Identifying dementia in Down syndrome with the Severe Impairment Battery, Brief Praxis Test and Dementia Scale for People with Learning Disabilities.

BACKGROUND: Individuals with Down syndrome (DS) are at high risk for dementia, specifically Alzheimer's disease. However, many measures regularly used for the detection of dementia in the general population are not suitable for individuals with DS due in part to floor effects. Some measures, including the Severe Impairment Battery (SIB), Brief Praxis Test (BPT) and Dementia Scale for People with Learning Disabilities (DLD), have been used in clinical trials and other research with this population. Validity research is limited, particularly regarding the use of such tools for detection of prodromal dementia in the DS population. The current project presents baseline cross-sectional SIB, BPT and DLD performance in order to characterise their predictive utility in discriminating normal cognition, possible dementia and probable dementia in adult DS. METHOD: Baseline SIB, BPT and DLD performances from 100 individuals (no dementia = 68, possible dementia = 16 & probable dementia = 16) were examined from a longitudinal cohort of aging individuals with DS. Receiver operating characteristic curves investigated the accuracy of these measures in relation to consensus dementia diagnoses, diagnoses which demonstrated high percent agreement with the examining neurologist's independent diagnostic impression. RESULTS: The SIB and BPT exhibited fair discrimination ability for differentiating no/possible versus probable dementia [area under the curve (AUC) = 0.61 and 0.66, respectively]. The DLD exhibited good discrimination ability for differentiating no versus possible/probable dementia (AUC = 0.75) and further demonstrated better performance of the DLD Cognitive subscale compared with the DLD Social subscale (AUC = 0.77 and 0.67, respectively). CONCLUSIONS: Results suggest that the SIB, BPT and DLD are able to reasonably discriminate consensus dementia diagnoses in individuals with DS, supporting their continued use in the clinical assessment of dementia in DS. The general performance of these measures suggests that further work in the area of test development is needed to improve on the AUCs for dementia status discrimination in this unique population. At present, however, the current findings suggest that the DLD may be the best option for reliable identification of prodromal dementia in this population, reinforcing the importance of including informant behaviour ratings in assessment of cognition for adults with DS.

A preliminary study of cerebral blood flow, aging and dementia in people with Down syndrome.

BACKGROUND: People with Down syndrome (DS) develop Alzheimer's disease (AD) at an earlier age of onset than those with sporadic AD. AD neuropathology is typically present in DS by 40 years of age with an onset of dementia approximately 10 years later. This early onset is due to the overexpression of amyloid precursor protein from the third copy of chromosome 21. Cerebrovascular neuropathology is thought to contribute in 40-60% of cases sporadic AD. However, the vascular contribution to dementia in people with DS has been relatively unexplored. We hypothesised that vascular perfusion is compromised in older adults with DS relative to younger individuals and is further exacerbated in those with dementia. METHOD: Cerebral blood flow (CBF) was measured using pulsed arterial spin labelling in 35 cognitively characterised adults with DS (26-65 years). DS participants were also compared with 15 control subjects without DS or dementia (26-65 years). Linear regression evaluated the difference in CBF across groups and diagnosis along with assessing the association between CBF and cognitive measures within the DS cohort. RESULTS: Cerebral blood flow was significantly lower among DS participants with probable AD compared with controls (P = 0.02) and DS participants with no dementia (P = 0.01). Within the DS cohort, CBF was significantly associated with the Severe Impairment Battery (SIB) measure and the Dementia Questionnaire for People with Learning Disabilities (DLD) rating (F3,25  = 5.13; P = 0.007). Both the SIB (ß = 0.74; t = 2.71; P = 0.01) and DLD (ß = -0.96; t = -3.87; P < 0.001) indicated greater impairment as global CBF decreased. Age was significantly associated with CBF among participants with DS. There was a non-linear effect of age, whereby CBF declined more rapidly after 45 years of age. CONCLUSIONS: This preliminary study of CBF in DS indicates that cerebrovascular pathology may be a significant contributor to dementia in DS. CBF was associated with diagnosis, cognition and age. Notably, CBF decreases at a greater rate after age 45 and may represent a significant prodromal event in AD progression.

Changes over time in mental well-being, fruit and vegetable consumption and physical activity in a community-based lifestyle intervention: a before and after study.

OBJECTIVES: There is a theoretical basis for believing that healthy lifestyle interventions can improve mental well-being and evidence to show that mental well-being is protective of future health. This study contributes to the evidence base by examining changes in mental well-being associated with the One Body One Life (OBOL) healthy lifestyle programme in a community setting in the West Midlands. STUDY DESIGN: Quantitative, before and after the evaluation. METHODS: We conducted a before and after study of the lifestyle intervention 'OBOL', a multi component intervention that includes exercise and healthy eating education. Mental well-being was measured with the Warwick-Edinburgh Mental Well-being Scale. Physical activity and fruit and vegetable consumption were self-reported. Measures were collected before and after the 12-week intervention and three months post completion. Non-parametric tests were used to assess differences between groups, and linear mixed models were used to assess change over time. RESULTS: Four hundred and eighty-one (81% of attendees) adult participants completed a valid Warwick-Edinburgh Mental Well-being Scale before starting OBOL; of whom, 63.8% completed the Warwick-Edinburgh Mental Well-being Scale immediately post intervention and 25.2% at three months. Mental well-being levels increased significantly (P < 0.001) over the course of the intervention and were sustained at the three-month follow-up (baseline median Warwick-Edinburgh Mental Well-being Scale score = 48 [interquartile range 41-55], completion = 53 [interquartile range 46-57], 3-month follow-up = 52 [interquartile range 46-56]). Change in mental well-being was clinically significant after accounting for age and gender. Changes in both fruit and vegetable consumption and physical activity appeared to explain some but not all of the variation in mental well-being. CONCLUSION: We found significant improvements in mental well-being among participants directly after the intervention which were sustained at the three-month follow-up. These findings contribute to a growing body of knowledge on the contribution of lifestyle interventions to promoting and sustaining mental well-being.

Molecular dynamics investigation of desorption and ion separation following picosecond infrared laser (PIRL) ablation of an ionic aqueous protein solution.

Molecular dynamics simulations were performed to characterize the ablation process induced by a picosecond infrared laser (PIRL) operating in the regime of desorption by impulsive vibrational excitation (DIVE) of a model peptide (lysozyme)/counter-ion system in aqueous solution. The simulations were performed for ablation under typical experimental conditions found within a time-of-flight mass spectrometer (TOF-MS), that is in vacuum with an applied electric field (E = ± 107 V/m), for up to 2 ns post-ablation and compared to the standard PIRL-DIVE ablation condition (E = 0 V/m). Further, a simulation of ablation under an extreme field condition (E = 1010 V/m) was performed for comparison to extend the effective dynamic range of the effect of the field on charge separation. The results show that the plume dynamics were retained under a typical TOF-MS condition within the first 1 ns of ablation. Efficient desorption was observed with more than 90% of water molecules interacting with lysozyme stripped off within 1 ns post-ablation. The processes of ablation and desolvation of analytes were shown to be independent of the applied electric field and thus decoupled from the ion separation process. Unlike under the extreme field conditions, the electric field inside a typical TOF-MS was shown to modify the ions' motion over a longer time and in a soft manner with no enhancement to fragmentation observed as compared to the standard PIRL-DIVE. The study indicates that the PIRL-DIVE ablation mechanism could be used as a new, intrinsically versatile, and highly sensitive ion source for quantitative mass spectrometry.

Towards instantaneous cellular level bio diagnosis: laser extraction and imaging of biological entities with conserved integrity and activity.

The prospect for spatial imaging with mass spectroscopy at the level of the cell requires new means of cell extraction to conserve molecular structure. To this aim, we demonstrate a new laser extraction process capable of extracting intact biological entities with conserved biological function. The method is based on the recently developed picosecond infrared laser (PIRL), designed specifically to provide matrix-free extraction by selectively exciting the water vibrational modes under the condition of ultrafast desorption by impulsive vibrational excitation (DIVE). The basic concept is to extract the constituent protein structures on the fastest impulsive limit for ablation to avoid excessive thermal heating of the proteins and to use strongly resonant 1-photon conditions to avoid multiphoton ionization and degradation of the sample integrity. With various microscope imaging and biochemical analysis methods, nanoscale single protein molecules, viruses, and cells in the ablation plume are found to be morphologically and functionally identical with their corresponding controls. This method provides a new means to resolve chemical activity within cells and is amenable to subcellular imaging with near-field approaches. The most important finding is the conserved nature of the extracted biological material within the laser ablation plume, which is fully consistent with in vivo structures and characteristics.

Can serial PEF measurements separate occupational asthma from allergic alveolitis?

BACKGROUND: Occupational asthma commonly results in work-related changes in serial peak expiratory flow (PEF) measurements. Whether alveolitis can result in similar changes is unknown. AIMS: To identify differences and similarities of serial PEF between workers with occupational alveolitis and asthma seen during an outbreak investigation in a factory with metal-working fluid exposure. METHODS: Workers with respiratory symptoms and rest-day improvement were identified by questionnaire. Each was asked to measure PEF 8 times daily for 4 weeks at home and work. Alveolitis was subsequently diagnosed from a validated scoring system including radiological changes, carbon monoxide diffusing capacity, bronchoalveolar lavage and biopsy results. Occupational asthma was confirmed with a positive Oasys score >2.5 and a mean rest-work PEF >16 l/min from serial 2-hourly PEF measurements. The Oasys PEF plotter calculated differences between rest and workdays for mean PEF, diurnal variation and the scores were used to confirm an occupational effect (Oasys, area between curve and time point). Records were compared between the alveolitis group and the group with occupational asthma without alveolitis. RESULTS: Forty workers with occupational asthma and 16 with alveolitis had indistinguishable PEF changes on workdays in terms of magnitude (median reduction 18.5 and 16.1 l/min, respectively) and diurnal variation. Immediate reactions were more common with occupational asthma and late reactions more common with alveolitis. CONCLUSIONS: PEF responses to metal-working fluid aerosols do not distinguish occupational asthma from alveolitis except in timing. They can be used to identify the workplace as the cause of asthma and also alveolitis.

Parent-only interventions in the treatment of childhood obesity: a systematic review of randomized controlled trials.

BACKGROUND: An effective and cost-effective treatment is required for the treatment of childhood obesity. Comparing parent-only interventions with interventions including the child may help determine this. METHODS: A systematic review of published and ongoing studies until 2013, using electronic database and manual searches. INCLUSION CRITERIA: randomized controlled trials, overweight/obese children aged 5-12 years, parent-only intervention compared with an intervention that included the child, 6 months or more follow-up. Outcomes included measures of overweight. RESULTS: Ten papers from 6 completed studies, and 2 protocols for ongoing studies, were identified. Parent-only groups are either more effective than or similarly effective as child-only or parent-child interventions, in the change in degree of overweight. Most studies were at unclear risk of bias for randomization, allocation concealment and blinding of outcome assessors. Two trials were at high risk of bias for incomplete outcome data. Four studies showed higher dropout from parent-only interventions. One study examined programme costs and found parent-only interventions to be cheaper. CONCLUSIONS: Parent-only interventions appear to be as effective as parent-child interventions in the treatment of childhood overweight/obesity, and may be less expensive. Reasons for higher attrition rates in parent-only interventions need further investigation.

Phosphorus retention in a 20-year-old septic system filter bed.

Septic systems in lakeshore environments often occur where thin soils overlie bedrock and, consequently, filter beds may be constructed of imported filter sand. The objective of this study was to assess the mobility of wastewater phosphorus (P) in such a potentially vulnerable setting by examining a 20-yr-old domestic septic system located near Parry Sound, ON, Canada, where the filter bed is constructed of imported noncalcareous sand. The groundwater plume is acidic (pH 6.0) and has a zone of elevated PO-P (up to 3.1 ± 1.7 mg L) below the tile lines but no elevated PO-P is present beyond 5 m from the tile lines. Elevated concentrations of desorbable P (up to 137 mg kg) and acid-extractable P (up to 3210 mg kg) occur in the filter sand within 1 m below four of seven tile lines present and the total mass of excess acid-extractable P (39 kg) is similar to the estimated total lifetime P loading to the system (33 kg). Microprobe images reveal abundant Fe and Al-rich authigenic mineral coatings on the sand grains that are increasingly P rich (up to 10% w/w P) near the tile lines. Additionally, 6 yr of monitoring data show that groundwater PO concentrations are not increasing. This indicates that mineral precipitation, not adsorption, dominates P immobilization at this site. This example of robust long-term P retention opens up the possibility of improving P removal in on-site treatment systems by prescribing specific sand types for filter bed construction.

Investigation of an Escherichia coli environmental benchmark for waterborne pathogens in agricultural watersheds in Canada.

Canada's National Agri-Environmental Standards Initiative sought to develop an environmental benchmark for low-level waterborne pathogen occurrence in agricultural watersheds. A field study collected 902 water samples from 27 sites in four intensive agricultural watersheds across Canada from 2005 to 2007. Four of the sites were selected as reference sites away from livestock and human fecal pollution sources in each watershed. Water samples were analyzed for Campylobacter spp., Salmonella spp., Escherichia coli O157:H7, Cryptosporidium spp., Giardia spp., and the water quality indicator E. coli. The annual mean number of pathogen species was higher at agricultural sites (1.54 ± 0.07 species per water sample) than at reference sites (0.75 ± 0.14 species per water sample). The annual mean concentration of E. coli was also higher at agricultural sites (491 ± 96 colony-forming units [cfu] 100 mL(-1)) than at reference sites (53 ± 18 cfu 100 mL(-1)). The feasibility of adopting existing E. coli water quality guideline values as an environmental benchmark was assessed, but waterborne pathogens were detected at agricultural sites in 80% of water samples with low E. coli concentrations (<100 cfu 100 mL(-1)). Instead, an approach was developed based on using the natural background occurrence of pathogens at reference sites in agricultural watersheds to derive provisional environmental benchmarks for pathogens at agricultural sites. The environmental benchmarks that were derived were found to represent E. coli values lower than geometric mean values typically found in recreational water quality guidelines. Additional research is needed to investigate environmental benchmarks for waterborne pathogens within the context of the "One World, One Health" perspective for protecting human, domestic animal, and wildlife health.

Acoustic impulse response method as a source of undergraduate research projects and advanced laboratory experiments.

A straightforward and inexpensive implementation of acoustic impulse response measurement is described utilizing the signal processing technique of coherent averaging. The technique is capable of high signal-to-noise measurements with personal computer data acquisition equipment, an amplifier/speaker, and a high quality microphone. When coupled with simple waveguide test systems fabricated from commercial PVC plumbing pipe, impulse response measurement has proven to be ideal for undergraduate research projects-often of publishable quality-or for advanced laboratory experiments. The technique provides important learning objectives for science or engineering students in areas such as interfacing and computer control of experiments; analog-to-digital conversion and sampling; time and frequency analysis using Fourier transforms; signal processing; and insight into a variety of current research areas such as acoustic bandgap materials, acoustic metamaterials, and fast and slow wave manipulation.

Two-year follow-up of the 'Families for Health' programme for the treatment of childhood obesity.

BACKGROUND: The high prevalence of obesity in children in the UK warrants continuing public health attention. 'Families for Health' is a family-based group programme for the treatment of childhood obesity. Significant improvements in body mass index (BMI) z-score (-0.21, 95% CI: -0.35 to -0.07, P = 0.007) and other health outcomes were seen in children at a 9-month follow-up. AIM: To undertake a 2-year follow-up of families who attended 'Families for Health' in Coventry, to assess long-term outcomes and costs. METHODS: 'Families for Health' is a 12-week programme with parallel groups for parents and children, addressing parenting skills, healthy lifestyles and emotional well-being. The intervention was delivered at a leisure centre in Coventry, England, with 27 overweight or obese children aged 7-13 years (18 girls, 9 boys) and their parents, from 21 families. A 'before-and-after' evaluation was completed with 19 (70%) children followed up at 2 years. The primary outcome was change in BMI z-score from baseline; secondary outcomes were children's quality of life, parent-child relationships, eating/activity habits and parents' mental health. Costs to deliver the intervention and to families were recorded. RESULTS: Mean change in BMI z-score from baseline was -0.23 (95% CI: -0.42 to -0.03, P = 0.027) at the 2-year follow-up and eight (42%) children had a clinically significant reduction in BMI z-score. Significant improvements were seen in children's quality of life and eating habits in the home, while there were sustained reductions in unhealthy foods and sedentary behaviour. Fruit and vegetable consumption and parent's mental health were not significantly different at 2 years. Costs of the programme were £517 per family (£402 per child), equivalent to £2543 per unit reduction in BMI z-score. CONCLUSIONS: Improvements in BMI z-score and certain other outcomes associated with the 'Families for Health' programme were sustained at the 2-year follow-up. 'Families for Health' is a promising new childhood obesity intervention, and a randomized controlled trial is now indicated.

Treatment of wastewater phosphate by reductive dissolution of iron: use of ferric oxyhydroxide media.

In smaller wastewater treatment systems such as septic systems, there is an interest in the development of passive phosphorus (P) removal methods. This study tested fixed-bed filters containing ferric oxyhydroxide media for wastewater P removal in a laboratory column test and in a full-scale domestic septic system. In the column test, during 30 mo of dosing with domestic wastewater, reductive iron dissolution reactions delivered consistent moderate concentrations of Fe into solution (2.9 ± 1.6 mg L), and influent PO-P of 3.7 ± 1.0 mg L was attenuated to 0.09 + 0.04 mg L in the column effluent (98% removal). Phosphorus breakthrough at successive locations along the column indicated that in addition to sorption, mineral precipitation reactions probably also played an important role in the observed P attenuation. This was supported by electron microprobe analyses, which showed the presence of thick (20 µm) secondary Fe-rich coatings containing P on the primary ferric media grains. Assays of NaHCO-leachable and acid-extractable P on the column solids showed accumulation of up to 5.4 mg g acid-extractable P near the column inlet, but <5% of this amount was easily desorbable, further indicating P attenuation from processes other than sorption. Over 19 mo of operation, the domestic septic system also showed generally consistent increased Fe in the filter effluent (2.6 ± 1.7 mg L) and achieved 99% P removal to 0.03 ± 0.02 mg L when the effluent was subsequently oxidized in a sand filter. Ferric iron filters could be attractive options for P removal in smaller wastewater systems because of their passive nature.

Rediscovering the art of medicine, rewards, and risks: Physicians' experience of providing medical assistance in dying in Canada.

BACKGROUND: Medical assistance in dying opens up uncharted professional territory for Canadian physicians extending their practices to include assisting and hastening death for eligible patients. OBJECTIVES: To understand physicians' experience of participating in assisted dying and the emotional and professional impact. METHODS: An interpretive descriptive methodology and thematic analysis were used for this research. We interviewed eight physicians engaged in assessing and providing medical assistance in dying. Data were collected through audio taped, semi-structured interviews in person or by phone. RESULTS: Three overarching themes included (1) rediscovering the art of medicine, (2) unexpected rewards, and (3) negotiating risks and challenges. Each theme has accompanying sub-themes. CONCLUSION: Medical assistance in dying is markedly different from other physicians' practices in that it has an enriched capacity for caring. The process brings deep satisfaction characterized by intimate, personalized contact with patients and families. The professional rewards of providing medical assistance in dying outweigh the challenges, offering an alternative narrative to more publicly accepted views of assisting someone to die.

Ascorbic acid deficiency in cultured human fibroblasts.

Fibroblasts grown in medium containing less than 1 microg of ascorbic acid per milliliter showed evidence of ascorbic acid deficiency when compared with cells grown in medium containing 50 microg of ascorbic acid per milliliter. This was manifested morphologically by dilated endoplasmic reticulum, a decrease in number, size, and intensity of staining of the mitochondria, by defective intercellular fibril formation, and by easy disaggregation of the cells from the intercellular matrix after treatment with pronase. When 50 microg per milliliter of ascorbic acid was incorporated into the medium, the altered morphology was corrected, banded fibrils were produced which were organized into bundles, and the cells were tightly bound in a matrix which was resistant to disaggregation with a variety of proteolytic enzymes. Collagen and sulfated glycosaminoglycan synthesis were less in the control than in the ascorbic acid supplemented cells. Similar morphological and chemical changes have been reported in the connective tissue of scorbutic animals. The effects of low ascorbic acid concentration on fibroblasts in culture indicate that these cells require ascorbic acid to maintain connective tissue functions.

Vitamin C-induced increase of dermatan sulfate in cultured Hurler's fibroblasts.

In fibroblasts taken from patients witli Hurler's syndromne and grown in cultlure, dermatan sulfate constituted a larger percentage of the total sulfated glycosaminoglycans than it did in cultured fibroblasts from unaffected individuals. Moreover, the addition of ascorbic acid (vitamnin C) to the culture medium markedly increased the concentration of dermatan sulfate in the Hurler's fibroblasts but not in the normal fibroblasts. The biochemical phenotype of the Hurler's cells persisted during 28 weeks of serial culture.

In-stream bioreactor for agricultural nitrate treatment.

Nitrate from agricultural activity contributes to nutrient loading in surface water bodies such as the Mississippi River. This study demonstrates a novel in-stream bioreactor that uses carbonaceous solids (woodchips) to promote denitrification of agricultural drainage. The reactor (40 m3) was trenched into the bottom of an existing agricultural drainage ditch in southern Ontario (Avon site), and flow was induced through the reactor by construction of a gravel riffle in the streambed. Over the first 1.5 yr of operation, mean influent NO3-N of 4.8 mg L(-1) was attenuated to 1.04 mg L(-1) at a mean reactor flow rate of 24 L min(-1). A series of flow-step tests, facilitated by an adjustable height outlet pipe, demonstrated that nitrate mass removal generally increased with increasing flow rate. When removal rates were not nitrate-limited, areal mass removal ranged from 11 mg N m(-2) h(-1) at 3 degrees C to 220 mg N m(-2) h(-1) at 14 degrees C (n = 27), exceeding rates reported for some surface-flow constructed wetlands in this climatic region by a factor of about 40. Over the course of the field trial, reactor flow rates decreased as a result of silt accumulation on top of the gravel infiltration gallery. Design modifications are currently being implemented to mitigate the effects of siltation. In-stream reactors have the potential to be scaled larger and could be more manageable than attempting to address nitrate loading from individual tile drains. They could also work well in combination with other nitrate control techniques.

Sulfamate in environmental waters.

Although sulfamate (the anion of sulfamic acid) has been in use for decades in various industrial and other applications, there is no previously published information about its occurrence and fate in environmental waters. In this study sulfamate was widely detected in environmental waters in Ontario, Canada, ranging up to 128,000ng/L. It was always detected (>100ng/L) in bulk precipitation samples and streams, it was usually detected in samples of lake water, and often detected in groundwater. Spatial and temporal variations suggest that both widespread atmospheric deposition and localized land-based anthropogenic sources of sulfamate may be important. Lower concentrations or non-detections of sulfamate in waters that had relatively low dissolved oxygen (e.g. some groundwaters) suggest that sulfamate may be degraded in the environment under suboxic or anoxic conditions. Given our findings of a wide distribution of sulfamate in environmental waters, including precipitation, it is not likely to be very useful as a wastewater tracer.

Traditional vs accelerated approaches to post-operative rehabilitation following matrix-induced autologous chondrocyte implantation (MACI): comparison of clinical, biomechanical and radiographic outcomes.

OBJECTIVE: To determine the effectiveness of 'accelerated' compared to 'traditional' post-operative load bearing rehabilitation protocols following matrix-induced autologous chondrocyte implantation (MACI). METHOD: A randomized controlled study design was used to investigate clinical, biomechanical and radiographic assessment at 3 months post-surgery in 62 patients following MACI to the medial or lateral femoral condyle. Both rehabilitation interventions sought to protect the implant for an initial period, then incrementally increase load bearing. Under the 'accelerated' protocol, patients reached full weight bearing at 8 weeks post-surgery, compared to 11 weeks for the 'traditional' group. RESULTS: Patients in the 'accelerated' group achieved greater 6 min walk distances and daily activity levels as measured by accelerometry (P<0.05) compared to the 'traditional' group. Furthermore, the 'accelerated' group reported significantly better improvement in knee pain at 12 weeks as indicated by the Knee Injury and Osteoarthritis Outcome Score (P<0.05), and regardless of the rehabilitation protocol employed, no patient suffered any adverse effect to the implant as assessed by magnetic resonance imaging at 3 months. Comparison of each rehabilitation group with an unaffected control group revealed a significant difference in peak knee adduction and flexion moments for the traditional group (P<0.05). However, there was no difference for accelerated patients (P>0.05), which may demonstrate a faster return to knee loading patterns typically observed in unaffected subjects. CONCLUSION: The 'accelerated' load bearing approach that reduced the length of time spent ambulating on crutches resulted in reduced knee pain, improved function, no graft complications and may speed up the recovery of normal gait function. Patient follow-up to at least 24 months would be required to observe longer-term graft outcomes.

Irreversible phosphorus sorption in septic system plumes?

The mobility of phosphorus (P) in septic system plumes remains a topic of debate because of the considerable reactivity of this constituent. In this study, a septic system plume in Ontario was monitored over a 16-year period with detail that clearly shows the advancing frontal portion of the P plume. This monitoring record provides insight into the extent of secondary P attenuation in the ground water zone beyond that available from previous studies. A P plume 16 m in length developed over the monitoring period with PO(4)-P concentrations (3 to 6 mg/L) that approached the concentrations present under the tile bed. Simulations using an analytical model showed that when first-order solute decay was considered to account for the possibility of secondary P attenuation in the ground water zone, field values could only be matched when decay was absent or occurred at an exceedingly slow rate (half-life greater than 30 years). Thus, hypothesized secondary P attenuation mechanisms such as slow recystallization of sorbed P into insoluble metal phosphate minerals, diffusion into microsites, or kinetically slow direct precipitation of P minerals such as hydroxyapatite were inactive in the ground water zone at this site or occurred at rates that were too slow to be observed in the context of the current 16-year study. Desorption tests on sediment samples from below the tile bed indicated a PO(4) distribution coefficient (K(d)) of 4.8, which implies a P retardation factor of 25, similar to the field apparent value of 37 determined from model calibrations. This example of inactive secondary P attenuation in the ground water zone shows that phosphorus in some ground water plumes can remain mobile and conservative for decades. This has important implications for septic systems located in lakeshore environments when long-term usage scenarios are considered.

Treatment of saline, acidic, metal-contaminated groundwater from the Western Australian Wheatbelt.

Managing acidic, metal-containing saline ground and drainage waters in the Wheatbelt of Western Australia is an environmental and economic challenge. Sulfate-reducing fluidised bed bioreactors are shown to be technically capable of treating high salt, low pH, metal containing waters from the town of Narembeen in the Wheatbelt so as to reduce acidity and to remove most of the undesirable metal contaminants. The hydraulic residence time (HRT) limit for a stable process with groundwater from the region of Narembeen was >16 hours. The maximal rate of sulfate reduction in the laboratory system treating Narembeen groundwater was similar to rates observed in comparable applications of the process at other sites, ca. 3 g sulfate (L-reactor)(-1) day(-1). Salts that are relatively free of metal contaminants can be produced from water that has been treated by the sulfate-reducing fluidised bed bioreactor. It is unlikely that metal precipitates, captured from Wheatbelt waters by the process, would be of economic value. If sulfate-reducing fluidised bed reactors were considered technologically appropriate at larger scale, the decision to use them would be based on the necessity to take action, the comparative effectiveness of competing technologies, and the relative costs of competing technologies.