efficiency. According to the results, the possible mechanism of RR2 anaerobic decolorization enhanced by different types of biochar was proposed.


Assuntos
Compostos Azo , Carvão Vegetal , Corantes , Compostos Azo/metabolismo , Corantes/metabolismo , Anaerobiose , RNA Ribossômico 16S/genética , Esgotos
8.
J Hazard Mater ; 458: 131971, 2023 09 15.
Artigo em Inglês | MEDLINE | ID: mdl-37413798

RESUMO

Microplastics (MPs) are a significant component of global pollution and cause widespread concern, particularly in wastewater treatment plants. While understanding the impact of MPs on nutrient removal and potential metabolism in biofilm systems is limited. This work investigated the impact of polystyrene (PS) and polyethylene terephthalate (PET) on the performance of biofilm systems. The results revealed that at concentrations of 100 and 1000 µg/L, both PS and PET had almost no effect on the removal of ammonia nitrogen, phosphorus, and chemical oxygen demand, but reduced the removal of total nitrogen by 7.40-16.6%. PS and PET caused cell and membrane damage, as evidenced by increases in reactive oxygen species and lactate dehydrogenase to 136-355% and 144-207% of the control group. Besides, metagenomic analysis demonstrated both PS and PET changed the microbial structure and caused functional differences. Some important genes in nitrite oxidation (e.g. nxrA), denitrification (e.g. narB, nirABD, norB, and nosZ), and electron production process (e.g. mqo, sdh, and mdh) were restrained, meanwhile, species contribution to nitrogen-conversion genes was altered, therefore disturbing nitrogen-conversion metabolism. This work contributes to evaluating the potential risks of biofilm systems exposed to PS and PET, maintaining high nitrogen removal and system stability.


Assuntos
Desnitrificação , Microbiota , Águas Residuárias , Microplásticos , Plásticos , Nitrogênio/metabolismo , Reatores Biológicos , Biofilmes , Poliestirenos
9.
Sci Total Environ ; 893: 164997, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37336410

RESUMO

Sulfate-reducing ammonium oxidation (sulfammox), a novel and promising process that has emerged in recent years, is essential to nitrogen and sulfur cycles and offers significant potential for the elimination of ammonium and sulfate. This review discussed the development of sulfammox process, the mechanism, characteristics of microbes, potential influencing factors, applicable bioreactors, and proposed the research needs and future perspective. The sulfammox process could be affected by many factors, such as the NH4+/SO42- ratio, carbon source, pH, and temperature. However, these potential influencing factors were only obtained based on what has been seen in papers studying related processes such as denitrification, sulfate-reduction, etc., and have to be further tested in bioreactors carrying out the sulfammox process in the future. Currently, sulfammox is predominantly used in granular activated carbon anaerobic fluidized beds, up-flow anaerobic sludge blanket reactors, anaerobic expanded granular bed reactors, rotating biological contact reactors, and moving bed biofilm reactors. In the future, the operating parameters of sulfammox should be further optimized to improve the processing performance, and the system can be further scaled up for actual wastewater treatment. In addition, the isolation, identification, and characterization of key functional microbes and the analysis of microbial interrelationships will also be focused on in future studies to enable an in-depth analysis of the sulfammox mechanism.


Assuntos
Compostos de Amônio , Nitrogênio , Sulfatos , Enxofre , Anaerobiose , Reatores Biológicos , Desnitrificação , Nitrogênio/análise , Oxirredução , Esgotos/química
10.
J Hazard Mater ; 452: 131341, 2023 06 15.
Artigo em Inglês | MEDLINE | ID: mdl-37023576

RESUMO

In recent years, microplastics/nanoplastics (MPs/NPs) have received substantial attention worldwide owing to their wide applications, persistence, and potential risks. Wetland systems are considered to be an important "sink" for MPs/NPs, which can have potential ecological and environmental effects on the ecosystem. This paper provides a comprehensive and systematic review of the sources and characteristics of MPs/NPs in wetland ecosystems, together with a detailed analysis of MP/NP removal and associated mechanisms in wetland systems. In addition, the eco-toxicological effects of MPs/NPs in wetland ecosystems, including plant, animal, and microbial responses, were reviewed with a focus on changes in the microbial community relevant to pollutant removal. The effects of MPs/NPs exposure on conventional pollutant removal by wetland systems and their greenhouse gas emissions are also discussed. Finally, current knowledge gaps and future recommendations are presented, including the ecological impact of exposure to various MPs/NPs on wetland ecosystems and the ecological risks of MPs/NPs associated with the migration of different contaminants and antibiotic resistance genes. This work will facilitate a better understanding of the sources, characteristics, and environmental and ecological impacts of MPs/NPs in wetland ecosystems, and provide a new perspective to promote development in this field.


Assuntos
Poluentes Ambientais , Microbiota , Poluentes Químicos da Água , Animais , Ecossistema , Áreas Alagadas , Plásticos , Microplásticos
11.
Environ Res ; 224: 115513, 2023 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-36801232

RESUMO

One of the most prevalent heavy metals found in rural sewage is Zn(II), while its effect on simultaneous nitrification, denitrification and phosphorus removal (SNDPR) remains unclear. In this work, the responses of SNDPR performance to long-term Zn(II) stress were investigated in a cross-flow honeycomb bionic carrier biofilm system. The results indicated that Zn(II) stress at 1 and 5 mg L-1 could increase nitrogen removal. Maximum ammonia nitrogen, total nitrogen, and phosphorus removal efficiencies of up to 88.54%, 83.19%, and 83.65% were obtained at Zn(II) concentration of 5 mg L-1. The functional genes, such as archaeal amoA, bacterial amoA, NarG, NirS, NapA, and NirK, also reached the highest value at 5 mg L-1 Zn(II), with the absolute abundances of 7.73 × 105, 1.57 × 106, 6.68 × 108, 1.05 × 109, 1.79 × 108, and 2.09 × 108 copies·g-1 dry weight, respectively. The neutral community model demonstrated that deterministic selection was responsible for the system's microbial community assembly. Additionally, response regimes with extracellular polymeric substances and cooperation among microorganisms facilitated the stability of the reactor effluent. Overall, the findings of this paper contribute to improving the efficiency of wastewater treatment.


Assuntos
Microbiota , Nitrificação , Desnitrificação , Fósforo , Reatores Biológicos/microbiologia , Esgotos/microbiologia , Nitrogênio , Desempenho Físico Funcional , Zinco , Eliminação de Resíduos Líquidos/métodos
12.
Environ Sci Technol ; 57(8): 3031-3041, 2023 02 28.
Artigo em Inglês | MEDLINE | ID: mdl-36790312

RESUMO

Tenebrio molitor and Tenebrio obscurus (Coleoptera: Tenebrionidae) larvae are two commercial insects that eat plant and crop residues as diets and also biodegrade synthetic plastics polyethylene (PE). We examined biodegradation of low-density PE (LDPE) foam (Mn = 28.9 kDa and Mw = 342.0 kDa) with and without respective co-diets, i.e., wheat brain (WB) or corn flour (CF), corn straw (CS), and rice straw (RS) at 4:1 (w/w), and their gut microbiome and genetic metabolic functional groups at 27.0 ± 0.5 °C after 28 days of incubation. The presence of co-diets enhanced LDPE consumption in both larvae and broad-depolymerized the ingested LDPE. The diet type shaped gut microbial diversity, potential pathways, and metabolic functions. The sequence of effectiveness of co-diets was WB or CF > CS > RS for larval development and LDPE degradation. Co-occurrence networks indicated that the larvae co-fed with LDPE displayed more complex correlations of gut microbiome than the larvae fed with single diets. The primary diet of WB or CF and crop residues CS and RS provided energy and nitrogen source to significantly enhance LDPE biodegradation with synergistic activities of the gut microbiota. For the larvae fed LDPE and LDPE plus co-diets, nitrogen fixation function was stimulated compared to normal diets and associated with LDPE biodegradation.


Assuntos
Besouros , Microbioma Gastrointestinal , Tenebrio , Animais , Larva/metabolismo , Tenebrio/metabolismo , Polietileno , Poliestirenos , Carbono/metabolismo , Besouros/metabolismo , Dieta
13.
Front Neurol ; 13: 925883, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36212644

RESUMO

Background: A few intracranial lesions may present only with positional vertigo which are very easy to misdiagnose as benign paroxysmal positional vertigo (BPPV); the clinicians should pay more attention to this disease. Objectives: To analyze the clinical characteristics of 6 patients with intracranial tumors who only presented with positional vertigo to avoid misdiagnosing the disease. Material and methods: Six patients with intracranial tumors who only presented with positional vertigo treated in our clinic between May 2015 to May 2019 were reviewed, and the clinical symptoms, features of nystagmus, imaging presentation, and final diagnosis of the patients were evaluated. Results: All patients presented with positional vertigo and positional nystagmus induced by the changes in head position or posture, including one case with downbeating nystagmus in a positional test, two cases with left-beating nystagmus, one case with apogeotropic nystagmus in a roll test, one case with right-beating nystagmus, and one case with left-beating and upbeating nystagmus. Brain MRI showed the regions of the tumors were in the vermis of the cerebellum, the fourth ventricle, the lateral ventricle, and the cerebellar hemisphere.

14.
Zhongguo Zhen Jiu ; 41(1): 37-40, 2021 Jan 12.
Artigo em Chinês | MEDLINE | ID: mdl-33559440

RESUMO

OBJECTIVE: To observe clinical effect of acupuncture combined with conventional visual stimulation on cerebral visual impairment (CVI) in children aged 3-10 years and influence on the pattern visual evoked potential (P-VEP). METHODS: A total of 60 cases of children aged 3-10 years with CVI were randomly divided into an observation group and a control group, 30 cases in each group. The children in the control group received conventional visual stimulation therapy, 1 month as a course of treatment. On the basis of the control group, the children in the observation group was treated with acupuncture at Baihui (GV 20), Jingming (BL 1), Taiyang (EX-HN 5), Sibai (ST 2), etc. 3 times a week, and the treatment was given 4 weeks continuously as a course. Both groups received 3 courses of treatment. The visual acuity and P-VEP improvement were compared between the two groups before and after treatment. RESULTS: After treatment, the incubation period (P100-L) of the two groups was shorter than before treatment, and the amplitude (P100-A) was higher than before treatment (P<0.05); and the degree of above changes in the observation group was lager than the control group (P<0.05). The percentage of best corrected visual acuity of 0.6-0.8 in the observation group after treatment and follow-up 1 year after treatment was higher than before treatment (P<0.05), and was higher than the control group (P<0.05). CONCLUSION: Acupuncture combined with conventional visual stimulation can improve the incubation period (P100-L) and amplitude (P100-A) of P-VEP in children with CVI, and improve the best corrected visual acuity in children, the clinical effect is better than the conventional visual stimulation alone.


Assuntos
Terapia por Acupuntura , Encefalopatias , Pontos de Acupuntura , Criança , Pré-Escolar , Potenciais Evocados Visuais , Humanos , Transtornos da Visão/terapia
15.
Mol Vis ; 17: 153-8, 2011 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-21245953

RESUMO

PURPOSE: Several studies suggest that vascular dysregulation play a role in the etiology of glaucoma. In the present study, we aimed to investigate the association of endothelial nitric oxide synthase (eNOS) gene polymorphisms with primary open angle glaucoma (POAG) and primary closed angle glaucoma (PCAG). METHODS: There were 102 POAG and 88 PCAG patients, diagnosed on the basis of clinical history, raised intraocular pressure (IOP), cup-to-disc ratio (CDR) and visual field defects, and 120 age- and sex-matched control subjects genotyped for 5 tagging single nucleotide polymorphisms (SNPs; rs743507, rs3793342, rs11771443, rs7830, and rs3918188) of the human eNOS gene. RESULTS: rs3793342, rs743507, rs11771443, rs7830, and rs3918188 were not found to be associated with POAG or with PCAG. In the haplotype-based case-control analysis, the frequency of the C-T haplotype established by rs3793342 and rs11771443 was significantly higher for POAG patients than for control subjects (p<0.001, OR=5.111, 95%CI=1.766~14.788). CONCLUSIONS: The C-T haplotype established by rs3793342 and rs11771443 may be genetic marks of POAG in the Han Chinese population.


Assuntos
Glaucoma de Ângulo Fechado/genética , Glaucoma de Ângulo Aberto/genética , Óxido Nítrico Sintase Tipo III/genética , Polimorfismo Genético , Idoso , Algoritmos , Estudos de Coortes , Feminino , Marcadores Genéticos , Genótipo , Haplótipos , Humanos , Pressão Intraocular , Masculino , Pessoa de Meia-Idade , Modelos Genéticos , Polimorfismo de Nucleotídeo Único
16.
Artigo em Chinês | MEDLINE | ID: mdl-20654170

RESUMO

OBJECTIVE: To study the safety measures during perioperative period in patients with obstructive sleep apnea hypopnea syndrome (OSAHS), to minimize uvulopalatopharyngoplasty (UPPP) major complications. METHODS: The complications and other relative information of 1446 OSAHS patients treated with UPPP were analyzed. Complications of 1004 OSAHS patients adopted standardized management measures after 2004 and 442 OSAHS patients who performed UPPP before 2003 were compared. RESULTS: Among the 1446 cases of OSAHS surgery, there were 49 cases (3.39%) of difficult intubation; 8 cases (0.55%) intraoperative mild arrhythmia; 13 cases (0.90%) of surgery dangerous situations after extubation; 19 cases (1.31%) of intraoperative primary hemorrhage; 11 cases (0.76%) of mild arrhythmia during the postoperative observation period; 21 cases (1.45%) of uncontrolled hypertension immediately after surgery; 32 cases of secondary hemorrhage a week after surgery. All complications were cured and no death occurred. Compared with those operations before 2003, complications were significantly reduced with enforcement of standardized management of perioperative measures since 2004. The data had significant difference by chi(2) test (P < 0.05). CONCLUSIONS: There are five key points during the perioperative period of OSAHS surgery: preoperative examination, intubation, surgery, postoperative extubation, and postoperative care. Risk factors and complications could be prevented effectively in the above five important processes.


Assuntos
Complicações Intraoperatórias/prevenção & controle , Complicações Pós-Operatórias/prevenção & controle , Apneia Obstrutiva do Sono/cirurgia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Palato Mole/cirurgia , Estudos Retrospectivos , Úvula/cirurgia , Adulto Jovem
17.
Yi Chuan ; 28(12): 1489-94, 2006 Dec.
Artigo em Chinês | MEDLINE | ID: mdl-17138532

RESUMO

Hereditary non-syndromic sensorineural hearing loss is a genetically highly heterogeneous group of disorders. To date, at least 50 loci for autosomal dominant non-syndromic sensorineural hearing loss (DFNA) have been identified by linkage analysis. Here we report a huge family with late onset autosomal dominant hereditary non-syndromic hearing loss. In this family, 73 of 170 family members have been conducted physical examination, pure-tone audiometry, immittance testing and auditory brainstem response testing (ABR). The results indicated that 39 of 73 tested family members have sensorineural hearing loss in various degrees. No associated visible abnormalities in other systems were found in this family. After exclusion of the 14 known DFNA loci with markers from the Hereditary Hearing Loss Homepage (URL: http://dnalab-www.uia.ac.be/dnalab/hhh), a genome wide scan was carried out using 382 highly informative microsatellite markers at approximately 9.2 cM intervals throughout the genome. Linkage analysis was carried out under a fully penetrant autosomal dominant mode of inheritance with no phenocopies. A maximum two-point LOD score of 6.69 at theta=0 was obtained for marker D14S1040. Haplotype analysis placed the locus within a 7.6 cM genetic interval defined by marker D14S1021 and D14S70, overlapping with the DFNA9 locus.


Assuntos
Transtornos Cromossômicos/genética , Genes Dominantes , Perda Auditiva/genética , Proteínas/genética , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Transtornos Cromossômicos/patologia , Mapeamento Cromossômico , Cromossomos Humanos Par 14/genética , Proteínas da Matriz Extracelular , Feminino , Ligação Genética , Genoma Humano/genética , Haplótipos , Perda Auditiva/patologia , Humanos , Masculino , Repetições de Microssatélites/genética , Pessoa de Meia-Idade , Linhagem
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