Treatment of textile wastewaters using Eutectic Freeze Crystallization.

A water treatment process needs to recover both water and other useful products if the process is to be viewed as being financially and environmentally sustainable. Eutectic Freeze Crystallization (EFC) is one such sustainable water treatment process that is able to produce both pure ice (water) and pure salt(s) by operating at a specific temperature. The use of EFC for the treatment of water is particularly useful in the textile industry because ice crystallization excludes all impurities from the recovered water, including dyes. Also, EFC can produce various salts with the intention of reusing these salts in the process. This study investigated the feasibility of EFC as a treatment method for textile industry wastewaters. The results showed that EFC can be used to convert 95% of the wastewater stream to pure ice (98% purity) and sodium sulfate.

Improved calcium sulfate recovery from a reverse osmosis retentate using eutectic freeze crystallization.

A novel low temperature crystallization process called eutectic freeze crystallization (EFC) can produce both salt(s) and ice from a reverse osmosis (RO) stream by operating at the eutectic temperature of a solution. The EFC reject stream, which is de-supersaturated with respect to the scaling component, can subsequently be recycled back to the RO process for increased water recovery. This paper looks at the feasibility of using EFC to remove calcium sulfate from an RO retentate stream and compares the results to recovery rates at 0 and 20 °C. The results showed that there was a greater yield of calcium sulfate obtained at 0 °C as compared with 20 °C. Operation under eutectic conditions, with only a 20% ice recovery, resulted in an even greater yield of calcium sulfate (48%) when compared with yields obtained at operating temperatures of 0 and 20 °C (15% at 0 °C and 13% at 20 °C). The theoretical calcium recoveries were found to be 75 and 70% at 0 and 20 °C respectively which was higher than the experimentally determined values. The EFC process has the added advantage of producing water along with a salt.

Angiogenesis induced by "normal" human breast tissue: a probable marker for precancer.

Normal human breast lobules, freshly isolated by precision microdissection of tissue stained with methylene blue chloride, were assayed for their ability to induce neovascularization (angiogenesis) in rabbit irises. Histologically, normal lobules from cancerous breast induced angiogenesis twice as often as lobules from noncancerous breasts, suggesting that preneoplastic transformation is diffuse.

Lymphocyte effector molecules: an vitro production method for obtaining liter volumes of supernatants from mitogen-stimulated human lymphocytes.

An in vitro method has been developed utilizing phytohemagglutinin (PHA) activated lymphocytes obtained from human tonsils and adenoids which permit the accumulation of multi-liter quantities of cell-free supernatants containing lymphotoxin and other lymphocyte effector molecules (LEM). An enriched media is employed which contains a large molecular weight, heat stable bovine serum fraction which supports lymphoid cell activation and levels of LEM secretion equal to that of cultures maintained in medium supplemented with whole serum. Elimination of whole serum from the media greatly reduces overall protein concentrations and facilitates concentration and purification studies. Various technical aspects of these cultures have been examined, i.e.: 1) cell concentration, 2) kinetics of LT production over a ten-day period, 3) mitogen dosage, and 4) types of media. Supernatants can be harvested repeatedly from a single culture over the ten day period, thus doubling the yield of LEM collected from a single culture.

Oestrogen-induced apoptosis in colonocytes expressing oestrogen receptor beta.

Epidemiological studies of postmenopausal hormone replacement therapy show a reduction in the risk of developing colon cancer, and animal studies using 17beta-oestradiol (E(2)) demonstrate a decreased incidence of chemically-induced colon cancer. Using the colon cancer cell line, COLO205, we found that E(2) induced a dose-dependent increase in DNA fragmentation and nuclear condensation, significant effects being seen at 10(-12 )mol/l. BSA-conjugated E(2), which cannot enter cells, was ineffective at inducing apoptosis in COLO205 cells, indicating that E(2) was not acting through a cell-membrane receptor. E(2) did not induce the morphological changes characteristic of differentiation. Using RT-PCR we found that the oestrogen receptor alpha (ERalpha) isoform was absent in the COLO205 cell line in contrast to CACO-2, LoVo and SW620 cells, but mRNAs for ERbeta1, -beta2, -beta5 and -beta6 isoforms were detected. Western immunoblotting results showed full-length ERbeta protein but no detectable ERalpha in COLO205 cells. In normal human colon tissue samples immunoreactive ERbeta was found but ERalpha was barely detectable. Expression of ERbeta was lost in some colon cancer specimens and reduced in others. We conclude that E(2), through ERbeta, at concentrations found during replacement therapy, may inhibit the development of colon cancer by inducing apoptosis.

Thyroid heterotopia as a rare cause of intrapericardial tumoral mass case report and review of the literature.

This article describes the interesting discovery of a large tumoral mass formed of heterotopic thyroid tissue inside the pericardial cavity of an elderly man who died of unrelated causes. Heterotopic thyroid tissue may be found in many locations throughout the body. Intracardiac and intrapericardial locations, however, are exceptionally rare-this is only the second report of intrapericardial thyroid heterotopia. Such cases may be explained by the proximity of the developing cardiac structures and the foregut, the latter containing thyroid primordia during early embryogenesis.

Clinical evaluation of automated refraction in anterior chamber pseudophakia.

Automated refraction with the Canon RK-1 Autoref keratometer was evaluated in 85 eyes of 85 patients with an anterior chamber intraocular lens implant and a best corrected visual acuity of at least 6/12. Autorefraction readings were obtained in 80 (94%) of these eyes. The agreement between autorefraction and clinical refraction data was 89% for spherical equivalence less than 0.51 dioptres (D), 91% for sphere power less than 0.51 D, 82% for cylinder power less than 0.51 D, and 91% for cylinder axis less than 11 degrees. Autorefraction provides acceptably accurate postoperative refraction values in anterior chamber pseudophakia.

The epidemiology of ocular trauma in rural Nepal.

AIMS: To estimate the incidence of ocular injury in rural Nepal and identify details about these injuries that predict poor visual outcome. METHODS: Reports of ocular trauma were collected from 1995 through 2000 from patients presenting to the only eye care clinic in Sarlahi district, Nepal. Patients were given a standard free eye examination and interviewed about the context of their injury. Follow up examination was performed 2-4 months after the initial injury. RESULTS: 525 cases of incident ocular injury were reported, with a mean age of 28 years. Using census data, the incidence was 0.65 per 1000 males per year, and 0.38 per 1000 females per year. The most common types of injury were lacerating and blunt, with the majority occurring at home or in the fields. Upon presentation to the clinic, 26.4% of patients had a best corrected visual acuity worse than 20/60 in the injured eye, while 9.6% had visual acuity worse than 20/400. 82% were examined at follow up: 11.2% of patients had visual acuity worse than 20/60 and 4.6% had vision worse than 20/400. A poor visual outcome was associated with increased age, care sought at a site other than the eye clinic, and severe injury. 3% of patients were referred for further care at an eye hospital at the initial visit; 7% had sought additional care in the interim between visits, with this subset representing a more severe spectrum of injuries. CONCLUSIONS: The detrimental effects of delayed care or care outside of the specialty eye clinic may reflect geographic or economic barriers to care. For optimal visual outcomes, patients who are injured in a rural setting should recognise the injury and seek early care at a specialty eye care facility. Findings from our study suggest that trained non-ophthalmologists may be able to clinically manage many eye injuries encountered in a rural setting in the "developing" world, reducing the demand for acute services of ophthalmologists in remote locations of this highly agricultural country.

Monocyte function in rhesus monkeys with simian acquired immune deficiency syndrome.

Monocyte function in rhesus monkeys with simian acquired immune deficiency syndrome (SAIDS) was compared with that in age-matched normal juvenile rhesus monkeys. The functional tests were 1) chemotaxis, 2) phagocytosis of opsonized Candida albicans, 3) killing and/or growth inhibition of Candida albicans, 4) generation of respiratory burst, and 5) monocyte-derived macrophage response (morphology and/or respiratory burst) to stimulating agents such as lymphokines, gamma interferon, endotoxin, and phorbol myristate acetate. The monkeys tested had either clinical SAIDS (alive with lymphadenopathy, splenomegaly, and lymphopenia or neutropenia) or had terminal SAIDS (moribund due to the disease). Responses of monocytes from 14 monkeys with clinical SAIDS were indistinguishable from those of 9 normal juvenile rhesus monkeys, whereas monocytes from 3 monkeys with terminal SAIDS had enhanced phagocytosis and respiratory burst capacity. Chemotaxis, candidacidal/stasis activity, and response to stimulating agents were normal in these terminal cases. Plasma from the SAIDS monkeys was as capable of opsonizing yeasts and of being able to generate chemotactic factors by endotoxin as was control plasma. SAIDS retrovirus (SRV) was detected by co-cultivation of pure monocyte-derived macrophage cultures with Raji cells, an indicator cell line which forms syncytia in the presence of SRV. Four terminal SAIDS cases and one late-stage clinical SAIDS case were virus-positive when the number of macrophages in the cultures ranged from less than 50 to about 500. Terminal SAIDS monocyte-derived macrophages in culture as long as 17 days produced SRV. These data show that in monkeys with SAIDS the major effector functions of monocytes and macrophages involved in host defense are intact (even up until death). Additionally, some of the monocytes are productively infected, and these infected monocytes are viable and adherent in culture.

Reducing burnout: development of an oncology staff bereavement program.

PURPOSE/OBJECTIVES: To understand the necessity of providing a mechanism for staff bereavement that promotes stress reduction and enhances job longevity in the oncology nursing work environment and to describe the implementation of one such program. DATA SOURCES: Journal articles and on-site resources. DATA SYNTHESIS: Personnel conflicts, job dissatisfaction, and workplace burnout caused by constant patient loss are common in oncology nursing. The work setting must offer support for staff to deal with these conflicts to prevent burnout and decrease dissatisfaction. This can foster a sense of understanding among colleagues and provide support mechanisms for closure and acceptance of perpetual patient loss. CONCLUSION: Conflicts, dissatisfaction, and other sources of burnout must be contained so that oncology nurses remain in their vital roles. The potential for long-term professional fulfillment and improved quality of nursing care for patients and their families is increased by implementation of support mechanisms. IMPLICATIONS FOR NURSING PRACTICE: Educating colleagues about the multifaceted role of the oncology nurse can increase the staff's awareness of the need for support. Implementation of a program to reduce the stressors that oncology nurses encounter will encourage improved care delivery.

Prioritising objectives for waste reprocessing: a case study in secondary lead refining.

Secondary lead refining produces a sulphidic slag that also contains varying quantities of lead. Initially, the objectives of this project were to treat the slag in order to recover the valuable lead as well as to render the slag environmentally benign. However, in keeping with the principles of clean technology and, specifically, the approach of clean production, the project was redefined with the following priorities: waste characterisation; waste minimisation through process improvement; waste modification; identification of slag treatment methods. Characterisation of the waste facilitated an overall process understanding and aided in identifying process deficiencies. Process improvement was aimed at reducing both the quantity of slag produced as well as the lead loss to the slag. Waste characterisation combined with local hazardous waste regulations enabled desirable waste modifications to be identified. These waste adaptations were implemented through process modification. Lastly, treatment methods for the slag were identified.

Metal sulphides from wastewater: assessing the impact of supersaturation control strategies.

Metal sulphide precipitation forms an important component of acid mine drainage remediation systems based on bacterial sulphate reduction. However, the precipitation reaction is inherently driven by very high levels of supersaturation with the generation of small particles with poor solid-liquid separation characteristics. In this study, the effect of strategies used to manage supersaturation was investigated during copper and zinc sulphide precipitation reactions. Initial batch studies showed the origin of sulphide (biological or chemical) had no significant effect on the efficiency of zinc sulphide precipitation. For copper, low metal removal efficiency was obtained at metal to sulphide molar ratios below 1.6 in the synthetic sulphide system. This was improved in the biogenic sulphide system, due to the presence of residual volatile fatty acids, but the presence or absence of particulate organic matter had no effect on recovery. Subsequent studies, conducted using synthetic sulphide solutions in a seeded fluidised bed reactor with multiple reagent feed points (2FP and 6FP) and different recirculation flow rates (300 and 120 mL min(-1)) showed efficient zinc sulphide precipitation, but limited (<10%) deposition on the seeds. Increasing the number of sulphide feed points (2-6) reduced precipitate loss as fines by approximately 10%. Zinc sulphide fines could be effectively recovered from suspension by settling under quiescent conditions. In the copper system, metal recovery was low (ca 40%) due to the formation of very small copper sulphide particles (mean particle size of ca 0.01 µm). Increasing the number of reagent feed points did not affect supersaturation to the extent of altering particle characteristics. The copper sulphide fines could not be recovered by settling, remaining in a stable colloidal suspension due to their highly charged surfaces (zeta potential -50 mV). The change in recirculation flow rate had a limited effect (ca 5% improvement) on process efficiency. The results show that the extremely high supersaturation prevalent during metal sulphide precipitation is difficult to control using conventional approaches and suggest that the seeded fluidised bed reactor is not suitable for this application.

Effect of solution chemistry on particle characteristics during metal sulfide precipitation.

Metal sulfide precipitation forms an important component of acid mine drainage remediation systems based on bacterial sulfate reduction. The precipitation reaction is thermodynamically favorable, but a number of technical issues remain. In this study the effect of metal to sulfide molar ratio and operating pH on the nature and settling characteristics of copper and zinc sulfide precipitates was studied in a CSTR. A large number of small copper sulfide particles, with highly negatively charged surfaces and poor settling characteristics, were formed in the presence of a stoichiometric excess of sulfide at pH 6. The size and the settling characteristics of the particles were significantly improved, while the number of particles and magnitude of their zeta potential decreased when experiments were conducted at pH values <6. By comparison, for zinc sulfide, a small change in the number and size of the particles was observed for all metal to sulfide molar ratios and tested operating pH values. Precipitates generated at pH 6 had the most negative zeta potential, while operating at pH values <6 reduced the magnitude of the negative surface charge and improved the settling and dewatering characteristics of the precipitate. The data indicated that the amount of reactive sulfide species (HS(-) and S(2-) ions) available in solution during the precipitation process was important in determining the nature and surface characteristics of the particles produced and this was mainly dependent on pH.

The glucagonoma syndrome.

The glucagonoma syndrome is another of those systemic disorders in which skin manifestations provide a clue to the diagnosis. The patient will most often be a middle-aged woman who has the characteristic, indolent skin lesions in the face of diabetes mellitus and additional features to suggest an occult carcinoma. Marked elevation of the levels of plasma glucagon should confirm the suspicion cure of the skin lesions follows cure of the tumor. Two lines of speculation seem promising. Either the initial event is an overproduction of glucagon and all other observations follow. Or the syndrome is another of the polyendocrine disorders. Cases are still too few to resolve either the pathophysiology, prognosis, or even to guess at the true frequency of the syndrome.

Skin reactions to sunscreens.

Sunscreen reactions are said not to be uncommon. A population referred to a patch testing clinic was evaluated for reactions to sunscreen by questionnaire initially and then, if relevant, by patch testing to sunscreen products and their components. Irritant reactions were more common than allergic contact dermatitis. Allergic reactions to sunscreens were less common than to non-sunscreen chemicals present in sunscreen products.