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Sample records for tce treatment pasta-bilities

  1. TCE treatment pasta-bilities.

    OpenAIRE

    Holton, W C

    1999-01-01

    Monsanto's "Lasagna" process uses layers of treatment zones spaced between buried electrodes to remove trichloroethylene (TCE) from contaminated soil and groundwater. TCE is used primarily as a metal degreaser as well as in products such as dyes, printing ink, and paint. TCE can eventually make its way into the environment and is prevalent in the water and soil of industrialized nations. Although TCE breaks down in a few days when released into the atmosphere, it degrades much more slowly in ...

  2. TCE treatment pasta-bilities.

    Science.gov (United States)

    Holton, W C

    1999-09-01

    Monsanto's "Lasagna" process uses layers of treatment zones spaced between buried electrodes to remove trichloroethylene (TCE) from contaminated soil and groundwater. TCE is used primarily as a metal degreaser as well as in products such as dyes, printing ink, and paint. TCE can eventually make its way into the environment and is prevalent in the water and soil of industrialized nations. Although TCE breaks down in a few days when released into the atmosphere, it degrades much more slowly in soil, taking months or years. Moreover, it is often broken down by microbes into toxic substances such as vinylidene chloride (a suspected human carcinogen) and vinyl chloride (a known human carcinogen). The Lasagna process is based on the principle of electro-osmosis, in which an electric current draws water from low--permeability soils such as clays, silts, and fine sands. To remove TCE from contaminated soils, Monsanto scientists added layers of filtering media, which attack the contaminant as it is pulled from electrode to electrode. The technology has been tested at the Paducah Gaseous Diffusion Plant in western Kentucky, where it removed over 98% of TCE from contaminated soil.

  3. Laboratory evaluation of a two-stage treatment system for TCE cometabolism by a methane-oxidizing mixed culture.

    Science.gov (United States)

    Smith, L H; McCarty, P L

    1997-08-20

    The objective of this research was to evaluate several factors affecting the performance of a two-stage treatment system employing methane-oxidizing bacteria for trichloroethylene (TCE) biodegradation. The system consists of a completely mixed growth reactor and a plug-flow transformation reactor in which the TCE is cometabolized. Laboratory studies were conducted with continuous growth reactors and batch experiments simulating transformation reactor conditions. Performance was characterized in terms of TCE transformation capacity (T(C), g TCE/g cells), transformation yield (T(Y), g TCE/g CH(4)), and the rate coefficient ratio k(TCE)/K(S,TCE) (L/mg-d). The growth reactor variables studied were solids retention time (SRT) and nutrient nitrogen (N) concentration. Formate and methane were evaluated as potential transformation reactor amendments. Comparison of cultures from 2- and 8-day SRT (nitrogen-limited) growth reactors indicated that there was no significant effect of growth reactor SRT or nitrogen availability on T(C) or T(Y), but N-limited conditions yielded higher k(TCE)/K(S,TCE). The TCE cometabolic activity of the 8-day SRT, N-limited growth reactor culture varied significantly during a 7-year period of operation. The T(C) and T(Y) of the resting cells increased gradually to levels a factor of 2 higher than the initial values. The reasons for this increase are unknown. Formate addition to the transformation reactor gave higher T(C) and T(Y) for 2-day SRT growth reactor conditions and significantly lower T(C), T(Y), and k(TCE)/K(S,TCE) for 8-day SRT N-limited conditions. Methane addition to the transformation reactor inhibited TCE cometabolism at low TCE concentrations and enhanced TCE cometabolism at high TCE concentrations, indicating that the TCE cometabolism in the presence of methane does not follow simple competitive inhibition kinetics. (c) 1997 John Wiley & Sons, Inc. Biotechnol Bioeng 55: 650-659, 1997.

  4. Application of terpene-induced cell for enhancing biodegradation of TCE contaminated soil

    Directory of Open Access Journals (Sweden)

    Ekawan Luepromchai

    2004-02-01

    Full Text Available Trichloroethylene (TCE, a chlorinated solvent, is a major water pollutant originating from spillage and inappropriate disposal of dry cleaning agents, degreasing solvents, and paint strippers. Due to its widespread contamination and potential health threat, remediation technology to clean-up TCE is necessary. Aerobic biodegradation of TCE is reported to occur via cometabolism, by which TCE degrading bacteria utilize other compounds such as toluene, phenol, and methane as growth substrate and enzyme inducer. Although toluene is reported to be the most effective inducer, it is regulated as a hazardous material and should not be applied to the environment. The objectives of this study were to identify an alternative enzyme inducer as well as to apply the induced bacteria for degradation of TCE in contaminated soil. We investigated the effect of terpenes, the main components in volatile essential oils of plants, on induction of TCE degradation in Rhodococcus gordoniae P3, a local Gram (+ bacterium. Selected terpenes including cumene, limonene, carvone and pinene at various concentrations were used in the study. Results from liquid culture showed that 25 mg l-1 cumeneinduced R. gordoniae P3 cells resulted in 75% degradation of 10 ppm TCE within 24 hrs. Soil microcosms were later employed to investigate the ability of cumene to enhance TCE biodegradation in the environment. There were two bioremediation treatments studied, including bioaugmentation, the inoculation of cumeneinduced R. gordoniae P3, and biostimulation, the addition of cumene to induce soil indigenous microorganisms to degrade TCE. Bioaugmentation and biostimulation were shown to accelerate TCE reduction significantly more than control treatment at the beginning of study. The results suggest that cumene-induced R. gordoniae P3 and cumene can achieve rapid TCE biodegradation.

  5. TCE

    African Journals Online (AJOL)

    Samuel

    fortement ses propriétés mécaniques et thermodynamiques. Or, des études récentes ont montré que les effets hygroscopiques modifient les lois d'équilibre à l'interface liquide-gaz et les mécanismes de transfert d'eau [8, 9] et aussi que les phénomènes d'adsorption de la phase gazeuse par les particules solides du sol.

  6. Potential of the TCE-degrading endophyte Pseudomonas putida W619-TCE to improve plant growth and reduce TCE phytotoxicity and evapotranspiration in poplar cuttings

    Energy Technology Data Exchange (ETDEWEB)

    Weyens, N.; van der Lelie, D.; Truyens, S.; Dupae, J.; Newman, L.; Taghavi, S.; Carleer, R.; Vangronsveld, J.

    2010-09-01

    The TCE-degrading poplar endophyte Pseudomonas putida W619-TCE was inoculated in poplar cuttings, exposed to 0, 200 and 400 mg l{sup -1} TCE, that were grown in two different experimental setups. During a short-term experiment, plants were grown hydroponically in half strength Hoagland nutrient solution and exposed to TCE for 3 days. Inoculation with P. putida W619-TCE promoted plant growth, reduced TCE phytotoxicity and reduced the amount of TCE present in the leaves. During a mid-term experiment, plants were grown in potting soil and exposed to TCE for 3 weeks. Here, inoculation with P. putida W619-TCE had a less pronounced positive effect on plant growth and TCE phytotoxicity, but resulted in strongly reduced amounts of TCE in leaves and roots of plants exposed to 400 mg l{sup -1} TCE, accompanied by a lowered evapotranspiration of TCE. Dichloroacetic acid (DCAA) and trichloroacetic acid (TCAA), which are known intermediates of TCE degradation, were not detected. The endophyte P. putida W619-TCE degrades TCE during its transport through the xylem, leading to reduced TCE concentrations in poplar, and decreased TCE evapotranspiration.

  7. TCE degradation in groundwater by chelators-assisted Fenton-like reaction of magnetite: Sand columns demonstration.

    Science.gov (United States)

    Jia, Daqing; Sun, Sheng-Peng; Wu, Zhangxiong; Wang, Na; Jin, Yaoyao; Dong, Weiyang; Chen, Xiao Dong; Ke, Qiang

    2018-03-15

    Trichloroethylene (TCE) degradation in sand columns has been investigated to evaluate the potential of chelates-enhanced Fenton-like reaction with magnetite as iron source for in situ treatment of TCE-contaminated groundwater. The results showed that successful degradation of TCE in sand columns was obtained by nitrilotriacetic acid (NTA)-assisted Fenton-like reaction of magnetite. Addition of ethylenediaminedisuccinic acid (EDDS) resulted in an inhibitory effect on TCE degradation in sand columns. Similar to EDDS, addition of ethylenediaminetetraacetic acid (EDTA) also led to an inhibition of TCE degradation in sand column with small content of magnetite (0.5 w.t.%), but enhanced TCE degradation in sand column with high content of magnetite (7.0 w.t.%). Additionally, the presence of NTA, EDDS and EDTA greatly decreased H 2 O 2 uptake in sand columns due to the competition between chelates and H 2 O 2 for surface sites on magnetite (and sand). Furthermore, the presented results show that magnetite in sand columns remained stable in a long period operation of 230 days without significant loss of performance in terms of TCE degradation and H 2 O 2 uptake. Moreover, it was found that TCE was degraded mainly to formic acid and chloride ion, and the formation of chlorinated organic intermediates was minimal by this process. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Test of aerobic TCE degradation by willows (Salix viminalis) and willows inoculated with TCE-cometabolizing strains of Burkholderia cepacia

    DEFF Research Database (Denmark)

    Clausen, Lauge Peter Westergaard; Broholm, Mette Martina; Gosewinkel, Ulrich Bay

    2017-01-01

    . cepacia (301C, PR1-31 and VM1330-pTOM), using chloride formation as an indicator of dehalogenation. Willows were grown in non-sterile, hydroponic conditions for 3 weeks in chloride-free nutrient solution spiked with TCE. TCE was added weekly due to rapid loss by volatilization. Chloride and TCE...

  9. Plasma-catalytic decomposition of TCE

    Energy Technology Data Exchange (ETDEWEB)

    Vandenbroucke, A.; Morent, R.; De Geyter, N.; Leys, C. [Ghent Univ., Ghent (Belgium). Dept. of Applied Physics; Tuan, N.D.M.; Giraudon, J.M.; Lamonier, J.F. [Univ. des Sciences et Technologies de Lille, Villeneuve (France). Dept. de Catalyse et Chimie du Solide

    2010-07-01

    Volatile organic compounds (VOCs) are gaseous pollutants that pose an environmental hazard due to their high volatility and their possible toxicity. Conventional technologies to reduce the emission of VOCs have their advantages, but they become cost-inefficient when low concentrations have to be treated. In the past 2 decades, non-thermal plasma technology has received growing attention as an alternative and promising remediation method. Non-thermal plasmas are effective because they produce a series of strong oxidizers such as ozone, oxygen radicals and hydroxyl radicals that provide a reactive chemical environment in which VOCs are completely oxidized. This study investigated whether the combination of NTP and catalysis could improve the energy efficiency and the selectivity towards carbon dioxide (CO{sub 2}). Trichloroethylene (TCE) was decomposed by non-thermal plasma generated in a DC-excited atmospheric pressure glow discharge. The production of by-products was qualitatively investigated through FT-IR spectrometry. The results were compared with those from a catalytic reactor. The removal rate of TCE reached a maximum of 78 percent at the highest input energy. The by-products of TCE decomposition were CO{sub 2}, carbon monoxide (CO) hydrochloric acid (HCl) and dichloroacetylchloride. Combining the plasma system with a catalyst located in an oven downstream resulted in a maximum removal of 80 percent, at an energy density of 300 J/L, a catalyst temperature of 373 K and a total air flow rate of 2 slm. 14 refs., 6 figs.

  10. Modelling TCE degradation by a mixed culture of methane-oxidizing bacteria

    DEFF Research Database (Denmark)

    Broholm, Kim; Christensen, Thomas Højlund; Jensen, Bjørn K.

    1992-01-01

    A model describing the growth of bacteria and the degradation of methane and trichloroethylene (TCE) based on the concept of competitive inhibition is proposed. The model has been applied to laboratory batch experiments representing different initial TCE concentrations (50–4300 μg/l) and initial...... methane concentrations (0.53–3.2 mg/l). The proposed model simulated successfully the data obtained for initial methane concentration (less than 1.8 mg/l), causing constant experimental growth conditions during the experiments. This indicates that the interactions between methane and TCE degradation can...... be explained as competitive inhibition. The model simulations of the results from the experiments with the highest initial methane concentration of 3.2 mg/l failed, supposedly because the growth conditions changed during the experiments. The proposed model is a useful engineering tool for design of treatment...

  11. Kinetic and degradation efficiency of trichloroethylene (TCE) via ...

    African Journals Online (AJOL)

    ... detected at these low levels of initial concentration of TCE during process. This study confirmed that application of UV/H2O2 process could be an effective method in treating contaminated groundwater by TCE at low concentrations. Key words: Trichloroethylene, UV-radiation, UV/H2O2 process, groundwater remediation.

  12. Degradation of trichloroethylene (TCE) and polychlorinated biphenyls (PCBs) by Fe and Fe-Pd bimetals in the presence of surfactants and cosolvents

    International Nuclear Information System (INIS)

    Gu, B.; Liang, L.; West, O.R.; Cameron, P.; Davenport, D.

    1997-01-01

    Surfactants and cosolvents are being used to enhance the removal of dense non-aqueous phase liquids (DNAPL) such as trichloroethylene (TCE) and polychlorinated biphenyls (PCBS) from contaminated soils. However, the waste surfactant solution containing TCE and PCBs must be treated before it can be disposed. This study evaluated the use of zero-valence iron and palladized iron fillings on the dechlorination of TCE and a PCB congener in a dihexylsulfosuccinate surfactant solution. Batch experimental results indicated that TCE can be rapidly degraded by palladized iron filings with a half-life of 27.4 min. PCB was degraded at a slower rate than TCE with a half-life ranging from 100 min to 500 min as the concentration of surfactant increased. In column flow-through experiments, both TCE and PCBs degrade at an enhanced rate with a half-life about 1.5 and 6 min because of an increased solid to solution ratio in the column than in the batch experiments. Results of this work suggest that Fe-Pd filings may be potentially applicable for ex-situ treatment of TCE and PCBs in the surfactant solutions that are generated during surfactant washing of the contaminated soils

  13. Use of gene probes to assess the impact and effectiveness of aerobic in situ bioremediation of TCE

    Energy Technology Data Exchange (ETDEWEB)

    Hazen, Terry C.; Chakraborty, Romy; Fleming, James M.; Gregory, Ingrid R.; Bowman, John P.; Jimenez, Luis; Zhang, Dai; Pfiffner, Susan M.; Brockman, Fred J.; Sayler, Gary S.

    2009-03-15

    Gene probe hybridization was used to determine distribution and expression of co-metabolic genes at a contaminated site as it underwent in situ methanotrophic bioremediation of trichloroethylene (TCE). The bioremediation strategies tested included a series of air, air:methane, and air:methane:nutrient pulses of the test plot using horizontal injection wells. During the test period, the levels of TCE reduced drastically in almost all test samples. Sediment core samples (n = 367) taken from 0 m (surface)-43 m depth were probed for gene coding for methanotrophic soluble methane monooxygenase (sMMO) and heterotrophic toluene dioxygenase (TOD), which are known to co-metabolize TCE. The same sediment samples were also probed for genes coding for methanol dehydrogenase (MDH) (catalyzing the oxidation of methanol to formaldehyde) to assess specifically changes in methylotrophic bacterial populations in the site. Gene hybridization results showed that the frequency of detection of sMMO genes were stimulated approximately 250% following 1% methane:air (v/v) injection. Subsequent injection of 4% methane:air (v/v) resulted in an 85% decline probably due to nutrient limitations, since addition of nutrients (gaseous nitrogen and phosphorus) thereafter caused an increase in the frequency of detection of sMMO genes. Detection of TOD genes declined during the process, and eventually they were non-detectable by the final treatment, suggesting that methanotrophs displaced the TOD gene containing heterotrophs. Active transcription of sMMO and TOD was evidenced by hybridization to mRNA. These analyses combined with results showing the concomitant decline in TCE concentrations, increases in chloride concentration and increases in methanotroph viable counts, provide multiple lines of evidence that TCE remediation was caused specifically by methanotrophs. Our results suggest that sMMO genes are responsible for most, if not all, of the observed biodegradation of TCE. This study

  14. 78 FR 17777 - Tax Counseling for the Elderly (TCE) Program Availability of Application Packages

    Science.gov (United States)

    2013-03-22

    ... Internal Revenue Service Tax Counseling for the Elderly (TCE) Program Availability of Application Packages... of the availability of Application Packages for the 2014 Tax Counseling for the Elderly (TCE) Program... package to the IRS for the Tax Counseling for the Elderly (TCE) Program is May 31, 2013. All applications...

  15. 77 FR 20695 - Tax Counseling for the Elderly (TCE) Program Availability of Application Packages

    Science.gov (United States)

    2012-04-05

    ... Internal Revenue Service Tax Counseling for the Elderly (TCE) Program Availability of Application Packages... of the availability of Application Packages for the 2013 Tax Counseling for the Elderly (TCE) Program... package to the IRS for the Tax Counseling for the Elderly (TCE) Program is May 31, 2012. All applications...

  16. 75 FR 25319 - Tax Counseling for the Elderly (TCE) Program Availability of Application Packages; Correction

    Science.gov (United States)

    2010-05-07

    ... Internal Revenue Service Tax Counseling for the Elderly (TCE) Program Availability of Application Packages... document contains a correction to a notice of the Tax Counseling for the Elderly (TCE) Program Availability... Counseling for the Elderly (TCE) Program. FOR FURTHER INFORMATION CONTACT: The Grant Program Office at (404...

  17. 75 FR 22437 - Tax Counseling for the Elderly (TCE) Program Availability of Application Packages

    Science.gov (United States)

    2010-04-28

    ... Internal Revenue Service Tax Counseling for the Elderly (TCE) Program Availability of Application Packages... of the availability of Application Packages for the 2011 Tax Counseling for the Elderly (TCE) Program... application package to the IRS for the 2011 Tax Counseling for the Elderly (TCE) Program is July 9, 2010...

  18. 76 FR 30243 - Tax Counseling for the Elderly (TCE) Program Availability of Application Packages

    Science.gov (United States)

    2011-05-24

    ... Internal Revenue Service Tax Counseling for the Elderly (TCE) Program Availability of Application Packages... of the availability of Application Packages for the 2012 Tax Counseling for the Elderly (TCE) Program... application package to the IRS for the 2012 Tax Counseling for the Elderly (TCE) Program is June 30, 2011...

  19. Different Abilities of Eight Mixed Cultures of Methane-oxidizing Bacteria to Degrade TCE

    DEFF Research Database (Denmark)

    Broholm, Kim; Christensen, Thomas Højlund; Jensen, Bjørn K.

    1993-01-01

    methanol, but only for a limited time period of about 5 days. Several explanations for the discontinued degradation of TCE are given. An experiment carried out to re-activate the methane-oxidizing bacteria after 8 days of growth on methanol by adding methane did not immediately result in degradation......The ability of eight mixed cultures of methane-oxidizing bacteria to degrade trichloroethylene (TCE) was examined in laboratory batch experiments. This is one of the first reported works studying TCE degradation by mixed cultures of methane-oxidizing bacteria at 10°C, a common temperature for soils...... and groundwaters. Only three of the eight mixed cultures were able to degrade TCE, or to degrade TCE fast enough to result in a significant removal of TCE within the experimental time, when the cultures used methane as growth substrate. The same three mixed cultures were able to degrade TCE when they oxidized...

  20. Bacteria associated with oak and ash on a TCE-contaminated site: characterization of isolates with potential to avoid evapotranspiration of TCE.

    Science.gov (United States)

    Weyens, Nele; Taghavi, Safiyh; Barac, Tanja; van der Lelie, Daniel; Boulet, Jana; Artois, Tom; Carleer, Robert; Vangronsveld, Jaco

    2009-11-01

    Along transects under a mixed woodland of English Oak (Quercus robur) and Common Ash (Fraxinus excelsior) growing on a trichloroethylene (TCE)-contaminated groundwater plume, sharp decreases in TCE concentrations were observed, while transects outside the planted area did not show this remarkable decrease. This suggested a possibly active role of the trees and their associated bacteria in the remediation process. Therefore, the cultivable bacterial communities associated with both tree species growing on this TCE-contaminated groundwater plume were investigated in order to assess the possibilities and practical aspects of using these common native tree species and their associated bacteria for phytoremediation. In this study, only the cultivable bacteria were characterized because the final aim was to isolate TCE-degrading, heavy metal resistant bacteria that might be used as traceable inocula to enhance bioremediation. Cultivable bacteria isolated from bulk soil, rhizosphere, root, stem, and leaf were genotypically characterized by amplified rDNA restriction analysis (ARDRA) of their 16S rRNA gene and identified by 16S rRNA gene sequencing. Bacteria that displayed distinct ARDRA patterns were screened for heavy metal resistance, as well as TCE tolerance and degradation, as preparation for possible future in situ inoculation experiments. Furthermore, in situ evapotranspiration measurements were performed to investigate if the degradation capacity of the associated bacteria is enough to prevent TCE evapotranspiration to the air. Between both tree species, the associated populations of cultivable bacteria clearly differed in composition. In English Oak, more species-specific, most likely obligate endophytes were found. The majority of the isolated bacteria showed increased tolerance to TCE, and TCE degradation capacity was observed in some of the strains. However, in situ evapotranspiration measurements revealed that a significant amount of TCE and its metabolites

  1. Preliminary field demonstration of a fiber-optic TCE sensor

    International Nuclear Information System (INIS)

    Angel, S.M.; Langry, K.; Roe, J.; Colston, B.W. Jr.; Daley, P.F.; Milanovich, F.P.

    1991-02-01

    We have developed a differential-absorption fiber-optic sensor for use in groundwater and vadose zone monitoring of certain volatile organochlorines. The principle of detection is a quantitative, irreversible chemical reaction that forms visible light-absorbing products. The sensor has been evaluated against gas chromatographic (GC) standard measurements and has demonstrated accuracy and sensitivity sufficient for the environmental monitoring of trace levels of trichloroethylene (TCE) and chloroform. This sensor is currently under evaluation in monitoring well and vadose zone applications. In this paper, we describe the principles of the existing single measurement sensor technology and show preliminary field-test results. 3 refs., 8 figs

  2. Different Abilities of Eight Mixed Cultures of Methane-oxidizing Bacteria to Degrade TCE

    DEFF Research Database (Denmark)

    Broholm, Kim; Christensen, Thomas Højlund; Jensen, Bjørn K.

    1993-01-01

    The ability of eight mixed cultures of methane-oxidizing bacteria to degrade trichloroethylene (TCE) was examined in laboratory batch experiments. This is one of the first reported works studying TCE degradation by mixed cultures of methane-oxidizing bacteria at 10°C, a common temperature for soils...

  3. Modelling TCE degradation by a mixed culture of methane-oxidizing bacteria

    DEFF Research Database (Denmark)

    Broholm, Kim; Christensen, Thomas Højlund; Jensen, Bjørn K.

    1992-01-01

    A model describing the growth of bacteria and the degradation of methane and trichloroethylene (TCE) based on the concept of competitive inhibition is proposed. The model has been applied to laboratory batch experiments representing different initial TCE concentrations (50–4300 μg/l) and initial...

  4. Surfactant-enhanced remediation of a trichloroethene-contaminated aquifer. 2. Transport of TCE

    Science.gov (United States)

    Sahoo, D.; Smith, J.A.; Imbrigiotta, T.E.; Mclellan, H.M.

    1998-01-01

    Field studies were conducted under an induced gradient in a trichloroethene (TCE)-contaminated aquifer at Picatinny Arsenal, NJ, to study (a) the rate-limited desorption of TCE from aquifer sediments to water and (b) the effect of a surfactant (Triton X-100) on the desorption and transport of TCE. Clean water was injected into the contaminated aquifer for 206 day. Triton X-100 was added for a 36-day period (days 36-71 from the start of clean water injection). The effect of Triton X-100 on the desorption and transport of TCE in the field was examined by observing the concentrations of these two solutes in four monitoring wells 3-9 m from the injection wells. These data show a small but discernible increase in the TCE concentration in two of the wells corresponding approximately to the time when surfactant reaches the wells; in the other two monitoring wells, the increase in TCE concentration is negligible. A solute transport model that assumes local sorption equilibrium and used a laboratory-derived distribution coefficient could not adequately describe TCE desorption and transport observed in the aquifer. Two model formulations that accounted for rate-limited sorption - two-site and multisite models - fit the data well. TCE concentrations after surfactant injection were underpredicted by the models unless mass transfer rate was increased to account for the effect of surfactant on the rate of TCE desorption. The concentration data from the two wells and the model analysis suggest that the rate of TCE desorption is increased (by approximately 30%) as a result of Triton X-100 injection.Field studies were conducted under an induced gradient in a trichloroethene (TCE)-contaminated aquifer at Picatinny Arsenal, NJ, to study (a) the rate-limited desorption of TCE from aquifer sediments to water and (b) the effect of a surfactant (Triton X-100) on the desorption and transport of TCE. Clean water was injected into the contaminated aquifer for 206 day. Triton X-100 was added

  5. Highly organic natural media as permeable reactive barriers: TCE partitioning and anaerobic degradation profile in eucalyptus mulch and compost.

    Science.gov (United States)

    Öztürk, Zuhal; Tansel, Berrin; Katsenovich, Yelena; Sukop, Michael; Laha, Shonali

    2012-10-01

    Batch and column experiments were conducted with eucalyptus mulch and commercial compost to evaluate suitability of highly organic natural media to support anaerobic decomposition of trichloroethylene (TCE) in groundwater. Experimental data for TCE and its dechlorination byproducts were analyzed with Hydrus-1D model to estimate the partitioning and kinetic parameters for the sequential dechlorination reactions during TCE decomposition. The highly organic natural media allowed development of a bioactive zone capable of decomposing TCE under anaerobic conditions. The first order TCE biodecomposition reaction rates were 0.23 and 1.2d(-1) in eucalyptus mulch and compost media, respectively. The retardation factors in the eucalyptus mulch and compost columns for TCE were 35 and 301, respectively. The results showed that natural organic soil amendments can effectively support the anaerobic bioactive zone for remediation of TCE contaminated groundwater. The natural organic media are effective environmentally sustainable materials for use in permeable reactive barriers. Copyright © 2012 Elsevier Ltd. All rights reserved.

  6. Development of an integrated, in-situ remediation technology. Topical report for task No. 9. Part I. TCE degradation using nonbiological methods, September 26, 1994--May 25, 1996

    International Nuclear Information System (INIS)

    Shapiro, A.P.; Sivavec, T.M.; Baghel, S.S.

    1997-01-01

    Contamination in low-permeability soils poses a significant technical challenge for in situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in situ treatments such as bioremediation, vapor extraction, pump and treat rather ineffective when applied to low-permeability soils present at many contaminated sites. The technology is an integrated in situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated soil and electro-osmosis is used to move the contaminants back and forth through those zones until the treatment is completed. The present Draft Topical Report for Task No. 9 summarizes laboratory investigations into TCE degradation using nonbiological methods. These studies were conducted by the General Electric Company. The report concentrates on zero valent iron as the reducing agent and presents data on TCE and daughter product degradation rates in batch experiments, column studies, and electroosmotic cells. It is shown that zero valent iron effectively degrades TCE in electroosmotic experiments. Daughter product degradation and gas generation are shown to be important factors in designing field scale treatment zones for the Lasagna trademark process

  7. In-situ bioremediation of TCE-contaminated groundwater

    Energy Technology Data Exchange (ETDEWEB)

    Travis, B.J. [Los Alamos National Lab., NM (United States); Rosenberg, N.D. [Lawrence Livermore National Lab., CA (United States)

    1998-12-31

    This is the final report of a two-year, Laboratory Directed Research and Development (LDRD) project at the Los Alamos National Laboratory (LANL). A barrier to wider use of in situ bioremediation technology is that results are often variable and difficult to predict. In situ bioremediation has shown some very notable and well publicized successes, but implementation of the technology is complex. An incomplete understanding of the effects of variable site characteristics and the lack of adequate tools to predict and measure success have made the design, control and validation of bioremediation more empirical than desired. The long-term objective of this project is to improve computational tools used to assess and optimize the expected performance of bioremediation at a site. An important component of the approach is the explicit inclusion of uncertainties and their effect on the end result. The authors have extended their biokinetics model to include microbial competition and predation processes. Predator species can feed on the microbial species that degrade contaminants, and the simulation studies show that species interactions must be considered when designing in situ bioremediation systems. In particular, the results for TCE indicate that protozoan grazing could reduce the amount of biodegradation by about 20%. These studies also indicate that the behavior of barrier systems can become complex due to predator grazing.

  8. Endophytic bacteria improve phytoremediation of Ni and TCE co-contamination

    Energy Technology Data Exchange (ETDEWEB)

    Weyens, N.; van der Lelie, D.; Croes, S.; Dupae, J.; Newman, L.; Carleer, R.; Vangronsveld, J.

    2010-07-01

    The aim of this work was to investigate if engineered endophytes can improve phytoremediation of co-contaminations by organic pollutants and toxic metals. As a model system, yellow lupine was inoculated with the endophyte Burkholderia cepacia VM1468 possessing (a) the pTOM-Bu61 plasmid, coding for constitutive trichloroethylene (TCE) degradation, and (b) the ncc-nre Ni resistance/sequestration system. Plants were exposed to Ni and TCE and (a) Ni and TCE phytotoxicity, (b) TCE degradation and evapotranspiration, and (c) Ni concentrations in the roots and shoots were determined. Inoculation with B. cepacia VM1468 resulted in decreased Ni and TCE phytotoxicity, as measured by 30% increased root biomass and up to 50% decreased activities of enzymes involved in anti-oxidative defence in the roots. In addition, TCE evapotranspiration showed a decreasing trend and a 5 times higher Ni uptake was observed after inoculation. Engineered endophytes can improve phytoremediation of mixed contaminations via enhanced degradation of organic contaminants and improved metal uptake and translocation.

  9. Degradation of TCE by TEOS Coated nZVI in the Presence of Cu(II) for Groundwater Remediation

    International Nuclear Information System (INIS)

    Ramamurthy, A.S.; Eglal, M.M.

    2014-01-01

    The removal of TCE by nanofer zero valent iron (nanofer ZVI) coated with tetraethyl orthosilicate (TEOS) in the presence of Cu(II) at different environmental conditions was studied. The kinetics of TCE degradation by nanofer ZVI was determined. At a dosage of 10 mg of nanofer ZVI, almost 63% of TCE was removed, when Cu(II) and TCE were present. It contrasts with 42% degradation of TCE in the absence of Cu(II). SEM/EDS images indicated that Cu(II) is reduced to form Cu 0 and Cu 2 O. These formations are considered to be responsible for enhancing TCE degradation. Direct reduction involves hydrogenolysis and β-elimination in the transformation of TCE, while indirect reduction involves atomic hydrogen and no direct electron transfer from the metal to reactants. The reduction of activation energy was also noted indicating that the rate limiting step for TCE degradation in the presence of Cu(II) is surface chemical reaction rather than diffusion. Most of iron present in nanofer ZVI get dissolved causing the generation of localized positive charge regions and form metal chlorides. Local accumulation of hydrochloric acid inside the pits regenerates new reactive surfaces to serve as sources of continuous electron generation. No significant effect of TCE was noticed for Cu(II) sequestration.

  10. Modeling and experimental validation of TCE abatement and ozone formation with non thermal plasma

    OpenAIRE

    Vandenbroucke, Arne; Aerts, Robby; Morent, Rino; De Geyter, Nathalie; Bogaerts, Annemie; Leys, Christophe

    2012-01-01

    In this study, the formation of ozone and the abatement of trichloroethylene (TCE) with non thermal plasma was experimentally and theoretically investigated. The model predicts that the ozone formation increases with the energy deposition and decreases with the relative humidity (RH) of the air, which is qualitatively in agreement with experimental data. For an energy deposition of 0.136 J/cm³, the abatement of 1000 ppm TCE in air with 5 % RH is dominated by atomic oxygen and to a lesser exte...

  11. Effect of biosurfactants on the aqueous solubility of PCE and TCE.

    Science.gov (United States)

    Albino, John D; Nambi, Indumathi M

    2009-12-01

    The effect of biosurfactants on the solubility of tetrachloroethylene (PCE) and trichloroethylene (TCE) was studied in batch experiments pertaining to their use for solubilization and mobilization of such contaminants in surfactant enhanced aquifer remediation. Biosurfactants, rhamnolipid and surfactin used in solubility studies were synthesized in our laboratory by Pseudomonas aeruginosa (MTCC 2297) and Bacillus subtilis (MTCC 2423), respectively. The efficiency of the biosurfactants in solubilizing the chlorinated solvents was compared to that of synthetic surfactants. The Weight Solubilization Ratio (WSR) values for solubilization of PCE and TCE by biosurfactants were very high compared to the values obtained for synthetic surfactants. Surfactin proved to be a better surfactant over rhamnolipid. The WSR of surfactin on solubilization of PCE and TCE were 3.83 and 12.5, respectively, whereas the values obtained for rhamnolipid were 2.06 and 8.36. The solubility of the chlorinated solvents by biosurfactants was considerably affected by the changes in pH. The aqueous solubility of PCE and TCE increased tremendously with decrease in pH. The solubility of biosurfactants was observed to decrease with the pH, favoring partitioning of surfactants into the chlorinated solvents in significant amounts at lower pH. The excessive accumulation of biosurfactants at the interface facilitated interfacial tension reductions resulting in higher solubility of the chlorinated solvents at pH less than 7.

  12. Standardized representation, visualization and searchable repository of antiretroviral treatment-change episodes

    Directory of Open Access Journals (Sweden)

    Rhee Soo-Yon

    2012-05-01

    Full Text Available Abstract Background To identify the determinants of successful antiretroviral (ARV therapy, researchers study the virological responses to treatment-change episodes (TCEs accompanied by baseline plasma HIV-1 RNA levels, CD4+ T lymphocyte counts, and genotypic resistance data. Such studies, however, often differ in their inclusion and virological response criteria making direct comparisons of study results problematic. Moreover, the absence of a standard method for representing the data comprising a TCE makes it difficult to apply uniform criteria in the analysis of published studies of TCEs. Results To facilitate data sharing for TCE analyses, we developed an XML (Extensible Markup Language Schema that represents the temporal relationship between plasma HIV-1 RNA levels, CD4 counts and genotypic drug resistance data surrounding an ARV treatment change. To demonstrate the adaptability of the TCE XML Schema to different clinical environments, we collaborate with four clinics to create a public repository of about 1,500 TCEs. Despite the nascent state of this TCE XML Repository, we were able to perform an analysis that generated a novel hypothesis pertaining to the optimal use of second-line therapies in resource-limited settings. We also developed an online program (TCE Finder for searching the TCE XML Repository and another program (TCE Viewer for generating a graphical depiction of a TCE from a TCE XML Schema document. Conclusions The TCE Suite of applications – the XML Schema, Viewer, Finder, and Repository – addresses several major needs in the analysis of the predictors of virological response to ARV therapy. The TCE XML Schema and Viewer facilitate sharing data comprising a TCE. The TCE Repository, the only publicly available collection of TCEs, and the TCE Finder can be used for testing the predictive value of genotypic resistance interpretation systems and potentially for generating and testing novel hypotheses pertaining to the

  13. Change of pH and Iron Ion Concentration During Photodegradation of TCE with Ferrioxalate/UVvis Process

    Science.gov (United States)

    Hareyama, Wataru; Suto, Koichi; Inoue, Chihiro; Chida, Tadashi; Nakazawa, Hiroshi

    2006-05-01

    Recently, some studies show various organic compounds such as pesticides and dyes degraded with the irradiation of ultraviolet light and visible light in the presence of oxalic acid and ferric ion (ferrioxalate/UVvis process). The process has much advance than other technologies because it can utilize the wavelength of 300˜450nm and also under the condition of neutral pH. Chlorinated organic compounds such as trichloroethene (TCE), which have caused ground water pollution on a lot of sites, have never been applied by photodegradation with this process. In this study, we showed the degradation of TCE in the presence of oxalic acid and iron ion and the change of pH, ferric and ferrous ion concentration during the photodegradation of TCE with ferrioxalate/UV-vis process. TCE was degraded in the presence of oxalic acid and iron ion. In the reactions, the equilibrium of oxalate ion and iron ion is important since it determines the amount of ferrioxalate complex which absorbs light and induces the reactions of the degradation of TCE. Thus, the pH value and iron ion concentration are the important factors which determine the amount of ferrioxalate complex. The pH is nearly constant during the photodegradation of TCE. The ferrous ion concentration was decreased as soon as beginning photodegradation of TCE, and then the ferrous ion concentration and ferric ion concentration became constant.

  14. Evaluation of the effects of nanoscale zero-valent iron (nZVI) dispersants on intrinsic biodegradation of trichloroethylene (TCE).

    Science.gov (United States)

    Chang, Y C; Huang, S C; Chen, K F

    2014-01-01

    In this study, the biodegradability of nanoscale zero-valent iron (nZVI) dispersants and their effects on the intrinsic biodegradation of trichloroethylene (TCE) were evaluated. Results of a microcosm study show that the biodegradability of three dispersants followed the sequence of: polyvinyl alcohol-co-vinyl acetate-co-itaconic acid (PV3A) > polyoxyethylene (20) sorbitan monolaurate (Tween 20) > polyacrylic acid (PAA) under aerobic conditions, and PV3A > Tween 20 > PAA under anaerobic conditions. Natural biodegradation of TCE was observed under both aerobic and anaerobic conditions. No significant effects were observed on the intrinsic biodegradation of TCE under aerobic conditions with the presence of the dispersants. The addition of PAA seemed to have a slightly adverse impact on anaerobic TCE biodegradation. Higher accumulation of the byproducts of anaerobic TCE biodegradation was detected with the addition of PV3A and Tween 20. The diversity of the microbial community was enhanced under aerobic conditions with the presence of more biodegradable PV3A and Tween 20. The results of this study indicate that it is necessary to select an appropriate dispersant for nZVI to prevent a residual of the dispersant in the subsurface. Additionally, the effects of the dispersant on TCE biodegradation and the accumulation of TCE biodegrading byproducts should also be considered.

  15. Development of an integrated in-situ remediation technology. Topical report for task No. 11 entitled: Evaluation of TCE contamination before and after the field experiment, September 26, 1994--May 25, 1996

    International Nuclear Information System (INIS)

    Hughes, B.M.; Athmer, C.J.; Sheridan, P.W.

    1997-01-01

    Contamination in low permeability soils poses a significant technical challenge to in-situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in-situ treatments such as bioremediation, vapor extraction, pump and treat rather ineffective when applied to low permeability soils present at many contaminated sites. The technology is an integrated in-situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated soil and electro-osmosis is utilized to move the contaminants back and forth through those zones until the treatment is completed. The present Topical Report for Task No. 11 summarizes the results of TCE analysis in soil and carbon before and after conducting the field experiment. In addition, a discussion of the TCE material balance demonstrates that the Lasagna trademark process is effective in moving TCE from the contaminated soil into carbon treatment zones in the field experiment at DOE's Gaseous Diffusion Plant in Paducah, Kentucky

  16. Development of an integrated in-situ remediation technology. Topical report for task No. 11 entitled: Evaluation of TCE contamination before and after the field experiment, September 26, 1994--May 25, 1996

    Energy Technology Data Exchange (ETDEWEB)

    Hughes, B.M.; Athmer, C.J.; Sheridan, P.W. [and others

    1997-04-01

    Contamination in low permeability soils poses a significant technical challenge to in-situ remediation efforts. Poor accessibility to the contaminants and difficulty in delivery of treatment reagents have rendered existing in-situ treatments such as bioremediation, vapor extraction, pump and treat rather ineffective when applied to low permeability soils present at many contaminated sites. The technology is an integrated in-situ treatment in which established geotechnical methods are used to install degradation zones directly in the contaminated soil and electro-osmosis is utilized to move the contaminants back and forth through those zones until the treatment is completed. The present Topical Report for Task No. 11 summarizes the results of TCE analysis in soil and carbon before and after conducting the field experiment. In addition, a discussion of the TCE material balance demonstrates that the Lasagna{trademark} process is effective in moving TCE from the contaminated soil into carbon treatment zones in the field experiment at DOE`s Gaseous Diffusion Plant in Paducah, Kentucky.

  17. A global historical data set of tropical cyclone exposure (TCE-DAT)

    Science.gov (United States)

    Geiger, Tobias; Frieler, Katja; Bresch, David N.

    2018-01-01

    Tropical cyclones pose a major risk to societies worldwide, with about 22 million directly affected people and damages of USD 29 billion on average per year over the last 20 years. While data on observed cyclones tracks (location of the center) and wind speeds are publicly available, these data sets do not contain information about the spatial extent of the storm and people or assets exposed. Here, we apply a simplified wind field model to estimate the areas exposed to wind speeds above 34, 64, and 96 knots (kn). Based on available spatially explicit data on population densities and gross domestic product (GDP) we estimate (1) the number of people and (2) the sum of assets exposed to wind speeds above these thresholds accounting for temporal changes in historical distribution of population and assets (TCE-hist) and assuming fixed 2015 patterns (TCE-2015). The associated spatially explicit and aggregated country-event-level exposure data (TCE-DAT) cover the period 1950 to 2015 and are freely available at https://doi.org/10.5880/pik.2017.011 (Geiger at al., 2017c). It is considered key information to (1) assess the contribution of climatological versus socioeconomic drivers of changes in exposure to tropical cyclones, (2) estimate changes in vulnerability from the difference in exposure and reported damages and calibrate associated damage functions, and (3) build improved exposure-based predictors to estimate higher-level societal impacts such as long-term effects on GDP, employment, or migration. We validate the adequateness of our methodology by comparing our exposure estimate to estimated exposure obtained from reported wind fields available since 1988 for the United States. We expect that the free availability of the underlying model and TCE-DAT will make research on tropical cyclone risks more accessible to non-experts and stakeholders.

  18. An integrated model for assessing the risk of TCE groundwater contamination to human receptors and surface water ecosystems

    DEFF Research Database (Denmark)

    McKnight, Ursula S.; Funder, S.G.; Rasmussen, J.J.

    2010-01-01

    The practical implementation of the European Water Framework Directive has resulted in an increased focus on the hyporheic zone. In this paper, an integrated model was developed for evaluating the impact of point sources in groundwater on human health and surface water ecosystems....... An ecological risk assessment found that the TCE contamination did not impact the stream ecosystem. Uncertainty assessment revealed hydraulic conductivity to be the most important site-specific parameter. These results indicate that contaminant plumes with μgL-1 concentrations of TCE entering surface water....... This was accomplished by coupling the system dynamics-based decision support system CARO-PLUS to the aquatic ecosystem model AQUATOX using an analytical volatilization model for the stream. The model was applied to a case study where a TCE contaminated groundwater plume is discharging to a stream. The TCE source...

  19. An integrated model for assessing the risk of TCE groundwater contamination to human receptors and surface water ecosystems

    DEFF Research Database (Denmark)

    McKnight, Ursula S.; Funder, S.G.; Rasmussen, J.J.

    2010-01-01

    The practical implementation of the European Water Framework Directive has resulted in an increased focus on the hyporheic zone. In this paper, an integrated model was developed for evaluating the impact of point sources in groundwater on human health and surface water ecosystems...... will not be depleted for many decades, however measured and predicted TCE concentrations in surface water were found to be below human health risk management targets. Volatilization rapidly attenuates TCE concentrations in surface water. Thus, only a 300 m stream reach fails to meet surface water quality criteria....... An ecological risk assessment found that the TCE contamination did not impact the stream ecosystem. Uncertainty assessment revealed hydraulic conductivity to be the most important site-specific parameter. These results indicate that contaminant plumes with μgL-1 concentrations of TCE entering surface water...

  20. Long Term Remote Monitoring of TCE Contaminated Groundwater at Savannah River Site

    International Nuclear Information System (INIS)

    Duran, C.; Gudavalli, R.; Lagos, L.; Tansel, B.; Varona, J.; Allen, M.

    2004-01-01

    The purpose of this study was to develop a mobile self powered remote monitoring system enhanced for field deployment at Savannah River Site (SRS). The system used a localized power source with solar recharging and has wireless data collection, analysis, transmission, and data management capabilities. The prototype was equipped with a Hydrolab's DataSonde 4a multi-sensor array package managed by a Supervisory Control and Data Acquisition (SCADA) system, with an adequate pumping capacity of water samples for sampling and analysis of Trichloroethylene (TCE) in contaminated groundwater wells at SRS. This paper focuses on a study and technology development efforts conducted at the Hemispheric Center for Environmental Technology (HCET) at Florida International University (FIU) to automate the sampling of contaminated wells with a multi-sensor array package developed using COTS (Commercial Off The shelf) parts. Bladder pumps will pump water from different wells to the sensors array, water quality TCE indicator parameters are measured (i.e. pH, redox, ORP, DO, NO3 -, Cl-). In order to increase user access and data management, the system was designed to be accessible over the Internet. Remote users can take sample readings and collect data remotely over a web. Results obtained at Florida International University in-house testing and at a field deployment at the Savannah River Site indicate that this long term monitoring technique can be a feasible solution for the sampling of TCE indicator parameters at remote contaminated sites

  1. Plume persistence caused by back diffusion from thin clay layers in a sand aquifer following TCE source-zone hydraulic isolation

    Science.gov (United States)

    Parker, Beth L.; Chapman, Steven W.; Guilbeault, Martin A.

    2008-11-01

    This paper concludes that back diffusion from one or a few thin clayey beds in a sand aquifer can cause contaminant persistence above MCLs in a sand aquifer long after the source zone initially causing the plume is isolated or removed. This conclusion is based on an intensive case study of a TCE contaminated site in Florida, with the processes evaluated using numerical modeling. At this site, the TCE DNAPL zone formed decades ago, and was hydraulically isolated by means of an innovative system performing groundwater extraction, treatment and re-injection. Treated water is re-injected in a row of injection wells situated a short distance downgradient of the extraction wells, creating a clean-water displacement front to efficiently flush the downgradient plume. This scheme avoids the creation of stagnation zones typical of most groundwater pump-and-treat systems, thereby minimizing the time for aquifer flushing and therefore downgradient cleanup. The system began operation in August 2002 and although the performance monitoring shows substantial declines in concentrations, detectable levels of TCE and degradation products persist downgradient of the re-injection wells, long after the TCE should have disappeared based on calculations assuming a nearly homogenous sand aquifer. Three hypotheses were assessed for this plume persistence: 1) incomplete source-zone capture, 2) DNAPL occurrence downgradient of the re-injection wells, and 3) back diffusion from one or more thin clay beds in the aquifer. After careful consideration, the first two hypotheses were eliminated, leaving back diffusion as the only plausible hypothesis, supported by detailed measurements of VOC concentrations within and near the clay beds and also by numerical model simulations that closely represent the field site hydrogeologic conditions. The model was also used to simulate a more generalized, hypothetical situation where more thin clayey beds occur in a sand aquifer with an underlying aquitard

  2. Analysis of TCE Fate and Transport in Karst Groundwater Systems Using Statistical Mixed Models

    Science.gov (United States)

    Anaya, A. A.; Padilla, I. Y.

    2012-12-01

    Karst groundwater systems are highly productive and provide an important fresh water resource for human development and ecological integrity. Their high productivity is often associated with conduit flow and high matrix permeability. The same characteristics that make these aquifers productive also make them highly vulnerable to contamination and a likely for contaminant exposure. Of particular interest are trichloroethylene, (TCE) and Di-(2-Ethylhexyl) phthalate (DEHP). These chemicals have been identified as potential precursors of pre-term birth, a leading cause of neonatal complications with a significant health and societal cost. Both of these contaminants have been found in the karst groundwater formations in this area of the island. The general objectives of this work are to: (1) develop fundamental knowledge and determine the processes controlling the release, mobility, persistence, and possible pathways of contaminants in karst groundwater systems, and (2) characterize transport processes in conduit and diffusion-dominated flow under base flow and storm flow conditions. The work presented herein focuses on the use of geo-hydro statistical tools to characterize flow and transport processes under different flow regimes, and their application in the analysis of fate and transport of TCE. Multidimensional, laboratory-scale Geo-Hydrobed models (GHM) were used for this purpose. The models consist of stainless-steel tanks containing karstified limestone blocks collected from the karst aquifer formation of northern Puerto Rico. The models integrates a network of sampling wells to monitor flow, pressure, and solute concentrations temporally and spatially. Experimental work entails injecting dissolved CaCl2 tracers and TCE in the upstream boundary of the GHM while monitoring TCE and tracer concentrations spatially and temporally in the limestone under different groundwater flow regimes. Analysis of the temporal and spatial concentration distributions of solutes

  3. Simulating the fate and transport of TCE from groundwater to indoor air.

    Science.gov (United States)

    Yu, Soonyoung; Unger, Andre J A; Parker, Beth

    2009-07-21

    This work provides an exploratory analysis on the relative importance of various factors controlling the fate and transport of volatile organic contaminants (in this case, TCE) from a DNAPL source zone located below the water table and into the indoor air. The analysis is conducted using the multi-phase compositional model CompFlow Bio, with the base scenario problem geometry reminiscent of a field experiment conducted by Rivett [Rivett, M.O., (1995), Soil-gas signatures from volatile chlorinated solvents: Borden field experiments. Groundwater, 33(1), 84-98.] at the Borden aquifer where groundwater was observed to transport a contaminant plume a substantial distance without vertical mass transport of the contaminant across the capillary fringe and into the vadose zone. Results for the base scenario model indicate that the structure of the permeability field was largely responsible for deflecting the groundwater plume upward towards the capillary fringe, permitting aqueous phase diffusion to transport the TCE into the vadose zone. Alternative permeability realizations, generated as part of a Monte Carlo simulation process, at times deflected the groundwater plume downwards causing the extended thickness of the saturated zone to insulate the vadose zone from exposure to the TCE by upward diffusive transport. Comparison of attenuation coefficients calculated using the CompFlow Bio and Johnson and Ettinger [Johnson, P.C. and Ettinger, R.A., (1991), Heuristic model for predicting the intrusion rate of contaminant vapors into buildings. Environmental Science and Technology, 25, 1445-1452.] heuristic model exhibited fortuitous agreement for the base scenario problem geometry, with this agreement diverging for the alternative permeability realizations as well as when parameters such as the foundation slab fracture aperture, the indoor air pressure drop, the capillary fringe thickness, and the infiltration rate were varied over typical ranges.

  4. Cometabolic biotreatment of TCE-contaminated groundwater: Laboratory and bench-scale development studies

    International Nuclear Information System (INIS)

    Donaldson, T.L.; Jennings, H.L.; Lucero, A.J.; Strandberg, G.W.; Morris, M.I.; Palumbo, A.V.; Boerman, P.A.; Tyndall, R.L.

    1992-01-01

    The Oak Ridge National Laboratory is conducting a demonstration of two cometabolic technologies for biotreatment of groundwater contaminated with trichloroethylene (TCE) and other organics. Technologies based on methanotrophic (methane-utilizing) and toluene-degrading microorganisms will be compared side-by-side on the same groundwater stream. Laboratory and bench-scale bioreactor studies have been conducted to guide selection of microbial cultures and operating conditions for the field demonstration. This report presents the results of the laboratory and bench-scale studies for the methanotrophic system

  5. Feasibility and Performance of Full-Scale In-Situ Remediation of TCE by ERD in Clay Tills

    DEFF Research Database (Denmark)

    Broholm, Mette Martina; Damgaard, Ida; Chambon, Julie Claire Claudia

    mass removal was associated with degradation being restricted to narrow bioactive zones. Bioactive zones may expand and in some cores TCE was depleted in zones up to 1.8 m thick – an extent which could not be explained by diffusive loss to narrow bioactive zones. Hence, biomass migration in the clay......The feasibility and performance of full-scale applications of ERD in clay tills were investigated in a research project including 2 sites in Denmark, which have been undergoing remediation since 2006. At both sites organic substrates and bioaugmentation cultures have been injected in TCE......-contaminated clay till. An integrated investigative approach consisting of water and clay core sample analysis, including stable isotopes and specific degraders, combined with modeling has been applied. The results showed that the chlorinated solvent TCE was converted into its daughter products but complete...

  6. Tree Coring as a Complement to Soil Gas Screening to Locate PCE and TCE Source Zones and Hot Spots

    DEFF Research Database (Denmark)

    Nielsen, Mette Algreen; Trapp, Stefan; Rehne Jensen, Pernille

    2015-01-01

    ) or trichloroethylene (TCE) to evaluate their ability to locate source zones and contaminant hot spots. One test site represented a relatively homogeneous sandy soil and aquifer, and the second a more heterogeneous geology with both sandy and less permeable clay till layers overlying a chalk aquifer. Tree cores from...

  7. Analysis of sources of bulk conductivity change in saturated silica sand after unbuffered TCE oxidation by permanganate.

    Science.gov (United States)

    Hort, Ryan D; Revil, André; Munakata-Marr, Junko

    2014-09-01

    Time lapse resistivity surveys could potentially improve monitoring of permanganate-based in situ chemical oxidation (ISCO) of organic contaminants such as trichloroethene (TCE) by tracking changes in subsurface conductivity that result from injection of permanganate and oxidation of the contaminant. Bulk conductivity and pore fluid conductivity changes during unbuffered TCE oxidation using permanganate are examined through laboratory measurements and conductivity modeling using PHREEQC in fluid samples and porous media samples containing silica sand. In fluid samples, oxidation of one TCE molecule produces three chloride ions and one proton, resulting in an increase in fluid electrical conductivity despite the loss of two permanganate ions in the reaction. However, in saturated sand samples in which up to 8mM TCE was oxidized, at least 94% of the fluid conductivity associated with the presence of protons was removed within 3h of sand contact, most likely through protonation of silanol groups found on the surface of the sand grains. Minor conductivity effects most likely associated with pH-dependent reductive dissolution of manganese dioxide were also observed but not accounted for in pore-fluid conductivity modeling. Unaccounted conductivity effects resulted in an under-calculation of post-reaction pore fluid conductivity of 2.1% to 5.5%. Although small increases in the porous media formation factor resulting from precipitation of manganese dioxide were detected (about 3%), these increases could not be confirmed to be statistically significant. Both injection of permanganate and oxidation of TCE cause increases in bulk conductivity that would be detectable through time-lapse resistivity surveys in field conditions. Copyright © 2014 Elsevier B.V. All rights reserved.

  8. Development of an updated PBPK model for trichloroethylene and metabolites in mice, and its application to discern the role of oxidative metabolism in TCE-induced hepatomegaly

    International Nuclear Information System (INIS)

    Evans, M.V.; Chiu, W.A.; Okino, M.S.; Caldwell, J.C.

    2009-01-01

    Trichloroethylene (TCE) is a lipophilic solvent rapidly absorbed and metabolized via oxidation and conjugation to a variety of metabolites that cause toxicity to several internal targets. Increases in liver weight (hepatomegaly) have been reported to occur quickly in rodents after TCE exposure, with liver tumor induction reported in mice after long-term exposure. An integrated dataset for gavage and inhalation TCE exposure and oral data for exposure to two of its oxidative metabolites (TCA and DCA) was used, in combination with an updated and more accurate physiologically-based pharmacokinetic (PBPK) model, to examine the question as to whether the presence of TCA in the liver is responsible for TCE-induced hepatomegaly in mice. The updated PBPK model was used to help discern the quantitative contribution of metabolites to this effect. The update of the model was based on a detailed evaluation of predictions from previously published models and additional preliminary analyses based on gas uptake inhalation data in mice. The parameters of the updated model were calibrated using Bayesian methods with an expanded pharmacokinetic database consisting of oral, inhalation, and iv studies of TCE administration as well as studies of TCE metabolites in mice. The dose-response relationships for hepatomegaly derived from the multi-study database showed that the proportionality of dose to response for TCE- and DCA-induced hepatomegaly is not observed for administered doses of TCA in the studied range. The updated PBPK model was used to make a quantitative comparison of internal dose of metabolized and administered TCA. While the internal dose of TCA predicted by modeling of TCE exposure (i.e., mg TCA/kg-d) showed a linear relationship with hepatomegaly, the slope of the relationship was much greater than that for directly administered TCA. Thus, the degree of hepatomegaly induced per unit of TCA produced through TCE oxidation is greater than that expected per unit of TCA

  9. Exposure of Daphnia magna to trichloroethylene (TCE) and vinyl chloride (VC): evaluation of gene transcription, cellular activity, and life-history parameters.

    Science.gov (United States)

    Houde, Magali; Douville, Mélanie; Gagnon, Pierre; Sproull, Jim; Cloutier, François

    2015-06-01

    Trichloroethylene (TCE) is a ubiquitous contaminant classified as a human carcinogen. Vinyl chloride (VC) is primarily used to manufacture polyvinyl chloride and can also be a degradation product of TCE. Very few data exist on the toxicity of TCE and VC in aquatic organisms particularly at environmentally relevant concentrations. The aim of this study was to evaluate the sub-lethal effects (10 day exposure; 0.1; 1; 10 µg/L) of TCE and VC in Daphnia magna at the gene, cellular, and life-history levels. Results indicated impacts of VC on the regulation of genes related to glutathione-S-transferase (GST), juvenile hormone esterase (JHE), and the vitelline outer layer membrane protein (VMO1). On the cellular level, exposure to 0.1, 1, and 10 µg/L of VC significantly increased the activity of JHE in D. magna and TCE increased the activity of chitinase (at 1 and 10 µg/L). Results for life-history parameters indicated a possible tendency of TCE to affect the number of molts at the individual level in D. magna (p=0.051). Measurement of VG-like proteins using the alkali-labile phosphates (ALP) assay did not show differences between TCE treated organisms and controls. However, semi-quantitative measurement using gradient gel electrophoresis (213-218 kDa) indicated significant decrease in VG-like protein levels following exposure to TCE at all three concentrations. Overall, results indicate effects of TCE and VC on genes and proteins related to metabolism, reproduction, and growth in D. magna. Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved.

  10. Feasibility and Performance of Full-Scale In-situ Remediation of TCE by ERD in Clay Tills

    DEFF Research Database (Denmark)

    Broholm, Mette Martina; Damgaard, Ida; Chambon, Julie Claire Claudia

    features in some parts of the clay tills. The bioactive zones may expand in zones where both donor and chlorinated compounds are present. In some cores TCE was depleted (degraded to DCE) in zones up to 1.8 m thick – an extent which could not be explained by diffusive loss to narrow bioactive zones. Hence......The feasibility and performance of full-scale applications of ERD in clay tills were investigated in a research project including 2 sites in Denmark, which have been undergoing remediation since 2006. At both sites organic substrates and bioaugmentation cultures have been injected in TCE......-contaminated clay till. An integrated investigative approach consisting of water and clay core sample analysis, including stable isotopes and specific degraders, as well as analysis for chlorinated solvents, degradation products, donor fermentation products and redox-sensitive parameters combined with modelling has...

  11. Transformation of reactive iron minerals in a permeable reactive barrier (biowall) used to treat TCE in groundwater.

    Science.gov (United States)

    He, Y Thomas; Wilson, John T; Wilkin, Richard T

    2008-09-01

    Iron and sulfur reducing conditions generally develop in permeable reactive barrier systems (PRB) constructed to treat contaminated groundwater. These conditions allow formation of FeS mineral phases. FeS readily degrades TCE, but a transformation of FeS to FeS2 could dramatically slow the rate of TCE degradation in the PRB. This study uses acid volatile sulfide (AVS) and chromium reducible sulfur (CRS) as probes for FeS and FeS2 to investigate iron sulfide formation and transformation in a column study and PRB field study dealing with TCE degradation. Solid phase iron speciation shows that most of the iron is reduced and sulfur partitioning measurements show that AVS and CRS coexist in all samples, with the conversion of AVS to CRS being most significant in locations with potential oxidants available. In the column study, 54% of FeS was transformed to FeS2 after 2.4 years. In the field scale PRB, 43% was transformed after 5.2 years. Microscopy reveals FeS, Fe3S4 and FeS2 formation in the column system; however, only pyrite formation was confirmed byX-ray diffraction. The polysulfide pathway is most likely the primary mechanism of FeS transformation in the system, with S0 as an intermediate species formed through H2S oxidation.

  12. Heterogeneous carbonaceous matter in sedimentary rock lithocomponents causes significant trichloroethylene (TCE) sorption in a low organic carbon content aquifer/aquitard system

    Science.gov (United States)

    Choung, Sungwook; Zimmerman, Lisa R.; Allen-King, Richelle M.; Ligouis, Bertrand; Feenstra, Stanley

    2014-10-01

    This study evaluated the effects of heterogeneous thermally altered carbonaceous matter (CM) on trichloroethylene (TCE) sorption for a low fraction organic carbon content (foc) alluvial sedimentary aquifer and aquitard system (foc = 0.046-0.105%). The equilibrium TCE sorption isotherms were highly nonlinear with Freundlich exponents of 0.46-0.58. Kerogen + black carbon was the dominant CM fraction extracted from the sediments and accounted for > 60% and 99% of the total in the sands and silt, respectively. Organic petrological examination determined that the kerogen included abundant amorphous organic matter (bituminite), likely of marine origin. The dark calcareous siltstone exhibited the greatest TCE sorption among aquifer lithocomponents and accounted for most sorption in the aquifer. The results suggest that the source of the thermally altered CM, which causes nonlinear sorption, was derived from parent Paleozoic marine carbonate rocks that outcrop throughout much of New York State. A synthetic aquifer-aquitard unit system (10% aquitard) was used to illustrate the effect of the observed nonlinear sorption on mass storage potential at equilibrium. The calculation showed that > 80% of TCE mass contained in the aquifer was sorbed on the aquifer sediment at aqueous concentration < 1000 μg L- 1. These results show that sorption is likely a significant contributor to the persistence of a TCE groundwater plume in the aquifer studied. It is implied that sorption may similarly contribute to TCE persistence in other glacial alluvial aquifers with similar geologic characteristics, i.e., comprised of sedimentary rock lithocomponents that contain thermally altered CM.

  13. 1,4-Dioxane pollution at contaminated groundwater sites in western Germany and its distribution within a TCE plume.

    Science.gov (United States)

    Karges, Ursula; Becker, Johannes; Püttmann, Wilhelm

    2018-04-01

    An effective and sensitive method for the analysis of 1,4-dioxane in water has been available since 2008 (EPA 522). This method is increasingly being applied to investigate the distribution of 1,4-dioxane in the aquatic environment. However, there is a need for more information about the possible occurrence of 1,4-dioxane in groundwater in Europe in general, and in Germany in particular, where virtually no data have been collected so far. The possible contamination of groundwater with 1,4-dioxane is of relevance to Germany because up to 70% of Germany's drinking water is obtained from groundwater and about 17% from river bank filtrate, which contains variable proportions of groundwater. The aim of the present study is to investigate selected and representative groundwater sites in Germany that have suspected occurrences of 1,4-dioxane. Five of the sites are well known for their volatile chlorinated hydrocarbon contamination, two sites have representative landfill leachate characteristics, and one site is negatively impacted by a detergent manufacturing plant. The presence of 1,4-dioxane was observed at each of these sites. Measured maximum concentration values ranged from 0.15μg/L to 152μg/L. An aquifer containing a trichloroethylene (TCE) plume with 1,4-dioxane as a co-contaminant was investigated in more detail. A perfect match was found between the concentrations of 1,4-dioxane and TCE in the vertical and horizontal distribution profiles. The results indicate the necessity for investigating groundwater contamination by 1,4-dioxane at sites with known 1,1,1-trichloroethane (TCA) and TCE contaminations, in landfill leachates, and at sites of detergent production. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. The impact of additives found in industrial formulations of TCE on the wettability of sandstone

    Science.gov (United States)

    Harrold, Gavin; Lerner, David N.; Leharne, Stephen A.

    2005-11-01

    resolved by noting that contact between the solvent mixture and water in the sandstone core resulted in a final solvent phase which had an extremely low interfacial tension. It is therefore suspected that the observed spontaneous drainage of solvent from the core was driven by gravitational and buoyancy forces rather than strong water wetting conditions. Finally it was noted that the mobilisation of iron oxide coatings from the sandstone surface had a considerable influence in reducing the interfacial tension and in the formation and stabilisation of TCE/water emulsions.

  15. Determination of rate constants and branching ratios for TCE degradation by zero-valent iron using a chain decay multispecies model.

    Science.gov (United States)

    Hwang, Hyoun-Tae; Jeen, Sung-Wook; Sudicky, Edward A; Illman, Walter A

    2015-01-01

    The applicability of a newly-developed chain-decay multispecies model (CMM) was validated by obtaining kinetic rate constants and branching ratios along the reaction pathways of trichloroethene (TCE) reduction by zero-valent iron (ZVI) from column experiments. Changes in rate constants and branching ratios for individual reactions for degradation products over time for two columns under different geochemical conditions were examined to provide ranges of those parameters expected over the long-term. As compared to the column receiving deionized water, the column receiving dissolved CaCO3 showed higher mean degradation rates for TCE and all of its degradation products. However, the column experienced faster reactivity loss toward TCE degradation due to precipitation of secondary carbonate minerals, as indicated by a higher value for the ratio of maximum to minimum TCE degradation rate observed over time. From the calculated branching ratios, it was found that TCE and cis-dichloroethene (cis-DCE) were dominantly dechlorinated to chloroacetylene and acetylene, respectively, through reductive elimination for both columns. The CMM model, validated by the column test data in this study, provides a convenient tool to determine simultaneously the critical design parameters for permeable reactive barriers and natural attenuation such as rate constants and branching ratios. Copyright © 2015 Elsevier B.V. All rights reserved.

  16. Modeling 3D-CSIA data: Carbon, chlorine, and hydrogen isotope fractionation during reductive dechlorination of TCE to ethene.

    Science.gov (United States)

    Van Breukelen, Boris M; Thouement, Héloïse A A; Stack, Philip E; Vanderford, Mindy; Philp, Paul; Kuder, Tomasz

    2017-09-01

    Reactive transport modeling of multi-element, compound-specific isotope analysis (CSIA) data has great potential to quantify sequential microbial reductive dechlorination (SRD) and alternative pathways such as oxidation, in support of remediation of chlorinated solvents in groundwater. As a key step towards this goal, a model was developed that simulates simultaneous carbon, chlorine, and hydrogen isotope fractionation during SRD of trichloroethene, via cis-1,2-dichloroethene (and trans-DCE as minor pathway), and vinyl chloride to ethene, following Monod kinetics. A simple correction term for individual isotope/isotopologue rates avoided multi-element isotopologue modeling. The model was successfully validated with data from a mixed culture Dehalococcoides microcosm. Simulation of Cl-CSIA required incorporation of secondary kinetic isotope effects (SKIEs). Assuming a limited degree of intramolecular heterogeneity of δ 37 Cl in TCE decreased the magnitudes of SKIEs required at the non-reacting Cl positions, without compromising the goodness of model fit, whereas a good fit of a model involving intramolecular CCl bond competition required an unlikely degree of intramolecular heterogeneity. Simulation of H-CSIA required SKIEs in H atoms originally present in the reacting compounds, especially for TCE, together with imprints of strongly depleted δ 2 H during protonation in the products. Scenario modeling illustrates the potential of H-CSIA for source apportionment. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  17. Afrontamiento familiar frente a las secuelas generadas en pacientes que sufrieron Trauma Craneoencefálico (TCE

    Directory of Open Access Journals (Sweden)

    Alix Zoraida Bohórquez-Figueroa

    2012-06-01

    Full Text Available La presente investigación buscó conocer las diferentes estrategias de afrontamiento empleadas por las familias frente a las secuelas generadas en los pacientes que sufrieron Trauma Craneoencefálico (TCE en el segundo semestre de 2010; para esto se realizó un estudio cualitativo con enfoque fenomenológico, aplicado a una muestra de 15 cuidadores principales de pacientes que sufrieron Trauma Craneoencefálico (TCE. El método utilizado para la recolección de la información fue la entrevista a profundidad, manejando como instrumento de ayuda la grabadora de voz y las notas de campo. El análisis utilizado fue de contenido tomando como referencia las etapas de afrontamiento familiar desorganización, recuperación, reorganización. La familia es el agente principal de la recuperación prolongada de la persona lesionada y las adaptaciones a la discapacidad. La relación de consanguinidad encontrada en la mayor parte de los cuidadores fue (madre - hijo. Las estrategias más utilizadas por los cuidadores fueron: aceptación de la responsabilidad, independencia y vida personal, tensión emocional familiar, autocontrol y reevaluación positiva.

  18. TceSR two-component regulatory system of Brucella melitensis 16M is involved in invasion, intracellular survival and regulated cytotoxicity for macrophages.

    Science.gov (United States)

    Li, Z; Fu, Q; Wang, Z; Li, T; Zhang, H; Guo, F; Wang, Y; Zhang, J; Chen, C

    2015-06-01

    The mechanisms of invasion and intracellular survival of Brucella are still poorly understood. Previous studies showed that the two-component regulatory systems (TCSs) play an important role in the intracellular survival of Brucella. To investigate if TCSs involve in the virulence and cytotoxicity of Brucella melitensis, we introduced a mutation into one of the TCSs in chromosome II in Br. melitensis 16M strain, and generated 16MΔTceSR, a mutant of Br. melitensis 16M strain. In vitro infection experiments using murine macrophage cell line (RAW 264.7) showed that the survival of 16MΔTceSR mutant in macrophages decreased 0·91-log compared with that of wild type Br. melitensis 16M strain at 2 h postinfection, replication of 16MΔTceSR mutant in macrophages was 5·65-log, which was much lower than that wild type strain. Results of lactate dehydrogenase cytotoxicity assays in macrophages demonstrated high dose infection with wide type strain produced high level cytotoxicity to macrophages, but 16MΔTceSR mutant had very low level cytotoxicity, indicating mutation of TCSs impaired the cytotoxicity of Br. melitensis to macrophages. Animal experiments showed that the spleen colonization of 16MΔTceSR was significantly reduced compared with its wild type strains. The lower levels of survival of 16MΔTceSR in various stress conditions suggested that the mutation of the TCSs of Br. melitensis was the causative factor of its reduced resistance to stress conditions. Taken together, our results demonstrated TCS TceSR involves in the intracellular survival, virulence and cytotoxicity of Br. melitensis during its infection. Significance and impact of the study: Two-component systems (TCSs) are predominant bacterial signal transduction mechanisms. The pathogenicity of Brucella is due to its ability to adapt to the intracellular environment including low levels of acidic pH, high-salt and heat shock. TCSs are designed to sense diverse stimuli, transfer signals and enact an

  19. Geophysical logging and thermal imaging near the Hemphill Road TCE National Priorities List Superfund site near Gastonia, North Carolina

    Science.gov (United States)

    Antolino, Dominick J.; Chapman, Melinda J.

    2017-03-27

    Borehole geophysical logs and thermal imaging data were collected by the U.S. Geological Survey near the Hemphill Road TCE (trichloroethylene) National Priorities List Superfund site near Gastonia, North Carolina, during August 2014 through February 2015. In an effort to assist the U.S. Environmental Protection Agency in the development of a conceptual groundwater model for the assessment of current contaminant distribution and future migration of contaminants, surface geological mapping and borehole geophysical log and thermal imaging data collection, which included the delineation of more than 600 subsurface features (primarily fracture orientations), was completed in five open borehole wells and two private supply bedrock wells. In addition, areas of possible groundwater discharge within a nearby creek downgradient of the study site were determined based on temperature differences between the stream and bank seepage using thermal imagery.

  20. DFN-M field characterization of sandstone for a process-based site conceptual model and numerical simulations of TCE transport with degradation.

    Science.gov (United States)

    Pierce, Amanda A; Chapman, Steven W; Zimmerman, Laura K; Hurley, Jennifer C; Aravena, Ramon; Cherry, John A; Parker, Beth L

    2018-03-03

    Plumes of trichloroethene (TCE) with degradation products occur at a large industrial site in California where TCE as a dense non-aqueous phase liquid (DNAPL) entered the fractured sandstone bedrock at many locations beginning in the late 1940s. Groundwater flows rapidly in closely spaced fractures but plume fronts are strongly retarded relative to groundwater flow velocities owing largely to matrix diffusion in early decades and degradation processes in later decades and going forward. Multiple data types show field evidence for both biotic and abiotic dechlorination of TCE and its degradation products, resulting in non-chlorinated compounds. Analyses were conducted on groundwater samples from hundreds of monitoring wells and on thousands of rock samples from continuous core over depths ranging from 6 to 426 metres below ground surface. Nearly all of the present-day mass of TCE and degradation products resides in the water-saturated, low-permeability rock matrix blocks. Although groundwater and DNAPL flow primarily occur in the fractures, DNAPL dissolution followed by diffusion and sorption readily transfers contaminant mass into the rock matrix. The presence of non-chlorinated degradation products (ethene, ethane, acetylene) and compound specific isotope analysis (CSIA) of TCE and cis-1,2-dichloroethene (cDCE) indicate at least some complete dechlorination by both biotic and abiotic pathways, consistent with the observed mineralogy and hydrogeochemistry and with published results from crushed rock microcosms. The rock matrix contains abundant iron-bearing minerals and solid-phase organic carbon with large surface areas and long contact times, suggesting degradation processes are occurring in the rock matrix. Multiple, high-resolution datasets provide strong evidence for spatially heterogeneous distributions of TCE and degradation products with varying degrees of degradation observed only when using new methods that achieve better detection of dissolved gases (i

  1. Effect of particle age (Fe0 content) and solution pH on NZVI reactivity: H2 evolution and TCE dechlorination.

    Science.gov (United States)

    Liu, Yueqiang; Lowry, Gregory V

    2006-10-01

    Subsurface injection of nanoscale zerovalent iron (NZVI) has been used for the in situ remediation of chlorinated solvent plumes and DNAPL source zones. Due to the cost of materials and placement,the efficacy of this approach depends on the NZVI reactivity and longevity, selectivity for the target contaminant relative to nonspecific corrosion to yield H2, and access to the Fe0 in the particles. Both the reaction pH and the age of the particles (i.e., Fe0 content) could affect NZVI reactivity and longevity. Here, the rates of H2 evolution and trichloroethene (TCE) reduction are measured over the lifetime of the particles and at solution pH ranging from 6.5 to 8.9. Crystalline reactive nanoscale iron particles (RNIP) with different initial Fe0 weight percent (48%, 36%, 34%, 27%, and 9.6%) but similar specific surface area were studied. At the equilibrium pH for a Fe(OH)2/H2O system (pH = 8.9), RNIP exhibited first-order decay for Fe0 corrosion (H2 evolution) with respect to Fe0 content with a Fe0 half-life time of 90-180 days. A stable surface area-normalized TCE reduction rate constant 1.0 x 10(-3)L x hr(-1) x m(-2) was observed after 20 days and remained constant for 160 days, while the Fe0 content of the particles decreased by half, suggesting that TCE reduction is zero-order with respect to the Fe0 content of the particle. Solution pH affected H2 evolution and TCE reduction to a different extent. Decreasing pH from 8.9 to 6.5 increased the H2 evolution rate constant 27 fold from 0.008 to 0.22 day(-1), but the TCE dechlorination rate constant only doubled. The dissimilarities between the reaction orders of H2 evolution and TCE dechlorination with respect to both Fe0 content and H+ concentration suggest that different rate controlling steps are involved for the reduction reactions.

  2. Auditoria de Tecnologia da Informação – A Experiência do TCE-CE

    Directory of Open Access Journals (Sweden)

    Paulo Alcântara Saraiva Leão

    2012-06-01

    Full Text Available O presente artigo tem como propósito apresentar a experiência de implantação da área de auditoria de Tecnologia da Informação no Tribunal de Contas do Estado do Ceará (TCE-CE. O controle externo sobre a governança e o uso dos recursos de Tecnologia da Informação (TI, bem como os processos de aquisição dos mesmos no âmbito da Administração Pública estadual, é de extrema importância, uma vez tratar-se de área estratégica, de alto teor técnico, de grande dinamicidade e que envolve recursos financeiros significativos dentro dos orçamentos públicos. O objetivo maior com a implantação de uma área de auditoria de TI no TCECE foi buscar garantir que os recursos destinados a essa área, dentro da Administração Pública, sejam corretamente aplicados. Teve também o intuito de contribuir para a boa governança da TI na Administração Pública estadual, em benefício da sociedade. Neste contexto, o TCE-CE espera introduzir uma visão de auditoria de TI não limitada apenas ao regramento legal, mas também com ênfase na verificação da efetividade dos resultados dos programas, projetos, processos e atividades de TI, que dão suporte à aplicação de políticas públicas. Neste artigo, são apresentadas as motivações que justificaram a criação desta nova área, sua estrutura organizacional, ações realizadas, competências, atribuições, processo de trabalho; e finalmente os resultados e benefícios alcançados com sua atuação.

  3. In Situ Remediation of a TCE-Contaminated Aquifer Using a Short Rotation Woody Crop Groundwater Treatment System

    Science.gov (United States)

    2006-05-01

    groundwater RCRA Resource Conservation and Recovery Act SAIC Science Applications International Corporation SARA Superfund Amendments and...instrumental in making this project a success. Scientists at Science Applications International Corporation (SAIC), the University of Georgia, the...to a depth of 1 m. The whips or caliper trees were placed within the trenched rows along with irrigation lines. An agronomic assessment identified

  4. Managing risks of noncancer health effects at hazardous waste sites: A case study using the Reference Concentration (RfC) of trichloroethylene (TCE).

    Science.gov (United States)

    Dourson, Michael L; Gadagbui, Bernard K; Thompson, Rod B; Pfau, Edward J; Lowe, John

    2016-10-01

    A method for determining a safety range for non-cancer risks is proposed, similar in concept to the range used for cancer in the management of waste sites. This safety range brings transparency to the chemical specific Reference Dose or Concentration by replacing their "order of magnitude" definitions with a scientifically-based range. EPA's multiple RfCs for trichloroethylene (TCE) were evaluated as a case study. For TCE, a multi-endpoint safety range was judged to be 3 μg/m(3) to 30 μg/m,(3) based on a review of kidney effects found in NTP (1988), thymus effects found in Keil et al. (2009) and cardiac effects found in the Johnson et al. (2003) study. This multi-endpoint safety range is derived from studies for which the appropriate averaging time corresponds to different exposure durations, and, therefore, can be applied to both long- and short-term exposures with appropriate consideration of exposure averaging times. For shorter-term exposures, averaging time should be based on the time of cardiac development in humans during fetal growth, an average of approximately 20-25 days. Copyright © 2016 The Author(s). Published by Elsevier Inc. All rights reserved.

  5. Simulation Of Enhanced Reductive Dechlorination For Remediation Of Tce In A Fractured Clay System: A New Model Approach And Application To Field Site

    DEFF Research Database (Denmark)

    Manoli, Gabriele; Chambon, Julie Claire Claudia; Christiansen, Camilla Maymann

    2010-01-01

    An innovative model is developed for Enhanced Reductive Dechlorination (ERD) of chlorinated solvents in a fractured glacial till. The model consists of three components: hydraulics, transport and degradation. The hydraulic component calculates the flow of water through a fractured clay till...... with interspersed sand lenses and stringers. The transport model couples diffusion dominated transport in the clay matrix, with advective‐dispersive transport in the fractures and higher permeability sand lenses. The reactive model calculates sequential reductive dechlorination of TCE (trichloroethylene) to its...... a contamination of trichloroethylene located in a fractured clay till. The site is simulated using the model developed. Fracture geometry, site parameters and degradation rates are based on observations from the site and lab studies. The risk for drinking water is assessed and cleanup times are simulated using...

  6. Comprehensive performance analyses and optimization of the irreversible thermodynamic cycle engines (TCE) under maximum power (MP) and maximum power density (MPD) conditions

    International Nuclear Information System (INIS)

    Gonca, Guven; Sahin, Bahri; Ust, Yasin; Parlak, Adnan

    2015-01-01

    This paper presents comprehensive performance analyses and comparisons for air-standard irreversible thermodynamic cycle engines (TCE) based on the power output, power density, thermal efficiency, maximum dimensionless power output (MP), maximum dimensionless power density (MPD) and maximum thermal efficiency (MEF) criteria. Internal irreversibility of the cycles occurred during the irreversible-adiabatic processes is considered by using isentropic efficiencies of compression and expansion processes. The performances of the cycles are obtained by using engine design parameters such as isentropic temperature ratio of the compression process, pressure ratio, stroke ratio, cut-off ratio, Miller cycle ratio, exhaust temperature ratio, cycle temperature ratio and cycle pressure ratio. The effects of engine design parameters on the maximum and optimal performances are investigated. - Highlights: • Performance analyses are conducted for irreversible thermodynamic cycle engines. • Comprehensive computations are performed. • Maximum and optimum performances of the engines are shown. • The effects of design parameters on performance and power density are examined. • The results obtained may be guidelines to the engine designers

  7. Five-year outcomes following PCI with DES versus CABG for unprotected LM coronary lesions: meta-analysis and meta-regression of 2914 patients Desfechos de 5 anos do tratamento de lesões de TCE por stents farmacológicos versus CRM: metaanálise e meta-regressão de 2914 pacientes

    Directory of Open Access Journals (Sweden)

    Michel Pompeu Barros de Oliveira Sá

    2013-03-01

    Full Text Available OBJECTIVE: To compare the safety and efficacy at long-term follow-up of coronary artery bypass grafting (CABG with percutaneous coronary intervention (PCI using drug-eluting stents (DES in patients with unprotected left main coronary artery (ULMCA disease. METHODS: MEDLINE, EMBASE, CENTRAL/CCTR, SciELO, LILACS, Google Scholar and reference lists of relevant articles were searched for clinical studies that reported outcomes at 5-year follow-up after PCI with DES and CABG for the treatment of ULMCA stenosis. Five studies (1 randomized controlled trial and 4 observational studies were identified and included a total of 2914 patients (1300 for CABG and 1614 for PCI with DES. RESULTS: At 5-year follow-up, there was no significant difference between the CABG and PCI-DES groups in the risk for death (odds ratio [OR] 1.159, P=0.168 for random effect or the composite endpoint of death, myocardial infarction, or stroke (OR 1.214, P=0.083. The risk for target vessel revascularization (TVR was significantly lower in the CABG group compared to the PCI-DES group (OR 0.212, POBJETIVO: Comparar segurança e eficácia do seguimento a longo prazo da cirurgia de revascularização miocárdica (CRM com intervenção coronária percutânea (ICP, utilizando stents farmacológicos (SF em pacientes com lesão de tronco de coronária esquerda não-protegida (TCE. MÉTODOS: MEDLINE, EMBASE, CENTRAL/CCTR, SciELO, LILACS, Google Scholar e listas de referências artigos relevantes foram escaneados para estudos clínicos que relataram resultados em 5 anos de seguimento após ICP-SF eCRM para o tratamento de lesão de TCE. Cinco estudos (um de ensaio clínico randomizado e quatro estudos observacionais foram identificados e incluíram um total de 2914 pacientes (1300 para CRM e 1614 para ICP-SF. RESULTADOS: Aos 5 anos de seguimento, não houve diferença significativa entre os grupos CRM e ICP-SF no risco de morte (odds ratio [OR] 1,159, P=0,168 ou desfecho composto de morte

  8. O que lembra o paciente com TCE sobre o período de hospitalização? Lo que recuerda el enfermero com TCE sobre el periodo de hospitalización? Head injured patients: what they recall about their hospitalization time?

    Directory of Open Access Journals (Sweden)

    Denise Alves

    2000-04-01

    Full Text Available Trata-se da análise das lembranças do período de internação referidas pelos pacientes que sofreram TCE de diferentes gravidades. O estudo foi realizado no ambulatório de Trauma de Crânio do Instituto Central do HC-FMUSP com amostra de 45 pacientes conscientes e capazes de manter entrevista. Predominaram pacientes do sexo masculino, adultos jovens, que tiveram como causas acidentes de trânsito e quedas. A maioria (86,0% informou ter ficado desacordada em diferentes tempos de duração e nada recordar deste período. Naqueles que sempre estiveram alertas ou que acordaram ainda internados as lembranças relacionaram-se com ter visto, sentido, ouvido ou reagido a sons e procedimentos.Se estudiaron los recuerdos que enfermos de TCE de distinta gravedad tienen del periodo de hospitalización. El estudio fue realizado en el servicio de consulta externa de traumatismo del Cráneo del Instituto Central del HC - FMUSP y fueron entrevistados 45 enfermos conscientes y capaces de contestar preguntas. La mayoría de los enfermos eran del sexo masculino, jóvenes y víctimas de accidentes de tránsito y caídas. La mayoría de los enfermos (86% dijeron no estar despiertos en todos los momentos y que no se recordaban de nada del periodo. Los recuerdos relatados por los que estuvieron despiertos y también por aquellos que se despertaron durante la hospitalización, eran sobre todo mirar, sentir, oír o reaccionar a sonidos y procedimientos.Traumatic brain injured (TBI patients with different trauma severity were analyzed about their recollection concerning the period of hospitalization. The study was carried out in the Head Injury Outpatient Clinic at the Central Institute of the FMUSP Hospital including 45 conscious patients able to sustain an interview. Most patients were male, young adults with the major cause of trauma such as traffic accidents and falls. Most patients (86% reported uncosciouness state of different time duration in their

  9. Intraoperative monitoring of somatosensory (SSEPs) and transcranial electric motor-evoked potentials (tce-MEPs) during surgical correction of neuromuscular scoliosis in patients with central or peripheral nervous system diseases.

    Science.gov (United States)

    Pastorelli, F; Di Silvestre, M; Vommaro, F; Maredi, E; Morigi, A; Bacchin, M R; Bonarelli, S; Plasmati, R; Michelucci, R; Greggi, T

    2015-11-01

    Combined intraoperative monitoring (IOM) of transcranial electric motor-evoked potentials (tce-MEPs) and somatosensory-evoked potentials (SSEPs) is safe and effective for spinal cord monitoring during scoliosis surgery. However, the literature data regarding the reliability of spinal cord monitoring in patients with neuromuscular scoliosis are conflicting and need to be confirmed. We reviewed IOM records of 40 consecutive patients with neuromuscular scoliosis related to central nervous system (CNS) (29 pts) or peripheral nervous system (PNS) (11 patients) diseases, who underwent posterior fusion with instrumentation surgery for spinal deformity. Multimodalitary IOM with SSEPs and tce-MEPs was performed. Spinal cord monitoring using at least one modality was attempted in 38/40 (95 %) patients. No false-negative results were present in either group, but a relatively high incidence of false-positive cases (4/29, 13.8 %) was noted in the CNS group. Two patients in the CNS group and one patient in the PNS group presented transient postoperative motor deficits (true positive), related to surgical manoeuvres in two cases and to malposition in the other one. Multimodalitary IOM is safe and effective to detect impending spinal cord and peripheral nerves dysfunction in neuromuscular scoliosis surgery. However, the interpretation of neurophysiological data may be challenging in such patients, and the rate of false-positive results is high when pre-operatory motor deficits are severe.

  10. Optimization of a packed bed reactor for liquid waste treatment

    International Nuclear Information System (INIS)

    Schmidt, C.A.; Brower, M.J.; Coogan, J.J.; Tennant, R.A.

    1993-01-01

    The authors describe an optimization study of a packed bed reactor (PBR), developed for the treatment of hazardous liquid wastes. The focus is on the destruction of trichloroethylene (TCE). The PBR technology offers many distinct advantages over other processes: simple design, high destruction rates (99.99%), low costs, ambient pressure operation, easy maintenance and scaleability. The cost effectiveness, optimal operating parameters and scaleability were determined. As a second stage of treatment, a silent discharge plasma (SDP) reactor was installed to further treat offgases from the PBR. A primary advantage of this system is closed loop operation, where exhaust gases are continuously recycled and not released into the atmosphere

  11. Capacitando e desenvolvendo servidores públicos para uma gestão pública de excelência - A experiência da Escola de Contas e Gestão Pública do TCE-CE

    Directory of Open Access Journals (Sweden)

    Alexandre Figueiredo

    2014-06-01

    Full Text Available O aperfeiçoamento profissional e humano das pessoas que fazem uma orga­nização é fundamental para que ela desempenhe bem sua missão e alcançe seus objetivos. É por meio da valorização do trabalho, que se torna possível atingir as metas estabelecidas para a instituição e o aumento de produtividade de seus colaboradores. Com essa premissa, o Tribunal de Contas do Estado do Ceará (TCE-CE vem sempre empenhando esforços no desenvolvimento de seus servidores, jurisdi­cionados e da sociedade, por meio de capacitações que aperfeiçoem as com­petências profissionais, comportamentais e organizacionais, com atividades educacionais, nos campos do ensino, pesquisa e extensão, nas modalidades presencial e a distância, objetivando ampliar, inovar, reciclar e compartilhar conhecimento. Nesse sentido, o TCE-CE, seguindo a tendência verificada nos demais Tribunais de Contas do país, implantou em 1995 sua Escola de Con­tas, o Instituto Escola Superior de Contas e Gestão Pública Ministro Plácido Castelo (IPC, responsável pelas ações educacionais do Tribunal. Neste artigo, apresentamos a trajetória do IPC, até o presente momento, des­tacando sua razão de existência, atividades desempenhadas, e realizações e feitos mais significativos, em benefício de uma gestão pública de excelência e uma correta aplicação dos recursos públicos do estado do Ceará.

  12. Transformation of Mixed Contaminants of Trichloroethylene and Chromium using Polymer Modified and Unmodified KMnO4 Particles in Soil and Water Treatment

    Science.gov (United States)

    Ighere, Jude

    soluble in water, it does not form complexes strongly with soil organic matter. The result indicated that TCE oxidation by KMnO4 was not impacted by the presence of Cr (VI), but the reduction of Cr (VI) by ferrous ion was influenced greatly by the presence of TCE. The release profile for polymer modified KMnO4 in aqueous media indicated that the release efficiency was inversely proportional to the mass ratio of KMnO4 to PMMA particles. Application of encapsulated matrix in mixed contaminant treatment yielded 81% Cr (VI) reduction and 88% TCE oxidation by ferrous ion and modified permanganate respectively. PMMA improved interaction of KMnO4 particles with target contaminant (TCE) but with a low oxidant release rate.

  13. Treatment

    Directory of Open Access Journals (Sweden)

    Safaa M. Raghab

    2013-08-01

    The main goal of this study is to utilize a natural low cost material “as an accelerator additive to enhance the chemical treatment process using Alum coagulant and the accelerator substances were Perlite and Bentonite. The performance of the chemical treatment was enhanced using the accelerator substances with 90 mg/l Alum as a constant dose. Perlite gave better performance than the Bentonite effluent. The removal ratio for conductivity, turbidity, BOD and COD for Perlite was 86.7%, 87.4%, 89.9% and 92.8% respectively, and for Bentonite was 83.5%, 85.0%, 86.5% and 85.0% respectively at the same concentration of 40 mg/l for each.

  14. The X-625 Groundwater Treatment Facility: A field-scale test of trichloroethylene dechlorination using iron filings for the X-120/X-749 groundwater plume

    International Nuclear Information System (INIS)

    Liang, L.; West, O.R.; Korte, N.E.

    1997-09-01

    The dehalogenation of chlorinated solvents by zero-valence iron has recently become the subject of intensive research and development as a potentially cost-effective, passive treatment for contaminated groundwater through reactive barriers. Because of its successful application in the laboratory and other field sites, the X-625 Groundwater Treatment Facility (GTF) was constructed to evaluate reactive barrier technology for remediating trichloroethylene (TCE)-contaminated groundwater at the Portsmouth Gaseous Diffusion Plant (PORTS). The X-625 GTF was built to fulfill the following technical objectives: (1) to test reactive barrier materials (e.g., iron filings) under realistic groundwater conditions for long term applications, (2) to obtain rates at which TCE degrades and to determine by-products for the reactive barrier materials tested, and (3) to clean up the TCE-contaminated water in the X-120 plume. The X-625 is providing important field-scale and long-term for the evaluation and design of reactive barriers at PORTS. The X-625 GTS is a unique facility not only because it is where site remediation is being performed, but it is also where research scientists and process engineers can test other promising reactive barrier materials. In addition, the data collected from X-625 GTF can be used to evaluate the technical and economic feasibility of replacing the activated carbon units in the pump-and-treat facilities at PORTS

  15. Estimating Differences in the Cost of Groundwater Treatment of Trichioroethylene Based on Different Cleanup Goals

    National Research Council Canada - National Science Library

    Atchue, Joseph

    1998-01-01

    ...) to develop a health-based groundwater (GW) cleanup standard for trichloroethylene (TCE). Reevaluation of the health risk of TCE exposure may provide sufficient evidence for EPA program offices...

  16. Final Report on Testing of Off-Gas Treatment Technologies for Abatement of Atmospheric Emissions of Chlorinated Volatile Organic Compounds

    International Nuclear Information System (INIS)

    Jarosch, T.R.; Haselow, J.S.; Rossabi, J.; Burdick, S.A.; Raymond, R.; Young, J.E.; Lombard, K.H.

    1995-01-01

    The purpose of this report is to summarize the results of the program for off-gas treatment of atmospheric emissions of chlorinated volatile organic compounds (CVOCs), in particular trichloroethylene (TCE) and perchloroethylene (PCE). This program was funded through the Department of Energy Office of Technology Development's VOC's in Non-Arid Soils Integrated Demonstration (VNID). The off-gas treatment program was initiated after testing of in-situ air stripping with horizontal wells was completed (Looney et al., 1991). That successful test expectedly produced atmospheric emissions of CVOCs that were unabated. It was decided after that test that an off-gas treatment is an integral portion of remediation of CVOC contamination in groundwater and soil but also because several technologies were being developed across the United States to mitigate CVOC emissions. A single platform for testing off-gas treatment technologies would facilitate cost effective evaluation of the emerging technologies. Another motivation for the program is that many CVOCs will be regulated under the Clean Air Act Amendments of 1990 and are already regulated by many state regulatory programs. Additionally, compounds such as TCE and PCE are pervasive subsurface environmental contaminants, and, as a result, a small improvement in terms of abatement efficiency or cost will significantly reduce CVOC discharges to the environment as well as costs to United States government and industry

  17. Final Report on Testing of Off-Gas Treatment Technologies for Abatement of Atmospheric Emissions of Chlorinated Volatile Organic Compounds

    Energy Technology Data Exchange (ETDEWEB)

    Jarosch, T.R.; Haselow, J.S.; Rossabi, J.; Burdick, S.A.; Raymond, R.; Young, J.E.; Lombard, K.H.

    1995-01-23

    The purpose of this report is to summarize the results of the program for off-gas treatment of atmospheric emissions of chlorinated volatile organic compounds (CVOCs), in particular trichloroethylene (TCE) and perchloroethylene (PCE). This program was funded through the Department of Energy Office of Technology Development`s VOC`s in Non-Arid Soils Integrated Demonstration (VNID). The off-gas treatment program was initiated after testing of in-situ air stripping with horizontal wells was completed (Looney et al., 1991). That successful test expectedly produced atmospheric emissions of CVOCs that were unabated. It was decided after that test that an off-gas treatment is an integral portion of remediation of CVOC contamination in groundwater and soil but also because several technologies were being developed across the United States to mitigate CVOC emissions. A single platform for testing off-gas treatment technologies would facilitate cost effective evaluation of the emerging technologies. Another motivation for the program is that many CVOCs will be regulated under the Clean Air Act Amendments of 1990 and are already regulated by many state regulatory programs. Additionally, compounds such as TCE and PCE are pervasive subsurface environmental contaminants, and, as a result, a small improvement in terms of abatement efficiency or cost will significantly reduce CVOC discharges to the environment as well as costs to United States government and industry.

  18. Present status on the use of electron accelerator for wastewater treatment in Korea

    International Nuclear Information System (INIS)

    Lee, Myun Joo; Han, Bum Soo; Choi, Jang Seung; Kang, Ho

    2006-01-01

    In the part 1, four major irradiation R and D works studied in field of wastewater treatment in Korea were introduced. Disinfection of total coli-forms in unchlorinated secondary effluent, removal of color in dyeing wastewater and feasibility test to control algal bloom used the electron beam as a radiation source. Treatment of groundwater polluted by TCE and PCE used gamma rays as a radiation source. Backgrounds and experimental results on each research topic were introduced. In the part 2, national on-going projects related to wastewater treatment using irradiation technology in Korea were introduced. With regarding these projects, EB treatment plant for textile dyeing wastewater was described based on the construction and evaluation of ecological stability. (author)

  19. Application of a mobile electron beam system for the treatment of hazardous wastes

    International Nuclear Information System (INIS)

    Cooper, W.J.; Kurucz, C.N.; Waite, T.D.; Nickelsen, M.G.; Kajdi, D.C.

    1994-01-01

    This paper describes the results obtained from an EPA SITE demonstration project conducted at the Department of Energy Savannah River Site (SRS) in Aiken, SC. A mobile 500 kV, variable current (0--40 mA), insulated core transformer, electron accelerator was employed in the destruction of hazardous waste contaminated groundwater. The SITE demonstration occurred at the M-area section of SRS. Prior to 1985, the M-area manufacturing facilities discharged effluent containing heavy metals and chlorinated solvents (primarily TCE and PCE) to an unlined settling basin via an underground process sewer line. In addition to this contamination, leakage occurred from solvent drums stored in the main M-area Solvent Handling and Storage Area. Quarterly groundwater samples taken from monitoring wells had identified two of eight RCRA permitted contaminants at the following concentrations: TCE at 33,000 to 48,000 μg L -1 and PCE at 16,300 to 23,400 μg L -1 . To increase the scope of the work, and to determine the effectiveness of the electron beam treatment system in handling complex mixtures of hazardous contaminants, 1,1,1-trichloroethane, 1,2-dichloroethane, carbon tetrachloride, benzene, toluene, ethylbenzene, and p-xylene were spiked into the electron beam influent stream at approximately 500 μg L -1

  20. Electron beam wastewater treatment in Brazil

    International Nuclear Information System (INIS)

    Sampa, M.H.O.; Rela, P.R.; Duarte, C.L.; Borrely, S.I.; Oikawa, H.; Somessari, E.S.R.; Silveira, C.G.; Costa, F.E.

    2001-01-01

    Experiments were performed at laboratory scale and at pilot plant scale to study the efficiency on using EB to remove and degrade toxic and refractory pollutants mainly from industrial origins. An upflow stream hydraulic system that governs the efficiency of the EB energy transferred to the stream was developed. Two different sources of samples were used to treat industrial effluents from a pharmaceutical chemical industry located in Sao Paulo and from a Governmental Wastewater Treatment Plant (WWTP) in Sao Paulo State, which receives the major quantity of industrial wastewater. Using samples from this WWTP, studies to combine EB irradiation process with conventional treatment were carried out with experimentation doses of 5 kGy, 10 kGy and 20 kGy and the irradiation effects were evaluated in the following parameters: COD, BOD, solids, TOC, THMs. PCE, TCE, BTX and concentration of organic acids by-products. Toxicity studies were also carried out for different sites and industrial activities showing significant removal of acute toxicity by increasing values of the EC-50 for most of the experiments. The economic aspects of this technology were evaluated and the estimated processing costs for some values of delivered doses and operation are reported here. (author)

  1. Packed bed reactor treatment of liquid hazardous and mixed wastes

    International Nuclear Information System (INIS)

    Tennant, R.A.; Wantuck, P.J.; Vargas, R.

    1992-01-01

    We are developing thermal-based packed bed reactor (PBR) technology as an alternative to incineration for treatment of hazardous organic liquid wastes. The waste streams targeted by this technology are machining fluids contaminated with chlorocarbons and/or chlorofluorocarbons and low levels of plutonium or tritium The PBR offers several distinct advantages including simplistic design, rugged construction, ambient pressure processing, economical operations, as well as ease of scalability and maintainability. In this paper, we provide a description of the apparatus as well as test results using prepared mixtures of machining oils/emulsions with trichloroethylene (TCE), carbon tetrachloride (CCl 4 ), trichloroethane (TCA), and Freon TF. The current treatment system is configured as a two stage device with the PBR (1st stage) coupled to a silent discharge plasma (SDP) cell. The SDP serves as a second stage for further treatment of the gaseous effluent from the PBR. One of the primary advantages of this two stage system is that its suitability for closed loop operation where radioactive components are well contained and even CO 2 is not released to the environment

  2. Modeling Vertical Flow Treatment Wetland Hydraulics to Optimize Treatment Efficiency

    Science.gov (United States)

    2011-03-24

    other containing 20% sand, 40% peat, and 40% Bion soil, a commercially available product derived from agricultural waste (Kassenga et al., 2003). A...20% sand 40% peat and 40% Bion soil Porosity (n) 0.76±0.04 0.72±0.06 Retardation Factor (R) cDCE 3.51 TCE 2.75 1,1,1-TCA 3.69 VC 1.07 cDCE

  3. In situ treatment of mixed contaminants in groundwater: Application of zero-valence iron and palladized iron for treatment of groundwater contaminated with trichloroethene and technetium-99

    International Nuclear Information System (INIS)

    Korte, N.E.; Muck, M.T.; Zutman, J.L.; Schlosser, R.M.; Liang, L.; Gu, B.; Houk, T.C.; Fernando, Q.

    1997-04-01

    The overall goal of this portion of the project was to package one or more unit processes, as modular components in vertical and/or horizontal recirculation wells, for treatment of volatile organic compounds (VOCs) [e.g., trichloroethene (TCE)] and radionuclides [e.g., technetium (Tc) 99 ] in groundwater. The project was conceived, in part, because the coexistence of chlorinated hydrocarbons and radionuclides has been identified as the predominant combination of groundwater contamination in the US Department of Energy (DOE) complex. Thus, a major component of the project was the development of modules that provide simultaneous treatment of hydrocarbons and radionuclides. The project objectives included: (1) evaluation of horizontal wells for inducing groundwater recirculation, (2) development of below-ground treatment modules for simultaneous removal of VOCs and radionuclides, and (3) demonstration of a coupled system (treatment module with recirculation well) at a DOE field site where both VOCs and radionuclides are present in the groundwater. This report is limited to the innovative treatment aspects of the program. A report on pilot testing of the horizontal recirculation system was the first report of the series (Muck et al. 1996). A comprehensive report that focuses on the engineering, cost and hydrodynamic aspects of the project has also been prepared (Korte et al. 1997a)

  4. Trichloroethylene (TCE) removal in a single pulse suspension bioreactor

    Czech Academy of Sciences Publication Activity Database

    Volčík, V.; Hoffmann, J.; Růžička, J.; Sergejevova, Magda

    2005-01-01

    Roč. 74, - (2005), s. 293-304 ISSN 0301-4797 R&D Projects: GA MŠk LN00A141 Institutional research plan: CEZ:AV0Z50200510 Keywords : trichlorethylene * phenol * cometabolism Subject RIV: EE - Microbiology, Virology Impact factor: 1.163, year: 2005

  5. Toxicity of trichloroethylene (TCE) on some algae and cyanobacteria

    Czech Academy of Sciences Publication Activity Database

    Lukavský, Jaromír; Furnadzhieva, S.; Dittrt, František

    2011-01-01

    Roč. 86, č. 2 (2011), 226-231 ISSN 0007-4861 R&D Projects: GA MŠk 1M0571 Institutional research plan: CEZ:AV0Z60050516; CEZ:AV0Z20600510 Keywords : toxicity * cyanobacteria * trichloroethylene Subject RIV: EF - Botanics Impact factor: 1.018, year: 2011

  6. Modulatory effect of Tinospora cordifolia extract on Cd-induced oxidative stress in Wistar rats

    Directory of Open Access Journals (Sweden)

    Viswanadha Vijaya Padma

    2016-03-01

    Conclusion: Our results suggested that TCE with its antioxidant effect offered cytoprotection against Cd-induced toxicity in kidneys by restoring the altered cellular antioxidants and renal markers. TCE treatment for 28 days reversed ATPase activity and tissue glycoprotein levels. These results revealed the protective effect of TCE on Cd-induced toxicity in kidneys and oxidative stress.

  7. Semi-passive, Chemical Oxidation Schemes for the Long-term Treatment of Contaminants

    Energy Technology Data Exchange (ETDEWEB)

    Frank W. Schwartz

    2005-12-13

    This research involves a combined experimental and modeling study that builds on our previous DOE-sponsored work in investigating how KMnO{sub 4} can be better used with in situ remediation of groundwater contaminated by chlorinated ethylenes (e.g., PCE, TCE, DCE). This study aims to provide scientific basis for developing a new long-term, semi-passive ISCO scheme that uses controlled release KMnO{sub 4} as a reactive barrier component. Specific objectives of the study are (1) to construct controlled release KMnO{sub 4} as a new reactive barrier component that could deliver permanganate at a controlled rate over long time periods of years, (2) to quantitatively describe release mechanisms associated with the controlled release KMnO{sub 4}, (3) to demonstrate efficacy of the new remediation scheme using proof-of-concept experiments, and (4) to design advanced forms of controlled release systems through numerical optimization. The new scheme operates in a long-term, semi-passive manner to control spreading of a dissolved contaminant plume with periodic replacement of the controlled release KMnO{sub 4} installed in the subsurface. As a first step in developing this remedial concept, we manufactured various prototype controlled release KMnO{sub 4} forms. Then we demonstrated using column experiments that the controlled release KMnO{sub 4} could deliver small amount of permanganate into flowing water at controlled rates over long time periods of years. An analytical model was also used to estimate the diffusivities and durations of the controlled release KMnO{sub 4}. Finally, proof-of-concept flow-tank experiments were performed to demonstrate the efficacy of the controlled release KMnO{sub 4} scheme in controlling dissolved TCE plume in a long-term, semi-passive manner. Another important thrust of our research effort involved numerical optimization of controlled release systems. This study used a numerical model that is capable of describing release patterns of active

  8. REVIEW REPORT: BUILDING C-400 THERMAL TREATMENT 90 PERCENT REMEDIAL DESIGN REPORT AND SITE INVESTIGATION, PGDP, PADUCAH, KENTUCKY

    Energy Technology Data Exchange (ETDEWEB)

    Looney, B; Jed Costanza, J; Eva Davis, E; Joe Rossabi, J; Lloyd (Bo) Stewart, L; Hans Stroo, H

    2007-08-15

    On 9 April 2007, the U.S. Department of Energy (DOE) Headquarters, Office of Soil and Groundwater Remediation (EM-22) initiated an Independent Technical Review (ITR) of the 90% Remedial Design Report (RDR) and Site Investigation (RDSI) for thermal treatment of trichloroethylene (TCE) in the soil and groundwater in the vicinity of Building C-400 at the Paducah Gaseous Diffusion Plant (PGDP). The general ITR goals were to assess the technical adequacy of the 90% RDSI and provide recommendations sufficient for DOE to determine if modifications are warranted pertaining to the design, schedule, or cost of implementing the proposed design. The ultimate goal of the effort was to assist the DOE Paducah/Portsmouth Project Office (PPPO) and their contractor team in ''removing'' the TCE source zone located near the C-400 Building. This report provides the ITR findings and recommendations and supporting evaluations as needed to facilitate use of the recommendations. The ITR team supports the remedial action objective (RAO) at C-400 to reduce the TCE source area via subsurface Electrical Resistance Heating (ERH). Further, the ITR team commends PPPO, their contractor team, regulators, and stakeholders for the significant efforts taken in preparing the 90% RDR. To maximize TCE removal at the target source area, several themes emerge from the review which the ITR team believes should be considered and addressed before implementing the thermal treatment. These themes include the need for: (1) Accurate and site-specific models as the basis to verify the ERH design for full-scale implementation for this challenging hydrogeologic setting; (2) Flexible project implementation and operation to allow the project team to respond to observations and data collected during construction and operation; (3) Defensible performance metrics and monitoring, appropriate for ERH, to ensure sufficient and efficient clean-up; and (4) Comprehensive (creative and diverse) contingencies

  9. REVIEW REPORT: BUILDING C-400 THERMAL TREATMENT 90 PERCENT REMEDIAL DESIGN REPORT AND SITE INVESTIGATION, PGDP, PADUCAH, KENTUCKY

    International Nuclear Information System (INIS)

    Looney, B; Jed Costanza, J; Eva Davis, E; Joe Rossabi, J; Lloyd Stewart, L; Hans Stroo, H

    2007-01-01

    On 9 April 2007, the U.S. Department of Energy (DOE) Headquarters, Office of Soil and Groundwater Remediation (EM-22) initiated an Independent Technical Review (ITR) of the 90% Remedial Design Report (RDR) and Site Investigation (RDSI) for thermal treatment of trichloroethylene (TCE) in the soil and groundwater in the vicinity of Building C-400 at the Paducah Gaseous Diffusion Plant (PGDP). The general ITR goals were to assess the technical adequacy of the 90% RDSI and provide recommendations sufficient for DOE to determine if modifications are warranted pertaining to the design, schedule, or cost of implementing the proposed design. The ultimate goal of the effort was to assist the DOE Paducah/Portsmouth Project Office (PPPO) and their contractor team in ''removing'' the TCE source zone located near the C-400 Building. This report provides the ITR findings and recommendations and supporting evaluations as needed to facilitate use of the recommendations. The ITR team supports the remedial action objective (RAO) at C-400 to reduce the TCE source area via subsurface Electrical Resistance Heating (ERH). Further, the ITR team commends PPPO, their contractor team, regulators, and stakeholders for the significant efforts taken in preparing the 90% RDR. To maximize TCE removal at the target source area, several themes emerge from the review which the ITR team believes should be considered and addressed before implementing the thermal treatment. These themes include the need for: (1) Accurate and site-specific models as the basis to verify the ERH design for full-scale implementation for this challenging hydrogeologic setting; (2) Flexible project implementation and operation to allow the project team to respond to observations and data collected during construction and operation; (3) Defensible performance metrics and monitoring, appropriate for ERH, to ensure sufficient and efficient clean-up; and (4) Comprehensive (creative and diverse) contingencies to address the

  10. Petroleum contaminated soil in Oman: evaluation of bioremediation treatment and potential for reuse in hot asphalt mix concrete.

    Science.gov (United States)

    Jamrah, Ahmad; Al-Futaisi, Ahmed; Hassan, Hossam; Al-Oraimi, Salem

    2007-01-01

    This paper presents a study that aims at evaluating the leaching characteristics of petroleum contaminated soils as well as their application in hot mix asphalt concrete. Soil samples are environmentally characterized in terms of their total heavy metals and hydrocarbon compounds and leachability. The total petroleum hydrocarbon (TPH) present in the PCS before and after treatment was determined to be 6.8% and 5.3% by dry weight, indicating a reduction of 1% in the TPH of PCS due to the current treatment employed. Results of the total heavy metal analysis on soils indicate that the concentrations of heavy metals are lower when extraction of the soil samples is carried out using hexane in comparison to TCE. The results show that the clean soils present in the vicinity of contaminated sites contain heavy metals in the following decreasing order: nickel (Ni), followed by chromium (Cr), zinc (Zn), copper (Cu), lead (Pb), and vanadium (V). The current treatment practice employed for remediation of the contaminated soil reduces the concentrations of nickel and chromium, but increases the concentrations of all remaining heavy metals.

  11. Treatment Wetlands

    OpenAIRE

    Dotro, Gabriela; Langergraber, Günter; Molle, Pascal; Nivala, Jaime; Puigagut, Jaume; Stein, Otto; Von Sperling, Marcos

    2017-01-01

    Overview of Treatment Wetlands; Fundamentals of Treatment Wetlands; Horizontal Flow Wetlands; Vertical Flow Wetlands; French Vertical Flow Wetlands; Intensified and Modified Wetlands; Free Water Surface Wetlands; Other Applications; Additional Aspects.

  12. Depression Treatment

    Science.gov (United States)

    ... Health Infertility White Paper CDC Programs and Activities Assisted Reproductive Technology (ART) Depression Among Women Depression Treatment ... department for emergency medical treatment. Call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255), ...

  13. Stroke Treatments

    Science.gov (United States)

    ... Month Infographic Stroke Hero F.A.S.T. Quiz Stroke Treatment Stroke used to rank fourth in leading causes of ... type of treatment depends on the type of stroke. Ischemic stroke happens when a clot blocks a ...

  14. Treatment Effects

    DEFF Research Database (Denmark)

    Heckman, James J.; Lopes, Hedibert F.; Piatek, Rémi

    2014-01-01

    This paper contributes to the emerging Bayesian literature on treatment effects. It derives treatment parameters in the framework of a potential outcomes model with a treatment choice equation, where the correlation between the unobservable components of the model is driven by a low-dimensional v...... easily be applied....

  15. Demonstration and evaluation of the pulsed ultraviolet-irradiation gas-treatment system, Savannah River Site

    International Nuclear Information System (INIS)

    Schneider, J.; Wilkey, M.; Peters, R.; Tomczyk, N.; Friedlund, J.; Farber, P.

    1994-10-01

    Argonne National Laboratory was asked to demonstrate and evaluate a pulsed ultraviolet-irradiation system developed by Purus, Inc., at the Volatile Organic Compounds Non-Arid Integrated Demonstration at the Savannah River Site near aiken, South Carolina. The Purus system consists of four reactor chambers, each containing a xenon flash lamp. During the two weeks of testing, samples were taken and analyzed from the inlet and outlet sides of the Purus system. The contaminants of concern on the inlet were tetrachloroethylene (PCE), trichloroethylene (TCE), and 1,1,1-trichloroethane (TCA); the contaminants of concern on the outlet were PCE, TCE, TCA, carbon tetrachloride (CT), and chloroform. The evaluation of the Purus system included an examination of the reduction of both TCE and PCE and a search for any change in the concentrations. (Operating conditions included flow rates, ranging from 25 to 100 standard cubic feet per minute; inlet concentration of PCE, ranging from 360 to 10,700 parts per million volume; and flash lamp rates, ranging from 1 to 30 hertz.) The Purus system was quite efficient at reducing the concentrations of both PCE and TCE. The potential by-products, TCA, CT, and chloroform, showed no significant increases throughout the range of the various operating parameters. Overall, the Purus system appears to be a cost-efficient means of reducing the concentrations of PCE and TCE, while the removal of the initial photo-oxidation products and TCA is slower and needs further evaluation

  16. Field evaluation of a horizontal well recirculation system for groundwater treatment: Field demonstration at X-701B Portsmouth Gaseous Diffusion Plant, Piketon, Ohio

    Energy Technology Data Exchange (ETDEWEB)

    Korte, N.; Muck, M.; Kearl, P.; Siegrist, R.; Schlosser, R.; Zutman, J. [Oak Ridge National Lab., TN (United States); Houk, T. [Lockheed Martin Energy Systems, Piketon, OH (United States). Portsmouth Gaseous Diffusion Plant

    1998-08-01

    This report describes the field-scale demonstration performed as part of the project, In Situ Treatment of Mixed Contaminants in Groundwater. This project was a 3{1/2} year effort comprised of laboratory work performed at Oak Ridge National Laboratory and fieldwork performed at the US Department of Energy (DOE) Portsmouth Gaseous Diffusion Plant (PORTS). The overall goal of the project was to evaluate in situ treatment of groundwater using horizontal recirculation coupled with treatment modules. Specifically, horizontal recirculation was tested because of its application to thin, interbedded aquifer zones. Mixed contaminants were targeted because of their prominence at DOE sites and because they cannot be treated with conventional methods. The project involved several research elements, including treatment process evaluation, hydrodynamic flow and transport modeling, pilot testing at an uncontaminated site, and full-scale testing at a contaminated site. This report presents the results of the work at the contaminated site, X-701B at PORTS. Groundwater contamination at X-701B consists of trichloroethene (TCE) (concentrations up to 1800 mg/L) and technetium-998 (Tc{sup 99}) (activities up to 926 pCi/L).

  17. Osteoporosis treatment

    DEFF Research Database (Denmark)

    Pazianas, Michael; Abrahamsen, Bo

    2016-01-01

    The findings of the Women's Health Initiative study in 2002 marginalized the use of hormone replacement therapy and established bisphosphonates as the first line of treatment for osteoporosis. Denosumab could be used in selected patients. Although bisphosphonates only maintain the structure of bone...... to their benefits/harm ratio. Treatment of osteoporosis is a long process, and many patients will require treatment with more than one type of drug over their lifetime....

  18. Antihypertensive treatment

    DEFF Research Database (Denmark)

    Christensen, Cramer; Mogensen, C E

    1987-01-01

    This study was undertaken to clarify whether antihypertensive treatment has any effect on the rate of progression of kidney disease in patients with incipient diabetic nephropathy. Six insulin-dependent diabetic men with incipient nephropathy (urinary albumin excretion above 15 micrograms....../min and total protein excretion below 0.5 g/24 h) were first given metoprolol (200 mg daily) with the subsequent addition of hydroflumethiazide. At the start of antihypertensive treatment, mean patient age was 32 +/- 4.2 years (SD) and mean duration of diabetes was 18 +/- 1.2 years. The patients were followed...... with repeated measurements of urinary albumin excretion for a mean of 5.4 +/- 3.1 years prior to, and for 4.7 +/- 1.3 years (SD) during treatment. Mean arterial blood pressure declined significantly during treatment, e.g., the values at 6 months before initiation of treatment being compared with values during...

  19. Accelerated treatment.

    Science.gov (United States)

    Barkley, H T

    1985-05-01

    In the first third of this century, the prevailing concept was that malignant cells had a brief period of sensitivity and radiation treatments were ideally given in overall times of 2 weeks or less. Following the Second World War, routine treatment times were extended to 5 to 8 weeks to avoid severe acute normal tissue reactions and achieve higher tumor doses. In reaction to these prolonged overall times, a series of large-fraction, shortened-overall-time clinical experiments were attempted, with disastrous normal tissue effects and poor tumor control. More recently, attempts to accelerate treatment have been accomplished by utilizing multiple fractions per day or semicontinuous irradiation. Unfortunately, the majority of these attempts have been forced by the occurrence of unacceptable normal tissue reactions to significantly reduce total dose or introduce lengthy splits in treatment. These results suggest that in our current state of knowledge accelerated schedules be reserved for use in the treatment of rapidly proliferating neoplasms or for palliation.

  20. Waste treatment

    International Nuclear Information System (INIS)

    Davies, D.; Hooper, E.W.

    1981-01-01

    In the treatment of wastes, such as liquid radioactive effluents, it is known to remove radionuclides by successive in situ precipitation of cobalt sulphide, an hydroxide, barium sulphate and a transition element ferrocyanide, followed by separation of the thereby decontaminated effluent. In this invention, use is made of precipitates such as obtained above in the treatment of further fresh liquid radioactive effluent, when it is found that the precipitates have additional capacity for extracting radionuclides. The resulting supernatant liquor may then be subjected to a further precipitation treatment such as above. Decontamination factors for radionuclides of Ce, Ru, Sr and Cs have been considerably enhanced. (author)

  1. Tuberculosis treatment

    Science.gov (United States)

    Rabahi, Marcelo Fouad; da Silva, José Laerte Rodrigues; Ferreira, Anna Carolina Galvão; Tannus-Silva, Daniela Graner Schuwartz; Conde, Marcus Barreto

    2017-01-01

    ABSTRACT Tuberculosis treatment remains a challenge due to the need to consider, when approaching it, the context of individual and collective health. In addition, social and economic issues have been shown to be variables that need to be considered when it comes to treatment effectiveness. We conducted a critical review of the national and international literature on the treatment of tuberculosis in recent years with the aims of presenting health care workers with recommendations based on the situation in Brazil and better informing decision-making regarding tuberculosis patients so as to minimize morbidity and interrupt disease transmission. PMID:29340497

  2. Activated persulfate oxidation as a first step in a treatment train

    DEFF Research Database (Denmark)

    Tsitonaki, Aikaterini; Mosbæk, Hans; Bjerg, Poul Løgstrup

    2006-01-01

    the efficiency of activated persulfate oxidation against MTBE, Trichloroethylene (TCE) and 1,1,1-Trichloroethane (TCA) in both aqueous and soil-water systems using heat and ferrous ion as activators. Heat-activated persulfate oxidation at 40oC was the most effective method and achieved 98.6% removal of MTBE......, and 89.9% of TCE in the soil-water systems within 24 hours. Considerable TCA removal was only observed in the aqueous systems. Iron-activated persulfate was very effective in the first hours but its efficiency was thereafter limited. Further experiments with MTBE and the use of complexing agents...

  3. Permeation Dispersal of Treatment Agents for In Situ Remediation in Low Permeability Media: 1. Field Studies in Unconfined Test Cells

    International Nuclear Information System (INIS)

    Siegrist, R.L.; Smuin, D.R.; Korte, N.E.; Greene, D.W.; Pickering, D.A.; Lowe, K.S.; Strong-Gunderson, J.

    2000-01-01

    Chlorocarbons like trichloroethylene (TCE) are common contaminants of concern at US Department of Energy (DOE) facilities and industrial sites across the US and abroad. These contaminants of concern are present in source areas and in soil and ground water plumes as dissolved or sorbed phase constituents as well as dense nonaqueous-phase liquids (DNAPLs). These DNAPL compounds can be released to the environment through a variety of means including leaks in storage tanks and transfer lines, spills during transportation, and land treatment of wastes. When DNAPL compounds are present in low permeability media (LPM) like silt and clay layers or deposits, there are major challenges with assessment of their behavior and implementation of effective in situ remediation technologies. This report describes a field demonstration that was conducted at the Portsmouth Gaseous Diffusion Plant (PORTS) Clean Test Site (CTS) to evaluate the feasibility of permeation and dispersal of reagents into LPM. Various reagents and tracers were injected at seven test cells primarily to evaluate the feasibility of delivery, but also to evaluate the effects of the injected reagents on LPM. The various reagents and tracers were injected at the PORTS CTS using a multi-port injection system (MPIS) developed and provided by Hayward Baker Environmental, Inc

  4. Permeation Dispersal of Treatment Agents for In Situ Remediation in Low Permeability Media: 1. Field Studies in Unconfined Test Cells

    Energy Technology Data Exchange (ETDEWEB)

    Siegrist, R.L.; Smuin, D.R.; Korte, N.E.; Greene, D.W.; Pickering, D.A.; Lowe, K.S.; Strong-Gunderson, J.

    2000-08-01

    Chlorocarbons like trichloroethylene (TCE) are common contaminants of concern at US Department of Energy (DOE) facilities and industrial sites across the US and abroad. These contaminants of concern are present in source areas and in soil and ground water plumes as dissolved or sorbed phase constituents as well as dense nonaqueous-phase liquids (DNAPLs). These DNAPL compounds can be released to the environment through a variety of means including leaks in storage tanks and transfer lines, spills during transportation, and land treatment of wastes. When DNAPL compounds are present in low permeability media (LPM) like silt and clay layers or deposits, there are major challenges with assessment of their behavior and implementation of effective in situ remediation technologies. This report describes a field demonstration that was conducted at the Portsmouth Gaseous Diffusion Plant (PORTS) Clean Test Site (CTS) to evaluate the feasibility of permeation and dispersal of reagents into LPM. Various reagents and tracers were injected at seven test cells primarily to evaluate the feasibility of delivery, but also to evaluate the effects of the injected reagents on LPM. The various reagents and tracers were injected at the PORTS CTS using a multi-port injection system (MPIS) developed and provided by Hayward Baker Environmental, Inc.

  5. Treatment Options

    Science.gov (United States)

    ... studied for lupus Many drugs, both old and new, are now being studied in people with lupus. article Complementary treatments for pain Although many pain relief medications exist, it can be useful to know other ...

  6. Rotavirus Treatment

    Science.gov (United States)

    ... Search The CDC Cancel Submit Search The CDC Rotavirus Note: Javascript is disabled or is not supported ... message, please visit this page: About CDC.gov . Rotavirus Home About Rotavirus Symptoms Transmission Prevention Treatment Photos ...

  7. Tuberculosis Treatment

    African Journals Online (AJOL)

    . Knowledge, Attitude and Compliance with ... Half of the respondents (49%) had average knowledge of TB treatment. Majority of the ..... Bank poverty assessment of Zambia has a household food security implication and is based on the cost of.

  8. Wastewater Treatment.

    Science.gov (United States)

    Zoltek, J., Jr.; Melear, E. L.

    1978-01-01

    Presents the 1978 literature review of wastewater treatment. This review covers: (1) process application; (2) coagulation and solids separation; (3) adsorption; (4) ion exchange; (5) membrane processes; and (6) oxidation processes. A list of 123 references is also presented. (HM)

  9. Treatment Implications

    Science.gov (United States)

    Krishnan-Sarin, Suchitra; O’Malley, Stephanie; Krystal, John H.

    2008-01-01

    Developing pharmacotherapies to treat alcohol dependence and associated health problems traditionally has been based on gaining a better understanding of the neuroscience underlying alcohol-drinking behavior. To date, three medications have been approved for the treatment of alcohol dependence: disulfiram (Antabuse®), naltrexone (Revia®, Vivitrol®, and Naltrel®), and acamprosate (Campral®). However, these medications have modest efficacy, and there is a great need for newer medications that target different neurochemical systems and which could be used either as adjunctive treatments or to treat subpopulations of drinkers. Furthermore, it also is important to improve current treatment options by understanding and incorporating differences in how people with certain genes respond to medication (i.e., pharmacogenetic differences). PMID:23584013

  10. Edible Oil Barriers for Treatment of Chlorinated Solvent Contaminated Groundwater

    Science.gov (United States)

    2009-07-01

    propionic and butyric acid that can be further fermented to produce hydrogen is common to degradation processes that occur with all these substrates... fermentation of the emulsified oil to short chain fatty acids and carbonic acid, followed by breakdown of TCE releasing cis-DCE and additional H...effective, the substrate has to pass through this clean zone to reach the contaminants. If the substrate is fermented to methane in this zone, it

  11. Scabies Treatment

    Science.gov (United States)

    ... Issues Listen Español Text Size Email Print Share Scabies Treatment Page Content Article Body Scabies is caused by a microscopic mite that burrows ... deposits its eggs. The rash that results from scabies is actually a reaction to the mite’s body, ...

  12. PARACOCCIDIOIDOMYCOSIS TREATMENT

    Science.gov (United States)

    SHIKANAI-YASUDA, Maria Aparecida

    2015-01-01

    SUMMARY Considered to be an emerging endemic mycosis in Latin America, paracoccidioidomycosis is characterized by a chronic course and involvement of multiple organs in immunocompromised hosts. Infection sequelae are mainly related to pulmonary and adrenal insufficiency. The host-parasite interaction results in different expressions of the immune response depending on parasite pathogenicity, fungal load and genetic characteristics of the host. A few controlled and case series reports have shown that azoles and fast-acting sulfa derivatives are useful treatment alternatives in milder forms of the disease. For moderate/severe cases, more prolonged treatments or even parenteral routes are required especially when there is involvement of the digestive tract mucosa, resulting in poor drug absorption. Although comparative studies have reported that shorter treatment regimens with itraconazole are able to induce cure in chronically-infected patients, there are still treatment challenges such as the need for more controlled studies involving acute cases, the search for new drugs and combinations, and the search for compounds capable of modulating the immune response in severe cases as well as the paradoxical reactions. PMID:26465367

  13. WATER TREATMENT

    Science.gov (United States)

    Pitman, R.W.; Conley, W.R. Jr.

    1962-12-01

    An automated system for adding clarifying chemicals to water in a water treatment plant is described. To a sample of the floc suspension polyacrylamide or similar filter aid chemicals are added, and the sample is then put through a fast filter. The resulting filtrate has the requisite properties for monitoring in an optical turbidimeter to control the automated system. (AEC)

  14. Scabies: Treatment

    Science.gov (United States)

    ... present more than 2 to 4 weeks after treatment or if new burrows or pimple-like rash lesions continue to appear, retreatment may be necessary. Skin sores that become infected should be treated with an appropriate antibiotic prescribed by a doctor. Related Links For Health ...

  15. Treatment Implications

    OpenAIRE

    Krishnan-Sarin, Suchitra; O’Malley, Stephanie; Krystal, John H.

    2008-01-01

    Developing pharmacotherapies to treat alcohol dependence and associated health problems traditionally has been based on gaining a better understanding of the neuroscience underlying alcohol-drinking behavior. To date, three medications have been approved for the treatment of alcohol dependence: disulfiram (Antabuse®), naltrexone (Revia®, Vivitrol®, and Naltrel®), and acamprosate (Campral®). However, these medications have modest efficacy, and there is a great need for newer medications that t...

  16. Folk medicine Terminalia catappa and its major tannin component, punicalagin, are effective against bleomycin-induced genotoxicity in Chinese hamster ovary cells.

    Science.gov (United States)

    Chen, P S; Li, J H; Liu, T Y; Lin, T C

    2000-05-01

    Terminalia catappa L. is a popular folk medicine for preventing hepatoma and treating hepatitis in Taiwan. In this paper, we examined the protective effects of T. catappa leaf water extract (TCE) and its major tannin component, punicalagin, on bleomycin-induced genotoxicity in cultured Chinese hamster ovary cells. Pre-treatment with TCE or punicalagin prevented bleomycin-induced hgprt gene mutations and DNA strand breaks. TCE and punicalagin suppressed the generation of bleomycin-induced intracellular free radicals, identified as superoxides and hydrogen peroxides. The effectiveness of TCE and punicalagin against bleomycin-induced genotoxicity could be, at least in part, due to their antioxidative potentials.

  17. Wastewater treatment

    Directory of Open Access Journals (Sweden)

    Ranđel N. Kitanović

    2013-10-01

    Full Text Available Quality of life on Earth in the future will largely depend on the amount of safe water. As the most fundamental source of life, water is relentlessly consumed and polluted. To halt this trend, many countries are taking extensive measures and investing substantial resources in order to stop the contamination of water and return at least tolerably good water quality to nature. The goal of water purification is to obtain clean water with the sewage sludge as a by-product. Clean water is returned to nature, and further treatment of sludge may be subject to other procedures. The conclusion of this paper is simple. The procedure with purified water is easily achievable, purified water is discharged into rivers, lakes and seas, but the problem of further treatment of sludge remains. This paper presents the basic methods of wastewater treatment and procedures for processing the products from contaminated water. The paper can serve as a basis for further elaboration. Water Pollution In order to ensure normal life of living creatures, the water in which they live or the water they use must have a natural chemical composition and natural features. When, as a result of human activities, the chemical composition of water and the ratio of its chemical elements significantly change, we say that water is polluted. When the pollutants come from industrial plants, we are talking about industrial wastewater, and when they come from households and urban areas, we are talking about municipal wastewater. Both contain a huge amount of pollutants that eventually end up in rivers. Then, thousands of defenseless birds, fish and other animals suffer, and environmental consequences become immeasurable. In addition, the waste fed to the water often ends up in the bodies of marine animals, so they can return to us as food. Thermal water pollution also has multiple effects on the changes in the wildlife composition of aquatic ecosystems. Polluted water can be purified by

  18. Sewage Treatment

    Science.gov (United States)

    1984-01-01

    In the early 1970's, National Space Technology Laboratories discovered that water hyacinths literally thrive on sewage; they absorb and digest nutrients and minerals from wastewater, converting sewage effluents to clean water. They offer a means of purifying water at a fraction of the cost of a conventional sewage treatment plant, and provide a bonus value in byproducts. Hyacinths must be harvested at intervals; the harvested plants are used as fertilizers, high-protein animal feed and a source of energy. Already serving a number of small towns, the "aquaculture" technique has significantly advanced with its adoption by a major U.S. city.

  19. A case of occupational hypersensitivity pneumonitis associated with trichloroethylene.

    Science.gov (United States)

    Kim, Young Jae; Hwang, Eu Dong; Leem, Ah Young; Kang, Beo Deul; Chang, Soo Yun; Kim, Ho Keun; Park, In Kyu; Kim, Song Yee; Kim, Eun Young; Jung, Ji Ye; Kang, Young Ae; Park, Moo Suk; Kim, Young Sam; Kim, Se Kyu; Chang, Joon; Chung, Kyung Soo

    2014-02-01

    Trichloroethylene (TCE) is a toxic chemical commonly used as a degreasing agent, and it is usually found in a colorless or blue liquid form. TCE has a sweet, chloroform-like odor, and this volatile chlorinated organic chemical can cause toxic hepatitis, neurophysiological disorders, skin disorders, and hypersensitivity syndromes. However, the hypersensitivity pneumonitis (HP) attributed to TCE has rarely been reported. We hereby describe a case of HP associated with TCE in a 29-year-old man who was employed as a lead welder at a computer repair center. He was installing the capacitors on computer chip boards and had been wiped down with TCE. He was admitted to our hospital with complaints of dry coughs, night sweats, and weight losses for the past two months. HP due to TCE exposure was being suspected due to his occupational history, and the results of a video-associated thoracoscopic biopsy confirmed the suspicions. Symptoms have resolved after the steroid pulse therapy and his occupational change. TCE should be taken into consideration as a potential trigger of HP. Early recognition and avoidance of the TCE exposure in the future is important for the treatment of TCE induced HP.

  20. [Effect of SET deficiency on the trichloroethylene-induced alteration of cell proliferation and cell apoptosis and DNA methylation in human hepatic L-02 cells].

    Science.gov (United States)

    Xie, G S; Liu, J J; Hong, W X; Zhang, H; Sun, Y; Zhu, W G

    2016-03-20

    To compare the trichloroethylene (TCE) -induced alteration in cell proliferation, cell apoptosis, histone deacetylase activity and expression levels in human hepatic L-02 cells (L-02 cells) and SET deficient cells, and reveal the TCE-induced effect in histone modification and the role of SET on epigenetic pathway. The L-02 cells and preestablished SET deficient cells were treated with different TCE concentrations. For the changes of cell proliferation level and apoptosis rate, The L-02 cells and SET deficiency cells without TCE treatment were served as the control group, the TCE treatment was in the concentration of 2.0 and 8.0 mmol/L for 24 h. For histone deacetylase activity and expression levels, the TCE treatment was in the concentration of 0.25, 0.50, 1.0, 2.0, 4.0, and 8.0 mmol/L for 24 h. After treatment with TCE for 24 h, the cell proliferation level was significantly decreased and the apoptotic rate was significantly increased in both cell lines. When concentration of TCE were reached to 8.0 mmol/L, the difference of cell proliferation level and apoptotic rate between two groups was statistically significant (t=-4.362 for proliferation level and t=23.950 for apoptotic rate, both Pcell lines. When the TCE concentration were high than 0.50 mmol/L, compared with control group of L-02 cells, the enzymes activity were significantly increased (F=403.26, Pcells, the enzyme activity was significantly increased when TCE concentration was reached 1.00 mmol/L (F=44.01, Pcells, TCE exposure can induced a significant increased expression level of HDAC2 in TCE-treated L-02 cells (F values were 79.99, Pcells was not significant. TCE exposure can induce a significant alteration on cell proliferation, apoptotic rate and, the activity and expression on histone deacetylases. SET deficiency can attenuate the TCE-induced alteration in histone modification in L-02 cells. Our results indicated that SET is involved in the mechanism of TCE-induced cytotoxicity and epigenetic

  1. Platform treatment

    International Nuclear Information System (INIS)

    Jammazi, Rochdi; M'henni, Wafa

    2008-01-01

    Our project consists of making of a punt forms test for the radioactive treatment in the research's unit of the CNSTN .First a complete functional analysis is carried out, this analysis comprises a comparative study between our work and a design already established in a preparatory project, it emphasizes the failures whose made proof the old design .Second the metallurgical study which must lead on the choice of materials is in its turn carried out. Thirdly the design with all the details and the plans is carried out by the intermediary of the software CATIA. This design is accompanied by the various bodies's dimensioning and the calculation of the various states of stresses to which the parts of the system are subjected: buckling, inflection fourthly an automatic study is carried out, this study contains the automation's step of the system using the software, SIMATIC STEP 7. It also contains the choice of the various position and velocity pick-ups. Finally we will finish by the presentation of maintenance and safety's instructions of the system and the operator working in this research's . (Author)

  2. [Involvement of cellular immunity and humoral immunity in mixed allergy induced by trichloroethylene].

    Science.gov (United States)

    Xu, Xinyun; Li, Xueyu; Liu, Yuefeng

    2014-12-01

    To investigate whether cellular immunity and humoral immunity are involved in trichlorethylene (TCE)-induced mixed allergy, then provide the scientific basis for the mechanism of this disease. Guinea pigs and rats were tested for this study by application of guinea pig maximization test (GPMT), the animals were randomly divided into negative control, positive control and TCE treatment groups. Animals of these groups were administrated with olive oil, 2, 4-dinitrochlorobenzene (DNCB), and TCE, respectively, by intradermal injection. After TCE administration, rat peripheral blood samples were collected by flow cytometry to detect lymphocytes CD3⁺, CD4⁺, CD8⁺. Guinea pig peripheral blood samples were collected to detect the levels of IgG, IgA, IgM, C3, C4, and the spleens were taken out from guinea pigs after various treatment, mRNA expression of GATA3, T-bet, CTLA4 and Foxp3 in lymphocytes of guinea pig spleen was detected by real-time fluorescent PCR assay. Additionally, TCE allergic dermatitis patients were selected for the study, the peripheral blood samples were collected from the TCE patients group and control group, quantitative PCR was applied to detect mRNA expression of immune-related genes Foxp3, GATA3, CTLA4, T-bet. TCE induced obvious skin allergic reaction in guinea pigs, the sensitization rate was 83.3%, IgG levels in TCE group and positive control increased significantly. Additionally, mRNA expression levels of GATA3, T-bet, CTLA4 significantly elevated in TCE group and positive control, but Foxp3 mRNA levels decreased. The lymphocytes CD3⁺ ratio in TCE group and positive control of rats was higher than that in negative control, we found that there was no statistical difference of CD4⁺, CD8⁺, CD4⁺/CD8⁺ between TCE group and negative control of rats. The mRNA expression levels of Foxp3, GATA3, CTLA4 in TCE patients increased by 115%, 97%, 241%, respectively as compared with the control, T-bet levels decreased by 47%when compared with the

  3. 77 FR 6863 - Proposed Collection; Comment Request for VITA/TCE Program Forms

    Science.gov (United States)

    2012-02-09

    ... Internal Revenue Service offers free assistance with tax return preparation and tax counseling using specially trained volunteers. The Volunteer Income Tax Assistance (VITA) and Tax Counseling for the Elderly... number. Books or records relating to a collection of information must be retained as long as their...

  4. Applying Insights from Transaction Cost Economics (TCE) to Improve DoD Cost Estimation

    National Research Council Canada - National Science Library

    Angelis, Diana I; Dillard, John; Franck, Raymond; Melese, Francois

    2007-01-01

    The purpose of this report is to explore the possibility of improving DoD cost estimation methods by including explanatory variables that capture the coordination and motivation problems associated with the program...

  5. Život s více jazyky. K "osmdesátce" Ivo Vasiljeva

    Czech Academy of Sciences Publication Activity Database

    Brouček, Stanislav

    32 /74/, č. 1 (2015), s. 85-95 ISSN 1211-8117 Institutional support: RVO:68378076 Keywords : history of ethnology * migration * ethnicity * biography * aniversary * bibliography Subject RIV: AC - Archeology, Anthropology, Ethnology

  6. Development of Azeotropic Blends to Replace TCE and nPB in Vapor Degreasing Operations

    Science.gov (United States)

    2016-12-21

    Equipment C Safety Glasses, Gloves, Apron Revision Summary; Section 1 – Remove Pharmaceutical Grade, SMC Address Change Section 3...Markets Materials Division (EMMD) will not knowingly sample, support, or sell its products for incorporation in medical and pharmaceutical products and...m3);STEL 400 ppm OEL-TURKEY :TWA 200 ppm (590 mg/m3) OEL-UNITED KINGDOM:TWA 200 ppm (590 mg/m3);S TEL 300 ppm OEL IN BULGARIA, COLOMBIA , JORDAN

  7. Oxygenation of the Root Zone and TCE Remediation: A Plant Model of Rhizosphere Dynamics

    Science.gov (United States)

    2008-03-01

    19) ............................................................................................ 47 Table 2. Equilibrium Metal Speciation for Media ...major oxygen consumption in the agar medium occurred at the oxic/anoxic interface. (Christensen et al., 1994: 847-851) Armstrong et al. measured...clear that plants exudates a significant amount of carbon sources. Studies from vegetative and cereal crops show that carbon is transported from leaves

  8. Tah štětce u Van Gogha. Sémiotika, funkce, syntax

    Directory of Open Access Journals (Sweden)

    Jan Zachariáš

    2017-09-01

    Full Text Available This text focuses on the role of the brushstroke in Vincent van Gogh’s work. Van Gogh’s brushstroke technique draws on the tradition of European painting, spanning from Titian to Delacroix and the Impressionists, a tradition in which brushstroke played an important role. Van Gogh, however, was the first to make it an autonomous element in his paintings. European Post-Renaissance painting features tendencies which favored either colors or lines, with the contradiction between these two trends being essential for defining different principles in painting, and naturally in the brushstroke as well. Van Gogh’s prominent brushstroke represents a deliberate synthesis of the line and the color, thus bringing the line-color controversy to an end. Van Gogh’s brushstroke, however, also has its semiotic meaning. Constituting an artistic formula, an individual stroke can represent different objects, which makes it not only a medium, but also a sign. Van Gogh arranges brushstrokes to create an open system, which is capable of the unique rendition of the notion of time, or a moment in time through a semiotic syntax of strokes. This text presents an analysis of van Gogh’s individual works of art as well as his texts.

  9. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... Youth Resources Child and Adolescent Psychiatrist Finder Getting Treatment Without treatment, a child with ADHD may fall behind in ... driving infractions. The good news is that effective treatment is available . With the right medical treatment, children ...

  10. Treatment for HIV

    Science.gov (United States)

    ... and Public Home » Treatment » Treatment Decisions and HIV HIV/AIDS Menu Menu HIV/AIDS HIV/AIDS Home ... here Enter ZIP code here Treatment Decisions and HIV for Veterans and the Public Treatment for HIV: ...

  11. Trichloroethylene and trichloroethanol-induced formic aciduria and renal injury in male F-344 rats following 12 weeks exposure

    International Nuclear Information System (INIS)

    Yaqoob, Noreen; Evans, Andrew; Foster, John R.; Lock, Edward A.

    2014-01-01

    Trichloroethylene (TCE) is widely used as a cleaning and decreasing agent and has been shown to cause liver tumours in rodents and a small incidence of renal tubule tumours in male rats. The basis for the renal tubule injury is believed to be related to metabolism of TCE via glutathione conjugation to yield the cysteine conjugate that can be activated by the enzyme cysteine conjugate β-lyase in the kidney. More recently TCE and its major metabolite trichloroethanol (TCE-OH) have been shown to cause formic aciduria which can cause renal injury after chronic exposure in rats. In this study we have compared the renal toxicity of TCE and TCE-OH in rats to try and ascertain whether the glutathione pathway or formic aciduria can account for the toxicity. Male rats were given TCE (500 mg/kg/day) or TCE-OH at (100 mg/kg/day) for 12 weeks and the extent of renal injury measured at several time points using biomarkers of nephrotoxicity and prior to termination assessing renal tubule cell proliferation. The extent of formic aciduria was also determined at several time points, while renal pathology and plasma urea and creatinine were determined at the end of the study. TCE produced a very mild increase in biomarkers of renal injury, total protein, and glucose over the first two weeks of exposure and increased Kim-1 and NAG in urine after 1 and 5 weeks exposure, while TCE-OH did not produce a consistent increase in these biomarkers in urine. However, both chemicals produced a marked and sustained increase in the excretion of formic acid in urine to a very similar extent. The activity of methionine synthase in the liver of TCE and TCE-OH treated rats was inhibited by about 50% indicative of a block in folate synthesis. Both renal pathology and renal tubule cell proliferation were reduced after TCE and TCE-OH treatment compared to controls. Our findings do not clearly identify the pathway which is responsible for the renal toxicity of TCE but do provide some support for

  12. Trichloroethylene and trichloroethanol-induced formic aciduria and renal injury in male F-344 rats following 12 weeks exposure.

    Science.gov (United States)

    Yaqoob, Noreen; Evans, Andrew; Foster, John R; Lock, Edward A

    2014-09-02

    Trichloroethylene (TCE) is widely used as a cleaning and decreasing agent and has been shown to cause liver tumours in rodents and a small incidence of renal tubule tumours in male rats. The basis for the renal tubule injury is believed to be related to metabolism of TCE via glutathione conjugation to yield the cysteine conjugate that can be activated by the enzyme cysteine conjugate β-lyase in the kidney. More recently TCE and its major metabolite trichloroethanol (TCE-OH) have been shown to cause formic aciduria which can cause renal injury after chronic exposure in rats. In this study we have compared the renal toxicity of TCE and TCE-OH in rats to try and ascertain whether the glutathione pathway or formic aciduria can account for the toxicity. Male rats were given TCE (500mg/kg/day) or TCE-OH at (100mg/kg/day) for 12 weeks and the extent of renal injury measured at several time points using biomarkers of nephrotoxicity and prior to termination assessing renal tubule cell proliferation. The extent of formic aciduria was also determined at several time points, while renal pathology and plasma urea and creatinine were determined at the end of the study. TCE produced a very mild increase in biomarkers of renal injury, total protein, and glucose over the first two weeks of exposure and increased Kim-1 and NAG in urine after 1 and 5 weeks exposure, while TCE-OH did not produce a consistent increase in these biomarkers in urine. However, both chemicals produced a marked and sustained increase in the excretion of formic acid in urine to a very similar extent. The activity of methionine synthase in the liver of TCE and TCE-OH treated rats was inhibited by about 50% indicative of a block in folate synthesis. Both renal pathology and renal tubule cell proliferation were reduced after TCE and TCE-OH treatment compared to controls. Our findings do not clearly identify the pathway which is responsible for the renal toxicity of TCE but do provide some support for metabolism

  13. Evaluation of Cytotoxic Effects of Dichloromethane Extract of Guduchi (Tinospora cordifolia Miers ex Hook F & THOMS on Cultured HeLa Cells

    Directory of Open Access Journals (Sweden)

    Ganesh Chandra Jagetia

    2006-01-01

    Full Text Available Extracts of Tinospora cordifolia (TCE have been shown to possess anti-tumor properties, but the mechanism of the anti-tumor function of TCE is poorly understood. This investigation elucidates the possible mechanism underlying the cytotoxic effects of dichlormethane extracts of TCE, after selecting optimal duration and concentration for treatment. HeLa cells were exposed to various concentrations of TCE, which has resulted in a concentration-dependent decline in the clonogenicity, glutathione-S-transferase (GST activity and a concentration-dependent increase in lipid peroxidation (TBARS with a peak at 4 h and lactate dehydrogenase (LDH release with a peak at 2 h. Our results suggest that the cytotoxic effect of TCE may be due to lipid peroxidation and release of LDH and decline in GST.

  14. Permanganate Treatment of DNAPLs in Reactive Barriers and Source Zone Flooding Schemes - Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Schwartz, F.W.

    2000-10-01

    This study provides a detailed process-level understanding of the oxidative destruction of the organic contaminant emphasizing on reaction pathways and kinetics. A remarkable rise in the MnO{sup {minus}} consumption rate with TCA and PCE mixtures proves that the phase transfer catalysts have the ability to increase oxidation rate of DNAPLs either in pure phase or mixtures and that there is significant potential for testing the catalyzed scheme under field conditions. Secondly, as an attempt to enhance the oxidation of DNAPL, we are trying to exploit cosolvency effects, utilizing various alcohol-water mixtures to increase DNAPL solubilization. Preliminary results of cosolvency experiments indicate the enhancement in the transfer of nonaqueous phase TCE to TBA-water solution and the rate of TCE degradation in aqueous phase.

  15. Tuberculosis (TB): Treatment

    Science.gov (United States)

    ... Education & Training Home Conditions Tuberculosis (TB) Tuberculosis: Treatment Tuberculosis: Treatment Make an Appointment Refer a Patient Ask ... or bones is treated longer. NEXT: Preventive Treatment Tuberculosis: Diagnosis Tuberculosis: History Clinical Trials For more than ...

  16. NIAAA Alcohol Treatment Navigator

    Science.gov (United States)

    ... What to Know About Alcohol Treatment What Is Alcohol Use Disorder (AUD)? What Types of Alcohol Treatment Are Available? ... What to Know About Alcohol Treatment What is alcohol use disorder (AUD)? A health condition that can improve with ...

  17. Childhood Craniopharyngioma Treatment

    Science.gov (United States)

    ... back) no matter how it was treated the first time. Treatment options for recurrent childhood craniopharyngioma depend on the type of treatment that was given when the tumor was first diagnosed and the needs of the child. Treatment ...

  18. Cancer Terms: After Treatment

    Science.gov (United States)

    ... Gallery Cancer Terms: Cancer Basics Cancer Terms: Research Statistics Cancer Terms: Treatment Cancer Terms: After Treatment Online Medical Dictionaries Diagnosing Cancer Managing Your Care Financial Considerations How ...

  19. Plague Diagnosis and Treatment

    Science.gov (United States)

    ... Healthcare Professionals Clinicians Public Health Officials Veterinarians Prevention History of Plague Resources FAQ Diagnosis and Treatment Recommend on Facebook Tweet Share Compartir Detailed Diagnosis and Treatment Recommendations ...

  20. Water Treatment Group

    Data.gov (United States)

    Federal Laboratory Consortium — This team researches and designs desalination, water treatment, and wastewater treatment systems. These systems remediate water containing hazardous c hemicals and...

  1. In-situ porous reactive wall for treatment of Cr(VI) and trichloroethylene in groundwater

    International Nuclear Information System (INIS)

    Blowes, D.W.; Bennett, T.A.; Gillham, R.W.

    1997-01-01

    A permeable reactive wall for treating groundwater contaminated with hexavalent chromium (Cr(VI)) and trichloroethylene (TCE) was installed at the U.S. Coast Guard Support Center in Elizabeth City, NC in June, 1996. The porous reactive wall is 46 m long, 0.6 m wide, and 7.3 m deep. The reactive wall was installed in less then six hours using a continuous trenching technique which simultaneously removed the aquifer material and replaced it with reactive material. The wall is composed of 100% elemental iron in the form of iron filings. Preliminary laboratory experiments, with site groundwater and reactive materials similar to the full-scale wall components, were successful in decreasing 11 mg/L Cr(VI) to < 0.01 mg/L and 1700 μg/L TCE to < 1 μg/L. Detailed field monitoring commenced in November, 1996. The monitoring program includes groundwater sampling upgradient, downgradient and within the reactive wall, and collection of core samples for mineralogical and microbiological study. Preliminary results from the monitoring program indicate that the wall successfully removes Cr(VI) from influent concentrations of 6 mg/L to < 0.01 mg/L, and TCE from 5600 μg/L to 5.3 μg/L within the wall

  2. Evaluation of natural attenuation processes for trichloroethylene and technetium-99 in the Northeast and Northwest plumes at the Paducah Gaseous Diffusion Plant, Paducah, Kentucky

    Energy Technology Data Exchange (ETDEWEB)

    Clausen, J.L.; Sturchio, N.C.; Heraty, L.J.; Huang, L.; Abrajano,T.

    1997-11-25

    NA processes such as biodegradation, sorption, dilution dispersion, advection, and possibly sorption and diffusion are occurring in the Northeast and Northwest plumes. However, the overall biological attenuation rate for TCE within the plumes is not sufficiently rapid to utilize as remedial option. The mobility and toxicity of {sup 99}Tc is not being reduced by attenuating processes within the Northwest Plume. The current EPA position is that NA is not a viable remedial approach unless destructive processes are present or processes are active which reduce the toxicity and mobility of a contaminant. Therefore, active remediation of the dissolved phase plumes will be necessary to reduce contaminant concentrations before an NA approach could be justified at PGDP for either plume. Possible treatment methods for the reduction of dissolved phase concentrations within the plumes are pump-and-treat bioaugmentation, biostimulation, or multiple reactive barriers. Another possibility is the use of a regulatory instrument such as an Alternate Concentration Limit (ACL) petition. Biodegradation of TCE is occurring in both plumes and several hypothesis are possible to explain the apparent conflicts with some of the geochemical data. The first hypothesis is active intrinsic bioremediation is negligible or so slow to be nonmeasurable. In this scenario, the D.O., chloride, TCE, and isotopic results are indicative of past microbiological reactions. It is surmised in this scenario, that when the initial TCE release occurred, sufficient energy sources were available for microorganisms to drive aerobic reduction of TCE, but these energy sources were rapidly depleted. The initial degraded TCE has since migrated to downgradient locations. In the second scenario, TCE anaerobic degradation occurs in organic-rich micro-environments within a generally aerobic aquifer. TCE maybe strongly absorbed to organic-rich materials in the aquifer matrix and degraded by local Immunities of microbes

  3. [Preprosthetic orthodontic treatments

    NARCIS (Netherlands)

    Prahl-Andersen, B.; Prahl, C.; Baat, C. de; Creugers, N.H.J.

    2014-01-01

    The objective of a preprosthetic orthodontic treatment is to position the teeth in such a way that a treatment with (fixed) dental prostheses is made possible or simplified or to affect the result of this treatment positively. Conceivable preprosthetic orthodontic treatments are: correcting primary

  4. Lasers in Cancer Treatment

    Science.gov (United States)

    ... Off-Label Drug Use in Cancer Treatment Complementary & Alternative Medicine (CAM) CAM for Patients CAM for Health Professionals Questions to Ask about Your Treatment Research Lasers in Cancer Treatment On This Page What is laser light? What is laser therapy, and how is it used in cancer treatment? ...

  5. Treatment diary for botulinum toxin spasticity treatment

    DEFF Research Database (Denmark)

    Biering-Sørensen, Bo; Iversen, Helle K; Frederiksen, Inge M S

    2017-01-01

    The aim of this study is to develop a treatment diary for patients receiving spasticity treatment including botulinum toxin injection and physiotherapy and/or occupational therapy. The diary focuses on problems triggered by skeletal muscle overactivity; agreed goals for treatment and the patient......'s self-evaluation of achievement on the Goal Attainment Scale; which skeletal muscles were injected; physiotherapists' and occupational therapists' evaluation of the patients' achievement of objectives on the Goal Attainment Scale; and proposals for optimization of treatment and changing goals....... The evaluation included a satisfaction questionnaire and the WHO-QoL BREF and WHO-5 well-being score. Overall, 10 patients were enrolled in the pilot study. The patients were generally satisfied with the diary, found that it involved them more in their treatment and made it easier to set personal goals...

  6. Treatment diary for botulinum toxin spasticity treatment

    DEFF Research Database (Denmark)

    Biering-Sørensen, Bo; Iversen, Helle K; Frederiksen, Inge M S

    2017-01-01

    's self-evaluation of achievement on the Goal Attainment Scale; which skeletal muscles were injected; physiotherapists' and occupational therapists' evaluation of the patients' achievement of objectives on the Goal Attainment Scale; and proposals for optimization of treatment and changing goals......The aim of this study is to develop a treatment diary for patients receiving spasticity treatment including botulinum toxin injection and physiotherapy and/or occupational therapy. The diary focuses on problems triggered by skeletal muscle overactivity; agreed goals for treatment and the patient....... The evaluation included a satisfaction questionnaire and the WHO-QoL BREF and WHO-5 well-being score. Overall, 10 patients were enrolled in the pilot study. The patients were generally satisfied with the diary, found that it involved them more in their treatment and made it easier to set personal goals...

  7. Antimetastatic effects of Terminalia catappa L. on oral cancer via a down-regulation of metastasis-associated proteases.

    Science.gov (United States)

    Yang, Shun-Fa; Chen, Mu-Kuan; Hsieh, Yih-Shou; Yang, Jia-Sin; Zavras, Athanasios-I; Hsieh, Yih-Hsien; Su, Shih-Chi; Kao, Te-Yu; Chen, Pen-Ni; Chu, Shu-Chen

    2010-04-01

    The incidence and mortality of oral cancer in Taiwan have been increased during the last decade, which could be mainly resulted from the difficulty in treatment related to metastasis. As a potential and popular folk medicine, Terminalia catappa leaves have been proven to possess various biological benefits including anti-cancer activities. However, the detailed effects and molecular mechanisms of T. catappa leaves on the metastasis of oral cancer cells were still unclear. Thus, SCC-4 oral cancer cells were subjected to a treatment with ethanol extracts of T. catappa leaves (TCE) and then analyzed for the effect of TCE on the migration and invasion. Modified Boyden chamber assays revealed that TCE treatment significantly inhibited the cell migration/invasion capacities of SCC-4 cells. Furthermore, results of zymography and western blotting showed that activities and protein levels of MMP-2, MMP-9 and u-PA were all inhibited by TCE. Further studies indicated that TCE may inhibit phosphorylation of ERK1/2, JNK1/2 and Akt while the expression of nuclear protein NF-kappaB, c-Jun and c-Fos were inhibited as well. EMSA assay revealed that the DNA-binding activity with AP-1 and NF-kappaB was also decreased by TCE. In conclusion, TCE may serve as a powerful chemopreventive agent against oral cancer metastasis. 2010 Elsevier Ltd. All rights reserved.

  8. Land Treatment Digital Library

    Science.gov (United States)

    Pilliod, David S.; Welty, Justin L.

    2013-01-01

    The Land Treatment Digital Library (LTDL) was created by the U.S. Geological Survey to catalog legacy land treatment information on Bureau of Land Management lands in the western United States. The LTDL can be used by federal managers and scientists for compiling information for data-calls, producing maps, generating reports, and conducting analyses at varying spatial and temporal scales. The LTDL currently houses thousands of treatments from BLM lands across 10 states. Users can browse a map to find information on individual treatments, perform more complex queries to identify a set of treatments, and view graphs of treatment summary statistics.

  9. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... Compulsive Disorder Resource Center Youth Resources Child and Adolescent Psychiatrist Finder Getting Treatment Without treatment, a child ... ADHD will continue to benefit from it as teenagers. In fact, many adults with ADHD also find ...

  10. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... Medical Students and Residents Toggle Medical Student Resources Child Psychiatry Residents (Fellows) Early Career Psychiatrists Member Resources ... Centers Obsessive Compulsive Disorder Resource Center Youth Resources Child and Adolescent Psychiatrist Finder Getting Treatment Without treatment, ...

  11. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... also have higher rates of cigarette and drug addiction, and more driving infractions. The good news is that effective treatment is available . With the right medical treatment, children with ADHD can improve their ability ...

  12. Treatment of appendiceal mass

    DEFF Research Database (Denmark)

    Olsen, Jesper; Skovdal, Jan; Qvist, Niels

    2014-01-01

    INTRODUCTION: The treatment strategy for appendiceal mass is controversial, ranging from operation or image-guided drainage to conservative treatment with or without antibiotics. The aim of this study was to assess the various treatment modalities with respect to complications and treatment failure...... in total 3,772 patients. Operation for appendiceal mass was beset with a moderate to high risk of complications of up to 57% and a risk of intestinal resection of up to 25%. Major complications were observed in up to 18% of cases. Conservative treatment with or without antibiotics was associated...... with a treatment failure rate of 8-15%. Drainage was beset with a risk of complications of 2-15% and a risk of treatment failure of 2-13%. CONCLUSION: Operation with appendectomy for appendiceal mass carries a high risk of complications compared with conservative treatment or drainage. Drainage may lower the risk...

  13. HIV Treatment: The Basics

    Science.gov (United States)

    ... AIDS Drugs Clinical Trials Apps skip to content HIV Treatment Home Understanding HIV/AIDS Fact Sheets HIV ... 4 p.m. ET) Send us an email HIV Treatment: The Basics Last Reviewed: March 22, 2018 ...

  14. Fertility Treatments for Females

    Science.gov (United States)

    ... for Females Share Facebook Twitter Pinterest Email Print Fertility Treatments for Females Once a woman is diagnosed ... The presence or absence of male factor infertility Fertility treatments are most likely to benefit women whose ...

  15. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... Demand Maintenance of Certification and Lifelong Learning Modules Online CME Pathways ... Treatment Without treatment, a child with ADHD may fall behind in school and continue having trouble with friendships. Family life may also suffer. Untreated ADHD can ...

  16. Cholesterol - drug treatment

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000314.htm Cholesterol - drug treatment To use the sharing features on ... treatment; Hardening of the arteries - statin Statins for Cholesterol Statins reduce your risk of heart disease, stroke, ...

  17. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... is that effective treatment is available . With the right medical treatment, children with ADHD can improve their ... to pay attention and control their behavior. The right care can help them grow, learn, and feel ...

  18. Surgical Treatments for Fibroids

    Science.gov (United States)

    ... NICHD Research Information Find a Study More Information Preeclampsia and Eclampsia About NICHD Research Information Find a ... Treatments Share Facebook Twitter Pinterest Email Print Surgical Treatments for Fibroids If you have moderate or severe ...

  19. Atrial Fibrillation: Treatment

    Science.gov (United States)

    ... of this page please turn JavaScript on. Feature: Atrial Fibrillation Atrial Fibrillation: Treatment Past Issues / Winter 2015 Table of Contents Treatment for atrial fibrillation depends on how often you have symptoms, how ...

  20. HIV: Treatment and Comorbidity

    NARCIS (Netherlands)

    C. Rokx (Casper)

    2016-01-01

    markdownabstractClinicians worldwide strive to improve HIV care for their patients. Antiretroviral therapy prevents HIV related mortality and is lifelong. A clinical evaluation of these treatment strategies is necessary to identify strategies that may jeopardize treatment effectiveness and patient

  1. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... Getting Treatment Without treatment, a child with ADHD may fall behind in school and continue having trouble with friendships. Family life may also suffer. Untreated ADHD can increase strain between ...

  2. Wastewater Treatment Plants

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — The actual treatment areas for municipal, industrial, and semi-public wastewater treatment facilities in Iowa for the National Pollutant Discharge Elimination System...

  3. Sleep Eduction: Treatment & Therapy

    Science.gov (United States)

    ... miles): 10 25 50 Share: Essentials in Sleep Insomnia Overview & Facts Symptoms & Causes Diagnosis & Self Tests Treatment Sleep Apnea Overview & Facts ... Self Test & Diagnosis Treatment Snoring Overview and Facts Causes and Symptoms Self Tests & ... Insomnia Short Sleeper Hypersomnias Narcolepsy Insufficient ...

  4. Getting Treatment for ADHD

    Science.gov (United States)

    ... Toggle search Toggle navigation Quick Links Family Resources ADHD Resource Center Resource Centers Obsessive Compulsive Disorder Resource ... Finder Getting Treatment Without treatment, a child with ADHD may fall behind in school and continue having ...

  5. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... Toggle search Toggle navigation Quick Links Family Resources ADHD Resource Center Resource Centers Obsessive Compulsive Disorder Resource ... Finder Getting Treatment Without treatment, a child with ADHD may fall behind in school and continue having ...

  6. Pertussis Diagnosis & Treatment

    Science.gov (United States)

    ... the hospital. If Your Child Gets Treatment for Pertussis at Home Do not give cough medications unless ... from occurring. If Your Child Gets Treatment for Pertussis in the Hospital Your child may need help ...

  7. IV treatment at home

    Science.gov (United States)

    ... Other IV treatments you may receive after you leave the hospital include: Treatment for hormone deficiencies Medicines for severe nausea that cancer chemotherapy or pregnancy may cause Patient-controlled analgesia (PCA) for pain (this is IV ...

  8. TENORM: Wastewater Treatment Residuals

    Science.gov (United States)

    Water and wastes which have been discharged into municipal sewers are treated at wastewater treatment plants. These may contain trace amounts of both man-made and naturally occurring radionuclides which can accumulate in the treatment plant and residuals.

  9. Prostate cancer - treatment

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000403.htm Prostate cancer - treatment To use the sharing features on this page, please enable JavaScript. Treatment for your prostate cancer is chosen after a thorough evaluation. Your doctor ...

  10. [Treatment of obesity].

    Science.gov (United States)

    Basdevant, A

    2002-04-01

    There are three main goals to the treatment of obesity: prevention and treatment of the complications, realistic reduction of excess weight, psychological well-being. Each individual is in a specific clinical situation and interindividual variability is wide so stereotypic therapeutic schemes are of little use. Treatment calls upon physical exercise, dietary counseling, drugs, and exceptionally surgery. Psychological support is an integral part of patient management. Treatment of respiratory complications focuses on preventing thromboembolism and management of sleep apnea syndrome and alveolar hypoventilation.

  11. Inventtional treatment of varicocele

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Ji Hoon [Dept. of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul (Korea, Republic of)

    2016-09-15

    Varicocele is a dilatation of the veins in the pampiniform plexus and manifests as mass-effect, pain, testicular atrophy, or male infertility. Traditionally, surgical treatment has been the mainstay of treatment of varicocele, while interventional treatment, which is endovascular embolization of the testicular vein, has been gaining popularity recently. In this review, diagnosis of the disease, indications and procedure details of interventional treatment, results, and complications are discussed.

  12. Optimizing clozapine treatment

    DEFF Research Database (Denmark)

    Nielsen, J; Damkier, P; Lublin, H

    2011-01-01

    Clozapine treatment remains the gold standard for treatment-resistant schizophrenia, but treatment with clozapine is associated with several side-effects that complicate the use of the drug. This clinical overview aims to provide psychiatrists with knowledge about how to optimize clozapine...

  13. Distributed Treatment Systems.

    Science.gov (United States)

    Zgonc, David; Plante, Luke

    2017-10-01

    This section presents a review of the literature published in 2016 on topics relating to distributed treatment systems. This review is divided into the following sections with multiple subsections under each: constituent removal; treatment technologies; and planning and treatment system management.

  14. Seed Treatment. Manual 92.

    Science.gov (United States)

    Missouri Univ., Columbia. Agricultural Experiment Station.

    This training manual provides information needed to meet minimum EPA standards for certification as a commercial applicator of pesticides in the seed treatment category. The text discusses pests commonly associated with seeds; seed treatment pesticides; labels; chemicals and seed treatment equipment; requirements of federal and state seed laws;…

  15. Water supply and treatment

    International Nuclear Information System (INIS)

    Piacek, P.

    1987-01-01

    Experience is described with the operation of the water supply, the chemical water treatment systems and the unit condensate treatment at the V-2 nuclear power plant at Jaslovske Bohunice. The technology is described which is applied to obtain raw water from the Slnava water reservoir and the respective technological system for its treatment is described. Also described are the treatment of the make-up water for the primary and secondary coolant circuits, demineralization, regeneration of ion exchange filters, neutralization of regeneration waste, sludge dewatering and the treatment of steam turbine condensates. (B.S.)

  16. Treatment-Resistant Schizophrenia

    DEFF Research Database (Denmark)

    Howes, Oliver D; McCutcheon, Rob; Agid, Ofer

    2017-01-01

    OBJECTIVE: Research and clinical translation in schizophrenia is limited by inconsistent definitions of treatment resistance and response. To address this issue, the authors evaluated current approaches and then developed consensus criteria and guidelines. METHOD: A systematic review of randomized...... antipsychotic clinical trials in treatment-resistant schizophrenia was performed, and definitions of treatment resistance were extracted. Subsequently, consensus operationalized criteria were developed through 1) a multiphase, mixed methods approach, 2) identification of key criteria via an online survey, and 3...... responsive from treatment-resistant patients. CONCLUSIONS: There is considerable variation in current approaches to defining treatment resistance in schizophrenia. The authors present consensus guidelines that operationalize criteria for determining and reporting treatment resistance, adequate treatment...

  17. Analysis of toxicity produced by inhalation of trichloroethylene within rat and mice`s respiratory epithelium; Comparazione del danno indotto dall`inalazione di tricloroetilene nell`epitelio nasale e tracheobronchiale del ratto e del topo

    Energy Technology Data Exchange (ETDEWEB)

    Mancuso, M.T.; Fravolini, M.E.; Parasacchi, P.; Lombardi, C.C.; Giovanetti, A. [ENEA, Casaccia (Italy). Area Energia Ambiente e Salute

    1994-05-01

    The aim of this study was to define the sites of cytotoxicity within the respiratory tract (nasal cavity and tracheobronchial tree) after acute inhalation of trichloroethylene (TCE), an organic solvent requiring metabolic activation by cytochrome P-450 enzymatic system to exert its toxic effects. Two animals species, rats and mice, were exposed to 3500 and 7000 ppm of TCE for 30 minutes. The morphological analysis of the respiratory epithelium has underlined a species-specific difference in the cellular sensitivity after treatment with TCE. This work is a part of ENEA (Italian Agency for New Technologies, Energy and the Environment) INTO program, environmental department, sector of effects on man and ecosystem.

  18. Treatment of Epileptic Encephalopathies.

    Science.gov (United States)

    Balestrini, Simona; Sisodiya, Sanjay M

    2017-01-01

    Epileptic encephalopathies represent the most severe epilepsies, with onset in infancy and childhood and seizures continuing in adulthood in most cases. New genetic causes are being identified at a rapid rate. Treatment is challenging and the overall outcome remains poor. Available targeted treatments, based on the precision medicine approach, are currently few. To provide an overview of the treatment of epileptic encephalopathies with known genetic determinants, including established treatment, anecdotal reports of specific treatment, and potential tailored precision medicine strategies. Genes known to be associated to epileptic encephalopathy were selected. Genes where the association was uncertain or with no reports of details on treatment, were not included. Although some of the genes included are associated with multiple epilepsy phenotypes or other organ involvement, we have mainly focused on the epileptic encephalopathies and their antiepileptic treatments. Most epileptic encephalopathies show genotypic and phenotypic heterogeneity. The treatment of seizures is difficult in most cases. The available evidence may provide some guidance for treatment: for example, ACTH seems to be effective in controlling infantile spams in a number of genetic epileptic encephalopathies. There are potentially effective tailored precision medicine strategies available for some of the encephalopathies, and therapies with currently unexplained effectiveness in others. Understanding the effect of the mutation is crucial for targeted treatment. There is a broad range of disease mechanisms underlying epileptic encephalopathies, and this makes the application of targeted treatments challenging. However, there is evidence that tailored treatment could significantly improve epilepsy treatment and prognosis. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  19. Evaluating Long-Term Impacts of Soil-Mixing Source-Zone Treatment using Cryogenic Core Collection

    Science.gov (United States)

    2017-06-01

    AVAILABILITY STATEMENT Approved for public release; distribution is unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT A former source zone containing TCE DNAPL...Chromatograph / Electron Capture Detector GC/FID Gas Chromatograph /Flame Ionization Detector GC/MS Gas Chromatograph /Mass Spectrometric Detector GSI...research assistants, including Christina Ankrom, Tyler Cloud , and Anna Hoyt, played an important role in preparation and processing of the samples

  20. Estruturas de governança e recursos estratégicos em destilarias do estado do Paraná: uma análise a partir da complementaridade da ECT e da VBR Estructuras de gobernanza y recursos estratégicos en destilerías del estado de Paraná: un análisis a partir de la complementariedad de la ECT y de la VBR Governance structures and strategic resources in distilleries located in the state of Paraná: an analysis based on TCE and RBV complementarity

    Directory of Open Access Journals (Sweden)

    Cleiciele Albuquerque Augusto

    2013-03-01

    (TCE and different capacities and resources (RBV, in relationships between producers and processors in the case of distilleries in the state of Paraná. For this, a qualitative and descriptive study was conducted, employing both a cross-sectional and longitudinal perspective. The study involved semi-structured interviews with managers and agricultural producers associated with five of the seven distilleries located in the state of Paraná. Unusually, the results showed a strong tendency towards vertical integration, occurring for the most part through partnership-type leases. Other choices of organizational arrangement included agricultural partnership contracts, followed by supply contracts. Location and distance of the average contracted properties were the most cited strategic resources capable of generating competitive advantages for the distilleries. Others included capacity expansion (due to soil fertility, abundance of mechanized areas, and absence of competitors, transparency and reputation, loyalty, and tradition and knowledge. Complementarity arises from the consideration that distilleries' internal resources and capabilities such as location, distance, knowledge influence the choice of more vertically-integrated governance structures. These in turn are chosen to exploit, protect, and gain competitive advantage obtained through control over those resources.

  1. Analysis of renal cell transformation following exposure to trichloroethene in vivo and its metabolite S-(dichlorovinyl)-L-cysteine in vitro

    International Nuclear Information System (INIS)

    Mally, Angela; Walker, Cheryl L.; Everitt, Jeffrey I.; Dekant, Wolfgang; Vamvakas, Spiros

    2006-01-01

    Trichloroethene (TCE) is classified as a potential human carcinogen although there is a significant debate regarding the mechanism of TCE induced renal tumor formation. This controversy stems in part from the extremely high doses of TCE required to induce renal tumors and the potential contribution of the associated nephrotoxicity to tumorigenesis. We have used Eker rats, which are uniquely susceptible to renal carcinogens, to determine if exposures to TCE in vivo or exposure to its metabolite S-(dichlorovinyl)-L-cysteine (DCVC) in vitro can transform kidney epithelial cells in the absence of cytotoxicity. Treatment with TCE (0, 100, 250, 500, 1000 mg/kg bw by gavage, 5 days a week) for 13 weeks resulted in a significant increase in cell proliferation in kidney tubule cells, but did not enhance formation of preneoplastic lesions or tumor incidence in Eker rat kidneys as compared to controls. In vitro, concentrations of DCVC, which reduced cell survival to 50%, were able to transform rat kidney epithelial cells. However, no carcinogen-specific mutations were identified in the VHL or Tsc-2 tumor suppressor genes in the transformants. Taken together, the inability of TCE to enhance formation of preneoplastic changes or neoplasia and the absence of carcinogen-specific alteration of genes accepted to be critical for renal tumor development suggest that TCE mediated carcinogenicity may occur secondary to continuous toxic injury and sustained regenerative cell proliferation

  2. In vitro and in vivo antimetastatic effects of Terminalia catappa L. leaves on lung cancer cells.

    Science.gov (United States)

    Chu, Shu-Chen; Yang, Shun-Fa; Liu, Shang-Jung; Kuo, Wu-Hsien; Chang, Yan-Zin; Hsieh, Yih-Shou

    2007-07-01

    Terminalia catappa L. was a popular folk medicine and has several proven biological activities including antioxidant and anti-inflammatory. The present study investigated the effect of the extract of T. catappa leaves (TCE) on invasion and motility of tumor cells to find that TCE exerted a dose-dependent inhibitory effect on the invasion and motility of highly metastatic A549 and Lewis lung carcinoma (LLC) cells. To further investigate the precise involvement of TCE in tumor metastasis, A549 and LLC cells were treated with TCE at various concentrations, up to 100 microg/mL, for a specified period and results from zymography and Western blotting showed that a TCE treatment may decrease the expressions of matrix metalloproteinase-2, -9, urokinase plasminogen activator and their endogenous inhibitors, that is tissue inhibitor of metalloproteinase-2 and plasminogen activator inhibitor-1, in a concentration-dependent manner. Furthermore, the inhibitory effect of TCE on the growth and metastasis of LLC cells in vivo was proven. These results indicated that TCE could be applied to be a potential antimetastatic agent.

  3. Ebola vaccine and treatment.

    Science.gov (United States)

    Takada, Ayato

    2015-01-01

    Filoviruses (Ebola and Marburg viruses) cause severe hemorrhagic fever in humans and nonhuman primates. No effective prophylaxis or treatment for filovirus diseases is yet commercially available. The recent outbreak of Ebola virus disease in West Africa has accelerated efforts to develop anti-Ebola virus prophylaxis and treatment, and unapproved drugs were indeed used for the treatment of patients during the outbreak. This article reviews previous researches and the latest topics on vaccine and therapy for Ebola virus disease.

  4. Herbal Treatment in Menopause

    Directory of Open Access Journals (Sweden)

    Cigdem Gun

    2015-12-01

    Full Text Available The digest has been prepared to review available clinical evidence on herbs used in treatment of menopause symptoms. Effectiveness of Humulus lupulus, Vitex agnus-castus, Dioskorea vilosa, Linum usitatissimum, Pinus pinaster, cruciferous vegetables, Cimicifuga racemosa L., Angelica sinensis, Oenothera biennis L., Hypericum perforatum L., Panax ginseng, Ginkgo biloba, Glycine soja, Trifolium pratense and Piper methysticum herbs were assessed for treatment of menopausal symptoms in the studies. Herbs used as alternative supplementary treatment for menopause symptoms have been found to have a limited effect. Thus more studies are warranted to assess effectiveness of herbal treatments for menopausal symptoms. [Archives Medical Review Journal 2015; 24(4.000: 520-530

  5. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... help find most effective treatment for your child. Medications Most children with ADHD benefit from taking medication. Medications do not cure ADHD. Medications can control ...

  6. Myelodysplastic/ Myeloproliferative Neoplasms Treatment

    Science.gov (United States)

    ... symptoms of chronic myelomonocytic leukemia include fever, weight loss, and feeling very tired. Certain factors affect prognosis (chance of recovery) and treatment options. Chronic myelomonocytic leukemia ...

  7. Waste Water Treatment Unit

    International Nuclear Information System (INIS)

    Ramadan, A.E.K.

    2004-01-01

    A wastewater treatment plant to treat both the sanitary and industrial effluent originated from process, utilities and off site units of the refinery is described. The purpose is to obtain at the end of the treatment plant, a water quality that is in compliance with contractual requirements and relevant environmental regulations. first treatment (pretreatment). Primary de-oiling, Equalization, Neutralization, Secondary de-oiling. Second treatment (Biological), The mechanism of BOD removal, Biological flocculation, Nutrient requirements, Nitrification, De-nitrification, Effect of temperature, Effect of ph, Toxicity

  8. Osteoporosis Treatment: Medications Can Help

    Science.gov (United States)

    Osteoporosis treatment: Medications can help Osteoporosis treatment may involve medication along with lifestyle change. Get answers to some of the most common questions about osteoporosis treatment. By ...

  9. Treatment Option Overview (Kaposi Sarcoma)

    Science.gov (United States)

    ... Sarcoma Treatment Childhood Vascular Tumors Treatment Research Kaposi Sarcoma Treatment (PDQ®)–Patient Version General Information About Kaposi Sarcoma Go to Health Professional Version Key Points Kaposi ...

  10. Treatment Options for Kaposi Sarcoma

    Science.gov (United States)

    ... Sarcoma Treatment Childhood Vascular Tumors Treatment Research Kaposi Sarcoma Treatment (PDQ®)–Patient Version General Information About Kaposi Sarcoma Go to Health Professional Version Key Points Kaposi ...

  11. Treatment of Cracked Teeth.

    Science.gov (United States)

    Alkhalifah, Shaymaa; Alkandari, Halimah; Sharma, Prem N; Moule, Alex J

    2017-09-01

    Although many options are proposed for the treatment of cracked posterior teeth, most treatment decisions are not evidence based. Thus, considerable individual variation can occur regarding treatment recommendations for the same scenario. To our knowledge, there are no studies in the literature assessing practitioners' attitudes toward the treatment of cracked teeth. This research recorded variations between general practitioners and specialist groups regarding the treatment approaches of cracked teeth. In a cross-sectional structured questionnaire survey, 32 prosthodontists, 34 endodontists, and 29 general practitioners working in public and private dental health services in Kuwait were assessed regarding their treatment approach to 5 different clinical cracked tooth scenarios. Chosen treatment options varied greatly. Within each scenario, there was a wide range in treatment preferences across all groups and within each group, especially with respect to asymptomatic cracked teeth. Overall, treatment approaches did not relate to specialty training. Statistically significant differences were noticed between endodontists and general practitioners, in case of crowning teeth, in scenario 3 (P = .032), and in extracting teeth for scenario 5 (P = .048). This study highlights that, despite suggested guidelines, there are large differences in the approach to treatment planning for cracked teeth by practitioners and specialists, both as a whole and within each group. Further multicountry studies involving larger dental populations are needed to determine factors that influence practitioners' treatment choices and/or whether better or more widely accepted guidelines need to be established. More prospective well-controlled clinical case-based research with long-term follow-ups is required. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  12. Techniques of Wastewater Treatment

    Indian Academy of Sciences (India)

    need and importance of wastewater treatment and conven- tional methods of treatment. Currently the need is to develop low power consuming and yet effective techniques to handle complex wastes. As a result, new and ... ered as supplying energy to make an active oxidizable species of the pollutants. Generally speaking ...

  13. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... They also have higher rates of cigarette and drug addiction, and more driving infractions. The good news is that effective treatment is available . With the right medical treatment, children ... and develop new drugs for ADHD. It is important to confer with ...

  14. Biocompatible implant surface treatments

    Directory of Open Access Journals (Sweden)

    Bikash Pattanaik

    2012-01-01

    Limitation of this study is that we tried to give a broader overview related to implant surface treatments. It does not give any conclusion regarding the best biocompatible implant surface treatment investigated till date. Unfortunately, the eventually selected studies were too heterogeneous for inference of data.

  15. Addic tion treatment

    African Journals Online (AJOL)

    2009-01-29

    Jan 29, 2009 ... growth of a treatment industry in this country over the past 5 years that parallels the growth of a fast-food chain. ... health insurance industry is delighted, as competition between various facilities irrespective of quality of ... less hazardous fashion also reflective of a successful treatment intervention? What.

  16. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... feel better about themselves. The goal of any type of ADHD treatment is to reduce symptoms and help the child function at a normal level. Treatment may include medication, therapy, family support, educational support, or a combination of ...

  17. Approaches to methadone treatment

    DEFF Research Database (Denmark)

    Järvinen, Margaretha

    2008-01-01

    in the model are three dimensions (1) treatment goals at the methadone centres (abstinence vs. stabilisation) (2) treatment focus (focus on addiction vs. focus on the consequences of addiction) and (3) conceptualisation of methadone (methadone as similar to or different from heroin). The paper shows...

  18. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... of Certification and Lifelong Learning Modules Online CME Learning on Demand 2018 Annual Meeting 2017 Annual ... Treatment Without treatment, a child with ADHD may fall behind in school and continue having trouble with friendships. Family life may also suffer. Untreated ADHD can increase strain ...

  19. Ankle Sprain Treatment

    Science.gov (United States)

    ... Ankle Sprain Treatment Page Content Article Body Acute ankle and foot injuries are common in athletes and other active young ... Phase I treatment involves resting and protecting the ankle to permit healing, to prevent further injury, and to control pain and swelling. Rest, protection ( ...

  20. Treatment strategies in mastocytosis

    DEFF Research Database (Denmark)

    Siebenhaar, Frank; Akin, Cem; Bindslev-Jensen, Carsten

    2014-01-01

    Treatment recommendations for mastocytosis are based mostly on expert opinion rather than evidence obtained from controlled clinical trials. In this article, treatment options for mastocytosis are presented, with a focus on the control of mediator-related symptoms in patients with indolent disease....

  1. Amblyopia: Lazy Eye Treatment

    Science.gov (United States)

    ... Stories Español Eye Health / Eye Health A-Z Amblyopia Sections Amblyopia: What Is Lazy Eye? Amblyopia: What ... Amblyopia: Lazy Eye Diagnosis Amblyopia: Lazy Eye Treatment Amblyopia: Lazy Eye Treatment Leer en Español: Ambliopía: Tratamiento ...

  2. Bell's Palsy Treatment

    Science.gov (United States)

    ... Stories Español Eye Health / Eye Health A-Z Bell's Palsy Sections What Is Bell's Palsy? Bell's Palsy Symptoms Bell's Palsy Treatment Bell's Palsy Treatment Leer en Español: Tratamiento de la parálisis ...

  3. Cyberknife stereotactic treatment

    International Nuclear Information System (INIS)

    Lief, Eugene

    2008-01-01

    The topic discussed included, among others, the following: cyberknife capabilities; autonomous robotics; continuous image guidance; flexible robotics maneuverability; Dynamic motion targeting; intelligent patient positioning; 4D treatment optimization and planning system; X-ray sources; robotic manipulator; linear accelerator; MultiPlan treatment planning system; radiosurgery vs radiotherapy; radiation system delivery comparison; simplified contouring; plan optimization; QA and commissioning. (P.A.)

  4. Seed Treatment. Bulletin 760.

    Science.gov (United States)

    Lowery, Harvey C.

    This manual gives a definition of seed treatment, the types of seeds normally treated, diseases and insects commonly associated with seeds, fungicides and insecticides used, types of equipment used for seed treatment, and information on labeling and coloring of treated seed, pesticide carriers, binders, stickers, and safety precautions. (BB)

  5. Childhood Astrocytomas Treatment

    Science.gov (United States)

    ... Childhood Low-Grade Astrocytomas When the tumor is first diagnosed , treatment for childhood low-grade astrocytoma depends on where the tumor ... information about clinical trials is also available. Recurrent Childhood ... the tumor first formed. Before more cancer treatment is given, imaging ...

  6. Addic tion treatment

    African Journals Online (AJOL)

    2009-01-29

    Jan 29, 2009 ... it does leave the profitability and viability of the more orthodox treatment centres at risk, and they now often seek improved income streams by sourcing patients from abroad. This effectively subsidises local patients whose treatment intervention is remunerated by discounted medical aid rates. South Africa is ...

  7. Techniques of Wastewater Treatment

    Indian Academy of Sciences (India)

    emerging effluent treatment methods. What is an Effluent? Liquid, solid and gaseous waste materials are often generated during the manufacturing of almost all the chemical and other industrial products. .... mass during the effluent treatment to oxidise the biologically oxidizable pollutants and for their own sustenance.

  8. Offenders: Characteristics and Treatment.

    Science.gov (United States)

    Becker, Judith V.

    1994-01-01

    Reviews what is known about child sex offenders and their treatment. The author discusses the role of paraphilia in child molestation and reviews what is known about juvenile and incest offenders and recidivism rates. What is known about recidivism of untreated offenders and treatment practices is also summarized. Recommendations conclude the…

  9. Radwaste treatment and disposal

    International Nuclear Information System (INIS)

    Ehn, L.; Breza, M.; Pekar, A.

    2000-01-01

    In this lecture is given the basic information, that is concerning on the RAW treatment and long term disposal of the treated RAW in repository at Mochovce. Then here is given the basic technical and technological information, that is concerning bituminization, plant, the vitrification unit, center for the RAW-treatment (BSC) and repository at Mochovce. (authors)

  10. Treatments options for alopecia.

    Science.gov (United States)

    Iorizzo, Matilde; Tosti, Antonella

    2015-01-01

    Hair disorders have a very high social and psychological impact. Treatment is often frustrating and time-consuming both for the patients and the clinicians and requires special skills and expertise. This paper aims to provide an overview of available treatments for the most common forms of alopecia in adults (androgenetic alopecia [AGA], alopecia areata and cicatricial alopecias) after reviewing the literature in PubMed, Google Scholar and ClinicalTrial.gov. Before starting treatment, it is very important to confirm diagnosis and discuss patient's expectations. Treatment of hair disorders requires time and first results are usually visible a few months after beginning of therapy. Treatment of most hair disorders is mostly not evidenced-based as randomized controlled trials are available only for AGA.

  11. Emerging treatments in alopecia.

    Science.gov (United States)

    Falto-Aizpurua, Leyre; Choudhary, Sonal; Tosti, Antonella

    2014-12-01

    Alopecia is a common concern encountered in the medical practice. Treatment approach varies according to the type and severity of alopecia. However, available treatment options have limited efficacy and several adverse effects. Presently, there are different treatment options being studied to overcome these limitations. Additionally, cellular pathways involved in the pathophysiology of alopecia are further being clarified to potentially target pathogenic molecules. We searched the literature for recently published articles discussing new treatment options as well as mechanisms involved in alopecia. We discuss the use of stem cells, growth factors, cellular pathways and robotic hair transplant, among other emerging therapies used for alopecia. Future looks very promising and new effective treatments such as janus kinase inhibitors could possibly be available for alopecia areata. The stem-cell technology is advancing and companies involved in hair follicle neogenesis are starting clinical trials on patients with androgenetic alopecia.

  12. Radiation treatment of foodstuffs

    International Nuclear Information System (INIS)

    Luther, T.; Huebner, G.

    1990-10-01

    In addition to fundamental demands on radiation and safety engineering of irradiation facilities, the necessity arises to optimize irradiation conditions by using facilities to capacity and thus reducing irradiation costs. The following subjects are dealt with in detail: rehabilitation of a pilot plant for radiation treatment of onions; examination of radiation resistance of components and equipment parts of food irradiation facilities; chemical dosimetry; relative measurement of the intensity of radioactive sources; thermo- and chemiluminescence to prove irradiation of foodstuffs; radiation induced sprout inhibition of potatoes; laboratory tests of delayed maturation of tomatoes; radiation treatment of strawberries; radiation treatment of forage; radiation induced sprout inhibition of acid-treated onions; radiation treatment of starch and potatoe products; radiation treatment of cosmetics; the universal radiation source UNI 88/26 for gamma irradiation facilities; microbiological aspects of food irradiation, and introduction of chicken irradiation on an industrial scale. (BBR) [de

  13. Post-treatment CIN

    DEFF Research Database (Denmark)

    Bais, Aagje G; Eijkemans, Marinus J C; Rebolj, Mateja

    2009-01-01

    We investigated in a randomised clinical trial whether addition of hrHPV testing (high-risk human papillomavirus) to cytological follow-up after treatment for high-grade CIN (cervical intraepithelial neoplasia 2/3) can lead to a better selection of women at risk for residual/recurrent CIN. We...... included 210 women with high-grade CIN undergoing treatment in outpatient clinics in The Netherlands. Follow-up was based on cytology alone and cytology combined with hrHPV detection. Our primary outcome measurement was improving specificity for residual/recurrent CIN after treatment. Secondary, we...... low-risk women omit the 12 months visit. Follow-up after treatment for high-grade CIN can be improved by combining cytology with hrHPV testing. We advise combined cytology and hrHPV testing at 6, 12 and 24 months after treatment. Low-risk women may omit the 12 months visit, resulting in cost reduction....

  14. Adjunctive steroid treatment

    DEFF Research Database (Denmark)

    Korshin, André; Køster-Rasmussen, Rasmus; Meyer, Christian N

    2007-01-01

    Our objective was to evaluate local guidelines regarding early steroid treatment in adult community acquired bacterial meningitis, and assess the actual treatment given and its correlation to clinical outcome. Patient outcome was obtained retrospectively from the medical records of 210 adults...... with petechial skin lesions, these were caused by pneumococci (15), meningococci (15), Staphylococcus aureus (1) and enterococci (1), and thus the presence of such lesions should not make the clinician abstain from early steroid treatment of bacterial meningitis. In conclusion, concordance with the new consensus...... of early steroid treatment was poor on a national basis, and better (41%) when adequate local guidelines were available. Early steroid treatment was associated with favourable outcome, and improved implementation of adequate guidelines may contribute to better patient outcome in bacterial meningitis....

  15. Trichloroethylene-induced gene expression and DNA methylation changes in B6C3F1 mouse liver.

    Directory of Open Access Journals (Sweden)

    Yan Jiang

    Full Text Available Trichloroethylene (TCE, widely used as an organic solvent in the industry, is a common contaminant in air, soil, and water. Chronic TCE exposure induced hepatocellular carcinoma in mice, and occupational exposure in humans was suggested to be associated with liver cancer. To understand the role of non-genotoxic mechanism(s for TCE action, we examined the gene expression and DNA methylation changes in the liver of B6C3F1 mice orally administered with TCE (0, 100, 500 and 1000 mg/kg b.w. per day for 5 days. After 5 days TCE treatment at a dose level of 1000 mg/kg b.w., a total of 431 differentially expressed genes were identified in mouse liver by microarray, of which 291 were up-regulated and 140 down-regulated. The expression changed genes were involved in key signal pathways including PPAR, proliferation, apoptosis and homologous recombination. Notably, the expression level of a number of vital genes involved in the regulation of DNA methylation, such as Utrf1, Tet2, DNMT1, DNMT3a and DNMT3b, were dysregulated. Although global DNA methylation change was not detected in the liver of mice exposed to TCE, the promoter regions of Cdkn1a and Ihh were found to be hypo- and hypermethylated respectively, which correlated negatively with their mRNA expression changes. Furthermore, the gene expression and DNA methylation changes induced by TCE were dose dependent. The overall data indicate that TCE exposure leads to aberrant DNA methylation changes, which might alter the expression of genes involved in the TCE-induced liver tumorgenesis.

  16. Trichloroethylene-induced gene expression and DNA methylation changes in B6C3F1 mouse liver.

    Science.gov (United States)

    Jiang, Yan; Chen, Jiahong; Tong, Jian; Chen, Tao

    2014-01-01

    Trichloroethylene (TCE), widely used as an organic solvent in the industry, is a common contaminant in air, soil, and water. Chronic TCE exposure induced hepatocellular carcinoma in mice, and occupational exposure in humans was suggested to be associated with liver cancer. To understand the role of non-genotoxic mechanism(s) for TCE action, we examined the gene expression and DNA methylation changes in the liver of B6C3F1 mice orally administered with TCE (0, 100, 500 and 1000 mg/kg b.w. per day) for 5 days. After 5 days TCE treatment at a dose level of 1000 mg/kg b.w., a total of 431 differentially expressed genes were identified in mouse liver by microarray, of which 291 were up-regulated and 140 down-regulated. The expression changed genes were involved in key signal pathways including PPAR, proliferation, apoptosis and homologous recombination. Notably, the expression level of a number of vital genes involved in the regulation of DNA methylation, such as Utrf1, Tet2, DNMT1, DNMT3a and DNMT3b, were dysregulated. Although global DNA methylation change was not detected in the liver of mice exposed to TCE, the promoter regions of Cdkn1a and Ihh were found to be hypo- and hypermethylated respectively, which correlated negatively with their mRNA expression changes. Furthermore, the gene expression and DNA methylation changes induced by TCE were dose dependent. The overall data indicate that TCE exposure leads to aberrant DNA methylation changes, which might alter the expression of genes involved in the TCE-induced liver tumorgenesis.

  17. Test Plan for Methanotrophic Bioreactor at Savannah River Site-TNX

    International Nuclear Information System (INIS)

    Berry, C.J.

    1994-01-01

    The primary purpose of this project is to demonstrate the feasibility and practicality of operating a methanotrophic mobile trickle filter bioreactor (MMB) unit to effectively reduce or eliminate trichloroethylene (TCE) and associated hydrocarbons from contaminated groundwater. The two-column trickle filter system can process 1.67 gallons per minute (gpm) of contaminated groundwater. During this project, the pilot system will evaluate, optimize, and demonstrate methanotrophic treatment technology (MTT). The mobile system will receive a 1--4% methane to air mixture for stimulating the methanotrophic TCE degrading bacteria, thereby increasing the rates of degradation of these contaminants. This project will also evaluate the efficacy of different bacteria for degrading TCE for use in the system at the laboratory-scale sample groundwater monitoring wells at TNX and set up the system for continued operation. The trickle filter system may be used to inexpensively treat other small-scale organic waste streams at SRS after the initial start-up. The MTT was demonstrated as an effective and efficient method of degrading TCE in the laboratory and during a field-scale in situ demonstration for degrading TCE in a groundwater plume at SRS. The methanotrophic bacteria increase significantly in population numbers and in the production of methane monooxygenase (MMO), an extremely powerful oxidizer. MMO was demonstrated as effective in oxidizing TCE and other recalcitrant compounds in laboratory studies. In the presence of MMO, TCE is oxidized to TCE-epoxide, which breaks down spontaneously into simple, easily degraded, daughter compounds. The system will receive a 1--4% methane to air mixture, which will effectively grow and maintain the methanotrophic bacteria that will degrade TCE. This demonstration will have broad applications to bioremediating contaminated groundwater systems where in situ bioremediation is not practical

  18. Ozone-electron beam treatment for groundwater remediation

    International Nuclear Information System (INIS)

    Gehringer, P.; Eschweiler, H.; Fiedler, H.

    1994-08-01

    Dose rate effect and low penetration are major disadvantages of electron beam irradiation. Addition of ozone before or during irradiation may eliminate the dose rate effect as shown for the remediation of a groundwater contaminated with trace amounts of chlorinated solvents such as trichloroethylene (TCE) and perchloroethylene (PCE). Beside the elimination of the dose rate effect the necessary radiation dose for pollutant decomposition is considerably lowered by the presence of ozone during irradiation. As a consequence the economy of the combined ozone/irradiation process becomes better than that of irradiation alone. Irradiation of turbulent water flows enables clean-up of water layers thicker than the maximum penetration of the electrons used. This effect is improved by the presence of ozone during irradiation, too. (authors)

  19. Treatment Selection in Depression.

    Science.gov (United States)

    Cohen, Zachary D; DeRubeis, Robert J

    2018-03-01

    Mental health researchers and clinicians have long sought answers to the question "What works for whom?" The goal of precision medicine is to provide evidence-based answers to this question. Treatment selection in depression aims to help each individual receive the treatment, among the available options, that is most likely to lead to a positive outcome for them. Although patient variables that are predictive of response to treatment have been identified, this knowledge has not yet translated into real-world treatment recommendations. The Personalized Advantage Index (PAI) and related approaches combine information obtained prior to the initiation of treatment into multivariable prediction models that can generate individualized predictions to help clinicians and patients select the right treatment. With increasing availability of advanced statistical modeling approaches, as well as novel predictive variables and big data, treatment selection models promise to contribute to improved outcomes in depression. Expected final online publication date for the Annual Review of Clinical Psychology Volume 14 is May 7, 2018. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

  20. Pneumonia. Treatment and diagnosis.

    Science.gov (United States)

    Mattila, Joshua T; Fine, Michael J; Limper, Andrew H; Murray, Patrick R; Chen, Bill B; Lin, Philana Ling

    2014-08-01

    Pneumonia remains a leading cause of morbidity and mortality despite advances in treatment and therapy. The "Pneumonia: Treatment and Diagnosis" session of the Pittsburgh International Lung Conference examined topics related to improving care of patients with pneumonia. These topics included the process and quality of care for community-acquired pneumonia (CAP), diagnosis and treatment of emerging fungal pathogens, an overview of the strengths and weaknesses of different diagnostic modalities, and an example of how basic science is exploring immunomodulatory strategies for pneumonia treatment. Systematic health care provider and institutional improvements can decrease mortality rates in CAP, particularly in patients with increasingly complex comorbidities. Aspects of current guidelines for the diagnosis and treatment of fungal pneumonia were reviewed through a series of case presentations. Proper treatment of pneumonia hinges on correct pathogen identification but is complicated by the variety of diagnostic assays with variable specificity, sensitivity, and interpretation. In addressing this topic, Dr. Patrick Murray, Ph.D., discussed a range of diagnostic tests for a variety of pathogens and guidelines for their use. In addition to the current state of CAP treatment, Bill (Beibei) Chen, M.D., Ph.D., presented a new potential therapeutic agent called forsythin, an immunomodulatory compound derived from a plant used in traditional Chinese medicine. These topics, ranging from institution-sized policy to interactions at the molecular scale, paint a broad perspective of the efforts against pneumonia.

  1. Condensate treatment system

    International Nuclear Information System (INIS)

    Masumitsu, Isao; Ito, Tomoaki; Kajio, Shozo; Takayama, Toshio; Ishikawa, Yasuyuki

    1992-01-01

    Condensate treatment system is installed for purifying condensate in thermal and nuclear power stations. Once-through boilers appeared, and in order to maintain the high purity water quality of condensate, condensate desalting facilities were installed in 1962 in Japan. There are the single type using condensate desalting facility only and the combined type of condensate prefilter and condensate desalting facility. The purpose of installing condensate treatment system is to remove corrosion products and ion components generated from the structural materials of plants and to remove sea water composition if it leaks. The general steam-condensate system in thermal power plants is explained. A standard JIS B 8223 'Quality of feedwater and boiler water for boilers' is instituted. The water treatment for boilers is carried out by the treatment of makeup feed, chemical treatment in boilers and blow. In the case of once-through boilers, blow cannot be done, accordingly, very high purity water is required. Condensate prefilter, condensate desalting facility, the watching of condensate treatment system and the operation in combined water treatment are reported. Also the condensate prefilters and the condensate desalting facilities for BWR and PWR plants are described. (K.I.)

  2. Nonpharmacological treatment of epilepsy.

    Science.gov (United States)

    Saxena, V S; Nadkarni, V V

    2011-07-01

    Nonpharmacological treatment of epilepsy includes surgery, vagal nerve stimulation, ketogenic diet, and other alternative/complementary therapies, e.g., yoga, Ayurveda, electroencephalography (EEG) biofeedback technique, aerobic exercise, music therapy, transcranial magnetic stimulation, acupuncture, and herbal remedies (traditional Chinese medicine). Alternative therapies, despite the term, should not be considered as an alternative to antiepileptic medication; they complement accepted drug treatment. Alternative therapies like yoga, through techniques that relax the body and mind, reduce stress, improve seizure control, and also improve quality of life. Ketogenic diet is a safe and effective treatment for intractable epilepsies; it has been recommended since 1921. The diet induces ketosis, which may control seizures. The most successful treatment of epilepsy is with modern antiepileptic drugs, which can achieve control of seizures in 70-80% cases. Patients opt for alternative therapies because they may be dissatisfied with antiepileptic drugs due to their unpleasant side effects, the long duration of treatment, failure to achieve control of seizures, cultural beliefs and, in the case of women, because they wish to get pregnant Surgical treatment may lead to physical and psychological sequelae and is an option only for a minority of patients. This article presents supportive evidence from randomized controlled trials done to assess the benefit of non-pharmacological treatment.

  3. Oral health: orthodontic treatment.

    Science.gov (United States)

    Martonffy, Andrea Ildiko

    2015-01-01

    Improper tooth alignment due to crowding, malocclusion, and missing teeth can cause difficulties with eating and speech, and premature wear. It is estimated that more than 20% of children would benefit from orthodontic treatment to correct these conditions, many of which will persist into adulthood if not corrected. Orthodontic care is gaining popularity among adults for similar concerns, as well as for correction of cosmetic issues. The psychological effects of malocclusion should not be ignored. The American Association of Orthodontists recommends that all children undergo evaluation at the first recognition of an orthodontic condition and no later than age 7 years. Some children will need early treatment to help eliminate developing conditions and improve the foundations of the bite, which can ease later treatment in adolescence. For others, treatment in adolescence without early treatment is recommended. Standard cemented braces or clear, removable aligners may be used, depending on the patient's corrective needs. Average treatment time is approximately 2 years; this may be shortened by the use of accelerative techniques. Routine preventive dental care should be continued during the treatment period. Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.

  4. Nonpharmacological treatment of epilepsy

    Directory of Open Access Journals (Sweden)

    V S Saxena

    2011-01-01

    Full Text Available Nonpharmacological treatment of epilepsy includes surgery, vagal nerve stimulation, ketogenic diet, and other alternative/complementary therapies, e.g., yoga, Ayurveda, electroencephalography (EEG biofeedback technique, aerobic exercise, music therapy, transcranial magnetic stimulation, acupuncture, and herbal remedies (traditional Chinese medicine. Alternative therapies, despite the term, should not be considered as an alternative to antiepileptic medication; they complement accepted drug treatment. Alternative therapies like yoga, through techniques that relax the body and mind, reduce stress, improve seizure control, and also improve quality of life. Ketogenic diet is a safe and effective treatment for intractable epilepsies; it has been recommended since 1921. The diet induces ketosis, which may control seizures. The most successful treatment of epilepsy is with modern antiepileptic drugs, which can achieve control of seizures in 70-80% cases. Patients opt for alternative therapies because they may be dissatisfied with antiepileptic drugs due to their unpleasant side effects, the long duration of treatment, failure to achieve control of seizures, cultural beliefs and, in the case of women, because they wish to get pregnant Surgical treatment may lead to physical and psychological sequelae and is an option only for a minority of patients. This article presents supportive evidence from randomized controlled trials done to assess the benefit of non-pharmacological treatment.

  5. Generic phytosanitary irradiation treatments

    International Nuclear Information System (INIS)

    Hallman, Guy J.

    2012-01-01

    The history of the development of generic phytosanitary irradiation (PI) treatments is discussed beginning with its initial proposal in 1986. Generic PI treatments in use today are 150 Gy for all hosts of Tephritidae, 250 Gy for all arthropods on mango and papaya shipped from Australia to New Zealand, 300 Gy for all arthropods on mango shipped from Australia to Malaysia, 350 Gy for all arthropods on lychee shipped from Australia to New Zealand and 400 Gy for all hosts of insects other than pupae and adult Lepidoptera shipped to the United States. Efforts to develop additional generic PI treatments and reduce the dose for the 400 Gy treatment are ongoing with a broad based 5-year, 12-nation cooperative research project coordinated by the joint Food and Agricultural Organization/International Atomic Energy Agency Program on Nuclear Techniques in Food and Agriculture. Key groups identified for further development of generic PI treatments are Lepidoptera (eggs and larvae), mealybugs and scale insects. A dose of 250 Gy may suffice for these three groups plus others, such as thrips, weevils and whiteflies. - Highlights: ► The history of phytosanitary irradiation (PI) treatments is given. ► Generic PI treatments in use today are discussed. ► Suggestions for future research are presented. ► A dose of 250 Gy for most insects may suffice.

  6. Storytelling in drug treatment

    DEFF Research Database (Denmark)

    Andersen, Ditte

    2014-01-01

    Professionals who provide drug treatment to young people regularly encounter what they conceive to be inauthentic client claims, that is, claims not in accordance with reality. Earlier research demonstrates how authenticity remains a key concern within drug treatment, but it has not sufficiently...... of ulterior motives, clients are interpreted as making inauthentic claims because they want to obtain something externally from drug treatment (e.g., avoid prison or work training programs), and (3) the story of disorders explains inauthenticity as a result of pathology. The study illuminates how...

  7. [Esthetic treatment of varicosities].

    Science.gov (United States)

    Vin, F

    2000-06-01

    Telangiectasia is dilatation of the subpapillary venous plexus of the epidermis of the lower limbs, which can lead to aesthetic embarrassment. Before treating telangiectasia, patient history and clinical examination help establishing its origin. It can be with isolated, associated reticular drainage veins, or be part of superficial venous insufficiency. Several types of treatment have been proposed. Microsclerotherapy is the most effective and least costly. Muller's phlebectomy can be performed when telangiectasia is fed by large reticular veins, either afferent or efferent. Treatment by laser and pulsed light appear best reserved to treatment of finer venous dilatations, either complementary or after failure of sclerotherapy.

  8. Treatment with radionuclides

    International Nuclear Information System (INIS)

    Radeva, M.

    2000-01-01

    The application of nuclides for therapy is a noninvasive treatment modality, which is characterized by the selective delivery of the radiation dose to target tissues (tumors or organs). Radionuclide therapy provides an alternative to surgical or medical treatment for several benign disorders. Basically, it is disease (metabolic radionuclide therapy). On the same principle is based the nuclide therapy of any endocrine tumors. The paper presents several methods for determination of the dose in treatment of thyroid diseases. A data of the '1'3'1' I therapy of thyroid diseases at the Medical University of Sofia are shown

  9. [Treatment of selective mutism].

    Science.gov (United States)

    Melfsen, Siebke; Warnke, Andreas

    2007-11-01

    Selective mutism is a communication disorder of childhood in which the child does not speak in specific social situations despite the ability to speak in other situations. A literature review was completed in order to provide practical guidelines for the assessment and treatment of children with selective mutism. There are many different behavioral approaches in the treatment of this disorder, e.g. contingency management, shaping, stimulus fading, escape-avoidance, self-modeling, learning theory approaches. A clearer diagnostic understanding of the disorder as part of anxiety or oppositional disorders needs to be realized prior to generalize an effective treatment for this disorder.

  10. [Treatment possibilities and treatment results in pneumoconioses].

    Science.gov (United States)

    Ulmer, W T

    1983-01-01

    Some types of pneumoconiosis, such as asbestosis, are characterized by marked restrictive functional patterns. Treatment is begun when definite arterial hypoxemia appears, since the inhalation of oxygen clearly lowers pulmonary artery pressure. It is also important that the onset of concomitant airway obstruction is recognized promptly. From the sociomedical standpoint the most significant pneumoconiosis continues to be the miner's anthracosilicosis. The functional pattern of this pneumoconiosis is clearly airway obstruction, and such anthracosilicotic airway obstruction responds like all other forms of airway obstruction to antiobstructive therapy. The fundamentals of this therapy, which is based on the use of bronchodilators, adrenal cortical hormones and antibiotics, are described.

  11. Torture and its treatment.

    Science.gov (United States)

    Roth, E F; Lunde, I; Boysen, G; Genefke, I K

    1987-01-01

    Physical and psychological torture of political detainees and prisoners is currently practiced in more than 90 countries. Types of torture and the diagnosis and treatment of torture victims are described based on the experience of Copenhagen's Rigshospitalet. PMID:3661792

  12. Treatment-Resistant Depression

    Science.gov (United States)

    ... It's designed for treatment-resistant conditions. Interpersonal psychotherapy. Interpersonal psychotherapy focuses on resolving relationship issues that may contribute to your depression. Family or marital therapy. This type of therapy involves family members or ...

  13. Infant Reflux: Treatment

    Science.gov (United States)

    ... your baby: Has poor weight gain and more-conservative treatments haven't worked Refuses to feed Has ... to jostle or jiggle your baby while the food is settling. Try smaller, more-frequent feedings. Feed ...

  14. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... into the evening. ADHD medications can have side effects. Before medication treatment begins, your child’s doctor will ... should continue to monitor your child for side effects. A majority of children who benefit from medication ...

  15. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... a child with ADHD may fall behind in school and continue having trouble with friendships. Family life ... ADHD? Common Signs and Symptoms Getting Treatment Supporting School Success The Teenage Years Working Together Resources Connect ...

  16. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... and drug addiction, and more driving infractions. The good news is that effective treatment is available . With ... to use point systems or charts to reward good behavior. When a child becomes too unruly or ...

  17. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... the right medical treatment, children with ADHD can improve their ability to pay attention and control their ... therapy helps the family develop a plan to improve a child’s behavior. For example, parents can learn ...

  18. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... grow, learn, and feel better about themselves. The goal of any type of ADHD treatment is to ... work with other children. The therapist discusses and models social skills, such as waiting for a turn, ...

  19. [Treatment of chronic ulcers].

    Science.gov (United States)

    Moreno-Giménez, José C; Galán-Gutiérrez, Manuel; Jiménez-Puya, Rafael

    2005-04-01

    Chronic ulcers are a challenge in dermatological therapy. It is essential to establish their etiology in order to treat them, but on many occasions local therapy is of great interest. Treatment of chronic ulcers is currently based on so-called moist wound healing, and it takes two aspects into consideration: the underlying pathology and local treatment. Local treatment is always necessary and includes: cleaning, debridement, the control of any infection, and the application of different topical agents, both medication and dressings. Recently, new therapeutic strategies are being established, some of which are still being assessed, and which include: skin replacement using biological skin substitutes, growth factors, laser, hyperbaric oxygen, electrical stimulation and negative pressure dressings. In this work, we review the therapeutic advances in this pathology, without neglecting the validity of classic treatments.

  20. Parathyroid Cancer Treatment

    Science.gov (United States)

    ... sign of disease. Sestamibi scan : A type of radionuclide scan used to find an overactive parathyroid gland. ... speech problems caused by this nerve damage. Radiation therapy Radiation therapy is a cancer treatment that uses ...

  1. Body Lice Treatment

    Science.gov (United States)

    ... Frequently Asked Questions (FAQs) Epidemiology & Risk Factors Disease Biology Diagnosis Treatment Prevention & Control Resources for Health Professionals Publications Get Email Updates To receive email updates about this page, enter ...

  2. Pubic "Crab" Lice Treatment

    Science.gov (United States)

    ... Frequently Asked Questions (FAQs) Epidemiology & Risk Factors Disease Biology Diagnosis Treatment Prevention & Control Resources for Health Professionals Publications Get Email Updates To receive email updates about this page, enter ...

  3. Thermal plasma waste treatment

    International Nuclear Information System (INIS)

    Heberlein, Joachim; Murphy, Anthony B

    2008-01-01

    Plasma waste treatment has over the past decade become a more prominent technology because of the increasing problems with waste disposal and because of the realization of opportunities to generate valuable co-products. Plasma vitrification of hazardous slags has been a commercial technology for several years, and volume reduction of hazardous wastes using plasma processes is increasingly being used. Plasma gasification of wastes with low negative values has attracted interest as a source of energy and spawned process developments for treatment of even municipal solid wastes. Numerous technologies and approaches exist for plasma treatment of wastes. This review summarizes the approaches that have been developed, presents some of the basic physical principles, provides details of some specific processes and considers the advantages and disadvantages of thermal plasmas in waste treatment applications. (topical review)

  4. Breast Cancer Treatment

    Science.gov (United States)

    ... of Breast & Gynecologic Cancers Breast Cancer Screening Research Breast Cancer Treatment (PDQ®)–Patient Version General Information About Breast Cancer Go to Health Professional Version Key Points Breast ...

  5. Alternative disinfectant water treatments

    Science.gov (United States)

    Alternative disinfestant water treatments are disinfestants not as commonly used by the horticultural industry. Chlorine products that produce hypochlorous acid are the main disinfestants used for treating irrigation water. Chlorine dioxide will be the primary disinfestant discussed as an alternativ...

  6. Electrochemical treatment of graphite

    International Nuclear Information System (INIS)

    Podlovilin, V.I.; Egorov, I.M.; Zhernovoj, A.I.

    1983-01-01

    In the course of investigating various modes of electroche-- mical treatment (ECT) it has been found that graphite anode treatment begins under the ''glow mode''. A behaviour of some marks of graphite with the purpose of ECT technique development in different electrolytes has been tested. Electrolytes have been chosen of three types: highly alkaline (pH 13-14), neutral (pH-Z) and highly acidic (pH 1-2). For the first time parallel to mechanical electroerosion treatment ECT graphite and carbon graphite materials previously considered chemically neutral is proposed. ECT of carbon graphite materials has a number of advantages as compared with electroerrosion and mechanical ones this is treatment rate and purity (ronghness) of the surface. A sMall quantity of sludge (6-8%) under ECT is in highly alkali electrolytes

  7. Intracranial Vascular Treatments

    Science.gov (United States)

    ... the interventional neuroradiologist inserts a catheter through the skin into a blood vessel and advances it to the treatment site. A device or synthetic material called an embolic agent is then inserted ...

  8. Incontinence Treatment: Biofeedback

    Science.gov (United States)

    ... Patient's Perspective Barriers on Diagnosis and Treatment Personal Stories Contact Us ... biofeedback? Biofeedback is a neuromuscular reeducation tool we can use to tell if certain processes in our bodies are working correctly. It is a painless process ...

  9. Bleeding during cancer treatment

    Science.gov (United States)

    ... meals. Talk with your doctor about using stool softeners or laxatives if you are straining when you ... flushing Chemotherapy - what to ask your doctor Drinking water safely during cancer treatment Dry mouth during cancer ...

  10. Lewy Body Disease Treatment

    Science.gov (United States)

    ... disease and typically requires a comprehensive treatment approach, meaning a team of physicians from different specialties, who ... programs such as aerobic, strengthening, or water exercise. Speech therapy may be helpful for low voice volume ...

  11. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... is to reduce symptoms and help the child function at a normal level. Treatment may include medication, therapy, family support, educational support, or a combination of these. A major ...

  12. Cancer treatment - early menopause

    Science.gov (United States)

    Premature menopause; Ovarian insufficiency - cancer ... Cancer treatments that can cause early menopause include: Surgery. Having both ovaries removed causes menopause to happen right away. If you are age 50 or younger, your provider may ...

  13. Salivary Gland Cancer Treatment

    Science.gov (United States)

    ... Cancer Diagnosis Prevention Screening & Early Detection Treatment Cancer & Public Health Cancer Health Disparities Childhood Cancer Clinical Trials Global Health Key Initiatives Cancer Moonshot Genomic Data Commons National Clinical Trials ...

  14. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... rates of cigarette and drug addiction, and more driving infractions. The good news is that effective treatment ... For example, parents can learn to use point systems or charts to reward good behavior. When a ...

  15. Thermal treatment wall

    Science.gov (United States)

    Aines, Roger D.; Newmark, Robin L.; Knauss, Kevin G.

    2000-01-01

    A thermal treatment wall emplaced to perform in-situ destruction of contaminants in groundwater. Thermal destruction of specific contaminants occurs by hydrous pyrolysis/oxidation at temperatures achievable by existing thermal remediation techniques (electrical heating or steam injection) in the presence of oxygen or soil mineral oxidants, such as MnO.sub.2. The thermal treatment wall can be installed in a variety of configurations depending on the specific objectives, and can be used for groundwater cleanup, wherein in-situ destruction of contaminants is carried out rather than extracting contaminated fluids to the surface, where they are to be cleaned. In addition, the thermal treatment wall can be used for both plume interdiction and near-wellhead in-situ groundwater treatment. Thus, this technique can be utilized for a variety of groundwater contamination problems.

  16. [Surgical treatment of ulcer].

    Science.gov (United States)

    Ungeheuer, E; Schröder, D; Lüders, K

    1978-04-27

    The standard of today in surgical treatment of the duodenal and gastric ulcer in Germany is shown. Positive and negative aspects of the different methods are discussed. Special technics are recommended for the different types of gastroduodenal ulcera.

  17. Traditional preventive treatment options

    DEFF Research Database (Denmark)

    Longbottom, C; Ekstrand, K; Zero, D

    2009-01-01

    Preventive treatment options can be divided into primary, secondary and tertiary prevention techniques, which can involve patient- or professionally applied methods. These include: oral hygiene (instruction), pit and fissure sealants ('temporary' or 'permanent'), fluoride applications (patient...... options....

  18. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... level. Treatment may include medication, therapy, family support, educational support, or a combination of these. A major ... For example, parents can learn to use point systems or charts to reward good behavior. When a ...

  19. Salmonella Diagnosis and Treatment

    Science.gov (United States)

    ... FDA) USDA Food Safety and Inspection Service Follow Salmonella RSS Diagnosis and Treatment Recommend on Facebook Tweet Share Compartir How Can Salmonella Infections Be Diagnosed? Diagnosing salmonellosis requires testing a ...

  20. Wastewater Treatment Facilities

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — Individual permits for municipal, industrial, and semi-public wastewater treatment facilities in Iowa for the National Pollutant Discharge Elimination System (NPDES)...

  1. Thalassemia: Complications and Treatment

    Science.gov (United States)

    ... on Facebook Tweet Share Compartir If I have thalassemia, how does it affect my body? Since your ... like flu shots and other vaccines. How is thalassemia treated? The type of treatment a person receives ...

  2. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... ADHD will continue to benefit from it as teenagers. In fact, many adults with ADHD also find ... and Symptoms Getting Treatment Supporting School Success The Teenage Years Working Together Resources Connect With Us Contact ...

  3. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... children with ADHD benefit from taking medication. Medications do not cure ADHD. Medications can control ADHD symptoms ... Before medication treatment begins, your child’s doctor will do a thorough health evaluation. The doctor should continue ...

  4. Treatment of subclinical hyperthyroidism

    DEFF Research Database (Denmark)

    Mark, Peter D; Andreassen, Mikkel; Petersen, Claus L

    2015-01-01

    : Cardiac MRI was performed before and after euthyroidism was obtained by radioactive iodine treatment in 12 otherwise healthy patients (11 women and one man, mean age 59 years, range 44-71 years) with a nodular goiter and SH, and compared with eight healthy controls investigated at baseline. Cardiac data......PURPOSE: The aim of this study was to investigate structure and function of the heart in subclinical hyperthyroidism (SH) before and after obtaining euthyroidism by radioactive iodine treatment, using high precision and observer-independent magnetic resonance imaging (MRI) technology. METHODS...... were expressed as an index, as per body surface area, except for heart rate (HR) and ejection fraction. RESULTS: Post-treatment cardiac MRI was performed in median 139 days after a normalized serum TSH value had been recorded. During treatment, serum TSH increased from (median (range)) 0.01 (0...

  5. Bisphosphonate Treatment and Pregnancy

    Science.gov (United States)

    Bisphosphonate treatment and Pregnancy In every pregnancy, a woman starts out with a 3-5% chance of ... risk. This sheet talks about whether exposure to bisphosphonates may increase the risk for birth defects over ...

  6. Acid Mine Drainage Treatment

    National Research Council Canada - National Science Library

    Fripp, Jon

    2000-01-01

    .... Acid mine drainage (AMD) can have severe impacts to aquatic resources, can stunt terrestrial plant growth and harm wetlands, contaminate groundwater, raise water treatment costs, and damage concrete and metal structures...

  7. Treatment of infantile spasms

    OpenAIRE

    2005-01-01

    The rationale, dosage, and side effects of ACTH treatment of infantile spasms are reviewed from the Department of Neurology, University of Southern California School of Medicine, and Children’s Hospital of Los Angeles, CA.

  8. Patient Treatment File (PTF)

    Data.gov (United States)

    Department of Veterans Affairs — This database is part of the National Medical Information System (NMIS). The Patient Treatment File (PTF) contains a record for each inpatient care episode provided...

  9. HIV/AIDS Treatment

    Science.gov (United States)

    ... goal of NIAID-supported research on HIV treatment today is to develop long-acting therapies that—unlike ... Career Stage Postdocs' Guide to Gaining Independence Small Business Programs Compare NIAID’s Small Business Programs High-Priority ...

  10. The treatment of tics.

    Science.gov (United States)

    Singer, H S

    2001-03-01

    Tics are the essential component of a variety of disorders, notably Tourette syndrome. Because the mere presence of tics does not require therapeutic intervention, criteria are essential for determining a functional disability. Suggested tic-suppressing treatments have been extremely diverse, including hydrotherapy, behavioral treatments, pharmacotherapy, botulinum toxin, immunomodulatory therapy, and surgery. This manuscript reviews each of these approaches with emphasis on more recent pharmacologic trials.

  11. Heat treatment for superalloy

    Science.gov (United States)

    Harf, Fredric H. (Inventor)

    1987-01-01

    A cobalt-free nickel-base superalloy composed of in weight % 15 Cr-5 Mo-3.5 Ti-4 Al-0.07 (max) C-remainder Ni is given a modified heat treatment. With this heat treatment the cobalt-free alloy achieves certain of the mechanical properties of the corresponding cobalt-containing nickel-base superalloy at 1200 F (650 C). Thus, strategic cobalt can be replaced by nickel in the alloy.

  12. Portable treatment systems study

    International Nuclear Information System (INIS)

    Sherick, M.J.; Schwinkendorf, W.E.; Bechtold, T.E.; Cole, L.T.

    1997-03-01

    In developing their Site Treatment Plans (STPs), many of the Department of Energy installations identified some form of portable treatment, to facilitate compliant disposition of select mixed low-level wastestreams. The Environmental Management Office of Science and Technology requested that a systems study be performed to better define the potential role of portable treatment with respect to mixed low-level waste, highlight obstacles to implementation, and identify opportunities for future research and development emphasis. The study was performed by first establishing a representative set of mixed waste, then formulating portable treatment system concepts to meet the required processing needs for these wastes. The portable systems that were conceptualized were evaluated and compared to a fixed centralized treatment alternative. The system evaluations include a life-cycle cost analysis and an assessment of regulatory, institutional, and technical issues associated with the potential use of portable systems. The results of this study show that when all costs are included, there are no significant cost differences between portable systems and fixed systems. However, it is also emphasized that many uncertainties exist that could impact the cost of implementing portable treatment systems. Portable treatment could be made more attractive through private sector implementation, although there is little economic incentive for a commercial vendor to develop small, specialized treatment capabilities with limited applicability. Alternatively, there may also be valid reasons why fixed units cannot be used for some problematic wastestreams. In any event, there are some site-specific problems that still need to be addressed, and there may be some opportunity for research and development to make a positive impact in these areas

  13. Traditional preventive treatment options

    DEFF Research Database (Denmark)

    Longbottom, C; Ekstrand, K; Zero, D

    2009-01-01

    conventional operative care, and since controlling the caries process prior to first restoration is the key to breaking the repair cycle and improving care for patients, future research should address the shortcomings in the current level of supporting evidence for the various traditional preventive treatment......Preventive treatment options can be divided into primary, secondary and tertiary prevention techniques, which can involve patient- or professionally applied methods. These include: oral hygiene (instruction), pit and fissure sealants ('temporary' or 'permanent'), fluoride applications (patient...

  14. Treatment of Malaria

    Science.gov (United States)

    1986-04-01

    the doses of pyrimethamine used for treatment of malaria (Weniger, 1979b). It may be used for treatment of malaria in pregnancy. The question of...derivatives are still being determined. A number of formulations have been shown to be effective, but in China only three peparations , qinghaosu suppositories...Clinical Pharmacology 15: 471-479. Gustafsson LL. Rombo L, Alvan Get al (1983b) On the question of dose-dependent chloro- quine elimination of a single

  15. Portable treatment systems study

    Energy Technology Data Exchange (ETDEWEB)

    Sherick, M.J.; Schwinkendorf, W.E.; Bechtold, T.E.; Cole, L.T.

    1997-03-01

    In developing their Site Treatment Plans (STPs), many of the Department of Energy installations identified some form of portable treatment, to facilitate compliant disposition of select mixed low-level wastestreams. The Environmental Management Office of Science and Technology requested that a systems study be performed to better define the potential role of portable treatment with respect to mixed low-level waste, highlight obstacles to implementation, and identify opportunities for future research and development emphasis. The study was performed by first establishing a representative set of mixed waste, then formulating portable treatment system concepts to meet the required processing needs for these wastes. The portable systems that were conceptualized were evaluated and compared to a fixed centralized treatment alternative. The system evaluations include a life-cycle cost analysis and an assessment of regulatory, institutional, and technical issues associated with the potential use of portable systems. The results of this study show that when all costs are included, there are no significant cost differences between portable systems and fixed systems. However, it is also emphasized that many uncertainties exist that could impact the cost of implementing portable treatment systems. Portable treatment could be made more attractive through private sector implementation, although there is little economic incentive for a commercial vendor to develop small, specialized treatment capabilities with limited applicability. Alternatively, there may also be valid reasons why fixed units cannot be used for some problematic wastestreams. In any event, there are some site-specific problems that still need to be addressed, and there may be some opportunity for research and development to make a positive impact in these areas.

  16. Somnambulism: Diagnosis and treatment

    Science.gov (United States)

    Bharadwaj, Rahul; Kumar, Suresh

    2007-01-01

    Somnambulism is an arousal disorder that is usually benign, self-limited and only infrequently requires treatment. Chronic sleepwalking in children has been shown to be associated with behavioral problems and poor emotional regulation. Most cases can be diagnosed with careful noting of case history and epilepsy is an important differential diagnosis. Management with pharmacological and behavioural measures is usually safe and effective. We present two cases of somnambulism that highlight the importance of the diagnosis and treatment of this condition. PMID:20711396

  17. Treatment principles for coccygodynia.

    Science.gov (United States)

    Dalbayrak, Sedat; Yaman, Onur; Yilmaz, Tevfik; Yilmaz, Mesut

    2014-01-01

    An evaluation of treatment methods and outcomes for coccygodynia cases that do not respond to conservative treatment. Local anesthetic and steroid injections were applied in 32 coccygodynia cases that did not respond to conservative treatment (average of 15 months). Coccyx excision was performed as surgical treatment in 25 cases that had pain relief after the injections but later re-presented with complaints. The patients' pain levels were assessed with VAS. Postacchini classification was used for patient classification based on plain radiography. 20 (62%) of the cases (the total including injection and surgery groups) had a trauma history. Majority of the cases treated with local steroid injection included patients with Type I, while the 25 cases that received surgical treatment predominantly included Type II patients. One case had post-operative skin infection, which was treated with antibiotics. It was observed by comparing pre-operative and post-operative pain scores that both methods provided significant pain relief in all patients. While local steroid injection is an effective method of treatment for Type I patients, the coccyx removal is an effective method for controlling the pain in patients with trauma history and in Type II, III and IV patients.

  18. 40 CFR 133.105 - Treatment equivalent to secondary treatment.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Treatment equivalent to secondary treatment. 133.105 Section 133.105 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS SECONDARY TREATMENT REGULATION § 133.105 Treatment equivalent to secondary treatment...

  19. Treatment of visceral leishmaniasis

    Directory of Open Access Journals (Sweden)

    E M Moore

    2010-01-01

    Full Text Available The available treatment options for visceral leishmaniasis (VL have problems relating to efficacy, adverse effects and cost, making treatment a complex issue. We review the evidence relating to the different methods of treatment in relation to - efficacy and toxicity of the drugs in different areas of the world; ability to monitor side effects, length of treatment; ability of patients to pay for and stay safe during treatment, ability of the healthcare services to give intramuscular, intravenous or oral therapy; the sex and child-bearing potential of the patient and the immune status of the patient. The high mortality of untreated/ poorly treated VL infection makes the decisions paramount, but a unified and coordinated response by each area is likely to be more effective and informative to future policies than an ad hoc response. For patients in resource-rich countries, liposomal amphotericin B appears to be the optimal treatment. In South Asia, miltefosine is being used; the combination of single dose liposomal amphotericin B and short course miltefosine looks encouraging but has the problem of potential reproductive toxicities in females. In Africa, the evidence to switch from SSG is not yet compelling. The need to monitor and plan for evolving drug failure, secondary to leishmania parasite resistance, is paramount. With a few drugs the options may be limited; however, we await key ongoing trials in both Africa and India to explore the effects of combination treatment. If safe and reliable combinations are revealed by the ongoing studies, it is far from clear as to whether this will avoid leishmania parasite resistance. The development of new drugs to add to the armamentarium is paramount. Lessons can be learnt from the management of diseases such as tuberculosis and malaria in terms of planning the switch to combination treatment. As important as establishing the best choice for specific antileishmanial agent is ensuring treatment centers

  20. Investigation of Chemical Reactivity, Mass Recovery and Biological Activity During Thermal Treatment of DNAPL Source Zones

    Science.gov (United States)

    2009-10-01

    prepared by soaking approximately 2,000 g of sand from Ottawa, IL (ASTM 20-30 Sand, U.S. Silica Co., Berkeley Springs , WV) in 1 N nitric acid for 30...Silica Co. Laboratory in Berkeley Springs , WV for X-ray diffraction (XRD) analysis. The mineral phases identified in the sand included pyrite...MTCE is the number of moles of TCE, MDCEs is the sum of the moles of cis- and trans- DCE, Mvc is the moles of vinyl chloride, Methene is the moles of

  1. Dehalococcoides and general bacterial ecology of differentially trichloroethene dechlorinating flow-through columns.

    Science.gov (United States)

    Mirza, Babur S; Sorensen, Darwin L; McGlinn, Daniel J; Dupont, R Ryan; McLean, Joan E

    2017-06-01

    The diversity of Dehalococcoides mccartyi (Dhc) and/or other organohalide respiring or associated microorganisms in parallel, partial, or complete trichloroethene (TCE) dehalogenating systems has not been well described. The composition of Dhc populations and the associated bacterial community that developed over 7.5 years in the top layer (0-10 cm) of eight TCE-fed columns were examined using pyrosequencing. Columns biostimulated with one of three carbon sources, along with non-stimulated controls, developed into complete (ethene production, whey amended), partial (cis-dichloroethene (DCE) and VC, an emulsified oil with nonionic surfactant), limited (column of each treatment with Bachman Road enrichment culture did not change Dhc populations nor the eventual degree of TCE dehalogenation. Pyrosequencing revealed high diversity among Dhc strains. There were 13 OTUs that were represented by more than 1000 sequences each. Cornell group-related populations dominated in complete TCE dehalogenating columns, while Pinellas group related Dhc dominated in all other treatments. General microbial communities varied with biostimulation, and three distinct microbial communities were established: one each for whey, oils, and control treatments. Bacterial genera, including Dehalobacter, Desulfitobacterium, Sulfurospirillum, Desulfuromonas, and Geobacter, all capable of partial TCE dehalogenation, were abundant in the limited and partial TCE dehalogenating systems. Dhc strain diversity was wider than previously reported and their composition within the community varied significantly depending on the nature of the carbon source applied and/or changes in the Dhc associated partners that fostered different biogeochemical conditions across the columns.

  2. Factors influencing degradation of trichloroethylene by sulfide-modified nanoscale zero-valent iron in aqueous solution.

    Science.gov (United States)

    Dong, Haoran; Zhang, Cong; Deng, Junmin; Jiang, Zhao; Zhang, Lihua; Cheng, Yujun; Hou, Kunjie; Tang, Lin; Zeng, Guangming

    2018-02-07

    Sulfide-modified nanoscale zero-valent iron (S/NZVI) has been considered as an efficient material to degrade trichloroethylene (TCE) in groundwater. However, some critical factors influencing the dechlorination of TCE by S/NZVI have not been investigated clearly. In this study, the effects of Fe/S molar ratio, initial pH, dissolved oxygen and particle aging on TCE dechlorination by S/NZVI (using dithionite as sulfidation reagent) were studied. Besides, the feasibility of reactivation of the aged-NZVI by sulfidation treatment was looked into. The results show that the Fe/S molar ratio and initial pH significantly influenced the TCE dechlorination, and a higher TCE dechlorination was observed at Fe/S molar ratio of ∼60 under alkaline condition. Spectroscopic analyses demonstrate that the enhanced TCE dechlorination was associated with the presence of FeS on the surface of S/NZVI. Dissolved oxygen had little effect on TCE dechlorination by S/NZVI, revealing that the FeS layer could be able to alleviate the surface passivation of NZVI caused by oxidation. Aging of S/NZVI up to 10-20 d only slightly decreased the dechlorination efficiency of TCE. Although an obvious drop in dechorination efficiency was observed for the S/NZVI aged for 30 d, it still exhibited a higher reactivity than the bare NZVI. This indicates that sulfidation of NZVI did prolong its lifetime. Additionally, sulfidation treatment was used to reactivate the aged NZVI, and the results show that the reactivated NZVI even had higher reactivity than the fresh NZVI, suggesting that sulfidation treatment would be a promising method to reactivate the aged NZVI. Copyright © 2018 Elsevier Ltd. All rights reserved.

  3. Computerized radiation treatment planning

    International Nuclear Information System (INIS)

    Laarse, R. van der.

    1981-01-01

    Following a general introduction, a chain consisting of three computer programs which has been developed for treatment planning of external beam radiotherapy without manual intervention is described. New score functions used for determination of optimal incidence directions are presented and the calculation of the position of the isocentre for each optimum combination of incidence directions is explained. A description of how a set of applicators, covering fields with dimensions of 4 to 20 cm, for the 6 to 20 MeV electron beams of a MEL SL75-20 linear accelerator was developed, is given. A computer program for three dimensional electron beam treatment planning is presented. A microprocessor based treatment planning system for the Selectron remote controlled afterloading system for intracavitary radiotherapy is described. The main differences in treatment planning procedures for external beam therapy with neutrons instead of photons is discussed. A microprocessor based densitometer for plotting isodensity lines in film dosimetry is described. A computer program for dose planning of brachytherapy is presented. Finally a general discussion about the different aspects of computerized treatment planning as presented in this thesis is given. (Auth.)

  4. Treatment of spondylodiscitis.

    Science.gov (United States)

    Zarghooni, Kourosh; Röllinghoff, Marc; Sobottke, Rolf; Eysel, Peer

    2012-02-01

    Pyogenic infections of the spine are relatively rare with an incidence between 1:100,000 and 1:250,000 per year, but the incidence is increasing due to increases in average life-expectancy, risk factors, and medical comorbidities. The mean time in hospital varies from 30 to 57 days and the hospital mortality is reported to be 2-17%. This article presents the relevant literature and our experience of conservative and surgical treatment of pyogenic spondylodiscitis. We have performed a review of the relevant literature and report the results of our own research in the diagnosis and treatment of pyogenic spondylodiscitis. We present a sequential algorithm for identification of the pathogen with blood cultures, CT-guided biopsies and intraoperative tissue samples. Basic treatment principles and indications for surgery and our surgical strategies are discussed. Recent efforts have been directed toward early mobilisation of patients using primary stable surgical techniques that lead to a further reduction of the mortality. Currently our hospital mortality in patients with spondylodiscitis is around 2%. With modern surgical and antibiotic treatment, a relapse of spondylodiscitis is unlikely to occur. In literature the relapse rate of 0-7% has been recorded. Overall the quality of life seems to be more favourable in patients following surgical treatment of spondylodiscitis. With close clinical and radiological monitoring of patients with spondylodiscitis, conservative and surgical therapies have become more successful. When indicated, surgical stabilisation of the infected segments is mandatory for control of the disease and immediate mobilisation of the patients.

  5. Preventive Migraine Treatment

    Science.gov (United States)

    Silberstein, Stephen D.

    2015-01-01

    Purpose of Review: This article reviews the evidence base for the preventive treatment of migraine. Recent Findings: Evidence-based guidelines for the preventive treatment of migraine have recently been published by the American Academy of Neurology (AAN) and the Canadian Headache Society (CHS), providing valuable guidance for clinicians. Strong evidence exists to support the use of metoprolol, timolol, propranolol, divalproex sodium, sodium valproate, and topiramate for migraine prevention, according to the AAN. Based on best available evidence, adverse event profile, and expert consensus, topiramate, propranolol, nadolol, metoprolol, amitriptyline, gabapentin, candesartan, Petasites (butterbur), riboflavin, coenzyme Q10, and magnesium citrate received a strong recommendation for use from the CHS. Summary: Migraine preventive drug treatments are underutilized in clinical practice. Principles of preventive treatment are important to improve compliance, minimize side effects, and improve patient outcomes. Choice of preventive treatment of migraine should be based on the presence of comorbid and coexistent illness, patient preference, reproductive potential and planning, and best available evidence. PMID:26252585

  6. Treatment Deployment Evaluation Tool

    International Nuclear Information System (INIS)

    M. A. Rynearson; M. M. Plum

    1999-01-01

    The U.S. Department of Energy (DOE) is responsible for the final disposition of legacy spent nuclear fuel (SNF). As a response, DOE's National Spent Nuclear Fuel Program (NSNFP) has been given the responsibility for the disposition of DOE-owned SNF. Many treatment technologies have been identified to treat some forms of SNF so that the resulting treated product is acceptable by the disposition site. One of these promising treatment processes is the electrometallurgical treatment (EMT) currently in development; a second is an Acid Wash Decladding process. The NSNFP has been tasked with identifying possible strategies for the deployment of these treatment processes in the event that a treatment path is deemed necessary. To support the siting studies of these strategies, economic evaluations are being performed to identify the least-cost deployment path. This model (tool) was developed to consider the full scope of costs, technical feasibility, process material disposition, and schedule attributes over the life of each deployment alternative. Using standard personal computer (PC) software, the model was developed as a comprehensive technology economic assessment tool using a Life-Cycle Cost (LCC) analysis methodology. Model development was planned as a systematic, iterative process of identifying and bounding the required activities to dispose of SNF. To support the evaluation process, activities are decomposed into lower level, easier to estimate activities. Sensitivity studies can then be performed on these activities, defining cost issues and testing results against the originally stated problem

  7. Generic phytosanitary irradiation treatments

    Science.gov (United States)

    Hallman, Guy J.

    2012-07-01

    The history of the development of generic phytosanitary irradiation (PI) treatments is discussed beginning with its initial proposal in 1986. Generic PI treatments in use today are 150 Gy for all hosts of Tephritidae, 250 Gy for all arthropods on mango and papaya shipped from Australia to New Zealand, 300 Gy for all arthropods on mango shipped from Australia to Malaysia, 350 Gy for all arthropods on lychee shipped from Australia to New Zealand and 400 Gy for all hosts of insects other than pupae and adult Lepidoptera shipped to the United States. Efforts to develop additional generic PI treatments and reduce the dose for the 400 Gy treatment are ongoing with a broad based 5-year, 12-nation cooperative research project coordinated by the joint Food and Agricultural Organization/International Atomic Energy Agency Program on Nuclear Techniques in Food and Agriculture. Key groups identified for further development of generic PI treatments are Lepidoptera (eggs and larvae), mealybugs and scale insects. A dose of 250 Gy may suffice for these three groups plus others, such as thrips, weevils and whiteflies.

  8. Treatment-refractory anxiety; definition, risk factors, and treatment challenges

    OpenAIRE

    Roy-Byrne, Peter

    2015-01-01

    A sizable proportion of psychiatric patients will seek clinical evaluation and treatment for anxiety symptoms reportedly refractory to treatment. This apparent lack of response is either due to ?pseudo-resistance? (a failure to have received and adhered to a recognized and effective treatment or treatments for their condition) or to true ?treatment resistance.? Pseudo-resistance can be due to clinician errors in selecting and delivering an appropriate treatment effectively, or to patient nona...

  9. Treatment of Lyme borreliosis.

    Science.gov (United States)

    Girschick, Hermann J; Morbach, Henner; Tappe, Dennis

    2009-01-01

    Borrelia burgdorferi sensu lato is the causative agent of Lyme borreliosis in humans. This inflammatory disease can affect the skin, the peripheral and central nervous system, the musculoskeletal and cardiovascular system and rarely the eyes. Early stages are directly associated with viable bacteria at the site of inflammation. The pathogen-host interaction is complex and has been elucidated only in part. B. burgdorferi is highly susceptible to antibiotic treatment and the majority of patients profit from this treatment. Some patients develop chronic persistent disease despite repeated antibiotics. Whether this is a sequel of pathogen persistence or a status of chronic auto-inflammation, auto-immunity or a form of fibromyalgia is highly debated. Since vaccination is not available, prevention of a tick bite or chemoprophylaxis is important. If the infection is manifest, then treatment strategies should target not only the pathogen by using antibiotics but also the chronic inflammation by using anti-inflammatory drugs.

  10. Epilepsy treatment and creativity.

    Science.gov (United States)

    Zubkov, Sarah; Friedman, Daniel

    2016-04-01

    Creativity can be defined as the ability to understand, develop, and express, in a systematic fashion, novel orderly relationships. It is sometimes difficult to separate cognitive skills requisite for the creative process from the drive that generates unique new ideas and associations. Epilepsy itself may affect the creative process. The treatment of epilepsy and its comorbidities, by altering or disrupting the same neural networks through antiseizure drugs (ASDs), treatment of epilepsy comorbidities, ablative surgery, or neurostimulation may also affect creativity. In this review, we discuss the potential mechanisms by which treatment can influence the creative process and review the literature on the consequences of therapy on different aspects of creativity in people with epilepsy. This article is part of a Special Issue entitled "Epilepsy, Art, and Creativity". Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Amblyopia update: new treatments.

    Science.gov (United States)

    Vagge, Aldo; Nelson, Leonard B

    2016-09-01

    This review article is an update on the current treatments for amblyopia. In particular, the authors focus on the concepts of brain plasticity and their implications for novel treatment strategies for both children and adults affected by amblyopia. A variety of strategies has been developed to treat amblyopia in children and adults. New evidence on the pathogenesis of amblyopia has been obtained both in animal models and in clinical trials. Mainly, these studies have challenged the classical concept that amblyopia becomes untreatable after the 'end' of the sensitive or critical period of visual development, because of a lack of sufficient plasticity in the adult brain. New treatments for amblyopia in children and adults are desirable and should be encouraged. However, further studies should be completed before such therapies are widely accepted into clinical practice.

  12. Treatments for Neurodevelopmental Disorders

    DEFF Research Database (Denmark)

    Di Pietro, Nina C; Whiteley, Louise Emma; Mizgalewicz, Ania

    2013-01-01

    The Internet is a major source of health-related information for parents of sick children despite concerns surrounding quality. For neurodevelopmental disorders, the websites of advocacy groups are a largely unexamined source of information. We evaluated treatment information posted on nine highly......-trafficked advocacy websites for autism, cerebral palsy, and fetal alcohol spectrum disorder. We found that the majority of claims about treatment safety and efficacy were unsubstantiated. Instead, a range of rhetorical strategies were used to imply scientific support. When peer-reviewed publications were cited, 20...... % were incorrect or irrelevant. We call for new partnerships between advocacy and experts in developmental disorders to ensure better accuracy and higher transparency about how treatment information is selected and evidenced on advocacy websites....

  13. [Cellulite - causes, prevention, treatment ].

    Science.gov (United States)

    Janda, Katarzyna; Tomikowska, Anna

    2014-01-01

    Cellulite is a multifactorial etiology ailment. It changes the skin topography by the formation of the skin surface's appearance, changes described as "orange peel". This prob- lem concerns 85-98% of women, and for them it is one of the most intolerable aesthetic imperfections. In the past few years the interest of scientists in this problem has clearly increased. Several theories on the pathophysiology of cel- lulite have been produced A number of different thera- peutic regimens have been developed using modern tech- nology. However, despite the many treatment options for cellulite, it is extremely important that patients should be aware that only multidirectional treatment can bring sat- isfactory results. The aim of this review was to describe the causes of cellulite, and its prevention and treatment.

  14. LCA of Wastewater Treatment

    DEFF Research Database (Denmark)

    Larsen, Henrik Fred

    2018-01-01

    emissions and potential health impacts due to spreading of pathogens. Anyway, the use of treatment for micro-pollutants is increasing and a paradigm shift is ongoing — wastewater is more and more considered as a resource of, e.g. energy, nutrients and even polymers, in the innovations going on. The focus...... of LCA studies addressing wastewater treatment have from the very first published cases, been on energy and resource consumption. In recent time, the use of characterisation has increased and besides global warming potential, especially eutrophication is in focus. Even the toxicity-related impact...... categories are nowadays included more often. Application of LCA for comparing avoided against induced impacts, and hereby identifying trade-offs when introducing new technology, is increasingly used. A typical functional unit is the treatment of one cubic metre of wastewater which should be well defined...

  15. Deciding treatment for miscarriage

    DEFF Research Database (Denmark)

    Olesen, Mette Linnet; Graungaard, Anette H; Husted, Gitte R

    2015-01-01

    to gain insight into this process and the circumstances that may affect it. METHOD: A qualitative study using a grounded theory approach. Data were obtained through semi-structured interviews with six women who had chosen and completed either surgical, medical or expectant treatment for miscarriage......INTRODUCTION: Women experiencing miscarriage are offered a choice of different treatments to terminate their wanted pregnancy at a time when they are often shocked and distressed. Women's and healthcare professionals' experiences of the decision-making process are not well described. We aimed......: Despite information and pretreatment counselling, choice of treatment was often determined by unspoken emotional considerations, including fear of seeing the foetus or fear of anaesthesia. These considerations were not discussed during the decision-making process, which was a time when the women were...

  16. Treatment of Psychosomatic Disorders

    Science.gov (United States)

    Wittkower, E. D.

    1964-01-01

    Goals, potentialities and limitations of treatment of psychosomatic disorders are reviewed. Removal of a disturbing psychosomatic symptom may be all that can be accomplished. The bulk of patients suffering from psychosomatic disorders should be treated by physicians other than psychiatrists. Difficulties arise, owing to differences in approach, when treatment is carried out by a general physician as well as a psychiatrist. In appraising the prospects of treatment, the age on examination, intelligence, duration of illness, degree of insight, nature of illness, environmental stress and personality structure of the patients should be considered. Psychiatric measures which have been employed include: electroconvulsive therapy, psychotropic drugs, hypnosis, drug abreaction, group therapy, supportive psychotherapy and psychoanalysis. Psychoanalysis provides the best understanding of the psychodynamics of psychosomatic illness but is, for a variety of reasons, applicable only to a small number of patients. Alternations and removal of disturbing symptoms can be accomplished by the other therapeutic means. PMID:14146853

  17. Alopecia areata: Treatment options

    Directory of Open Access Journals (Sweden)

    E. Kasumagić-Halilović

    2006-02-01

    Full Text Available Alopecia areata (AA is a common cause of reversible hair loss afflictingapproximately1-2%ofthegeneralpopulation. It commonly present as round patches of hair loss which can be the firstmanifestationofamoreseverealopecia totalis or universalis. The cause of AA is unknown although most evidence supports the hypothesis that AA is an immunologically mediated disease. Treatment of AA may be divided into four different categories of widely accepted therapeutic modalities: immune inhibitors (steroid or psoralen and UVA light- PUVA, topicalsensitizers (squaric acid dibutylester and diphenylcyclopropenone, non-specificirritants(anthralinandthevasodilatator minoxidil. Improved future treatments may be immunosuppressive or immunomodulatory or they may otherwise protect hair follicles from the injurious effects of inflammation.Theaimofthisarticleistoreviewavailable data on current and potential agents for the treatment of AA.

  18. Xerostomia: causes and treatment.

    Science.gov (United States)

    Wick, Jeanette Y

    2007-12-01

    When reduced salivary flow causes perpetual dry and sticky mucosa or sticky, stringy saliva, it becomes xerostomia-not a disease, but a symptom. Up to 30% of various populations self-report dry mouth (xerostomia) or have proven low salivary flow rates. Saliva is necessary for digestion and dental health, and it may have yet-unidentified immunological roles in humans. Xerostomia can lead to digestive problems, weight loss, and accelerated dental decay. Medications-several hundred of them-can cause or exacerbate xerostomia. Cancer, autoimmune diseases, and bone marrow transplants are associated with xerostomia. Including a dentist on the treatment team is essential for residents with dry mouth. As xerostomia progresses, they should shift focus primarily to prevention, maintenance, oral comfort, and emergency treatment. In all stages, they should keep treatment noninvasive if possible.

  19. Manželství a nesezdané soužití po padesátce

    Czech Academy of Sciences Publication Activity Database

    Hamplová, Dana

    2012-01-01

    Roč. 10, č. 1 (2012), s. 3-8 ISSN 1214-438X R&D Projects: GA ČR(CZ) GAP404/11/0145 Institutional support: RVO:68378025 Keywords : family * ageing * repartnering Subject RIV: AO - Sociology, Demography

  20. Evaluation of Potential Indoor Air Impact of TCE in Groundwater on Building 864, Air Force Plant 44, Arizona

    National Research Council Canada - National Science Library

    Long, G

    1997-01-01

    .... The evaluation uses the Farmer model, as described in EPA guidance EPA-451/R-92-002, 'Assessing Potential Indoor Air Impacts for Superfund Sites', to predict potential indoor air concentration...

  1. Acupuncture Treatment for Migraine

    OpenAIRE

    Zhu, Jihe; Arsovska, Blagica; Kozovska, Kristina

    2017-01-01

    In the research are included 30 patients, 12 male and 18 female, on age from 29 to 79, who were treated with acupuncture treatment in our clinic in a period of one year. All patients had acupuncture treatment in a clinic for TCM and acupuncture in Skopje, Macedonia, by a doctor specialist in acupuncture. Acupuncture points that were treated are: Baihui-DU20, Sishencong-EXHN1, Yangbai-GB14, Yintang-EX-HN3, Taiyang-EX-HN5, Hegu-LI4, Zhongwan-RN12, Zusanli-ST36, Sanyinjiao-SP6, Ta...

  2. Encounters in cancer treatment

    DEFF Research Database (Denmark)

    Høybye, Mette Terp; Tjørnhøj-Thomsen, Tine

    2014-01-01

    Based on extensive ethnographic material from in-depth interviews with Danish cancer patients after treatment, this study analyzes their stories to explore how interactions with the physician configures and situates a need for rehabilitation. We identify three themes in the illness stories: (1...... by this encounter. The significance of the social encounters in cancer treatment is elucidated through this analysis, and we demonstrate how the need for recognition of the complex effects of cancer on one's life is central to counter experiences of objectification and dehumanization....

  3. Current treatment of retinoblastoma

    International Nuclear Information System (INIS)

    Shields, J.A.

    1985-01-01

    Retinoblastoma is a highly malignant intraocular tumor of childhood which requires prompt treatment once the diagnosis has been established. The traditionally accepted methods include enucleation, external irradiation, scleral plaque irradiation, photocoagulation, cryotherapy, chemotherapy. This article will provide an update on the modern methods of treatment which are available for retinoblastoma. It is based largely on personal experience with approximately 200 new patients with retinoblastoma who were evaluated and treated between 1974 and 1984 in the Oncology Service of Wills Eye Hospital with an overall survival of 97%. This article will be an overall review which will not go into statistical detail. (Auth.)

  4. Treatment of hyperpigmentation.

    Science.gov (United States)

    Woolery-Lloyd, Heather; Kammer, Jenna N

    2011-09-01

    Hyperpigmentation is a common dermatologic condition that is seen in all skin types but is most prominent in skin of color. In skin of color, any inflammation or injury to skin can almost immediately be accompanied by alterations in pigmentation, either hyperpigmentation or hypopigmentation. Post-inflammatory hyperpigmentation can be observed in many skin conditions including acne, eczema, and contact dermatitis and treatment can be challenging. The goal is to reduce the hyperpigmentation without causing undesirable hypopigmentation or irritation in the surrounding area. This review will discuss current research on treatments for hyperpigmentation and approaches to treating this condition. Copyright © 2011 Elsevier Inc. All rights reserved.

  5. Thyroxin hormone suppression treatment

    International Nuclear Information System (INIS)

    Samuel, A.M.

    1999-01-01

    One of the important modalities of treatment of thyroid cancer (TC) after surgery is the administration of thyroxin as an adjuvant treatment. The analysis supports the theory that thyroid suppression plays an important role in patient management. 300 μg of thyroxin, as this is an adequate dose for suppression is given. Ideally the dose should be tailored by testing s-TSH levels. However, since a large number of the patients come from out station cities and villages this is impractical. We therefore depend on clinical criteria of hyperthyroid symptoms and adjust the dose. Very few patients need such adjustment

  6. Novel preventive treatment options

    DEFF Research Database (Denmark)

    Longbottom, C; Ekstrand, K; Zero, D

    2009-01-01

    A number of novel preventive treatment options which, as with traditional methods, can be differentiated into 3 categories of prevention (primary, secondary and tertiary), have been and are being currently investigated. Those reviewed are either commercially available or appear relatively close...... of these techniques show considerable promise and dentists should be aware of these developments and follow their progress, the evidence for each of these novel preventive treatment options is currently insufficient to make widespread recommendations. Changes in dental practice should be explored to see how oral...

  7. [Cosmetic treatments and acne].

    Science.gov (United States)

    Poli, Florence

    2002-04-15

    Cosmetic products contribute to the efficacy of anti-acneic treatment. Cleaning bars without soap and lotions are to be preferred to soaps. Morning application of moisturizing creams compensate for dryness and irritation induced by topical treatment. Some of these cosmetic products may have a limited efficacy of the shiny appearance and/or acne lesions. Scrubs, abrasive sponges, masks and patches have a very limited usefulness. Make up and camouflage techniques are authorized, provided that the products have been tested non comedogenic and non acne-genic.

  8. Alopecia areata: medical treatments

    Directory of Open Access Journals (Sweden)

    Zonunsanga

    2015-01-01

    Full Text Available Alopecia areata (AA is a non-scarring, autoimmune, inflammatory, relapsing hair loss affecting the scalp and/or body. In acute-phase AA, CD4+ and CD8+ T cells infiltrated in the juxta-follicular area. In chronic-phase AACD8+ T cells dominated the infiltrate around hair bulbs which contributes to the prolonged state of hair loss. Treatments include mainly corticosteroids, topical irritants, minoxidil, cytotoxic drugs and biologicals. This review highlights mainly the pathomechanism and pathology, classifications and associated diseases with regard to their importance for current and future treatment.

  9. Wastewater treatment models

    DEFF Research Database (Denmark)

    Gernaey, Krist; Sin, Gürkan

    2011-01-01

    The state-of-the-art level reached in modeling wastewater treatment plants (WWTPs) is reported. For suspended growth systems, WWTP models have evolved from simple description of biological removal of organic carbon and nitrogen in aeration tanks (ASM1 in 1987) to more advanced levels including...... of WWTP modeling by linking the wastewater treatment line with the sludge handling line in one modeling platform. Application of WWTP models is currently rather time consuming and thus expensive due to the high model complexity, and requires a great deal of process knowledge and modeling expertise...

  10. Wastewater Treatment Models

    DEFF Research Database (Denmark)

    Gernaey, Krist; Sin, Gürkan

    2008-01-01

    The state-of-the-art level reached in modeling wastewater treatment plants (WWTPs) is reported. For suspended growth systems, WWTP models have evolved from simple description of biological removal of organic carbon and nitrogen in aeration tanks (ASM1 in 1987) to more advanced levels including...... the practice of WWTP modeling by linking the wastewater treatment line with the sludge handling line in one modeling platform. Application of WWTP models is currently rather time consuming and thus expensive due to the high model complexity, and requires a great deal of process knowledge and modeling expertise...

  11. Injection treatments for patellar tendinopathy

    NARCIS (Netherlands)

    van Ark, Mathijs; Zwerver, Johannes; van den Akker-Scheek, Inge

    2011-01-01

    Objective Injection treatments are increasingly used as treatment for patellar tendinopathy. The aim of this systematic review is to describe the different injection treatments, their rationales and the effectiveness of treating patellar tendinopathy. Methods A computerised search of the Medline,

  12. Treatment Options for Childhood Craniopharyngioma

    Science.gov (United States)

    ... back) no matter how it was treated the first time. Treatment options for recurrent childhood craniopharyngioma depend on the type of treatment that was given when the tumor was first diagnosed and the needs of the child. Treatment ...

  13. Biological treatment of Crohn's disease

    DEFF Research Database (Denmark)

    Nielsen, Ole Haagen; Bjerrum, Jacob Tveiten; Seidelin, Jakob Benedict

    2012-01-01

    Introduction of biological agents for the treatment of Crohn's disease (CD) has led to a transformation of the treatment paradigm. Several biological compounds have been approved for patients with CD refractory to conventional treatment: infliximab, adalimumab and certolizumab pegol (and...

  14. Chickenpox Prevention and Treatment

    Science.gov (United States)

    ... Multimedia Related Links Medline Plus Healthfinder.gov Shingles Prevention & Treatment Language: English Español (Spanish) Recommend on Facebook ... Prescribed by Your Doctor Español: Prevención y tratamiento Prevention The best way to prevent chickenpox is to ...

  15. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... medications can have side effects. Before medication treatment begins, your child’s doctor will do a thorough health evaluation. The doctor should continue to monitor your child for side effects. ... systems or charts to reward good behavior. When a child becomes too unruly or ...

  16. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... ADHD? Common Signs and Symptoms Getting Treatment Supporting School Success The Teenage Years Working Together Resources Connect With Us Contact Us info@advsol.com My Profile Donate About AACAP Copyright © Advanced Solutions International . {1} ##LOC[OK]## {1} ##LOC[OK]## ##LOC[Cancel]## { ...

  17. Pneumomediastinum after dental treatment

    Directory of Open Access Journals (Sweden)

    José Marcelo Farfel

    2008-03-01

    Full Text Available Pneumomediastinum is a rare and life-threatening complication that may occur following dental procedures. We report a case of acute subcutaneous emphysema that extended through the superior mediastinum, after a root canal treatment and air syringe use. Awareness of such complication and prompt prophylactic antibiotic therapy are extremely important and can save lives.

  18. Treatment Options in Kleptomania

    Directory of Open Access Journals (Sweden)

    Lut Tamam

    2009-06-01

    Full Text Available Kleptomania is a rare disorder with inability or great difficulty in resisting impulses of stealing. People with this disorder are compelled to steal things, generally things of little or no value. This disorder usually begins during puberty and usually last until late adulthood; in some cases lasts throughout the person's life. People with this disorder are likely to have a comorbid conditions like mood disorders. Individuals with the disorder are usually referred for treatment due to the comorbid psychiatric complaints rather than kleptomanic behaviour per se. On the other hand literature lacks of studies about the treatment of kleptomania. A wide variety of therapeutic strategies have been proposed for its treatment, among them psychoanalytic oriented psychotherapy, behavioral therapy and pharmacotherapy. Some medications that are used for people diagnosed with kleptomania are selective serotonin reuptake inhibitors, mood stabilizers and opioid antagonists. There is evidence from numerous case studies that a variety of cognitive behavioral therapy techniques are effective in the treatment of kleptomania and it is favored over other approaches such as psychodynamic and psychoanalytic therapies. Studies to date suggest that cognitive behavioral therapy when used in combination with medication, is more effective than medication alone.

  19. Techniques of Wastewater Treatment

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 5; Issue 12. Techniques of Wastewater Treatment - Future Technologies. Amol A Kulkarni Mugdha ... Chemical Engineering Division, University Department of Chemical Technology, Nathalal Parik Marg, Matunga, Mumbai 400 019, India. Chemical ...

  20. Trichotillomania: Identification and Treatment

    Science.gov (United States)

    McDonald, K. Elizabeth

    2012-01-01

    Trichotillomania is a disorder distinguished by recurrent hair pulling resulting in hair loss (American Psychiatric Association, 2000). This review of the literature provides a broad overview of the disorder so that counselors can better understand, describe, identify, and implement effective treatment for clients with trichotillomania.…

  1. Water Treatment Technology - Wells.

    Science.gov (United States)

    Ross-Harrington, Melinda; Kincaid, G. David

    One of twelve water treatment technology units, this student manual on wells provides instructional materials for five competencies. (The twelve units are designed for a continuing education training course for public water supply operators.) The competencies focus on the following areas: dug, driven, and chilled wells, aquifer types, deep well…

  2. Water Treatment Technology - Pumps.

    Science.gov (United States)

    Ross-Harrington, Melinda; Kincaid, G. David

    One of twelve water treatment technology units, this student manual on pumps provides instructional materials for three competencies. (The twelve units are designed for a continuing education training course for public water supply operators.) The competencies focus on the following areas: types of pumps in plant and distribution systems, pump…

  3. Water Treatment Technology - Springs.

    Science.gov (United States)

    Ross-Harrington, Melinda; Kincaid, G. David

    One of twelve water treatment technology units, this student manual on springs provides instructional materials for two competencies. (The twelve units are designed for a continuing education training course for public water supply operators.) The competencies focus on spring basin construction and spring protection. For each competency, student…

  4. Water Treatment Technology - Flouridation.

    Science.gov (United States)

    Ross-Harrington, Melinda; Kincaid, G. David

    One of twelve water treatment technology units, this student manual on flouridation provides instructional materials for three competencies. (The twelve units are designed for a continuing education training course for public water supply operators.) The competencies focus on the following areas: purpose and process of flouridation, correct…

  5. Water Treatment Technology - Filtration.

    Science.gov (United States)

    Ross-Harrington, Melinda; Kincaid, G. David

    One of twelve water treatment technology units, this student manual on filtration provides instructional materials for six competencies. (The twelve units are designed for a continuing education training course for public water supply operators.) The competencies focus on the following areas: purposes of sedimentation basins and flocculation…

  6. Water Treatment Technology - Hydraulics.

    Science.gov (United States)

    Ross-Harrington, Melinda; Kincaid, G. David

    One of twelve water treatment technology units, this student manual on hydraulics provides instructional materials for three competencies. (The twelve units are designed for a continuing education training course for public water supply operators.) The competencies focus on the following areas: head loss in pipes in series, function loss in…

  7. Water Treatment Technology - Chlorination.

    Science.gov (United States)

    Ross-Harrington, Melinda; Kincaid, G. David

    One of twelve water treatment technology units, this student manual on chlorination provides instructional materials for nine competencies. (The twelve units are designed for a continuing education training course for public water supply operators.) The competencies focus on the following areas: purpose and process of chlorination, chlorine…

  8. Treatment strategies for acromegaly

    NARCIS (Netherlands)

    Roelfsema, Ferdinand; Biermasz, Nienke R.; Romijn, Johannes A.; Pereira, Alberto M.

    2005-01-01

    Acromegaly is a chronic debilitating disorder caused by a growth hormone (GH)-producing pituitary adenoma. Active acromegaly is associated with a two- to fourfold increased mortality risk, mainly from cardiovascular disease. Transsphenoidal surgery is considered as the treatment of choice because of

  9. Treatment for Animal Bites

    Science.gov (United States)

    ... find out where to take your child for treatment. If the wound is so large that the edges won’t ... above the bite Your pediatrician may recommend antibiotic therapy for a child who has: Moderate or severe bite wounds Puncture wounds, especially if the bone, tendon, or ...

  10. Pediatric Neurodevelopmental Treatment

    Science.gov (United States)

    Camacho, Ricardo; McCauley, Brandon; Szczech Moser, Christy

    2016-01-01

    Over 70 years ago Dr. Karel Bobath and his wife Bertha Bobath began to craft the therapeutic intervention now known as neurodevelopmental treatment (NDT). This edition of Reviews, Tools, and Resources will highlight a historical review of research studies that have been completed, current websites, books, and blogs focusing on NDT.

  11. EAMJ Treatment 09.indd

    African Journals Online (AJOL)

    2009-10-10

    Oct 10, 2009 ... and V.N. Nzima, MD, Regional Delegation of Public Health, Littoral, Province, P.O. Box 106, Douala, Cameroon. Request for reprints to: Dr. G. E. Sume, Regional Delegation of Public Health Littoral Region, International Vaccination. Centre P. O. Box 1115, Douala, Cameroon. TREATMENT OUTCOME OF ...

  12. Treatment of anxiety disorders.

    Science.gov (United States)

    Bandelow, Borwin; Michaelis, Sophie; Wedekind, Dirk

    2017-06-01

    Anxiety disorders (generalized anxiety disorder, panic disorder/agoraphobia, social anxiety disorder, and others) are the most prevalent psychiatric disorders, and are associated with a high burden of illness. Anxiety disorders are often underrecognized and undertreated in primary care. Treatment is indicated when a patient shows marked distress or suffers from complications resulting from the disorder. The treatment recommendations given in this article are based on guidelines, meta-analyses, and systematic reviews of randomized controlled studies. Anxiety disorders should be treated with psychological therapy, pharmacotherapy, or a combination of both. Cognitive behavioral therapy can be regarded as the psychotherapy with the highest level of evidence. First-line drugs are the selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors. Benzodiazepines are not recommended for routine use. Other treatment options include pregabalin, tricyclic antidepressants, buspirone, moclobemide, and others. After remission, medications should be continued for 6 to 12 months. When developing a treatment plan, efficacy, adverse effects, interactions, costs, and the preference of the patient should be considered.

  13. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... long-acting medication can control symptoms throughout the day and into the evening. ADHD medications can have side effects. Before medication treatment begins, your child’s doctor will do a thorough health evaluation. The doctor should continue to monitor your ...

  14. Treatment of childhood obesity.

    Science.gov (United States)

    Uli, Naveen; Sundararajan, Sumana; Cuttler, Leona

    2008-02-01

    To provide an overview of treatments for childhood obesity, highlighting recent advances and recommendations. The three main treatment modalities are lifestyle interventions, medications, and bariatric surgery. Recent data support the short-term effectiveness of lifestyle interventions, and show that continued behavioral intervention increases the likelihood of a sustained effect for up to 2 years. New studies and regulatory decisions on medications for obesity (including orlistat, sibutramine, and metformin) are discussed. Emerging data suggest substantial weight loss after bariatric surgery in morbidly obese adolescents but also indicate adverse effects. An expert panel recently provided guidelines that alter definitions of obesity and offer a framework for obesity management. These guidelines are compared with others, and integrated recommendations presented. While primary prevention of childhood obesity is important, broadly effective methods to do so are not yet available. Given the large population of obese children and the risks they face, an emphasis on treatment is also critical. We suggest a staged approach, emphasizing early intervention and lifestyle changes. We also suggest limiting bariatric surgery to selected adolescents in Institutional Review Board-approved research studies. Health-policy interventions can facilitate both prevention and treatment of childhood obesity.

  15. Topical treatment of melasma

    Directory of Open Access Journals (Sweden)

    Bandyopadhyay Debabrata

    2009-01-01

    Full Text Available Melasma is a common hypermelanotic disorder affecting the face that is associated with considerable psychological impacts. The management of melasma is challenging and requires a long-term treatment plan. In addition to avoidance of aggravating factors like oral pills and ultraviolet exposure, topical therapy has remained the mainstay of treatment. Multiple options for topical treatment are available, of which hydroquinone (HQ is the most commonly prescribed agent. Besides HQ, other topical agents for which varying degrees of evidence for clinical efficacy exist include azelaic acid, kojic acid, retinoids, topical steroids, glycolic acid, mequinol, and arbutin. Topical medications modify various stages of melanogenesis, the most common mode of action being inhibition of the enzyme, tyrosinase. Combination therapy is the preferred mode of treatment for the synergism and reduction of untoward effects. The most popular combination consists of HQ, a topical steroid, and retinoic acid. Prolonged HQ usage may lead to untoward effects like depigmentation and exogenous ochronosis. The search for safer alternatives has given rise to the development of many newer agents, several of them from natural sources. Well-designed controlled clinical trials are needed to clarify their role in the routine management of melasma.

  16. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... therapy. Since individual needs vary, however, you should work with your child’s doctor to help find most effective treatment for ... help find the medication and dosage that will work best for your child. Different medications work for different individuals. Some of ...

  17. Getting Treatment for ADHD

    Medline Plus

    Full Text Available ... to main content Loading Sign In Families and Youth Toggle Family Resources Youth Resources Facts for Families Resource Centers Advocacy Getting ... Center Resource Centers Obsessive Compulsive Disorder Resource Center Youth Resources Child and Adolescent Psychiatrist Finder Getting Treatment ...

  18. Radiation treatment of food

    International Nuclear Information System (INIS)

    Wills, P.A.

    1986-01-01

    The techniques involved in the treatment of food by ionising radiation are explained. Radiation plant design, nutrition, microbiology and standards for irradiated foods are discussed. The potential applications for food irradiation in Australia are in the fields of quarantine control to disinfest fruit from fruit fly or mangoes from seed weevil, and decontamination of dried foods such as spices

  19. Hand Eczema: Treatment options

    DEFF Research Database (Denmark)

    Lund, Tamara Theresia; Agner, Tove

    2017-01-01

    Hand eczema is a common disease, it affects young people, is often work-related, and the burden of the disease is significant for the individual as well as for society. Factors to be considered when choosing a treatment strategy are, among others, whether the eczema is acute or chronic, the sever...

  20. [Urticaria: diagnosis and treatment].

    Science.gov (United States)

    Soria, A; Francès, C

    2014-09-01

    Urticaria is a common inflammatory skin disease. It is clinically defined as the occurrence of transient papular skin and/or mucosal lesions or subcutaneous lesions called angioedema. Chronic urticaria is defined as a clinical course over more than 6weeks. Different clinical forms of urticaria can coexist in the same patient. Urticaria results of mast cell activation. The diagnosis of urticaria is based on clinical examination. An allergic etiology for acute urticaria, although rare, is always to find and remove. Chronic urticaria is not allergic. Diagnosis is based on questioning and a careful clinical examination to rule out differential diagnoses. Few diagnostic tests are necessary for diagnosis and management, and are especially useful in case of doubtful diagnosis. The treatment of urticaria is symptomatic and based on anti-H1 second generation antihistamines as first-line therapy. In some chronic urticarial, antihistamines up dosing may be necessary. In the majority of patients, this treatment is sufficient to control chronic urticaria. In case of antihistamines failure, other treatment particularly immunomodulatory treatments can be offered in specialized departments. Copyright © 2014 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  1. Multidimension Treatment Foster Care

    DEFF Research Database (Denmark)

    Pontoppidan, Maiken; Hansen, Helle; Deding, Mette

    2014-01-01

    Dette notat er en kort opsamling af den nyeste forskning af effekterne af Multidimension Treatment Foster Care (herefter MTFC). SFI lavede i 2010 en oversigt over forskningen om effekterne af MTFC i forbindelse med udarbejdelsen af en projektbeskrivelse. Dette notat sammenfatter den nyeste...

  2. Marijuana Neurobiology and Treatment

    Science.gov (United States)

    Elkashef, Ahmed; Vocci, Frank; Huestis, Marilyn; Haney, Margaret; Budney, Alan; Gruber, Amanda; el-Guebaly, Nady

    2008-01-01

    Marijuana is the number one illicit drug of abuse worldwide and a major public health problem, especially in the younger population. The objective of this article is to update and review the state of the science and treatments available for marijuana dependence based on a pre-meeting workshop that was presented at ISAM 2006. At the workshop,…

  3. Treatment of plutonium contaminations

    International Nuclear Information System (INIS)

    Lafuma, J.

    1983-01-01

    Three kinds of plutonium contaminations were considered: skin contamination; contaminated wounds; contamination by inhalation. The treatment of these contaminations was studied for insoluble (oxide and metal forms) and soluble plutonium (complexes). The use of DTPA and therapeutic problems encountered with stable plutonium complexes were analyzed. The new possibilities of internal decontamination using Puchel and LICAM were evaluated [fr

  4. Principled Missing Data Treatments.

    Science.gov (United States)

    Lang, Kyle M; Little, Todd D

    2018-04-01

    We review a number of issues regarding missing data treatments for intervention and prevention researchers. Many of the common missing data practices in prevention research are still, unfortunately, ill-advised (e.g., use of listwise and pairwise deletion, insufficient use of auxiliary variables). Our goal is to promote better practice in the handling of missing data. We review the current state of missing data methodology and recent missing data reporting in prevention research. We describe antiquated, ad hoc missing data treatments and discuss their limitations. We discuss two modern, principled missing data treatments: multiple imputation and full information maximum likelihood, and we offer practical tips on how to best employ these methods in prevention research. The principled missing data treatments that we discuss are couched in terms of how they improve causal and statistical inference in the prevention sciences. Our recommendations are firmly grounded in missing data theory and well-validated statistical principles for handling the missing data issues that are ubiquitous in biosocial and prevention research. We augment our broad survey of missing data analysis with references to more exhaustive resources.

  5. Dairy wastewater treatment

    African Journals Online (AJOL)

    STORAGESEVER

    2009-08-04

    Aug 4, 2009 ... organic sources into methane via anaerobic process. Whey is considered as highly pollutant effluent with res- pect to COD level (60-80 g/l) (Mc-Hugh et al., 2006;. Gannoun et al., 2008). There are number of biological treatment processes to treat dairy wastewater such as activated sludge system, anaerobic ...

  6. Techniques of Wastewater Treatment

    Indian Academy of Sciences (India)

    By now the reader must have got an idea about the importance of wastewater treatment. Today, biological method (aerobic) is the most widely used method because of its simplicity and relatively low cost but is less successful when the effluent contains highly toxic organic pollutants. It occupies a large space and this could.

  7. Basic Water Treatment Operation.

    Science.gov (United States)

    Ontario Ministry of the Environment, Toronto.

    This manual was developed for use at workshops designed to introduce the fundamentals of water treatment plant operations. The course consists of lecture-discussions and hands-on activities. Each of the fourteen lessons in this document has clearly stated behavioral objectives to tell the trainee what he should know or do after completing that…

  8. Treatment of pterygium

    African Journals Online (AJOL)

    shobha

    Since its introduction by Kenyon et al.[57] in 1985, conjunctival autograft has gradually come to be a popular treatment for pterygium. Covering the bare sclera by using autologous conjunctival tissue could be performed by a primary direct closure, a sliding conjunctival flap,[58,59] or by a free conjunctival autograft.[57] The ...

  9. Mentalization-Based Treatment.

    Science.gov (United States)

    Bateman, Anthony; Fonagy, Peter

    2013-11-01

    The concept of mentalizing has captured the interest and imagination of an astonishing range of people-from psychoanalysts to neuroscientists, from child development researchers to geneticists, from existential philosophers to phenomenologists-all of whom seem to have found it useful. According to the Thompson Reuter maintained Web of Science, the use of the term in titles and abstracts of scientific papers increased from 10 to 2,750 between 1991 and 2011. Clinicians in particular have enthusiastically embraced the idea, and have put it to innovative use in their practices. Mentalization-based treatment (MBT)-making mentalizing a core focus of therapy-was initially developed for the treatment of borderline personality disorder (BPD) in routine clinical services delivered in group and individual modalities. Therapy with mentalizing as a central component is currently being developed for treatment of numerous groups, including people with antisocial personality disorder, substance abuse, eating disorders, and at-risk mothers with infants and children (A. Bateman & Fonagy, 2011). It is also being used with families and adolescents, in schools, and in managing social groups (Asen & Fonagy, 2011; Fonagy et al., 2009; Twemlow, Fonagy, & Sacco, 2005a, 2005b). In this article, we focus on MBT in the treatment of BPD.

  10. Plasma treatment of onychomycosis

    Science.gov (United States)

    Xiong, Zilan; Roe, Jeff; Grammer, Tim; Him, Yeon-Ho; Graves, David B.

    2015-09-01

    Onychomycosis or fungal infection of the toenail or fingernail is a common affliction. Approximately 10% of the world's adult population is estimated to suffer from onychomycosis. Current treatment options such as topical creams, oral drugs, or laser treatments are generally limited by a variety of problems. We present results for an alternative onychomycosis treatment scheme using atmospheric pressure cold air plasmas. Using thinned cow hoof as a model nail material, we tested the ability of various plasma sources to act through the model nail to eradicate either bacteria or fungus deposited on the opposite side. Following 20 minute exposure to a surface microdischarge (SMD) device operating in room air, we observed a ~ 2 log reduction of E. coli. A similar result was obtained against T. rubrum after 45 min plasma treatment. NOx species concentration penetrating through the model nail as well as uptake into the nail were measured as a function of nail thickness. We propose that these plasma-generated species, or perhaps their reaction products, are responsible for at least part of the observed anti-microbial effect. We also explore the use of ultraviolet light acting in synergy with plasma-generated chemical species.

  11. Treatment of scabies infestations

    Directory of Open Access Journals (Sweden)

    Mumcuoglu K.Y.

    2008-09-01

    Full Text Available Scabies is an intensely pruritic disorder induced by an immune allergic response to infestation of the skin by the mite Sarcoptes scabiei. The biology of the mite, the clinical aspects and diagnosis of scabies infestations as well as the treatment of choice with 5 % permethrin dermal cream and the use of scabicides based on other chemical substances are reviewed.

  12. Treatment of tinea capitis.

    Science.gov (United States)

    Abdel-Rahman, S M; Nahata, M C

    1997-03-01

    To review the epidemiology, pathogenesis, mycology, clinical presentation, and pharmacotherapy of tinea capitis, and describe the role of newer antimycotic agents. A MEDLINE search restricted to English-language articles published from 1966 through 1996 and journal references were used in preparing this review. The data on mycology, pharmacokinetics, adverse effects, and drug interactions were obtained from controlled studies and case reports appearing in the literature. Both open-label and comparative studies were evaluated to assess the efficacy of antimycotics in the treatment of this infection. Griseofulvin is the drug of choice in the treatment of tinea capitis. Newer agents with greater efficacy or shorter treatment durations continue to be explored. Ketoconazole, the first azole studied for efficacy in tinea capitis, has not demonstrated any clinical advantage over griseofulvin in several controlled clinical trials. Itraconazole is effective, but the available data are limited to case reports and a single uncontrolled study. Terbinafine similarly has shown promise in the treatment of tinea capitis, but the oral formulation was only recently approved in the US. Existing studies reflect the results in infection with pathogens not seen in the US. Both itraconazole and terbinafine achieve high concentrations in the hair and stratum corneum that persist for several weeks following drug administration. This may enable shorter courses of therapy; however, comparative studies need to be conducted in the US. Tinea capitis remains the most common dermatophyte infection in young urban children. Oral antifungal therapy is required for effective treatment, often for several months. The combination of griseofulvin with a selenium sulfide shampoo continues to be the mainstay of therapy until more experience is gained with the newer antimycotics.

  13. Treatment of infantile spasms.

    Science.gov (United States)

    Hancock, Eleanor C; Osborne, John P; Edwards, Stuart W

    2013-06-05

    Infantile spasms (West's Syndrome) is a syndrome that includes a peculiar type of epileptic seizure-the spasms-and an electroencephalographic (EEG) abnormality often called hypsarrhythmia. Psychomotor retardation is frequently found at follow-up. Approximately two-thirds of affected infants will have a detectable underlying neurological abnormality, but still little is known about the pathophysiological basis for infantile spasms, and treatment remains problematic. To compare the effects of single pharmaceutical therapies used to treat infantile spasms in terms of control of the spasms, resolution of the EEG, relapse rates, psychomotor development, subsequent epilepsy, side effects, and mortality. To identify published data, we searched the Cochrane Epilepsy Group Specialised Register (October 2012), CENTRAL (The Cochrane Library 2012, Issue 9), MEDLINE (1946 to September Week 4, 2012), EMBASE (1980 to March 2003), and the reference lists of all retrieved articles.To identify unpublished data, we searched the ISRCTN Register (www.controlled-trials.com), corresponded with colleagues and drug companies, and made requests at international conferences. All randomised controlled trials (RCTs) of the administration of drug therapy to patients with infantile spasms. Data collection from all relevant publications was independently undertaken by three review authors (before 2010) or by two review authors using a standard proforma. Analysis included assessment of study quality and a search for sources of heterogeneity. We found 16 small RCTs (fewer than 100 patients enrolled) and 2 larger RCTs (more than 100 patients enrolled). These 18 studies looked at a total of 916 patients treated with a total of 12 different pharmaceutical agents. Overall methodology of the studies was poor, in part because of ethical dilemmas such as giving placebo injections to children. Two studies showed that placebo was not as good as active treatment in resolving the spasms. The strongest

  14. Treatment-refractory anxiety; definition, risk factors, and treatment challenges

    Science.gov (United States)

    Roy-Byrne, Peter

    2015-01-01

    A sizable proportion of psychiatric patients will seek clinical evaluation and treatment for anxiety symptoms reportedly refractory to treatment. This apparent lack of response is either due to “pseudo-resistance” (a failure to have received and adhered to a recognized and effective treatment or treatments for their condition) or to true “treatment resistance.” Pseudo-resistance can be due to clinician errors in selecting and delivering an appropriate treatment effectively, or to patient nonadherence to a course of treatment. True treatment resistance can be due to unrecognized exogenous anxiogenic factors (eg, caffeine overuse, sleep deprivation, use of alcohol or marijuana) or an incorrect diagnosis (eg, atypical bipolar illness, occult substance abuse, attention deficit-hyperactivity disorder). Once the above factors are eliminated, treatment should focus on combining effective medications and cognitive behavioral therapy, combining several medications (augmentation), or employing novel medications or psychotherapies not typically indicated as first-line evidence-based anxiety treatments. PMID:26246793

  15. Treatment-refractory anxiety; definition, risk factors, and treatment challenges.

    Science.gov (United States)

    Roy-Byrne, Peter

    2015-06-01

    A sizable proportion of psychiatric patients will seek clinical evaluation and treatment for anxiety symptoms reportedly refractory to treatment. This apparent lack of response is either due to "pseudo-resistance" (a failure to have received and adhered to a recognized and effective treatment or treatments for their condition) or to true "treatment resistance." Pseudo-resistance can be due to clinician errors in selecting and delivering an appropriate treatment effectively, or to patient nonadherence to a course of treatment. True treatment resistance can be due to unrecognized exogenous anxiogenic factors (eg, caffeine overuse, sleep deprivation, use of alcohol or marijuana) or an incorrect diagnosis (eg, atypical bipolar illness, occult substance abuse, attention deficit-hyperactivity disorder). Once the above factors are eliminated, treatment should focus on combining effective medications and cognitive behavioral therapy, combining several medications (augmentation), or employing novel medications or psychotherapies not typically indicated as first-line evidence-based anxiety treatments.

  16. Treatment of malignant polyps.

    Science.gov (United States)

    Spinelli, P; Pizzetti, P; Sala, P; Andreola, S; Bertario, L

    1995-01-01

    From 1975 to 1993, at the Division of Diagnostics and Endoscopic Surgery of the Istituto Nazionale Tumori in Milan, 191 malignant adenomas of colon-rectum have been endoscopically removed. On the basis of histopathologic criteria, endoscopic treatment has been judged adequate in 102 cases (53%), not adequate in 44 (23%), doubtfully adequate in 45 (24%). In 84 patients (44%) endoscopic polypectomy has been followed by surgical resection of the involved intestinal tract, 107 patients (56%) have been treated only by endoscopy. Results have been evaluated on the basis of surgical specimen, clinical follow-up and survival, showing that criteria we have adopted for the adequacy of the endoscopic treatment have a high negative predictive value (96%) and a low positive predictive value (32%). Actuarial survival of patients treated only endoscopically is 97% at 5 years and 95% at 10 years.

  17. Tophi - surgical treatment.

    Science.gov (United States)

    Słowińska, Iwona; Słowiński, Radosław; Rutkowska-Sak, Lidia

    2016-01-01

    Gout is an inflammatory joint disease associated with deposition of monosodium urate crystals in the bones forming the joints, in periarticular tissues and in other organs. The disease is one of the most frequent causes of disability. This paper presents the case of a 57-year-old male patient treated for generalised gout. A "clinical mask" suggesting another disease was the cause of making the correct diagnosis only six years after the occurrence of the first manifestations. The patient, with high values of inflammatory markers, severe pain and advanced joint destruction, was given an aggressive anti-inflammatory treatment. The unsatisfactory effect of the conservative treatment forced the authors to perform surgical resection of the gouty nodules in the hands. After several operations the function of the hand joints operated on, appearance of the hands and the quality of the patient's life improved significantly.

  18. Mindfulness in PTSD treatment.

    Science.gov (United States)

    Lang, Ariel J

    2017-04-01

    In recent years, the field has witnessed considerable enthusiasm for the ancient practice of mindfulness. The skills derived from this experience, including focused attention, nonjudgmental acceptance of internal experiences and reduced autonomic reactivity, may be helpful in counteracting pathological responses to trauma. Several types of interventions that incorporate principles of mindfulness have been examined for treatment of posttraumatic stress disorder (PTSD). This nascent literature is inconsistent and methodologically limited but does suggest that mindfulness is a potentially important tool for creating psychological change. The interventions described herein generally would not yet be considered first-line treatments for PTSD. Nonetheless, evidence is building, and mindfulness may provide an impetus for better understanding how to personalize psychological interventions and to evaluate their outcomes. Published by Elsevier Ltd.

  19. [Treatment of essential thrombocythemia].

    Science.gov (United States)

    Alvarez-Larrán, Alberto; Cervantes, Francisco; Besses, Carlos

    2013-09-21

    Essential thrombocythemia is a chronic myeloproliferative neoplasm characterized by sustained thrombocytosis, bone marrow megakaryocytic hyperplasia and an increased risk of thrombosis and hemorrhage. The goal of treatment is to prevent the development of vascular complications without increasing the risk of transformation. Patients aged>60 years or a history of thrombosis have a high risk of thrombosis while those with a platelet count>1,500 x 10(9)/l have a higher risk of hemorrhage. Patients with low-risk essential thrombocythemia can be managed appropriately with low-dose of acetylsalicylic acid or even observation only, while patients with a high-risk disease are candidates to receive cytoreductive treatment, hydroxyurea being the first choice therapy. Anagrelide is the most suitable option for patients with resistance or intolerance to hydroxyurea. All patients must be submitted to a rigorous control of cardiovascular risk factors. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  20. Trichotillomania: neurobiology and treatment.

    Science.gov (United States)

    Chamberlain, Samuel R; Odlaug, Brian L; Boulougouris, Vasileios; Fineberg, Naomi A; Grant, Jon E

    2009-06-01

    Trichotillomania is a disorder characterized by repetitive hair pulling, leading to noticeable hair loss and functional impairment. This paper provides an overview of what is known of trichotillomania from several perspectives. We begin by considering historical descriptions of hair pulling that ultimately contributed to the inclusion of trichotillomania as a formal diagnostic entity in the Diagnostic and Statistical Manual. Psychological factors involved in the mediation of symptoms are examined, including positive and negative reinforcement. The relationships between trichotillomania, other body-focused repetitive behaviours, and disorders of the putative obsessive-compulsive (OC) spectrum are surveyed. The review then explores findings from the available controlled treatment trials that utilized psychotherapy, pharmacotherapy, or both. Neural circuitry involved in the manifestation of hair pulling is then identified by considering data from animal models of the condition, along with neurocognitive and neuroimaging results from patients. Finally, we highlight important areas for future neurobiological and treatment research.

  1. Treatment of Actinic Purpura

    Science.gov (United States)

    2017-01-01

    Mature skin is prone to bruising, resulting in a condition known as actinic purpura, characterized by unsightly ecchymosis and purple patches. Similar to other skin conditions, the incidence of actinic purpura increases with advancing age and occurs with equal frequency among men and women. The unsightly appearance of actinic purpura may be a source of emotional distress among the elderly. A new product has been formulated specifically for the treatment of actinic purpura. This product contains retinol, α-hydroxy acids, arnica oil, ceramides, niacinamide, and phytonadione, which effectively treat actinic purpura by improving local circulation, thickening the skin, and repairing the skin barrier. The objective of this paper is to review the beneficial properties of these ingredients and their respective roles in the treatment of actinic purpura. PMID:28979656

  2. Electrocoagulation in Water Treatment

    Science.gov (United States)

    Liu, Huijuan; Zhao, Xu; Qu, Jiuhui

    Electrocoagulation (EC) is an electrochemical method of treating polluted water where sacrificial anodes corrode to release active coagulant precursors (usually aluminum or iron cations) into solution. At the cathode, gas evolves (usually as hydrogen bubbles) accompanying electrolytic reactions. EC needs simple equipments and is designable for virtually any size. It is cost effective and easily operable. Specially, the recent technical improvements combined with a growing need for small-scale water treatment facilities have led to a revaluation of EC. In this chapter, the basic principle of EC was introduced first. Following that, reactions at the electrodes and electrode assignment were reviewed; electrode passivation process and activation method were presented; comparison between electrocoagulation and chemical coagulation was performed; typical design of the EC reactors was also described; and factors affecting electrocoagulation including current density, effect of conductivity, temperature, and pH were introduced in details. Finally, application of EC in water treatment was given in details.

  3. Mechanical Biological Treatment

    DEFF Research Database (Denmark)

    Bilitewski, B-; Oros, Christiane; Christensen, Thomas Højlund

    2011-01-01

    The basic processes and technologies of composting and anaerobic digestion, as described in the previous chapters, are usually used for specific or source-separated organic waste flows. However, in the 1990s mechanical biological waste treatment technologies (MBT) were developed for unsorted...... or residual waste (after some recyclables removed at the source). The concept was originally to reduce the amount of waste going to landfill, but MBT technologies are today also seen as plants recovering fuel as well as material fractions. As the name suggests the technology combines mechanical treatment...... technologies (screens, sieves, magnets, etc.) with biological technologies (composting, anaerobic digestion). Two main technologies are available: Mechanical biological pretreatment (MBP), which first removes an RDF fraction and then biologically treats the remaining waste before most of it is landfilled...

  4. Family Weight School treatment

    DEFF Research Database (Denmark)

    Nowicka, Paulina; Höglund, Peter; Pietrobelli, Angelo

    2008-01-01

    OBJECTIVE: The aim was to evaluate the efficacy of a Family Weight School treatment based on family therapy in group meetings with adolescents with a high degree of obesity. METHODS: Seventy-two obese adolescents aged 12-19 years old were referred to a childhood obesity center by pediatricians...... and school nurses and offered a Family Weight School therapy program in group meetings given by a multidisciplinary team. Intervention was compared with an untreated waiting list control group. Body mass index (BMI) and BMI z-scores were calculated before and after intervention. RESULTS: Ninety percent...... group with initial BMI z-score 3.5. CONCLUSIONS: Family Weight School treatment model might be suitable for adolescents with BMI z...

  5. [Psychiatric treatment sentences.

    DEFF Research Database (Denmark)

    Stevens, Hanne; Nordentoft, Merete; Agerbo, Esben

    2010-01-01

    INTRODUCTION: Previous Danish studies of the increasing number of sentences to psychiatric treatment (SPT) have compared prevalent populations of persons undergoing treatment with incident measures of reported crimes. Examining the period 1990-2006, we studied incident sentences, taking the type...... and severity of crime into account. MATERIAL AND METHODS: Using data from Statistics Denmark's national crime statistics, we have compared time-trends of SPT with time-trends of suspended and custodial sentences stratified by type of crime. RESULTS: We found that the rise in SPT is primarily attributable...... to more confrontations and changes in practices, e.g., for reporting violence against staff. However, if a civil person is the victim of a violent offence, the probability of the perpetrator being a psychiatric patient is small and has remained virtually unchanged since 1990. Udgivelsesdato: 2010-Aug-30...

  6. Acupuncture Treatment in Migraine

    OpenAIRE

    Zhu, Jihe; Arsovska, Blagica; Kozovska, Kristina; Vasileva, Dance; Krstonijevikj, Jelena

    2017-01-01

    Introduction - Migraines are one of the most common types of headaches that occur periodically. There are two type of migraine: classical (with aura) and common migraines (without aura). Migraine occurs in women two to three times more often than in men. Material and methods - In the research are included 30 patients, 12 male and 18 female, on age from 29 to 79, treated for migraine in a period of one year. All patients had acupuncture treatment in a clinic for Traditional Chinese Medicine...

  7. Hormone treatment of depression

    Science.gov (United States)

    Joffe, Russell T.

    2011-01-01

    There is a well-established relationship between alterations of various hormonal systems and psychiatric disorders, both in endocrine and psychiatric patients. This has led to clinical and research studies examining the efficacy of the different hormones for treatment of depression. These data will be reviewed with particular regard to the thyroid, gonadal, pineal, and adrenal cortex hormones. The data generally provide limited, but varying evidence for the antidepressant efficacy of these hormones. PMID:21485752

  8. Hormone treatment of depression

    OpenAIRE

    Joffe, Russell T.

    2011-01-01

    There is a well-established relationship between alterations of various hormonal systems and psychiatric disorders, both in endocrine and psychiatric patients. This has led to clinical and research studies examining the efficacy of the different hormones for treatment of depression. These data will be reviewed with particular regard to the thyroid, gonadal, pineal, and adrenal cortex hormones. The data generally provide limited, but varying evidence for the antidepressant efficacy of these ho...

  9. Treatment Options in Kleptomania

    OpenAIRE

    Lut Tamam; Okan Çalıyurt

    2009-01-01

    Kleptomania is a rare disorder with inability or great difficulty in resisting impulses of stealing. People with this disorder are compelled to steal things, generally things of little or no value. This disorder usually begins during puberty and usually last until late adulthood; in some cases lasts throughout the person's life. People with this disorder are likely to have a comorbid conditions like mood disorders. Individuals with the disorder are usually referred for treatment due to the co...

  10. Dietary treatments of obesity.

    Science.gov (United States)

    Moloney, M

    2000-11-01

    Numerous dietary treatments that purport to promote something unique for stimulating weight loss have been published. These treatments include fad diets, diets formulated by various commercial slimming clubs, very-low-energy diets (VLCD) and conventional diets. Fad diets may possibly reduce some weight short-term; however, there is no scientific basis to their long-term use. Commercial slimming clubs may be suitable for some individuals but they need to be properly assessed professionally. There are specific guidelines for the use of VLCD, which are only appropriate for short-term use. There is scientific evidence to suggest that conventional diets can produce both short- and long-term weight loss. A successful weight-loss programme depends on a multidisciplinary team approach. Management strategies should be devised for addressing issues such as goals, monitoring, follow-up, relapse and evaluation. Initial assessments should include medical, laboratory and anthropometric data, fitness level and dietary and behavioural attitudes. These results will form the basis of the treatment plan. Frequent visits to the clinic are fundamental in promoting continuing weight loss during the long-term maintenance stage of treatment. The visits should be made worthwhile for the patient. Realistic and attainable goals for diet, exercise and behaviour modification should be made. The diet should have a novel approach and be tailored to the needs of the patient. It should be adequate nutritionally, low in energy and fat. The overall aim should be to promote lifelong changes in lifestyle, improvement in quality of life and health risks.

  11. Treatment of Lyme borreliosis

    OpenAIRE

    Girschick, Hermann J; Morbach, Henner; Tappe, Dennis

    2009-01-01

    Borrelia burgdorferi sensu lato is the causative agent of Lyme borreliosis in humans. This inflammatory disease can affect the skin, the peripheral and central nervous system, the musculoskeletal and cardiovascular system and rarely the eyes. Early stages are directly associated with viable bacteria at the site of inflammation. The pathogen-host interaction is complex and has been elucidated only in part. B. burgdorferi is highly susceptible to antibiotic treatment and the majority of patient...

  12. Treatment of congenital tuberculosis.

    Science.gov (United States)

    Patel, Sonal; DeSantis, Evelyn R Hermes

    2008-11-01

    The diagnosis and treatment of congenital tuberculosis are discussed. Congenital tuberculosis is rare and fatal if left untreated. If a pregnant woman with tuberculosis is not treated, infection of the fetus can occur by hematogenous spread through the umbilical cord or by aspiration or ingestion of amniotic fluid. Signs and symptoms of congenital tuberculosis may be nonspecific, which may preclude early diagnosis and treatment. Criteria for the diagnosis of congenital tuberculosis require the infant to have a tuberculous lesion, as indicated by chest radiography or granulomas, and at least one of the following should be confirmed: (1) onset during the first week of life, (2) primary hepatic tuberculosis complex or caseating hepatic granulomas, (3) infection of the placenta or maternal genital tract, or (4) exclusion of postnatal transmission by a contact investigation. Since 2001, 21 cases of congenital tuberculosis have been reported in English-language medical journals, with the age of presentation ranging from day 1 to 90. Based on findings from published case reports, congenital tuberculosis should be considered in the differential diagnosis of newborns who have (1) nonresponsive, worsening pneumonia, especially in regions with high rates of tuberculosis, (2) nonspecific symptoms but have a mother diagnosed with tuberculosis, (3) high lymphocyte counts in the cerebrospinal fluid without an identified bacterial pathogen, or (4) fever and hepatosplenomegaly. Once diagnosed, it is essential to promptly begin treatment with isoniazid, rifampin, pyrazinamide, and streptomycin in order to decrease the mortality associated with the infection. Early diagnosis and treatment during the neonatal period are crucial in minimizing the fatality associated with congenital tuberculosis.

  13. Dietary treatment of nephrolithiasis

    OpenAIRE

    Nouvenne, Antonio; Meschi, Tiziana; Guerra, Angela; Allegri, Franca; Prati, Beatrice; Borghi, Loris

    2008-01-01

    The prevalence of idiopathic nephrolithiasis is increasing in rich countries. Dietary manipulation could contribute to the prevention of both its first appearance and the recurrence of the disease. The target of dietary treatment is to decrease the “urinary lithogenic risk factors” such as low urine volume, hypercalciuria, hyperoxaluria, hyperuricosuria, hyperphosphaturia, hypocitraturia, hypomagnesuria and excessively alkaline or acid urinary pH. Due to the lack of randomized controlled tria...

  14. Impetigo: diagnosis and treatment.

    Science.gov (United States)

    Hartman-Adams, Holly; Banvard, Christine; Juckett, Gregory

    2014-08-15

    Impetigo is the most common bacterial skin infection in children two to five years of age. There are two principal types: nonbullous (70% of cases) and bullous (30% of cases). Nonbullous impetigo, or impetigo contagiosa, is caused by Staphylococcus aureus or Streptococcus pyogenes, and is characterized by honey-colored crusts on the face and extremities. Impetigo primarily affects the skin or secondarily infects insect bites, eczema, or herpetic lesions. Bullous impetigo, which is caused exclusively by S. aureus, results in large, flaccid bullae and is more likely to affect intertriginous areas. Both types usually resolve within two to three weeks without scarring, and complications are rare, with the most serious being poststreptococcal glomerulonephritis. Treatment includes topical antibiotics such as mupirocin, retapamulin, and fusidic acid. Oral antibiotic therapy can be used for impetigo with large bullae or when topical therapy is impractical. Amoxicillin/clavulanate, dicloxacillin, cephalexin, clindamycin, doxycycline, minocycline, trimethoprim/sulfamethoxazole, and macrolides are options, but penicillin is not. Natural therapies such as tea tree oil; olive, garlic, and coconut oils; and Manuka honey have been anecdotally successful, but lack sufficient evidence to recommend or dismiss them as treatment options. Treatments under development include minocycline foam and Ozenoxacin, a topical quinolone. Topical disinfectants are inferior to antibiotics and should not be used. Empiric treatment considerations have changed with the increasing prevalence of antibiotic-resistant bacteria, with methicillin-resistant S. aureus, macrolide-resistant streptococcus, and mupirocin-resistant streptococcus all documented. Fusidic acid, mupirocin, and retapamulin cover methicillin-susceptible S. aureus and streptococcal infections. Clindamycin proves helpful in suspected methicillin-resistant S. aureus infections. Trimethoprim/sulfamethoxazole covers methicillin-resistant S

  15. Treatment of Gambling Disorders.

    Science.gov (United States)

    Yip, Sarah W; Potenza, Marc N

    2014-06-01

    Preclinical and clinical research implicate several neurotransmitter systems in the pathophysiology of gambling disorder (GD). In particular, neurobiological research suggests alterations in serotonergic, dopaminergic, glutamatergic and opioidergic functioning. The relative efficacy of medications targeting these systems remains a topic of ongoing research, and there is currently no Food and Drug Administration (FDA) approved medication with an indication for GD. Considering co-occurring disorders may be particularly important when devising a treatment plan for GD: extant data suggest that the opioid antagonist naltrexone may by the most effective form of current pharmacotherapy for GD, particularly for individuals with a co-occurring substance-use disorder (SUD) or with a family history of alcoholism. In contrast, lithium or other mood stabilizers may be most effective for GD for patients presenting with a co-occurring bipolar-spectrum disorder (BSD). Further, serotonin reuptake inhibitors (SRIs) may be efficacious in reducing GD symptoms for individuals also presenting with a (non-BSD) mood or anxiety disorder. Finally, elevated rates of GD (and other Impulse Control Disorders; ICDs) have been noted among individuals with Parkinson's Disease (PD), and clinicians should assess for vulnerability to GD when considering treatment options for PD. Reducing levodopa or dopamine agonist (DA) dosages may partially reduce GD symptoms among patients with co-occurring PD. For GD patients not willing to consider drug treatment, n-acetyl cysteine or behavioral therapies may be effective. Ongoing research into the effectiveness of combined behavioral and pharmacotherapies is being conducted; thus combined treatments should also be considered.

  16. Treatment of waste

    International Nuclear Information System (INIS)

    1981-01-01

    A method of treating radioactive waste to substantially reduce the volume and which is especially useful in the treatment of material which includes radioactive halogens such as 131 I, is described. A fluidised bed incinerator and calciner are used to reduce all the liquid and combustible solid waste to anhydrous granular solids, all of which is carried by fluidizing gases into an off-gas system designed for their collection. (U.K.)

  17. Treatment of Hyperemesis Gravidarum

    Science.gov (United States)

    Wegrzyniak, Lindsey J; Repke, John T; Ural, Serdar H

    2012-01-01

    Hyperemesis gravidarum, or pernicious vomiting of pregnancy, is a complication of pregnancy that affects various areas of the woman’s health, including homeostasis, electrolytes, and kidney function, and may have adverse fetal consequences. Recent research now provides additional guidelines for protection against and relief from hyperemesis gravidarum. Alterations to maternal diet and lifestyle can have protective effects. Medicinal methods of prevention and treatment include nutritional supplements and alternative methods, such as hypnosis and acupuncture, as well as pharmacotherapy. PMID:22866186

  18. Pharmacological treatment of obesity

    OpenAIRE

    Mancini, Marcio C.; Halpern, Alfredo

    2006-01-01

    This review offers an overview of physiological agents, current therapeutics, as well as medications, which have been extensively used and those agents not currently available or non-classically considered anti-obesity drugs. As obesity - particularly that of central distribution - represents an important triggering factor for insulin resistance, its pharmacological treatment is relevant in the context of metabolic syndrome control. The authors present an extensive review on the criteria for ...

  19. Ionizing radiation quarantine treatments

    OpenAIRE

    Hallman, Guy J.

    1998-01-01

    Irradiation is a viable quarantine disinfestation treatment which has been studied for 40 years although it has received very little commercial use. Two principal obstacles to commercial application, 1) the fact that insects are not killed immediately, and 2) consumer opposition to irradiation, have been allayed to some extent, but the remaining impediment to large-scale commercial use is development of approved protocols by government regulatory agencies in importing countries. The United St...

  20. The Treatment of Scabies.

    Science.gov (United States)

    Dressler, Corinna; Rosumeck, Stefanie; Sunderkötter, Cord; Werner, Ricardo Niklas; Nast, Alexander

    2016-11-14

    Scabies is a contagious infestation transmitted by skin-to-skin contact and sometimes by contact with contaminated material. The scabies mite burrows into the skin, producing a papular rash and severe itch at typical sites of predilection. We systematically reviewed the literature to compare the efficacy of various anti-scabies agents, including a calculation of relative risks and confidence intervals. A literature search yielded 596 initial hits; after screening in accor-dance with the defined inclusion and exclusion criteria, 16 studies were selected for this review. Among topical treatments for scabies, permethrin was equally effective or more effective than crotamiton or benzyl benzoate. In a comparison of topical versus systemic treatment, topical permethrin and systemic ivermectin did not differ substantially in efficacy (7 comparative studies revealed no difference; one revealed a difference in favor of permethrin). Comparative trials of topical benzyl benzoate versus systemic ivermectin yielded inconsistent findings. Single and double administrations of ivermectin were similarly effective. In trials involving entire populations with a high prevalence of scabies, systemic ivermectin was found to be superior to topical permethrin. There are hardly any differences in efficacy between the available treatments for scabies. Single administrations of permethrin 5%, crotamiton 10%, and systemic ivermectin are all comparably effective. There are differences in the frequeny and ease of application as well as when eradicating scabies in populations with a high prevalence.

  1. [Accelerated orthodontic treatment].

    Science.gov (United States)

    Liem, A M L; Hoogeveen, E J; Jansma, J; Ren, Y

    2015-11-01

    An orthodontic treatment usually involves a long process which often represents an obstacle for patients. To overcome this problem, surgical techniques have been developed to support and accelerate the orthodontic treatment. Two systematic reviews of the literature on clinical research and animal experiments were carried out in order to draw reliable conclusions about the effectiveness of the various surgical techniques. A total of 18 clinical studies and 22 animal experimental studies were analysed. In both reviews of the literature, a study was made of whether the surgical techniques resulted in an accelerated rate of tooth movement and which complications may be observed. In addition, which biological mechanisms take place during surgically facilitated orthodontics was investigated. Both reviews reported accelerated tooth movement with minimal complications after surgical procedures in comparison to conventional orthodontics. An increase in catabolic and anabolic activities was observed. It has to be concluded that based on the quality of the current literature there is still insufficient information for general conclusions and that more standardised prospective research is necessary for a reliable conclusion about the optimal method of treatment.

  2. Ayahuasca and cancer treatment.

    Science.gov (United States)

    Schenberg, Eduardo E

    2013-01-01

    Comprehensively review the evidence regarding the use of ayahuasca, an Amerindian medicine traditionally used to treat many different illnesses and diseases, to treat some types of cancer. An in-depth review of the literature was conducted using PubMed, books, institutional magazines, conferences and online texts in nonprofessional sources regarding the biomedical knowledge about ayahuasca in general with a specific focus in its possible relations to the treatment of cancer. At least nine case reports regarding the use of ayahuasca in the treatment of prostate, brain, ovarian, uterine, stomach, breast, and colon cancers were found. Several of these were considered improvements, one case was considered worse, and one case was rated as difficult to evaluate. A theoretical model is presented which explains these effects at the cellular, molecular, and psychosocial levels. Particular attention is given to ayahuasca's pharmacological effects through the activity of N,N-dimethyltryptamine at intracellular sigma-1 receptors. The effects of other components of ayahuasca, such as harmine, tetrahydroharmine, and harmaline, are also considered. The proposed model, based on the molecular and cellular biology of ayahuasca's known active components and the available clinical reports, suggests that these accounts may have consistent biological underpinnings. Further study of ayahuasca's possible antitumor effects is important because cancer patients continue to seek out this traditional medicine. Consequently, based on the social and anthropological observations of the use of this brew, suggestions are provided for further research into the safety and efficacy of ayahuasca as a possible medicinal aid in the treatment of cancer.

  3. Coal pile leachate treatment

    Energy Technology Data Exchange (ETDEWEB)

    Davis, E C; Kimmitt, R R

    1982-09-01

    The steam plant located at the Oak Ridge National Laboratory was converted from oil- to coal-fired boilers. In the process, a diked, 1.6-ha coal storage yard was constructed. The purpose of this report is to describe the treatment system designed to neutralize the estimated 18,000 m/sup 3/ of acidic runoff that will be produced each year. A literature review and laboratory treatability study were conducted which identified two treatment systems that will be employed to neutralize the acidic runoff. The first, a manually operated system, will be constructed at a cost of $200,000 and will operate for an interim period of four years. This system will provide for leachate neutralization until a more automated system can be brought on-line. The second, a fully automated system, is described and will be constructed at an estimated cost of $650,000. This automated runoff treatment system will ensure that drainage from the storage yard meets current National Pollutant Discharge Elimination System Standards for pH and total suspended solids, as well as future standards, which are likely to include several metals along with selected trace elements.

  4. Obesity Treatment Strategies

    Directory of Open Access Journals (Sweden)

    Simona Ianosi Edith

    2015-12-01

    Full Text Available Obesity is a disease with severe health consequences and increased risk of mortality. The most commonly used criteria to assess the presence and the severity of obesity are body mass index, waist circumference, waist-to-height ratio and the presence of the health conditions caused or worsened by obesity. Worldwide obesity has more than doubled in the last 4 decades. Obesity is the second of the leading preventable causes of death worldwide (after smoking. Obesity has a plurifactorial pathogenesis. The central perturbation consists in the imbalance between calories intake and calories consumption (by inappropriate diet and sedentary lifestyle. Identification of all the ethiological factors is important for treatment and prophylaxis. Weight loss benefits are multiple and important: improvement in glicemic control and in plasma lipid levels, blood presure control, obstructiv sleep apneea reduction, improvement in management of daily activities and profesional performances, increase quality of life, reduction in mortality. Overweight or obese patient will complete a diagnostic and a treatment program. Treatment of obesity claims a targeted multidimensional therapy: weight and lifestyle management, diet, sustained physical activity in daily life, exercise, decrease life stressors, smoking cessation, drug therapy, bariatric surgery psichological, familial and social suport. Weight loss program must be carefully planned, adapted to the patient’s abilities and comorbidities and supervised by a nutritionist and a physiotherapist.

  5. Acupuncture as anticancer treatment?

    Directory of Open Access Journals (Sweden)

    Paulina Frączek

    2017-01-01

    Full Text Available The mystery of Traditional Chinese Medicine has been attracting people for years. Acupuncture, ranked among the most common services of Complementary and Alternative Medicine, has recently gained a lot of interest in the scientific world. Contemporary researchers have been continuously trying to shed light on its possible mechanism of action in human organism. Numerous studies pertaining to acupuncture’s application in cancer symptoms or treatment-related side effects management have already been published. Moreover, since the modern idea of acupuncture’s immunomodulating effect seems to be promising, scientists have propounded a concept of its potential application as part of direct anti-tumor therapy. In our previous study we summarized possible use of acupuncture in management of cancer symptoms and treatment-related ailments, such as chemotherapy-induced nausea and vomiting, pain, xerostomia, vasomotor symptoms, neutropenia, fatigue, anxiety, insomnia, lymphoedema after mastectomy and peripheral neuropathy. This article reviews the studies concerning acupuncture as a possible tool in modern anticancer treatment.

  6. [Treatment of onychomycoses].

    Science.gov (United States)

    Halmy, Klára

    2003-10-12

    The author reviews the prevalence of onychomycoses and the factors influencing it. Among the precipitating factors, age and various predisposing diseases play a role in the development of the disease play a role in the development of the disease. The problem affects the toenails more frequently than the fingernails. Distal subungual onychomycosis caused by dermatophytons is most often seen among the various types of the disease. Yeasts and moulds mainly act as contaminants. New diagnostic methods facilitate more precise diagnosis but they cannot replace basic mycological investigations. Orally administered antifungal agents have appeared in the foreground of treatment. Among them fluconazole, itraconazole and terbinafin derivatives can safely be applied in combination with certain cauterants. Each of the three agents are effective in approximately 70-80% of cases, especially when applied on fingernails. Combined therapy, such as the application of oral antimycotics and antifungal lacquerers or oral treatment accompanied by the surgical, laser or chemical removal of the affected nail regions, can improve the results. Surviving fungal residues in the substance of the nail may restart the disease. Relapse may also be attributed to neglecting the desinfection of shoes. When choosing the drugs, drug interaction should also be considered. The above three oral antimycotics have few (1-20%) side effects, gastrointestinal ones being the most common among them. A transitory elevation in hepatic enzyme levels may sometimes occur but the changes go back to normal after treatment is over.

  7. [Treatment of compulsive buying].

    Science.gov (United States)

    Mueller, A; de Zwaan, M

    2008-08-01

    Although compulsive buying is receiving increasing attention in research, it is largely ignored in clinical practice. Compulsive buying disorder (CBD) is defined as excessive and mostly senseless spending or excessive shopping impulses that cause marked distress, interfere with social or occupational functioning, and often results in financial problems. It is currently conceptualized as an "impulse control disorder not otherwise specified" (ICD-10 F63.9). CBD is associated with significant psychiatric co-morbidity particularly mood and anxiety disorders, obsessive-compulsive disorders, binge eating disorder, substance use disorders, personality disorders, and other impulse control disorders. Previous research indicates that many compulsive buyers also suffer from compulsive hoarding. There is no evidence-based treatment approach for CBD and treatment research on this topic is limited. Open label trials suggest that antidepressants could improve compulsive buying. However, small randomized controlled trials failed to demonstrate significant improvement over Placebo and the high placebo-response rate prevents any definitive statement on the efficacy of antidepressants. Two controlled cognitive-behavioral therapy (CBT) trials reported that group CBT is significantly more effective compared to waiting list control groups in the treatment of compulsive buying. Clinical and therapeutic implications are discussed.

  8. Pharmacologic treatments for rosacea.

    Science.gov (United States)

    Layton, Alison M

    Rosacea represents a common and chronic inflammatory skin disorder. Clinical features include transient and permanent erythema, inflammatory papules and pustules, phymatous changes, and ocular signs and symptoms. Rosacea is generally classified into four subtypes and one variant. Subtype 1, erythematotelangiectatic rosacea, includes clinical features of flushing and persistent central facial erythema with or without telangiectasia. Subtype 2, papulopustular rosacea, is characterized by persistent central facial erythema with transient papules or pustules or both on the central face. Subtype 3, phymatous rosacea, includes thickening of the skin with irregular surface nodularities and enlargement. Subtype 4, ocular rosacea, includes inflammation of different parts of the eye and eyelid. A variant, granulomatous rosacea, is noninflammatory and is characterized by hard, brown, yellow, or red cutaneous papules or nodules of uniform size. Patients may present with more than one subtype, and each individual characteristic may fluctuate. There is debate whether rosacea progresses from one subtype over time or subtypes represent discreet entities. Defining clinical presentation and improved understanding of pathophysiology has resulted in identification of novel treatment approaches. This contribution outlines a rationale for treatment, highlights an evidence-based approach with approved treatments, and considers novel developments and off-license therapy available. Crown Copyright © 2016. Published by Elsevier Inc. All rights reserved.

  9. [Pharmacological treatment of obesity].

    Science.gov (United States)

    Gomis Barbará, R

    2004-01-01

    The pharmacological treatment of obesity should be considered when cannot be achieved a 10% weight loss with diet therapy and physical activity. The drugs effective in obesity treatment may act by different mechanisms such as reduction in food intake, inhibition of fat absorption, increase of thermogenesis and stimulation of adipocyte apoptosis. At present, we only have two marketed drugs for obesity treatment. Sibutramine is an inhibitor of norepinephrine, dopamine and serotonina reuptake which inhibits food intake and increases thermogenesis. Sibutramine administration for a year can induce a weight loss of 4-7%. Its main side effects are hypertension, headache, insomnia and constipation. Orlistat is an inhibitor of pancreatic lipase which is able to block the absorption of 30% of ingested fat. Its administration induces weight loss and reduction of ulterior weight regain. Also, this drug improves hypertension dyslipdaemia and helps to prevent diabetes in 52% of cases when administered over four years. The increase in frequency of stools and interference with vitamin absorption are its main side effects. Glucagon-like peptide 1, which increases insulin sensitivity and satiety, adiponectin and PPAR-gamma agonists which reduce insulin resistance and modulates adipocyte generation are the basis for future therapeutic approaches of obesity. Phosphatase inhibitors induce PPAR-gamma phosphorylation and UCP-1 expression leading to an increase in thermogenesis and reduction in appetite.

  10. Treatment of complicated grief

    Directory of Open Access Journals (Sweden)

    Rita Rosner

    2011-11-01

    Full Text Available Following the death of a loved one, a small group of grievers develop an abnormal grieving style, termed complicated or prolonged grief. In the effort to establish complicated grief as a disorder in DSM and ICD, several attempts have been made over the past two decades to establish symptom criteria for this form of grieving. Complicated grief is different from depression and PTSD yet often comorbid with other psychological disorders. Meta-analyses of grief interventions show small to medium effect sizes, with only few studies yielding large effect sizes. In this article, an integrative cognitive behavioral treatment manual for complicated grief disorder (CG-CBT of 25 individual sessions is described. Three treatment phases, each entailing several treatment strategies, allow patients to stabilize, explore, and confront the most painful aspects of the loss, and finally to integrate and transform their grief. Core aspects are cognitive restructuring and confrontation. Special attention is given to practical exercises. This article includes the case report of a woman whose daughter committed suicide.

  11. Treatment of ground water contaminated with volatile organic compounds using second generation ultraviolet light technology

    International Nuclear Information System (INIS)

    Lyandres, S.E.; Rees, J.T.; Folsom, E.N.; Boegel, A.J.

    1991-03-01

    Pilot tests, using a second generation ultraviolet (UV) light technology, were run on ground water samples taken f rom two separate aquifers contaminated with volatile organic compounds (VOCS) at the Lawrence Livermore National Laboratory (LLNL) in Alameda County, California. The VOCs included gasoline, TCE, and 1,2-DCA. VOC concentrations in the ground water ranged from 11 to 1,000 ppB. Discharges of treated ground water at LLNL are not to exceed 5 ppb total VOCs under a Federal National Pollution Discharge Elimination System discharge permit. Test results indicated that double-bonded VOCS, including aromatic compounds and TCE, were decomposed quickly and efficiently to low or nondetectable levels (<0.5 ppB, analyzed with a gas chromatograph). An equivalent level of degradation for 1,2-DCA required a moderately higher UV energy input and greater concentrations of additives. Concentrations of peroxide tested ranged between 10 and 60 ppM; however, those above 30 ppM did not significantly increase the rate of VOC destruction

  12. Treatment of aggressive periodontitis.

    Science.gov (United States)

    Teughels, Wim; Dhondt, Rutger; Dekeyser, Christel; Quirynen, Marc

    2014-06-01

    Despite etiological differences between aggressive and chronic periodontitis, the treatment concept for aggressive periodontitis is largely similar to that for chronic periodontitis. The goal of treatment is to create a clinical condition that is conducive to retaining as many teeth as possible for as long as possible. When a diagnosis has been made and risk factors have been identified, active treatment is commenced. The initial phase of active treatment consists of mechanical debridement, either alone or supplemented with antimicrobial drugs. Scaling and root planing has been shown to be effective in improving clinical indices, but does not always guarantee long-term stability. Antimicrobials can play a significant role in controlling aggressive periodontitis. Few studies have been published on this subject for localized aggressive periodontitis, but generalized aggressive periodontitis has been subject to more scrutiny. Studies have demonstrated that systemic antibiotics as an adjuvant to scaling and root planing are more effective in controlling disease compared with scaling and root planing alone or with supplemental application of local antibiotics or antiseptics. It has also become apparent that antibiotics ought to be administered with, or just after, mechanical debridement. Several studies have shown that regimens of amoxicillin combined with metronidazole or regimens of clindamycin are the most effective and are preferable to regimens containing doxycycline. Azithromycin has been shown to be a valid alternative to the regimen of amoxicillin plus metronidazole. A limited number of studies have been published on surgical treatment in patients with aggressive periodontitis, but the studies available show that the effect can be comparable with the effect on patients with chronic periodontitis, provided that proper oral hygiene is maintained, a strict maintenance program is followed and modifiable risk factors are controlled. Both access surgery and

  13. Presolidification treatment of decontamination wastes

    International Nuclear Information System (INIS)

    Habayeb, M.A.

    1982-02-01

    Unsatisfactory leaching performance of several solidified decontamination solutions indicated a need for presolidification treatments to reduce the water sensitivity of the active chemicals. Chemical treatments examined in this work include pH adjustment, precipitation and oxidation-reduction reactions. The reactions involved in these treatments are discussed. The most suitable presolidification treatment for each decontamination solution has been identified. Further research is needed to test the effectivenss of these treatments

  14. [Prostate cancer. Treatment].

    Science.gov (United States)

    Fournier, G; Valeri, A; Mangin, P; Cussenot, O

    2004-10-01

    The discovery and the utilisation of the prostate specific antigen (PSA) that allows early diagnosis of prostate cancer, have considerably improved the management of this disease. Before the PSA era, prostate cancer was just a disease of the old man, generally detected at an advanced stage and incurable, with a fatal outcome delayed by the androgenic deprivation. Since early 1990's, prostate cancer has become primarily a disease of the man of 60 years, detectable earlier, and curable provided no extraprostatic dissemination has occurred. Early treatment of prostate cancer has benefited from important advances in surgical and radio-therapeutic techniques (conformational irradiation, brachytherapy), with, as principal goal, the combination of a better survival and the reduction of the potential adverse effects that alter quality of life. A better definition of the characteristics of the tumours in terms of progression regarding various parameters (clinical stage, PSA, tumoral differentiation) have resulted, despite the heterogeneity of the disease, in the determination of subgroups of tumours with different prognosis, which leads to an improved therapeutic strategy. The assessment of men's life expectancy ( 10 years) is the second primary parameter on which is based the indication for curative or non curative therapy in case of localized tumour. Roughly, before the age of 75, a curative therapy is indicated whereas after this age a surveillance is reasonable as first-line treatment, followed by hormone therapy in case of onset of symptoms indicating some progression of the disease (urinary symptoms, bone lesion). At a Later stage, in case of a metastatic or locally advanced cancer, hormone therapy by androgenic deprivation is highly indicated. The hormone sensitivity characterizes prostate cancer; it has been discovered more than 50 years ago by Charles Huggins (Nobel prize-winner). This hormone therapy is a palliative treatment since its efficacy is transient

  15. Exploratory outcome assessment of Qigong/Tai Chi Easy on breast cancer survivors.

    Science.gov (United States)

    Larkey, Linda K; Roe, Denise J; Smith, Lisa; Millstine, Denise

    2016-12-01

    Breast cancer survivors (BCSs) experience symptoms affecting overall quality of life (QOL), often for a prolonged period post-treatment. Meditative Movement (MM), including Qigong and Tai Chi Easy (QG/TCE), has demonstrated benefit for improving QOL issues such as fatigue and sleep, but there is limited evidence of its impact on cognitive function, overall physical activity, and body weight for BCSs. This double-blind, randomized controlled pilot study with 87 female BCSs explored effects of QG/TCE on mental and physical QOL (Medical Outcomes Survey, Short Form), cognitive function (Functional Assessment of Cancer Therapy-Cognitive Function and two cognitive performance tests from the WAIS III), overall levels of physical activity (PA)(Brief Physical Activity Questionnaire) and body mass index (BMI). Twelve weekly sessions of QG/TCE were compared to sham Qigong (SQG), a gentle movement control intervention similar to QG/TCE but without the focus on breathing and meditative state. Both groups demonstrated pre-to-post-intervention improvements in physical and mental health, level of PA, self-reported cognitive function, and cognitive performance tests, though without significant differences between QG/TCE and SQG. For a subset of women enrolled later in the study, a significant reduction in BMI [-0.66 (p=0.048)] was found for QG/TCE compared to SQG. Practices that include gentle movement (such as QG/TCE or our sham protocol) among women with a history of breast cancer may improve many facets of the cancer experience, including QOL, cognitive function, and PA patterns. Practicing QG/TCE may show some advantage for BMI reduction compared to non-meditative gentle exercise. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. Observation of trapped gas during electrical resistance heating of trichloroethylene under passive venting conditions

    Science.gov (United States)

    Martin, E. J.; Kueper, B. H.

    2011-11-01

    A two-dimensional experiment employing a heterogeneous sand pack incorporating two pools of trichloroethylene (TCE) was performed to assess the efficacy of electrical resistance heating (ERH) under passive venting conditions. Temperature monitoring displayed the existence of a TCE-water co-boiling plateau at 73.4 °C, followed by continued heating to 100 °C. A 5 cm thick gas accumulation formed beneath a fine-grained capillary barrier during and after co-boiling. The capillary barrier did not desaturate during the course of the experiment; the only pathway for gas escape being through perforated wells traversing the barrier. The thickness of the accumulation was dictated by the entry pressure of the perforated well. The theoretical maximum TCE soil concentration within the region of gas accumulation, following gas collapse, was estimated to be 888 mg/kg. Post-heating soil sampling revealed TCE concentrations in this region ranging from 27 mg/kg to 96.7 mg/kg, indicating removal of aqueous and gas phase TCE following co-boiling as a result of subsequent boiling of water. The equilibrium concentrations of TCE in water corresponding to the range of post-treatment concentrations in soil (6.11 mg/kg to 136 mg/kg) are calculated to range from 19.8 mg/l to 440 mg/l. The results of this experiment illustrate the importance of providing gas phase venting during the application of ERH in heterogeneous porous media.

  17. Electrochemical transformation of trichloroethylene in aqueous solution by electrode polarity reversal.

    Science.gov (United States)

    Rajic, Ljiljana; Fallahpour, Noushin; Yuan, Songhu; Alshawabkeh, Akram N

    2014-12-15

    Electrode polarity reversal is evaluated for electrochemical transformation of trichloroethylene (TCE) in aqueous solution using flow-through reactors with mixed metal oxide electrodes and Pd catalyst. The study tests the hypothesis that optimizing electrode polarity reversal will generate H2O2 in Pd presence in the system. The effect of polarity reversal frequency, duration of the polarity reversal intervals, current intensity and TCE concentration on TCE removal rate and removal mechanism were evaluated. TCE removal efficiencies under 6 cycles h(-1) were similar in the presence of Pd catalyst (50.3%) and without Pd catalyst (49.8%), indicating that Pd has limited impact on TCE degradation under these conditions. The overall removal efficacies after 60 min treatment under polarity reversal frequencies of 6, 10, 15, 30 and 90 cycles h(-1) were 50.3%, 56.3%, 69.3%, 34.7% and 23.4%, respectively. Increasing the frequency of polarity reversal increases TCE removal as long as sufficient charge is produced during each cycle for the reaction at the electrode. Electrode polarity reversal shifts oxidation/reduction and reduction/oxidation sequences in the system. The optimized polarity reversal frequency (15 cycles h(-1) at 60 mA) enables two reaction zones formation where reduction/oxidation occurs at each electrode surface. Published by Elsevier Ltd.

  18. Laetrile treatment for cancer.

    Science.gov (United States)

    Milazzo, Stefania; Horneber, Markus

    2015-04-28

    Laetrile is the name for a semi-synthetic compound which is chemically related to amygdalin, a cyanogenic glycoside from the kernels of apricots and various other species of the genus Prunus. Laetrile and amygdalin are promoted under various names for the treatment of cancer although there is no evidence for its efficacy. Due to possible cyanide poisoning, laetrile can be dangerous. To assess the alleged anti-cancer effect and possible adverse effects of laetrile and amygdalin. We searched the following databases: CENTRAL (2014, Issue 9); MEDLINE (1951-2014); EMBASE (1980-2014); AMED; Scirus; CINAHL (all from 1982-2015); CAMbase (from 1998-2015); the MetaRegister; the National Research Register; and our own files. We examined reference lists of included studies and review articles and we contacted experts in the field for knowledge of additional studies. We did not impose any restrictions of timer or language. Randomized controlled trials (RCTs) and quasi-RCTs. We searched eight databases and two registers for studies testing laetrile or amygdalin for the treatment of cancer. Two review authors screened and assessed articles for inclusion criteria. We located over 200 references, 63 were evaluated in the original review, 6 in the 2011 and none in this update. However, we did not identify any studies that met our inclusion criteria. The claims that laetrile or amygdalin have beneficial effects for cancer patients are not currently supported by sound clinical data. There is a considerable risk of serious adverse effects from cyanide poisoning after laetrile or amygdalin, especially after oral ingestion. The risk-benefit balance of laetrile or amygdalin as a treatment for cancer is therefore unambiguously negative.

  19. Ayahuasca and cancer treatment

    Directory of Open Access Journals (Sweden)

    Eduardo E Schenberg

    2013-10-01

    Full Text Available Objectives: Comprehensively review the evidence regarding the use of ayahuasca, an Amerindian medicine traditionally used to treat many different illnesses and diseases, to treat some types of cancer. Methods: An in-depth review of the literature was conducted using PubMed, books, institutional magazines, conferences and online texts in nonprofessional sources regarding the biomedical knowledge about ayahuasca in general with a specific focus in its possible relations to the treatment of cancer. Results: At least nine case reports regarding the use of ayahuasca in the treatment of prostate, brain, ovarian, uterine, stomach, breast, and colon cancers were found. Several of these were considered improvements, one case was considered worse, and one case was rated as difficult to evaluate. A theoretical model is presented which explains these effects at the cellular, molecular, and psychosocial levels. Particular attention is given to ayahuasca’s pharmacological effects through the activity of N,N-dimethyltryptamine at intracellular sigma-1 receptors. The effects of other components of ayahuasca, such as harmine, tetrahydroharmine, and harmaline, are also considered. Conclusion: The proposed model, based on the molecular and cellular biology of ayahuasca’s known active components and the available clinical reports, suggests that these accounts may have consistent biological underpinnings. Further study of ayahuasca’s possible antitumor effects is important because cancer patients continue to seek out this traditional medicine. Consequently, based on the social and anthropological observations of the use of this brew, suggestions are provided for further research into the safety and efficacy of ayahuasca as a possible medicinal aid in the treatment of cancer.

  20. INSTRUMENTAL TREATMENT OF AMBLYOPIA

    Directory of Open Access Journals (Sweden)

    B. F. Lavrent’ev

    2016-01-01

    Full Text Available To develop a device with broad functionality for treatment amblyopia. methods. Analysis of functionality and technical characteristics of devices for amblyopia treatment and the development of multifunctional apparatus. results. The full-color light transmitters (i.e., LEDs are used in device. It provides the radiation withfull color spectrum. There are several directions of movement of stimuli which are presented on the display: horizontally from left to right or from right to left, vertically bottom-up or top-down, multidirectionally from the center of the display to the periphery or from the periphery of the display to the center, in a circumferential or helical pattern clockwise or counterclockwise. The period of motion of the stimuli varies from 0.25 to 4 seconds in increments of 0.25 seconds. Pulse modulation is 0-20 Hz. Light intensity is 0.1-3.0 cd. The duration of one treatment session is 1-7 min. The characteristic property of the device is multiprogram operating, i.e., several modes are switched consistently in the course of one session. Operating modes are customized for each patient. Computer control provides reprogramming of the device when assigning new tasks. Light-emitting display can be placed in the cone or be made as external component (rectangular-, quadratic-, or round-shaped. Conclusions. Stimulation of visual analyzer is performed with full-color light stimuli which move in various directions or rotate. Adjustment of modulation frequency and movement rate of the stimuli allows to change stimulation mode temporally and spatially. The device can be used in clinical and domestic settings to treat amblyopia, myopia and computer vision syndrome as well as to prevent eye fatigue.

  1. [Treatment of syncope].

    Science.gov (United States)

    Andresen, D

    2014-06-01

    The therapy of patients with syncope is oriented to the underlying pathophysiological mechanisms. Patients with reflex syncope require careful education regarding recognition of warning signs and the avoidance of trigger factors. Treatment with beta blockers is nowadays obsolete. Even other drugs have failed to show any benefit. Pacemaker therapy should only be considered if syncope attacks are frequent and if there is a correlation between symptoms and the electrocardiogram (ECG). Because autonomic failure in patients with orthostatic hypotension is often drug-induced, reduction of the dosage or the complete elimination is the treatment of choice in these patients. A higher than normal salt and fluid intake as well as general measures to avoid delayed venous backflow, e.g. elastic stockings, may also be helpful. A change in blood pressure medication can be decisive for therapy success, especially in elderly patients with arterial hypertension. Pacemaker and defibrillator therapy is the treatment of choice in patients with bradycardia and tachycardia arrhythmias, respectively. Although these measures are simple but effective, in individual cases it is still difficult to find clinical proof that arrhythmic disorders are the causal factors for the syncope. However, also in these patients cardiac pacing should be based on a symptom ECG correlation. The recently conducted market release of the injectable miniaturized ECG recorder will alleviate the diagnostic process. The limits of this approach, however, become obvious when there is the suspicion of a life-threatening rhythm disorder, because the only difference between syncope and sudden cardiac death is that in one case the patient wakes up again.

  2. Treatment versus proportionality

    DEFF Research Database (Denmark)

    Sorensen, David Woodrow Mattson

    2010-01-01

    . This critique, which hinges on proportionality, led to a change in the law on July 1, 2000, after which the length of treatment for non-serious-violent crimes was limited to a maximum of five years. This change was itself criticized by the Council of Medical Forensic Specialists, who argued that time of release...... persons sentenced before and after the July 1, 2000 change in the law. The analysis is based on 1510 persons serving 1554 sentences and utilizes data from the criminal register, the central psychiatric register, the cause of death register, and the population register. The data do not support...

  3. Treatment of autoinflammatory diseases

    DEFF Research Database (Denmark)

    Ter Haar, Nienke; Lachmann, Helen; Özen, Seza

    2013-01-01

    diseases were included: familial Mediterranean fever (FMF), cryopyrin-associated periodic syndromes (CAPS), tumour necrosis factor (TNF)-receptor associated periodic syndrome (TRAPS), mevalonate kinase deficiency (MKD), pyogenic arthritis pustulosis acne (PAPA) syndrome, deficiency of interleukin-1...... on demand probably represent a valid therapeutic strategy for PFAPA, but also for MKD and TRAPS. Patients with poorly controlled MKD, TRAPS, PAPA or FMF may benefit from IL-1 blockade; anti-TNF treatment may represent a possible valuable alternative. CONCLUSIONS: In the absence of high-grade evidence...

  4. [Antibiotic treatments in urology].

    Science.gov (United States)

    Chaussade, H; Sunder, S; Bernard, L; Coloby, P; Guy, L; Karsenty, G; Bastide, C; Bruyère, F

    2013-11-01

    To define prescription modalities for the use of antibiotics in urology. A bibliographic research was performed using the MEDLINE database concerning all the antibiotics usable in urology. Treatments were classified by families; modes of action, indications in urology and adverse events have been detailed. Administrative files for commercial use have been consulted and associated with literature analysis. About 8 classes of antibiotics are usable in urology in a routine use. How they work, indications in urology and adverse events are discussed. Knowing that bacterial resistance to quinilones is increasing dramatically, it seems imperative to control the use of 8 classes of antibiotics. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  5. Amblyopia and Treatment

    Directory of Open Access Journals (Sweden)

    Gözde Koçak

    2014-05-01

    Full Text Available The most common cause of unilateral visual impairment in children is amblyopia. Anisometropia is the major cause in school-age and strabismus is in pre-school period. Amblyopia occurs from visual deprivation in the critical period or abnormal binocular interaction. If visual acuity in one eye is less than the other and if there are differences in refractive error, strabismus or strabismus history, diagnosis of amblyopia should be considered. Refractive correction, patching, and penalization are overriding treatment modalities. (Turk J Ophthalmol 2014; 44: 228-36

  6. Tinnitus guidelines and treatment

    DEFF Research Database (Denmark)

    Larsen, Dalia Gustaityté; Ovesen, Therese

    2014-01-01

    In this study literature search was performed on tinnitus guidelines and treatment. Tinnitus can be described as the perception of sound in the absence of external acoustic stimulation, and validated questionnaires, oto-neurological examination, audiometry tests, MRI and angiography are necessary...... as diagnostic tools. Antidepressants, melatonin and cognitive behavioural therapy have no effect on tinnitus, whereas sound generators, hearing aids and tinnitus retraining therapy show some but limited improvement. National recommendations are required to ensure a homogenous and optimum offer for all patients....

  7. Novel preventive treatment options

    DEFF Research Database (Denmark)

    Longbottom, C; Ekstrand, K; Zero, D

    2009-01-01

    to that point. These include: approximal sealants; fluoride applications, including slow-release devices; measures to help remineralize demineralized tissue, including 3 different methods of delivering amorphous calcium phosphate; measures to help modify the biofilm to reduce the cariogenic challenge, including...... of these techniques show considerable promise and dentists should be aware of these developments and follow their progress, the evidence for each of these novel preventive treatment options is currently insufficient to make widespread recommendations. Changes in dental practice should be explored to see how oral...

  8. Treatment in Postconcussional Syndrome

    Directory of Open Access Journals (Sweden)

    Necla Keskin

    2013-03-01

    Full Text Available Postconcussional syndrome is characterized by somatic, cognitive and psychiatric (emotional, behavioral symptoms that occur after mild traumatic brain injury. These symptoms usually recover fully within 3-6 months almost in 90% of patients. Persistent post-concussion symptoms could occur in 10% of patients. Diagnosis is based on the subjective complaints and the treatment of the syndrome is mainly of palliative nature. The patient should be educated about the nature and outcome of the syndrome and reassured that almost all symptoms recover fully within 3-6 months. Multifaceted rehabilitation programs and cognitive behavioral therapy could be beneficial. Pharmacotherapy and somatic therapy are other options for persistent symptoms.

  9. Nicotine addiction and treatment.

    Science.gov (United States)

    Rose, J E

    1996-01-01

    The persistence of cigarette smoking despite widespread awareness of adverse health effects results from an underlying addiction to nicotine. Unaided attempts to quit smoking are generally unsuccessful. This article discusses nicotine addition and therapeutic techniques that have been or are being developed to relieve smoking withdrawal symptoms and promote abstinence from smoking. These techniques include nicotine chewing gum, skin patches, nasal sprays, and inhalers, as well as pharmacotherapies such as mecamylamine and clonidine, serotonergic treatments such as buspirone, and antidepressants such as buproprion. A nondrug approach using cigarette substitutes that mimic the airway sensations produced by cigarette smoke is also discussed.

  10. [Treatment of pancreatic pseudocysts].

    Science.gov (United States)

    Montesani, C; D'Amato, A; Citone, G; Procacciante, F; Giannoni, F; Narilli, P; Ribotta, G

    1984-04-01

    Based on the results of treatment of a personal series of 13 cases of pseudocyst of the pancreas, between 1974 and the present day, it is suggested that the choice of therapy should be surgical. An internal shunt is preferred for pseudocysts as a result of acute pancreatitis or injury, whereas a wider cysto-wirsung jejunostomy is recommended for cysts developing during the course of chronic pancreatitis. These proposals follow analysis of immediate and long-term (mean: 51 months) follow-up, on the basis of mortality, morbidity, pain symptoms, malabsorption and postoperative diabetes.

  11. Treatment of Hodgkin's lymphoma

    International Nuclear Information System (INIS)

    Petrov, M.

    1986-01-01

    The data pertinent to 101 patients with Hodgkin's disease who had been subjected to splenectomy and combined radiation therapy and chemotherapy are analyzed. The efficacy of the treatment was relatively dependent on the initial localization and the degree of the generalization and appresiveness of the disease. Acceleration of the disease gene realization stemmed from totally deranged antitumor immunity. The modern therapeutic remedies have reached the peak of their potentialities. This prompt the necessity of the search for new, still unknown biological methods, permitting the attainment of a more complete demalignancy

  12. Increased nitration and carbonylation of proteins in MRL +/+ mice exposed to trichloroethene: Potential role of protein oxidation in autoimmunity

    International Nuclear Information System (INIS)

    Wang Gangduo; Wang Jianling; Ma Huaxian; Khan, M. Firoze

    2009-01-01

    Even though reactive oxygen and nitrogen species (RONS) are implicated as mediators of autoimmune diseases (ADs), little is known about contribution of protein oxidation (carbonylation and nitration) in the pathogenesis of such diseases. The focus of this study was, therefore, to establish a link between protein oxidation and induction and/or exacerbation of autoimmunity. To achieve this, female MRL +/+ mice were treated with trichloroethene (TCE), an environmental contaminant known to induce autoimmune response, for 6 or 12 weeks (10 mmol/kg, i.p., every 4 th day). TCE treatment resulted in significantly increased formation of nitrotyrosine (NT) and induction of iNOS in the serum at both 6 and 12 weeks of treatment, but the response was greater at 12 weeks. Likewise, TCE treatment led to greater NT formation, and iNOS protein and mRNA expression in the livers and kidneys. Moreover, TCE treatment also caused significant increases (∼3 fold) in serum protein carbonyls (a marker of protein oxidation) at both 6 and 12 weeks. Significantly increased protein carbonyls were also observed in the livers and kidneys (2.1 and 1.3 fold, respectively) at 6 weeks, and to a greater extent at 12 weeks (3.5 and 2.1 fold, respectively) following TCE treatment. The increases in TCE-induced protein oxidation (carbonylation and nitration) were associated with significant increases in Th1 specific cytokine (IL-2, IFN-γ) release into splenocyte cultures. These results suggest an association between protein oxidation and induction/exacerbation of autoimmune response. The results present a potential mechanism by which oxidatively modified proteins could contribute to TCE-induced autoimmune response and necessitates further investigations for clearly establishing the role of protein oxidation in the pathogenesis of ADs.

  13. Risks assessment of environmental exposure to certain organo chemicals in male rats: the possible modulatory effect of micro nutrients

    International Nuclear Information System (INIS)

    Ibrahim, R.Y.M.

    2011-01-01

    Trichloroethylene (TCE) is a widely volatile organic compound, because of its widespread commercial use. So, TCE become a major environmental pollutant. It is the most frequently reported organic contaminant in ground water, so a considerable numbers of people are exposed to TCE via inhalation, through the skin or through drinking water and rarely through food. The main symptoms of exposure are headache, dizziness, and confusion, beyond the effects on the central nervous system, work place exposure to TCE has been associated with toxic effects in many organs including liver, kidney and testes in addition to attenuation to the immune system. The present study aims to investigate the possible modulatory effect of certain micro nutrients such as vitamin C and zinc alone and in combination on the damage of liver, kidney and testes of male rats intoxicated with trichloroethylene for 20 and 105 days. The results showed significant decrease in body and testes weight and increase in liver and kidney weights after long period of treatment with TCE. Some of the selected hematological and biochemical parameters of the rats intoxicated by TCE for short and long period significantly changed. The results revealed significant decrease in free tetraiodothyronine (thyroxine) (FT4) and significant increase in free triiodothyronine (FT3) and thyroid stimulating hormone (Thyrotropin) (TSH) in TCE-intoxicated rat groups for the two periods of treatment. Also results revealed significant decrease of total testosterone in TCE-intoxicated rat groups as compared to that of normal control. Also significant changes were detected in the level of immunoglobulins IgG and IgM.Histopathological examination of liver, kidney and testicular tissues showed significant alteration. The DNA damage was observed in both period of treatment and increased DNA damage with apoptosis was recorded after 105 days of the treatment. Withdrawal group recorded mild improvement in all changed parameters and the

  14. Nanotechnology in cancer treatment

    Science.gov (United States)

    Mironidou-Tzouveleki, Maria; Imprialos, Konstantinos; Kintsakis, Athanasios

    2011-10-01

    The purpose of this paper is to analyze the current evolutions on nanotechnology and its applications on cancer theragnostics.Rapid advances and emerging technologies in nanotechnology are having a profound impact on cancer treatment. Applications of nanotechnology, which include liposomes, nanoparticles, polymeric micelles, dendrimers, nanocantilever, carbon nanotubes and quantum dots have significantly revolutionized cancer theragnostics. From a pharmaceutical viewpoint, it is critical that the biodistribution of active agents has to be controlled as much as possible. This aspect is vital in order to assure the proper efficiency and safety of the anticancer agents. These biocompatible nanocomposites provide specific biochemical interactions with receptors expressed on the surface of cancer cells. With passive or active targeting strategies, an increased intracellular concentration of drugs can be achieved in cancer cells , while normal cells are being protected from the drug simultaneously. Thus, nanotechnology restricts the extent of the adverse effects of the anticancer therapy. Treatment for metastatic breast cancer, sarcoma in AIDS patients, ovarian and lung cancer is already on market or under final phases of many clinical trials, showing remarkable results. As nanotechnology is perfected, side effects due to normal cell damage will decrease, leading to better results and lengthening patient's survival.

  15. Treatment of Tourette syndrome.

    Science.gov (United States)

    Kurlan, Roger M

    2014-01-01

    Tourette's syndrome (TS) consists of chronic motor and phonic tics and characteristically begins in childhood. The tics can be disabling and commonly associated behavioral comorbities such as attention deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD), can also cause problems in daily functioning. The underlying etiology and neurobiology of TS remain unknown although genetic factors appear to be important, cortical control of basal ganglia motor function appears to be disturbed and neurochemical abnormalities, particularly involving dopamine neurotransmission, are likely present. The treatment of TS involves appropriate education and support. Tics can be treated with habit reversal cognitive behavioral therapy, medications (most commonly alpha agonists and antipsychotics), local intramuscular injections of botulinum toxin and some severe, refractory cases have responded to deep brain stimulation surgery (DBS). It is important to appropriately diagnose and treat comorbid behavioral disorders that are disrupting function. OCD can be treated with cognitive behavioral therapy, selective serotonin reuptake inhibitors, and atypical antipsychotics. DBS has become a treatment option for patients with disabling OCD despite other therapies. ADHD is treated with appropriate classroom accommodations, behavioral therapy, alpha agonists, atomoxetine or methylphenidate-containing stimulant drugs.

  16. Treatment of ameloblastoma

    Directory of Open Access Journals (Sweden)

    Fernando Vagner Raldi

    2010-04-01

    Full Text Available Ameloblastoma is a benign odontogenic tumor of epithelial origin, with slow growth, frequently found in the mandible or maxilla. The symptoms are unnoticeable, rarely being perceived by the patient in the initial stages, and are sometimes diagnosed by chance in routine radiographic exams. Clinically, it is a hardened curvature that grows slowly, and the regional mucosa remains with the normal appearance. There is rarely a solution of continuity or infection. The ameloblastoma invades the spaces between the trabeculated bones without reabsorbing them, and expands the compact bone without invading it, however, it may propagate through the mandibular canal. It has been given this name due to its similarity to the cells of the enamel organ and it has a unique biological behavior that leads to controversy with regard to the best form of treatment. This clinical case describes the case of a unicystic ameloblastoma located in the left retromandibular region with eight years of follow-up. Clinical and radiographic diagnosis was confirmed through the histopathologic exam. Treatment proposed was enucleation without marginal dissection.

  17. Rosacea: Diagnosis and Treatment.

    Science.gov (United States)

    Oge', Linda K; Muncie, Herbert L; Phillips-Savoy, Amanda R

    2015-08-01

    Rosacea is a chronic facial skin condition of unknown cause. It is characterized by marked involvement of the central face with transient or persistent erythema, telangiectasia, inflammatory papules and pustules, or hyperplasia of the connective tissue. Transient erythema, or flushing, is often accompanied by a feeling of warmth. It usually lasts for less than five minutes and may spread to the neck and chest. Less common findings include erythematous plaques, scaling, edema, phymatous changes (thickening of skin due to hyperplasia of sebaceous glands), and ocular symptoms. The National Rosacea Society Expert Committee defines four subtypes of rosacea (erythematotelangiectatic, papulopustular, phymatous, and ocular) and one variant (granulomatous). Treatment starts with avoidance of triggers and use of mild cleansing agents and moisturizing regimens, as well as photoprotection with wide-brimmed hats and broad-spectrum sunscreens (minimum sun protection factor of 30). For inflammatory lesions and erythema, the recommended initial treatments are topical metronidazole or azelaic acid. Once-daily brimonidine, a topical alpha-adrenergic receptor agonist, is effective in reducing erythema. Papulopustular rosacea can be treated with systemic therapy including tetracyclines, most commonly subantimicrobial-dose doxycycline. Phymatous rosacea is treated primarily with laser or light-based therapies. Ocular rosacea is managed with lid hygiene, topical cyclosporine, and topical or systemic antibiotics.

  18. Behavioral treatment of obesity

    Directory of Open Access Journals (Sweden)

    Táki Athanássios Cordas

    2006-03-01

    Full Text Available Great population studies do not confirm the hypothesis that atypical personality of obese would exist. Obeses in the generalpopulation do not present more psychological disturbs thanthe ones that are not obeses. Obeses adolescents and adultsare discriminated in their academic and professional lifes. Thissocial, cultural, economic and affective impoverishment seemsto be directly related to the gravity of their obesity, what means,higher the ICM (Index of Corporal Mass, bigger are thepsychological problems. This abandonment contributes to thebig risk of unchain psychiatric pictures as depression, anxyetdisturbs, drugs and alcoholic excessive consumption andalimentary disturbs. Obeses of the general population do notpresent more psychological or psychiatric symptoms than theclinical population of obeses (obeses under treatment, presentmore clinical and psychiatric problems, mainly compulsoryalimentary standards. Some studies indicate that there is alinear relation between the ICM and the highest frequency ofalimentary compulsory behavior or bulimic episode. Thepsychiatric patients negative body perception added to theirother negative perceptions about their performance in searchingsocial interaction increase the trend to the isolation. Thepsychiatric picture presence in the bariatric surgery preoperatoryin a III degree overweight pacient has not to be facedas absolute surgery counter indication since such procedurecan be the difference between giving a better life quality orwaiting for a potentially lethal complication. We cannot forgetthat the obesity itself, due to the common associatedcomorbidyties, loads a great lethality potential. The surgerycounter-indication could be relative, it depending on how muchthe psychiatric disturbs interfere on the treatment andconditioned to the rigorous psychiatric control in the anteriorand post surgical period.

  19. TREATMENT OF HIP DYSPLASIA

    Directory of Open Access Journals (Sweden)

    Iulian ICLEANU

    2015-11-01

    Full Text Available In this thesis, our purpose is to show that using physiotherapy on patients with hip dysplasia from the very beginning, in the first months of life, helps treating them faster. Common literature proposes to use physiotherapy on patients with hip dysplasia either after their recovery or in the terminal phase of recovery, claiming that any earlier intervention will prolong the hip recovery. The effects of hip dysplasia reflect over the whole musculoskeletal system, while it hinders the knees (genu valgum, the ankles (ankle valgus, calcaneal valgus and the spine (scoliosis especially at the lumbar level. The most spectacular are at the hip level, that is why we made an analytical evaluation only for this joint. To show the importance of physiotherapy for children with hip dysplasia we started from the hypothesis: untimely treatment for children with hip dysplasia has improved results in functional recovery and in obtaining a better stability, without the necessity of orthopedics or surgical interventions. The research methods used in this study are: the observation method, the bibliographic study method, the experimental method, the graphics method and the statistical mathematical method to process the data and to represent the results graphically. In the end, the results obtained are significantly different from the initial evaluations and we came to the conclusion that starting an untimely analytical kinetic treatment and globally personalizing it to every patient improves stability and biomechanical parameters for the hip.

  20. Dietary treatment of obesity

    Directory of Open Access Journals (Sweden)

    Ana Maria Pita Lottenberg

    2006-03-01

    Full Text Available The fast global increased prevalence of obesity has been classifiedas an epidemics by the World Health Organization. The etiology ofobesity is very complex and involves genetic and environmentalfactors. One of the main factors that trigger obesity is sedentarylife, as well as the great availability of fat-rich foods that present ahigh energy density. According to the NHANES II, although thepopulation has decreased the ingestion of fat, the total consumptionof food has increased. The main factors that influence in choice offood are flavor, followed by cost, convenience and, finally, itsnutritional value. The dietary treatment of obesity should haverealistic goals concerning weight loss rate and amount. It issuggested to prescribe a balanced low-calorie diet, emphasizingmostly the quality of foods by using the food pyramid. Therefore,patients may learn the appropriate criteria to select food and makehealthy choices. The dietary treatment of obesity also includesthe use of behavioral techniques directed at dietary education,thus resulting in choice of healthy foods with adequate energyvalue.

  1. Treatment of adolescent obesity.

    Science.gov (United States)

    Steinbeck, Katharine S; Lister, Natalie B; Gow, Megan L; Baur, Louise A

    2018-04-13

    The increased prevalence of adolescent obesity and associated short-term and long-term complications emphasize the need for effective treatment. In this Review, we aim to describe the evidence for, and elements of, behaviour management and adjunctive therapies and highlight the opportunities and challenges presented by obesity management in adolescence. The broad principles of treatment include management of obesity-associated complications; a developmentally appropriate approach; long-term behaviour modification (dietary change, increased physical activity, decreased sedentary behaviours and improved sleep patterns); long-term weight maintenance strategies; and consideration of the use of pharmacotherapy, more intensive dietary therapies and bariatric surgery. Bariatric surgery should be considered in those with severe obesity and be undertaken by skilled bariatric surgeons affiliated with teams experienced in the medical and psychosocial management of adolescents. Adolescent obesity management strategies are more reliant on active participation than those for childhood obesity and should recognize the emerging autonomy of the patient. The challenges in adolescent obesity relate primarily to the often competing demands of developing autonomy and not yet having attained neurocognitive maturity.

  2. Surgical treatment of thymoma.

    Science.gov (United States)

    Miller, Quintessa; Moulton, Michael J; Pratt, Jerry

    2002-01-01

    A case report is presented of a 66-year-old white woman with a 3-month history of atypical chest pain and shortness of breath. A lateral chest radiograph demonstrated an anterior mediastinal density. A subsequent computed tomography (CT) scan revealed a mass in the right anterolateral mediastinum. Fine-needle aspiration (FNA) revealed tumor cells positive for cytokeratin and negative for leukocyte common antigen. The differential diagnosis at that time included thymoma versus thymic carcinoid. She underwent a median sternotomy with complete thymectomy. The pathology revealed a large thymoma with microinvasion into the surrounding adipose tissue. She had an uneventful postoperative course and later underwent adjuvant radiation therapy. Surgical treatment of thymoma is discussed, with emphasis on diagnosis and treatment. Although some patients may present with symptoms caused by involvement of surrounding structures, most thymomas are discovered incidentally on chest radiograph. Various diagnostic procedures can aid the surgeon in ruling out other neoplasms, such as lymphoma or germ cell tumors. Prognosis is not based on histology, but on the tumor's gross characteristics at operation. Benign tumors are noninvasive and encapsulated. All patients with potentially resectable lesions should undergo en-bloc excision. Radiation or chemotherapy should be instituted in more advanced tumors.

  3. Fuel treatment guidebook: illustrating treatment effects on fire hazard

    Science.gov (United States)

    Morris Johnson; David L. Peterson; Crystal Raymond

    2009-01-01

    The Guide to Fuel Treatments (Johnson and others 2007) analyzes potential fuel treatments and the potential effects of those treatments for dry forest lands in the Western United States. The guide examines low- to mid-elevation dry forest stands with high stem densities and heavy ladder fuels, which are currently common due to fire exclusion and various land management...

  4. Building 107 for surface treatment

    CERN Multimedia

    Brice, Maximilien

    2018-01-01

    A brand new state-of-the-art building hosting laboratories for the surface treatment of vacuum equipment and workshops for the manufacturing and treatment of printed circuit boards was completed in 2017.

  5. Symptoms and Treatment of Depression

    Medline Plus

    Full Text Available ... 3 items) Institute Announcements (24 items) Symptoms and Treatment of Depression February 1, 2010 People with depression ... why it affects some people but not others. Treatments for depression do work. One type of effective ...

  6. Treatment Options for Myelodysplastic Syndromes

    Science.gov (United States)

    ... with ESAs to help the treatment work better. Antibiotic therapy Antibiotics may be given to fight infection . Drug ... of the following: Transfusion therapy . Erythropoiesis-stimulating agents . Antibiotic therapy. Treatments to slow progression to acute myeloid leukemia ( ...

  7. Treatment Option Overview (Myelodysplastic Syndromes)

    Science.gov (United States)

    ... with ESAs to help the treatment work better. Antibiotic therapy Antibiotics may be given to fight infection . Drug ... of the following: Transfusion therapy . Erythropoiesis-stimulating agents . Antibiotic therapy. Treatments to slow progression to acute myeloid leukemia ( ...

  8. Extracorporeal treatment for theophylline poisoning

    DEFF Research Database (Denmark)

    Ghannoum, Marc; Wiegand, Timothy J; Liu, Kathleen D

    2015-01-01

    BACKGROUND: The Extracorporeal Treatments in Poisoning workgroup was created to provide evidence-based recommendations on the use of extracorporeal treatments (ECTRs) in poisoning. Here, the workgroup presents its systematic review and recommendations for theophylline. METHODS: After a systematic...

  9. Life After Breast Cancer Treatment

    Science.gov (United States)

    FACTS FOR LIFE Life After Breast Cancer Treatment Once breast cancer treatment ends, you may face a new set of issues and concerns. ... fear. If fear starts to disrupt your daily life, talk with your doctor. Getting the support and ...

  10. Precision Medicine in Cancer Treatment

    Science.gov (United States)

    Precision medicine helps doctors select cancer treatments that are most likely to help patients based on a genetic understanding of their disease. Learn about the promise of precision medicine and the role it plays in cancer treatment.

  11. Topical Acne Treatments and Pregnancy

    Science.gov (United States)

    Topical Acne Treatments and Pregnancy In every pregnancy, a woman starts out with a 3-5% chance of having ... This sheet talks about whether exposure to topical acne treatments may increase the risk for birth defects ...

  12. Deployable Wastewater Treatment Technology Evaluation

    National Research Council Canada - National Science Library

    Coppola, Edward

    2002-01-01

    .... The goal of AFRL/MLQD is for the deployable wastewater treatment system to be integrated into a waste treatment system that will treat both solid and aqueous waste. The US Army (TARDEC) and the Air Force (AAC/WMO...

  13. Treatment of depression.

    Science.gov (United States)

    Payk, T R

    1994-10-01

    Depressions are the most common psychiatric diseases. For treatment, plant extracts have been used for thousands of years: examples are extracts from the (sleeping) poppy (opium), deadly nightshade (Atropa belladonna), Indian hemp (hashish), henbane (hyoscyamine), thorn apple (scopolamine), and St. John's wort (hypericum oil). In addition, psychotherapeutic measures, like playing music, dancing, playing theatre, and also the temple sleep, were used. In the 19th century, the introduction of brome (1826), codeine (1832), chloral hydrate (1869), and paraldehyde (1882), as well as the barbiturates (at the turn of the century) introduced significant improvements in pharmacotherapy. The modern thymoleptica therapy started in 1957 with the introduction of imipramine. Now about 40 active antidepressants are marketed. New drug developments should be characterized mainly by an improvement in tolerance.

  14. Radioactive waste treatment apparatus

    International Nuclear Information System (INIS)

    Abrams, R.F.; Chellis, J.G.

    1983-01-01

    Radioactive waste treatment apparatus is disclosed in which the waste is burned in a controlled combustion process, the ash residue from the combustion process is removed and buried, the gaseous effluent is treated in a scrubbing solution the pH of which is maintained constant by adding an alkaline compound to the solution while concurrently extracting a portion of the scrubbing solution, called the blowdown stream. The blowdown stream is fed to the incinerator where it is evaporated and the combustibles in the blowdown stream burned and the gaseous residue sent to the scrubbing solution. Gases left after the scrubbing process are treated to remove iodides and are filtered and passed into the atmosphere

  15. Radioiodine treatment of hyperthyroidism

    International Nuclear Information System (INIS)

    Becker, D.V.; Hurley, J.R.

    1988-01-01

    Hyperthyroidism is a clinical symptom complex caused by elevated thyroid hormone levels. Of the disorders in which it appears, the most common is Graves' disease; toxic nodular goiter (Plummer's disease) is considerably less frequent. Recent studies suggest that Graves' disease is autoimmune in origin and is probably caused by a genetic defect in immunoserveillance in which thyroid-stimulating antibodies interact with thyroid-stimulating hormone (TSH) receptor sites on thyroid follicular cell membranes to increase synthesis and secretion of thyroid hormones. Toxic nodular goiter is characterized by the secretion of increased amounts of thyroid hormone by localized autonomous areas of increased function within the thyroid gland. Other forms of hyperthyroidism are discussed. Radioiodine treatment of hyperthyroidism is described

  16. Underground Coal Thermal Treatment

    Energy Technology Data Exchange (ETDEWEB)

    Smith, P. [Univ. of Utah, Salt Lake City, UT (United States); Deo, M. [Univ. of Utah, Salt Lake City, UT (United States); Eddings, E. [Univ. of Utah, Salt Lake City, UT (United States); Sarofim, A. [Univ. of Utah, Salt Lake City, UT (United States); Gueishen, K. [Univ. of Utah, Salt Lake City, UT (United States); Hradisky, M. [Univ. of Utah, Salt Lake City, UT (United States); Kelly, K. [Univ. of Utah, Salt Lake City, UT (United States); Mandalaparty, P. [Univ. of Utah, Salt Lake City, UT (United States); Zhang, H. [Univ. of Utah, Salt Lake City, UT (United States)

    2012-01-11

    The long-term objective of this work is to develop a transformational energy production technology by insitu thermal treatment of a coal seam for the production of substitute natural gas (SNG) while leaving much of the coal's carbon in the ground. This process converts coal to a high-efficiency, low-GHG emitting gas fuel. It holds the potential of providing environmentally acceptable access to previously unusable coal resources. This topical report discusses the development of experimental capabilities, the collection of available data, and the development of simulation tools to obtain process thermo-chemical and geo-thermal parameters in preparation for the eventual demonstration in a coal seam. It also includes experimental and modeling studies of CO2 sequestration.

  17. Alpha wastes treatment

    International Nuclear Information System (INIS)

    Thouvenot, P.

    2000-01-01

    Alter 2004, the alpha wastes issued from the Commissariat a l'Energie Atomique installations will be sent to the CEDRA plant. The aims of this installation are decontamination and wastes storage. Because of recent environmental regulations concerning ozone layer depletion, the use of CFC 113 in the decontamination unit, as previously planned, is impossible. Two alternatives processes are studied: the AVD process and an aqueous process including surfactants. Best formulations for both processes are defined issuing degreasing kinetics. It is observed that a good degreasing efficiency is linked to a good decontamination efficiency. Best results are obtained with the aqueous process. Furthermore, from the point of view of an existing waste treatment unit, the aqueous process turns out to be more suitable than the AVD process. (author)

  18. Achalasia: current treatment options.

    Science.gov (United States)

    Familiari, Pietro; Greco, Santi; Volkanovska, Ance; Gigante, Giovanni; Cali, Anna; Boškoski, Ivo; Costamagna, Guido

    2015-01-01

    Achalasia is a rare esophageal motility disorder, characterized by impaired swallow-induced, lower esophageal sphincter (LES) relaxation and defective esophageal peristalsis. Unfortunately, there are no etiological therapies for achalasia. Patients present with dysphagia, chest pain and regurgitation of undigested food, often leading to weight loss. The currently available treatments have the common aim of relieving symptoms by decreasing the pressure of the LES. This can be achieved with some medications, by inhibiting the cholinergic innervation (botulinum toxin), by stretching (endoscopic dilation) or cutting (surgery) the LES. Recently, other therapeutic options, including per-oral endoscopic myotomy have been developed and are gaining international consensus. The authors report on the benefits and weaknesses of the different therapies and provide an updated approach to the management of achalasia.

  19. Treatments for delusional disorder.

    Science.gov (United States)

    Skelton, Mike; Khokhar, Waqqas Ahmad; Thacker, Simon P

    2015-05-22

    Delusional disorder is commonly considered to be difficult to treat. Antipsychotic medications are frequently used and there is growing interest in a potential role for psychological therapies such as cognitive behavioural therapy (CBT) in the treatment of delusional disorder. To evaluate the effectiveness of medication (antipsychotic medication, antidepressants, mood stabilisers) and psychotherapy, in comparison with placebo in delusional disorder. We searched the Cochrane Schizophrenia Group's Trials Register (28 February 2012). Relevant randomised controlled trials (RCTs) investigating treatments in delusional disorder. All review authors extracted data independently for the one eligible trial. For dichotomous data we calculated risk ratios (RR) and their 95% confidence intervals (CI) on an intention-to-treat basis with a fixed-effect model. Where possible, we calculated illustrative comparative risks for primary outcomes. For continuous data, we calculated mean differences (MD), again with a fixed-effect model. We assessed the risk of bias of the included study and used the GRADE approach to rate the quality of the evidence. Only one randomised trial met our inclusion criteria, despite our initial search yielding 141 citations. This was a small study, with 17 people completing a trial comparing CBT to an attention placebo (supportive psychotherapy) for people with delusional disorder. Most participants were already taking medication and this was continued during the trial. We were not able to include any randomised trials on medications of any type due to poor data reporting, which left us with no usable data for these trials. For the included study, usable data were limited, risk of bias varied and the numbers involved were small, making interpretation of data difficult. In particular there were no data on outcomes such as global state and behaviour, nor any information on possible adverse effects.A positive effect for CBT was found for social self esteem

  20. Osteoporosis: diagnosis and treatment

    International Nuclear Information System (INIS)

    Valino, J.; Mendoza, B.; Bozzola, J.; Vignolo, J.

    1997-01-01

    Osteoporosis represents an important problem in Public Health. It is defined a decrease in bone mass with changes in its microstructure and increased rich of fracture. This bone mass is under the influence of genetic, ethnic, nutrition environment and cultural factors. Usually, osteoporosis is asymptomatic until the occurrence of fracture that are the main morbidity element. Its study implies conventional radiologic methods, bone densitometry, bone remodelation markers and bone biopsy. The importance of prevention must be noted, as well as its treatment on the basis of exercise, calcium and hormonal substitution in the post menopause woman. Other drugs are vitamin D, bifosfonates, calcitonin and fluorine; the factors involved in bone growth on the course of experimentation [es

  1. Radiation treatment of polypropylene

    International Nuclear Information System (INIS)

    DeNicola, A.J.; Galambos, A.F.; Wolkowicz, M.D.

    1992-01-01

    Structural changes in polypropylene resulting from high energy electron beam irradiation have been examined. Polymer irradiated in a nitrogen atmosphere is characterized as containing long chain branch structures. A branching index, defined as the ratio of intrinsic viscosity of irradiated polymer to the intrinsic viscosity of linear polymer of equivalent molecular weight, is used to quantify the extent of branching. Polymer crystallization and solution properties undergo significant changes as a result of radiation treatment. Treated polypropylene is highly nucleated. Nucleation density is several orders of magnitude greater than linear polypropylene. Temperature rising elution fractionation (TREF) indicates that the long-chain branched structure contributes to increasing the solubility of polypropylene without greatly reducing the crystallizability and melting point of the solubilized fractions. The presence of long chain branching has a pronounced effect on the polymers extensional rheology in the molten state. Radiation treated polymer exhibits strain hardening elongational viscosity

  2. Wastewater treatment by flotation

    Directory of Open Access Journals (Sweden)

    F.P. Puget

    2000-12-01

    Full Text Available This work deals with the performance analysis of a separation set-up characterized by the ejector-hydrocyclone association, applied in the treatment of a synthetic dairy wastewater effluent. The results obtained were compared with the results from a flotation column (cylindrical body of a hydrocyclone operated both batch and continuously. As far as the experimental set-up studied in this work and the operating conditions imposed to the process, it is possible to reach a 25% decrease in the total effluent chemical oxygen demand (COD. This corresponds approximately to 60% of the COD of the material in suspension. The best results are obtained for ratios air flow rate-feed flow rate (Qair/Q L greater then 0.15 and for ratios underflow rate-overflow rate (Qu/Qo lower than 1.0.

  3. Wastewater Treatment in Greenland

    DEFF Research Database (Denmark)

    Gunnarsdottir, Ragnhildur

    . Wastewater contains a variety of substances, including anthropogenic pollutants, residues of pharmaceuticals and personal care products (PPCPs), pathogenic microorganisms and parasites as well as antibiotic resistant bacteria that can be harmful for the environment as well as human health. Due...... treatment in these regions. However, designing, constructing and operating wastewater collection systems in the Arctic is challenging because of e.g. permafrost conditions, hard rock surfaces, freezing, limited quantity of water and high costs of electricity, fuel and transportation, as well as a settlement...... pattern with limited accessibility, particularly in the rural parts of the Arctic. For those reasons bucket toilets are still used in parts of the towns and in almost all settlements in Greenland. This particular toilet solution has been considered a problem for many years with respect to uncontrolled...

  4. Pharmacological treatment of obesity.

    Science.gov (United States)

    Mancini, Marcio C; Halpern, Alfredo

    2006-04-01

    This review offers an overview of physiological agents, current therapeutics, as well as medications, which have been extensively used and those agents not currently available or non-classically considered anti-obesity drugs. As obesity - particularly that of central distribution - represents an important triggering factor for insulin resistance, its pharmacological treatment is relevant in the context of metabolic syndrome control. The authors present an extensive review on the criteria for anti-obesity management efficacy, on physiological mechanisms that regulate central and/or peripheral energy homeostasis (nutrients, monoamines, and peptides), on beta-phenethylamine pharmacological derivative agents (fenfluramine, dexfenfluramine, phentermine and sibutramine), tricyclic derivatives (mazindol), phenylpropanolamine derivatives (ephedrin, phenylpropanolamine), phenylpropanolamine oxytrifluorphenyl derivative (fluoxetine), a naftilamine derivative (sertraline) and a lipstatine derivative (orlistat). An analysis of all clinical trials - over ten-week long - is also presented for medications used in the management of obesity, as well as data about future medications, such as a the inverse cannabinoid agonist, rimonabant.

  5. Azathioprine treatment during lactation

    DEFF Research Database (Denmark)

    Christensen, L.A.; Dahlerup, J.F.; Nielsen, M.J.

    2008-01-01

    BACKGROUND: Thiopurines are widely used to maintain remission in inflammatory bowel disease. Treatment during pregnancy is generally recommended to improve the chance of a normal birth outcome, but advice concerning breastfeeding is conflicting. Aim To estimate the exposure of breastfed infants...... to 6-mercaptopurine, as a metabolite of azathioprine, from maternal milk. METHODS: Eight lactating women with inflammatory bowel disease receiving maintenance therapy with azathioprine 75-200 mg daily were studied. Milk and plasma samples were obtained 30 and 60 min after drug administration and hourly...... for the following 5 h. RESULTS: The variation in the bioavailability of the drug was reflected in a wide range of peak plasma values of 6-mercaptopurine within the first 3 h. A similar curve, but with an hour's delay and at significantly lower concentrations varying from 2-50 microg/L, was seen in maternal milk...

  6. Treatment of Chagas cardiomyopathy.

    Science.gov (United States)

    Botoni, Fernando A; Ribeiro, Antonio Luiz P; Marinho, Carolina Coimbra; Lima, Marcia Maria Oliveira; Nunes, Maria do Carmo Pereira; Rocha, Manoel Otávio C

    2013-01-01

    Chagas' disease (ChD), caused by the protozoa Trypanosoma cruzi (T. cruzi), was discovered and described by the Brazilian physician Carlos Chagas in 1909. After a century of original description, trypanosomiasis still brings much misery to humanity and is classified as a neglected tropical disease prevalent in underdeveloped countries, particularly in South America. It is an increasing worldwide problem due to the number of cases in endemic areas and the migration of infected subjects to more developed regions, mainly North America and Europe. Despite its importance, chronic chagas cardiomyopathy (CCC) pathophysiology is yet poorly understood, and independently of its social, clinical, and epidemiological importance, the therapeutic approach of CCC is still transposed from the knowledge acquired from other cardiomyopathies. Therefore, the objective of this review is to describe the treatment of Chagas cardiomyopathy with emphasis on its peculiarities.

  7. Treatment of prolymphocytic leukemia

    International Nuclear Information System (INIS)

    Hollister, D. Jr.; Coleman, M.

    1982-01-01

    Prolymphocytic leukemia is characterized by marked splenomegaly, distinctive cellular morphologic characteristics, and a poor clinical course. Five patients with typical PL were treated systematically with vincristine/prednisone, chlorambucil/prednisone, splenic irradiation, splenectomy, and other chemotherapy regimens. No patient responded to vincristine/prednisone. Two patients responded to chlorambucil/prednisone, and four patients had brief responses to splenic irradiation. Two patients underwent splenectomy, one of whom had a prolonged clinical remission. There were no complete remissions. No other chemotherapy combinations were of value. The median survival was 33 months. Recommendations are made to use chlorambucil/prednisone or splenic irradiation as initial treatment. Splenectomy should be considered in patients refractory to these modalities. The course of PL may be more protracted than originally reported

  8. Treatment of prolymphocytic leukemia

    International Nuclear Information System (INIS)

    Hollister, S. Jr.; Coleman, M.

    1982-01-01

    Prolymphocytic leukemia is characterized by marked splenomegaly, distinctive cellular morphologic characteristics, and a poor clinical course. Five patients with typical PL were treated systematically with vincristine/prednisone, chlorambucil/prednisone, splenic irradiation, splenectomy, and other chemotherapy regimens. No patient responded to vincristine/prednisone. Two patients responded to chlorambucil/prednisone, and four patients had brief responses to splenic irradiation. Two patients underwent splenectomy, one of whom had a prolonged clinical remissions. No other chemotherapy combinations were of value. The median survival was 33 months. Recommendations are made to use chlorambucil/prednisone or splenic irradiation as initial treatment. Splenectomy should be considered in patients refractory to these modalities. The course of PL may be more protracted than originally reported

  9. Extracorporeal treatment for thallium poisoning

    DEFF Research Database (Denmark)

    Ghannoum, Marc; Nolin, Thomas D; Goldfarb, David S

    2012-01-01

    The EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup was formed to provide recommendations on the use of extracorporeal treatment (ECTR) in poisoning. To test and validate its methods, the workgroup reviewed data for thallium (Tl).......The EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup was formed to provide recommendations on the use of extracorporeal treatment (ECTR) in poisoning. To test and validate its methods, the workgroup reviewed data for thallium (Tl)....

  10. Pharmacological treatments of pathological gambling.

    Science.gov (United States)

    Hollander, Eric; Sood, Erica; Pallanti, Stefano; Baldini-Rossi, Nicolo; Baker, Bryann

    2005-01-01

    Medication treatment studies have demonstrated short-term efficacy of various SRIs, opioid antagonists, and mood stabilizers in sub-samples of adult treatment seeking pathological gamblers. Pathological gambling is frequently comorbid with bipolar spectrum disorders, substance abuse/dependence, and attention-deficit/hyperactivity disorder (ADHD), and comorbidity may influence treatment response in pathological gambling. This review focuses on recent research examining the treatment of pathological gambling and highlights methodological challenges for future studies.

  11. Diagnosis and treatment of haemorrhoids

    DEFF Research Database (Denmark)

    Buntzen, Steen; Christensen, Peter Quist; Khalid, Ali

    2013-01-01

    These guidelines provide a review of diagnosis, conservative and surgical treatment of haemorrhoids with primary focus on the surgical treatment. In symptomatic hemorrhoids it is recommended, that conservative treatment is used as basic treatment regardless of grading. The vast majority of grade II...... haemorrhoids are treated conservatively, but surgery may be considered in a few cases with pronounced symptoms. In these cases chirurgia minor, Doppler guided dearterilization procedures or stapled haemorrhoidopexy are recommended. In grade III and IV Doppler guided dearterilization procedures, stapled...

  12. Extracorporeal treatment for acetaminophen poisoning

    DEFF Research Database (Denmark)

    Gosselin, S; Juurlink, D N; Kielstein, J T

    2014-01-01

    BACKGROUND: The Extracorporeal Treatments in Poisoning (EXTRIP) workgroup was created to provide evidence-based recommendations on the use of extracorporeal treatments (ECTR) in poisoning and the results are presented here for acetaminophen (APAP). METHODS: After a systematic review of the litera......BACKGROUND: The Extracorporeal Treatments in Poisoning (EXTRIP) workgroup was created to provide evidence-based recommendations on the use of extracorporeal treatments (ECTR) in poisoning and the results are presented here for acetaminophen (APAP). METHODS: After a systematic review...

  13. Treatment Adherence in Psychiatric Disorders

    Directory of Open Access Journals (Sweden)

    Mehmet Emin Demirkol

    2016-03-01

    Full Text Available Despite developments in treatment options there is no significant increase in treatment adherence ratios. Inadherence in psychiatric disorders is higher than the other diseases. Loss of insight, drugs' side effects, sociodemographic features, personality traits are major factors affecting the treatment adherence. Determining and overcoming these factors for each disorder will help to improve adherence and reduce the treatment costs and hospitalization. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2016; 8(1: 85-93

  14. Vaginitis: Diagnosis and Treatment.

    Science.gov (United States)

    Paladine, Heather L; Desai, Urmi A

    2018-03-01

    Vaginitis is defined as any condition with symptoms of abnormal vaginal discharge, odor, irritation, itching, or burning. The most common causes of vaginitis are bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. Bacterial vaginosis is implicated in 40% to 50% of cases when a cause is identified, with vulvovaginal candidiasis accounting for 20% to 25% and trichomoniasis for 15% to 20% of cases. Noninfectious causes, including atrophic, irritant, allergic, and inflammatory vaginitis, are less common and account for 5% to 10% of vaginitis cases. Diagnosis is made using a combination of symptoms, physical examination findings, and office-based or laboratory testing. Bacterial vaginosis is traditionally diagnosed with Amsel criteria, although Gram stain is the diagnostic standard. Newer laboratory tests that detect Gardnerella vaginalis DNA or vaginal fluid sialidase activity have similar sensitivity and specificity to Gram stain. Bacterial vaginosis is treated with oral metronidazole, intravaginal metronidazole, or intravaginal clindamycin. The diagnosis of vulvovaginal candidiasis is made using a combination of clinical signs and symptoms with potassium hydroxide microscopy; DNA probe testing is also available. Culture can be helpful for the diagnosis of complicated vulvovaginal candidiasis by identifying nonalbicans strains of Candida. Treatment of vulvovaginal candidiasis involves oral fluconazole or topical azoles, although only topical azoles are recommended during pregnancy. The Centers for Disease Control and Prevention recommends nucleic acid amplification testing for the diagnosis of trichomoniasis in symptomatic or high-risk women. Trichomoniasis is treated with oral metronidazole or tinidazole, and patients' sex partners should be treated as well. Treatment of noninfectious vaginitis should be directed at the underlying cause. Atrophic vaginitis is treated with hormonal and nonhormonal therapies. Inflammatory vaginitis may improve with

  15. Trends in advanced wastewater treatment

    DEFF Research Database (Denmark)

    Henze, M.

    1997-01-01

    The paper examines the present trends within wastewater handling and treatment. The trend is towards the extremes, either local low-tech treatment or centralized advanced treatment plants. The composition of the wastewater will change and it will be regarded as a resource. There will be more...

  16. Perspectives of addiction treatment providers

    African Journals Online (AJOL)

    Background. General practitioners are referring patients with codeine-related problems to specialist treatment facilities, but little is known about the addiction treatment providers, the kinds of treatment they provide, and whether training or other interventions are needed to strengthen this sector. Objectives. To investigate the ...

  17. [Local treatment of liver tumors

    DEFF Research Database (Denmark)

    Pless, T.K.; Skjoldbye, Bjørn Ole

    2008-01-01

    Local treatment of non-resectable liver tumors is common. This brief review describes the local treatment techniques used in Denmark. The techniques are evaluated according to the evidence in literature. The primary local treatment is Radiofrequency Ablation of both primary liver tumors and liver...

  18. Microalgal biofilms for wastewater treatment

    NARCIS (Netherlands)

    Boelee, N.C.

    2013-01-01

    The objective of this thesis was to explore the possibilities of using microalgal biofilms for the treatment of municipal wastewater, with a focus on the post-treatment of municipal wastewater effluent. The potential of microalgal biofilms for wastewater treatment was first investigated using a

  19. Integral multidisciplinary rehabilitation treatment planning

    NARCIS (Netherlands)

    Braaksma, Aleida; Kortbeek, Nikky; Post, Gerhard F.; Nollet, F.

    2014-01-01

    This paper presents a methodology to plan treatments for rehabilitation outpatients. These patients require a series of treatments by therapists from various disciplines. In current practice, when treatments are planned, a lack of coordination between the different disciplines, along with a failure

  20. Integral multidisciplinary rehabilitation treatment planning

    NARCIS (Netherlands)

    Braaksma, Aleida; Kortbeek, Nikky; Post, Gerhard F.; Nollet, Frans

    This paper presents a methodology to plan treatments for rehabilitation outpatients. These patients require a series of treatments by therapists from various disciplines. In current practice, when treatments are planned, a lack of coordination between the different disciplines, along with a failure

  1. Cardiotoxicity of oncological treatment

    International Nuclear Information System (INIS)

    Mlot, B.; Rzepecki, P.

    2010-01-01

    The basic issues in the chemotherapy of neoplastic diseases still include the different negative side effects on various organ cells. The aim of our study was to review the accessible literature devoted to the cardiological complications after the use of anti-cancer therapies: cytostatics (anthracyclines, 5-fluorouracil, cyclophosphamide, ifosfamide or mitomycin), radiotherapy, molecular targeted therapies, monoclonal antibodies or supportive care therapies, such as 5-HT3- receptor antagonists. Heart failure is a clinical syndrome predominantly caused by cardiovascular disorders, such as coronary heart disease and hypertension. However, several classes of drugs may induce heart failure in patients without concurrent cardiovascular disease or may precipitate the occurrence of heart failure in patients with pre-existing left ventricular impairment. Arrhythmia, ischaemia, acute coronary syndromes, myocarditis and pericarditis, heart failure and cardiomyopathy are among the most typical clinical presentations of myocardial damage. Cardiotoxic side effects, especially developed during chemotherapy, may be reduced through the application of drugs,, which protect the myocardium, for example: dexrazoxan. Although cardiac complications associated with bone marrow transplantation (BMT) have been documented in several series of patients, the incidence of reported cardiotoxicity varies among investigators, probably reflecting patient selection, differences in BMT preparative regimens and the lack of a universal grading system for cardiotoxic events. Molecularly targeted therapies (MTT) became a standard in cancer treatment. Most of these drugs are used together with chemotherapy, and therefore patients are simultaneously subjected to the side effects of both treatments. There exists a paradox - MTT blocks cell metabolism, an issue of vital importance for cardio myocytes. Small molecule tyrosine kinase inhibitors, while blocking the pathways of neoangiogenesis in the neoplasm

  2. Cellulite and its treatment.

    Science.gov (United States)

    Rawlings, A V

    2006-06-01

    beneficial for the treatment of cellulite. In fact, CLA was proven to ameliorate the signs of cellulite. One product, Cellasene, containing a variety of botanicals and polyunsaturated fatty acids also appears to provide some relief from these symptoms. Although more work is needed, clearly these treatments do improve the appearance of skin in subjects with cellulite. It is quite possible, however, that synergies between both oral and topical routes may be the best intervention to ameliorate the signs and symptoms of cellulite.

  3. Treatment of goitre

    Energy Technology Data Exchange (ETDEWEB)

    Bonnema, S.J.; Hegedues, L. [Dept. of Endocrinology and Metabolism, Odense Univ. Hospital (Denmark)

    2005-06-01

    No consensus exists regarding the optimum treatment of benign non-toxic goitre. L-thyroxine suppressive therapy is widely used for treatment of goitre, but there is poor evidence of its efficacy, and the suppression of serum TSH may have serious adverse effects on health. Iodine supplementation is no better than L-thyroxine in comparative trials. Surgery is first choice in large goitres or if malignancy is suspected. Post-surgery, risk of goitre recurrence is inversely correlated with the extent of the operation. {sup 131}I therapy results in a one-year goitre reduction of around 50% in multinodular and 70% in diffuse goitres, usually with a high degree of patient satisfaction and improvement of the inspiratory capacity. The effect is attenuated with increasing goitre size. The risk of hypothyroidism is 22-58% within 5-8 years. A sufficient thyroid {sup 131}I uptake is mandatory for {sup 131}I therapy to be feasible. Prestimulation with recombinant human TSH (rhTSH) may increase the thyroid {sup 131}I uptake considerably. This leads to an increased absorbed thyroid dose by approx. 75%, mainly in those patients with the lowest thyroid {sup 131}I uptake. In addition, rhTSH results in a more homogeneous intrathyroidal isotope distribution. Recent studies with rhTSH stimulation before {sup 131}I therapy are encouraging. Pre-stimulation with even a small dose of rhTSH allows a reduction of the {sup 131}I activity while still achieving a mean goitre reduction of approximately 40% within the first 12 months. A significantly lower extrathyroidal radiation is achieved by this approach. With an unchanged {sup 131}I activity, rhTSH pre-stimulation seems to improve the goitre reduction by up to 50%. However, this is at the expense of a higher rate of hypothyroidism in addition to other side effects like cervical pain and transient thyrotoxicosis. Of particular concern is the observation made in healthy persons, that rhTSH results in a transient average thyroid volume increase

  4. Surgical Treatment of Tattoo Complications.

    Science.gov (United States)

    Sepehri, Mitra; Jørgensen, Bo

    2017-01-01

    With a continuing increase in the number of tattoos performed worldwide, the need to treat tattoo complications is growing. Earlier treatments of chronic inflammatory tattoo reactions were dominated by a medical approach, or with no active intervention. In this chapter, we will address modern surgical approaches applied to situations when medical treatment is inefficient and lasers are not applicable. Dermatome shaving is positioned as first-line treatment of allergic tattoo reactions and also indicated in a number of other tattoo reactions, supplemented with excision in selected cases. The methods allow fundamental treatment with removal of the culprit pigment from the dermis. The different instruments, surgical methods, and treatment schedules are reviewed, and a guide to surgeons is presented. Postoperative treatments and the long-term outcomes are described in detail. An algorithm on specialist treatment and follow-up of tattoo reactions, which can be practiced in other countries, is presented. © 2017 S. Karger AG, Basel.

  5. Long term substitution treatment (maintenance treatment of opioid dependent persons

    Directory of Open Access Journals (Sweden)

    Wirl, Charlotte

    2007-03-01

    Full Text Available Health political background: Methadone substitution treatment in Germany is introduced in 1988 in the framework of a scientific pilot study in North Rhein Westphalia. Recent statistics show that by now a broad offer of substitution treatment exists. From 1 June 2002 to 31 December 2003 113,000 substitution treatments have been recorded as being started of which around 56,000 have been recorded as ongoing treatments by 1 December 2003. Scientific background: Substitution treatment (treatment of opioid-dependent persons using substitution substances is one part of addiction treatment. Its goals are harm reduction and the stabilisation of opioid dependent persons. Integration of opioid-dependent persons in a treatment-setting, reduction of consumption of psychoactive substances, reduction of risk behaviour (primarily related to infectious diseases, decrease of mortality and improvements concerning the social, psychic and physic situation are seen as a success of substitution treatment as maintenance therapy. Research questions: The aim of this HTA report is to investigate which indicators can be used to evaluate the effectiveness of substitution treatment. Based on these indicators an evaluation of the medical, social and economical benefit of substitution treatment - also in relation to abstinence oriented treatment - is carried out. Methods: A systematic literature search was performed in 31 international databases which yielded 2451 articles with publication date between 1995 and February 2005. Results: After a twofold selection process 32 publications were included for assessment and 276 publications were used as background literature. Despite serious restrictions due to selection bias and dropout in most studies focusing on substitution treatment, reduction of consumption of illegal opioids, reduction of risk behaviour, criminal behaviour, mortality and incidence of HIV can be seen as an empirically proven success of substitution treatment

  6. Migraine - Prophylactic Treatment

    Directory of Open Access Journals (Sweden)

    Chowdhury Debashish

    2002-01-01

    Full Text Available Preventive therapy in migraine constitutes an important aspect of migraine management especially in patients who are not controlled or have significant disability despite taking drugs for acute management. In spite of te recent advances in understanding of the pathophysiology of migraine, the mechanisms of action of many preventive drugs are largely unknown. Further, these provide only about 50% reduction in frequency in about 2/3rds of migraine sufferers. Hence, risk-benefit ratio must be considered while prescribing these agents. Recent efforts to undertake large-scale meta-analysis to assess the efficacy of these agents have been rewarding and consensus guidelines have evolved. Propanolol, metoprolol, amitriptyline, sodium valproate, flunarizine and lisuride have emerged as first line drugs. The role of newer anti-convulsants and botox injections in refractory cases are being investigated. Availability, co-morbidities, medical contraindications, concomitant acute therapy and costs are important determinants for choosing a particular agent. This article reviews the guidelines to be followed in choosing the prophylactic treatment options for migraine.

  7. [Pharmacological treatment of dyslexia].

    Science.gov (United States)

    Artigas-Pallarés, J

    Pharmacological approaches aimed at improving dyslexia are almost inexistent. To analyse, based on the current theories of dyslexia, the possibility of applying some pharmacological measure. The different theories on dyslexia are discussed. The multiple deficit model is then outlined, in opposition to the classical single dysfunction model. The model described provides a coherent explanation for several conceptual dilemmas that arise from the analysis of the comorbidity of dyslexia. The few pharmacological interventions that have been proposed to date are also analysed; with the exception of stimulants, however, they are not supported by any solid theoretical base about dyslexia. Lastly, we use the multiple deficit model as an aid to analyse the current data referring to the effect of stimulants on nuclear mechanisms in dyslexia. It is suggested that it would be wise to monitor the response in reading skills in children with dyslexia and attention deficit hyperactivity disorder (ADHD) who are being treated with stimulants. We also recommend taking into consideration the comorbidity between dyslexia and ADHD as an argument in favour of pharmacological intervention in patients with apparently mild symptoms of ADHD. In any case, today, pharmacological intervention cannot be expected to go beyond its having a complementary and synergic effect on traditional methods of treatment.

  8. Pressure ulcers: treatment.

    Science.gov (United States)

    Reddy, Madhuri

    2015-12-11

    Unrelieved pressure or friction of the skin, particularly over bony prominences, can lead to pressure ulcers in up to one third of people in hospitals or community care, and one fifth of nursing home residents. Pressure ulcers are more likely in people with reduced mobility and poor skin condition, such as older people or those with vascular disease. We conducted a systematic overview, aiming to answer the following clinical question: What are the effects of treatments in people with pressure ulcers? We searched: Medline, Embase, The Cochrane Library, and other important databases up to January 2014 (Clinical Evidence overviews are updated periodically; please check our website for the most up-to-date version of this overview). At this update, searching of electronic databases retrieved 307 studies. After deduplication and removal of conference abstracts, 203 records were screened for inclusion in the overview. Appraisal of titles and abstracts led to the exclusion of 163 studies and the further review of 40 full publications. Of the 40 full articles evaluated, seven systematic reviews and two RCTs were added at this update. We performed a GRADE evaluation for 15 PICO combinations. In this systematic overview, we categorised the efficacy for 15 interventions based on information about the effectiveness and safety of air-fluidised supports, alternating-pressure surfaces (including mattresses), debridement, dressings, electrotherapy, hyperbaric oxygen, low-air-loss beds, low-level laser therapy, low-tech constant-low-pressure supports, nutritional supplements, seat cushions, surgery, therapeutic ultrasound, topical negative pressure, and topical phenytoin.

  9. Dietary treatment of nephrolithiasis.

    Science.gov (United States)

    Nouvenne, Antonio; Meschi, Tiziana; Guerra, Angela; Allegri, Franca; Prati, Beatrice; Borghi, Loris

    2008-05-01

    The prevalence of idiopathic nephrolithiasis is increasing in rich countries. Dietary manipulation could contribute to the prevention of both its first appearance and the recurrence of the disease. The target of dietary treatment is to decrease the "urinary lithogenic risk factors" such as low urine volume, hypercalciuria, hyperoxaluria, hyperuricosuria, hyperphosphaturia, hypocitraturia, hypomagnesuria and excessively alkaline or acid urinary pH. Due to the lack of randomized controlled trials focused on this problem, there is not ample evidence to confidently recommend dietary changes. Despite this, numerous recent and past experiences support modification of diet as having a primary role in the prevention of nephrolithiasis. In particular, it is recommended to limit animal protein and salt intake, to consume milk and derivatives in amounts corresponding to calcium intake of about 1200 mg/day and to assume fiber (40 g/day), vegetables and fruit daily avoiding foods with high oxalate content. Furthermore, vitamin C intake not exceeding 1500 mg/day plays a protective role as well as avoiding vitamin B6 deficiency and abstaining, if possible, from vitamin D supplements. Lastly, it is recommended to drink enough water to bring the urinary volume up to at least 2 L/day and, as much as possible, to use fresh or frozen products rather than prepacked or precooked foods which are often too rich in sodium chloride.

  10. Review papers immunosuppressive treatment

    Directory of Open Access Journals (Sweden)

    Anna Kryś

    2014-03-01

    Full Text Available Sebaceous carcinoma (sebaceous gland carcinoma – SC is a very aggressive malignant skin tumor that arises from the epithelium of sebaceous glands. Sun exposure and long-term immunosuppression, mainly in organ transplant recipients, are the most common risk factors. The tumor was first well described by Allaire in 1891. Sebaceous carcinoma is rare and accounts for less than 1% of all cutaneous malignancies and from 1% to 5.5% of all eyelid malignancies. The most common localization is the eyelids, where it derives from the Meibomian and Zeiss glands. Most cases occur in woman between 60 and 80 years of age, but the tumor can be seen at any age, even in childhood. It appears mostly as a small, slowly growing, painless and firm mass, sometimes as a small yellowish plaque or ulceration. SC has a tendency for local recurrence and distant metastases. The local recurrence rate ranges from 9 to 36% and tends to appear within the first 5 years from diagnosis. The most effective method of treatment is surgical excision (Mohs’ microsurgical excision if it is possible. The rate of metastases is about 14-25%. The sites of metastases are usually lymph nodes, liver, lungs, bones, and brain. The mortality rate is about 22% but it increases to 50% at 5 years in patients with metastatic disease.

  11. Lithiasis coledochus treatment

    International Nuclear Information System (INIS)

    Salom, A.; Viana, G.; Acevedo, C.; Harguindeguy, M.; Ettlin, A.; Alvez, M.; Touya, G.; Baldi, D.; Peyroulou, A.

    2004-01-01

    This paper presents the results achieved with patients treated for lithiasis of common bile duct within the last five years, at the Central Hospital of the Armed Forces.Case material involves 100 cases, 77 of which were operated through laparotomy and 23 through laparoscopic surgery. Within the group of those operated by laparotomy, 40 were treated through a choledochotomy, a choledocho-litotomy and drainage through a Kehr tube; in 18 cases calculi were extracteed through the trans-cystic path.Fifteen choledochoduodenostomies,1 hepatojejunostomy,2transduodenal surgical papillotomies were performed and 1 patient underwent left liver resection.Within the goup o those treated through laparoscopic surgery,15 cases were resolved through the transcystic path and 2 through choledochotomy.Six conversions were performed and there were 2 complications(a bilioma and a residual lithiasis).Twenty cases of CPER with papillotomy, were performed whether independently or combined with surgery.Mortality of series was nil and morbility is described in paper.The authors then proceed to analyze the technical aspects of the transcystic path and choledochotomy.Finally they propose an algorithm for treatment of lithiasis of common bile duct according to the characteristics of clinical symptoms, age and condition of patient, anatomic characteristics of the biliary tract and experience and infrastructure available to the treating team

  12. Treatment of dengue fever

    Directory of Open Access Journals (Sweden)

    Rajapakse S

    2012-07-01

    Full Text Available Senaka Rajapakse,1,2 Chaturaka Rodrigo,1 Anoja Rajapakse31Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Sri Lanka; 2Lincoln County Hospital, United Lincolnshire NHS Trust, Lincoln, UK; 3Kings Mill Hospital, Sherwood Forest NHS Foundation Trust, Mansfield, UKAbstract: The endemic area for dengue fever extends over 60 countries, and approximately 2.5 billion people are at risk of infection. The incidence of dengue has multiplied many times over the last five decades at an alarming rate. In the endemic areas, waves of infection occur in epidemics, with thousands of individuals affected, creating a huge burden on the limited resources of a country's health care system. While the illness passes off as a simple febrile episode in many, a few have a severe illness marked by hypovolemic shock and bleeding. Iatrogenic fluid overload in the management may further complicate the picture. In this severe form dengue can be fatal. Tackling the burden of dengue is impeded by several issues, including a lack of understanding about the exact pathophysiology of the infection, inability to successfully control the vector population, lack of specific therapy against the virus, and the technical difficulties in developing a vaccine. This review provides an overview on the epidemiology, natural history, management strategies, and future directions for research on dengue, including the potential for development of a vaccine.Keywords: dengue, treatment, fluid resuscitation

  13. Lyophilization -Solid Waste Treatment

    Science.gov (United States)

    Litwiller, Eric; Flynn, Michael; Fisher, John; Reinhard, Martin

    2004-01-01

    This paper discusses the development of a solid waste treatment system that has been designed for a Mars transit exploration mission. The technology described is an energy-efficient lyophilization technique that is designed to recover water from spacecraft solid wastes. Candidate wastes include feces, concentrated brines from water processors, and other solid wastes that contain free water. The system is designed to operate as a stand-alone process or to be integrated into the International Space Station Waste Collection System. In the lyophilization process, water in an aqueous waste is frozen and then sublimed, separating the waste into a dried solid material and liquid water. The sublimed water is then condensed in a solid ice phase and then melted to generate a liquid product. In the subject system the waste solids are contained within a 0.2 micron bio-guard bag and after drying are removed from the system and stored in a secondary container. This technology is ideally suited to applications such as the Mars Reference Mission, where water recovery rates approaching 100% are desirable but production of CO2 is not. The system is designed to minimize power consumption through the use of thermoelectric heat pumps. The results of preliminary testing of a prototype system and testing of the final configuration are provided. A mathematical model of the system is also described.

  14. Experimental tumour treatment

    International Nuclear Information System (INIS)

    1985-08-01

    This report of 1984 is the seventh in a series and presents that year's results of continuous studies in the domain of experimental tumour radiotherapy. In the year under review, more personnel has been available for the studies, and the scientific programmes for the assessment of acute and chronic side effects of radiotherapies have been extended. New models have been developed, among them a first system based on animal experiments, for quantifying the mucositis of the oral and pharyngeal mucosa, a limiting condition in the radiotherapy of head and throat tumours. Another significant advancement is a model for quantification of chronical damage to the ureter, which still is a serious problem in the radiotherapy of gynaecological tumours. The 1984 experimental tumour studies have been mainly devoted to the repopulation and split-dose recovery in various tumours, concentrating on dose fractionation as one of the major problems studies. Particular interest has been attached to the processes involved in treatments over several weeks with a daily effective dose of 2 Gy. (orig./MG) [de

  15. [VIPoma: surgical treatment].

    Science.gov (United States)

    Procacciante, F; Picozzi, P; Fantini, A; Pacifici, M; Di Nardo, A; Ribotta, G; Delle Fave, G; Catani, M; Ruggeri, S; Romeo, F

    1992-02-01

    This paper reports a case of pancreatic VIPoma with widespread hepatic metastasis which was treated for approximately 2 years with a synthetic somatostatin analog (SMS 201/995). The treatment of choice in cases in which the tumour was fully removable is surgical resection. This occurred rarely since approximately 80% of VIPomas are malignant and are operated late when local infiltration is already widespread; in addition, 50% of cases are already metastasised at diagnosis. In this case, due to the infiltration of the superior mesenteric artery by the primary tumour it was necessary to carry out a left pancreasectomy which included two-thirds of the neoplastic mass. This was justified by slow tumour growth and also facilitated control of diarrhea and ensured a greater efficacy of possible postoperative chemotherapy. The use of synthetic somatostatin analog (SMS 201/995) enabled diarrhea to be satisfactorily controlled and is therefore specifically indicated for this type of tumour. NSE serum assay (neuron specific enolase) allowed the evolution of disease to be monitored during follow-up.

  16. Bacterial meningitis antibiotic treatment.

    Science.gov (United States)

    Cohen, R; Raymond, J; Hees, L; Pinquier, D; Grimprel, E; Levy, C

    2017-12-01

    The implementation of pneumococal conjugate vaccines (PCVs) 7 then 13 valent (Prevenar13 ®) in 2010-2011 has significantly changed the profile of pneumococcal meningitis. Since 3 years, the National Pediatric Meningitis Network of the Pediatric Infectious Disease Group (GPIP) and the National Reference Centre of Pneumococci have reported no cases of meningitis due to pneumococcus resistant to third-generation cephalosporins (3GC): cefotaxime or ceftriaxone. In the light of these new data, vancomycin should no longer be prescribed at the initial phase of pneumococcal meningitis treatment (confirmed or only suspected) and this antibiotic should only be added when 3GC minimum inhibitory concentration of the strain isolated is greater than 0.5mg/L. For meningococcal meningitis, nearly 20% of strains have decreased susceptibility to penicillin and amoxicillin, but all remain susceptible to 3GC. The National Pediatric Meningitis Network is a valuable tool because it has been sufficiently exhaustive and sustainable over 15 years. Maintaining this epidemiologic surveillance will allow us to adapt, if necessary, new regimens for subsequent changes that could be induced by vaccination and/or antibiotic uses. © 2017 Elsevier Masson SAS. Tous droits réservés.

  17. Irritable bowel syndrome treatment: cognitive behavioral therapy versus medical treatment

    OpenAIRE

    Mahvi-Shirazi, Majid; Fathi-Ashtiani, Ali; Rasoolzade-Tabatabaei, Sayed-Kazem; Amini, Mohsen

    2012-01-01

    Introduction The study aims to investigate two kinds of treatment in patients suffering from irritable bowel syndrome (IBS) and consequently compares its efficacy on improving the symptoms and mental health of patients; one with just medical treatment and another through a combination of psychotherapy and medical treatment. Material and methods Applying general sampling, 50 IBS patients were selected from among those who used to refer to a Gastroenterology Clinic. After physical and mental ev...

  18. Drug Treatment as HIV Prevention: Expanding Treatment Options

    OpenAIRE

    Metzger, David S.; Zhang, Yan

    2010-01-01

    Research conducted during the first 20 years of the AIDS epidemic provided a solid foundation of data supporting methadone treatment as HIV prevention. Drug users in methadone treatment were consistently found to reduce the frequency of drug use, risk behaviors, and infections. These data have been consistent over time and across cultural settings and have been used to promote the expansion of drug treatment as a prevention intervention. More recently, data has emerged suggesting the preventi...

  19. Integrated nonthermal treatment system study

    International Nuclear Information System (INIS)

    Biagi, C.; Bahar, D.; Teheranian, B.; Vetromile, J.; Quapp, W.J.; Bechtold, T.; Brown, B.; Schwinkendorf, W.; Swartz, G.

    1997-01-01

    This report presents the results of a study of nonthermal treatment technologies. The study consisted of a systematic assessment of five nonthermal treatment alternatives. The treatment alternatives consist of widely varying technologies for safely destroying the hazardous organic components, reducing the volume, and preparing for final disposal of the contact-handled mixed low-level waste (MLLW) currently stored in the US Department of Energy complex. The alternatives considered were innovative nonthermal treatments for organic liquids and sludges, process residue, soil and debris. Vacuum desorption or various washing approaches are considered for treatment of soil, residue and debris. Organic destruction methods include mediated electrochemical oxidation, catalytic wet oxidation, and acid digestion. Other methods studied included stabilization technologies and mercury separation of treatment residues. This study is a companion to the integrated thermal treatment study which examined 19 alternatives for thermal treatment of MLLW waste. The quantities and physical and chemical compositions of the input waste are based on the inventory database developed by the US Department of Energy. The Integrated Nonthermal Treatment Systems (INTS) systems were evaluated using the same waste input (2,927 pounds per hour) as the Integrated Thermal Treatment Systems (ITTS). 48 refs., 68 figs., 37 tabs

  20. Psychological treatments for gambling disorder

    Directory of Open Access Journals (Sweden)

    Rash CJ

    2014-10-01

    Full Text Available Carla J Rash, Nancy M Petry Department of Medicine, University of Connecticut Health Center, Farmington, CT, USA Abstract: This review discusses the research evidence for psychological treatment of gambling disorder. Several treatment options for gamblers have been explored, ranging from self-help and peer support, to brief and motivational interventions, to more intensive therapy approaches. Involvement in peer support programs seems to be optimal when combined with professional treatment; however, engagement and retention in peer support is limited. Self-directed interventions appear to benefit some gamblers; however, the involvement of therapist support, either in person or by telephone, may bolster these effects and such support need not be extensive. These self-directed options reduce the barriers associated with treatment-seeking, and may reach a wider range of gamblers than professionally delivered treatments alone. Brief and motivational approaches similarly may extend treatment options to more gamblers, namely at-risk and problem gamblers and those not seeking treatment. Of more extensive therapies, no consistent benefit of one approach emerges, although cognitive–behavioral interventions have been most often applied. Overall, several treatments have been developed for gambling disorder and results are promising, but variability in findings suggests a need for further systematic evaluation. Keywords: gambling treatment, cognitive behavioral treatment, brief interventions, pathological gambling, problem gambling, behavioral addictions

  1. THE METHODS OF CHOLEDOCHOLITHIASIS TREATMENT

    Directory of Open Access Journals (Sweden)

    N. V. Merzlikin

    2015-01-01

    Full Text Available The methods of choledocholithiasis treatment, which are currently used in clinics of the Russian Federa-tion, has been presented. The problems of diagnosis and treatment of gallstones (GSD in individuals of different age groups are spotlighted. In the study of treatment of cholelithiasis and choledocholithiasis, including arising complications, it can be concluded that so far the ideal method of treatment of this pa-thology has not been found. Up to now, the majority of doctor’s main treatment is surgical removal of gall stones by some method or other.This article also considers a conservative approach (drug: antispasmodics (selective and nonselective, and non-pharmacological: treatment, diet, describes the criteria and assessment of the effectiveness of therapeutic interventions that help in the question of further treatment: the continuation of drug therapy or assignment of surgical treatment. Invasive techniques that are covered in the article, namely, a tech-nique of remote and endoscopic lithotripsy, are high-tech and in demand at the moment, which, along with high efficiency removal of a stone, reduced the number and severity of postoperative complications. Additionally, in the analysis of the features of a particular method of treatment, advantages and disadvantages of different treatment methods are described, indications and contraindications (absolute and relative together with complications, possible outcomes, and further prognosis are high-lighted. 

  2. Integrated nonthermal treatment system study

    Energy Technology Data Exchange (ETDEWEB)

    Biagi, C.; Bahar, D.; Teheranian, B.; Vetromile, J. [Morrison Knudsen Corp. (United States); Quapp, W.J. [Nuclear Metals (United States); Bechtold, T.; Brown, B.; Schwinkendorf, W. [Lockheed Martin Idaho Technologies Co., Idaho Falls, ID (United States); Swartz, G. [Swartz and Associates (United States)

    1997-01-01

    This report presents the results of a study of nonthermal treatment technologies. The study consisted of a systematic assessment of five nonthermal treatment alternatives. The treatment alternatives consist of widely varying technologies for safely destroying the hazardous organic components, reducing the volume, and preparing for final disposal of the contact-handled mixed low-level waste (MLLW) currently stored in the US Department of Energy complex. The alternatives considered were innovative nonthermal treatments for organic liquids and sludges, process residue, soil and debris. Vacuum desorption or various washing approaches are considered for treatment of soil, residue and debris. Organic destruction methods include mediated electrochemical oxidation, catalytic wet oxidation, and acid digestion. Other methods studied included stabilization technologies and mercury separation of treatment residues. This study is a companion to the integrated thermal treatment study which examined 19 alternatives for thermal treatment of MLLW waste. The quantities and physical and chemical compositions of the input waste are based on the inventory database developed by the US Department of Energy. The Integrated Nonthermal Treatment Systems (INTS) systems were evaluated using the same waste input (2,927 pounds per hour) as the Integrated Thermal Treatment Systems (ITTS). 48 refs., 68 figs., 37 tabs.

  3. Treatment of osteosarcoma

    International Nuclear Information System (INIS)

    Solheim, Oe.; Hoeie, J.; Talle, K.; Steinwig, A.E.

    1987-01-01

    During 1970-86, 97 patients with higly malignant osteosarcoma, localized to an ectremity without evident metastases, were treated at the Norwegian Radium Hospital. The treatment protocol was changed twice during this period. From 1970 to 1975, 25 patients were given primary irradiation with high doses followed by amputation after 3-4 months if distant metastases were not present. Amputations were carried out as planned in eleven cases. Two patients who later developed solitary lung metastases were treated by resection and both are alive. The overall long-term survival was 24%. From 1975 to 1980, 40 patients were treated with primary amputation followed by adjuvant chemotherapy for one year. Three different combinations were given alternatively with two and three weeks interval. The main drugs were adriamycin, cyclophosphamide and methotrexate (2 g/m 2 ). Ten patients with unilateral and one with bilateral lung metastases were treated by resection of metastases and chemotherapy. Three of these patients are alive. The overall long-term survival was 35%. From 1981 to September 1986, 32 patients were treated according to the T-10 regimen from Sloan Kettering Memorial Hospital in New York. Four patients died after major protocol violations and one patients was found dead in his home of unknown cause without tumour at autopsy. Few patients developed metastases. (The metastases appeared later and showed a different distribution in the body). Lung metastases were treated by resection and chemotherapy. In two patients bone metastases were treated by amputation. The overall survival after four years is 80%, but the number of patients observed for that time is small

  4. Treatment of Mandibular Prognathism

    Directory of Open Access Journals (Sweden)

    Hong-Po Chang

    2006-01-01

    Full Text Available Mandibular prognathism (MP or skeletal Class III malocclusion with a prognathic mandible is one of the most severe maxillofacial deformities. Facial growth modification can be an effective method of resolving skeletal Class III jaw discrepancies in growing children with dentofacial orthopedic appliances including the chincup, face mask, maxillary protraction combined with chincup traction and the Fränkel functional regulator III appliance. Orthognathic surgery in conjunction with orthodontic treatment is required for the correction of adult MP. The two most commonly applied surgical procedures to correct MP are sagittal split ramus osteotomy (SSRO and intraoral vertical ramus osteotomy. Both procedures are suitable for patients in whom a desirable occlusal relationship can be obtained with a setback of the mandible, and each has its own advantages and disadvantages. In bilateral SSRO, the intentional ostectomy of the posterior part of the distal segment can offer long-term positioned stability. This may be attributable to reduction of tension in the pterygomasseteric sling that applies force in the posterior mandible. While various environmental factors have been found to contribute to the development of MP, heredity plays a substantial role. The relative contributions of genetic and environmental components in the etiology of MP are unclear. The recent identification of the genetic susceptibilities to MP constitutes the first step toward understanding the molecular pathogenesis of MP. Further studies in molecular biology are needed to identify the gene-environment interactions associated with the phenotypic diversity of MP and the heterogenic developmental mechanisms thought to be responsible for them.

  5. Sewage sludge treatment system

    Science.gov (United States)

    Kalvinskas, John J. (Inventor); Mueller, William A. (Inventor)

    1976-01-01

    Raw sewage may be presently treated by mixing screened raw sewage with activated carbon. The mixture is then allowed to stand in a first tank for a period required to settle the suspended matter to the bottom of the tank as a sludge. Thereafter, the remaining liquid is again mixed with activated carbon and the mixture is transferred to a secondary settling tank, where it is permitted to stand for a period required for the remaining floating material to settle as sludge and for adsorption of sewage carbon as well as other impurities to take place. The sludge from the bottom of both tanks is removed and pyrolyzed to form activated carbon and ash, which is mixed with the incoming raw sewage and also mixed with the liquid being transferred from the primary to the secondary settling tank. It has been found that the output obtained by the pyrolysis process contains an excess amount of ash. Removal of this excess amount of ash usually also results in removing an excess amount of carbon thereby requiring adding carbon to maintain the treatment process. By separately pyrolyzing the respective sludges from the first and second settling tanks, and returning the separately obtained pyrolyzed material to the respective first and second tanks from which they came, it has been found that the adverse effects of the excessive ash buildup is minimized, the carbon yield is increased, and the sludge from the secondary tank can be pyrolyzed into activated carbon to be used as indicated many more times than was done before exhaustion occurs.

  6. Biosorption treatment of brackish water

    International Nuclear Information System (INIS)

    Rizwan, M.; Ali, M.; Tariq, M.I.; Rehman, F.U.; Karim, A.; Makshoof, M.; Farooq, R.

    2010-01-01

    Biosorptivity of different agricultural wastes have been evaluated for the treatment of brackish water and a new method, based on the principle of bio-sorption has been described. Wastes of the Saccharum officinarum, Moringa oleifera, Triticum aestivcum and Oryza sativa have been used in raw forms as well as after converting them into ash and activated carbon as biosorbents for treatment of brackish water in this study. Samples of brackish water have been analyzed before and after treatment for quality control parameters of water. A significant Improvement has been observed in quality control parameters of water after treatment. pH of the water samples slightly increased from 7.68 to 7.97 with different treatments. A substantial decrease in conductivity,. TDS, TH, concentrations of cations and anions was observed in the samples of brackish water after treatment with different biosorbents. (author)

  7. Brief update on endometriosis treatment

    Directory of Open Access Journals (Sweden)

    Moamar Al-Jefout

    2011-09-01

    Full Text Available Endometriosis is a chronic debilitating disease with features of chronic inflammation. Endometriosis is defined as the presence of endometrial like stroma and glands outside the uterine cavity (1. Medical professionals dealing with endometriosis face a lot of problems; in diagnosis, treatment and follow up of patients. Recent advances in molecular and clinical sciences offered a wide range of modalities for treatment. However, up to date there is no single very successful option for the ultimate treatment. In this review I have searched the literature using Medline, Pubmed, text books and other search engines to look for the most updated modalities for the treatment of endometriosis both surgical and medical ones. It seems to be that for fertility purposes surgical treatment followed by ART is the best available most beneficial way of dealing with endometriosis, while medical treatment is the best way to treat pain symptoms associated with endometriosis.

  8. Bright Light Treatment in Psychiatry

    Directory of Open Access Journals (Sweden)

    Pinar Guzel Ozdemir

    2017-06-01

    Full Text Available Bright light treatment is a treatment modality that leads elevation of mood due to attenuation in depressive symptoms, regulation in circadian rhythm activity, increase the effect of antidepressants and amelioration in sleep quality. Bright light treatment is considered among the first-line treatments for seasonal affective disorder because of high response rates. Additionally, bright light treatment being extended to other conditions, including non-seasonal mood disorders, Alzheimer's disease, circadian rhythm sleep disorders, eating disorders, attention deficit hyperactivity disorder and other behavioral syndromes is likely to have a far reached use. Side effects are often temporary and can generally be overcome by reducing exposure time. The central focus on this paper is to review the action mechanisms, efficacy, usage areas, the ways of administration and side effects of the light treatment. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2017; 9(2.000: 177-188

  9. Mechanical Treatment: Material Recovery Facilities

    DEFF Research Database (Denmark)

    Christensen, Thomas Højlund; Bilitewski, B.

    2011-01-01

    A wide variety of mechanical treatment unit processes, including manual sorting, is described in Chapter 7.1. These unit processes may be used as a single separate operation (e.g. baling of recyclable cardboard) or as a single operation before or after biological and thermal treatment processes (e.......g. shredding prior to incineration or screening after composting). The mechanical treatment unit process is in the latter case an integrated part of the overall treatment usually with the purpose of improving the quality of the input material, or the efficiency or stability of the biological or thermal process......, or improving the quality of the output material. Examples hereof appear in the chapters on biological and thermal treatment. Mechanical treatment unit processes may also appear at industries using recycled material as part of their feedstock, for example, for removing impurities and homogenizing the material...

  10. Sludge pumping in water treatment

    International Nuclear Information System (INIS)

    Solar Manuel, M. A.

    2010-01-01

    In water treatment processes is frequent to separate residual solids, with sludge shape, and minimize its volume in a later management. the technologies to applicate include pumping across pipelines, even to long distance. In wastewater treatment plants (WWTP), the management of these sludges is very important because their characteristics affect load losses calculation. Pumping sludge can modify its behavior and pumping frequency can concern treatment process. This paper explains advantages and disadvantages of different pumps to realize transportation sludge operations. (Author) 11 refs.

  11. Treatments for Obstructive Sleep Apnea

    Science.gov (United States)

    Calik, Michael W.

    2016-01-01

    Objective To review the efficacy of current treatment options for adults with obstructive sleep apnea (OSA). Methods Review of the literature. Results OSA, characterized by repetitive ≥ 10-second interruptions (apnea) or reductions (hypopnea) in airflow, is initiated by partial or complete collapse in the upper airway despite respiratory effort. When left untreated, OSA is associated with comorbid conditions, such as cardiovascular and metabolic diseases. The current “gold standard” treatment for OSA is continuous positive air pressure (CPAP), which pneumatically stabilizes the upper airways. CPAP has proven efficacy and potential cost savings via decreases in health comorbidities and/or motor-vehicle crashes. However, CPAP treatment is not well-tolerated due to various side effects, and adherence among OSA subjects can be as low as 50% in certain populations. Other treatment options for OSA include improving CPAP tolerability, increasing CPAP adherence through patient interventions, weight loss/exercise, positional therapy, nasal expiratory positive airway pressure, oral pressure therapy, oral appliances, surgery, hypoglossal nerve stimulation, drug treatment, and combining 2 or more of the aforementioned treatments. Despite the many options available to treat OSA, none of them are as efficacious as CPAP. However, many of these treatments are tolerable, and adherence rates are higher than those of the CPAP, making them a more viable treatment option for long-term use. Conclusion Patients need to weigh the benefits and risks of available treatments for OSA. More large randomized controlled studies on treatments or combination of treatments for OSA are needed that measure parameters such as treatment adherence, apnea-hypopnea index, oxygen desaturation, subjective sleepiness, quality of life, and adverse events. PMID:27134515

  12. [Diagnostics and treatment of phenylketonuria].

    Science.gov (United States)

    Bayat, Allan; Møller, Libeth Birk; Lund, Allan Meldgaard

    2015-02-16

    Primary phenylalanine hydroxylase deficiency, also known as phenylketonuria, results in accumulation of phenylalanine in the blood. Early identification and treatment prevents the majority of clinical sequelae to the disease, but psychological and neurodevelopmental problems can occur in some patients. This article reviews the symptoms, diagnosis, classification and strategies of treatment and management of phenylketonuria. Finally we review new pharmacological and non-pharmaco-logical means of treatment.

  13. [Treatment of tuberculosis. Current standards].

    Science.gov (United States)

    Schaberg, T

    2015-12-01

    The treatment of drug-sensitive tuberculosis consists of 2 months of isoniazid, rifampin, pyrazinamide and ethambutol, followed by 4 months of isoniazid and rifampin. These drugs are well tolerated and cure rate are above 95 %. In contrast the treatment of drug-resistent tuberculosis is difficult, mostly due to side effects of the drugs used under these circumstances. Therefore, any treatment of drug-resistant tuberculosis has to be done by experts.

  14. Laser treatment for toenail fungus

    Science.gov (United States)

    Harris, David M.; McDowell, Brian A.; Strisower, John

    2009-02-01

    An infrared pulsed laser was used to irradiate toenails with visible signs of bacterial/fungal infections. Seventeen subjects with both great toes involved were recruited in a podiatric private practice. Toes were randomized to receive either a single treatment or no treatment. The treatment was tolerated by all subjects without anesthesia and there were no occurrences of serious adverse effects. Eleven out of 14 (79%) treated toes improved. Improvement ranged from 2.1 to 6.1 mm over 90 days following a single treatment. There was a highly significant difference (pnail bed clearing.

  15. [Lymphoedema--diagnosis and treatment].

    Science.gov (United States)

    Cisek, Paweł; Starosławska, Elzbieta; Kieszko, Dariusz; Patyra, Krzysztof; Surdyka, Dariusz; Kolak, Agnieszka; Kordzińska-Cisek, Izabela; Czubacka-Szewczyk, Magdalena; Mocarska, Agnieszka; Burdan, Franciszek

    2013-12-01

    Lymphoedema is a common complication of oncological treatment. Various methods of imaging are used in its diagnosing and monitoring. However, presently lymphoscintigraphy has become the golden standard. A physical examination and detailed medical history also play a very important role. There are still no effective methods of prevention and treatment of lymphoedema in spite of medical progress. The treatment requires a multidisciplinary approach with the use of various methods of physiotherapy (pressure therapy, pneumatic pumps and electric high-voltage treatment), pharmacology and surgery. Patient's education and suitable physical exercises are also significant.

  16. Intensive treatment models and coercion

    DEFF Research Database (Denmark)

    Ohlenschlaeger, Johan; Thorup, Anne; Petersen, Lone

    2007-01-01

    Little evidence exists concerning the optimal treatment for patients with first-episode schizophrenia-spectrum disorders and the effect on traditional outcomes. The aim was to investigate whether optimal treatment models have an effect on the level of use of coercion and on traditional outcomes...... and on client satisfaction. Integrated Treatment had fewer bed-days, more patients living in non-supervised accommodation, and better score on quality of life. No differences were found as to the use of coercion. This study adds to the evidence that intensified treatment models are superior to standard...

  17. Surgical Treatment of Tattoo Complications

    DEFF Research Database (Denmark)

    Sepehri, Mitra; Jørgensen, Bo

    2017-01-01

    With a continuing increase in the number of tattoos performed worldwide, the need to treat tattoo complications is growing. Earlier treatments of chronic inflammatory tattoo reactions were dominated by a medical approach, or with no active intervention. In this chapter, we will address modern...... surgical approaches applied to situations when medical treatment is inefficient and lasers are not applicable. Dermatome shaving is positioned as first-line treatment of allergic tattoo reactions and also indicated in a number of other tattoo reactions, supplemented with excision in selected cases...... on specialist treatment and follow-up of tattoo reactions, which can be practiced in other countries, is presented....

  18. Psychological treatments for eating disorders.

    Science.gov (United States)

    Kass, Andrea E; Kolko, Rachel P; Wilfley, Denise E

    2013-11-01

    This review summarizes recent evidence on psychological treatments for eating disorders. Eating disorders are serious psychiatric conditions requiring evidence-based intervention. Treatments have been evaluated within each eating disorder diagnosis and across diagnoses. For adults with anorexia nervosa, no one specialist treatment has been shown to be superior. Cognitive behavioral therapy and interpersonal psychotherapy remain the most established treatments for bulimia nervosa and binge eating disorder, with stepped-care approaches showing promise and new behavioral treatments under study. Enhanced cognitive behavioral therapy has improved symptoms in adults and youth. Maudsley family-based therapy is the most established treatment for youth with anorexia nervosa and may be efficacious for youth with bulimia nervosa. Interpersonal psychotherapy for the prevention of excess weight gain may be efficacious for reducing loss of control eating and weight gain in overweight youth. Significant advances in treatments have been made, including evaluation of long-term outcomes, novel approaches, and tailored extension for specific patient profiles. However, widespread access to effective eating disorder treatments remains limited. Increasing the potency and expanding the implementation of psychological treatments beyond research settings into clinical practice has strong potential to increase access to care, thereby reducing the burden of eating disorders.

  19. Waste Treatment & Immobilization Plant Project

    Data.gov (United States)

    Federal Laboratory Consortium — In southeastern Washington State, Bechtel National, Inc. is designing, constructing and commissioning the world's largest radioactive waste treatment plant for the...

  20. Symptoms and Treatment of Depression

    Medline Plus

    Full Text Available ... Directories Getting to NIMH Transforming the understanding and treatment of mental illnesses. ... Multimedia by Topic Disorders Anxiety Disorders (5 items) Attention Deficit Hyperactivity Disorder (ADHD) ( ...