Grau-Roma, L.; Hjulsager, Charlotte Kristiane; Sibila, M.
Longitudinal case-control studies were performed in post-weaning multisystemic wasting syndrome (PMWS) affected farms from Denmark and Spain using similar designs. Fourteen independent batches of 100-154 pigs per batch were monitored from birth to PMWS outbreak occurrence. Pigs displaying PMWS......-like signs and matched healthy cohorts were euthanized during the clinical outbreak. PMWS was diagnosed according to internationally accepted criteria and pigs were classified as: (i) PMWS cases, (ii) wasted non-PMWS cases and (iii) healthy pigs. Porcine circovirus type 2 (PCV2) quantitative PCR (q...... prevalence and/or viral load than healthy pigs in all collected samples at necropsy (p sampling prior to PMWS outbreak (p
Vigre, Håkan; Bækbo, P.; Jorsal, Sven Erik Lind
two years after the first herd was diagnosed, and we tested for spatial and spatio-temporal clustering using scan statistics. The study population consisted of pig herds that during the study period (October 2001 - September 2003) performed diagnostic submissions to the two major veterinary diagnostic......The clinical syndrome Postweaning Multisystemic Wasting Syndrome (PMWS) in pigs has emerged globally during the last decade. In October 2001, the first pig herd diagnosed with PMWS was reported in Denmark, and since then the number of herds diagnosed with PMWS has increased markedly. The etiology...... laboratories in Denmark (6724 herds). Of these, 277 herds were diagnosed with PMWS. Two statistically significant spatial clusters of herds diagnosed with PMWS were identified. These clusters included 11% and 8% of the study herds, respectively. Within these two clusters the relative risk for a herd...
Neumann, E J; Dobbinson, S S A; Welch, E B M; Morris, R S
Investigations were conducted to determine the cause of an acute, multi-farm outbreak of porcine respiratory disease that included diarrhoea and subsequent loss of body condition in affected pigs. A definition for post-weaning multisystemic wasting syndrome (PMWS) including both clinical and pathological features, previously developed for the pig industry in New Zealand, was applied to the current outbreak. In addition to self-reporting by owners of affected farms, local veterinarians, disease and epidemiology consultants, and animal health officials from the Ministry of Agriculture and Forestry (MAF) were involved in conducting farm visits and submission of diagnostic specimens. Pathogens known to be endemic in the pig industry in New Zealand as well as likely exotic diseases were excluded as causative agents of the outbreak. Clinical signs including dyspnoea, diarrhoea, and rapid loss of body condition were consistent with the New Zealand case definition for PMWS. Interstitial pneumonia, pulmonary oedema, generalised lymph-node enlargement, and presence of porcine circovirus type 2 (PCV2) inclusion bodies were consistently identified in affected pigs. Classical swine fever virus (CSFv), Porcine reproductive and respiratory syndrome virus (PRRSv), and Influenza virus were ruled out, using molecular and traditional virological techniques. Spread of the disease between farms was hypothesised to be facilitated by locally migrating flocks of black-backed seagulls. The original source of the disease incursion was not identified. Based on the consistent presence of circovirus-associated lesions in lymphoid tissues in combination with generalised enlargement of lymph nodes, histiocytic interstitial pneumonia, clinical wasting, and poor response to antibiotic therapy, a diagnosis of PMWS was made. PMWS should be considered in the differential diagnoses of sudden onset of respiratory dyspnoea, diarrhoea, and rapid loss of body condition in young pigs in New Zealand pig
Hasslung, F.; Wallgren, P.; Hansen, Anne-Sofie Ladekjær
An experimental model using 3-day-old snatch-farrowed colostrum-deprived piglets co-infected with porcine circovirus type 2 (PCV2) and porcine parvovirus (PPV) is at present one of the best methods to study factors affecting development of postweaning multisystemic wasting syndrome (PMWS). A Swed......An experimental model using 3-day-old snatch-farrowed colostrum-deprived piglets co-infected with porcine circovirus type 2 (PCV2) and porcine parvovirus (PPV) is at present one of the best methods to study factors affecting development of postweaning multisystemic wasting syndrome (PMWS...
Nielsen, E. Okholm; Enøe, Claes; Jorsal, Sven Erik Lind
were 36 g and 52 g less in the case herds than in the control herds. By examining three weaner pigs from each herd the PMWS diagnosis was confirmed by histopathology and immunohistochemistry in 78 per cent of the case herds, but at least one PMWS-positive weaner pig was found in 19 of the control herds...
Grau-Roma, Llorenç; Stockmarr, Anders; Kristensen, Charlotte S.
collected serum samples to detect antibodies against, PCV2, porcine reproductive and respiratory syndrome virus (PRRSV), porcine parvovirus (PPV), swine influenza virus (SIV) and Lawsonia intracellularis (law), Mycoplasma hyopneumoniae, Aujeszky’s disease virus (ADV) and Salmonella spp. A Cox proportional...
Kristensen, C. S.; Hjulsager, Charlotte Kristiane; Vestergaard, K.
The objective of these studies was to investigate if porcine postweaning multisystemic wasting syndrome (PMWS) could be induced in healthy pigs following contact with air from pigs with clinical signs of PMWS. The pigs were housed in different units. Either 31 (study I) or 25 (study II) pigs with...... typical of PMWS. Sequence analysis revealed that the PCV2 isolate belonged to genotype 2b. In conclusion, the present study showed that PMWS can be induced in pigs from a PMWS-free herd by airborne contact with pigs from a PMWS-affected herd....
Grau-Roma, Llorenc; Heegaard, Peter M. H.; Hjulsager, Charlotte Kristiane
-PMWS affected pigs. In addition, evidence of infection with other pathogens and its relation with variations in APP's concentrations was also assessed. Fourteen independent batches of 100 to 154 pigs were monitored from birth to PMWS outbreak occurrence in 11 PMWS affected farms. Pigs displaying PMWS-like signs......The aim of the present longitudinal study was to assess the evolution of two acute phase proteins (APPs), pig-major acute phase protein (pig-MAP) and haptoglobin (HPT), in serum from pigs that developed postweaning multisystemic wasting syndrome (PMWS) in comparison to healthy and wasted non...... and age-matched healthy controls were euthanized during the clinical outbreak. PMWS was diagnosed according to internationally accepted creteria and pigs were classified as: i)PMWS cases, ii) wasted non-PMWS cases and iii) healthy pigs. At the moment of PMWS occurrence, pig-MAP and HPT concentration...
Felipe L. Koller
Full Text Available Duzentos e oitenta leitões, entre 40 e 70 dias de idade, afetados pela sindrome multissistêmica do definhamento (SMD foram examinados após eutanásia para pesquisa de lesões dentárias. Pelo menos um abscesso periapical foi observado em 58 leitões (20,7%, dos quais 12 apresentaram abscessos múltiplos. Terceiros incisivos superiores, 3os incisivos inferiores, caninos superiores, caninos inferiores e outros dentes apresentaram respectivamente 22 (31,4%, 16 (22,9%, 4 (5,7%, 23 (32,9% e 5 (7,1% abscessos periapicais. A maior prevalência de abscessos observada nos dentes 3os incisivos e caninos inferiores está provavelmente associada com a maior área de corte ou desgaste que sofrem esses dentes. Entre as bactérias isoladas de amostras de 65 abscessos, Streptococcus sp. foi a mais prevalente e esteve presente em 21,48% e 27,7% dos isolados em aerobiose e anaerobiose, respectivamente. Na segunda posição em prevalência estiveram as bactérias corineformes, as quais foram mais freqüentemente isoladas em atmosfera anaeróbica do que aeróbica. Houve preponderância de isolamentos de bactérias Gram-positivas. Não foi possível determinar se as co-infecções bacterianas predispuseram às lesões características de SMD ou foram conseqüentes à imunossupressão causada pela infecção com PCV2.Swine producers have historically resected needle teeth of newborn pigs to prevent potential injuries to the sow mammary gland and faces of littermates. However, the possible impact of this practice on pig performance has been questioned. As part of a study, 280 PMWS affected piglets, with 40-70 days of age, were examined for the presence of dental lesions immediately after euthanasia. Most pigs were confirmed as PMWS by the detection of typical microscopic lesions and immunohistochemical pattern. At least one periapical abscess was observed in 58 piglets (20.7%, of which 12 had multiple abscesses. There were 22 (31.4%, 16 (22.9%, 4 (5.7%, 23 (32
Dupont, Kitt; Hjulsager, Charlotte Kristiane; Kristensen, C.S.
Post-weaning Multisystemic Wasting Syndrome (PMWS) has been identified in most swine-producing countries worldwide. The disease has resulted in significant health challenges and economic damage to the swine industry. The aim of this study was to determine horizontal transmission of porcine...... the aisle and pens in other compartments). By DNA sequence analysis, eight variants of genotype PCV-2b were identified in the research facility. From the spread of these PCV2-variants it was concluded that PCV2 primarily infects through close contact and nose-to-nose contact. PCV2 genome sequences were...... obtained from selected pigs at arrival to the research facility and again when the same pigs developed PMWS. This analysis showed that pigs from PMWS-affected herds developed PMWS caused by the same variant of PCV2 as they carried when entering the research facility. In contrast, pigs from non...
Full Text Available The development of high-throughput sequencing technologies have allowed the possibility to investigate and characterise the entire microbiome of individuals, providing better insight to the complex interaction between different microorganisms. This will help to understand how the microbiome influence the susceptibility of secondary agents and development of disease. We have applied viral metagenomics to investigate the virome of lymph nodes from Swedish pigs suffering from the multifactorial disease postweaning multisystemic wasting syndrome (PMWS as well as from healthy pigs. The aim is to increase knowledge of potential viruses, apart from porcine circovirus type 2 (PCV2, involved in PMWS development as well as to increase knowledge on the virome of healthy individuals. In healthy individuals, a diverse viral flora was seen with several different viruses present simultaneously. The majority of the identified viruses were small linear and circular DNA viruses, such as different circoviruses, anelloviruses and bocaviruses. In the pigs suffering from PMWS, PCV2 sequences were, as expected, detected to a high extent but other viruses were also identified in the background of PCV2. Apart from DNA viruses also RNA viruses were identified, among them were a porcine pestivirus showing high similarity to a recently (in 2015 discovered atypical porcine pestivirus in the US. Majority of the viruses identified in the background of PCV2 in PMWS pigs could also be identified in the healthy pigs. PCV2 sequences were also identified in the healthy pigs but to a much lower extent than in PMWS affected pigs. Although the method used here is not quantitative the very clear difference in amount of PCV2 sequences in PMWS affected pigs and healthy pigs most likely reflect the very strong replication of PCV2 known to be a hallmark of PMWS. Taken together, these findings illustrate that pigs appear to have a considerable viral flora consisting to a large extent of
Grau-Roma, L.; Hjulsager, Charlotte Kristiane; Sibila, M.
Serological and non-quantitative DNA detection techniques (PCR) have been widely used to monitor porcine circovirus type 2 (PCV2) infection dynamics (1,2). In spite of available epidemiological information, very few data on PCV2 load dynamics of Postweaning multisystemic wasting syndrome (PMWS) a...
Alarcon, Pablo; Rushton, Jonathan; Wieland, Barbara
Post-weaning multi-systemic wasting syndrome (PMWS) is a multi-factorial disease with major economic implications for the pig industry worldwide. The present study aimed to assess the economic impact of PMWS and porcine circovirus type 2 (PCV2) subclinical infections (PCV2SI) for farrow-to-finish farms and to estimate the resulting cost to the English pig industry. A disease model was built to simulate the varying proportions of pigs in a batch that get infected with PCV2 and develop either PMWS, subclinical disease (reduce growth without evident clinical signs) or remain healthy (normal growth and no clinical signs), depending on the farm level PMWS severity. This PMWS severity measure accounted for the level of post-weaning mortality, PMWS morbidity and proportion of PCV2 infected pigs observed on farms. The model generated six outcomes: infected pigs with PMWS that die (PMWS-D); infected pigs with PMWS that recover (PMWS-R); subclinical pigs that die (Sub-D); subclinical pigs that reach slaughter age (Sub-S); healthy pigs sold (H-S); and pigs, infected or non-infected by PCV2, that die due to non-PCV2 related causes (nonPCV2-D). Enterprise and partial budget analyses were used to assess the deficit/profits and the extra costs/extra benefits of a change in disease status, respectively. Results from the economic analysis at pig level were combined with the disease model's estimates of the proportion of different pigs produced at different severity scores to assess the cost of PMWS and subclinical disease at farm level, and these were then extrapolated to estimate costs at national level. The net profit for a H-S pig was £19.2. The mean loss for a PMWS-D pig was £84.1 (90% CI: 79.6-89.1), £24.5 (90% CI: 15.1-35.4) for a PMWS-R pig, £82.3 (90% CI: 78.1-87.5) for a Sub-D pig, and £8.1 (90% CI: 2.18-15.1) for a Sub-S pig. At farm level, the greatest proportion of negative economic impact was attributed to PCV2 subclinical pigs. The economic impact for the English
Baekbo, P.; Kristensen, C. S.; Larsen, L. E.
Porcine Circo Virus type 2 have been coming on the market and many studies have shown great benefits of these to control PMWS. Today, sow vaccines as well as piglet vaccines are available in most countries. An extensive meta‐analysis of many of the vaccines has shown a comparable good efficacy...
Detección de Mycoplasma suis en casos clínicos de síndrome del desmedro multisistémico posdestete en porcinos Detection of Mycoplasma suis in clinical cases with postweaning multisystemic wasting syndrome in swine
N. B. Pereyra
Full Text Available Mycoplasma suis es un parásito obligado de los eritrocitos del cerdo. Produce anemia aguda o crónica y afecta a distintas categorías de animales. El síndrome del desmedro multisistémico posdestete (PMWS se considera causado por el circovirus porcino tipo 2 (PCV-2, aunque muchos aspectos de la patogenia del síndrome permanecen sin aclarar. Se manifiesta a través de retraso del crecimiento, anemia e ictericia en cerdos de 5 a 12 semanas de edad, en los que se produce una inmunosupresión que deriva en coinfecciones bacterianas. Se estudiaron tres granjas porcinas con sintomatología asociada a la presencia de estos dos agentes etiológicos. Se observaron formas compatibles con M. suis en extendidos de sangre y en lesiones histopatológicas indicativas de PMWS, en cortes de tejidos. Esta es la primera comunicación acerca de la asociación clínica entre las dos entidades mencionadas.Mycoplasma suis is a swine erythrocyte obligatory parasite. Its presence may result in chronic or acute anaemia in different pig categories. It is considered that the postweaning multisystemic wasting syndrome (PMWS is caused by porcine circovirus type 2, but some aspects of the pathogenesis remain unknown. PMWS signs are impaired weight gain, anaemia and jaundice in 5 to 12 week-old pigs that suffer from immunosuppression and bacterial co-infections. The pigs with signs of these diseases on three porcine farms were studied. Compatible M. suis forms in blood smears and typical PMWS lesions in tissue cuts were seen. This is the first communication of the clinical association between these two entities.
Grau-Roma, L.; Stockmarr, Anders; Kristensen, C. S.
by inoculating PCV2 alone. However, studies where co-infections have been applied have been more successful. Based on this, we modeled PMWS development based on longitudinal data on antibodies and PMWS status from herds in Denmark and Spain, where presence of a range of pathogens were considered as explanatory...
Ladekjær-Mikkelsen, A.S.; Nielsen, Jens; Stadejek, T.
on postinoculation day (PID) 21, and one was euthanized on PID 25 in moribund condition. These animals had appeared lethargic with persistent fever from PID 12 onwards. The euthanized pig appeared smaller than littermates and suffered from jaundice. At postmortem examination, gastric ulceration, icterus, and liver...
Liu, Xiaojun; Jiang, Dongdong; Hou, Zhaoxun; He, Meikun; Lu, Yuanan; Mao, Zongfu
Prison medical workers (PMWs) are critically important, but they are also vulnerable to psychological problems. Currently, there is no study on examining PMWs' mental health conditions and possible influencing factors in China. Hence, we conducted this cross-sectional survey, aiming to understand the mental health status of the PMWs and related impact factors in Jiangxi province of China. We employed the Chinese version of the Symptom Checklist-90-R (SCL-90-R) to assess the mental disorders and psychological health conditions of PMWs in Jiangxi. The t tests were used to compare the differences for the average score of SCL-90-R between the Chinese general population and targeted PMWs of this study. Multivariable logistic regression analyses were conducted to identify the main factors associated with overall detection rate of PMWs' psychological health conditions. The scores of four dimensions (somatization, obsessive-compulsive symptoms, anxiety, and paranoid ideation) were significantly higher than the Chinese national norm, and the total positive rate was 49.09% among the PMWs. Gender, marital status, age, and length of employment are identified to be the most significant predictors to affect PMWs' mental health. Positive correlations between each of the nine dimensions of the SCL-90-R have been verified. This study demonstrated for the first time that PMWs are facing mental health risk and suffering serious psychological problems with psychopathology symptoms, which has become a growing concern in China. Our current findings suggest a need for more in-depth studies on this subject going forward to validate our conclusions and also to identify more impact factors, since such studies and knowledge of PMWs' mental health and influencing factors are very limited in China.
Rogers, A J; Huang, Y-W; Heffron, C L; Opriessnig, T; Patterson, A R; Meng, X-J
The family Anelloviridae includes a number of viruses infecting humans (Torque teno viruses, TTV) and other animals including swine (Torque teno sus viruses, TTSuV). Two genetically distinct TTSuV species have been identified from swine thus far (TTSuV1 and TTSuVk2), although their definitive association with disease remains debatable. In 2012, a novel TTSuV species was identified from commercial swine serum and classified in the genus Kappatorquevirus as TTSuVk2b. The other Kappatorquevirus species, TTSuVk2a, has been associated with post-weaning multisystemic wasting syndrome (PMWS) when coinfected with porcine circovirus type 2 (PCV2). Therefore, in this study, we initially amplified a portion of TTSuVk2b ORF1 and, subsequently, assessed the molecular prevalence of the virus in pigs in the United States. A total of 127 serum and 115 tissue samples were obtained from pigs with PMWS or mulberry heart disease (MHD) in six states and tested by PCR for the presence of TTSuVk2b DNA. Approximately 27.6% of the serum and 21.7% of tissue samples tested positive for TTSuVk2b DNA, and the positive products were confirmed by sequencing. However, we did not detect a correlation between TTSuVk2b infection and PMWS or MHD. The near full-length genomic sequence of US TTSuVk2b was determined, and sequence analysis revealed that the US TTSuVk2b isolates were 95% identical to the TTSuVk2b isolate from Spain, with most of the variations clustering in ORF1. We conclude that the novel TTSuVk2b species is present in pigs in the United States and its potential association with a disease warrants further investigation. © 2016 Blackwell Verlag GmbH.
Full Text Available Prison medical workers (PMWs are critically important, but they are also vulnerable to psychological problems. Currently, there is no study on examining PMWs’ mental health conditions and possible influencing factors in China. Hence, we conducted this cross-sectional survey, aiming to understand the mental health status of the PMWs and related impact factors in Jiangxi province of China. We employed the Chinese version of the Symptom Checklist-90-R (SCL-90-R to assess the mental disorders and psychological health conditions of PMWs in Jiangxi. The t tests were used to compare the differences for the average score of SCL-90-R between the Chinese general population and targeted PMWs of this study. Multivariable logistic regression analyses were conducted to identify the main factors associated with overall detection rate of PMWs’ psychological health conditions. The scores of four dimensions (somatization, obsessive-compulsive symptoms, anxiety, and paranoid ideation were significantly higher than the Chinese national norm, and the total positive rate was 49.09% among the PMWs. Gender, marital status, age, and length of employment are identified to be the most significant predictors to affect PMWs’ mental health. Positive correlations between each of the nine dimensions of the SCL-90-R have been verified. This study demonstrated for the first time that PMWs are facing mental health risk and suffering serious psychological problems with psychopathology symptoms, which has become a growing concern in China. Our current findings suggest a need for more in-depth studies on this subject going forward to validate our conclusions and also to identify more impact factors, since such studies and knowledge of PMWs’ mental health and influencing factors are very limited in China.
Jensen, Vibeke Frøkjær; Enøe, Claes; Wachmann, Henrik
A retrospective cohort study was performed on 130 pig herds in Denmark, to assess the effect of PMWS on the use of antimicrobial drug. The study comprised 65 herds diagnosed with PMWS during 2003–2004, and matched by the veterinary practitioner with 65 herds free from PMWS. Information...... on antimicrobial use 1 year before and 1 year after the diagnosis was achieved from the National Prescription Medicine Monitoring Database, VetStat, and summarized on quarter within age group and herd. The multiple linear regression analysis comprised antimicrobial use as the outcome variable with (1) quarter...... relative to diagnosis of PMWS in the positive herd (same date for the negative match), (2) diagnosis of PMWS (same date used for matched PMWS(−) herd), (3) season and (4) temporal trend as fixed effects. Relative to the unaffected herds, the antimicrobial use in the sow units in the PMWS(+) herds...
Okholm Nielsen, Elisabeth; Enøe, Claes; Jorsal, Sven Erik Lind
were 36 g and 52 g less in the case herds than in the control herds. By examining three weaner pigs from each herd the PMWS diagnosis was confirmed by histopathology and immunohistochemistry in 78 per cent of the case herds, but at least one PMWS-positive weaner pig was found in 19 of the control herds...
Full Text Available Porcine necrotic ear syndrome (PNES in pigs has been reported as an increasing health problem in many countries with intensive pig farming. The etiology of this disease is complex and the presumed triggering factors can be divided into infectious and non-infectious agents. The present report describes a case of Porcine Circovirus type 2 (PCV2, infection associated with lesions of PNES at the weaning stage of a farrow-to-finish pig farm. Approximately 35% of weaners (1-3 weeks after weaning presented clinical symptoms similar to Post-weaning Multisystemic Wasting Syndrome (PMWS. About 2-3 weeks after weaning the first lesions of PNES occurred in approximately 20% of pigs, resulting in a significant health problem characterized by poor growth or severe wasting and finally mortality up to 15% in some batches. Moreover, approximately 5% of survived weaners, during growing / finishing stage, presented poor growth and secondary co-infections that lead to death. The present study based on the clinical signs, serological and pathological examinations, indicates that weaners suffered by sub-acute PCV2 infection resulting in PMWS associated with PNES. The lesions of PNES were initially observed at the same period (4-8 weeks of age with the higher seroprevalence of PCV2 infection. Metaphylaxis of this case included intramuscular injection of florfenicol for the treatment and control of skin lesions and respiratory signs. Moreover, piglets were vaccinated against PCV2. In conclusion, sub-acute PCV2 infection could be included in triggering factors PNES in weaners. The mass vaccination against PCV2 of infected piglets might be effective in reduction of clinical signs and losses of PNES in cases of PCV2 infection associated with PNES.
Full Text Available Resumen INTRODUCCIÓN El síndrome de emaciación (wasting en VIH/SIDA aún permanece como un problema común, constituyéndose como un factor de mortalidad en esta población. Se ha postulado el uso de cannabinoides como tratamiento de la baja de peso secundaria a la infección por VIH, lo que aún es controvertido. MÉTODOS Para responder esta pregunta utilizamos Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante búsquedas en múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Extrajimos los datos desde las revisiones identificadas, reanalizamos los datos de los estudios primarios y preparamos tablas de resumen de los resultados utilizando el método GRADE. RESULTADOS Y CONCLUSIONES Identificamos ocho revisiones sistemáticas que en conjunto incluyen 10 estudios primarios, de los cuales, seis son ensayos aleatorizados. Concluimos que no está claro si los cannabinoides aumentan el apetito o incrementan el peso en el síndrome de wasting en pacientes con VIH, y probablemente los efectos adversos son frecuentes.
Grau-Roma, L.; Baekbo, P.; Rose, N.
, a significant increase in postweaning mortality, compared to the historical background in the herd, must be observed in association with clinical signs compatible with PMWS. Secondly, PMWS must be diagnosed in at least one of three to five necropsied pigs concurrently with the increase in mortality. Ruling out...
Hjulsager, Charlotte Kristiane; Grau-Roma, Llorenc; Sibila, M.
Porcine circovirus type 2 /PCV2) is considered the essential infectious agent of postweaning multisystemic wasting syndrome (PMWS), a global swine disease of devastating economic and animal welfare impact. Most pigs become infected with PCV2 during their life, but only a proportion of them develop...... PMWS (1). PMWS is associated with a high PCV2 load, and a general threshold of 10 7 copies of PCV2 per ml serum has been suggested for PMWS diagnosis (2,3). The objective of this study was to compare the performance of two different real-time quantitative polymerase chain reaction (qPCR) assays for PCV...
Allan, G.M.; Mc Neilly, F.; Meehan, B.M.
previously isolated PCVs. A rapid and convenient PCR-based test was developed and used for the genotyping of these PCV isolates. These PCV isolates were found to be antigenically and genomically similar to previously reported isolates of PCV from pigs with wasting disease (PCV2), but distinct from......A porcine circovirus (PCV) was isolated from tissues of pigs with wasting syndromes from Spain, Denmark and N. Ireland. The antigenic profiles of these viruses were determined by indirect immunofluorescence assays using polyclonal antisera and monoclonal antibodies (mAbs) prepared against...... the isolate of PCV from continuous PK/15 cell cultures (PCV1)....
Beddhu, Srinivasan; Wei, Guo; Chen, Xiaorui; Boucher, Robert; Kiani, Rabia; Raj, Dominic; Chonchol, Michel; Greene, Tom; Murtaugh, Maureen A
The associations of dietary protein and/or energy intakes with protein or energy wasting in patients on maintenance hemodialysis are controversial. We examined these in the Hemodialysis (HEMO) Study. In 1487 participants in the HEMO Study, baseline dietary protein intake (grams per kilogram per day) and dietary energy intake (kilocalories per kilograms per day) were related to the presence of the protein-energy wasting (PEW) syndrome at month 12 (defined as the presence of at least 1 criteria in 2 of the 3 categories of low serum chemistry, low body mass, and low muscle mass) in logistic regression models. In additional separate models, protein intake estimated from equilibrated normalized protein catabolic rate (enPCR) was also related to the PEW syndrome. Compared with the lowest quartile, the highest quartile of baseline dietary protein intake was paradoxically associated with increased risk of the PEW syndrome at month 12 (odds ratio [OR]: 4.11; 95% confidence interval [CI]: 2.79-6.05). This relationship was completely attenuated (OR: 1.35; 95% CI: 0.88-2.06) with adjustment for baseline body weight, which suggested mathematical coupling. Results were similar for dietary energy intake. Compared with the lowest quartile of baseline enPCR, the highest quartile was not associated with the PEW syndrome at 12 months (OR: 0.78; 95% CI: 0.54-1.12). These data do not support the use of dietary protein intake or dietary energy intake criteria in the definition of the PEW syndrome in patients on maintenance hemodialysis.
Full Text Available Samples of mesenteric lymph nodes and intestines from 79 unthrifty 3- to 5-month-old postweaning pigs, confirmed as naturally affected with postweaning multisystemic wasting syndrome (PMWS, were studied. Pigs originated from 12 farms in southern Brazil and were selected on the basis of clinical signs and/or gross lesions suggestive of enteric disorder. Lymphohistiocytic infiltrates of varying intensity were associated with anti-porcine circovirus type 2 (anti-PCV2 immunostaining (IS in samples of intestines and mesenteric lymph nodes from all pigs. Although most findings were similar to those described in PCV2-associated enteritis, anti-PCV2 IS in association with depletion of the goblet cell mucin stores (24 pigs, diffuse ileal villous atrophy and fusion (18 pigs, and dilatation of the lymphatic vessels (11 pigs combined or not with lymphangitis were also observed. PCV2 antigen was immunohistochemically demonstrated in the cytoplasm and nuclei from intralesional epithelial cells, histiocytes, and endothelial-like cells in intestinal tissues. Together these findings imply an association with PCV2. The presence of co-infections by Lawsonia intracellularis, Brachyspira spp., Mycobacterium spp., Salmonella spp., rotavirus, parvovirus, coronavirus and enteric calicivirus with PCV2 in the intestinal lesions was investigated.Amostras de linfonodos mesentéricos e intestinos de 79 leitões desmamados refugos, entre 3 e 5 meses de idade e confirmados como naturalmente afetados pela síndrome multissistêmica do definhamento foram estudadas. Os suínos eram oriundos de 12 criações no sul do país e foram selecionados em função dos sinais clínicos e/ou lesões macroscópicas sugestivos de doença entérica. Infiltrados linfoistiocíticos de intensidades variáveis foram associados com marcação positiva anti-circovirus suíno tipo 2 (anti-PCV2 em amostras de intestinos e linfonodos mesentéricos de todos os 79 animais. Embora a maioria dos achados
Lala, R; Matarazzo, P; Andreo, M; Defilippi, C; de Sanctis, C
Skin dysplasia, as café-au-lait spots, bone fibrous dysplasia and peripheral endocrinopathies are the main clinical features of McCune-Albright syndrome (MAS). This illness is due to activating mutations of the Gsalpha protein and is spread with a mosaic pattern in affected tissues that consist of intermixed areas of normal and mutated cells. Peripheral endocrine secretion, free of hypothalamic pituitary control, is the hallmark of the endocrine syndromes: precocious puberty, Cushing's syndrome, hyperthyroidism and gigantism/acromegaly. In addition, phosphate wasting as hyperphosphaturia is often present. The impact of hormonal hypersecretion and phosphate loss on the bones of patients with MAS is poorly understood both in normal and fibrous bone tissue. As hypercortisolism and hyperthyroidism increase bone resorption, hyperestrogenism and growth hormone hypersecretion stimulate bone growth and mineralization, and phosphate wasting reduces bone mineral content. All these actions can be exerted at varying times and degrees in a single patient on lesional and non-lesional bones. Sonographic evidence of multiple diffused hyperechogenic spots in the testes of patients with MAS do not seem to be related to alterations in calcium-phosphate metabolism but rather to zonal dysplasia/hyperplasia of testicular tissue.
Yeon Jin Jeon
Full Text Available Cerebral salt-wasting syndrome (CSWS is a rare disease characterized by a extracellular volume depletion and hyponatremia induced by marked natriuresis. It is mainly reported in patients who experience a central nervous system insult, such as cerebral hemorrhage or encephalitis. The syndrome of inappropriate antidiuretic hormone secretion is a main cause of severe hyponatremia after hematopoietic stem cell transplantation, whereas CSWS is rarely reported. We report 3 patients with childhood acute leukemia who developed CSWS with central nervous system complication after hematopoietic stem cell transplantation. The diagnosis of CSW was made on the basis of severe hyponatremia accompanied by increased urine output with clinical signs of dehydration. All patients showed elevated natriuretic peptide and normal antidiuretic hormone. Aggressive water and sodium replacement treatment was instituted in all 3 patients and 2 of them were effectively recovered, the other one was required to add fludrocortisone administration.
Cortina, Gerard; Hansford, Jordan R; Duke, Trevor
We describe a 2-year-old female with a suprasellar primitive neuroectodermal tumor and central diabetes insipidus (DI) who developed polyuria with natriuresis and subsequent hyponatremia 36 hr after cisplatin administration. The marked urinary losses of sodium in combination with a negative sodium balance led to the diagnosis of cisplatin-induced renal salt wasting syndrome (RSWS). The subsequent clinical management is very challenging. Four weeks later she was discharged from ICU without neurological sequela. The combination of cisplatin-induced RSWS with DI can be confusing and needs careful clinical assessment as inaccurate diagnosis and management can result in increased neurological injury. © 2016 Wiley Periodicals, Inc.
Full Text Available Porcine circovirus type 2 belongs on the family Circoviridae. This virus family includes small, non-enveloped viruses, with a circular, single-standed DNA genome.This virus causes mainly subclinical infections, but a number of diseases have been linked to it (porcine circovirus diseases, PCVD. The most economically important PCVD is postweaning multisystemic wasting syndrome (PMWS, which mainly affects pigs of 2 to 5 months of age, with progressive wasting, diarrhea and respiratory disorders. Main PMWS lesions are found in lymphoid tissues, which are characterized by lymphocyte depletion with granulomatous (histiocytic and multinucleate giant cell infiltration. PMWS is considered as multifactorial disease, with a number of infectious and non-infectious factors able to act as disease triggering in PCV2 infected pigs. PCVDs are worldwide distributed, and PMWS was diagnosed in Macedonia in 2007.
Wu, Xuehai; Zhou, Xiaolan; Gao, Liang; Wu, Xing; Fei, Li; Mao, Ying; Hu, Jin; Zhou, Liangfu
Combined central diabetes insipidus and cerebral salt wasting syndrome after traumatic brain injury (TBI) is rare, is characterized by massive polyuria leading to severe water and electrolyte disturbances, and usually is associated with very high mortality mainly as a result of delayed diagnosis and improper management. We retrospectively reviewed the clinical presentation, management, and outcomes of 11 patients who developed combined central diabetes insipidus and cerebral salt wasting syndrome after traumatic brain injury to define distinctive features for timely diagnosis and proper management. The most typical clinical presentation was massive polyuria (10,000 mL/24 hours or >1000 mL/hour) refractory to vasopressin alone but responsive to vasopressin plus cortisone acetate. Other characteristic presentations included low central venous pressure, high brain natriuretic peptide precursor level without cardiac dysfunction, high 24-hour urine sodium excretion and hypovolemia, and much higher urine than serum osmolarity; normal serum sodium level and urine specific gravity can also be present. Timely and adequate infusion of sodium chloride was key in treatment. Of 11 patients, 5 had a good prognosis 3 months later (Extended Glasgow Outcome Scale score ≥6), 1 had an Extended Glasgow Outcome Scale score of 4, 2 died in the hospital of brain hernia, and 3 developed a vegetative state. For combined diabetes insipidus and cerebral salt wasting syndrome after traumatic brain injury, massive polyuria is a major typical presentation, and intensive monitoring of fluid and sodium status is key for timely diagnosis. To achieve a favorable outcome, proper sodium chloride supplementation and cortisone acetate and vasopressin coadministration are key. Copyright © 2016 Elsevier Inc. All rights reserved.
The origin of the wastes (power stations, reprocessing, fission products) is determined and the control ensuring the innocuity with respect to man, public acceptance, availability, economics and cost are examined [fr
Beddhu, Srinivasan; Chen, Xiaorui; Wei, Guo; Raj, Dominic; Raphael, Kalani L; Boucher, Robert; Chonchol, Michel B; Murtaugh, Maureen A; Greene, Tom
It is unknown whether the criteria used to define Protein-energy wasting (PEW) syndrome in dialysis patients reflect protein or energy wasting in the general and moderate CKD populations. In 11,834 participants in the 1999-2004 National Health and Nutrition Examination Survey, individual PEW syndrome criteria and the number of PEW syndrome categories were related to lean body and fat masses (measured by dual-energy absorptiometry) using linear regression in the entire cohort and CKD sub-population. Serum chemistry, body mass and muscle mass PEW criteria tended to be associated with lower lean body and fat masses, but the low dietary protein and energy intake criteria were associated with significantly higher protein and energy stores. When the number of PEW syndrome categories was defined by non-dietary categories alone, there was a monotonic inverse relationship with lean body and fat masses and strong positive relationship with mortality. In contrast, when dietary category alone was present, mean BMI was in the obesity range; additional presence of two non-dietary categories was associated with lower BMI and lower lean body and fat masses. Thus, the association of dietary category plus two additional non-dietary categories with lower protein or energy stores was driven by the presence of the two non-dietary categories. Results were similar in CKD subgroup. Hence, a definition of PEW syndrome without dietary variables has face validity and reflects protein or energy wasting.
Saatova G. M.
Full Text Available the clinical forms of ecopathology and clinical and epidemiological features of congenital and acquired diseases of children living in the area of nuclear waste tailings (city Mailu-Suu Kyrgyz Republic are studied in this article. The authors figured out that 52.6% of children living in stressful environmental conditions had a high medical and social risk of chronic disease.
Kikuchi, Ryunosuke; Gerardo, Romeu
Portugal's export amount of hazardous waste is increasing. More than 10 years ago, waste co-incineration in cement kilns was proposed in Portugal for technical and economic reasons amid administrative willingness to manage hazardous waste domestically. However, this waste project has still not been realized owing to local public resistance (the so-called NIMBY syndrome). We focus attention on the long-term resistance, and the following points are established through analysis: (i) public participation was left out of the project at the initial stage, so public confidence in government ability has been declining, (ii) public antipathy results from emotive stimulation and/or mental fears rather than scientific evidence, and (iii) indirect socio-economic factors in the region proposed for a hazardous waste facility are completely excluded from the project scope. The presented case study suggests that public acceptability is quite important in implementing hazardous waste management without delay. Therefore, engineers, researchers and planners in hazardous waste management should be aware that a report addressing only technical performance is less beneficial than a comprehensive report for putting a management tool into industrial practice.
Stevenson, L.S.; McCullough, K.; Vincent, I.
The purpose of this study was to determine serum profiles of cytokines at a protein level and C-reactive protein (CRP) during the development of postweaning multisystemic wasting syndrome (PMWS) in experimentally inoculated pigs. Levels of serum IFN-alpha, IL-6, IL-10, and CRP were examined...
Cheng, Ruhong; Yan, Ming; Ni, Cheng; Zhang, Jia; Li, Ming; Yao, Zhirong
Recently, homozygous mutations in the desmoglein-1 (DSG1) gene and heterozygous mutation in the desmoplakin (DSP) gene have been demonstrated to be associated with severe dermatitis, multiple allergies and metabolic wasting (SAM) syndrome (Mendelian Inheritance in Man no. 615508). We aim to identify the molecular basis for a Chinese pedigree of SAM syndrome. A Chinese pedigree of SAM syndrome was subjected to mutation detection in the DSG1 gene. Sequence analysis of the DSG1 gene and quantitative reverse transcriptase polymerase chain reaction analysis for gene expression of DSG1 using cDNA derived from the epidermis of patients and controls were both performed. Skin biopsies were also taken from patients for pathological study and transmission electron microscopy observation. Novel homozygous splicing mutation c.1892-1delG in the exon-intron border of the DSG1 gene has been demonstrated to be associated with SAM syndrome. We report a new family of SAM syndrome of Asian decent and expand the spectrum of mutations in the DSG1 gene. © 2016 Japanese Dermatological Association.
Hansen, Mette Sif; Pors, S. E.; Bille-Hansen, Vivi
Infection with porcine circovirus type 2 (PCV2) may be subclinical or lead to the development of porcine circovirus disease (PCVD), which includes the entities of post-weaning multisystemic wasting syndrome (PMWS) and the porcine respiratory disease complex (PRDC). PCV2 infection and PMWS occur...... or more tissues of 61% of the pigs were positive for PCV2 antigen. Up to 78% of the pigs had mild lymphoid depletion, indistinct lymphoid follicles and/or histiocytic Infiltration of the lymph nodes, but these lesions were not associated with PCV2. No association was found between the presence of lung...
Latil, F; Iliou, M C; Boileau, C; Pietri, J X; Lechien, C; Ha-Vinh, P; Guimond, C
Return to work (RTW) after acute coronary syndrome (ACS) is an important issue for the patient's future. The study aim was to determine whether RTW practice complies with guidelines or is delayed by failure in patient management. We analysed the factors influencing RTW beyond the 90-day period recommended by guidelines. We conducted a survey of 216 self-employed workers admitted to the hospital for ACS using self-report questionnaires and medical examination. Factors influencing RTW, occupational and cardiac features, and recall and source of medical information were investigated. Ninety-three of 216 patients did not return to work by 90 days, despite good cardiac performance in 30 cases (32 %). The mean sick leave duration was 93.3±103.7 days. Advice concerning return to work was completely missing for 44 % of patients. Cardiac performance was independent of sick leave duration, but was correlated with the likelihood of RTW (Pwork-related information. Recall of work-related information was better among patients admitted to a rehabilitation facility (65 %) compared to those who did not receive rehabilitation (Pperformance within 2 months after ACS. Patient management should also include cardiac rehabilitation or therapeutic education toward improving information recall. Copyright © 2017 Elsevier Masson SAS. All rights reserved.
Pérez-Torres, Almudena; González Garcia, M Elena; San José-Valiente, Belén; Bajo Rubio, M Auxiliadora; Celadilla Diez, Olga; López-Sobaler, Ana M; Selgas, Rafael
Protein-energy wasting (PEW) is associated with increased mortality and differs depending on the chronic kidney disease (CKD) stage and the dialysis technique. The prevalence in non-dialysis patients is understudied and ranges from 0 to 40.8%. To evaluate the nutritional status of a group of Spanish advanced CKD patients by PEW criteria and subjective global assessment (SGA). Cross-sectional study of 186 patients (101 men) with a mean age of 66.1±16 years. The nutritional assessment consisted of: SGA, PEW criteria, 3-day dietary records, anthropometric parameters and bioelectrical impedance vector analysis. The prevalence of PEW was 30.1%, with significant differences between men and women (22.8 vs. 33.8%, p intake. Women had higher levels of total cholesterol, HDL and a higher body fat percentage. The characteristics of patients with PEW were low albumin levels and a low total lymphocyte count, high proteinuria, low fat and muscle mass and a high Na/K ratio. The multivariate analysis found PEW to be associated with: proteinuria (OR: 1.257; 95% CI: 1.084-1.457, p=0.002), percentage of fat intake (OR: 0.903; 95% CI: 0.893-0.983, p=0.008), total lymphocyte count (OR: 0.999; 95% CI: 0.998-0.999, p=0.001) and cell mass index (OR: 0.995; 95% CI: 0.992-0.998). Malnutrition was identified in Spanish advanced CKD patients measured by different tools. We consider it appropriate to adapt new diagnostic elements to PEW criteria. Copyright © 2017 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.
Full Text Available Introduction: Protein-energy wasting (PEW is associated with increased mortality and differs depending on the chronic kidney disease (CKD stage and the dialysis technique. The prevalence in non-dialysis patients is understudied and ranges from 0 to 40.8%. Objective: To evaluate the nutritional status of a group of Spanish advanced CKD patients by PEW criteria and subjective global assessment (SGA. Patients and methods: Cross-sectional study of 186 patients (101 men with a mean age of 66.1Â Â±Â 16 years. The nutritional assessment consisted of: SGA, PEW criteria, 3-day dietary records, anthropometric parameters and bioelectrical impedance vector analysis. Results: The prevalence of PEW was 30.1%, with significant differences between men and women (22.8 vs. 33.8%, pÂ <Â 0.005, while 27.9% of SGA values were within the range of malnutrition. No differences were found between the 2 methods. Men had higher proteinuria, percentage of muscle mass and nutrient intake. Women had higher levels of total cholesterol, HDL and a higher body fat percentage. The characteristics of patients with PEW were low albumin levels and a low total lymphocyte count, high proteinuria, low fat and muscle mass and a high Na/K ratio.The multivariate analysis found PEW to be associated with: proteinuria (OR: 1.257; 95% CI: 1.084â1.457, pÂ =Â 0.002, percentage of fat intake (OR: 0.903; 95% CI: 0.893â0.983, pÂ =Â 0.008, total lymphocyte count (OR: 0.999; 95% CI: 0.998â0.999, pÂ =Â 0.001 and cell mass index (OR: 0.995; 95% CI: 0.992â0.998. Conclusion: Malnutrition was identified in Spanish advanced CKD patients measured by different tools. We consider it appropriate to adapt new diagnostic elements to PEW criteria. Resumen: IntroducciÃ³n: El desgaste proteico energÃ©tico (DPE se asocia a mayor mortalidad y difiere dependiendo del estadio de la enfermedad renal y de la tÃ©cnica de diÃ¡lisis. Su prevalencia en pacientes sin di
Carrero, Juan Jesús; Stenvinkel, Peter; Cuppari, Lilian; Ikizler, T Alp; Kalantar-Zadeh, Kamyar; Kaysen, George; Mitch, William E; Price, S Russ; Wanner, Christoph; Wang, Angela Y M; ter Wee, Pieter; Franch, Harold A
Protein-energy wasting (PEW), a term proposed by the International Society of Renal Nutrition and Metabolism (ISRNM), refers to the multiple nutritional and catabolic alterations that occur in chronic kidney disease (CKD) and associate with morbidity and mortality. To increase awareness, identify research needs, and provide the basis for future work to understand therapies and consequences of PEW, ISRNM provides this consensus statement of current knowledge on the etiology of PEW syndrome in CKD. Although insufficient food intake (true undernutrition) due to poor appetite and dietary restrictions contribute, other highly prevalent factors are required for the full syndrome to develop. These include uremia-induced alterations such as increased energy expenditure, persistent inflammation, acidosis, and multiple endocrine disorders that render a state of hypermetabolism leading to excess catabolism of muscle and fat. In addition, comorbid conditions associated with CKD, poor physical activity, frailty, and the dialysis procedure per se further contribute to PEW. Published by Elsevier Inc.
McKillen, John; McNair, Irene; Lagan, Paula; McKay, Karen; McClintock, Julie; Casement, Veronica; Charreyre, Catherine; Allan, Gordon
Snatch farrowed, colostrum deprived piglets were inoculated with different combinations of porcine circovirus 2, porcine parvovirus and Erysipelothrix rhusiopathiae candidate vaccines. 10 piglets were mock-vaccinated. Following virus challenge with a combined porcine circovirus 2/porcine parvovirus inoculum, all animals were monitored and samples taken for serology, immunohistochemistry and qPCR. At 24 dpc all non-vaccinated animals remaining were exhibiting signs of post-weaning multi-systemic wasting syndrome which was confirmed by laboratory analysis. Details of the study, analysis of samples and performance of the candidate vaccines are described. Copyright © 2016 Elsevier Ltd. All rights reserved.
González-Ortiz, Ailema Janeth; Arce-Santander, Celene Viridiana; Vega-Vega, Olynka; Correa-Rotter, Ricardo; Espinosa-Cuevas, María de Los Angeles
The protein-energy wasting syndrome (PEW) is a condition of malnutrition, inflammation, anorexia and wasting of body reserves resulting from inflammatory and non-inflammatory conditions in patients with chronic kidney disease (CKD).One way of assessing PEW, extensively described in the literature, is using the Malnutrition Inflammation Score (MIS). To assess the reliability and consistency of MIS for diagnosis of PEW in Mexican adults with CKD on hemodialysis (HD). Study of diagnostic tests. A sample of 45 adults with CKD on HD were analyzed during the period June-July 2014.The instrument was applied on 2 occasions; the test-retest reliability was calculated using the Intraclass Correlation Coefficient (ICC); the internal consistency of the questionnaire was analyzed using Cronbach's αcoefficient. A weighted Kappa test was used to estimate the validity of the instrument; the result was subsequently compared with the Bilbrey nutritional index (BNI). The reliability of the questionnaires, evaluated in the patient sample, was ICC=0.829.The agreement between MIS observations was considered adequate, k= 0.585 (p <0.001); when comparing it with BNI, a value of k = 0.114 was obtained (p <0.001).In order to estimate the tendency, a correlation test was performed. The r² correlation coefficient was 0.488 (P <0.001). MIS has adequate reliability and validity for diagnosing PEW in the population with chronic kidney disease on HD. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.
The present invention relates to infectious DNA clones, infectious chimeric DNA clones of porcine circovirus (PCV), vaccines and means of protecting pigs against viral infection or postweaning multisystemic wasting syndrome (PMWS) caused by PCV2. The new chimeric infectious DNA clone and its derived, avirulent chimeric virus are constructed from the nonpathogenic PCV1 in which the immunogenic ORF gene of the pathogenic PCV2 replaces a gene of the nonpathogenic PCV1, preferably in the same pos...
The main work involved the PMWS (Post-weaning multisystemic Wasting Syndrome), caused by PCV-2 (Porcine Circovirus type 2) that involved post-weaned pigs. Merial Italy has funded a study activity in which groups of 3-5 animals were sampled for lungs, tracheo-bronchial and superficial inguinal lymph nodes, ileum and tonsils. The protocol applied can be identified as a more diagnostic potential on the individual than on the group. PNP. Another investigation has been conducted to study prolif...
Stewart Coats, Andrew J; Shewan, Louise G
We compared the frequency of cancer, heart and lung related cachexia and cachexia-related research articles in the specialist journal, Journal of Cachexia, Sarcopenia and Muscle (JCSM) to those seen in a leading European journal in each specialist area during 2015 and 2016 to assess whether work on cachexia and related fields is relatively over or under represented in each specialist area. In the dedicated journal, Journal of Cachexia, Sarcopenia and Muscle, there were 44 references related to cancer, 5 related to respiratory disease, 5 related to heart failure, and 21 related to more than one of these chronic diseases. Despite this cancer preponderance, in the European Journal of Cancer in the two publication years, there were only 5 relevant publications (0.67% of the journal output), compared to 16 (1.41%) in the European Respiratory Journal and 10 (2.19%) in the European Journal of Heart Failure. There is considerable under-representation of cancer cachexia-related papers in the major European Cancer journal despite a high proportion in the dedicated cachexia journal. The under-representation is even more marked when expressed as a percentage, 0.67%, compared to 1.41% and 2.19% of the lung and heart journals respectively. These results are consistent with a worrying lack of interest in, or publication of, cachexia and related syndromes research in the cancer literature in Europe compared to its importance as a clinical syndrome. Greater interest is shown in lung and cardiology journals. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.
Savic, Bozidar; Milicevic, Vesna; Jakic-Dimic, Dobrila; Bojkovski, Jovan; Prodanovic, Radisa; Kureljusic, Branislav; Potkonjak, Aleksandar; Savic, Borivoje
Porcine circovirus type 2 (PCV2) is the main causative agent of postweaning multisystemic wasting syndrome (PMWS). To characterize and determine the genetic diversity of PCV2 in the porcine population of Serbia, nucleotide and deduced amino acid sequences of the open reading frame 2 (ORF2) of PCV2 collected from the tissues of pigs that either had died as a result of PMWS or did not exhibit disease symptoms were analyzed. Sequencing and phylogenetic analysis showed considerable diversity among PCV2 ORF2 sequences and the existence of two main PCV2 genotypes, PCV2b and PCV2a, with at least three clusters, 1A/B, 1C and 2D. In order to provide further proof that the 1C strain is circulating in the porcine population, the whole viral genome of one PCV2 isolate was sequenced. Genotyping and phylogenetic analysis using the entire viral genome sequences confirmed that there was a PMWS-associated 1C strain emerging in Serbia. Our analysis also showed that PCV2b is dominant in the porcine population, and that it is exclusively associated with PMWS occurrences in the country. These data constitute a useful basis for further epidemiological studies regarding the heterogeneity of PCV2 strains on the European continent.
Fremont, Oliver T; Chan, James C M
We aim to review the clinical features of two renal tubular disorders characterized by sodium and potassium wasting: Bartter syndrome and Gitelman syndrome. Selected key references concerning these syndromes were analyzed, together with a PubMed search of the literature from 2000 to 2011. The clinical features common to both conditions and those which are distinct to each syndrome were presented. The new findings on the genetics of the five types of Bartter syndrome and the discrete mutations in Gitelman syndrome were reviewed, together with the diagnostic workup and treatment for each condition. Patients with Bartter syndrome types 1, 2 and 4 present at a younger age than classic Bartter syndrome type 3. They present with symptoms, often quite severe in the neonatal period. Patients with classic Bartter syndrome type 3 present later in life and may be sporadically asymptomatic or mildly symptomatic. The severe, steady-state hypokalemia in Bartter syndrome and Gitelman syndrome may abruptly become life-threatening under certain aggravating conditions. Clinicians need to be cognizant of such renal tubular disorders, and promptly treat at-risk patients.
Passeri, Elena; Bonomi, Marco; Dangelo, Francesco; Persani, Luca; Corbetta, Sabrina
Physiological functioning of the testes is important for cardiac health besides for virilisation, physical strength, behavior and reproduction; moreover, hypogonadism has been demonstrated as a significant risk marker of increased all-cause and cardiovascular mortality. We reported two cases of long-standing hypogonadotropic hypogonadism presenting with wasting, bradycardia and heart failure. The two patients were admitted to emergency department for deep weakness, unresponsive anemia and severe bradycardia, requiring in one case the implanting of a monocameral pace-maker for treatment of heart failure. No previous cardiologic disorders were known and cardiac ischemia was ruled out in both patients. The first patient presented congenital hypogonadotropic hypogonadism combined with mild central hypothyroidism and growth hormone deficiency occurred in the peripubertal age, while the second one was diagnosed with isolated adult-onset severe central hypogonadism. Testosterone deficiency was the main feature in both patients as physical examination revealed clinical stigmata of hypogonadism and testosterone replacement induced a dramatic improvement of general condition. Genetic analysis of genes involved in hypogonadotropic hypogonadism failed to identify alterations. Long-standing hypogonadism in males can be associated with life threatening body alterations including severe bradycardia and heart failure.
Uno, Shigeyuki; Dalton, Timothy P.; Sinclair, Peter R.; Gorman, Nadia; Wang, Bin; Smith, Andrew G.; Miller, Marian L.; Shertzer, Howard G.; Nebert, Daniel W.
To study liver toxicity and uroporphyrin (URO) accumulation and urinary excretion, 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD), a potent ligand for the aryl hydrocarbon receptor (AHR), is often used as the prototype. In this study, we asked the question how important is the role of CYP1A1 in causing TCDD toxicity. Using a single large intraperitoneal dose of TCDD (200 μg/kg) and following the response over an 8-week period, we found this dose: (a) was lethal in less than 4 weeks to Cyp1a1(+/+) males but not to Cyp1a1(-/-) males or to females of either genotype; (b) caused a wasting syndrome in Cyp1a1(+/+) but not Cyp1a1(-/-) mice; (c) resulted in thymic atrophy, regardless of gender or genotype; (d) decreased spleen size and caused leukocytopenia in males but not females of either genotype; (e) caused hepatocyte hypertrophy in Cyp1a1(+/+) more so than in Cyp1a1(-/-) mice; (f) increased intrahepatocyte lipids and total liver fat content in Cyp1a1(+/+) more than Cyp1a1(-/-) males and females; and (g) caused uroporphyria in Cyp1a1(+/+) males much more than Cyp1a1(+/+) females, or in Cyp1a1(-/-) mice. Contrary to Cyp1a2(-/-) knockout mice that exhibited 15 times less accumulation of TCDD in liver than Cyp1a1/1a2(+/+) wild-type mice, Cyp1a1(-/-) mice did not show this altered TCDD distribution - indicating that CYP1A2 but not CYP1A1 is the major hepatic TCDD-binding 'sink'. Our data demonstrate that CYP1A1 contributes to high-dose TCDD-induced toxicity, uroporphyria, and lethality
Hyperserotonemia; Serotonergic syndrome; Serotonin toxicity; SSRI - serotonin syndrome; MAO - serotonin syndrome ... brain area. For example, you can develop this syndrome if you take migraine medicines called triptans together ...
... the syndrome. How does Beals syndrome compare with Marfan syndrome? People with Beals syndrome have many of the ... bone) and aortic enlargement problems as people with Marfan syndrome, and treatments for these problems are the same. ...
Balint, Adam; Tenk, Miklós; Deim, Zoltán
A real-time PCR assay, based on Primer-Probe Energy Transfer (PriProET), was developed to improve the detection and quantification of porcine circovirus type 2 (PVC2). PCV2 is recognised as the essential infectious agent in post-weaning multisystemic wasting syndrome (PMWS) and has been associated...... in different organs. The data obtained in this study correlate with those described earlier; namely, the viral load in 1 ml plasma and in 500 ng tissue DNA exceeds 10(7) copies in the case of PMWS. The results indicate that the new assay provides a specific, sensitive and robust tool for the improved detection...... and quantification of PCV2....
Hypercortisolism; Cortisol excess; Glucocorticoid excess - Cushing syndrome ... The most common cause of Cushing syndrome is taking too much ... Cushing syndrome . Prednisone, dexamethasone, and prednisolone ...
Multiple lentigines syndrome; Noonan syndrome with multiple lentigines ... Genetics Home Reference -- ghr.nlm.nih.gov/condition/noonan-syndrome-with-multiple-lentigines National Organization for Rare Disorders -- ...
After a description of the EEC environmental policy, some wastes families are described: bio-contaminant wastes (municipal and industrial), hospitals wastes, toxic wastes in dispersed quantities, nuclear wastes (radioactive and thermal), plastics compounds wastes, volatiles organic compounds, hydrocarbons and used solvents. Sources, quantities and treatments are given. (A.B.). refs., figs., tabs
Wang, Haiyan; Feng, Zhixin; Wu, Yuzi; Wei, Yanna; Gan, Yuan; Hua, Lizhong; Li, Bin; Wang, Xiaomin; Liu, Maojun; Xiong, Qiyan; Shao, Guoqing
Porcine circovirus type 2 (PCV2) is the causative agent of postweaning multisystemic wasting syndrome (PMWS). Mycoplasma hyopneumoniae (Mhp) is a very well-known co-factor that potentially enhances PCV2 replication and thus the development of PMWS. However, co-infection with Mhp and PCV2 in vivo under different conditions can produce divergent clinical signs and lesions. In this study, PCV2 replication could be enhanced by subsequent co-inoculation with Mhp (PCV2+Mhp) in a time and dose dependent method, but not by prior (Mhp+PCV2) or simultaneous (Mhp/PCV2) co-inoculation. Furthermore, different magnitudes of PCV2-infected cells, varying from 150% ± 14% to 351% ± 28%, were detected when co-infected with different Mhp strains. The relative percentage of PCV2-infected cells greatly decreased from 351% ± 28 to 141% ± 18 when the Mhp strain was treated with UV light for 12 h. These results offer the evidences to better understand the complex clinical syndromes in Mhp/PCV2 co-infection cases, and the occurrence of PMWS. Copyright © 2016. Published by Elsevier Ltd.
NSGIC Education | GIS Inventory — A Municipal Waste Operation is a DEP primary facility type related to the Waste Management Municipal Waste Program. The sub-facility types related to Municipal Waste...
De Toni-Fanconi syndrome ... Fanconi syndrome can be caused by faulty genes, or it may result later in life due to kidney damage. Sometimes the cause of Fanconi syndrome is unknown. Common causes of Fanconi syndrome in ...
... Frequently Asked Questions Español Condiciones Chinese Conditions Duane Syndrome En Español Read in Chinese What is Duane Syndrome? Duane syndrome, also called Duane retraction syndrome (DRS), ...
The article drawn up within the framework of 'the assessment of the state of the environment in Lebanon' provides an overview of solid waste management, and assesses future wastes volume and waste disposal issues.In particular it addresses the following concerns: - Long term projections of solid waste arisings (i.e. domestic, industrial, such commercial wastes, vehicle types, construction waste, waste oils, hazardous toxic wastes and finally hospital and clinical wastes) are described. - Appropriate disposal routes, and strategies for reducing volumes for final disposal - Balance between municipal and industrial solid waste generation and disposal/treatment and - environmental impacts (aesthetics, human health, natural environment )of existing dumps, and the potential impact of government plans for construction of solid waste facilities). Possible policies for institutional reform within the waste management sector are proposed. Tables provides estimations of generation rates and distribution of wastes in different regions of Lebanon. Laws related to solid waste management are summarized
The 27 papers represent a cross-section of the subject waste management. Particular attention is paid to the following themes: waste avoidance, waste product utilization, household wastes, dumping technology, sewage sludge treatments, special wastes, seepage from hazardous waste dumps, radioactive wastes, hospital wastes, purification of flue gas from waste combustion plants, flue gas purification and heavy metals, as well as combined sewage sludge and waste product utilization. The examples given relate to plants in Germany and other European countries. 12 papers have been separately recorded in the data base. (DG) [de
Jelsig, Anne Marie; Qvist, Niels; Brusgaard, Klaus
Hamartomatous Polyposis Syndromes (HPS) are genetic syndromes, which include Peutz-Jeghers syndrome, Juvenile polyposis syndrome, PTEN hamartoma tumour syndrome (Cowden Syndrom, Bannayan-Riley-Ruvalcaba and Proteus Syndrome) as well as hereditary mixed polyposis syndrome. Other syndromes such as ......Hamartomatous Polyposis Syndromes (HPS) are genetic syndromes, which include Peutz-Jeghers syndrome, Juvenile polyposis syndrome, PTEN hamartoma tumour syndrome (Cowden Syndrom, Bannayan-Riley-Ruvalcaba and Proteus Syndrome) as well as hereditary mixed polyposis syndrome. Other syndromes...
In this chapter formation of wastes and basic concepts of non-radioactive waste management are explained. This chapter consists of the following parts: People in Peril; Self-regulation of nature as a guide for minimizing and recycling waste; The current waste management situation in the Slovak Republic; Categorization and determination of the type of waste in legislative of Slovakia; Strategic directions waste management in the Slovak Republic.
Marfan syndrome is a disorder that affects connective tissue. Connective tissues are proteins that support skin, bones, blood vessels, ... A problem with the fibrillin gene causes Marfan syndrome. Marfan syndrome can be mild to severe, and ...
Aarskog disease; Aarskog-Scott syndrome; AAS; Faciodigitogenital syndrome; Gaciogenital dysplasia ... Aarskog syndrome is a genetic disorder that is linked to the X chromosome. It affects mainly males, but females ...
Williams-Beuren syndrome ... Williams syndrome is caused by not having a copy of several genes. It may be passed down in families. ... history of the condition. However, people with Williams syndrome have a 50% chance of passing the disorder ...
宗, 友厚; 伊藤, 勇; 諏訪, 哲也; 武田, 純; MUNE, Tomoatsu
Sixteen cases of verified Cushing's syndrome, and twelve cases of probable Cushing's syndrome were reviewed and data on them were compared with various reports on Cushing's syndrome in the literature.
Gilles de la Tourette syndrome; Tic disorders - Tourette syndrome ... Tourette syndrome is named for Georges Gilles de la Tourette, who first described this disorder in 1885. The disorder is likely passed down through families. ...
... 2016:chap 153. Nevah MI, Fallon MB. Hepatic encephalopathy, hepatorenal syndrome, hepatopulmonary syndrome, and other systemic complications of liver disease. In: Feldman M, Friedman LS, Brandt LJ, ...
Following a definition of the term 'radioactive waste', including a discussion of possible criteria allowing a delimitation of low-level radioactive against inactive wastes, present techniques of handling high-level, intermediate-level and low-level wastes are described. The factors relevant for the establishment of definitive disposals for high-level wastes are discussed in some detail. Finally, the waste management organization currently operative in Austria is described. (G.G.)
In this study, waste management concept, waste management system, biomass and bio-waste resources, waste classification, and waste management methods have been reviewed. Waste management is the collection, transport, processing, recycling or disposal, and monitoring of waste materials. A typical waste management system comprises collection, transportation, pre-treatment, processing, and final abatement of residues. The waste management system consists of the whole set of activities related to handling, treating, disposing or recycling the waste materials. General classification of wastes is difficult. Some of the most common sources of wastes are as follows: domestic wastes, commercial wastes, ashes, animal wastes, biomedical wastes, construction wastes, industrial solid wastes, sewer, biodegradable wastes, non-biodegradable wastes, and hazardous wastes.
Kavita R Bhatnagar
Full Text Available Kearns-Sayre syndrome (KSS is a rare neuromuscular disorder. We report a case of a 14-year-old boy diagnosed and treated as myasthenia gravis for (4 years who was eventually diagnosed with KSS. He reported to us 3 years after initial presentation of mild drooping of eyelids with increased severity of ptosis, bilateral external ophthalmoplegia, and atypical retinitis pigmentosa. On multispecialty consultation, he was found to have right bundle branch block, wasting and weakness of limb muscles, and hearing loss. Sartorius muscle biopsy revealed ragged red fibres on trichrome stain. All these findings confirmed the diagnosis of Kearns-Sayre Syndrome (KSS. The take home message is to have a high index of suspicion for KSS when encountering cases of musculoskeletal disorders in subjects below 20 years of age in view of high morbidity and mortality associated with this syndrome.
Christensen, Thomas Højlund; Fruergaard, Thilde; Matsufuji, Y.
are discussed in this chapter. Characterizing residential waste is faced with the problem that many residences already divert some waste away from the official collection systems, for example performing home composting of vegetable waste and garden waste, having their bundled newspaper picked up by the scouts...... twice a year or bringing their used furniture to the flea markets organized by charity clubs. Thus, much of the data available on residential waste represents collected waste and not necessarily all generated waste. The latter can only be characterized by careful studies directly at the source......, but such studies are very expensive if fair representation of both spatial and temporal variations should be obtained. In addition, onsite studies may affect the waste generation in the residence because of the increased focus on the issue. Residential waste is defined in different ways in different countries...
Hjulsager, Charlotte Kristiane; Grau-Roma, L.; Sibila, M.
Several real-time PCR assays for quantification of PCV2 DNA (qPCR) have been described in the literature. and different in-house assays are being used by laboratories around the world. A general threshold of it copies of PCV2 per millilitre serum for postweaning multisystemic wasting syndrome (PMWS......) diagnosis has been suggested. However, neither inter-laboratory nor inter-assay comparisons have been published so far. In the present study two different qPCR probe assays Used routinely in two laboratories were compared on DNA extracted From serum, nasal and rectal swabs. Results showed a significant...
In this article mining wastes means wastes obtained during extraction and processing of uranium ores including production of uraniferous concentrates. The hazards for the population are irradiation, ingestion, dust or radon inhalation. The different wastes produced are reviewed. Management of liquid effluents, water treatment, contamined materials, gaseous wastes and tailings are examined. Environmental impact of wastes during and after exploitation is discussed. Monitoring and measurements are made to verify that ICRP recommendations are met. Studies in progress to improve mining waste management are given [fr
Bruun Hansen, Karsten; Jamison, Andrew
The case study deals with public accountability issues connected to household waste management in the municipality of Copenhagen, Denmark.......The case study deals with public accountability issues connected to household waste management in the municipality of Copenhagen, Denmark....
Devarakonda, M.S.; Melvin, J.M.
This paper is part of the Annual Literature Review issue of Water Environment Research. The review attempts to provide a concise summary of important water-related environmental science and engineering literature of the past year, of which 40 separate topics are discussed. On the topic of radioactive wastes, the present paper deals with the following aspects: national programs; waste repositories; mixed wastes; waste processing and decommissioning; environmental occurrence and transport of radionuclides; and remedial actions and treatment. 178 refs
Neerdael, B.; Marivoet, J.; Put, M.; Verstricht, J.; Van Iseghem, P.; Buyens, M.
The primary mission of the Waste Disposal programme at the Belgian Nuclear Research Centre SCK/CEN is to propose, develop, and assess solutions for the safe disposal of radioactive waste. In Belgium, deep geological burial in clay is the primary option for the disposal of High-Level Waste and spent nuclear fuel. The main achievements during 1997 in the following domains are described: performance assessment, characterization of the geosphere, characterization of the waste, migration processes, underground infrastructure
Rumplmayr, A.; Sammer, G.
Waste incineration can be defined as the thermal conversion processing of solid waste by chemical oxidation. The types of wastes range from solid household waste and infectious hospital waste through to toxic solid, liquid and gaseous chemical wastes. End products include hot incineration gases, composed primarily of nitrogen, carbon dioxide, water vapor and to a smaller extend of non-combustible residue (ash) and air pollutants (e. g. NO x ). Energy can be recovered by heat exchange from the hot incineration gases, thus lowering fossil fuel consumption that in turn can reduce emissions of greenhouse gases. Burning of solid waste can fulfil up to four distinctive objectives (Pera, 2000): 1. Volume reduction: volume reduction of about 90 %, weight reduction of about 70 %; 2. Stabilization of waste: oxidation of organic input; 3. Recovery of energy from waste; 4. Sanitization of waste: destruction of pathogens. Waste incineration is not a means to make waste disappear. It does entail emissions into air as well as water and soil. The generated solid residues are the topic of this task force. Unlike other industrial processes discussed in this platform, waste incineration is not a production process, and is therefore not generating by-products, only residues. Residues that are isolated from e. g. flue gas, are concentrated in another place and form (e. g. air pollution control residues). Hence, there are generally two groups of residues that have to be taken into consideration: residues generated in the actual incineration process and others generated in the flue gas cleaning system. Should waste incineration finally gain public acceptance, it will be necessary to find consistent regulations for both sorts of residues. In some countries waste incineration is seen as the best option for the treatment of waste, whereas in other countries it is seen very negative. (author)
Blaylock, B. G.
Presents a literature review of radioactive waste disposal, covering publications of 1976-77. Some of the studies included are: (1) high-level and long-lived wastes, and (2) release and burial of low-level wastes. A list of 42 references is also presented. (HM)
... chemicals can still harm human health and the environment. When you throw these substances away, they become hazardous waste. Some hazardous wastes come from products in our homes. Our garbage can include such hazardous wastes as old batteries, bug spray cans and paint thinner. U.S. residents ...
Numerous types of waste are produced by the nuclear industry ranging from high-level radioactive and heat-generating, HLW, to very low-level, LLW and usually very bulky wastes. These may be in solid, liquid or gaseous phases and require different treatments. Waste management practices have evolved within commercial and environmental constraints resulting in considerable reduction in discharges. (UK)
Here is made a general survey of the situation relative to radioactive wastes. The different kinds of radioactive wastes and the different way to store them are detailed. A comparative evaluation of the situation in France and in the world is made. The case of transport of radioactive wastes is tackled. (N.C.)
This study of general interest is an evaluation of the safety of radioactive waste management and consequently the preservation of the environment for the protection of man against ionizing radiations. The following topics were developed: radiation effects on man; radioactive waste inventory; radioactive waste processing, disposal and storage; the present state and future prospects [fr
E-waste amount is growing at about 4% annually, and has become the fastest growing waste stream in the industrialized world. Over 50 million tons of e-waste are produced globally each year, and some of them end up in landfills causing danger of toxic chemicals leakage over time. E-waste is also sent to developing countries where informal processing of waste electrical and electronic equipment (WEEE) causes serious health and pollution problems. A huge interest in recovery of valuable metals from WEEE is clearly visible in a great number of scientific, popular scientific publications or government and industrial reports.
Cushing's syndrome is a hormonal disorder. The cause is long-term exposure to too much cortisol, a hormone that ... your body to make too much cortisol. Cushing's syndrome is rare. Some symptoms are Upper body obesity ...
Usher syndrome is an inherited disease that causes serious hearing loss and retinitis pigmentosa, an eye disorder that causes ... and vision. There are three types of Usher syndrome: People with type I are deaf from birth ...
Metabolic syndrome is a group of conditions that put you at risk for heart disease and diabetes. These conditions ... agree on the definition or cause of metabolic syndrome. The cause might be insulin resistance. Insulin is ...
Reye syndrome is a rare illness that can affect the blood, liver, and brain of someone who has recently ... a viral illness, seek medical attention immediately. Reye syndrome can lead to a coma and brain death, ...
Rett syndrome is a rare genetic disease that causes developmental and nervous system problems, mostly in girls. It's related to autism spectrum disorder. Babies with Rett syndrome seem to grow and develop normally at first. ...
Turner syndrome is a genetic disorder that affects a girl's development. The cause is a missing or incomplete ... t work properly. Other physical features typical of Turner syndrome are Short, "webbed" neck with folds of skin ...
Sobrado Junior, C.W.; Bresser, A.; Cerri, G.G.; Habr-Gama, A.; Pinotti, H.W.; Magalhaes, A.
A case of familiar poliposis of colon related to a right mandibular osteoma is reported (this association is usually called Gardner's syndrome). Radiologic pictures ae shown and some commentaries about this syndrome concerning the treatment are made. (author) [pt
... Clinical Trials Organizations Publications Definition Sotos syndrome (cerebral gigantism) is a rare genetic disorder caused by mutation ... have also been reported. × Definition Sotos syndrome (cerebral gigantism) is a rare genetic disorder caused by mutation ...
Seropositive rheumatoid arthritis (RA); Felty's syndrome ... The cause of Felty syndrome is unknown. It is more common in people who have had rheumatoid arthritis (RA) for a long time. People with ...
... other possible long-term consequences of the syndrome. Children with Pendred syndrome should start early treatment to gain communication skills, such as learning sign language or cued speech or learning to ...
... and supports a broad program of basic and clinical research on all types of epilepsy, including Dravet syndrome. Study of the genetic defects responsible for Dravet syndrome and related ... Publications Definition Dravet ...
... Down syndrome increases as a woman gets older. Down syndrome cannot be cured. Early treatment programs can help improve skills. They may include ... occupational, and/or educational therapy. With support and treatment, many ... Down syndrome live happy, productive lives. NIH: National Institute of ...
Ramesh Y Bhat
Full Text Available Rowell syndrome is a rare disease consisting of erythema multiforme-like lesions associated with lupus erythematosus. The syndrome occurs mostly in middle-aged women. The authors describe the syndrome in a 15-year-old boy who responded well to systemic steroids and hydroxychloroquine.
... from Aicardi-Goutieres syndrome, which is an inherited encephalopathy that affects newborn infants.) × Definition Aicardi syndrome is a rare genetic ... from Aicardi-Goutieres syndrome, which is an inherited encephalopathy that affects newborn infants.) View Full Definition Treatment There is no ...
The report gives a review of waste incineration in Sweden today, including environmental and legal aspects. 21 incinerator plants are in use, producing heat to district heating network and, to a minor part, electric power. In 1991 1.31 Mton household waste and 0.35 Mton industrial waste were incinerated producing 4.4 Twh of energy. In a few cities 30-40 percent of the district heat comes from waste incineration. The theoretical and practical potentials for energy production in Sweden are estimated to 7 respective 5 TWh for household waste and 9 respective 5-6 TWh for industrial waste. Landfill gas is extracted at about 35 sites, with a yearly production of 0.3 TWh which corresponds to 3-5 percent of the potentially recoverable quantity. (8 refs., 2 figs., 13 tabs.)
Christensen, Thomas Højlund
generation rates and material composition as well as determining factors are discussed in this chapter. Characterizing industrial waste is faced with the problem that often only a part of the waste is handled in the municipal waste system, where information is easily accessible. In addition part...... of the industrial waste may in periods, depending on market opportunities and prices, be traded as secondary rawmaterials. Production-specificwaste from primary production, for example steel slag, is not included in the current presentation. In some countries industries must be approved or licensed and as part...... of the system industry has to inform at the planning stage and afterwards in yearly reports on their waste arising and how the waste is managed. If available such information is very helpful in obtaining information about that specific industry. However, in many countries there is very little information...
Each year, nuclear power plants, businesses, hospitals, and universities generate more than 1 million cubic feet of hardware, rags, paper, liquid waste, and protective clothing that have been contaminated with radioactivity. While most of this waste has been disposed of in facilities in Nevada, South Carolina, and Washington state, recent legislation made the states responsible - either individually, or through groups of states called compacts - for developing new disposal facilities. This paper discusses the states' progress and problems in meeting facility development milestones in the law, federal and state efforts to resolve issues related to mixed waste (low-level waste that also contains hazardous chemicals) and waste with very low levels of radioactivity, and the Department of Energy's progress in discharging the federal government's responsibility under the law to manage the most hazardous low-level waste
Dall, O.; Lassen, C.; Hansen, E. [Cowi A/S, Lyngby (Denmark)
The Waste Indicator Project focuses on methods to evaluate the efficiency of waste management. The project proposes the use of three indicators for resource consumption, primary energy and landfill requirements, based on the life-cycle principles applied in the EDIP Project. Trial runs are made With the indicators on paper, glass packaging and aluminium, and two models are identified for mapping the Danish waste management, of which the least extensive focuses on real and potential savings. (au)
Dall, O.; Lassen, C.; Hansen, E.
The Waste Indicator Project focuses on methods to evaluate the efficiency of waste management. The project proposes the use of three indicators for resource consumption, primary energy and landfill requirements, based on the life-cycle principles applied in the EDIP Project. Trial runs are made With the indicators on paper, glass packaging and aluminium, and two models are identified for mapping the Danish waste management, of which the least extensive focuses on real and potential savings. (au)
The problems of radioactive waste disposal are discussed, with particular reference to the following: radiation hazards from uranium mill tailings; disposal and storage of high-level wastes from spent fuel elements and reprocessing; low-level wastes; decommissioning of aged reactors; underground disposal, such as in salt formations; migration of radioactive isotopes, for example into ground water supplies or into the human food chain. (U.K.)
This book deals with plan and design of waste incinerator, which includes process outline of waste, method of measure, test, analysis, combustion way and classification of incineration facilities, condition of combustion and incineration, combustion calculation and heat calculation, ventilation and flow resistivity, an old body and component materials of supplementary installation, attached device, protection of pollution of incineration ash and waste gas, deodorization, prevention of noise in incineration facility, using heat and electric heat, check order of incineration plan.
The Productivity Commission’s inquiry report into ‘Waste Management’ was tabled by Government in December 2006. The Australian Government asked the Commission to identify policies that would enable Australia to address market failures and externalities associated with the generation and disposal of waste, and recommend how resource efficiencies can be optimised to improve economic, environmental and social outcomes. In the final report, the Commission maintains that waste management policy sh...
Hansen, Lars Kjaersgård; Rasmussen, Niels Henrik; Ousager, Lilian Bomme
Dravet syndrome is an epileptic syndrome of infancy and early childhood. Most cases of Dravet syndrome seem to be due to a genetic defect causing the sodium channel to malfunction. We describe the main features of the syndrome. This epilepsy is medically intractable, but we call attention...... to the fact that some medications are of benefit and some could exacerbate the condition. Early recognition of the syndrome including by genetic testing could possibly improve outcome and reduce the need for other specialized investigations. Udgivelsesdato: 2010-Feb-22...
Smith, P I.S.
It is being realized that if environmental quality is to be improved the amount of waste generated by man has to be substantially reduced. There are two ways this can be achieved. First, by conserving materials and energy, and sacrificing economic growth, a solution that is completely unacceptable because it would mean some form of rationing, mass unemployment, and collapse of society as it is known. The second way to reduce the volume of waste is by planned recycling, re-use, and recovery. Already the reclamation industry recovers, processes, and turns back for re-use many products used by industry and thereby reduces the UK's import bill for raw materials. In the book, the author sets out the various ways materials may be recovered from industrial and municipal wastes. The broad technology of waste management is covered and attention is focused on man's new resources lying buried in the mountains of industrial wastes, the emissions from stocks, the effluents and sludges that turn rivers into open sewers, and municipal dumps in seventeen chapters. The final chapter lists terms and concepts used in waste technology, organizations concerned with waste management, and sources of information about recycling waste. (MCW)
Current planning for the management of radioactive wastes, with some emphasis on plutonium contaminated wastes, includes the provision of re-positories from which the waste can be safely removed to permanent disposal. A number of possibilities for permanent disposal are under investigation with the most favorable, at the present time, apparently disposal in a stable geological formation. However, final choice cannot be made until all studies are completed and a pilot phase demonstrates the adequacy of the chosen method. The radioactive wastes which result from all portions of the fuel cycle could comprise an important source of exposure to the public if permitted to do so. The objectives of the AEC waste management program are to provide methods of treating, handling and storing these wastes so that this exposure will not occur. This paper is intended to describe some of the problems and current progress of waste management programs, with emphasis on plutonium-contaminated wastes. Since the technology in this field is advancing at a rapid pace, the descriptions given can be regarded only as a snapshot at one point in time. (author)
Fred C. Simmons; Adna R. Bond
Sawmills have the reputation of being very wasteful in converting logs and bolts into lumber and timbers. Almost everyone has seen the great heaps of sawdust and slabs that collect at sawmills. Frequently the question is asked, "Why doesn't somebody do something about this terrible waste of wood?"
Neerdael, B.; Marivoet, J.; Put, M.; B-Verstricht, J.; Van Iseghem, P.; Buyens, M.
This contribution describes the main activities of the Waste and Disposal Department of the Belgian Nuclear Research Center SCK-CEN. Achievements in 1997 in three topical areas are reported on: performance assessments, waste forms/packages and near-and far field studies
The safety and pharmacokinetics of single-agent and combination therapy with megestrol acetate and dronabinol for the treatment of HIV wasting syndrome. The DATRI 004 Study Group. Division of AIDS Treatment Research Initiative.
Timpone, J G; Wright, D J; Li, N; Egorin, M J; Enama, M E; Mayers, J; Galetto, G
This randomized, open-labeled, multicenter study was designed to assess safety and pharmacokinetics of dronabinol (Marinol) tablets and megestrol acetate (Megace) micronized tablets, alone and in combination, for treatment of HIV wasting syndrome. Weight and quality of life data were also collected. Fifty-two patients (mean CD4+ count, 59 cells/microliter) were randomized to one of four treatment arms: dronabinol 2.5 mg twice/day (D); megestrol acetate 750 mg/day (M750); megestrol acetate 750 mg/day+dronabinol 2.5 mg twice/day (M750+D); or megestrol acetate 250 mg/day+dronabinol 2.5 mg twice/day (M250+D). After therapy initiation, 47 patients returned for at least one visit, and 39 completed the planned 12 weeks of study visits. Occurrence of adverse events, drug discontinuation, new AIDS-defining conditions, or CD4+ T lymphocyte changes were not statistically significantly different among arms. Serious adverse events assessed as related to dronabinol included CNS events (e.g., confusion, anxiety, emotional lability, euphoria, hallucinations) and those assessed as related to megestrol acetate included dyspnea, liver enzyme changes, and hyperglycemia. The mean weight change +/- SE over 12 weeks was as follows: D, -2.0 +/- 1.3 kg; M750, +6.5 +/- 1.1 kg; M750+D, +6.0 +/- 1.0 kg; and M250+D, -0.3 +/- 1.0 kg (difference among treatment arms, p = 0.0001). Pharmacokinetic parameters measured after 2 weeks of therapy for M750 were Cmax = 985 ng/ml and AUC = 22,487 ng x hr/ml, and for dronabinol and its active metabolite (HO-THC), respectively, were Cmax = 2.01; 4.61 ng/ml and AUC = 5.3; 23.7 ng x hr/ml. For megestrol acetate, but not dronabinol, there was a positive correlation at week 2 between both Cmax and AUC with each of the following: (1) weight change, (2) breakfast visual analog scale for hunger (VASH) score, and (3) dinner VASH score.
The Nuclear Waste Policy Act of 1982, as amended in 1987, directed the Secretary of Energy to, among other things, investigate Yucca Mountain, Nevada, as a potential site for permanently disposing of highly radioactive wastes in an underground repository. In April 1991, the authors testified on Yucca Mountain project expenditures before your Subcommittee. Because of the significance of the authors findings regrading DOE's program management and expenditures, you asked the authors to continue reviewing program expenditures in depth. As agreed with your office, the authors reviewed the expenditures of project funds made available to the Department of Energy's (DOE) Lawrence Livermore National Laboratory, which is the lead project contractor for developing a nuclear waste package that wold be used for disposing of nuclear waste at Yucca Mountain. This report discusses the laboratory's use of nuclear waste funds to support independent research projects and to manage Yucca Mountain project activities. It also discusses the laboratory's project contracting practices
The NEA Nuclear Waste Bulletin has been prepared by the Radiation Protection and Waste Management Division of the OECD Nuclear Energy Agency to provide a means of communication amongst the various technical and policy groups within the waste management community. In particular, it is intended to provide timely and concise information on radioactive waste management activities, policies and programmes in Member countries and at the NEA. It is also intended that the Bulletin assists in the communication of recent developments in a variety of areas contributing to the development of acceptable technology for the management and disposal of nuclear waste (e.g., performance assessment, in-situ investigations, repository engineering, scientific data bases, regulatory developments, etc)
Pligt, J. van der
This chapter present a brief overview of the current situation of siting radioactive wastes. This is followed by an overview of various psychological approaches attempting to analyse public reactions to nuclear facilities. It will be argued that public reactions to nuclear waste factilities must be seen in the context of more general attitudes toward nuclear energy. The latter are not only based upon perceptions of the health and environmental risks but are built on values, and sets of attributes which need not be similar to the representations o the experts and policy-makers. The issue of siting nuclear waste facilities is also embedded in a wider moral and political domain. This is illustrated by the importance of equity issues in siting radioactive wastes. In the last section, the implications of the present line of argument for risk communication and public participation in decisions about siting radioactive wastes will be briefly discussed. (author). 49 refs
Radioactive waste, as a unavoidable remnant from the use of radioactive substances and nuclear technology. It is potentially hazardous to health and must therefore be managed to protect humans and the environment. The main bulk of radioactive waste must be permanently disposed in engineered repositories. Appropriate safety standards for repository design and construction are required along with the development and implementation of appropriate technologies for the design, construction, operation and closure of the waste disposal systems. As backend of the fuel cycle, resolving the issue of waste disposal is often considered as a prerequisite to the (further) development of nuclear energy programmes. Waste disposal is therefore an essential part of the waste management strategy that contributes largely to build confidence and helps decision-making when appropriately managed. The International Atomic Energy Agency provides assistance to Member States to enable safe and secure disposal of RW related to the development of national RWM strategies, including planning and long-term project management, the organisation of international peer-reviews for research and demonstration programmes, the improvement of the long-term safety of existing Near Surface Disposal facilities including capacity extension, the selection of potential candidate sites for different waste types and disposal options, the characterisation of potential host formations for waste facilities and the conduct of preliminary safety assessment, the establishment and transfer of suitable technologies for the management of RW, the development of technological solutions for some specific waste, the building of confidence through training courses, scientific visits and fellowships, the provision of training, expertise, software or hardware, and laboratory equipment, and the assessment of waste management costs and the provision of advice on cost minimisation aspects
Kim, Jeong Hyeon; Lee, Seung Mu
This book deals with disposal of waste matter management of soiled waste matter in city with introduction, definition of waste matter, meaning of management of waste matter, management system of waste matter, current condition in the country, collect and transportation of waste matter disposal liquid waste matter, industrial waste matter like plastic, waste gas sludge, pulp and sulfuric acid, recycling technology of waste matter such as recycling system of Black clawson, Monroe and Rome.
Kamal F Akl
Full Text Available The urofacial syndrome is characterized by functional obstructive uropathy asso-ciated with an inverted smile. The importance of the subject is that it sheds light, not only on the muscles of facial expression, but also on the inheritance of voiding disorders and lower urinary tract malformations. We report a 10-year-old-male patient who had the urofacial syndrome. Early diagnosis of the urofacial syndrome is important to avoid upper urinary tract damage and renal failure.
Tripathy, Swagata; Mishra, Padmini; Dash, S. C.
Refeeding syndrome is a potentially fatal medical condition that may affect malnourished patients in response to an inappropriately rapid overfeeding. This commonly occurs following the institution of nutritional support, especially parenteral or enteral nutrition. The most characteristic pathophysiology of refeeding syndrome relates to the rapid consumption of phosphate after glucose intake and subsequent hypophosphatemia. Refeeding syndrome can manifest as either metabolic changes （hypokala...
Dayane Cristine Issaho
Full Text Available Revesz syndrome is a rare variant of dyskeratosis congenita and is characterized by bilateral exudative retinopathy, alterations in the anterior ocular segment, intrauterine growth retardation, fine sparse hair, reticulate skin pigmentation, bone marrow failure, cerebral calcification, cerebellar hypoplasia and psychomotor retardation. Few patients with this syndrome have been reported, and significant clinical variations exist among patients. This report describes the first Brazilian case of Revesz syndrome and its ocular and clinical features.
Dworschak, H.; Mannone, F.; Rocco, P.
The presence of tritium in tritium-burning devices to be built for large scale research on thermonuclear fusion poses many problems especially in terms of occupational and environmental safety. One of these problems derives from the production of tritiated wastes in gaseous, liquid and solid forms. All these wastes need to be adequately processed and conditioned to minimize tritium releases to an acceptably low occupational and environmental level and consequently to protect workers and the public against the risks of unacceptable doses from exposure to tritium. Since all experimental thermonuclear fusion devices of the Tokomak type to be built and operated in the near future as well as all experimental activities undertaken in tritium laboratories like ETHEL will generate tritiated wastes, current strategies and practices to be applied for the routine management of these wastes need to be defined. Adequate background information is provided through an exhaustive literature survey. In this frame alternative tritiated waste management options so far investigated or currently applied to this end in Europe, USA and Canada have been assessed. The relevance of tritium in waste containing gamma-emitters, originated by the neutron activation of structural materials is assessed in relation to potential final disposal options. Particular importance has been attached to the tritium retention efficiency achievable by the various waste immobilization options. 19 refs., 2 figs., 1 tab
Clark, D.E.; Colombo, P.
A scoping study has been undertaken to determine the state-of-the-art of waste segregation technology as applied to the management of low-level waste (LLW). Present-day waste segregation practices were surveyed through a review of the recent literature and by means of personal interviews with personnel at selected facilities. Among the nuclear establishments surveyed were Department of Energy (DOE) laboratories and plants, nuclear fuel cycle plants, public and private laboratories, institutions, industrial plants, and DOE and commercially operated shallow land burial sites. These survey data were used to analyze the relationship between waste segregation practices and waste treatment/disposal processes, to assess the developmental needs for improved segregation technology, and to evaluate the costs and benefits associated with the implementation of waste segregation controls. This task was planned for completion in FY 1981. It should be noted that LLW management practices are now undergoing rapid change such that the technology and requirements for waste segregation in the near future may differ significantly from those of the present day. 8 figures
... that contain aspirin. Some hospitals and medical facilities conduct newborn screenings for fatty acid oxidation disorders to determine which children are at greater risk of developing Reye's syndrome. ...
... genetic disorder called Marfan syndrome. What Is Marfan Syndrome? Marfan syndrome is named after Antoine Marfan, the French ... immediately. What's Life Like for Teens With Marfan Syndrome? Marfan syndrome affects people differently, so life is not ...
... Additional Resources for Marfan Syndrome What is Marfan syndrome? Marfan syndrome is one of the most common inherited ... FAQ Top of page Additional Resources For Marfan Syndrome Marfan syndrome [nlm.nih.gov] From Medline Plus Marfan ...
Silver-Russell syndrome; Silver syndrome; RSS; Russell-Silver syndrome ... One in 10 children with this syndrome has a problem involving chromosome 7. In other people with the syndrome, it may affect chromosome 11. Most of the time, it ...
... Action You are here Home › Retinal Diseases Listen Usher Syndrome What is Usher syndrome? How is Usher syndrome ... available? Are there any related diseases? What is Usher Syndrome? Usher syndrome is an inherited condition characterized by ...
Rachid, Myriam L; Dreux, Sophie; Czerkiewicz, Isabelle; Deschênes, Georges; Vargas-Poussou, Rosa; Mahieu-Caputo, Dominique; Oury, Jean-François; Muller, Françoise
Bartter syndrome is a severe inherited tubulopathy responsible for renal salt wasting, and hence electrolyte disorders and dehydration. Prenatally, it is characterized by severe polyhydramnios caused by fetal polyuria. We studied for the first time fetal urine in a Bartter syndrome case and demonstrated that the tubulopathy is already present at 24 weeks of gestation.
This scientific document presents an introduction to the nuclear wastes problems, the separation process and the transmutation, the political and technical aspects of the storage, the radioprotection standards and the biological effects. (A.L.B.)
Vermont Center for Geographic Information — This dataset was developed from the Vermont DEC's list of certified solid waste facilities. It includes facility name, contact information, and the materials...
This paper reviews the Department of Energy's management of underground single-shell waste storage tanks at its Hanford, Washington, site. The tanks contain highly radioactive and nonradioactive hazardous liquid and solid wastes from nuclear materials production. Hundreds of thousands of gallons of these wastes have leaked, contaminating the soil, and a small amount of leaked waste has reached the groundwater. DOE does not collect sufficient data to adequately trace the migration of the leaks through the soil, and studies predicting the eventual environmental impact of tank leaks do not provide convincing support for DOE's conclusion that the impact will be low or nonexistent. DOE can do more to minimize the environmental risks associated with leaks. To reduce the environmental impact of past leaks, DOE may be able to install better ground covering over the tanks to reduce the volume of precipitation that drains through the soil and carries contaminants toward groundwater
Managing radioactive wastes used to be a peripheral activity for the French atomic energy commission (Cea). Over the past 40 years, it has become a full-fledged phase in the fuel cycle of producing electricity from the atom. In 2005, the national radioactive waste management agency (ANDRA) presented to the government a comprehensive overview of the results drawn from 15 years of research. This landmark report has received recognition beyond France's borders. By broadening this agency's powers, an act of 28 June 2006 acknowledges the progress made and the quality of the results. It also sets an objective for the coming years: work out solutions for managing all forms of radioactive wastes. The possibility of recovering wastes packages from the disposal site must be assured as it was asked by the government in 1998. The next step will be the official demand for the creation of a geological disposal site in 2016
Huang, L; Luiken, G P M; van Riemsdijk, I C; Petrij, F; Zandbergen, A A M; Dees, A
Bartter syndrome consists a group of rare autosomal-recessive renal tubulopathies characterised by renal salt wasting, hypokalaemic metabolic alkalosis, hypercalciuria and hyperreninaemic hyperaldosteronism. It is classified into five types. Mutations in the KCNJ1 gene (classified as type II) usually cause the neonatal form of Bartter syndrome. We describe an adult patient with a homozygous KCNJ1 mutation resulting in a remarkably mild phenotype of neonatal type Bartter syndrome.
Thompson, E; Pembrey, M
Five children in whom a diagnosis of Seckel syndrome had previously been made were re-examined in the genetic unit. One child had classical Seckel syndrome, a sib pair had the features of the syndrome with less severe short stature, and in two children the diagnosis was not confirmed. Seckel syndrome is only one of a group of low birth weight microcephalic dwarfism and careful attention should be paid to fulfillment of the major criteria defined by Seckel before the diagnosis is made. There r...
Panova, Gordana; Panov, Nenad; Stojanov, H; Sumanov, Gorgi; Panova, Blagica; Stojanovski, Angel; Nikolovska, Lence; Jovevska, Svetlana; Trajanovski, D; Asanova, D
Introduction: Increasing work responsibilities, allocation of duties, loss of energy and motivation in everyday activities, emotional exhaustion, lack of time for themselves, insuffi cient time for rest and recreation, dissatisfaction in private life. All these symptoms can be cause of Burnout Syndrome. Aim: To see the importance of this syndrome, the consequences of job dissatisfaction, the environment, family and expression in drastic chan...
If you have Tourette syndrome, you make unusual movements or sounds, called tics. You have little or no control over them. Common tics are throat- ... spin, or, rarely, blurt out swear words. Tourette syndrome is a disorder of the nervous system. It ...
... or 50s, although it can occur at any time in childhood or adolescence. × Definition Fahr's Syndrome is a rare, genetically dominant, inherited ... or 50s, although it can occur at any time in childhood or adolescence. View Full Definition Treatment There is no cure for Fahr's Syndrome, ...
Johannesen, Katrine; Bødtger, Uffe; Heltberg, Ole
Lemierre's syndrome is an often un-diagnosed disease seen in previously healthy young subjects, presenting with symptoms of pharyngitis, fever and elevated markers of inflammation. The syndrome is characterised by infectious thrombosis of the jugular vein due to infection with Fusobacteria, causing...
Full Text Available Ambras syndrome, a form of congenital hypertrichosis lanuginosa, is extremely rare in neonates. It is characterized by typical pattern of hair distribution, dysmorphic facial features and a familial pattern of inheritance. We report a case of Ambras syndrome in a preterm neonate with history of consanguinity and positive family history.
Cervera, Ricard; Piette, Jean-Charles; Font, Josep
To analyze the clinical and immunologic manifestations of antiphospholipid syndrome (APS) in a large cohort of patients and to define patterns of disease expression.......To analyze the clinical and immunologic manifestations of antiphospholipid syndrome (APS) in a large cohort of patients and to define patterns of disease expression....
Roberts, Amy E; Allanson, Judith E; Tartaglia, Marco; Gelb, Bruce D
Noonan syndrome is a genetic multisystem disorder characterised by distinctive facial features, developmental delay, learning difficulties, short stature, congenital heart disease, renal anomalies, lymphatic malformations, and bleeding difficulties. Mutations that cause Noonan syndrome alter genes encoding proteins with roles in the RAS–MAPK pathway, leading to pathway dysregulation. Management guidelines have been developed. Several clinically relevant genotype–phenotype correlations aid ris...
This eighth chapter presents the radioactive wastes and waste disposal; classification of radioactive wastes; basis requests of the radioactive waste management; conditions for a radioactive waste disposal; registers and inventories; transport of radioactive wastes from a facility to another and the radioactive waste management plan
Igawa, Takuro; Sato, Yasuharu
TAFRO syndrome is a newly recognized variant of idiopathic multicentric Castleman disease (iMCD) that involves a constellation of syndromes: thrombocytopenia (T), anasarca (A), fever (F), reticulin fibrosis (R), and organomegaly (O). Thrombocytopenia and severe anasarca accompanied by relatively low serum immunoglobulin levels are characteristic clinical findings of TAFRO syndrome that are not present in iMCD-not otherwise specified (iMCD-NOS). Lymph node biopsy is recommended to exclude other diseases and to diagnose TAFRO syndrome, which reveals characteristic histopathological findings similar to hyaline vascular-type CD. TAFRO syndrome follows a more aggressive course, compared with iMCD-NOS, and there is no standard treatment. Copyright © 2017 Elsevier Inc. All rights reserved.
The EPA’s Tribal Waste Management Program encourages environmentally sound waste management practices that promote resource conservation through recycling, recovery, reduction, clean up, and elimination of waste.
Full Text Available Goldenhar syndrome is a syndrome of complex structures developing from first and second branchial arches during blastogenesis. The etiology of this rare disease is not fully understood, as it has shown itself variable genetically and of unclear causes. The disorder is characterized by a wide spectrum of symptoms and physical features that may vary greatly in range and severity from case to case. Here we present a unique case of Goldenhar syndrome with absence of left condyle, hypoplasia of the zygomatic bone, no pneumatization of the mastoid process, underdeveloped mandible, bifid tongue and the skin tags in the preauricular area.
Ravi Prakash S
Full Text Available Cowden syndrome or multiple hamartoma syndrome is an autosomal dominant condition with variable expressions that result mainly from mutation in the PTEN gene on arm 10q. It is characterized by multiple hamartomatous neoplasms of the skin, oral mucosa, gastrointestinal tract, bones, CNS, eyes, and genitourinary tract. Mucocutaneous features include trichilemmomas, oral mucosal papillomatosis, acral keratosis, and palmoplantar keratosis. Here we present a case of Cowden syndrome in a 14-year-old female patient with the chief complaint of multiple oral papillomatous lesions.
Full Text Available Costello syndrome is a rare, distinctive, multiple congenital anomaly syndrome, characterized by soft, loose skin with deep palmar and plantar creases, loose joints, distinctive coarse facial features and skeletal and cardiac abnormalities. The affected patients have a predisposition to develop malignancy, developmental delays and mental retardation. Recently, a 7-year-old male child born to normal nonconsanguineous parents presented to us with abnormal facial features, arrhythmia, mitral valve dysfunction and growth retardation. His cutaneous examination revealed lax and pigmented skin over hands and feet with deep creases, acanthosis nigricans and short curly hairs. Its differentiation from other syndromes with similar clinical features is discussed in this article.
As required by the Nuclear Waste Policy Act of 1982, the Department of Energy is to annually determine whether the waste disposal fee will produce sufficient revenues to offset the total estimated costs of the waste disposal program. In its June 1987 assessment, DOE recommended that the fee remain unchanged even though its analysis showed that at an inflation rate of 4 percent the current fee would result in end-of-program deficits ranging from $21 billion to $76 billion in 2085. The 1988 assessment calls for reduced total costs because of program changes. Thus, DOE may be able to begin using a realistic inflation rate in determining fee adequacy in 1988 without proposing a major fee increase
Waste processing and preparing waste to support waste processing relies heavily on ventilation. Ventilation is used at the Hanford Site on the waste storage tanks to provide confinement, cooling, and removal of flammable gases
This strategy defines methods and means how collect, transport and bury radioactive waste safely. It includes low level radiation waste and high level radiation waste. In the strategy are foreseen main principles and ways of storage radioactive waste
This book provides information on the origin, characteristics and methods of processing of radioactive wastes, as well as the philosophy and practice of their storage and disposal. Chapters are devoted to the following topics: radioactive wastes, characteristics of radioactive wastes, processing liquid and solid radioactive wastes, processing wastes from spent fuel reprocessing, processing gaseous radioactive wastes, fixation of radioactive concentrates, solidification of high-level radioactive wastes, use of radioactive wastes as raw material, radioactive waste disposal, transport of radioactive wastes and economic problems of radioactive wastes disposal. (C.F.)
... Legacy Society Make Gifts of Stock Donate Your Car Personal Fundraising Partnership & Support Share Your Story Spread the Word Give While You Shop Contact Us Donate Now What Is Reye’s Syndrome? ...
... Legacy Society Make Gifts of Stock Donate Your Car Personal Fundraising Partnership & Support Share Your Story Spread the Word Give While You Shop Contact Us Donate Now Alagille Syndrome Back Alagille ...
... Failure to begin sexual changes expected during puberty Sexual development that "stalls" during teenage years Early end to menstrual cycles not due to pregnancy For most women with Turner syndrome, inability to ...
Ševela, Stanislav; Novák, František; Kazda, Antonín; Brodská, Helena
Despite being known more than 60 years, refeeding syndrome (RS) still bears many uncertainties. For example, its definition is not clear and definite, and the attitude to it varies from the complete neglect to over-prevention.The term "refeeding syndrome" refers to electrolyte and metabolic changes occurring in malnourished patients after the readministration of nutrition. These changes concern especially to phosphates and ions. Potassium, magnesium, naturism and fluids balance are involved. The changes lead to cell energetic metabolism and electric potential disturbances, with related clinical symptoms.Fully developed refeeding syndrome is quite rare; nevertheless it can be fatal for the patient. However, even its development can lead to many complications increasing the patient's morbidity and the length of stay in the hospital. Yet the refeeding syndrome is more or less predictable and if kept in mind also preventable.The aim of this article is to get the reader to know more about this metabolic phenomenon and possible attitudes towards it.
Karikkineth, Ajoy C; Scheibye-Knudsen, Morten; Fivenson, Elayne
Cockayne syndrome (CS) is a disorder characterized by a variety of clinical features including cachectic dwarfism, severe neurological manifestations including microcephaly and cognitive deficits, pigmentary retinopathy, cataracts, sensorineural deafness, and ambulatory and feeding difficulties...
... Liver Function Tests Clinical Trials Liver Transplant FAQs Medical Terminology Diseases of the Liver Alagille Syndrome Alcohol-Related ... the Liver The Progression of Liver Disease FAQs Medical Terminology HOW YOU CAN HELP Sponsorship Ways to Give ...
... Liver Function Tests Clinical Trials Liver Transplant FAQs Medical Terminology Diseases of the Liver Alagille Syndrome Alcohol-Related ... the Liver The Progression of Liver Disease FAQs Medical Terminology HOW YOU CAN HELP Sponsorship Ways to Give ...
... crowding, and osteoporosis (brittle bones). Because of their physical conditions, health concerns, and infertility, some girls and women with TS may have low self- esteem, anxiety, or depression. How is Turner syndrome diagnosed? Physical features may ...
... person cured of Cushing’s syndrome might have some memory loss and slight mental decline. But the change is ... Categories: Family Health, Infants and Toddlers, Kids and Teens, Men, Seniors, WomenTags: acth, adenomas, hormone, sickness September ...
... Abscess Anorectal Fistula Foreign Objects in the Rectum Hemorrhoids Levator Syndrome Pilonidal Disease Proctitis Rectal Prolapse (See ... out other painful rectal conditions (such as thrombosed hemorrhoids , fissures , or abscesses ). The physical examination is often ...
... signs and symptoms may differ, based on age, gender and inherited type of Alport syndrome. For example, ... prevention and treatment of kidney disease. The Better Business Bureau Wise Giving Alliance Charity Seal provides the ...
... not know you have the condition until it's discovered by accident, such as when a blood test ... chemotherapy drug Some protease inhibitors used to treat HIV If you have Gilbert's syndrome, talk to your ...
Potter phenotype ... In Potter syndrome, the primary problem is kidney failure. The kidneys fail to develop properly as the baby is ... kidneys normally produce the amniotic fluid (as urine). Potter phenotype refers to a typical facial appearance that ...
... delays; high or cleft palate; hearing problems and speech difficulties. Children with Moebius syndrome are unable to move their eyes back and forth. Decreased numbers of muscle fibers have been reported. Deformities of the tongue, jaw, and limbs, such ...
Barisic, Ingeborg; Odak, Ljubica; Loane, Maria
Fraser syndrome is a rare autosomal recessive disorder characterized by cryptophthalmos, cutaneous syndactyly, laryngeal, and urogenital malformations. We present a population-based epidemiological study using data provided by the European Surveillance of Congenital Anomalies (EUROCAT) network of...
... therapy for seizures is usually necessary. Physical and occupational therapies, communication therapy, and behavioral therapies are important in allowing individuals with Angelman syndrome to reach their maximum developmental potential. × Treatment There ...
... CEP290 . View Full Definition Treatment Treatment for Joubert syndrome is symptomatic and supportive. Infant stimulation and physical, occupational, and speech therapy may benefit some children. Infants with abnormal breathing ...
... swallow. Some babies will be born with glaucoma, retinal degeneration, and impaired hearing. Jaundice and gastrointestinal bleeding also may occur. Treatment There is no cure for Zellweger syndrome, nor ...
... your blood — typically with an artificial kidney machine (dialyzer). Chronic kidney disease. Nephrotic syndrome may cause your ... opportunities Reprint Permissions A single copy of these materials may be reprinted for noncommercial personal use only. " ...
... are more often affected than girls. View Full Definition Treatment Antiepileptic drugs are used to control seizures, but are unfortunately ... Other therapies are symptomatic and supportive. × ... Definition Ohtahara syndrome is a neurological disorder characterized by ...
... to abnormal development of the vestibular hair cells, sensory cells that detect gravity and head movement. RP ... 3 Ben-Rebeh, I., et al. (2016). Genetic analysis of Tunisian families with Usher syndrome type 1: ...
Pinheiro,Thaís Gonçalves; Soares,Vítor Yamashiro Rocha; Ferreira,Denise Bastos Lage; Raymundo,Igor Teixeira; Nascimento,Luiz Augusto; Oliveira,Carlos Augusto Costa Pires de
Summary Introduction:?Eagle's syndrome is characterized by cervicopharyngeal signs and symptoms associated with elongation of the styloid apophysis. This elongation may occur through ossification of the stylohyoid ligament, or through growth of the apophysis due to osteogenesis triggered by a factor such as trauma. Elongation of the styloid apophysis may give rise to intense facial pain, headache, dysphagia, otalgia, buzzing sensations, and trismus. Precise diagnosis of the syndrome is diffic...
Saric, Ana; Andreau, Karine; Armand, Anne-Sophie
Mutations in the gene encoding the enzyme tafazzin, TAZ, cause Barth syndrome (BTHS). Individuals with this X-linked multisystem disorder present cardiomyopathy (CM) (often dilated), skeletal muscle weakness, neutropenia, growth retardation, and 3-methylglutaconic aciduria. Biopsies of the heart......, liver and skeletal muscle of patients have revealed mitochondrial malformations and dysfunctions. It is the purpose of this review to summarize recent results of studies on various animal or cell models of Barth syndrome, which have characterized biochemically the strong cellular defects associated...
Hashmi, M.I.; Cheema, I.A.; Qasim, G.
This report describes Pendred's syndrome in three siblings of a consanguineous marriage, belonging to Rahimyar Khan. The children presented with deafmutism and goiters. The investigations included scintigram, perchlorate discharge test and audiometery. The perchlorate discharge was positive in index case. Bilateral sensorineural hearing defect was detected on Pure Tone Average (PTA) audiometry. Meticulous clinical and laboratory evaluation is mandatory for the detection of rare disorders like Pendred's syndrome. (author)
Slezak, R; Sasiadek, M
Poland's syndrome consists of the variable clinical features, but always includes unilateral aplasia of the chest wall muscles and ipsilateral anomalies of upper extremity. The incidence of Poland's syndrome, reported by different authors ranges from 1:10,000 to 1:100,000 and is observed more frequently in males than in females with the right side of the body affected more often than the left. The etiology of this syndrome is still discussed. However most of described cases were sporadic, rare familial incidence of Poland's syndrome were also presented. Therefore different etiologic factors of the Poland's syndrome are taken into account: genetic, vascular compromise during early stages of embriogenesis but also teratogenic effect of environmental xenobiotics (e.g. cigarette smoking by pregnant women). The authors present also the case of 20-years old man with inherited bilateral syndactyly with the right side aplasia of major pectoralis muscle and face asymmetry. The familial history was negative in respect to the features, associated with Poland's syndrome.
Amin, Md Nurul; Kroeze, Carolien; Strokal, Maryna
Many people practice open defecation in south Asia. As a result, lot of human waste containing nutrients such as nitrogen (N) and phosphorus (P) enter rivers. Rivers transport these nutrients to coastal waters, resulting in marine pollution. This source of nutrient pollution is, however, ignored in
We should like to remind you that you can have all commonplace, conventional waste (combustible, inert, wood, etc.) disposed of by the TS-FM Group. Requests for the removal of such waste should be made by contacting FM Support on tel. 77777 or by e-mail (Fm.Support@cern.ch). For requests to be acted upon, the following information must be communicated to FM Support: budget code to be debited for the provision and removal of the skip / container. type of skip required (1m3, 4 m3, 7 m3, 15 m3, 20 m3, 30 m3). nature of the waste to be disposed of (bulky objects, cardboard boxes, etc.). building concerned. details of requestor (name, phone number, department, group, etc.). We should also like to inform you that the TS-FM Group can arrange for waste to be removed from work-sites for firms under contract to CERN, provided that the prior authorisation of the CERN Staff Member in charge of the contract is obtained and the relevant disposal/handling charges are paid. You are reminded that the selective sorting o...
We should like to remind you that you can have all commonplace, conventional waste (combustible, inert, wood, etc.) disposed of by the TS-FM Group. Requests for the removal of such waste should be made by contacting FM Support on tel. 77777 or by e-mail (Fm.Support@cern.ch). For requests to be acted upon, the following information must be communicated to FM Support: budget code to be debited for the provision and removal of the skip / container; type of skip required (1m3, 4 m3, 7 m3, 15 m3, 20 m3, 30 m3); nature of the waste to be disposed of (bulky objects, cardboard boxes, etc.); building concerned; details of requestor (name, phone number, department, group, etc.). We should also like to inform you that the TS-FM Group can arrange for waste to be removed from work-sites for firms under contract to CERN, provided that the prior authorisation of the CERN Staff Member in charge of the contract is obtained and the relevant disposal/handling charges are paid. You are reminded that the selective sorting...
... Intramural Research Home / Metabolic Syndrome Metabolic Syndrome Also known as What Is Metabolic syndrome ... metabolic risk factors to be diagnosed with metabolic syndrome. Metabolic Risk Factors A Large Waistline Having a large ...
... to the signs and symptoms of Loeys-Dietz syndrome. Marfan syndrome is different from Loeys-Dietz syndrome in that the gene mutation which causes Marfan syndrome is in fibrillin-1 (FBN-1), a protein ...
Calcium-alkali syndrome; Cope syndrome; Burnett syndrome; Hypercalcemia; Calcium metabolism disorder ... Milk-alkali syndrome is almost always caused by taking too many calcium supplements, usually in the form of calcium carbonate. Calcium ...
Cushing syndrome - corticosteroid induced; Corticosteroid-induced Cushing syndrome; Iatrogenic Cushing syndrome ... Cushing syndrome is a disorder that occurs when your body has a higher than normal level of the hormone ...
... Other FAQs Share Facebook Twitter Pinterest Email Print Turner Syndrome: Other FAQs Basic information for topics, such as " ... been diagnosed with Turner syndrome. Now what? Is Turner syndrome inherited? Turner syndrome is usually not inherited, but ...
Sylla, Seydou; Cong, Yan-Long; Sun, Yi-Xue; Yang, Gui-Lian; Ding, Xue-Mei; Yang, Zhan-Qing; Zhou, Yu-Long; Yang, Minnan; Wang, Chun-Feng; Ding, Zhuang
Post-weaning multisystemic wasting syndrome (PMWS) associated with porcine circovirus type 2 (PCV2) has caused the swine industry significant health challenges and economic damage. Although inactivated and subunit vaccines against PMWS have been used widely, so far no DNA vaccine is available. In this study, with the aim of exploring a new route for developing a vaccine against PCV2, the immunogenicity of a DNA vaccine was evaluated in mice. The pEGFP-N1 vector was used to construct a PCV2 Cap gene recombinant vaccine. To assess the immunogenicity of pEGFP-Cap, 80 BALB/c mice were immunized three times at 2 weekly intervals with pEGFP-Cap, LG-strain vaccine, pEGFP-N1 vector or PBS and then challenged with PCV2. IgG and cytokines were assessed by indirect ELISA and ELISA, respectively. Specimens stained with hematoxylin and eosin (HE) and immunohistochemistry (IHC) techniques were examined histopathologically. It was found that vaccination of the mice with the pEGFP-Cap induced solid protection against PCV2 infection through induction of highly specific serum IgG antibodies and cytokines (IFN-γ and IL-10), and a small PCV2 viral load. The mice treated with the pEGFP-Cap and LG-strain developed no histopathologically detectable lesions (HE stain) and IHC techniques revealed only a few positive cells. Thus, this study demonstrated that recombinant pEGFP-Cap substantially alleviates PCV2 infection in mice and provides evidence that a DNA vaccine could be an alternative to PCV2 vaccines against PMWS. © 2014 The Societies and Wiley Publishing Asia Pty Ltd.
Full Text Available Abstract Pfeiffer syndrome is a rare autosomal dominantly inherited disorder that associates craniosynostosis, broad and deviated thumbs and big toes, and partial syndactyly on hands and feet. Hydrocephaly may be found occasionally, along with severe ocular proptosis, ankylosed elbows, abnormal viscera, and slow development. Based on the severity of the phenotype, Pfeiffer syndrome is divided into three clinical subtypes. Type 1 "classic" Pfeiffer syndrome involves individuals with mild manifestations including brachycephaly, midface hypoplasia and finger and toe abnormalities; it is associated with normal intelligence and generally good outcome. Type 2 consists of cloverleaf skull, extreme proptosis, finger and toe abnormalities, elbow ankylosis or synostosis, developmental delay and neurological complications. Type 3 is similar to type 2 but without a cloverleaf skull. Clinical overlap between the three types may occur. Pfeiffer syndrome affects about 1 in 100,000 individuals. The disorder can be caused by mutations in the fibroblast growth factor receptor genes FGFR-1 or FGFR-2. Pfeiffer syndrome can be diagnosed prenatally by sonography showing craniosynostosis, hypertelorism with proptosis, and broad thumb, or molecularly if it concerns a recurrence and the causative mutation was found. Molecular genetic testing is important to confirm the diagnosis. Management includes multiple-staged surgery of craniosynostosis. Midfacial surgery is performed to reduce the exophthalmos and the midfacial hypoplasia.
NBCC syndrome; Gorlin-Goltz syndrome; Basal cell nevus syndrome; BCNS; Basal cell cancer - nevoid basal cell carcinoma syndrome ... Nevoid basal cell carcinoma nevus syndrome is a rare genetic ... syndrome is known as PTCH ("patched"). The gene is passed down ...
Srebrenkoska, Vineta; Golomeova, Saska; Zhezhova, Silvana
Waste is unwanted or useless materials from households, industry, agriculture, hospitals. Waste materials in solid state are classified as solid waste. Increasing of the amount of solid waste and the pressure what it has on the environment, impose the need to introduce sustainable solid waste management. Advanced sustainable solid waste management involves several activities at a higher level of final disposal of the waste management hierarchy. Minimal use of material and energy resources ...
Ki, Mun Bong; Lee, Shi Jin; Park, Jun Seok; Yoon, Seok Pyo; Lee, Jae Hyo; Jo, Byeong Ryeol
This book gives descriptions of processing harmful waste, including concerned law and definition of harmful waste, current conditions and generation of harmful waste in Korea, international condition of harmful waste, minimizing of generation of harmful waste, treatment and storage. It also tells of basic science for harmful waste disposal with physics, chemistry, combustion engineering, microbiology and technique of disposal such as physical, chemical, biological process, stabilizing and solidification, incineration and waste in landfill.
Focusing on radioactive waste management and disposal policies in the United Kingdom, Sweden and the Federal Republic of Germany, this book gives a detailed historical account of the policy process in these three countries, and draws out the implications for theory and public policy. This comparative approach underlines how profoundly different the policy process has been in different countries. By comparing the evolution of policy in three countries, fundamental questions about the formation and resolution of technical decisions under uncertainty are clarified. The analysis of nuclear strategy, the politics of nuclear power, and the shifting emphasis of government regulation redefines the issue of radwaste management and sets it at the heat of the current debate about power, the environment and society. The combination of up-to-date technological assessment with an account of the social and political implications of radwaste management makes'Radioactive Waste'particularly useful to students of environmental studies, geography and public administration. (author)
Focusing on radioactive waste management and disposal policies in the United Kingdom, Sweden and the Federal Republic of Germany, this book gives a detailed historical account of the policy process in these three countries, and draws out the implications for theory and public policy. This comparative approach underlines how profoundly different the policy process has been in different countries. By comparing the evolution of policy in three countries, fundamental questions about the formation and resolution of technical decisions under uncertainty are clarified. The analysis of nuclear strategy, the politics of nuclear power, and the shifting emphasis of government regulation redefines the issue of radwaste management and sets it at the heat of the current debate about power, the environment and society. The combination of up-to-date technological assessment with an account of the social and political implications of radwaste management makes'Radioactive Waste'particularly useful to students of environmental studies, geography and public administration. (author).
Purpose: The purpose of this case study is to highlight the symptoms of the Nutcracker Syndrome (NCS), the methods of clinical investigations and the importance of differential diagnosis. Introduction: The NCS refers to left renal vein entrapment caused by abnormal branching patterns of the superior mesenteric artery from the aorta. 1,2 Clinical case presentation: A 27 years old female presented to the emergency department with complaints of abdominal discomfort, bloating, loose bowel motions and irregular micro-haematuria. The radiologist's report indicated the findings from computed tomography examination to be consistent with anterior NCS. Discussion: In most of the NCS cases the clinical symptoms are non-specific. 3 The syndrome is caused by a vascular disorder, but its clinical manifestation can relate to a wide range of abdominal, urological, endovascular or gynaecological pathologies. 4 Conclusion: Nutcracker Syndrome is a relatively rare disease and underdiagnosed may lead to left renal vein thrombosis
Mubarak, S. J.; Pedowitz, R. A.; Hargens, A. R.
The compartment syndrome is defined as a condition in which high pressure within a closed fascial space (muscle compartment) reduces capillary blood perfusion below the level necessary for tissue viability'. This condition occurs in acute and chronic (exertional) forms, and may be secondary to a variety of causes. The end-result of an extended period of elevated intramuscular pressure may be the development of irreversible tissue injury and Volkmann's contracture. The goal of treatment of the compartment syndrome is the reduction of intracompartmental pressure thus facilitating reperfusion of ischaemic tissue and this goal may be achieved by decompressive fasciotomy. Controversy exists regarding the critical pressure-time thresholds for surgical decompression and the optimal diagnostic methods of measuring intracompartmental pressures. This paper will update and review some current knowledge regarding the pathophysiology, aetiology, diagnosis, and treatment of the acute compartment syndrome.
Full Text Available Usher syndrome is an autosomal recessive disease with prevalence of 3–6/100.000 and is the most common syndrome that affects vision and hearing. Three subtypes are distinguished on the basis of different degree of hearing loss. All patients develop retinitis pigmentosa with night vision difficulties and constriction of visual field, and ultimately a decline in visual acuity and color vision. Future holds promise for gene therapy. We present a patient with typical clinical picture of Usher syndrome, who started noticing night vision problems at age 13. At age 25 he was operated on for posterior cortical cataracts. At age 34 he has only 5–10° of visual field remaining with 1.0 visual acuity in both eyes. Fundus autofluorescence imaging revealed a typical hyperautofluorescent ring on the border between normal and affected retina.
Full Text Available Metabolic Syndrome is a combination of risk factors including common etiopathogenesis. These risk factors play different roles in occurence of atherosclerotic diseases, type 2 diabetes, and cancers. Although a compromise can not be achieved on differential diagnosis for MS, the existence of any three criterias enable to diagnose MS. These are abdominal obesity, dislipidemia (hypertrigliceridemia, hypercholesterolemia, and reduced high density lipoprotein hypertension, and elevated fasting blood glucose. According to the results of Metabolic Syndrome Research (METSAR, the overall prevalence of MS in Turkey is 34%; in females 40%, and in males it is 28%. As a result of Western diet, and increased frequency of obesity, MS is observed in children and in adolescents both in the world and in Turkey. Resulting in chronic diseases, it is thought that the syndrome can be prevented by healthy lifestyle behaviours. [TAF Prev Med Bull 2010; 9(5.000: 535-540
The Department of Energy has proposed a draft plan for investigating the Yucca Mountain, Nevada, site to determine if it suitable for a waste repository. This fact sheet provides information on the status of DOE's and the Nuclear Regulatory Commission's efforts to streamline what NRC expects will be the largest and most complex nuclear-licensing proceeding in history, including the development of an electronic information management system called the Licensing Support System
As a result of the information gained from retrieval projects, the decision was made to perform an analysis of all the available incinerators to determine which was best suited for processing the INEL waste. A number of processes were evaluated for incinerators currently funded by DOE and for municipal incinerators. Slagging pyrolysis included the processes of three different manufacturers: Andco-Torrax, FLK and Purox
The Koeberg nuclear power station, planned to come on stream in 1984, is expected to save South Africa some six million t/annum of coal, and to contribute some 10 per cent of the country's electricity requirements. The use of nuclear energy will provide for growing national energy needs, and reduce high coal transport costs for power generation at the coast. In the long term, however, it gives rise to the controversial question of nuclear waste storage. The Atomic Energy Corporation of South Africa Ltd (AEC) recently announced the purchase of a site in Namaqualand (NW Cape) for the storage of low-level radioactive waste. The Nuclear Development Corporation of South Africa (Pty) Ltd, (NUCOR) will develop and operate the site. The South African Mining and Engineering Journal interviewed Dr P.D. Toens, manager of the Geology Department and Mr P.E. Moore, project engineer, on the subject of nuclear waste, the reasons behind Nucor's choice of site and the storage method
A review is presented on the environmental behavior of radioactive wastes. The management of high-level wastes and waste disposal methods were discussed. Some topics included were ore processing, coagulation, absorption and ion exchange, fixation, ground disposal, flotation, evaporation, transmutation and extraterrestrial disposal. Reports were given of the 226 Ra, 224 Ra and tritium activity in hot springs, 90 Sr concentrations in the groundwater and in White Oak Creek, radionuclide content of algae, grasses and plankton, radionuclides in the Danube River, Hudson River, Pacific Ocean, Atlantic Ocean, Lake Michigan, Columbia River and other surface waters. Analysis showed that 239 Pu was scavenged from Lake Michigan water by phytoplankton and algae by a concentration factor of up to 10,000. Benthic invertebrates and fish showed higher 239 Pu concentrations than did their pelagic counterparts. Concentration factors are also given for 234 Th, 60 Co, Fe and Mr in marine organisms. Two models for predicting the impact of radioactivity in the food chain on man were mentioned. In an accidental release from a light-water power reactor to the ocean, the most important radionuclides discharged were found to be 90 Sr, 137 Cs, 239 Pu and activation products 65 Zr, 59 Fe, and 95 Zr
DOE estimates that disposing of radioactive waste from civilian nuclear power plants and its defense-related nuclear facilities could eventually end up costing $32 billion. To pay for this, DOE collects fees from utilities on electricity generated by nuclear power plants and makes payments from its defense appropriation. This report states that unless careful attention is given to its financial condition, the nuclear waste program is susceptible to future shortfalls. Without a fee increase, the civilian-waste part of the program may already be underfunded by at least $2.4 billion (in discounted 1988 dollars). Also, DOE has not paid its share of cost-about $480 million-nor has it disclosed this liability in its financial records. Indexing the civilian fee to the inflation rate would address one major cost uncertainty. However, while DOE intends to do this at an appropriate time, it does not use a realistic rate of inflation as its most probable scenario in assessing whether that time has arrived
Pinheiro, Thaís Gonçalves; Soares, Vítor Yamashiro Rocha; Ferreira, Denise Bastos Lage; Raymundo, Igor Teixeira; Nascimento, Luiz Augusto; Oliveira, Carlos Augusto Costa Pires de
Summary Introduction: Eagle's syndrome is characterized by cervicopharyngeal signs and symptoms associated with elongation of the styloid apophysis. This elongation may occur through ossification of the stylohyoid ligament, or through growth of the apophysis due to osteogenesis triggered by a factor such as trauma. Elongation of the styloid apophysis may give rise to intense facial pain, headache, dysphagia, otalgia, buzzing sensations, and trismus. Precise diagnosis of the syndrome is difficult, and it is generally confounded by other manifestations of cervicopharyngeal pain. Objective: To describe a case of Eagle's syndrome. Case Report: A 53-year-old man reported lateral pain in his neck that had been present for 30 years. Computed tomography (CT) of the neck showed elongation and ossification of the styloid processes of the temporal bone, which was compatible with Eagle's syndrome. Surgery was performed for bilateral resection of the stylohyoid ligament by using a transoral and endoscopic access route. The patient continued to present pain laterally in the neck, predominantly on his left side. CT was performed again, which showed elongation of the styloid processes. The patient then underwent lateral cervicotomy with resection of the stylohyoid process, which partially resolved his painful condition. Final Comments: Patients with Eagle's syndrome generally have a history of chronic pain. Appropriate knowledge of this disease is necessary for adequate treatment to be provided. The importance of diagnosing this uncommon and often unsuspected disease should be emphasized, given that correct clinical-surgical treatment is frequently delayed. The diagnosis of Eagle's syndrome is clinical and radiographic, and the definitive treatment in cases of difficult-to-control pain is surgical. PMID:25992033
Pinheiro, Thaís Gonçalves
Full Text Available Introduction: Eagle's syndrome is characterized by cervicopharyngeal signs and symptoms associated with elongation of the styloid apophysis. This elongation may occur through ossification of the stylohyoid ligament, or through growth of the apophysis due to osteogenesis triggered by a factor such as trauma. Elongation of the styloid apophysis may give rise to intense facial pain, headache, dysphagia, otalgia, buzzing sensations, and trismus. Precise diagnosis of the syndrome is difficult, and it is generally confounded by other manifestations of cervicopharyngeal pain. Objective: To describe a case of Eagle's syndrome. Case Report: A 53-year-old man reported lateral pain in his neck that had been present for 30 years. Computed tomography (CT of the neck showed elongation and ossification of the styloid processes of the temporal bone, which was compatible with Eagle's syndrome. Surgery was performed for bilateral resection of the stylohyoid ligament by using a transoral and endoscopic access route. The patient continued to present pain laterally in the neck, predominantly on his left side. CT was performed again, which showed elongation of the styloid processes. The patient then underwent lateral cervicotomy with resection of the stylohyoid process, which partially resolved his painful condition. Final Comments: Patients with Eagle's syndrome generally have a history of chronic pain. Appropriate knowledge of this disease is necessary for adequate treatment to be provided. The importance of diagnosing this uncommon and often unsuspected disease should be emphasized, given that correct clinical-surgical treatment is frequently delayed. The diagnosis of Eagle's syndrome is clinical and radiographic, and the definitive treatment in cases of difficult-to-control pain is surgical.
Sources of nuclear wastes are listed and the quantities of these wastes per year are given. Methods of processing and disposing of mining and milling wastes, low-level wastes, decommissioning wastes, high-level wastes, reprocessing wastes, spent fuels, and transuranic wastes are discussed. The costs and safeguards involved in the management of this radioactive wastes are briefly covered in this presentation
Al-Wadan, Ali H.; Al-Saai, Azan S.; Abdoulgafour, Mohamed; Al-Absi, Mohamed
An 18-year-old single female patient, presented with non specific gastrointestinal symptoms of anorexia, abdominal pain, and change in bowel habit. Clinically she was anemic, cachectic, and depressed. Abdominal examination revealed mobile epigastric mass. The scalp alopecia and endoscopy coupled by computed tomography scan, confirmed the diagnoses of trichobezoar, but it was not diagnosed as Rapunzel syndrome except after laparotomy, gastrotomy, and enterotomy. There are less than 16 cases of Rapunzel syndrome described worldwide, and this is the first case to be described in the middle east. (author)
Full Text Available Waardenburg syndrome is a rare inherited and genetically heterogenous disorder of neural crest cell development. Four distinct subtypes showing marked interfamilial and intrafamilial variability have been described. We report a girl showing constellation of congenital hearing impairment with 110 dB and 105 dB loss in right and left ear respectively, hypoplastic blue iridis, white forelock, dystopia canthorum and broad nasal root. Other affected relatives of the family, with variable features of the syndrome, have been depicted in the pedigree.
Full Text Available Olmsted syndrome is a rare disorder characterized by the combination of periorificial, keratotic plaques and bilateral palmoplantar keratoderma. New associated features are being reported. Olmsted syndrome is particularly rare in a female patient, and we report such a case in a six year-old Indian girl, who presented with keratoderma of her soles since birth and on her palms since the age of two years along with perioral and perinasal hyperkeratosis. She had sparse, light brown, thin hair. Although the psychomotor development of the child was normal until 18 months of age, the keratoderma plaques had restricted the child′s mobility after that stage.
Raina, Deepika; Gothi, Rajesh; Rajan, Sriram
Eagle syndrome occurs due to elongation of the styloid process or calcification of the stylohyoid ligament, which then may produce a pain sensation due the pressure exerted on various structures in the head and neck. When suspected, imaging helps in identifying the abnormally elongated styloid process or the calcified ligament. In recent years, three-dimensional CT (3DCT) has proved to be valuable in these cases. We report the case of a 62-year-old man with this syndrome in whom imaging with 3DCT conclusively established the diagnosis
Full Text Available Turner syndrome is a genetic disorder that affects mostly females. Affected females have characteristic features such as short stature, premature ovarian failure, and several other features. Oral manifestations of this condition are not much discussed in the literature. But reported literature includes teeth, palate, periodontal and salivary changes. So the aim of this review is to illustrate the general manifestations, and especially the oral manifestations of Turner syndrome and evaluate their possible management. [Archives Medical Review Journal 2012; 21(4.000: 246-252
Rimondi, E.; Albasini, V.
The authors report two recent cases of Fenton's syndrome, a very rare carpal fracture-dislocation. After some anatomophysiopathological considerations and a review of the literature, a wider nosographic frame is proposed in which the entity of the dislocation of the head of capitate bone is not essential. According to both the literature and personal findings, the authors remark that this syndrome is always found in the presence of two morphological variants of the distal radioulnar joint. Finally, the authors stress the importance of a corect diagnosis of this lesion to avoid unnecessary attempts of reduction
Savant, S S; Fernandez, J C; Dhurandhar, M W; Fernandez, R J
A case of Reiter's syndrome occurring in a young mate aged 20 years having extensive skin lesions of keratoderina blenoffhagica is presented along with a review of literature. Although urethritis was absent, other clinical and histopathological features of the cutaneous lesions led us to the diagnosis. The-possible relationship of postural psoriasis to Reiter's syndrome is discussed. Failure of the patient to respond satisfactorily to steroids, antibiotics etc, prompted the use of rnethotrexate in the case. The result was dramatic, as the patient completely recovered within ten days of starting treatment.
Mohammed Mahbubul Islam
Full Text Available Larsen syndrome is a rare inherited disorder characterized by congenital dislocation of multiple joints along with other anomalies of heart, face, hands and bones. Larsen syndrome was first described in 1950 by Larsen, Schottstaedt and Bost. In the present report, we describe a 10 year old girl who presented with mid facial hypoplasia with depressed nasal bridge, high arched palate, bilateral talipes equinovarus and high arched feet. On examination, she had short stature (HAZ -3.5 SD with hyperextension of knee joint, fixed flexion of elbow joint. Awareness of this condition and associated complications may help in management and follow up of these patients.
Villanua, J.A.; Lopez, J.M.; Recondo, J.A.; Garcia, J.M.; Gaztanaga, R.
Joubert syndrome is a rare malformation of the posterior fossa, mainly affecting the cerebellar vermis, which generally appears as a dysplastic lesion. Other structures of the cervico medullary junction may be involved, with accompanying brainstem hypoplasia according to neuroimaging studies. The diagnosis is usually reached during, childhood, based on a constellation of changes in the child's neurological development that are supported by the results of imaging studied. Respiratory problems are the most common signs in newborns,leading to the suspicion of the presence of this syndrome. (Author) 11 refs
O'Dwyer, D N
Lemierre\\'s syndrome is a rare disease that results in an oropharyngeal infection, which precipitates an internal jugular vein thrombosis and metastatic infection. Fusobacterium necrophorum is an anaerobic Gram-negative bacillus and has been identified as the causative agent. We describe the case of a young girl whose presentation and diagnosis were confounded by a history of valvular heart disease. Infection of heart valves can produce many of the signs and symptoms associated with Lemierre\\'s syndrome. We describe the diagnosis, investigation and optimal management of this rare disorder.
Baloch, S.; Khaskheli, M.; Farooq, S.
Meigs' syndrome is a rare clinical condition commonly considered to be associated with malignant ovarian tumour. A case of unmarried female is presented who came with a slowly increasing abdominal mass. Clinical and ultrasonic investigations revealed a mobile, solid right adenexal tumour in the lower abdomen, along with ascites and pleural effusion of the right lung. The level of CA 125 was also raised. Diagnosis of Meigs' syndrome was confirmed after surgical intervention. The tumour was successfully removed and pleural effusion disappeared 15 days after the intervention. Cytomorphologic study of both the tumour and ascitic fluid was negative for malignancy. (author)
Nielsen, Kristine Esbjerg; Knudsen, Troels Bygum
A syndrome involving acute urinary retention in combination with sacral radiculitis and cerebrospinal fluid pleocytosis was first described by the American neurosurgeon Charles Elsberg in 1931. In many instances the aetiology is herpes simplex virus type 2 (HSV-2) reactivation from sensory neurons. In this case report we present a 34-year-old pregnant woman with previous undiagnosed sensory lumbosacral symptoms. She was hospitalized with HSV-2 meningitis and lumbosacral radiculitis but no genital rash. A week after the onset of symptoms she developed acute urinary retention, thus indicating Elsberg syndrome.
Teresa Raposo André
Full Text Available Heart failure is a chronic, progressive, and incurable disease. Cardiac cachexia is a strong predictor of poor prognosis, regardless of other important variables. This review intends to gather evidence to enable recognition of cardiac cachexia, identification of early stages of muscle waste and sarcopenia, and improve identification of patients with terminal heart failure in need of palliative care, whose symptoms are no longer controlled by usual medical measures. The pathophysiology is complex and multifactorial. There are many treatment options to prevent or revert muscle waste and sarcopenia; although, these strategies are less effective in advanced stages of cardiac cachexia. In these final stages, symptomatic palliation plays an important role, focussing on the patient’s comfort and avoiding the ‘acute model’ treatment of aggressive, disproportionate, and inefficient care. In order to provide adequate care and attempt to prevent this syndrome, thus reducing its impact on healthcare, there should be improved communication between general practitioners, internal medicine physicians, cardiologists, and palliative care specialists since heart failure has an unforeseeable course and is associated with an increasing number of deaths and different levels of suffering.
Rasmussen, C; Vigsoe, D [eds.
There is an increasing need to couple environmental and economic considerations within waste management. Consumers and companies alike generate ever more waste. The waste-policy challenges of the future lie in decoupling growth in waste generation from growth in consumption, and in setting priorities for the waste management. This report discusses the criteria for deciding priorities for waste management methods, and questions the current principles of EU waste policies. The basis for the discussion is the so-called waste hierarchy which has dominated the waste policy in the EU since the mid-1970s. The waste hierarchy ranks possible methods of waste management. According to the waste hierarchy, the very best solution is to reduce the amount of waste. After that, reuse is preferred to recycling which, in turn, is preferred to incineration. Disposal at a landfill is the least favourable solution. (BA)
The Fifth Life Sciences Symposium entitled Hazardous Solid Wastes and Their Disposal on October 12 through 14, 1977 was summarized. The topic was the passage of the National Resources Conservation and Recovery Act of 1976 will force some type of action on all hazardous solid wastes. Some major points covered were: the formulation of a definition of a hazardous solid waste, assessment of long-term risk, list of specific materials or general criteria to specify the wastes of concern, Bioethics, sources of hazardous waste, industrial and agricultural wastes, coal wastes, radioactive wastes, and disposal of wastes
Brogaard, Line Kai-Sørensen; Christensen, Thomas Højlund
In addition to the main types of special waste related to municipal solid waste (MSW) mentioned in the previous chapters (health care risk waste, WEEE, impregnated wood, hazardous waste) a range of other fractions of waste have in some countries been defined as special waste that must be handled...... separately from MSW. Some of these other special wastes are briefly described in this chapter with respect to their definition, quantity and composition, and management options. The special wastes mentioned here are batteries, tires, polyvinylchloride (PVC) and food waste....
Radioactive waste management and disposal requirements options available are discussed. The possibility of beneficial utilization of radioactive wastes is covered. Methods of interim storage of transuranium wastes are listed. Methods of shipment of low-level and high-level radioactive wastes are presented. Various methods of radioactive waste disposal are discussed
Godfrey, Linda K
Full Text Available ). Countries are moving waste up the waste management hierarchy away from landfilling towards waste prevention, reuse, recycling and recovery. According to the International Solid Waste Association (ISWA, 2012:5), around “70% of the municipal waste produced...
The subject is discussed, with special reference to the UK, under the headings: radiation; origins of the waste (mainly from nuclear power programme; gas, liquid, solid; various levels of activity); dealing with waste (methods of processing, storage, disposal); high-active waste (storage, vitrification, study of means of eventual disposal); waste management (UK organisation to manage low and intermediate level waste). (U.K.)
This report contains information on hazardous wastes at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, waste number, weight, and waste designation
This report contains information on hazardous wastes at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, waste number, weight, and waste designation.
Vis, J.C.; Engelen, K. van; Timmermans, J.; Hamel, B.C.J.; Mulder, B.J.
Down syndrome is the most common chromosomal abnormality. A simultaneous occurrence with Marfan syndrome is extremely rare. We present a case of a 28-year-old female with Down syndrome and a mutation in the fibrillin-1 gene. The patient showed strikingly few manifestations of Marfan syndrome.
Bennett, W.S.; Crisler, L.R.
To ensure that all technology necessary for long term management of transuranic (TRU) wastes is available, the Department of Energy has established the Transuranic Waste Management Program. A principal focus of the program is development of waste forms that can accommodate the very diverse TRU waste inventory and meet geologic isolation criteria. The TRU Program is following two approaches. First, decontamination processes are being developed to allow removal of sufficient surface contamination to permit management of some of the waste as low level waste. The other approach is to develop processes which will allow immobilization by encapsulation of the solids or incorporate head end processes which will make the solids compatible with more typical waste form processes. The assessment of available data indicates that dewatered concretes, synthetic basalts, and borosilicate glass waste forms appear to be viable candidates for immobilization of large fractions of the TRU waste inventory in a geologic repository
Johannesen, Katrine M; Bodtger, Uffe
This is a systematic review of cases with Lemierre's syndrome (LS) in the past 5 years. LS is characterized by sepsis often evolving after a sore throat or tonsillitis and then complicated by various septic emboli and thrombosis of the internal jugular vein. Symptoms include sepsis, pain, and/or ...... LS in this day and age appears to be low, however the syndrome is difficult to recognize, and still requires the full attention of the clinician.......This is a systematic review of cases with Lemierre's syndrome (LS) in the past 5 years. LS is characterized by sepsis often evolving after a sore throat or tonsillitis and then complicated by various septic emboli and thrombosis of the internal jugular vein. Symptoms include sepsis, pain, and....../or swelling in the throat or neck, as well as respiratory symptoms. Laboratory findings show elevated infectious parameters and radiological findings show thrombosis of the internal jugular vein and emboli in the lungs or other organs. The syndrome is often associated with an infection with Fusobacterium...
Brito-Zeron, Pilar; Baldini, Chiara; Bootsma, Hendrika; Bowman, Simon J.; Jonsson, Roland; Mariette, Xavier; Sivils, Kathy; Theander, Elke; Tzioufas, Athanasios; Ramos-Casals, Manuel
Sjogren syndrome (SjS) is a systemic autoimmune disease that primarily affects the exocrine glands (mainly the salivary and lacrimal glands) and results in the severe dryness of mucosal surfaces, principally in the mouth and eyes. This disease predominantly affects middle-aged women, but can also be
... loss of interest in normal play Delayed speech development or loss of previously acquired speech abilities Problem behavior or marked mood swings Any clear loss of previously gained milestones in gross motor or fine motor skills Causes Rett syndrome is a rare genetic disorder. ...
Dr. Scott Dowell, a CDC director, discusses the rare illness, nodding syndrome, in children in Africa. Created: 12/19/2013 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID). Date Released: 1/27/2014.
... can usually resume their normal activities. In some cases, exercise regimens may need to be modified in order to reduce the likelihood of recurrence or worsening. Clinical Trials Throughout the U.S. ... Definition Piriformis syndrome is a rare neuromuscular disorder that ...
A 24 years old female presented with hypertension, haemolysis, elevated liver enzymes and thrombocytopenia in an unconscious state after undergoing an emergency caesarian section. A diagnosis of HELLP syndrome was made on the above findings. Patient made an uneventful recovery with conservative management. A brief review of the literature is included along with the case report. (author)
Dhar, D K; Ganguly, K C; Alam, S; Hossain, A; Sarker, U K; Das, B K; Haque, M J
Kartagener's Syndrome or Immotile Cilia Syndrome, a variant of Primary Ciliary Dyskinesia (PCD), is a rare autosomal recessive genetic disorder caused by defect in the tiny hair like structure, the cilia lining the respiratory tract (upper and lower), sinuses, eustachian tubes, middle ear and fallopian tubes. Here electron microscopy shows abnormal arrangement of ciliary tubules and patients with Kartagener's syndrome has an absence of dynein arms at the base of the cilia. The inability of cilia to move results in inadequate clearance of bacteria from the air passages, resulting in an increased risk of infection and causing bronchiectasis. Another result of ciliary immobility is infertility. A 60 years old lady was diagnosed as a case of Kartagener's syndrome. She had history of chronic cough for 20 years, irregular fever for 20 years and occasional shortness of breath for 5 years. Relevant investigations revealed dextrocardia, situs inversus, bilateral maxillary sinusitis with non pneumatised frontal sinus and bronchiectasis. She was treated with low concentration oxygen inhalation, antibiotic, bronchodilator, chest physiotherapy including postural drainage, vitamins and other supportive treatment.
Wendler, H.; Schwarz, R.
The report concerns a girl aged 9 1/2 years who was deaf and dumb and had marked shortening of the calves with deformities of the feet and bilateral, congenital hypoplasia of the tibiae. This syndrome was first described by Carraro in 1931, but there have been no further reports since then.
Culbert, Linda A.
This pamphlet reviews the historical process involved in initially recognizing Rett Syndrome as a specific disorder in girls. Its etiology is unknown, but studies have considered factors as hyperammonemia, a two-step mutation, a fragile X chromosome, metabolic disorder, environmental causation, dopamine deficiency, and an inactive X chromosome.…
... 3] Kamath BM, Loomes KM, Piccoli DA. Medical management of Alagille syndrome. Journal of Pediatric Gastroenterology and Nutrition. 2010;50(6): ... 30 a.m. to 5 p.m. eastern time, M-F Follow Us NIH… Turning Discovery Into ... Disease Urologic Diseases Endocrine Diseases Diet & Nutrition ...
neoplastic agents), exposure to radiological contrast media, poison ivy, bee stings, shellfish and coronary stents. In addition to coronary arterial involvement, Kounis syndrome com prises other arterial systems with similar physiologies, such as mesenteric and cerebral circulation resulting in ischaemia/infarction of the vital ...
Full Text Available Proteus syndrome is a variable and complex disorder characterized by multifocal overgrowths affecting any tissue or structure of the body. We present a girl aged 3 years and 8 months with an epidermal nevus, port-wine stain, macrodactyly with gigantism of the feet, lymphohemagiomas and multiple lipomas.
Koch, B.; Roedl, W.
If a patient has peri- and intra-articular calcinosis, as well as acro-osteolysis and esophageal hypomotility, and rheumatic symptoms, Crest syndrome should be considered as a manifestation of progressive systemic sclerosis. In connection with relevant symptoms on the skin and visceral involvement, radiological studies offer the possibility of classifying progressive systemic sclerosis more accurately. (orig.) [de
Knoers, N.V.A.M.; Levtchenko, E.N.
Gitelman syndrome (GS), also referred to as familial hypokalemia-hypomagnesemia, is characterized by hypokalemic metabolic alkalosis in combination with significant hypomagnesemia and low urinary calcium excretion. The prevalence is estimated at approximately 1:40,000 and accordingly, the prevalence
... can treat many of its symptoms. Thanks to new research and treatments, people with Marfan syndrome who are diagnosed early ... This helps doctors stay on top of any new problems. Doctors might also ... or kids with amblyopia or strabismus will probably need to wear glasses. ...
presenting with recurrent upper and lower respiratory tract infections, sinusitis or bronchiectasis. Inability to diagnose this condition may subject the patient to unnecessary and repeated hospital admissions, investigations and treatment failure. KEY WORDS: Kartagener's syndrome, primary cilliary dyskinesia, situs inversus, ...
Nüsing, Rolf M; Treude, Antje; Weissenberger, Christian
Increased formation of prostaglandin E2 (PGE2) is a key part of hyperprostaglandin E syndrome/antenatal Bartter syndrome (HPS/aBS), a renal disease characterized by NaCl wasting, water loss, and hyperreninism. Inhibition of PGE2 formation by cyclo-oxygenase inhibitors significantly lowers patient...
Davies, D.; Hooper, E.W.
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)
In September 1989, a New York commission charged with choosing a site for a low-level radioactive waste disposal facility announced its intent to conduct limited investigations at five potential sites. In this paper the authors review the commission's site selection process. After discussions with your office, the authors agreed to determine if the commission's consideration and selection of the Taylor North site was consistent with its prescribed procedures for considering offered sites. The authors also agreed to identify technical and other issues that need to be addressed before the final site evaluation and the selection steps can be completed
Halas, Nancy J.; Nordlander, Peter; Neumann, Oara
A system including a steam generation system and a chamber. The steam generation system includes a complex and the steam generation system is configured to receive water, concentrate electromagnetic (EM) radiation received from an EM radiation source, apply the EM radiation to the complex, where the complex absorbs the EM radiation to generate heat, and transform, using the heat generated by the complex, the water to steam. The chamber is configured to receive the steam and an object, wherein the object is of medical waste, medical equipment, fabric, and fecal matter.
Fjelsted, Lotte; Christensen, Thomas Højlund
.) comprised 15-25% and foreign items comprised 10-20%. Water-based paint was the dominant part of the paint waste. The chemical composition of the paint waste and the paint-like waste was characterized by an analysis of 27 substances in seven waste fractions. The content of critical substances was tow......'Paint waste', a part of the 'household hazardous waste', amounting to approximately 5 tonnes was collected from recycling stations in two Danish cities. Sorting and analyses of the waste showed paint waste comprised approximately 65% of the mass, paint-like waste (cleaners, fillers, etc...... and the paint waste was less contaminated with heavy metals than was the ordinary household waste. This may suggest that households no longer need to source-segregate their paint if the household waste is incinerated, since the presence of a small quantity of solvent-based paint will not be harmful when...
This document presents a brief overview of immersed radioactive wastes worldwide: historical aspects, geographical localization, type of wastes (liquid, solid), radiological activity of immersed radioactive wastes in the NE Atlantic Ocean, immersion sites and monitoring
Madsen, Katrine Dahl; Jordt Jørgensen, Nanna; Læssøe, Jeppe
Waste is, indisputably, one of the key issues of environmental concerns of our times. In an environment and sustainability education perspective, waste offers concrete entry points to issues of consumption, sustainability and citizenship. Still, waste education has received relatively little...
Vigil-Holterman, Luciana R. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Naranjo, Felicia Danielle [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
This report discusses ways to classify waste as outlined by LANL. Waste Generators must make a waste determination and characterize regulated waste by appropriate analytical testing or use of acceptable knowledge (AK). Use of AK for characterization requires several source documents. Waste characterization documentation must be accurate, sufficient, and current (i.e., updated); relevant and traceable to the waste stream’s generation, characterization, and management; and not merely a list of information sources.
Neerdael, B.; Marivoet, J.; Put, M.; Van Iseghem, P.; Volckaert, G.; Wacquier, W.
The document gives an overview of of different aspects of radioactive waste management in Belgium. The document discusses the radioactive waste inventory in Belgium, the treatment and conditioning of radioactive waste as well as activities related to the characterisation of different waste forms. A separate chapter is dedicated to research and development regarding deep geological disposal of radioactive waste. In the Belgian waste management programme, particular emphasis is on studies for disposal in clay. Main results of these studies are highlighted and discussed
Vigil-Holterman, Luciana R.; Naranjo, Felicia Danielle
This report discusses ways to classify waste as outlined by LANL. Waste Generators must make a waste determination and characterize regulated waste by appropriate analytical testing or use of acceptable knowledge (AK). Use of AK for characterization requires several source documents. Waste characterization documentation must be accurate, sufficient, and current (i.e., updated); relevant and traceable to the waste stream's generation, characterization, and management; and not merely a list of information sources.
Mirakovski, Dejan; Hadzi-Nikolova, Marija; Doneva, Nikolinka
Waste management covers newly generated waste or waste from an onging process. When steps to reduce or even eliminate waste are to be considered, it is imperative that considerations should include total oversight, technical and management services of the total process.From raw material to the final product this includes technical project management expertise, technical project review and pollution prevention technical support and advocacy.Waste management also includes handling of waste, in...
The prime solution to the present energy crisis is the recovery of latent energy from waste materials, for solid waste contains recoverable energy and it merely needs to be released. The paper is concerned with classification of solid waste, energy content of waste, methods of solid waste disposal, and chemical processing of solid waste. Waste disposal must be performed in situ with energy recovery. Scarcity of available land, pollution problem, and unrecovered latent energy restrict the use of the land-filling method. Pyrolysis is an effective method for the energy recovery and disposal problems. Chemical processing is suitable for the separated cellulosic fraction of the waste material.
The author focuses on wastes considered hazardous under the Resource Conservation and Recovery Act. This chapter discusses wastes that are of interest as well as the factors affecting the quantity of waste considered available for waste reduction. Estimates are provided of the quantities of wastes generated. Estimates of the potential for waste reduction are meaningful only to the extent that one can understand the amount of waste actually being generated. Estimates of waste reduction potential are summarized from a variety of government and nongovernment sources
Christensen, Thomas Højlund
tion and transport is usually the most costly part of any waste management system; and when waste is transported over a considerable distance or for a long time, transferring the waste from the collection vehicles to more efficient transportation may be economically beneficial. This involves...... a transfer station where the transfer takes place. These stations may also be accessible by private people, offering flexibility to the waste system, including facilities for bulky waste, household hazardous waste and recyclables. Waste transfer may also take place on the collection route from small...... describes the main features of waste transfer stations, including some considerations about the economical aspects on when transfer is advisable....
Full Text Available Hepatorenal syndrome (HRS is functional renal failure that occurs with advanced liver failure. HRS is considered the most severe complication of cirrhosis. Type 1 HRS develops due to severe reduction of effective circulating volume results in hemodynamic dysfunction. Type 1 HRS is characterized by acute renal failure and rapid deterioration in the function of other organs. It can ocur spontaneously or in the setting of a precipitating event. Type 2 hepatorenal syndrome (HRS, which is characterized by slowly progressive renal failure and refractory ascites. Liver transplantation is the only definitive treatment for both type. The most suitable and ldquo;bridge treatments and rdquo; or treatment for patients ineligible for a liver transplant include terlipressin plus albumin. [J Contemp Med 2014; 4(2.000: 106-113
Full Text Available Abstract "Dravet syndrome" (DS previously named severe myoclonic epilepsy of infancy (SMEI, or epilepsy with polymorphic seizures, is a rare disorder characterized by an early, severe, generalized, epileptic encephalopathy. DS is characterized by febrile and afebrile seizures beginning in the 1st year of life followed by different types of seizures (either focal or generalized, which are typically resistant to antiepileptic drugs. A developmental delay from the 2nd to 3rd year of life becomes evident, together with motor disturbances and personality disorders. Beside the classic syndrome, there are milder cases which have been called severe myoclonic epilepsy borderline (SMEB. DS is caused by a mutation in the neuronal sodium channel gene, SCN1A , that is also mutated in generalized epilepsy with FS+ (GEFS+.
Full Text Available Apert syndrome (acrocephalosyndactyly is a rare developmental malformation characterized by craniosynostosis, mid-face hypoplasia, symmetrical syndactyly of hands and feet. The prodromal characteristics for the typical cranio-facial appearance are early craniosynostosis of the coronal suture, cranial base and agenesis of the sagittal suture. The purpose of this paper is to report a case of Apert syndrome with emphasis on craniofacial and oral features in an eighteen-month-old male child. The patient presented with several craniofacial deformities, including brachycephaly, midface hypoplasia, flat face, hypertelorism, ocular proptosis, downslanting palpebral fissures. Syndactylies with osseous fusion of the hands and feet were also observed. Intraoral findings included delayed eruption of teeth, high arched palate with pseudo cleft in the posterior one third.
Paraneoplastic syndromes (PNS) comprise a diverse group of disorders that are associated with cancer but unrelated to the size, location, metastases, or physiologic activities of the mature tissue of origin. They are remote effects of tumors that may appear as signs, symptoms, or syndromes which can mimic other disease conditions encountered in veterinary medicine. Recognition of PNS is valuable for several reasons: the observed abnormalities may represent tumor cell markers and facilitate early diagnosis of the tumor; they may allow assessment of premalignant states; they may aid in the search metastases; they may help quantify and monitor response to therapy; and, they may provide insight into the study of malignant transformation and oncogene expression. This review will concentrate on the pathophysiology, diagnosis, and treatment of some of the common PNS encountered in veterinary medicine.
Røsbekk, Stein Helge
During the last 50 years it has become clear that malignant tumours can induce symptoms unrelated to the mechanical effects of the primary tumour itself or its metastasis. Today, the name Paraneoplastic syndrome is given to those symptom complexes that may affect the blood cells, electrolytes, coagulation system, muscle, skin, nerve and the endocrine system. Endocrine symptoms were first recognised, and different hormones were isolated from the tumour tissue. However, tumour derived hormones ...
Numan, F; Cokyueksel, O; Camuscu, S; Demir, K; Dueren, M
In 1958 Caroli described the syndrome of congenital, either segmental or involving the entire bile duct system, saccular extensions of the intrahepatic bile ducts. He differentiated between two types of this disease pattern. The first form concerns pure cystic dilatations of the intrahepatic bile ducts, whereas the second one is combined with hepatic fibrosis and portal hypertension. Both types are characterised by cystic dilatations in the kidneys and in the extrahepatic bile ducts, pancreas and spleen.
Full Text Available Partial albinism with immunodeficiency is a rare and fatal immunologic disorder characterized by pigmentary dilution and variable cellular immunodeficiency. It was initially described in 1978. Primary abnormalities included silvery grayish sheen to the hair, large pigment agglomerations in hair shafts and an abundance of mature melanosomes in melanocytes, with reduced pigmentation of adjacent keratinocytes. We describe a child with Griscelli syndrome who presented with hepatitis, pancytopenia and silvery hair. The diagnosis was confirmed by microscopic skin and hair examination.
Mehta, Manish; Kavadu, Paresh; Chougule, Sachin
We report a case of Waardenburg syndrome in a female child aged 2yrs. Petrus Johannes Waardenburg(1) , a Dutch Ophthalmologist in 1951 described individuals with retinal pigmentary differences who had varying degrees of hearing loss and dystopia canthorum (i.e., latral displacement of inner canthi of eyes). The disease runs in families with a dominant inheritance pattern with varying degree of clinical presentation. Patient usually present with heterochromic iris, pigmentary abnormalities of ...
Plans for radioactive waste disposal have been among the most controversial of all environmental policies, provoking vociferous public opposition in a number of countries. This book looks at the problem from an international perspective, and shows how proposed solutions have to be politically and environmentally, as well as technologically acceptable. In the book the technical and political agenda behind low and intermediate level radioactive waste disposal in the UK, Western Europe, Scandinavia and North America is examined. The technical issues and the industrial proposals and analyses and factors which have been crucial in affecting relative levels of public acceptability are set out. Why Britain has lagged behind countries such as Sweden and France in establishing Low Level Waste (LLW) and Intermediate Level Waste (ILW) sites, the strength of the 'not in my backyard' syndrome in Britain, and comparisons of Britain's decision-making process with the innovative and open pattern followed in the US and Canada are examined. An important insight into the problems facing Nirex, Britain's radioactive waste disposal company, which is seeking to establish an underground waste site at Sellafield in Cumbria is given. (author)
Morcillo Azcárate, J; Bernabeu-Wittel, J; Fernández-Pineda, I; Conejo-Mir, M D; Tuduri Limousin, I; Aspiazu Salinas, D A; de Agustín Asensio, J C
PHACES syndrome associates a segmental facial hemangioma with cerebral malformations, aortic branches/cranial arteries anomalies, cardiac defects, eye anomalies or ventral wall defects. The aim of this study is to analyze our experience with this syndrome. Retrospective study of the cases seen at our unit in the last year. We treat 4 cases; 3 girls and 1 child. Besides the segmental hemangioma they presented: 3 vascular cerebral malformations; 2 structural cardiopathies; 2 cerebral malformations, 1 microftalmia. We did not find ventral wall defects. A case received treatment with two cycles of metilprednisolone i.v. and oral prednisone, with favourable course; two cases received initial treatment with oral prednisone continued of oral propanolol in rising pattern up to 2 mg/kg/day, Obtaining both the detention of the tumour growth and regression of the lesion, with very good tolerance. A 7-year-old patient has been treated with colouring pulse laser for her residual lesions. When we see a segmental facial hemangioma we must perform a wide diagnostic study in order to discard a PHACES syndrome. Multidisciplinar approach to the patient by a wide expert's group gets an earlier diagnose and improves the outcome. Propranolol is a promising therapeutic alternative.
Helfenstein, Milton; Kuromoto, Jorge
Knee pain is a common complaint in clinical practice, and pes anserinus tendino-bursitis syndrome (PATB) has been frequently diagnosed based only on clinical features that may cause equivocal interpretations. Patients complain of characteristic spontaneous medial knee pain with tenderness in the inferomedial aspect of the joint. Studies with different imaging modalities have been undertaken during the last years to identify whether these patients suffer from bursitis, tendinitis, or both. Nevertheless, little is known regarding the structural defect responsible for this disturbance. Due to these problems and some controversies, we suggest the term "anserine syndrome" for this condition. Diabetes Mellitus is a known predisposing factor for this syndrome. Overweight and osteoarthritis seem to represent additional risk factors; however, their role in the pathophysiology of the disease is not yet understood. Treatment includes non-steroidal anti-inflammatory drugs, physiotherapy, and injections of corticosteroid, with highly variable responses, from 10 days to 36 months to achieve recovery. The lack of knowledge about its epidemiological, etiological, and pathophysiological aspects requires future studies for this common and intriguing disorder.
The schedules for waste package development for the various host rocks were presented. The waste form subtask activities were reviewed, with the papers focusing on high-level waste, transuranic waste, and spent fuel. The following ten papers were presented: (1) Waste Package Development Approach; (2) Borosilicate Glass as a Matrix for Savannah River Plant Waste; (3) Development of Alternative High-Level Waste Forms; (4) Overview of the Transuranic Waste Management Program; (5) Assessment of the Impacts of Spent Fuel Disassembly - Alternatives on the Nuclear Waste Isolation System; (6) Reactions of Spent Fuel and Reprocessing Waste Forms with Water in the Presence of Basalt; (7) Spent Fuel Stabilizer Screening Studies; (8) Chemical Interactions of Shale Rock, Prototype Waste Forms, and Prototype Canister Metals in a Simulated Wet Repository Environment; (9) Impact of Fission Gas and Volatiles on Spent Fuel During Geologic Disposal; and (10) Spent Fuel Assembly Decay Heat Measurement and Analysis
Christensen, Thomas Højlund
Solid waste management is as old as human civilization, although only considered an engineering discipline for about one century. The change from the previous focus on public cleansing of the cities to modern waste management was primarily driven by industrialization, which introduced new materials...... and chemicals, dramatically changing the types and composition of waste, and by urbanization making waste management in urban areas a complicated and costly logistic operation. This book focuses on waste that commonly appears in the municipal waste management system. This chapter gives an introduction to modern...... waste management, including issues as waste definition, problems associated with waste, waste management criteria and approaches to waste management. Later chapters introduce aspects of engineering (Chapter 1.2), economics (Chapter 1.3) and regulation (Chapter 1.4)....
Hyaline membrane disease (HMD); Infant respiratory distress syndrome; Respiratory distress syndrome in infants; RDS - infants ... improves slowly after that. Some infants with severe respiratory distress syndrome will die. This most often occurs ...
Staphylococcal toxic shock syndrome; Toxic shock-like syndrome; TSLS ... Toxic shock syndrome is caused by a toxin produced by some types of staphylococcus bacteria. A similar problem, called toxic shock- ...
Eagle-Barrett syndrome; Triad syndrome ... The exact causes of prune belly syndrome are unknown. The condition affects mostly boys. While in the womb, the developing baby's abdomen swells with fluid. Often, the cause is ...
... Share Facebook Twitter Pinterest Email Print What causes Cushing syndrome? Cushing syndrome can develop for two reasons: Medication ... uhs ), thyroid, or thymus How Tumors Can Cause Cushing Syndrome Normally, the pituitary gland in the brain controls ...
The Department of Energy is awarding grants to the state of Nevada for the state's participation in DOE's program to investigate Yucca Mountain as a possible site for the disposal of civilian nuclear waste. This report has found that DOE's financial assistance budget request of $15 million for Nevada's fiscal year 1990 was not based on the amount the state requested but rather was derived by increasing Nevada's grant funds from the previous year in proportion to the increase that DOE requested for its own activities at the Nevada site. DOE's evaluations of Nevada's requests are performed too late to be used in DOE's budget formulation process because Nevada has been applying for financial assistance at about the same time that DOE submits its budget request to Congress
The Privacy Act of 1974 restricts both the type of information on private individuals that federal agencies may maintain in their records and the conditions under which such information may be disclosed. The Nuclear Regulatory Commission, which must approve DOE plans to build a nuclear waste repository at the Yucca Mountain site in Nevada, requires a quality assurance program to guarantee that studies of the site are done by qualified employees. Under such a program, the training and qualifications of DOE and contractor employees would be verified. This report reviews DOE's efforts to identify and resolve the implications of the Privacy Act for DOE's quality assurance program and how the delay in resolving Privacy Act issues may have affected preliminary work on the Yucca Mountain project
... Share: Email Facebook Twitter Home Health Conditions Antiphospholipid syndrome Antiphospholipid syndrome Printable PDF Open All Close All Enable ... area? Other Names for This Condition anti-phospholipid syndrome antiphospholipid antibody syndrome Hughes syndrome Related Information How are ...
... other genetic conditions, cardiofaciocutaneous syndrome (CFC syndrome) and Noonan syndrome . In affected infants, it can be difficult to ... These individuals may actually have CFC syndrome or Noonan syndrome , which are caused by mutations in related genes. ...
This report contains information on hazardous wastes at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, handling method and containment vessel, waste number, waste designation, and amount of waste.
This report contains information on radioactive mixed wastes at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, handling method and containment vessel, waste number, waste designation and amount of waste
This report contains information on radioactive mixed wastes at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, waste number, waste designation, weight, and waste designation
This report contains information on hazardous wastes at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, handling method and containment vessel, waste number, waste designation, and amount of waste
This report contains information on hazardous wastes at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, handling and containment vessel, waste number, waste designation and amount of waste.
Glomerulonephritis - acute; Acute glomerulonephritis; Nephritis syndrome - acute ... Acute nephritic syndrome is often caused by an immune response triggered by an infection or other disease. Common causes in children ...
Out of the legal poblems that are currently at issue, individual questions from four areas are dealt with: privatization of ultimate waste disposal; distribution of responsibilities for tasks in the field of waste disposal; harmonization and systematization of regulations; waste disposal - principles for making provisions for waste disposal - proof of having made provisions for waste disposal; financing and fees. A distinction has to be made between that which is legally and in particular constitutionally imperative or, as the case may be, permissible, and issues where there is room for political decision-making. Ultimately, the deliberations on the amendment are completely confined to the sphere of politics. (orig./HSCH) [de
Questionnaire giving basic information for the public on nuclear wastes and radioactive waste management. Risk and regulations to reduce the risk to permissible limits are more particularly developed. A survey of radioactive wastes is made along the fuel cycle: production, processing, transport, disposal to end on effect of waste management on the cost of nuclear kWh [fr
EPA’s hazardous waste manifest system is designed to track hazardous waste from the time it leaves the generator facility where it was produced, until it reaches the off-site waste management facility that will store, treat, or dispose of the waste.
The purpose of this waste analysis plan (WAP) is to document the waste acceptance process, sampling methodologies, analytical techniques, and overall processes that are undertaken for waste accepted for storage at the Central Waste Complex (CWC), which is located in the 200 West Area of the Hanford Facility, Richland, Washington. Because dangerous waste does not include the source special nuclear and by-product material components of mixed waste, radionuclides are not within the scope of this document. The information on radionuclides is provided only for general knowledge. This document has been revised to meet the interim status waste analysis plan requirements of Washington Administrative Code (WAC) 173 303-300(5). When the final status permit is issued, permit conditions will be incorporated and this document will be revised accordingly
Most of our activities have always produced waste products of one sort or another. Huxley gives a humorous account of wastes throughout antiquity. So it should come as no surprise that some radioactive materials end up as waste products requiring management and disposal. Public perception of nuclear waste hazards places them much higher on the ''worry scale'' than is justified by the actual hazard involved. While the public perception of these hazards appears to revolve mostly around high-level wastes, there are several other categories of wastes that must also be controlled and managed. The major sources of radioactive wastes are discussed
Coulthard, E. James
An infectious waste feed system for comminuting infectious waste and feeding the comminuted waste to a combustor automatically without the need for human intervention. The system includes a receptacle for accepting waste materials. Preferably, the receptacle includes a first and second compartment and a means for sealing the first and second compartments from the atmosphere. A shredder is disposed to comminute waste materials accepted in the receptacle to a predetermined size. A trough is disposed to receive the comminuted waste materials from the shredder. A feeding means is disposed within the trough and is movable in a first and second direction for feeding the comminuted waste materials to a combustor.
This article gives an outline of the present situation, from a Belgian standpoint, in the field of the radioactive wastes processing. It estimates the annual quantity of various radioactive waste produced per 1000 MW(e) PWR installed from the ore mining till reprocessing of irradiated fuels. The methods of treatment concentration, fixation, final storable forms for liquid and solid waste of low activity and for high level activity waste. The storage of radioactive waste and the plutonium-bearing waste treatement are also considered. The estimated quantity of wastes produced for 5450 MW(e) in Belgium and their destination are presented. (A.F.)
The purpose of this document is to set out the Government's current strategy for the long term in the management of radioactive wastes. It takes account of the latest developments, and will be subject to review in the light of future developments and studies. The subject is discussed under the headings: what are radioactive wastes; who is responsible; what monitoring takes place; disposal as the objective; low-level wastes; intermediate-level wastes; discharges from Sellafield; heat generating wastes; how will waste management systems and procedures be assessed; how much more waste is there going to be in future; conclusion. (U.K.)
The objective of this calculation is to evaluate the structural response of the waste package during the horizontal and vertical lifting operations in order to support the waste package lifting feature design. The scope of this calculation includes the evaluation of the 21 PWR UCF (pressurized water reactor uncanistered fuel) waste package, naval waste package, 5 DHLW/DOE SNF (defense high-level waste/Department of Energy spent nuclear fuel)--short waste package, and 44 BWR (boiling water reactor) UCF waste package. Procedure AP-3.12Q, Revision 0, ICN 0, calculations, is used to develop and document this calculation
Jasen, W.G.; Erpenbeck, E.G.
Various types of waste have been generated during the 50-year history of the Hanford Site. Regulatory changes in the last 20 years have provided the emphasis for better management of these wastes. Interpretations of the Atomic Energy Act of 1954 (AEA), the Resource Conservation and Recovery Act of 1976 (RCRA), and the Hazardous and Solid Waste Amendments (HSWA) have led to the definition of radioactive mixed wastes (RMW). The radioactive and hazardous properties of these wastes have resulted in the initiation of special projects for the management of these wastes. Other solid wastes at the Hanford Site include low-level wastes, transuranic (TRU), and nonradioactive hazardous wastes. This paper describes a system for the treatment, storage, and disposal (TSD) of solid radioactive waste
This document contains information on all aspects of radioactive wastes. Facts are presented about radioactive wastes simply, clearly and in an unbiased manner which makes the information readily accessible to the interested public. The contents are as follows: questions and concerns about wastes; atoms and chemistry; radioactivity; kinds of radiation; biological effects of radiation; radiation standards and protection; fission and fission products; the Manhattan Project; defense and development; uses of isotopes and radiation; classification of wastes; spent fuels from nuclear reactors; storage of spent fuel; reprocessing, recycling, and resources; uranium mill tailings; low-level wastes; transportation; methods of handling high-level nuclear wastes; project salt vault; multiple barrier approach; research on waste isolation; legal requiremnts; the national waste management program; societal aspects of radioactive wastes; perspectives; glossary; appendix A (scientific American articles); appendix B (reference material on wastes)
This document contains information on all aspects of radioactive wastes. Facts are presented about radioactive wastes simply, clearly and in an unbiased manner which makes the information readily accessible to the interested public. The contents are as follows: questions and concerns about wastes; atoms and chemistry; radioactivity; kinds of radiation; biological effects of radiation; radiation standards and protection; fission and fission products; the Manhattan Project; defense and development; uses of isotopes and radiation; classification of wastes; spent fuels from nuclear reactors; storage of spent fuel; reprocessing, recycling, and resources; uranium mill tailings; low-level wastes; transportation; methods of handling high-level nuclear wastes; project salt vault; multiple barrier approach; research on waste isolation; legal requiremnts; the national waste management program; societal aspects of radioactive wastes; perspectives; glossary; appendix A (scientific American articles); appendix B (reference material on wastes). (ATT)
This article proposes a solution to the problem of locating a nuclear waste facility. The solution is called the reverse Dutch Auction trademark. The topics discussed include compensation for damages, a solution to 'not-in-my-back-yard' syndrome, low bid compensation, the process, siting problems solved, environmental quality raised above current levels
Maskery, Mark; Chhetri, Suresh K.; Dayanandan, Rejith; Gall, Claire
A 74-year-old gentleman was admitted to the regional neurosciences center with encephalopathy, myokymia, and dysautonomia. Chest imaging had previously identified an incidental mass in the anterior mediastinum, consistent with a primary thymic tumor. Antivoltage-gated potassium channel (anti-VGKC) antibodies were positive (titer 1273 pmol/L) and he was hypokalemic. Electromyogram and nerve conduction studies were in keeping with peripheral nerve hyperexcitability syndrome, and an electroencephalogram was consistent with encephalopathy. A diagnosis of Morvan syndrome was made, for which he was initially treated with high-dose steroids, followed by a 5-day course of intravenous immunoglobulin (IVIG) therapy. He also underwent thymectomy, followed by a postexcision flare of his symptoms requiring intensive care management. Further steroids, plasmapheresis, and IVIG achieved stabilization of his clinical condition, enabling transfer for inpatient neurorehabilitation. He was commenced on azathioprine and a prolonged oral steroid taper. A subsequent presumed incipient relapse responded well to further IVIG treatment. This case report documents a thymoma-associated presentation of anti-VGKC-positive Morvan syndrome supplemented by patient and carer narrative and video, both of which provide valuable further insights into this rare disorder. There are a limited number of publications surrounding this rare condition available in the English literature. This, combined with the heterogenous presentation, association with underlying malignancy, response to treatment, and prognosis, provides a diagnostic challenge. However, the association with anti-VGKC antibody-associated complexes and 2 recent case series have provided some scope for both accurate diagnosis and management. PMID:26740856
Municipal solid waste (MSW) is a source of biomass material that can be utilized for bioenergy production with minimal additional inputs. MSW resources include mixed commercial and residential garbage such as yard trimmings, paper and paperboard, plastics, rubber, leather, textiles, and food wastes. Waste resources such as landfill gas, mill residues, and waste grease are already being utilized for cost-effective renewable energy generation. MSW for bioenergy also represents an opportunity to divert greater volumes of residential and commercial waste from landfills.
Bjorklund, William J.
High level liquid waste solidification is achieved on a continuous basis by atomizing the liquid waste and introducing the atomized liquid waste into a reaction chamber including a fluidized, heated inert bed to effect calcination of the atomized waste and removal of the calcined waste by overflow removal and by attrition and elutriation from the reaction chamber, and feeding additional inert bed particles to the fluidized bed to maintain the inert bed composition.
High level liquid waste solidification is achieved on a continuous basis by atomizing the liquid waste and introducing the atomized liquid waste into a reaction chamber including a fluidized, heated inert bed to effect calcination of the atomized waste and removal of the calcined waste by overflow removal and by attrition and elutriation from the reaction chamber, and feeding additional inert bed particles to the fluidized bed to maintain the inert bed composition
Tope, W.G.; Nixon, D.A.; Smith, M.L.; Stone, T.J.; Vogel, R.A.; Schofield, W.D.
Fernald radium bearing ore residue waste, stored within Silos 1 and 2 (K-65) and Silo 3, will be vitrified for disposal at the Nevada Test Site (NTS). A comprehensive, parametric evaluation of waste form, packaging, and transportation alternatives was completed to identify the most cost-effective approach. The impacts of waste loading, waste form, regulatory requirements, NTS waste acceptance criteria, as-low-as-reasonably-achievable principles, and material handling costs were factored into the recommended approach
For the Federal Government the safe disposal of waste from nuclear power plants constitutes the precondition for their further operation. The events in the year 1987 about the conditioning and transport of low activity waste and medium activity waste made it clear that it was necessary to intensify state control and to examine the structures in the field of waste disposal. A concept for the control of radioactive waste with negligible heat development (LAW) from nuclear installations is presented. (DG) [de
Full Text Available Abstract Jacobsen syndrome is a MCA/MR contiguous gene syndrome caused by partial deletion of the long arm of chromosome 11. To date, over 200 cases have been reported. The prevalence has been estimated at 1/100,000 births, with a female/male ratio 2:1. The most common clinical features include pre- and postnatal physical growth retardation, psychomotor retardation, and characteristic facial dysmorphism (skull deformities, hypertelorism, ptosis, coloboma, downslanting palpebral fissures, epicanthal folds, broad nasal bridge, short nose, v-shaped mouth, small ears, low set posteriorly rotated ears. Abnormal platelet function, thrombocytopenia or pancytopenia are usually present at birth. Patients commonly have malformations of the heart, kidney, gastrointestinal tract, genitalia, central nervous system and skeleton. Ocular, hearing, immunological and hormonal problems may be also present. The deletion size ranges from ~7 to 20 Mb, with the proximal breakpoint within or telomeric to subband 11q23.3 and the deletion extending usually to the telomere. The deletion is de novo in 85% of reported cases, and in 15% of cases it results from an unbalanced segregation of a familial balanced translocation or from other chromosome rearrangements. In a minority of cases the breakpoint is at the FRA11B fragile site. Diagnosis is based on clinical findings (intellectual deficit, facial dysmorphic features and thrombocytopenia and confirmed by cytogenetics analysis. Differential diagnoses include Turner and Noonan syndromes, and acquired thrombocytopenia due to sepsis. Prenatal diagnosis of 11q deletion is possible by amniocentesis or chorionic villus sampling and cytogenetic analysis. Management is multi-disciplinary and requires evaluation by general pediatrician, pediatric cardiologist, neurologist, ophthalmologist. Auditory tests, blood tests, endocrine and immunological assessment and follow-up should be offered to all patients. Cardiac malformations can be
Full Text Available Robinow syndrome is a rare autosomal recessive mesomelic dwarfism with just more than 100 cases reported in the literature so far. The lower extremity is spared with skeletal deformity usually confined to the forearm, hand, and the dorsal spine. Diagnosis is made easily in the early childhood by the typical "fetal facies" appearance, which disappears to a certain extent as the patient grows. The author reports two cases of this entity with vertebral segmentation defects, rib fusion, and typical severe brachymelia and facial features.
Tuzovic, S.; Fiebach, B.J.O.; Magnus, L.; Sauerbrei, H.U.
This article reports on 14 cases of a trichorhinophalangeal syndrome in five successive generations. Besides the well-known characteristics of the TRPS the following symptoms observed in this family are new: Teething was considerably delayed, intelligence was reduced, and there were skin manifestations resembling eczema. Besides, struma colli and colitis ulcerosa were also observed. Subsequent observations have to clarify whether these symptoms are a facultative part of the TRPS pattern. The constant appearance of carriers of these characteristics during five generation points to dominant heredity.
Full Text Available A 20-year-old Sikh man had palmoplantar keratoderma, flexion deformity of digits, universal alopecia, keratotic plaques at the angles of mouth, gluteal cleft, knees and dorsal aspects of the metacarpophalangeal joints of the hand; features of Olmsted syndrome. He had normal nails, teeth, oral mucosa and normal joint movements. Treatment with acitretin, 25mg/day for three and a half months, followed by 25mg once daily alternating with 50mg once daily for 3 months resulted in significant improvement.
Oculo-cerebro-renal syndrome (Lowe's syndrome) is characterized by mental and motor retardation, cataract, glaucoma and renal abnormalities. It is an X-linked recessive metabolic disease. Two brothers suffering from Lowe's syndrome are reported. Their mother with lenticular opacities and peculiar facial appearance is in concordance with the obligate carrier. The ocular changes and heridity are discussed.
Owens, C.B.; Kirner, N.P.
Currently, limited storage and treatment capacity exists for commercial mixed waste streams. No commercial mixed waste disposal is available, and it has been estimated that if and when commercial mixed waste disposal becomes available, the costs will be high. If high disposal fees are imposed, generators may be willing to apply extraordinary treatment or regulatory approaches to properly dispose of their mixed waste. This paper explores the feasibility of several waste management scenarios and management options. Existing data on commercially generated mixed waste streams are used to identify the realm of mixed waste known to be generated. Each waste stream is evaluated from both a regulatory and technical perspective in order to convert the waste into a strictly low-level radioactive or a hazardous waste. Alternative regulatory approaches evaluated in this paper include a delisting petition) no migration petition) and a treatability variance. For each waste stream, potentially available treatment options are identified that could lead to these variances. Waste minimization methodology and storage for decay are also considered. Economic feasibility of each option is discussed broadly. Another option for mixed waste management that is being explored is the feasibility of Department of Energy (DOE) accepting commercial mixed waste for treatment, storage, and disposal. A study has been completed that analyzes DOE treatment capacity in comparison with commercial mixed waste streams. (author)
Mendez, Mario F.; Ramírez-Bermúdez, Jesús
Background Semantic dementia is a neurodegenerative disorder characterized by the loss of meaning of words or concepts. semantic dementia can offer potential insights into the mechanisms of content-specific delusions. Objective The authors present a rare case of semantic dementia with Cotard syndrome, a delusion characterized by nihilism or self-negation. Method The semantic deficits and other features of semantic dementia were evaluated in relation to the patient's Cotard syndrome. Results Mrs. A developed the delusional belief that she was wasting and dying. This occurred after she lost knowledge for her somatic discomforts and sensations and for the organs that were the source of these sensations. Her nihilistic beliefs appeared to emerge from her misunderstanding of her somatic sensations. Conclusion This unique patient suggests that a mechanism for Cotard syndrome is difficulty interpreting the nature and source of internal pains and sensations. We propose that loss of semantic knowledge about one's own body may lead to the delusion of nihilism or death. PMID:22054629
The state of Nevada opposed DOE's development of a nuclear waste repository at Yucca Mountain. As a result, disputes have arisen over how Nevada has spent financial assistance provided by DOE to pay the state's repository program costs. This report reviews Nevada's use of about $32 million in grant funds provided by DOE through June 1989 and found that Nevada improperly spent about $1 million. Nevada used as much as $683,000 for lobbying and litigation expenses that were unauthorized or were expressly prohibited by law, court decision, or grant terms; exceeded a legislative spending limit on socioeconomic studies by about $96,000; and used, contrary to grant terms, about $275,000 from one grant period to pay expenses incurred in the prior year. Also, Nevada did not always exercise adequate internal controls over grant funds, such as timely liquidation of funds advanced to contractors. A permissive approach to grant administration by DOE contributed to Nevada's inappropriate use of grant funds
Full Text Available Cardiovascular disease is the leading cause of death in patients with chronic kidney disease. Heart failure may lead to acute kidney injury and vice versa. Chronic kidney disease may affect the clinical outcomes in patients with cardiovascular disorders. Renal impairment with any degree of albuminuria has been increasingly recognized as an independent risk factor for cardiovascular events and heart failure hospitalizations, while chronic heart failure may cause chronic kidney disease. The bidirectional nature of these disorders contributes to the complexity and the composite definitions of cardiorenal syndromes. However, the most important clinical trials in heart failure tend to exclude patients with significant renal dysfunction. The mechanisms whereby renal insufficiency worsens the outcome in heart failure are not known, and several pathways could contribute to the ‘‘vicious heart/kidney circle.’’ Traditionally, renal impairment has been attributed to the renal hypoperfusion due to reduced cardiac output and decreased systemic pressure. The hypovolemia leads to sympathetic activity, increased renin-angiotensin aldosterone pathway, and arginine-vasopressin release. These mechanisms cause fluid and sodium retention, peripheral vasoconstriction, and volume overload. Therapy to improve renal dysfunction, reduce neurohormonal activation and ameliorate renal blood flow could lead to a reduction in mortality and hospitalization in patients with cardiorenal syndrome.
Full Text Available Abstract Lowe syndrome (the oculocerebrorenal syndrome of Lowe, OCRL is a multisystem disorder characterised by anomalies affecting the eye, the nervous system and the kidney. It is a uncommon, panethnic, X-linked disease, with estimated prevalence in the general population of approximately 1 in 500,000. Bilateral cataract and severe hypotonia are present at birth. In the subsequent weeks or months, a proximal renal tubulopathy (Fanconi-type becomes evident and the ocular picture may be complicated by glaucoma and cheloids. Psychomotor retardation is evident in childhood, while behavioural problems prevail and renal complications arise in adolescence. The mutation of the gene OCRL1 localized at Xq26.1, coding for the enzyme phosphatidylinositol (4,5 bisphosphate 5 phosphatase, PtdIns (4,5P2, in the trans-Golgi network is responsible for the disease. Both enzymatic and molecular testing are available for confirmation of the diagnosis and for prenatal detection of the disease. The treatment includes: cataract extraction, glaucoma control, physical and speech therapy, use of drugs to address behavioural problems, and correction of the tubular acidosis and the bone disease with the use of bicarbonate, phosphate, potassium and water. Life span rarely exceeds 40 years.
Cotard's syndrome is often described as the delusional belief that one is dead or non-existent. However, Jules Cotard's initial description (1880) of the "delusion of negations" was much richer and also involved delusions and claims of immortality and enormity, feelings of damnation, and illusions of bodily dissolution and transformation. Alternatively conceived as an extreme case of depression, hypochondria, or psychosis, the condition is considered rare and remains poorly understood. Cotard himself provided a taxonomy and several explanations for the condition, focusing on its distinction from classical persecutory delusions and suggesting that it could be a kind of reversed grandiosity. He proposed a psychosensory basis in the dissolution of mental imagery, which he then extended to a more general psychomotor impairment of volition. Other early authors highlighted a disorder of the bodily self, and more recent theories postulated an impairment of right hemispheric functions, leading to perceptual and somatosensory feelings of unreality, which coupled with reasoning impairments and an internalized attributional style led in turn to beliefs of non-existence. However, despite its striking presentation and its relevance to our understanding of self-awareness, Cotard's syndrome remains an elusive condition, rarely reported and poorly researched. © 2018 S. Karger AG, Basel.
Full Text Available Abstract KBG syndrome is a rare condition characterised by a typical facial dysmorphism, macrodontia of the upper central incisors, skeletal (mainly costovertebral anomalies and developmental delay. To date, KBG syndrome has been reported in 45 patients. Clinical features observed in more than half of patients that may support the diagnosis are short stature, electroencephalogram (EEG anomalies (with or without seizures and abnormal hair implantation. Cutaneous syndactyly, webbed short neck, cryptorchidism, hearing loss, palatal defects, strabismus and congenital heart defects are less common findings. Autosomal dominant transmission has been observed in some families, and it is predominantly the mother, often showing a milder clinical picture, that transmits the disease. The diagnosis is currently based solely on clinical findings as the aetiology is unknown. The final diagnosis is generally achieved after the eruption of upper permanent central incisors at 7–8 years of age when the management of possible congenital anomalies should have been already planned. A full developmental assessment should be done at diagnosis and, if delays are noted, an infant stimulation program should be initiated. Subsequent management and follow-up should include an EEG, complete orthodontic evaluation, skeletal investigation with particular regard to spine curvatures and limb asymmetry, hearing testing and ophthalmologic assessment.
Savoldi, Filippo; Kaufmann, Timothy J.; Flanagan, Eoin P.; Toledano, Michel
Objective: Elsberg syndrome (ES) is an established but often unrecognized cause of acute lumbosacral radiculitis with myelitis related to recent herpes virus infection. We defined ES, determined its frequency in patients with cauda equina syndrome (CES) with myelitis, and evaluated its clinical, radiologic, and microbiologic features and outcomes. Methods: We searched the Mayo Clinic medical records for ES and subsequently for combinations of index terms to identify patients with suspected CES and myelitis. Results: Our search yielded 30 patients, 2 diagnosed with ES and an additional 28 with clinical or radiologic evidence of CES retrospectively suspected of having ES. We classified patients in 5 groups according to diagnostic certainty. MRI and EMG confirmed that 2 had only myelitis, 5 only radiculitis, and 16 both. Two had preceding sacral herpes infection and 1 oral herpes simplex. Spinal cord lesions were commonly multiple, discontinuous, not expansile, and centrally or ventrally positioned. Lesions generally spared the distal conus. Nerve root enhancement was occasionally prominent and was smooth rather than nodular. Lymphocytic CSF pleocytosis was common. Thirteen patients (43%) had viral isolation studies, which were commonly delayed; the delay may have accounted for the low rate of viral detection. Acyclovir was administered to 6 patients. Most patients recovered with sequelae; 1 patient experienced encephalomyelitis and died. Conclusion: ES is a definable condition likely responsible for 10% of patients with combined CES and myelitis. Radiologic findings are not entirely specific but may help in differentiating ES from some competing diagnostic considerations. We propose criteria to facilitate diagnosis. PMID:28534040
Full Text Available Abstract Sotos syndrome is an overgrowth condition characterized by cardinal features including excessive growth during childhood, macrocephaly, distinctive facial gestalt and various degrees of learning difficulty, and associated with variable minor features. The exact prevalence remains unknown but hundreds of cases have been reported. The diagnosis is usually suspected after birth because of excessive height and occipitofrontal circumference (OFC, advanced bone age, neonatal complications including hypotonia and feeding difficulties, and facial gestalt. Other inconstant clinical abnormalities include scoliosis, cardiac and genitourinary anomalies, seizures and brisk deep tendon reflexes. Variable delays in cognitive and motor development are also observed. The syndrome may also be associated with an increased risk of tumors. Mutations and deletions of the NSD1 gene (located at chromosome 5q35 and coding for a histone methyltransferase implicated in transcriptional regulation are responsible for more than 75% of cases. FISH analysis, MLPA or multiplex quantitative PCR allow the detection of total/partial NSD1 deletions, and direct sequencing allows detection of NSD1 mutations. The large majority of NSD1 abnormalities occur de novo and there are very few familial cases. Although most cases are sporadic, several reports of autosomal dominant inheritance have been described. Germline mosaicism has never been reported and the recurrence risk for normal parents is very low (
... en español Síndrome de Marfan What Is Marfan Syndrome? Marfan syndrome is a genetic disorder of the body's ... bones , blood vessels, and organs. What Causes Marfan Syndrome? Marfan syndrome happens because of an abnormality in one ...
The bachelor's thesis covers burnout syndrome of teachers. Defines burnout syndrome, describes its causes and symptoms. Describes teaching as helping profession and focousing on stressful situations at school. In the last chapter described different prevention strategies burnout syndrome. Key words: burnout syndrome, teaching, teacher, helping professions, beginning teacher, stress
... Staying Safe Videos for Educators Search English Español Turner Syndrome KidsHealth / For Teens / Turner Syndrome What's in this ... en español El síndrome de Turner What Is Turner Syndrome? Turner syndrome (TS) is a genetic condition found ...
Barnhart, Benjamin J.
The highlights of a symposium held in October, 1977 spotlight some problems and solutions. Topics include wastes from coal technologies, radioactive wastes, and industrial and agricultural wastes. (BB)
Christensen, Thomas Højlund; Fruergaard, Thilde
Commercial and institutional waste is primarily from retail (stores), hotels, restaurants, health care (except health risk waste), banks, insurance companies, education, retirement homes, public services and transport. Within some of these sectors, e.g. retail and restaurants, large variations...... are found in terms of which products and services are offered. Available data on unit generation rates and material composition as well as determining factors are discussed in this chapter. The characterizing of commercial and institutional waste is faced with the problem that often only a part of the waste...... is handled in the municipal waste system, where information is easily accessible. An important part of commercial and institutional waste is packaging waste, and enterprises with large quantities of clean paper, cardboard and plastic waste may have their own facilities for baling and storing their waste...
Radioactive waste generated from utilization of radioisotopes and each step of the nuclear fuel cycle and decommissioning of nuclear facilities are presented. On the safe management of radioactive waste management, international safety standards are established such as ''The Principles of Radioactive Waste Management (IAEA)'' and T he Joint Convention on the Safety of Radioactive Waste Management . Basic steps of radioactive waste management consist of treatment, conditioning and disposal. Disposal is the final step of radioactive waste management and its safety is confirmed by safety assessment in the licensing process. Safety assessment means evaluation of radiation dose rate caused by radioactive materials contained in disposed radioactive waste. The results of the safety assessment are compared with dose limits. The key issues of radioactive waste disposal are establishment of long term national strategies and regulations for safe management of radioactive waste, siting of repository, continuity of management activities and financial bases for long term, and security of human resources. (Author)
Castano Llano, Rodrigo; Chams Anturi, Abraham; Arango Vargas, Paula
We described three cases of superior mesenteric artery (SMA) syndrome, also known as Wilkie's syndrome, chronic duodenal ileus, or cast syndrome. This syndrome occurs when the third portion of the duodenum is compressed between the SMA and the aorta. The major risk factors for development of SMA syndrome are rapid weight loss and surgical correction of spinal deformities. The clinical presentation of SMA syndrome is variable and nonspecific, including nausea, vomiting, abdominal pain, and weight loss. The diagnosis is based on endoscopic, radiographic and tomographic findings of duodenal compression by the SMA. The treatment of SMA syndrome is aimed at the precipitating factor, which usually is related to weight loss. Therefore, conservative therapy with nutritional supplementation is the initial approach, and surgery is reserved for those who do not respond to nutritional therapy.
Laghmani, Kamel; Beck, Bodo B.; Yang, Sung-Sen; Seaayfan, Elie; Wenzel, Andrea; Reusch, Bjorn; Vitzthum, Helga; Priem, Dario; Demaretz, Sylvie; Bergmann, Klasien; Duin, Leonie K.; Goebel, Heike; Mache, Christoph; Thiele, Holger; Bartram, Malte P.; Dombret, Carlos; Altmueller, Janine; Nuernberg, Peter; Benzing, Thomas; Levtchenko, Elena; Seyberth, Hannsjoerg W.; Klaus, Guenter; Yigit, Goekhan; Lin, Shih-Hua; Timmer, Albert; de Koning, Tom J.; Scherjon, Sicco; Schlingmann, Karl P.; Bertrand, Mathieu J. M.; Rinschen, Markus M.; de Backer, Olivier; Konrad, Martin; Koemhoff, Martin
BACKGROUND Three' pregnancies with male offspring in one family were complicated by severe polyhydramnios and prematurity. One fetus died; the other two had transient massive salt-wasting and polyuria reminiscent of antenatal Bartter's syndrome. METHODS To uncover the molecular cause of this
Morales Villegas, Enrique
Himsworth in 1939 postulated that Diabetes Mellitus type 2 (DM2) was not only an insulin deficiency state but also a cellular insulin insensitivity disease. Thirty years later, DeFronzo and Reaven demonstrated that insulin resistance (IR) preceded and predisposed for DM2 and atherosclerotic-cardiovascular-disease (ACVD). Reaven was the first to point out the relationship between IR and with hyperglycemia, dyslipidosis, and hypertension as mediators for ACVD, creating the concept of Syndrome X (SX) in 1988. WHO and, thereafter, other medical societies and medical groups, mainly ATP-III, in 2002, based on the difficulty of diagnosing IR in a simple, reliable, and inexpensive way, proposed and published the Metabolic Syndrome (MS) concept, as a group of five variables, i.e., obesity, hyperglycemia, hypertriglyceridemia, low HDL, and hypertension, as an easy clinical approximation to suspect and treat an increased cardiometabolic risk. Nowadays, there are deep and extensive controversies on this issue; however, these controversies do not really exist since all discordant points of view are rather quantitative and not qualitative in nature. This article is aimed at differentiating and harmonizing the complementary concepts of SX and MS, at analyzing why MS is a good "clinical window" to look for IR and its underlying manifestations, and finally to accept that the MS concept complements, but does not substitute or antagonize, traditional scales used to asses cardiovascular risk, such as the Framingham scale.
Mortada, Rami; Williams, Tracy
Polycystic ovary syndrome (PCOS) is a heterogeneous condition characterized by androgen excess, ovulatory dysfunction, and polycystic ovaries. It is the most common endocrinopathy among women of reproductive age, affecting between 6.5% and 8% of women, and is the most common cause of infertility. Insulin resistance is almost always present in women with PCOS, regardless of weight, and they often develop diabetes and metabolic syndrome. The Rotterdam criteria are widely used for diagnosis. These criteria require that patients have at least two of the following conditions: hyperandrogenism, ovulatory dysfunction, and polycystic ovaries. The diagnosis of PCOS also requires exclusion of other potential etiologies of hyperandrogenism and ovulatory dysfunction. The approach to PCOS management differs according to the presenting symptoms and treatment goals, particularly the patient's desire for pregnancy. Weight loss through dietary modifications and exercise is recommended for patients with PCOS who are overweight. Oral contraceptives are the first-line treatment for regulating menstrual cycles and reducing manifestations of hyperandrogenism, such as acne and hirsutism. Clomiphene is the first-line drug for management of anovulatory infertility. Metformin is recommended for metabolic abnormalities such as prediabetes, and a statin should be prescribed for cardioprotection if the patient meets standard criteria for statin therapy. 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.
Christensen, Thomas Højlund; Andersen, L.
Construction and demolition waste (C&D waste) is the waste generated during the building, repair, remodeling or removal of constructions. The constructions can be roads, residential housing and nonresidential buildings. C&D waste has traditionally been considered without any environmental problems...... should be managed accordingly. Another reason is that it has been documented that a large fraction of C&D waste (about 90 %) can be easily recycled and thus can conserve landfill capacity. C&D waste may conveniently be divided into three subcategories: Buildings, roads and excavations. This chapter...
Recognition of the importance of the safe management of radioactive waste means that, over the years, many well-established and effective techniques have been developed, and the nuclear industry and governments have gained considerable experience in this field. Minimization of waste is a fundamental principle underpinning the design and operation of all nuclear operations, together with waste reuse and recycling. For the remaining radioactive waste that will be produced, it is essential that there is a well defined plan (called a waste treatment path) to ensure the safe management and ultimately the safe disposal of radioactive waste so as to guarantee the sustainable long term deployment of nuclear technologies
During the Cold War era, when DOE and its predecessor agencies produced nuclear weapons and components, and conducted nuclear research, a variety of wastes were generated (both radioactive and hazardous). DOE now has the task of managing these wastes so that they are not a threat to human health and the environment. This document is the Waste Management Progress Report for the U.S. Department of Energy dated June 1997. This progress report contains a radioactive and hazardous waste inventory and waste management program mission, a section describing progress toward mission completion, mid-year 1997 accomplishments, and the future outlook for waste management
Christensen, Thomas Højlund
Solid waste management as introduced in Chapter 1.1 builds in many ways on engineering. Waste engineering here means the skills and ability to understand quantitatively how a waste management system works in such a detail that waste management can be planned, facilities can be designed and sited......) regional plans for waste management, including (3) the selection of main management technologies and siting of facilities, (4) the design of individual technological units and, for example, (5) the operation of recycling schemes within a municipality. This chapter gives an introduction to waste engineering...
This report contains information on hazardous materials at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, waste number, weight, and waste designation
This report contains information on hazardous materials at the Hanford Site. Information consists of shipment date, physical state, chemical nature, waste description, waste number, weight, and waste designation.
Lubinsky, Mark; Kantaputra, Piranit Nik
While most supernumerary teeth are idiopathic, they can be associated with a number of Mendelian syndromes. However, this can also be a coincidental finding, since supernumerary teeth occur in 6% or more of the normal population. To better define this relationship, we analyzed the evidence for specific associations. We excluded conditions with a single affected patient reported, supernumerary teeth adjacent to clefts or other forms of alveolar disruption (as secondary rather than primary findings), and natal teeth, which can involve premature eruption of a normal tooth. Since, the cause of supernumerary teeth shows considerable heterogeneity, certain findings are less likely to be coincidental, such as five or more supernumerary teeth in a single patient, or locations outside of the premaxilla. We found only eight genetic syndromes with strong evidence for an association: cleidocranial dysplasia; familial adenomatous polyposis; trichorhinophalangeal syndrome, type I; Rubinstein-Taybi syndrome; Nance-Horan syndrome; Opitz BBB/G syndrome; oculofaciocardiodental syndrome; and autosomal dominant Robinow syndrome. There is also suggestive evidence of an association with two uncommon disorders, Kreiborg-Pakistani syndrome (craniosynostosis and dental anomalies), and insulin-resistant diabetes mellitus with acanthosisnigricans. An association of a Mendelian disorder with a low frequency manifestation of supernumerary teeth is difficult to exclude without large numbers, but several commonly cited syndromes lacked evidence for clear association, including Hallermann-Streiff syndrome, Fabry disease, Ehlers-Danlos syndrome, Apert and Crouzon syndromes, Zimmermann-Laband syndrome, and Ellis-van Creveld syndrome. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.
Ramsden, R T; Barrett, A
The uncommon familial syndrome of multiple odontogenic keratocysts, basal cell naevi and skeletal anomalies is reviewed, and seven cases are described, including one patient who developed squamous cell carcinoma in a previous odontogenic keratocyst of the maxilla. We wish to thank Consultants from the Royal National Throat, Nose and Ear Hospital, The Middlesex Hospital and the Eastman Dental Hospital, who allowed us access to their patients; Mr. D. Garfield Davies, Dr. M. F. Spittle, Mr. D. Winstock, Mr. H. P. Cook, Professor H. C. Killey and Mr. L. W. Kay. We are grateful to Professor L. Michaels and Mr. D. J. Connolly for preparation of the illustrations and to Mrs. A. Matthews for the typescript.
Full Text Available Background. Hepatorenal syndrome (HRS is acommon complication of advanced hepatic disease characterizedby marked abnormalities in arterial circulation and byrenal failure. An extreme arteriolar vasodilatation located inthe splanchnic circulation results in a reduction of total systemicvascular resistence and arterial hypotension. Vasoconstrictionoccurs in the renal circulation as in all other extrasplanchnicvascular territories. In the kidney, marked renalvasoconstriction results in a low glomerular filtration rate.Conclusions. The diagnosis of HRS is currently based on exclusionof other causes of renal failure. Prognosis of patientswith HRS is very poor. Liver transplantation is the best therapeuticoption, but it is seldom applicable due to the short survivalexpectancy of most patients with HRS, particularly thosewith the rapidly progressive type of HRS. New therapies developedduring the last few years, such as the use of systemicvasoconstrictors or transjugular intrahepatic portosystemicshunts (TIPS appear promising. Such treatments are of interestnot only as a bridge to liver transplantation but also as atherapy for patients who are not candidates for transplantation.
van der Burgt Ineke
Full Text Available Abstract Noonan Syndrome (NS is characterised by short stature, typical facial dysmorphology and congenital heart defects. The incidence of NS is estimated to be between 1:1000 and 1:2500 live births. The main facial features of NS are hypertelorism with down-slanting palpebral fissures, ptosis and low-set posteriorly rotated ears with a thickened helix. The cardiovascular defects most commonly associated with this condition are pulmonary stenosis and hypertrophic cardiomyopathy. Other associated features are webbed neck, chest deformity, mild intellectual deficit, cryptorchidism, poor feeding in infancy, bleeding tendency and lymphatic dysplasias. The syndrome is transmitted as an autosomal dominant trait. In approximately 50% of cases, the disease is caused by missense mutations in the PTPN11 gene on chromosome 12, resulting in a gain of function of the non-receptor protein tyrosine phosphatase SHP-2 protein. Recently, mutations in the KRAS gene have been identified in a small proportion of patients with NS. A DNA test for mutation analysis can be carried out on blood, chorionic villi and amniotic fluid samples. NS should be considered in all foetuses with polyhydramnion, pleural effusions, oedema and increased nuchal fluid with a normal karyotype. With special care and counselling, the majority of children with NS will grow up and function normally in the adult world. Management should address feeding problems in early childhood, evaluation of cardiac function and assessment of growth and motor development. Physiotherapy and/or speech therapy should be offered if indicated. A complete eye examination and hearing evaluation should be performed during the first few years of schooling. Preoperative coagulation studies are indicated. Signs and symptoms lessen with age and most adults with NS do not require special medical care.
Large volumes of hazardous wastes are produced each year, however only a small proportion of them are radioactive. While disposal options for hazardous wastes are generally well established, some types of hazardous waste face issues similar to those for radioactive waste and also require long-term disposal arrangements. The objective of this NEA study is to put the management of radioactive waste into perspective, firstly by contrasting features of radioactive and hazardous wastes, together with their management policies and strategies, and secondly by examining the specific case of the wastes resulting from carbon capture and storage of fossil fuels. The study seeks to give policy makers and interested stakeholders a broad overview of the similarities and differences between radioactive and hazardous wastes and their management strategies. Contents: - Foreword; - Key Points for Policy Makers; - Executive Summary; - Introduction; - Theme 1 - Radioactive and Hazardous Wastes in Perspective; - Theme 2 - The Outlook for Wastes Arising from Coal and from Nuclear Power Generation; - Risk, Perceived Risk and Public Attitudes; - Concluding Discussion and Lessons Learnt; - Strategic Issues for Radioactive Waste; - Strategic Issues for Hazardous Waste; - Case Studies - The Management of Coal Ash, CO 2 and Mercury as Wastes; - Risk and Perceived Risk; - List of Participants; - List of Abbreviations. (authors)
The origin and types of radioactive waste, the objective and the fundamental principles of radioactive waste management and the classification of radioactive waste are presented. Problems of the radioactive waste management are analyzed. (authors)
The report falls under the headings: introduction; the nature of radioactive wastes; how to manage radioactive wastes; packaging of radioactive wastes (supervised storage; disposal); waste form evaluation and test requirements (supervised storage; disposal); conclusions. (U.K.)
Haeusler, Laurence; Moro-Goubely, Anne-Gaelle; Berthoin, Guillaume; Mathery, Christian; Galio, Pierre; Heyberger-Paroisse, Agnes
This publication proposes numerous tables and graphs of data and indicators (and of their evolution) regarding wastes. It addresses waste prevention and production in France (concerned materials, waste production, waste origins, actions and measures for waste prevention, re-use), waste collection (for domestic, industrial wastes, cross-border exchanges, nuclear reactors), waste processing (of dangerous and non dangerous wastes), valorisation processes (sorting, recycling, composting, methanization), waste-based energy production, economy and costs of the waste management activity, and environmental impacts (atmospheric emissions, impact of recycling)
Themistocleous, George S; Sapkas, George S; Papagelopoulos, Panayiotis J; Stilianessi, Eugenia V; Papadopoulos, Elias Ch; Apostolou, Constantinos D
Steinert syndrome is described as an autosomal dominant condition characterized by progressive muscular wasting, myotonia, musculoskeletal manifestations and rare spinal defects. Little is reported about spinal deformity associated with this syndrome. We present a patient with Steinert syndrome complicated by scoliosis. In the literature on muscular dystrophy, other than Duchenne, little mention is given to the problem of scoliosis in general and its treatment in particular. A case report of a patient with Steinert syndrome associated with thoracic scoliosis and hypokyphosis is presented. A 17-year-old boy presented with King type II right thoracic scoliosis (T5-T11, Cobb angle of 40 degrees) and hypokyphosis--10 degrees. He was treated with posterior stabilization and instrumentation at level T3-L2 with a postoperative correction of the scoliotic curve to 20 degrees. Histopathologic examination of the muscles confirmed the diagnosis of Steinert myotonic dystrophy. At 30-month follow-up, the patient was clinically pain free and well balanced. Plain radiographs showed solid spine fusion with no loss of deformity correction. Scoliosis in Steinert syndrome shares the characteristic of an arthrogrypotic neuromuscular curve and demands the extensive soft tissue release for optimal surgical correction. Intraoperative observations included profound tissue bleeding, abnormally tough soft tissues and a difficult recovery from anaesthesia.
Weijuan Zhu and Xiaofeng Ren*
Full Text Available Porcine circovirus type 2 (PCV2 is the major causative agent of post-weaning multisystemic wasting syndrome (PMWS. Infection by PCV2 may cause heavy losses in pig industry. In this study, we report the isolation of a newly emerging PCV2 from northeastern China. The complete genome of the PCV2 isolate named PCV2-LJR contains 1766 nucleotides and was compared with reference sequences published in GenBank followed by topology analysis of the resulting phylogenetic tree. The data indicated that the prevalent PCV2 isolates in the northeastern China had close relationship, although various genotypes of PCV2 existed. In addition, by gene recombination and transfection techniques, the PCV2 infectious clone was achieved and was able to rescue virus in vitro determined by indirect immunofluorescence assay and PCR. The obtained biological materials may be used for biological characterization of PCV2.
Rosanvallon, S.; Na, B.C.; Benchikhoune, M.; Uzan, J. Elbez; Gastaldi, O.; Taylor, N.; Rodriguez, L.
ITER will produce solid radioactive waste during its operation (arising from the replacement of components and from process and housekeeping waste) and during decommissioning (de-activation phase and dismantling). The waste will be activated by neutrons of energies up to 14 MeV and potentially contaminated by activated corrosion products, activated dust and tritium. This paper describes the waste origin, the waste classification as a function of the French national agency for radioactive waste management (ANDRA), the optimization process put in place to reduce the waste radiotoxicity and volumes, the estimated waste amount based on the current design and maintenance procedure, and the overall strategy from component removal to final disposal anticipated at this stage of the project.
Many documents (journal articles, book chapters, non-conventional documents..) deal with radioactive wastes but very often this topic is covered in a partial way and sometimes the data presented are contradictory. The aim of this article is to precise the definition of radioactive wastes and the proper terms to describe this topic. It describes the main guidelines of the management of radioactive wastes, in particular in France, and presents the problems raised by this activity: 1 - goal and stakes of the management; 2 - definition of a radioactive waste; 3 - radionuclides encountered; 4 - radio-toxicity and radiation risks; 5 - French actors of waste production and management; 6 - French classification and management principles; 7 - wastes origin and characteristics; 8 - status of radioactive wastes in France per categories; 9 - management practices; 10 - packages conditioning and fabrication; 11 - storage of wastes; 12 - the French law from December 30, 1991 and the opportunities of new ways of management; 13 - international situation. (J.S.)
Carvalho, J.F. de.
The problem of high level radioactive waste disposal is analyzed, suggesting an alternative for the final waste disposal from irradiated fuel elements. A methodology for determining the temperature field around an underground disposal facility is presented. (E.G.) [pt
Larson, D.E.; Allen, C.R.; Kruger, O.L.; Weber, E.T.
The Hanford Waste Vitrification Plant (HWVP) is being designed to immobilize pretreated Hanford high-level waste and transuranic waste in borosilicate glass contained in stainless steel canisters. Testing is being conducted in the HWVP Technology Development Project to ensure that adapted technologies are applicable to the candidate Hanford wastes and to generate information for waste form qualification. Empirical modeling is being conducted to define a glass composition range consistent with process and waste form qualification requirements. Laboratory studies are conducted to determine process stream properties, characterize the redox chemistry of the melter feed as a basis for controlling melt foaming and evaluate zeolite sorption materials for process waste treatment. Pilot-scale tests have been performed with simulated melter feed to access filtration for solids removal from process wastes, evaluate vitrification process performance and assess offgas equipment performance. Process equipment construction materials are being selected based on literature review, corrosion testing, and performance in pilot-scale testing. 3 figs., 6 tabs
Oelofse, Suzanna HH
Full Text Available The preamble to the Waste Act (2008) is very clear that, as a result of this legislation, waste management in South Africa will never be the same again. This should send a clear message that ‘business as usual’ will no longer be sufficient....
Duffy, James B.
A waste canister for storage of nuclear wastes in the form of a solidified glass includes fins supported from the center with the tips of the fins spaced away from the wall to conduct heat away from the center without producing unacceptable hot spots in the canister wall.
Nakaoka, R.; Waters, R.; Pohl, P.; Roach, J.
The mission of the US Department of Energy's (DOE) Mixed Waste Focus Area (MWFA) is to provide acceptable technologies that enable implementation of mixed waste treatment systems which are developed in partnership with end-users, stakeholders, tribal governments, and regulators. To accomplish this mission, a technical baseline was established in 1996 and revised in 1997. The technical baseline forms the basis for determining which technology development activities will be supported by the MWFA. The primary attribute of the technical baseline is a set of prioritized technical deficiencies or roadblocks related to implementation of mixed waste treatment systems. The Waste Form Initiative (WFI) was established to address an identified technical deficiency related to waste form performance. The primary goal of the WFI was to ensure that the mixed low-level waste (MLLW) treatment technologies being developed, currently used, or planned for use by DOE would produce final waste forms that meet the waste acceptance criteria (WAC) of the existing and/or planned MLLW disposal facilities. The WFI was limited to an evaluation of the disposal requirements for the radioactive component of MLLW. Disposal requirements for the hazardous component are dictated by the Resource Conservation and Recovery Act (RCRA), and were not addressed. This paper summarizes the technical basis, strategy, and results of the activities performed as part of the WFI
A waste canister for storage of nuclear wastes in the form of a solidified glass includes fins supported from the center with the tips of the fins spaced away from the wall to conduct heat away from the center without producing unacceptable hot spots in the canister wall. 4 claims, 4 figures
In this article author describes the system of transport and processing of radioactive wastes from nuclear power of Slovenske elektrarne, plc. It is realized the assurance of transport of liquid and solid radioactive wastes to processing links from places of their formation, or of preliminary storage and consistent transports of treated radioactive wastes fixed in cement matrix of fibre-concrete container into Rebublic storage of radioactive wastes in Mochovce
This study presents estimates of the solid radioactive waste quantities that will be generated in the Separations, Low-Level Waste Vitrification and High-Level Waste Vitrification facilities, collectively called the Tank Waste Remediation System Treatment Complex, over the life of these facilities. This study then considers previous estimates from other 200 Area generators and compares alternative methods of handling (segregation, packaging, assaying, shipping, etc.)
The guide sets out the radiation safety requirements and limits for the treatment of radioactive waste. They shall be observed when discharging radioactive substances into the atmosphere or sewer system, or when delivering solid, low-activity waste to a landfill site without a separate waste treatment plan. The guide does not apply to the radioactive waste resulting from the utilisation of nuclear energy or natural resources.
Radioactive wastes generated by nuclear activities must be reprocessed using specific treatments before packaging, storage and disposal. This digest paper gives first a classification of radioactive wastes according to their radionuclides content activity and half-life, and the amount of wastes from the different categories generated each year by the different industries. Then, the radiotoxicity of nuclear wastes is evaluated according to the reprocessing treatments used and to their environmental management (surface storage or burial). (J.S.)
This booklet is a publication by International Atomic Energy Agency for general awareness of citizens and policy-makers to clarify their concept of nuclear wastes. In a very simple way it tells what is radioactivity, radiations and radioactive wastes. It further hints on various medial and industrial uses of radiations. It discusses about different types of radioactive wastes and radioactive waste management. Status of nuclear power plants in Central and Eastern European countries are also discussed
The guide sets out the radiation safety requirements and limits for the treatment of radioactive waste. They shall be observed when discharging radioactive substances into the atmosphere or sewer system, or when delivering solid, low-activity waste to a landfill site without a separate waste treatment plan. The guide does not apply to the radioactive waste resulting from the utilisation of nuclear energy or natural resources
Radioactive waste incinerator development at the Savannah River Laboratory has been augmented by fundamental combustion studies at the University of South Carolina. The objective was to measure and model pyrolysis and combustion rates of typical Savannah River Plant waste materials as a function of incinerator operating conditions. The analytical models developed in this work have been incorporated into a waste burning transient code. The code predicts maximum air requirement and heat energy release as a function of waste type, package size, combustion chamber size, and temperature. Historically, relationships have been determined by direct experiments that did not allow an engineering basis for predicting combustion rates in untested incinerators. The computed combustion rates and burning times agree with measured values in the Savannah River Laboratory pilot (1 lb/hr) and full-scale (12 lb/hr) alpha incinerators for a wide variety of typical waste materials
Full Text Available During the last 20 years at least 23 cases of motor neuron disease have been reported in HIV-1 seropositive patients. In this report we describe the clinical picture of a young man with HIV-1 clade C infection and flail arm-like syndrome, who we were able to follow-up for a long period. We investigated and prospectively monitored a 34-year-old man with features of flail arm syndrome, who developed the weakness and wasting 1 year after being diagnosed with HIV-1 infection after a routine blood test. He presented in 2003 with progressive, symmetrical wasting and weakness of the proximal muscles of the upper limb of 2 years′ duration. He had severe wasting and weakness of the shoulder and arm muscles. There were no pyramidal signs. He has been on HAART for the last 4 years and the weakness or wasting has not worsened. At the last follow-up in July 2007, the patient had the same neurological deficit and no other symptoms or signs of HIV-1 infection. MRI of the spinal cord in 2007 showed characteristic T2 hyperintense signals in the central part of the spinal cord, corresponding to the central gray matter. Thus, our patient had HIV-1 clade C infection associated with a ′flail arm-like syndrome.′ The causal relationship between HIV-1 infection and amyotrophic lateral sclerosis (ALS-like syndrome is still uncertain. The syndrome usually manifests as a lower motor neuron syndrome, as was seen in our young patient. It is known that treatment with antiretroviral therapy (ART stabilizes/improves the condition. In our patient the weakness and atrophy remained stable over a period of 3.5 years after commencing HAART regimen.
U D Shrestha
Full Text Available Goldenhar syndrome (GHS is also known as Oculo-Auriculo-Vertebral (OAV syndrome or Branchial arch syndrome. Duane retraction syndrome (DRS is a congenital disorder of ocular motility characterized by limited abduction, adduction or both. It is unilateral in 80% of cases. The important and interesting part of this eight months old child is presence of GHS with DRS. She has bilateral invol-vement, which is seen in only 5-8% of GHS, as compared to high incidence of unilateral involve-ment. This child also had refractive error of + 6.00/ - 1.5 * 180. At four year of age her vision with glass was 6/9. Children with GHS and DRS should have early eye examination done to treat the problem of refractive error. Keywords: Duane retraction syndrome; goldenhar syndrome, refractive error.
Beunder, L.; Rem, P.C.; Van Den Berg, R.
Five hundred tonnes of glass, 1 million tonnes of plastic,14 million tonnes of building and demolition waste, 7 million tonnes of household waste, 3 million tonnes of packaging, 3.5 million tonnes of paper and board, and 300,000 old cars. All part of the annual harvest of waste materials in the
Fox, Charles H.
This publication is one of a series of information booklets for the general public published by the United States Atomic Energy Commission. This booklet deals with the handling, processing and disposal of radioactive wastes. Among the topics discussed are: The Nature of Radioactive Wastes; Waste Management; and Research and Development. There are…
Oelofse, Suzanna HH
Full Text Available Recent global waste statistics show that in the order of 70% of all municipal waste generated worldwide is disposed at landfill, 11% is treated in thermal and Waste-to-Energy (WtE) facilities and the rest (19%) is recycled or treated by mechanical...
BSE waste is derived from diseased animals such as BSE (bovine spongiform encepilopothy, also known as Mad Cow) in cattle and CWD (chronic wasting disease) in deer and elk. Landfilling is examined as a disposal option and this presentation introduces waste containment technology...
Wahlen, S.; Winkel, Thomas
Food waste is debated not only in the light of sustainable consumption in research and policy, but also in the broader public. This article focuses on food waste in household contexts, what is widely believed the end of the food chain. However, household food waste is far more complex and intricate
The speaker discusses the development of government policy regarding radioactive waste disposal in Canada, indicates overall policy objectives, and surveys the actual situation with respect to radioactive wastes in Canada. He also looks at the public perceptions of the waste management situation and how they relate to the views of governmental decision makers
Hutchinson, I.P.G.; Ellison, R.D.
This book reports on mine waste management. Topics covered include: Performance review of modern mine waste management units; Mine waste management requirements; Prediction of acid generation potential; Attenuation of chemical constituents; Climatic considerations; Liner system design; Closure requirements; Heap leaching; Ground water monitoring; and Economic impact evaluation
Pordes, O.; Plows, J.P.
A method is described for encapsulating a particular radioactive waste which consists of suspending the waste in a viscous liquid encapsulating material, of synthetic resin monomers or prepolymers, and setting the encapsulating material by addition or condensation polymerization to form a solid material in which the waste is dispersed. (author)
This is the second part of a report of a preliminary study for AECL. It considers the requirements for an underground waste repository for the disposal of wastes produced by the Canadian Nuclear Fuel Program. The following topics are discussed with reference to the repository: 1) geotechnical assessment, 2) hydrogeology and waste containment, 3) thermal loading and 4) rock mechanics. (author)
Sweden has a well-functioning organization for managing various types of radioactive waste. There is an interim storage facility for spent nuclear fuel, a final repository for low and intermediate level waste, and a specially-built vessel with transport casks and containers for shipping the radioactive waste between the nuclear installations. (author)
Here is made a general survey of the situation relative to radioactive wastes. The different kinds of radioactive wastes and the different way to store them are detailed. A comparative evaluation of the situation in France and in the world is made. The case of transport of radioactive wastes is tackled. (N.C.)
The article cites and summarizes the papers on the topics: economic and ecological importance of waste management, reprocessing of nuclear fuel and recycling of uranium and plutonium, waste management and final storage, transports and organizational aspects of waste management, presented at this symposium. (HR/AK) [de
This article presents the French way to deal with nuclear wastes. 4 categories of radioactive wastes have been defined: 1) very low-level wastes (TFA), 2) low or medium-wastes with short or medium half-life (A), 3) low or medium-level wastes with long half-life (B), and 4) high-level wastes with long half-life (C). ANDRA (national agency for the management of radioactive wastes) manages 2 sites of definitive surface storage (La-Manche and Aube centers) for TFA-wastes. The Aube center allows the storage of A-wastes whose half-life is less than 30 years. This site will receive waste packages for 50 years and will require a regular monitoring for 300 years after its decommissioning. No definitive solutions have been taken for B and C wastes, they are temporarily stored at La Hague processing plant. Concerning these wastes the French parliament will have to take a decision by 2006. At this date and within the framework of the Bataille law (1991), scientific studies concerning the definitive or retrievable storage, the processing techniques (like transmutation) will have been achieved and solutions will be proposed. These studies are numerous, long and complex, they involve fresh knowledge in geology, chemistry, physics,.. and they have implied the setting of underground facilities in order to test and validate solutions in situ. This article presents also the transmutation technique. (A.C.)
This article describes a hazardous waste treatment known as the catalytic extraction process, which also stabilizes and reduces low-level radioactive wastes to a fraction of their original volume, easing their disposal. It uses molten iron and other metals to convert hazardous wastes into useful materials
This book contains the proceedings of the international waste management conference. Topics covered include: Quality assurance in the OCR WM program; Leading the spirit of quality; Dept. of Energy hazardous waste remedial actions program; management of hazardous waste projects; and System management and quality assurance
This is a claim for a waste disposal package including an inner or primary canister for containing hazardous and/or radioactive wastes. The primary canister is encapsulated by an outer or secondary barrier formed of a porous ceramic material to control ingress of water to the canister and the release rate of wastes upon breach on the canister. 4 figs.
There are two types of repositories for the low level radioactive wastes in Japan. One is a trench type repository only for concrete debris generated from the dismantling of the research reactor. According to the safety assurance system, Japan Atomic Energy Research Institute (JAERI) has disposed of the concrete debris arose from the dismantling of the Japan Power Demonstration Reactor (JPDR). The other type is the concreted pit with engineered barriers. Rokkasho Low Level Radioactive Waste Disposal Center has this type of repository mainly for the power plant wastes. Japan Nuclear Fuel Ltd. (JNFL) established by electric power companies is the operator of the LLW disposal project. JNFL began the storage operation in 1992 and buried approximately 60,000 drums there. Two hundred thousand drums of uniformly solidified, waste may be buried ultimately. 4 refs, 3 tabs
Levtchenko Elena N
Full Text Available Abstract Gitelman syndrome (GS, also referred to as familial hypokalemia-hypomagnesemia, is characterized by hypokalemic metabolic alkalosis in combination with significant hypomagnesemia and low urinary calcium excretion. The prevalence is estimated at approximately 1:40,000 and accordingly, the prevalence of heterozygotes is approximately 1% in Caucasian populations, making it one of the most frequent inherited renal tubular disorders. In the majority of cases, symptoms do not appear before the age of six years and the disease is usually diagnosed during adolescence or adulthood. Transient periods of muscle weakness and tetany, sometimes accompanied by abdominal pain, vomiting and fever are often seen in GS patients. Paresthesias, especially in the face, frequently occur. Remarkably, some patients are completely asymptomatic except for the appearance at adult age of chondrocalcinosis that causes swelling, local heat, and tenderness over the affected joints. Blood pressure is lower than that in the general population. Sudden cardiac arrest has been reported occasionally. In general, growth is normal but can be delayed in those GS patients with severe hypokalemia and hypomagnesemia. GS is transmitted as an autosomal recessive trait. Mutations in the solute carrier family12, member 3 gene, SLC12A3, which encodes the thiazide-sensitive NaCl cotransporter (NCC, are found in the majority of GS patients. At present, more than 140 different NCC mutations throughout the whole protein have been identified. In a small minority of GS patients, mutations in the CLCNKB gene, encoding the chloride channel ClC-Kb have been identified. Diagnosis is based on the clinical symptoms and biochemical abnormalities (hypokalemia, metabolic alkalosis, hypomagnesemia and hypocalciuria. Bartter syndrome (especially type III is the most important genetic disorder to consider in the differential diagnosis of GS. Genetic counseling is important. Antenatal diagnosis for GS
Rifkind, Jacob Bernard
Burning mouth syndrome is distressing to both the patient and practitioner unable to determine the cause of the patient's symptoms. Burning mouth syndrome is a diagnosis of exclusion, which is used only after nutritional deficiencies, mucosal disease, fungal infections, hormonal disturbances and contact stomatitis have been ruled out. This article will explore the many causes and treatment of patients who present with a chief complaint of "my mouth burns," including symptomatic treatment for those with burning mouth syndrome.
Mugundhan, K; Selvakumar, C J; Gunasekaran, K; Thiruvarutchelvan, K; Sivakumar, S; Anguraj, M; Arun, S
Parry-Romberg syndrome is a rare clinical entity characterised by progressive hemifacial atrophy with appearance of 'saber'. Various neurological and otorhinolaryngological disorders are associated with this syndrome. The association of Parry -Romberg syndrome with Spasmodic dysphonia has rarely been reported. A 37 year old female presented with progressive atrophy of tissues of left side of face for 10 years and change in voice for 1 year. On examination, wasting and atrophy of tissues including tongue was noted on left side of the face. ENT examination revealed adductor spasmodic dysphonia. We report the rare association of Parry -Romberg syndrome with spasmodic dysphonia.
Full Text Available Renal failure is a common major complication in patients with advanced cirrhosis and generally indicates a poor prognosis when combined with liver failure. Hepatorenal syndrome (HRS is characterised by a combination of disturbances in circulatory and kidney function. Arterial pressure is decreased in the systemic circulation due to reduced total systemic vascular resistance. Kidney dysfunction is caused by reduction in renal blood flow. The diagnosis of HRS is based on exclusion of other disorders that cause acute kidney injury in cirrhosis as there are no specific tests. There are two types of HRS with different characteristics and prognostics. Liver transplantation is the treatment of choice for all patients without contraindication. The best approach to the pharmacologic management is the administration vasoconstrictor drugs based on the pathogenesis. Many vasoconstrictors including vasopressin analogues (terlipressin, ornipressin and vasopressin, somatostatin analogues (octreotide and alpha-adrenergic analogues (midodrine and norepinephrine have been studied. In most of the studies intravenous albumin therapy was coadministered with vasoconstrictor drugs and suggested that albumin should be considered as the component of pharmacologic intervention in patients with HRS. Renal replacement therapy in the form of hemodialysis or continuous venovenous hemofiltration has been used in the management of HRS patients awaiting transplantation or in those with acute potentially reversible conditions. The artificial hepatic support systems require further investigation. (Journal of the Turkish Society Intensive Care 2012; 10: 37-44
Heinze, E; Holl, R W
In a child with short stature, the finding of normal or elevated GH levels in the presence of low concentrations of IGF-I raises the following possibilities. (1) A modification of the GH molecule, which is still detected by RIA, but inactive biologically. Therefore, an RRA or bioassay for hGH should result in considerably lower GH measurements compared with RIA determinations in the same sample. As both bioassays as well as RRAs are not widely available and are hampered by several difficulties, few children with this presumptive diagnosis have been described. So far, it has not been possible to define a specific molecular defect in one of these patients. (2) Abnormalities of the GH receptor or postreceptor mechanisms lead to a GH insensitivity syndrome. Laron-type dwarfism is usually due to a deletion in the gene for hepatic GH receptors: the serum binding protein for GH is absent. In three additional populations, the Pygmies of Zaire, the little women of Loja in Ecuador and the Mountain Ok people in Papua New Guinea, alterations of GH receptor function have been described. Finally, some reports describe patients with normal or elevated serum levels of both growth hormone and IGF-I in whom resistance to IGF has been implied in the pathogenesis of small stature.
Renal failure without apparent cause (the hepatorenal syndrome) may develop in the course of cirrhosis of the liver. While the development of renal failure bears a poor prognosis, spontaneous recovery can occur. The data suggest that for the most part patients die in rather than of renal failure. The latter seems to be only part of a broader more fundamental disturbance. The pathogenesis of HRS is unknown, but the evidence supports an impairment of effective renal perfusion. The two major hypotheses concerning the nature of the impaired perfusion are that it is a physiologic response to alterations in the extrarenal circulation, and that there is an unidentified humoral agent(s) produced by or inadequately inactivated by or bypassing the diseased liver and causing circulatory changes in the kidney as well as in other organs. It is possible that both mechanisms are operative. Treatment is unsatisfactory and emphasis is presently best placed upon searching for more treatable causes of renal functional impairment in individual patients.
The purpose of this Radioactive Waste Management Basis is to describe the systematic approach for planning, executing, and evaluating the management of radioactive waste at LLNL. The implementation of this document will ensure that waste management activities at LLNL are conducted in compliance with the requirements of DOE Order 435.1, Radioactive Waste Management, and the Implementation Guide for DOE Manual 435.1-1, Radioactive Waste Management Manual. Technical justification is provided where methods for meeting the requirements of DOE Order 435.1 deviate from the DOE Manual 435.1-1 and Implementation Guide.
Thompson, W. T.; Stinton, L. H.
Compliance with the latest regulatory requirements addressing disposal of radioactive, hazardous, and sanitary solid waste criteria in the selection, design, and operation of solid waste management facilities. Due to the state of flux of these regulatory requirements from EPA and NRC, several waste management options were of solid waste. The current regulatory constraints and the design and operational requirements for construction of both storage and disposal facilities for use in management of DOE-ORO solid waste are highlighted. Capital operational costs are included for both disposal and storage options.
Thompson, W.T.; Stinton, L.H.
Compliance with the latest regulatory requirements addressing disposal of radioactive, hazardous, and sanitary solid waste requires the application of numerous qualitative and quantitative criteria in the selection, design, and operation of solid waste management facilities. Due to the state of flux of these regulatory requirements from EPA and NRC several waste management options were identified as being applicable to the management of the various types of solid waste. This paper highlights the current regulatory constraints and the design and operational requirements for construction of both storage and disposal facilities for use in management of DOE-ORO solid waste. Capital and operational costs are included for both disposal and storage options
High-level radioactive waste is produced at Idaho Chemical Processing Plant (ICPP) during the recovery of spent highly enriched nuclear fuels. Liquid waste is stored safely in doubly contained tanks made of steel. The liquid waste is calcined to a solid and stored safely in a retrievable form in doubly contained underground bins. The calcine can be treated further or left untreated in anticipation of ultimate storage. Fluidized bed calcination has been applied to many kinds of high-level waste. The environmental impact of high-level waste management at the ICcP has been negligible and should continue to be negligible. 13 refs
Thompson, W.T.; Stinton, L.H.
Compliance with the latest regulatory requirements addressing disposal of radioactive, hazardous, and sanitary solid waste requires the application of numerous qualitative and quantitative criteria in the selection, design, and operation of solid waste management facilities. Due to the state of flux of these regulatory requirements from EPA and NRC, several waste management options were identified as being applicable to the management of the various types of solid waste. This paper highlights the current regulatory constraints and the design and operational requirements for construction of both storage and disposal facilities for use in management of DOE-ORO solid waste. Capital and operational costs are included for both disposal and storage options
A summary is given of the report of an Expert Group appointed in 1976 to consider the 1959 White Paper 'The Control of Radioactive Wastes' in the light of the changes that have taken place since it was written and with the extended remit of examining 'waste management' rather than the original 'waste disposal'. The Group undertook to; review the categories and quantities present and future of radioactive wastes, recommend the principles for the proper management of these wastes, advise whether any changes in practice or statutory controls are necessary and make recommendations. (UK)
Williams, D.J. [University of Queensland, St. Lucia, Qld. (Australia). Dept. of Civil Engineering
This chapter introduces the range of solid waste materials produced in the mining and mineral processing industries, with particular reference to Australia. The waste materials are characterised and their important geotechnical engineering properties are discussed. Disposal management techniques for metalliferous, coal, heavy mineral sand, fly ash and bauxite solid wastes are described. Geo-technical techniques for the management of potential contaminants are presented. Minimisation and utilisation of solid wastes, and the economics of solid waste management, are discussed from the perspectives of policy, planning, costing and rehabilitation. 19 figs., 2 tabs.
Arora, H.S.; Dayal, R.
Major tasks in this NRC-sponsored program include: (1) an evaluation of the acceptability of low-level solidified wastes with respect to minimizing radionuclide releases after burial; and (2) an assessment of the influence of pertinent environmental stresses on the performance of high-integrity radwaste container (HIC) materials. The waste form performance task involves studies on small-scale laboratory specimens to predict and extrapolate: (1) leachability for extended time periods; (2) leach behavior of full-size forms; (3) performance of waste forms under realistic leaching conditions; and (4) leachability of solidified reactor wastes. The results show that leach data derived from testing of small-scale specimens can be extrapolated to estimate leachability of a full-scale specimen and that radionuclide release data derived from testing of simulants can be employed to predict the release behavior of reactor wastes. Leaching under partially saturated conditions exhibits lower releases of radionuclides than those observed under the conventional IAEA-type or ANS 16.1 leach tests. The HIC assessment task includes the characterization of mechanical properties of Marlex CL-100, a candidate radwaste high density polyethylene material. Tensile strength and creep rupture tests have been carried out to determine the influence of specific waste constituents as well as gamma irradiation on material performance. Emphasis in ongoing tests is being placed on studying creep rupture while the specimens are in contact with a variety of chemicals including radiolytic by-products of irradiated resin wastes. 12 references 6 figures, 2 tables
Ono, Akira; Matsushita, Mitsuhiro; Doi, Makoto; Nakatani, Seiichi.
In a waste container, water-proof membranes and rare earth element layers are formed on the inner surface of a steel plate concrete container in which steel plates are embedded. Further, rear earth element detectors are disposed each from the inner side of the steel plate concrete container by way of a pressure pipe to the outer side of the container. As a method for actually containing wastes, when a plurality of vessels in which wastes are fixed are collectively enhoused to the waste container, cussioning materials are attached to the inner surface of the container and wastes fixing containers are stacked successively in a plurality of rows in a bag made of elastic materials. Subsequently, fixing materials are filled and tightly sealed in the waste container. When the waste container thus constituted is buried underground, even if it should be deformed to cause intrusion of rain water to the inside of the container, the rare earth elements in the container dissolved in the rain water can be detected by the detectors, the containers are exchanged before the rain water intruding to the inner side is leached to the surrounding ground, to previously prevent the leakage of radioactive nuclides. (K.M.)
Guillaumont, R.; Bacher, P.
The authors give explanations and answers to ten issues related to nuclear wastes: when a radioactive material becomes a waste, how radioactive wastes are classified and particularly nuclear wastes in France, what are the risks associated with radioactive wastes, whether the present management of radioactive wastes is well controlled in France, which wastes are raising actual problems and what are the solutions, whether amounts and radio-toxicity of wastes can be reduced, whether all long life radionuclides or part of them can be transmuted, whether geologic storage of final wastes is inescapable, whether radioactive material can be warehoused over long durations, and how the information on radioactive waste management is organised
Ortiz, Paul G.
The purpose of this document is to study the solid waste issues brought about by a Type C Investigation; ''Disposal of Inappropriate Material in the Los Alamos County Landfill'' (May 28, 1993). The study was completed in August 1995 by Coleman Research Corporation, under subcontract number 405810005-Y for Los Alamos National Laboratory (LANL). The study confirmed the issues identified in the Type C investigation, and also ascertained further issues or problems. During the course of this study two incidents involving hazardous waste resulted in the inappropriate disposal of the waste. An accidental spill, on June 8, 1995, at one of Laboratory buildings was not handled correctly, and ended up in the LAC Landfill. Hazardous waste was disposed of in a solid waste container and sent to the Los Alamos County Landfill. An attempt to locate the hazardous waste at the LAC Landfill was not successful. The second incident involving hazardous waste was discovered by the FSS-8, during a random dumpster surveillance. An interim dumpster program managed by FSS-8 discovered hazardous waste and copper chips in the solid waste, on August 9, 1995. The hazardous waste and copper chips would have been transported to the LAC Landfill if the audit team had not brought the problem to the awareness of the facility waste management personnel
Buckingham, J.S. [ed.
This Manual has been prepared to provide a documented compendium of the technical bases and general physical features of Isochem Incorporated`s Waste Management Program. The manual is intended to be used as a means of training and as a reference handbook for use by personnel responsible for executing the Waste Management Program. The material in this manual was assembled by members of Isochem`s Chemical Processing Division, Battelle Northwest Laboratory, and Hanford Engineering Services between September 1965 and March 1967. The manual is divided into the following parts: Introduction, contains a summary of the overall Waste Management Program. It is written to provide the reader with a synoptic view and as an aid in understanding the subsequent parts; Feed Material, contains detailed discussion of the type and sources of feed material used in the Waste Management Program, including a chapter on nuclear reactions and the formation of fission products; Waste Fractionization Plant Processing, contains detailed discussions of the processes used in the Waste Fractionization Plant with supporting data and documentation of the technology employed; Waste Fractionization Plant Product and Waste Effluent Handling, contains detailed discussions of the methods of handling the product and waste material generated by the Waste Fractionization Plant; Plant and Equipment, describes the layout of the Waste Management facilities, arrangement of equipment, and individual equipment pieces; Process Control, describes the instruments and analytical methods used for process control; and Safety describes process hazards and the methods used to safeguard against them.
PAUL G. ORTIZ - COLEMAN RESEARCH CORP/COMPA INDUSTRIES
The purpose of this document is to study the solid waste issues brought about by a Type C Investigation; ``Disposal of Inappropriate Material in the Los Alamos County Landfill'' (May 28, 1993). The study was completed in August 1995 by Coleman Research Corporation, under subcontract number 405810005-Y for Los Alamos National Laboratory (LANL). The study confirmed the issues identified in the Type C investigation, and also ascertained further issues or problems. During the course of this study two incidents involving hazardous waste resulted in the inappropriate disposal of the waste. An accidental spill, on June 8, 1995, at one of Laboratory buildings was not handled correctly, and ended up in the LAC Landfill. Hazardous waste was disposed of in a solid waste container and sent to the Los Alamos County Landfill. An attempt to locate the hazardous waste at the LAC Landfill was not successful. The second incident involving hazardous waste was discovered by the FSS-8, during a random dumpster surveillance. An interim dumpster program managed by FSS-8 discovered hazardous waste and copper chips in the solid waste, on August 9, 1995. The hazardous waste and copper chips would have been transported to the LAC Landfill if the audit team had not brought the problem to the awareness of the facility waste management personnel.
Full Text Available Hyponatraemia is the most commonly encountered electrolyte disturbance in neurological high dependency and intensive care units. Cerebral salt wasting (CSW is the most elusive and challenging of the causes of hyponatraemia, and it is vital to distinguish it from the more familiar syndrome of inappropriate antidiuretic hormone (SIADH. Managing CSW requires correction of the intravascular volume depletion and hyponatraemia, as well as mitigation of on-going substantial sodium losses. Herein we describe a challenging case of CSW requiring large doses of hypertonic saline and the subsequent substantial benefit with the addition of fludrocortisone.
The Electric Power Research Institute (EPRI) manages research for its sponsoring electric utilities in the United States. Research in the area of low level radioactive waste (LLRW) from light water reactors focuses primarily on waste processing within the nuclear power plants, monitoring of the waste packages, and assessments of disposal technologies. Accompanying these areas and complimentary to them is the determination and evaluation of the sources of nuclear power plants radioactive waste. This paper focuses on source characterization of nuclear power plant waste, LLRW processing within nuclear power plants, and the monitoring of these wastes. EPRI's work in waste disposal technology is described in another paper in this proceeding by the same author. 1 reference, 5 figures
Moghissi, A.A.; Blauvelt, R.K.; Benda, G.A.; Rothermich, N.E.
This volume contains the peer-reviewed and edited versions of papers submitted for presentation a the Second International Mixed Waste Symposium. Following the tradition of the First International Mixed Waste Symposium, these proceedings were prepared in advance of the meeting for distribution to participants. The symposium was organized by the Mixed Waste Committee of the American Society of Mechanical Engineers. The topics discussed at the symposium include: stabilization technologies, alternative treatment technologies, regulatory issues, vitrification technologies, characterization of wastes, thermal technologies, laboratory and analytical issues, waste storage and disposal, organic treatment technologies, waste minimization, packaging and transportation, treatment of mercury contaminated wastes and bioprocessing, and environmental restoration. Individual abstracts are catalogued separately for the data base
LaFemina, J.P.; Blanchard, D.L.; Bunker, B.C.; Colton, N.G.; Felmy, A.R.; Franz, J.A.; Liu, J.; Virden, J.W.
Remediation efforts at the U.S. Department of Energy's Hanford Site require that many technical and scientific principles be combined for effectively managing and disposing the variety of wastes currently stored in underground tanks. Based on these principles, pretreatment technologies are being studied and developed to separate waste components and enable the most suitable treatment methods to be selected for final disposal of these wastes. The Tank Waste Treatment Science Task at Pacific Northwest Laboratory is addressing pretreatment technology development by investigating several aspects related to understanding and processing the tank contents. The experimental work includes evaluating the chemical and physical properties of the alkaline wastes, modeling sludge dissolution, and evaluating and designing ion exchange materials. This paper gives some examples of results of this work and shows how these results fit into the overall Hanford waste remediation activities. This work is part of series of projects being conducted for the Tank Waste Remediation System
According to the Section 24 of the Finnish Radiation Decree (1512/91), the Finnish Centre for Radiation and Nuclear Safety shall specify the concentration and activity limits and principles for the determination whether a waste can be defined as a radioactive waste or not. The radiation safety requirements and limits for the disposal of radioactive waste are given in the guide. They must be observed when discharging radioactive waste into the atmosphere or sewer system, or when delivering solid low-activity waste to a landfill site without a separate waste disposal plan. The guide does not apply to the radioactive waste resulting from the utilization of nuclear energy of natural resources. (4 refs., 1 tab.)
Solomon, B.D.; Cameron, D.M.
In this paper the authors explore the time dimension in nuclear waste disposal, with the hope of untangling future land use issues for a full range of radioactive waste facilities. The longevity and hazards presented by nuclear reactor irradiated (spent) fuel and liquid reprocessing waste are well known. Final repositories for these highly radioactive wastes, to be opened early in the 21st Century, are to be located deep underground in rural locations throughout the developed world. Safety concerns are addressed by engineered and geological barriers containing the waste containers, as well as through geographic isolation from heavily populated areas. Yet nuclear power plants (as well as other applications of atomic energy) produce an abundance of other types of radioactive wastes. These materials are generally known as low level wastes (LLW) in the United States, though their level of longevity and radioactivity can vary dramatically
Final disposal of low level wastes has been carried out for 15 years on the shallow land disposal of the Manche in the north west of France. Final participant in the nuclear energy cycle, ANDRA has set up a new waste management system from the production center (organization of the waste collection) to the disposal site including the setting up of a transport network, the development of assessment, additional conditioning, interim storage, the management of the disposal center, records of the location and characteristics of the disposed wastes, site selection surveys for future disposals and a public information Department. 80 000 waste packages representing a volume of 20 000 m 3 are thus managed and disposed of each year on the shallow land disposal. The disposal of low level wastes is carried out according to their category and activity level: - in tumuli for very low level wastes, - in monoliths, a concrete structure, of the packaging does not provide enough protection against radioactivity [fr
As human space activities have created more wastes on low and high Earth orbits over the past 50 years than the solar system injected meteorites over billions of years, this report gives an overview of this problem. It identifies the origins of these space debris and wastes (launchers, combustion residues, exploitation wastes, out-of-use satellites, accidental explosions, accidental collisions, voluntary destructions, space erosion), and proposes a stock list of space wastes. Then, it distinguishes the situation for the different orbits: low Earth orbit or LEO (traffic, presence of the International Space Station), medium Earth orbits or MEO (traffic, operating satellites, wastes), geostationary Earth orbit or GEO (traffic, operating satellites, wastes). It also discusses wastes and bacteria present on the moon (due to Apollo missions or to crash tests). It evokes how space and nuclear industry is concerned, and discusses the re-entry issue (radioactive boomerang, metallic boomerang). It also indicates elements of international law
Moghissi, A.A.; Blauvelt, R.K.; Benda, G.A.; Rothermich, N.E. [eds.] [Temple Univ., Philadelphia, PA (United States). Dept. of Environmental Safety and Health
This volume contains the peer-reviewed and edited versions of papers submitted for presentation a the Second International Mixed Waste Symposium. Following the tradition of the First International Mixed Waste Symposium, these proceedings were prepared in advance of the meeting for distribution to participants. The symposium was organized by the Mixed Waste Committee of the American Society of Mechanical Engineers. The topics discussed at the symposium include: stabilization technologies, alternative treatment technologies, regulatory issues, vitrification technologies, characterization of wastes, thermal technologies, laboratory and analytical issues, waste storage and disposal, organic treatment technologies, waste minimization, packaging and transportation, treatment of mercury contaminated wastes and bioprocessing, and environmental restoration. Individual abstracts are catalogued separately for the data base.
Heberlein, Joachim; Murphy, Anthony B
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)
Gluud, Lise Lotte; Christensen, Kurt; Christensen, Erik
Clinical trials suggest that terlipressin improves renal function in hepatorenal syndrome, but the evidence concerning mortality is equivocal.......Clinical trials suggest that terlipressin improves renal function in hepatorenal syndrome, but the evidence concerning mortality is equivocal....
Chinese restaurant syndrome is a set of symptoms that some people have after eating Chinese food. A food additive ... Chinese restaurant syndrome is most often diagnosed based on the symptoms. The health care provider may ask the following ...
Full Text Available Hermansky-Pudlak syndrome is a rare autosomal recessive multisystem disease, with oculocutneous albinism, pulmonary fibrosis and bleeding diathesis. Here we report a case of Hermansky-Pudlak syndrome who presented with dyspnea, oculocutaneous albinism and nystagmus.
Marfan syndrome is a disorder of connective tissue which causes skeletal defects typically recognized in a tall, lanky person. A person with Marfan syndrome may exhibit long limbs and spider-like fingers, ...
Nkrumah, F K
A case of Goldenhar's Syndrome or Oculoauriculovertebral dysplasia in a Ghanaian infant is described. Significant were the additional findings of congenital esophageal atresia and arthrogryposis which have so far not been reported in association with the syndrome.
Guillain-Barre syndrome is a rare disorder that causes your immune system to attack your peripheral nervous system (PNS). The PNS ... your brain. No one knows what causes the syndrome. Sometimes it is triggered by an infection, surgery, ...
... a passing cramp? It could be carpal tunnel syndrome. The carpal tunnel is a narrow passageway of ... three times more likely to have carpal tunnel syndrome than men. Early diagnosis and treatment are important ...
Polycystic ovary syndrome (PCOS) happens when a woman's ovaries or adrenal glands produce more male hormones than normal. PCOS causes cysts ( ... PCOS are at higher risk of diabetes, metabolic syndrome, heart disease, and high blood pressure. PCOS is ...
... other diseases of the nervous system, such as Sjogren’s syndrome or migraine. It is most often seen in ... other diseases of the nervous system, such as Sjogren’s syndrome or migraine. It is most often seen in ...
Derksen, R. H. W. M.; de Grootb, Ph. G.
The association of persistent presence of circulating antiphospholipid antibodies and thromboembolic events, (recurrent) pregnancy loss or both is termed antiphospholipid syndrome. Pregnancies in women with the syndrome should be regarded as at high-risk for complications. Optimal management
... for Nausea and Vomiting Home Diseases and Conditions Tics and Tourette Syndrome Condition Tics and Tourette Syndrome Share Print Table of Contents1. ... little or no control over. These are called tics. Several different tics can happen at the same ...
... Changed What's Life Like for Kids With Down Syndrome? Print en español El síndrome de Down You have probably seen people who have Down syndrome. They have certain physical features, such as a ...
... to Yosemite FAQ: Non-U.S. Visitors to Yosemite History of HPS Related Links Prevent Rodent Infestations Cleaning Up After Rodents Diseases From Rodent Hantavirus Pulmonary Syndrome (HPS) Recommend on Facebook Tweet Share Compartir Hantavirus Pulmonary Syndrome (HPS) is ...
Hunt syndrome; Herpes zoster oticus; Geniculate ganglion zoster; Geniculate herpes; Herpetic geniculate ganglionitis ... The varicella-zoster virus that causes Ramsay Hunt syndrome is the same virus that causes chickenpox and ...
... craniofacial/neurological disorder. Individuals with Moebius syndrome cannot smile or frown, and do not have lateral eye ... the organization to ensure that they are in line with the mission of the Moebius Syndrome Foundation. ...
... Care Home Health Info Health Topics Burning Mouth Burning Mouth Syndrome (BMS) is a painful, complex condition often described ... or other symptoms. Read More Publications Cover image Burning Mouth Syndrome Publication files Download Language English PDF — Number of ...
... such as neuroleptic malignant syndrome. Much of this research focuses on finding ways to prevent and treat the disorder. Show More Show Less Search Disorders SEARCH SEARCH Definition Treatment Prognosis Clinical Trials Organizations Publications Definition Neuroleptic malignant syndrome is ...
Full Text Available Peeling of the skin is an uncommonly encountered disorder. Occurrence of vesicles and bullae in peeling skin syndrome is very rare. We report a case of idiopathic peeling skin syndrome with vesicular lesions.
Ticiana do Nascimento França
Full Text Available Por meio de revisão da literatura pertinente foram coligidos e são apresentados os principais dados relativos aos aspectos epidemiológicos, clínicos, anátomo e histopatológicos observados na infecção por Circovírus Porcino tipo 2 (PCV-2 em suínos. São abordados a Síndrome Definhante Multissistêmica dos Suínos Desmamados (SDMDS, o Tremor Congênito Suíno (TCS, a Síndrome da Nefropatia e Dermatite Porcina (SNDP, bem como outras enfermidades associadas ou correlatas, a Síndrome Respiratória e Reprodutiva Porcina (SRRP, a Pneumonia Necrotizante Proliferativa (PNP e as falhas reprodutivas. Uma vez que a SDMSD já foi registrada na Região Sul do Brasil e no Estado do Rio de Janeiro esse estudo objetiva chamar a atenção para o especial significado dessa virose para a suinocultura brasileira, em função dos prejuízos econômicos por ela determinados.The literature of Porcine Circovirosis, including the main data on epidemiology and clinical, macroscopic and microscopic alterations of the infection of swine by Porcine Circovirus type 2 (PCV-2, is reviewed. There are various forms of infection: the [Porcine] Postweaning Multisystemic Wasting Syndrome (PMWS, Porcine Congenital Tremor, Porcine Dermatitis and Nephropathy Syndrome, and other associated or correlated diseases as the Porcine Reproductive and Respiratory Syndrome, Proliferative Necrotizing Pneumonia, and reproductive disorders. As PMWS already has been reported from southern Brazil and from the state of Rio de Janeiro, the objective of this review is to draw attention to the implications of this virosis for swine production in Brazil and its economical importance.
Anikina, M A; Levin, O S
The Capgras syndrome is one of delusional-like misidentification syndrome in which a person holds a delusion that one or several his/her friends or relatives have been replaced by an identical-looking impostor. As any other delusional disorder, the Capgras syndrome is characterized by stability despite the indisputable arguments against fault views. Initially, this syndrome was considered as a presentation of schizophrenia but later it has been described in brain organic disorders, primarily in elderly patients with dementia.
Klumme. Wellness er blevet et syndrom, og dets symptomer er angst, selvbebrejdelser og skyldfølelse. Kommentar med udgangspunkt i: Carl Cederström & Andre Spicer, "The Wellness Syndrome" (Polity Books, 2015. 200 p.).......Klumme. Wellness er blevet et syndrom, og dets symptomer er angst, selvbebrejdelser og skyldfølelse. Kommentar med udgangspunkt i: Carl Cederström & Andre Spicer, "The Wellness Syndrome" (Polity Books, 2015. 200 p.)....
The contents of this work are arranged so as to give the reader a detailed understanding of the elements of hazardous waste management. Generalized management concepts are covered in Chapters 1 through 5 which are entitled: Introduction, Regulations Affecting Hazardous Waste Management, Comprehensive Hazardous Waste Management, Control of Hazardous Waste Transportation, and Emergency Hazardous Waste Management. Chapters 6 through 11 deal with treatment concepts and are entitled: General Considerations for Hazardous Waste Management Facilities, Physical Treatment of Hazardous Wastes, Chemical Treatment of Hazardous Wastes, Biological Treatment of Hazardous Wastes, Incineration of Hazardous Wastes, and Hazardous Waste Management of Selected Industries. Chapters 12 through 15 are devoted to ultimate disposal concepts and are entitled: Land Disposal Facilities, Ocean Dumping of Hazardous Wastes, Disposal of Extremely Hazardous Wastes, and Generalized Criteria for Hazardous Waste Management Facilities
Georgiev, R.; Novakova, M.; Balev, B.; Baleva, D.; Nedelchev, K.
Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiological entity characterized by headache, confusion, visual disturbances, seizures and posterior transient changes on neuroimaging. PRES has been described in several conditions including hypertensive encephalopathy, preeclampsia, eclampsia, infections, electrolyte imbalance, hypercalcaemia and use of several drugs. It occurs due to elevated blood pressure which exceeds the autoregulatory capacity of brain vasculature. The posterior circulation supplied by vertibro-basilar system has poor sympathetic innervation and, therefore, is frequently involved. The role of neuroimaging is to establish the initial diagnosis and to exclude other causes of neurological symptoms and signs. NCCT is sufficient to make the diagnosis in a proper clinical setting. MRI features are characteristic and has diagnostic and prognostic value. Diffusion weighted imaging (DWI) can differentiate this condition from ischemia/cytotoxic edema. Differential diagnosis of PRES includes PCA territory infarcts, venous thrombosis, demyelinating disorders, vasculitis and encephalitis. The diagnosis has important implications because the reversibility of the clinico-radiological abnormalities is contingent on the prompt control of blood pressure and/or withdrawing of the offending drug. We describe here a case of PRES in a 12 years old girl with acute lymphoblasts leukaemia, treated with cytostatics-vincristine, pharmorubycin and methotrexate. After 39 days from the beginning of the treatment there are good results in the myelogram and the flowcytometric examination, but the patient made two tonic-clonic seizures. CT and MRI were made and signs of leucoencephalopathy were diagnosed. Several control MRI examinations after cessation of the therapy and disappearance of the neurologic symptoms were made. The normal findings and the clinical course were the reasons for the PRES diagnosis
Pesavento, Raffaele; Bernardi, Enrico; Concolato, Alessia; Dalla Valle, Fabio; Pagnan, Antonio; Prandoni, Paolo
Despite considerable progress in the diagnosis and treatment of deep vein thrombosis (DVT) of the lower extremities, one of every three patients will develop postthrombotic sequelae within 2 years; these sequelae are severe in approximately 20% of cases and produce considerable socioeconomic consequences. Among factors potentially related to the development of the postthrombotic syndrome (PTS) are older age, obesity, insufficient oral anticoagulant therapy, and recurrent ipsilateral thrombosis. Whether the extent and location of the initial thrombosis are associated with the development of PTS is controversial. Based on recent findings, the lack of vein recanalization within the first 6 months appears to be an important predictor of PTS, whereas the development of transpopliteal venous reflux is not. The diagnosis of PTS can be made on clinical grounds for patients with a history of DVT. The combination of a standardized clinical evaluation with the results of compression ultrasonography and Doppler ultrasound helps diagnose or exclude a previous proximal vein thrombosis. According to the results of recent clinical studies, the prompt administration of adequate compression elastic stockings in patients with symptomatic DVT has the potential to reduce the frequency of late PTS development by half. The management of this condition is demanding and often frustrating. However, when carefully supervised and instructed to wear proper elastic stockings, more than 50% of patients will either remain stable or improve during long-term follow-up. Clinical presentation helps predict the prognosis; the outcome of patients who refer with initially severe manifestations is more favorable than that of patients whose symptoms deteriorate progressively over time.
Gnanaraj, Joseph; Radhakrishnan, Jai
Cardio-renal syndrome is a commonly encountered problem in clinical practice. Its pathogenesis is not fully understood. The purpose of this article is to highlight the interaction between the cardiovascular system and the renal system and how their interaction results in the complex syndrome of cardio-renal dysfunction. Additionally, we outline the available therapeutic strategies to manage this complex syndrome.
... monitor children with Down syndrome for these conditions. Treatments Down syndrome is a lifelong condition. Services early in life ... of these services focus on helping children with Down syndrome develop to their ... therapy, and they are typically offered through early intervention ...
Ahmed, N.; Salman, M.; Mansoor, M.A.
Multiple jaw cysts are a characteristic manifestation of basal cell nevus (Gorlin) syndrome. Gorlin-Goltz syndrome is characterized by symptoms primarily involving the skin, central nervous system, and skeletal system. In 90% of the patients, nevoid basal cell carcinoma syndrome is associated with recurring odontogenic keratocysts. This patient showed recurrent jaw and maxillary cysts, for which he was followed for 2 years. (author)
... Or In Memory Of Obituaries Contact Us Donate Sjogren-Larsson Syndrome What causes SLS? SLS is caused by mutations ... methods of diagnosing SLS. Other Clinical Names for Sjogren-Larsson Syndrome Other clinical names of Sjogren-Larsson Syndrome include: ...
Mulder, W. J.; Berghout, A.; Wiersinga, W. M.
Two cases of Cushing's syndrome during pregnancy are reported, both due to an adrenal adenoma. The association of pregnancy and Cushing's syndrome has up to now been described in 48 patients (including our two cases); Cushing's syndrome was ACTH-independent in 59%, ACTH-dependent in 33%, and of
... Ovary Syndrome (PCOS) • What are common signs and symptoms of polycystic ovary syndrome (PCOS)? • What causes PCOS? • What is insulin resistance? • ... with PCOS? •Glossary What are common signs and symptoms of polycystic ovary syndrome (PCOS)? Common PCOS signs and symptoms include the ...
Hansen, Lars Kjaersgård; Rasmussen, Niels Henrik; Ousager, Lilian Bomme
Dravet syndrome is an epileptic syndrome of infancy. We describe the features of two cases with genetically verified SCNA1 mutations. The diagnosis was established rather late in one case. The epilepsies were medically intractable and the symptoms characteristic of Dravet syndrome. The children...
Souhami Filho, L.
Symptoms and signs from medical aspects resulting from whole body exposure, or in the main part, to ionizing radiation are described. The dose-response relationship is studied and the exposure is divided in three parts: central nervous system syndrome, gastrointestinal syndrome and hematopoietic syndrome. Brief comments about the treatment are reported. (M.A.C.) [pt
Full Text Available Wolfram syndrome was first described by physician D J Wolfram and Wagener in 1938. This autosomal recessive syndrome is also referred to as DIDMOAD syndrome which stands for Diabetes Insipidus, Insulin Dependent Diabetes Mellitus, Optic Atrophy and Deafness
A number of products and services related to radioactive waste management are described. These include: a portable cement solidification system for waste immobilization; spent fuel storage racks; storage and transport flasks; an on-site low-level waste storage facility; supercompactors; a mobile waste retrieval and encapsulation plant; underwater crushers; fuel assembly disposal; gaseous waste management; environmental restoration and waste management services; a waste treatment consultancy. (UK)
K. E. Archibald
This report addresses the issues of conducting debris treatment in the New Waste Calcine Facility (NWCF) decontamination area and the methods currently being used to decontaminate material at the NWCF
Bresler, Scott C; Padwa, Bonnie L; Granter, Scott R
Nevoid basal cell carcinoma syndrome, or basal cell nevus syndrome (Gorlin syndrome), is a rare autosomal dominantly inherited disorder that is characterized by development of basal cell carcinomas from a young age. Other distinguishing clinical features are seen in a majority of patients, and include keratocystic odontogenic tumors (formerly odontogenic keratocysts) as well as dyskeratotic palmar and plantar pitting. A range of skeletal and other developmental abnormalities are also often seen. The disorder is caused by defects in hedgehog signaling which result in constitutive pathway activity and tumor cell proliferation. As sporadic basal cell carcinomas also commonly harbor hedgehog pathway aberrations, therapeutic agents targeting key signaling constituents have been developed and tested against advanced sporadically occurring tumors or syndromic disease, leading in 2013 to FDA approval of the first hedgehog pathway-targeted small molecule, vismodegib. The elucidation of the molecular pathogenesis of nevoid basal cell carcinoma syndrome has resulted in further understanding of the most common human malignancy.
Morcos, N.; Dayal, R.
This program is sponsored by the Nuclear Regulatory Commission to address basic concerns in assessing the performance of solidified radwaste. Experiments were initiated to address these concerns. In particular, leachability of solidified radwastes and the physical stability of the ensuing waste forms were evaluated. In addition, leaching experiments designed to address the effects of alternating wet/dry cycles and of varying the length of these cycles on the leach behavior of waste forms were initiated
One of the more frequent questions that arise when discussing nuclear energy's potential contribution to mitigating climate change concerns that of how to manage radioactive waste. Radioactive waste is produced through nuclear power generation, but also - although to a significantly lesser extent - in a variety of other sectors including medicine, agriculture, research, industry and education. The amount, type and physical form of radioactive waste varies considerably. Some forms of radioactive waste, for example, need only be stored for a relatively short period while their radioactivity naturally decays to safe levels. Others remain radioactive for hundreds or even hundreds of thousands of years. Public concerns surrounding radioactive waste are largely related to long-lived high-level radioactive waste. Countries around the world with existing nuclear programmes are developing longer-term plans for final disposal of such waste, with an international consensus developing that the geological disposal of high-level waste (HLW) is the most technically feasible and safe solution. This article provides a brief overview of the different forms of radioactive waste, examines storage and disposal solutions, and briefly explores fuel recycling and stakeholder involvement in radioactive waste management decision making
The prospects of nuclear power development in the USA up to 2000 and the problems of the fuel cycle high-level radioactive waste processing and storage are considered. The problems of liquid and solidified radioactive waste transportation and their disposal in salt deposits and other geologic formations are discussed. It is pointed out that the main part of the high-level radioactive wastes are produced at spent fuel reprocessing plants in the form of complex aqueous mixtures. These mixtures contain the decay products of about 35 isotopes which are the nuclear fuel fission products, about 18 actinides and their daughter products as well as corrosion products of fuel cans and structural materials and chemical reagents added in the process of fuel reprocessing. The high-level radioactive waste management includes the liquid waste cooling which is necessary for the short and middle living isotope decay, separation of some most dangerous components from the waste mixture, waste solidification, their storage and disposal. The conclusion is drawn that the seccessful solution of the high-level radioactive waste management problem will permit to solve the problem of the fuel cycle radioactive waste management as a whole. The salt deposits, shales and clays are the most suitable for radioactive waste disposal [ru
Suzuki, Y.; Maeda, A.; Sugikawa, S.; Takeshita, I.
In the NUCEF, the researches on criticality safety have been performed at two critical experiment facilities, STACY and TRACY in addition to the researches on fuel cycle such as advanced reprocessing and partitioning in alpha-gamma concrete cells and glove boxes. Many kinds of radioactive wastes have been generated through the research activities. Furthermore, the waste treatment itself may produce some secondary wastes. In addition, the separation and purification of plutonium of several tens-kg from MOX powder are scheduled in order to supply plutonium nitrate solution fuel for critical experiments at STACY. A large amount of wastes containing plutonium and americium will be generated from the plutonium fuel treatment. From the viewpoint of safety, the proper waste management is one of important works in NUCEF. Many efforts, therefore, have been made for the development of advanced waste treatment techniques to improve the waste management in NUCEF. Especially the reduction of alpha-contaminated wastes is a major interest. For example, the separation of americium is planned from the liquid waste evolved alter plutonium purification by application of tannin gel as an adsorbent of actinide elements. The waste management and the relating technological development in NUCEF are briefly described in this paper. (authors)
Suzuki, Y.; Maeda, A.; Sugikawa, S.; Takeshita, I. [Japan Atomic Energy Research Institute, Dept. of Safety Research Technical Support, Tokai-Mura, Naka-Gun, Ibaraki-Ken (Japan)
In the NUCEF, the researches on criticality safety have been performed at two critical experiment facilities, STACY and TRACY in addition to the researches on fuel cycle such as advanced reprocessing and partitioning in alpha-gamma concrete cells and glove boxes. Many kinds of radioactive wastes have been generated through the research activities. Furthermore, the waste treatment itself may produce some secondary wastes. In addition, the separation and purification of plutonium of several tens-kg from MOX powder are scheduled in order to supply plutonium nitrate solution fuel for critical experiments at STACY. A large amount of wastes containing plutonium and americium will be generated from the plutonium fuel treatment. From the viewpoint of safety, the proper waste management is one of important works in NUCEF. Many efforts, therefore, have been made for the development of advanced waste treatment techniques to improve the waste management in NUCEF. Especially the reduction of alpha-contaminated wastes is a major interest. For example, the separation of americium is planned from the liquid waste evolved alter plutonium purification by application of tannin gel as an adsorbent of actinide elements. The waste management and the relating technological development in NUCEF are briefly described in this paper. (authors)
Brummond, W.; Celeste, J.; Steenhoven, J.
The DOE has developed a National Mixed Waste Strategic Plan which calls for the construction of 2 to 9 mixed waste treatment centers in the Complex in the near future. LLNL is working to establish an integrated mixed waste technology development and demonstration system facility, the Mixed Waste Management Facility (MWMF), to support the DOE National Mixed Waste Strategic Plan. The MWMF will develop, demonstrate, test, and evaluate incinerator-alternatives which will comply with regulations governing the treatment and disposal of organic mixed wastes. LLNL will provide the DOE with engineering data for design and operation of new technologies which can be implemented in their mixed waste treatment centers. MWMF will operate under real production plant conditions and process samples of real LLNL mixed waste. In addition to the destruction of organic mixed wastes, the development and demonstration will include waste feed preparation, material transport systems, aqueous treatment, off-gas treatment, and final forms, thus making it an integrated ''cradle to grave'' demonstration. Technologies from offsite as well as LLNL's will be tested and evaluated when they are ready for a pilot scale demonstration, according to the needs of the DOE
Wynn Kirby, Peter; Stier, Daniel
Japan's cataclysmic 2011 tsunami has become a vast, unwanted experiment in waste management. The seismic event and resulting Fukushima Daiichi radiation crisis created an awkwardly fortuitous rupture in Japanese nuclear practice that exposed the lax and problematic management of nuclear waste in this country to broader scrutiny, as well as distortions in its very conception. This article looks at the full spectrum of nuclear waste in post-tsunami Japan, from spent fuel rods to contorted reactor containment, and the ways that nuclear waste mirrors or diverges from more quotidian waste practices in Japanese culture. Significantly, the Fukushima Daiichi plant itself and its erstwhile banal surroundings have themselves transmuted into an unwieldy form of nuclear waste. The immense challenges of the Fukushima Daiichi site have stimulated a series of on-the-fly innovations that furnish perspective on more everyday nuclear waste practices in the industry. While some HLW can be reprocessed for limited use in today's reactors, it cannot be ignored that much of Japan's nuclear waste is simply converted into other forms of waste. In a society that has long been fixated on segregating filth, maintaining (imagined) purity, and managing proximity to pollution, the specter of nuclear waste looms over contemporary Japan and its ongoing debates over resources, risk, and Japanese nuclear identity itself
Ferrocyanide wastes were generated at the Hanford Site during the mid to late 1950s as a result of efforts to create more tank space for the storage of high-level nuclear waste. The ferrocyanide process was developed to remove 137 CS from existing waste and newly generated waste that resulted from the recovery of valuable uranium in Hanford Site waste tanks. During the course of research associated with the ferrocyanide process, it was recognized that ferrocyanide materials, when mixed with sodium nitrate and/or sodium nitrite, were capable of violent exothermic reaction. This chemical reactivity became an issue in the 1980s, when safety issues associated with the storage of ferrocyanide wastes in Hanford Site tanks became prominent. These safety issues heightened in the late 1980s and led to the current scrutiny of the safety issues associated with these wastes, as well as current research and waste management programs. Testing to provide information on the nature of possible tank reactions is ongoing. This document supplements the information presented in Summary of Single-Shell Tank Waste Stability, WHC-EP-0347, March 1991 (Borsheim and Kirch 1991), which evaluated several issues. This supplement only considers information particular to ferrocyanide wastes
Waste Inspection Tomography (WIT) provides mobile semi-trailer mounted nondestructive examination (NDE) and assay (NDA) for nuclear waste drum characterization. WIT uses various computed tomography (CT) methods for both NDE and NDA of nuclear waste drums. Low level waste (LLW), transuranic (TRU), and mixed radioactive waste can be inspected and characterized without opening the drums. With externally transmitted x-ray NDE techniques, WIT has the ability to identify high density waste materials like heavy metals, define drum contents in two- and three-dimensional space, quantify free liquid volumes through density and x-ray attenuation coefficient discrimination, and measure drum wall thickness. With waste emitting gamma-ray NDA techniques, WIT can locate gamma emitting radioactive sources in two- and three-dimensional space, identify gamma emitting isotopic species, identify the external activity levels of emitting gamma-ray sources, correct for waste matrix attenuation, provide internal activity approximations, and provide the data needed for waste classification as LLW or TRU. The mobile feature of WIT allows inspection technologies to be brought to the nuclear waste drum storage site without the need to relocate drums for safe, rapid, and cost-effective characterization of regulated nuclear waste. The combination of these WIT characterization modalities provides the inspector with an unprecedented ability to non-invasively characterize the regulated contents of waste drums as large as 110 gallons, weighing up to 1,600 pounds. Any objects that fit within these size and weight restrictions can also be inspected on WIT, such as smaller waste bags and drums that are five and thirty-five gallons
Franz, E.M.; Heiser, J.H. III; Colombo, P.
This report summarizes the results of series of experiments performed to determine the feasibility of stabilizing compacted or compactible waste with polymers. The need for this work arose from problems encountered at disposal sites attributed to the instability of this waste in disposal. These studies are part of an experimental program conducted at Brookhaven National Laboratory (BNL) investigating methods for the improved solidification/stabilization of DOE low-level wastes. The approach taken in this study was to perform a series of survey type experiments using various polymerization systems to find the most economical and practical method for further in-depth studies. Compactible dry bulk waste was stabilized with two different monomer systems: styrene-trimethylolpropane trimethacrylate (TMPTMA) and polyester-styrene, in laboratory-scale experiments. Stabilization was accomplished by wetting or soaking compactible waste (before or after compaction) with monomers, which were subsequently polymerized. Three stabilization methods are described. One involves the in-situ treatment of compacted waste with monomers in which a vacuum technique is used to introduce the binder into the waste. The second method involves the alternate placement and compaction of waste and binder into a disposal container. In the third method, the waste is treated before compaction by wetting the waste with the binder using a spraying technique. A series of samples stabilized at various binder-to-waste ratios were evaluated through water immersion and compression testing. Full-scale studies were conducted by stabilizing two 55-gallon drums of real compacted waste. The results of this preliminary study indicate that the integrity of compacted waste forms can be readily improved to ensure their long-term durability in disposal environments. 9 refs., 10 figs., 2 tabs
Grandy, J.D.; Eddy, T.L.; Anderson, G.L.
A final vitrified waste form composition, based upon the chemical compositions of the input waste streams, is recommended for the transuranic-contaminated waste stored at the Transuranic Storage Area of the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory. The quantities of waste are large with a considerable uncertainty in the distribution of various waste materials. It is therefore impractical to mix the input waste streams into an ''average'' transuranic-contaminated waste. As a result, waste stream input to a melter could vary widely in composition, with the potential of affecting the composition and properties of the final waste form. This work examines the extent of the variation in the input waste streams, as well as the final waste form under conditions of adding different amounts of soil. Five prominent Rocky Flats Plant 740 waste streams are considered, as well as nonspecial metals and the ''average'' transuranic-contaminated waste streams. The metals waste stream is the most extreme variation and results indicate that if an average of approximately 60 wt% of the mixture is soil, the final waste form will be predominantly silica, alumina, alkaline earth oxides, and iron oxide. This composition will have consistent properties in the final waste form, including high leach resistance, irrespective of the variation in waste stream. For other waste streams, much less or no soil could be required to yield a leach resistant waste form but with varying properties
Full Text Available The Gorlin-Goltz syndrome (GGS (the nevoid basal cell carcinoma syndrome—NBCCS is a rare autosomal dominant syndrome caused due to mutations in the PTCH (patched gene found on chromosome arm 9q. The syndrome, characterized by increased predisposition to develop basal cell carcinoma and associated multiorgan anomalies, has a high level of penetrance and variable expressiveness. GGS is a multidisciplinary problem, early diagnosis of which allows introduction of secondary prophylaxis and following an appropriate treatment to delay the progress of the syndrome. The following report emphasizes the need for awareness of the diagnostic criteria of this syndrome in cases with no typical skin lesions.
Clarke Sarah LN
Full Text Available Abstract First described in 1983, Barth syndrome (BTHS is widely regarded as a rare X-linked genetic disease characterised by cardiomyopathy (CM, skeletal myopathy, growth delay, neutropenia and increased urinary excretion of 3-methylglutaconic acid (3-MGCA. Fewer than 200 living males are known worldwide, but evidence is accumulating that the disorder is substantially under-diagnosed. Clinical features include variable combinations of the following wide spectrum: dilated cardiomyopathy (DCM, hypertrophic cardiomyopathy (HCM, endocardial fibroelastosis (EFE, left ventricular non-compaction (LVNC, ventricular arrhythmia, sudden cardiac death, prolonged QTc interval, delayed motor milestones, proximal myopathy, lethargy and fatigue, neutropenia (absent to severe; persistent, intermittent or perfectly cyclical, compensatory monocytosis, recurrent bacterial infection, hypoglycaemia, lactic acidosis, growth and pubertal delay, feeding problems, failure to thrive, episodic diarrhoea, characteristic facies, and X-linked family history. Historically regarded as a cardiac disease, BTHS is now considered a multi-system disorder which may be first seen by many different specialists or generalists. Phenotypic breadth and variability present a major challenge to the diagnostician: some children with BTHS have never been neutropenic, whereas others lack increased 3-MGCA and a minority has occult or absent CM. Furthermore, BTHS was first described in 2010 as an unrecognised cause of fetal death. Disabling mutations or deletions of the tafazzin (TAZ gene, located at Xq28, cause the disorder by reducing remodeling of cardiolipin, a principal phospholipid of the inner mitochondrial membrane. A definitive biochemical test, based on detecting abnormal ratios of different cardiolipin species, was first described in 2008. Key areas of differential diagnosis include metabolic and viral cardiomyopathies, mitochondrial diseases, and many causes of neutropenia and
Tantisattamo, Ekamol; Ng, Roland C K
Acquired isolated renal phosphate wasting associated with a tumor, known as oncogenic osteomalacia or tumor-induced osteomalacia, is a rare paraneoplastic syndrome caused by overproduction of fibroblast growth factor 23. Oncogenic osteomalacia is usually associated with benign mesenchymal tumors. Syndrome of inappropriate antidiuretic hormone secretion (SIADH), on the other hand, is a common paraneoplastic syndrome caused by small cell carcinoma (SCC). Concomitant oncogenic osteomalacia and SIADH associated with SCC is very rare with only 4 other cases reported in the literature. The authors report a case of small cell lung cancer (SCLC)-related renal wasting hypophosphatemia and concurrent SIADH, and review the literature reporting 9 other cases of SCC associated with oncogenic osteomalacia. Almost half of reported cases of renal phosphate wasting associated with SCC concomitantly presented with SIADH. These cases had initial serum phosphorus level lower and survival periods shorter than those without SIADH. This rare combination of a dual paraneoplastic syndrome and low serum phosphorus may be a poor prognostic sign. In addition, both renal phosphate wasting and SIADH usually occur in a short period of time before identification of SCC. Therefore, renal wasting hypophosphatemia with concomitant SIADH/hyponatremia should prompt a search for SCC rather than a benign mesenchymal tumor.
The 2004 reporting to the ISAG comprises 394 plants owned by 256 enterprises. In 2003, reports covered 403 plants owned by 273 enterprises. Waste generation in 2004 is compared to targets for 2008 in the government's Waste Strategy 2005-2008. The following summarises waste generation in 2004: 1) In 2004, total reported waste arisings amounted to 13,359,000 tonnes, which is 745,000 tonnes, or 6 per cent, more than in 2003. 2) If amounts of residues from coal-fired power plants are excluded from statistics, waste arisings in 2004 were 12,179,000 tonnes, which is a 9 per cent increase from 2003. 3) If amounts of residues from coal-fired power plants and waste from the building and construction sector are excluded from statistics, total waste generation in 2004 amounted to 7,684,000 tonnes, which is 328,000 tonnes, or 4 per cent, more than in 2002. In other words, there has been an increase in total waste arisings, if residues and waste from building and construction are excluded. Waste from the building and construction sector is more sensitive to economic change than most other waste. 4) The total rate of recycling was 65 per cent. The 2008 target for recycling is 65 per cent. The rate of recycling in 2003 was also 65 per cent. 5) The total amount of waste led to incineration amounted to 26 per cent, plus an additional 1 per cent left in temporary storage to be incinerated at a later time. The 2008 target for incineration is 26 per cent. These are the same percentage figures as applied to incineration and storage in 2003. 6) The total amount of waste led to landfills amounted to 8 per cent, which is one percentage point better than the overall landfill target of a maximum of 9 per cent landfilling in 2008. Also in 2003, 8 per cent of the waste was landfilled. 7) The targets for treatment of waste from individual sectors are still not being met: too little waste from households and the service sector is being recycled, and too much waste from industry is being
Recent reviews of the records on disposal waste at several DOE sites have indicated that records still contain little information practical to waste management. Much of the disposed waste is identified by vague terms, i.e., general plant waste. Attached to this paper is a new waste characterization code devised by the Idaho National Engineering Laboratory to aid in waste volume reduction and stabilization. It is recommended that every facility involved in waste generation and disposal needs to be detailing its wastes to support upgrading of waste management practices. 1 table
This conference studies the radioactive waste of nuclear industry. Nine articles and presentations are exposed here; the action of the direction of nuclear installations safety, the improvement of industrial proceedings to reduce the waste volume, the packaging of radioactive waste, the safety of radioactive waste disposal and environmental impact studies, a presentation of waste coming from nuclear power plants, the new waste management policy, the international panorama of radioactive waste management, the international transport of radioactive waste, finally an economic analysis of the treatment and ultimate storage of radioactive waste. (N.C.)
The processing of nuclear waste to transform the liquid waste from fuel reprocessing activities is well defined. Most solid waste forms, if they are cooled and contain diluted waste, are compatible with many permanent storage environments. The public acceptance of methods for disposal is being delayed in the US because of the alternatives studies of waste forms and repositories now under way that give the impression of indecision and difficulty for the disposal of HLW. Conservative programs that dilute and cool solid waste are under way in France and Sweden and demonstrate that a solution to the problem is available now. Research and development should be directed toward improving selected methods rather than seeking a best method, which at best, may always be illusory
The selection of materials and the design of the blankets for fusion reactors have significant effects upon the radioactivity generated by neutron activation in the materials. This section considers some aspects of materials selection with respect to waste management. The activation of the materials is key to remote handling requirements for waste, to processing and disposal methods for waste, and to accident severity in waste management operations. In order to realize the desirable evnironmental potentials of fusion power systems, there are at least three major goals for waste management. These are: (a) near-surface burial; (b) disposal on-site of the fusion reactor; (c) acceptable radiation doses at least cost during and after waste management operations
Udofia, Emilia Asuquo; Gulis, Gabriel; Fobil, Julius
BACKGROUND: Solid medical waste (SMW) in households is perceived to pose minimal risks to the public compared to SMW generated from healthcare facilities. While waste from healthcare facilities is subject to recommended safety measures to minimize risks to human health and the environment, similar...... waste in households is often untreated and co-mingled with household waste which ends up in landfills and open dumps in many African countries. In Ghana, the management of this potentially hazardous waste stream at household and community level has not been widely reported. The objective of this study...... likely to report harm in the household (OR 2.75, 95%CI 1.15-6.54). CONCLUSION: The belief that one can be harmed by diseases associated with SMW influenced reporting rates in the study area. Disposal practices suggest the presence of unwanted medicines and sharps in the household waste stream conferring...
Pahissa Campa, Jaime; Pahissa, Marta H. de
Throughout this century, the application of nuclear energy has produced many benefits, in industry, in research, in medicine, and in the generation of electricity. These activities generate wastes in the same way as do other human activities. The primary objective of radioactive waste management is to protect human health and environment now and in the future without imposing undue burden on future generations, through sound, safe and efficient radioactive waste management. This paper briefly describes the different steps of the management of short lived low and intermediate level wastes, and presents and overview of the state of art in countries involved in nuclear energy, describing their organizations, methodologies used in the processing of these wastes and the final disposal concepts. It also presents the Argentine strategy, its technical and legal aspects. Worldwide experience during the past 50 years has shown that short lived low and intermediate level wastes can be successfully isolated from human and environment in near surface disposal facilities. (author)
Carlson, James H.
There are three major components which are normally highlighted when the Civilian Radioactive Waste Management Program is discussed - the repository, the monitored retrievable storage facility, and the transportation system. These are clearly the major physical system elements and they receive the greatest external attention. However, there will not be a successful, operative waste management system without fully operational waste acceptance plans and logistics arrangements. This paper will discuss the importance of developing, on a parallel basis to the normally considered waste management system elements, the waste acceptance and logistics arrangements to enable the timely transfer of spent nuclear fuel from more than one hundred and twenty waste generators to the Federal government. The paper will also describe the specific activities the Program has underway to make the necessary arrangements. (author)
Eyman, L.D.; Craig, R.B.
The goal of the DOE Hazardous Waste Program is to support the implementation and improvement of hazardous-chemical and mixed-radioactive-waste management such that public health, safety, and the environment are protected and DOE missions are effectively accomplished. The strategy for accomplishing this goal is to define the character and magnitude of hazardous wastes emanating from DOE facilities, determine what DOE resources are available to address these problems, define the regulatory and operational constraints, and develop programs and plans to resolve hazardous waste issues. Over the longer term the program will support the adaptation and application of technologies to meet hazardous waste management needs and to implement an integrated, DOE-wide hazardous waste management strategy. 1 reference, 1 figure
Zorpas, Antonis A; Lasaridi, Katia
The Waste Framework Directive (WFD-2008/98/EC) has set clear waste prevention procedures, including reporting, reviewing, monitoring and evaluating. Based on the WFD, the European Commission and will offer support to Member States on how to develop waste prevention programmes through guidelines and information sharing on best practices. Monitoring and evaluating waste prevention activities are critical, as they constitute the main tools to enable policy makers, at the national and local level, to build their strategic plans and ensure that waste prevention initiatives are effective and deliver behaviour change. However, how one can measure something that is not there, remains an important and unresolved research question. The paper reviews and attempts to evaluate the methods that are being used for measuring waste prevention and the impact of relevant implemented activities at the household level, as the available data is still limited. Copyright © 2012 Elsevier Ltd. All rights reserved.
The management of radioactive waste is a very important part of the nuclear industry. The future of the nuclear power industry depends to a large extent on the successful solution of the perceived or real problems associated with the disposal of both low-level waste (LLW) and high-level waste (HLW). All the activities surrounding the management of radioactive waste are reviewed. The federal government and the individual states are working toward the implementation of the Nuclear Waste Policy Act and the Low-Level Waste Policy Act. The two congressional acts are reviewed and progress made as of early 1990 is presented. Spent-fuel storage and transportation are discussed in detail as are the concepts of repositories for HLW. The status of state compacts for LLW is also discussed. Finally, activities related to the decommissioning of nuclear facilities are also described
The incineration process currently seems the most appropriate way to solve the problems encountered by the increasing quantities of low and medium active waste from nuclear power generation waste. Although a large number of incinerators operate in the industry, there is still scope for the improvement of safety, throughput capacity and reduction of secondary waste. This seminar intends to give opportunity to scientists working on the different aspects of incineration to present their most salient results and to discuss the possibilities of making headway in the management of LL/ML radioactive waste. These proceedings include 17 contributions ranging over the subjects: incineration of solid β-γ wastes; incineration of other radwastes; measurement and control of wastes; off-gas filtration and release. (orig./G.J.P.)
Currently, there is no commercial mixed waste disposal available in the United States. Storage and treatment for commercial mixed waste is limited. Host States and compacts region officials are encouraging their mixed waste generators to minimize their mixed wastes because of management limitations. This document provides a guide to mixed waste minimization
Chikalla, T D; Mendel, J E [eds.
Seventy-three papers are included, arranged under the following section headings: national programs for the disposal of radioactive wastes, waste from stability and characterization, glass processing, ceramic processing, ceramic and glass processing, leaching of waste materials, properties of nuclear waste forms, and immobilization of special radioactive wastes. Separate abstracts were prepared for all the papers. (DLC)
This is the first part of a report of a preliminary study for Atomic Energy of Canada Limited. It considers the requirements for an underground waste repository for the disposal of wastes produced by the Canadian Nuclear Fuel Program. The following topics are discussed with reference to the repository: 1) underground layout, 2) cost estimates, 3) waste handling, 4) retrievability, decommissioning, sealing and monitoring, and 5) research and design engineering requirements. (author)
Waste receipts to the double-shell tank system are analyzed and wastes through the year 2015 are projected based on generation trends of the past 12 months. A computer simulation of site operations is performed, which results in projections of tank fill schedules, tank transfers, evaporator operations, tank retrieval, and aging waste tank usage. This projection incorporates current budget planning and the clean-up schedule of the Tri-Party Agreement. Assumptions were current as of June. 2000.
Koreski, G.M.; Strode, J.N.
Waste receipts to the double-shell tank system are analyzed and wastes through the year 2015 are projected based on generation trends of the past 12 months. A computer simulation of site operations is performed, which results in projections of tank fill schedules, tank transfers, evaporator operations, tank retrieval, and aging waste tank usage. This projection incorporates current budget planning and the clean-up schedule of the tri-party agreement. Assumptions are current as of June 1995
Waste receipts to the double-shell tank system are analyzed and wastes through the year 2015 are projected based on generation trends of the past 12 months. A computer simulation of site operations is performed, which results in projections of tank fill schedules, tank transfers, evaporator operations, tank retrieval, and aging waste tank usage. This projection incorporates current budget planning and the clean-up schedule of the Tri-Party Agreement. Assumptions were current as of June. 2000
Speech on the 18th March 1976 in the Bundestag by the parliamentary Secretary of State, Dr. Juergen Schmude, to substantiate the Federal government's draft to a Fourth Act amending the Atomic Energy Act. The draft deals mainly with the final storage of radioactive wastes and interrelated questions concerning waste treatment and waste collection, and with several ordinance empowerments in order to improve licensing and supervisory procedures. (orig./LN) [de
The primary objective of this publication is to improve communications among waste management professionals and Member States relative to the properties and status of radioactive waste. This is accomplished by providing a standardized approach to operational waste categorization using accepted industry practices and experience. It is a secondary objective to draw a distinction between operational waste categorization and waste disposal classification. The approach set forth herein is applicable to waste generation by mature (major, advanced) nuclear programmes, small-to-medium sized nuclear programmes, and programmes with waste from other nuclear applications. It can be used for planning, developing or revising categorization methodologies. For existing categorization programmes, the approach set forth in this publication may be used as a validation and evaluation tool for assessing communication effectiveness among affected organizations or nations. This publication is intended for use by waste management professionals responsible for creating, implementing or communicating effective categorization, processing and disposal strategies. For the users of this publication, it is important to remember that waste categorization is a communication tool. As such, the operational waste categories are not suitable for regulatory purposes nor for use in health and safety evaluations. Following Section 1 (Introduction) Section 2 of this publication defines categorization and its relationship to existing waste classification and management standards, regulations and practices. It also describes the benefits of a comprehensive categorization programme and fundamental record considerations. Section 3 provides an overview of the categorization process, including primary categories and sub-categories. Sections 4 and 5 outline the specific methodology for categorizing unconditioned and conditioned wastes. Finally, Section 6 provides a brief summary of critical considerations that
Barnett, B.M.; Sabatini, J.C.; Wolsky, S.
The paper consists of a series of slides used in the conference presentation. The topics outlined in the slides are: an overview of battery waste management; waste management of lead acid batteries; lead acid recycling; typical legislation for battery waste; regulatory status in European countries; mercury use in cells; recent trends in Hg and Cd use; impact of batteries to air quality at MSW incinerators; impact of electric vehicles; new battery technologies; and unresolved issues
Almost all IAEA Member States use radioactive sources in medicine, industry, agriculture and scientific research, and countries remain responsible for the safe handling and storage of all radioactively contaminated waste that result from such activities. In some cases, waste must be specially treated or conditioned before storage and/or disposal. The Department of Technical Co-operation is sponsoring a programme with the support of the Nuclear Energy Department aimed at establishing appropriate technologies and procedures for managing radioactive wastes. (IAEA)
Sanhueza Mir, Azucena
Based on characteristics and quantities of different types of radioactive waste produced in the country, achievements in infrastructure and the way to solve problems related with radioactive waste handling and management, are presented in this paper. Objectives of maintaining facilities and capacities for controlling, processing and storing radioactive waste in a conditioned form, are attained, within a great range of legal framework, so defined to contribute with safety to people and environment (au)
Nuclear wastes are a major concern for all countries dealing with civil nuclear energy, whatever these countries have decided yet about reprocessing/storage options. In this chapter, a (exact) definition of a (radioactive) waste is given, together with definitions of waste classes and their characteristics (volumes, types etc.). The various options that are currently experienced in the world will be presented but focus will be put on the French case. Envision evolutions will be briefly presented. (author)
Diaz, L.F.; Eggerth, L.L.; Enkhtsetseg, Sh.; Savage, G.M.
A comprehensive understanding of the quantities and characteristics of the material that needs to be managed is one of the most basic steps in the development of a plan for solid waste management. In this case, the material under consideration is the solid waste generated in healthcare facilities, also known as healthcare waste. Unfortunately, limited reliable information is available in the open literature on the quantities and characteristics of the various types of wastes that are generated in healthcare facilities. Thus, sound management of these wastes, particularly in developing countries, often is problematic. This article provides information on the quantities and properties of healthcare wastes in various types of facilities located in developing countries, as well as in some industrialized countries. Most of the information has been obtained from the open literature, although some information has been collected by the authors and from reports available to the authors. Only data collected within approximately the last 15 years and using prescribed methodologies are presented. The range of hospital waste generation (both infectious and mixed solid waste fractions) varies from 0.016 to 3.23 kg/bed-day. The relatively wide variation is due to the fact that some of the facilities surveyed in Ulaanbaatar include out-patient services and district health clinics; these facilities essentially provide very basic services and thus the quantities of waste generated are relatively small. On the other hand, the reported amount of infectious (clinical, yellow bag) waste varied from 0.01 to 0.65 kg/bed-day. The characteristics of the components of healthcare wastes, such as the bulk density and the calorific value, have substantial variability. This literature review and the associated attempt at a comparative analysis point to the need for worldwide consensus on the terms and characteristics that describe wastes from healthcare facilities. Such a consensus would greatly
As a concept, Integrated Solid Waste Management (ISWM) is a sustainable ... on the perspective of consumers on waste generation, collection and disposal. ... to effective solid waste management in the case study area; non-sorting and ...
The chapter offers a description of the system of radioactive waste treatment as presented in the Belene NPP technical project and goes beyond the scope of the project evaluation in the account of the radioactive waste treatment, storage and disposal of other sources including the industry, science and the medicine of Bulgaria. The necessity for a developed legislative basis and an accepted policy regarding the radioactive waste management in the country is stressed upon. There is an elaboration on the problem of the construction of a new radioactive waste depository, the capacities of the existing disposal site being used up. 17 refs., 7 tabs. (R.Ts.)
Waste Treatment Plant (WTP) is designed to provide appropriate systems for processing, immobilization and storage of low and medium radioactive waste arising from the operation of the research facilities of the Nuclear Technology Centre (NTC). It will serve as central collection station processing active waste generated through application of radionuclide in science, medicine and industry in the country. WTP building and structures will house the main waste processing systems and supporting facilities. All facilities will be interconnected. The interim storage building for processed waste drums will be located separately nearby. The separate interim storage building is located near the waste treatment building. Considering the low radiation level of the waste, storage building is large with no solid partitioning walls and with no services or extra facilities other than lighting and smoke alarm sensors. The building will be designed such that drums(200-1)are stacked 3 units high using handling by fork lift truck. To prevent radiation exposure to on-site personnel, the interim storage building will be erected apart from waste treatment plant or other buildings. The interim storage building will also be ready for buffer storage of unconditioned waste waiting for processing or decay and for storage material from the WTP
Lowes, T. M.; Lorimer, A. D.
The methods of using the energy available in wastes to reduce the energy costs in processes are discussed. Special reference is made to the need for careful evaluation of the potential of the waste to reduce energy costs, before significant investment is made. Problems generally arise due to the effective balancing of the cost of the waste pretreatment with the disposal fee and prime fuel saving. Special reference is made to use of waste as a fuel in the cement industry. Municipal refuse is discussed as a typical successful application.
This film for a general audience deals with nuclear fuel waste management in Canada, where research is concentrating on land based geologic disposal of wastes rather than on reprocessing of fuel. The waste management programme is based on cooperation of the AECL, various universities and Ontario Hydro. Findings of research institutes in other countries are taken into account as well. The long-term effects of buried radioactive wastes on humans (ground water, food chain etc.) are carefully studied with the help of computer models. Animated sequences illustrate the behaviour of radionuclides and explain the idea of a multiple barrier system to minimize the danger of radiation hazards
The estimation of risks presented by final disposal of radioactive wastes depends, among other things, on what is known of their radioisotope content. The first aim of this report is to present the current state of possibilities for measuring (monitoring) radionuclides in wastes. The definition of a global monitoring system in the framework of radioactive waste disposal has to be realized, based on the information presented here, in accordance with the results of work to come and on the inventory of wastes to be stored. Designed for direct measurement of unpackaged wastes and for control of wastes ready to be stored, the system would ultimately make it possible to obtain all adaquate information about their radioisotope content with regard to the required disposal safety. The second aim of this report is to outline the definition of such a global system of monitoring. Designed as a workbase and reference source for future work by the National Cooperative for the Storage of Radioactive Waste on the topic of radioactive waste monitoring, this report describes the current situation in this field. It also makes it possible to draw some preliminary conclusions and to make several recommendations. Centered on the possibilities of current and developing techniques, it makes evident that a global monitoring system should be developed. However, it shows that the monitoring of packaged wastes will be difficult, and should be avoided as far as possible, except for control measurements
The guideline of the Ministry for Environmental Protection for controlling radioactive waste with a negligible development of heat defines in detail what data are relevant to the control of radioactive waste and should be followed up on and included in a system of documentation. By introducing the AVK (product control system for tracing the course of waste disposal) the operators of German nuclear power plants have taken the requirements of this guideline into account. In particular, possibilities for determining the degree of radioactivity of radioactive waste, which the BMU-guidelines call for, were put into practice by means of the programming technology of the product control system's module MOPRO. (orig.) [de
Management of Radioactive Wastes is to protect workers and the public from the radiological risk associated with radioactive waste for the present and future. It application of the principles to the management of waste generated in a radioisotope uses in the industry. Any material that contains or is contaminated with radionuclides at concentrations or radioactivity levels greater than ‘exempt quantities’ established by the competent regulatory authorities and for which no further use is foreseen or intended. Origin of the Radioactive Waste includes Uranium and Thorium mining and milling, nuclear fuel cycle operations, Operation of Nuclear power station, Decontamination and decommissioning of nuclear facilities and Institutional uses of isotopes. There are types of radioactive waste: Low-level Waste (LLW) and High-level Waste. The Management Options for Radioactive Waste Depends on Form, Activity, Concentration and half-lives of the radioactive waste, Storage and disposal methods will vary according to the following; the radionuclides present, and their concentration, and radio toxicity. The contamination results basically from: Contact between radioactive materials and any surface especially during handling. And it may occur in the solid, liquid or gas state. Decontamination is any process that will either reduce or completely remove the amount of radionuclides from a contaminated surface
Weddle, D.C.; Novotny, R.; Cron, J.
The purpose of this Design Analysis is to develop preliminary design of the waste package transporter used for waste package (WP) transport and related functions in the subsurface repository. This analysis refines the conceptual design that was started in Phase I of the Viability Assessment. This analysis supports the development of a reliable emplacement concept and a retrieval concept for license application design. The scope of this analysis includes the following activities: (1) Assess features of the transporter design and evaluate alternative design solutions for mechanical components. (2) Develop mechanical equipment details for the transporter. (3) Prepare a preliminary structural evaluation for the transporter. (4) Identify and recommend the equipment design for waste package transport and related functions. (5) Investigate transport equipment interface tolerances. This analysis supports the development of the waste package transporter for the transport, emplacement, and retrieval of packaged radioactive waste forms in the subsurface repository. Once the waste containers are closed and accepted, the packaged radioactive waste forms are termed waste packages (WP). This terminology was finalized as this analysis neared completion; therefore, the term disposal container is used in several references (i.e., the System Description Document (SDD)) (Ref. 5.6). In this analysis and the applicable reference documents, the term ''disposal container'' is synonymous with ''waste package''