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Biomedical subjects

J Alba

Publications and source records attributed to J Alba.

At least 19 recordsLinked to original sources

Treatment of wastewater containing high phenol concentrations using stabilisation ponds enriched with activated sludge.

Treatment of wastewater containing high phenol concentrations (up to 4,000 mg/l, 1,600 kg/ha.d) in laboratory-scale stabilisation ponds enriched with activated sludge was studied. Phenol was biodegraded efficiently, even when fed as the sole carbon source. At influent concentrations of 1,000, 1,300, 1,600, 1,900, 2,500, 3,000 and 4,000 mg/l of phenol (loading rates of 400, 520, 640, 760, 1,000, 1,200 and 1,600 kg phenol/ha.d), the phenol removal efficiencies were 92, 89, 81, 81, 76, 65 and 22%, respectively. At 4,000 mg/l of phenol, the enriched ponds were significantly inhibited. The maximum phenol removal rate observed was 780 kg/ha.d, which is 7.7 times higher than the maximum value reported for attached-growth waste stabilisation ponds. All along the experiments, the enriched ponds showed removal rates 1.8-20.5 times higher than the values observed in control pond (not enriched). The results suggest that enrichment is an effective method to increase xenobiotic removal rates of stabilisation ponds.

Biodegradation, Environmental↗

Microbial characterization of organic carrier colonization during a model biofiltration experiment.

AIMS: Dynamic microbial characterization of the colonization of organic carrier during a model biofiltration experiment using methanol as air pollutant. METHODS AND RESULTS: A model biofilter was used in order to characterize the micro-organisms involved in the colonization of a model organic carrier. The model system consisted of closed vial as biofilter, peanut shells as lignocellulosic carrier and methanol as air pollutant. The micro-organisms involved in biofiltration were identified and characterized for their lignocellulolytic and methylotrophic activities. Fungi presented a higher lignocellulolytic activity than bacteria. A steady-state was reached after 15 to 20 days. CONCLUSIONS: The consortium naturally associated to peanut shells is limited to few aerobic bacteria and lignocellulolytic fungi. This consortium was able to degrade methanol without external nutrient supply. SIGNIFICANCE AND IMPACT OF THE STUDY: To our knowledge, this is the first paper that focuses on carrier degradation processes and the micro-organisms involved during the start-up period of a biofiltration process.

Air Pollutants↗

Degradation of the main components of cellulose-paint thinner by the mould Scopulariopsis brevicaulis cultured on rice hulls.

AIMS: Biodegradation of the main components of the cellulose-paint thinner (toluene, acetone, isopropanol and xylenes) by Scopulariopsis brevicaulis, isolated from a thinner biodegradation microbial consortium was investigated. METHODS AND RESULTS: Our results showed that 90% of S. brevicaulis conidia survived after 4 weeks in a cellulose-paint thinner saturated atmosphere. The mould was able to grow under these environmental conditions with a low development of conidia. The biodegradation potential of S. brevicaulis was established with and without support material (rice hulls). Biodegradation without support was very limited, <10% for all the components quantified. There was notable thinner biodegradation when the fungus was grown on rice hulls. CONCLUSIONS: Our results suggest the potential use of fungi in biofiltration systems employed in biodegradation of the main components of the cellulose-paint thinner. SIGNIFICANCE AND IMPACT OF THE STUDY: This is the first report of volatile organic compounds biodegradation by this fungal species.

2-Propanol↗

Phenol removal in upgraded facultative waste stabilisation ponds.

Treatment of wastewater containing phenol using laboratory scale waste stabilisation ponds enriched with activated sludge was studied. After enrichment, the efficiency of these ponds under high phenol loading rates (i.e. up to 408 kg phenol ha(-1) day(-1)) was studied. At phenol loading rates of 6, 52, 312, 636 and 972 COD ha(-1) day(-1), the phenol removal efficiencies were 77, 69, 76, 59 and 52%, respectively. The results suggest that enrichment is an effective potential method to increase the removal capability of facultative ponds, not only or easily biodegradable compounds but also for xenobiotics.

Disinfectants↗

An innovative application of anatomic electromagnetic voltage mapping in a patient with Ebstein's anomaly undergoing permanent pacemaker implantation.

A novel application of the Biosense CARTO System anatomic electromagnetic voltage mapping is presented, utilized as a guide for permanent pacemaker placement. The technique is illustrated in the successful implantation of an atrial lead in a patient with Ebstein's anomaly characterized by a severely dilated right atrium and extremely low-amplitude voltage signals, requiring a DDD pacemaker. Electromagnetic voltage mapping can be used in selected patients with structural heart disease to determine the optimal site for permanent pacemaker lead placement.

Adult↗

Analysis of charges and complications of permanent pacemaker implantation in the cardiac catheterization laboratory versus the operating room.

During the last two decades, an increasing number of permanent pacemakers have been implanted outside of the operating room (OR) by nonsurgeons. Previous investigators have demonstrated that pacemakers can be safely implanted in the cardiac catheterization laboratory with no increase in complications or infections. This is the first study of its kind to simultaneously evaluate cost, length of hospitalization, and complications between pacemakers implanted in the OR by surgeons with those implanted in the catheterization laboratory by an electrophysiologist. A total of 254 consecutive pacemaker implants were analyzed over a 2-year period. The OR group consisted of 122 patients with a mean age of 64 +/- 21 years versus 132 patients in the catheterization laboratory group with a mean age of 65 +/- 17 years. The indication and type of pacemaker implanted were similar among both groups with 78% of OR patients and 73% of catheterization laboratory patients receiving dual chamber devices. The average cost for pacemaker implantation in our study was significantly higher in the OR group $5,464 +/- $1,670 versus $2,682 +/- $8 for the catheterization laboratory group (P < 0.001). There was a reduction in preimplant days in the catheterization laboratory group 3.16 +/- 12.40 days versus 5.65 +/- 9.54 days in the OR group (P < 0.05). Complications were minimal and there were no significant differences between the two groups. This study confirms that pacemakers can be safely implanted in the catheterization laboratory by nonsurgeons with no increase in complications and a significant reduction in hospital costs.

Aged↗

[Characteristics of infantile asthma in patients seen in primary care].

OBJECTIVE: To compare an asthmatic and non-asthmatic group of children by looking at determined characteristics. DESIGN: Study of cases and paired one-to-one controls by age and gender. SETTING: Primary Care. PATIENTS AND OTHER PARTICIPANTS: Children aged 0 to 13 and attended at one particular Paediatrics clinic were studied (1,100 children). All those children diagnosed with asthma in accordance with the standard procedure in the Health District were considered as cases (142). The control group was chosen at random from the age and gender files. MEASUREMENTS AND MAIN RESULTS: A telephone poll with closed questions was carried out by three researchers who were "blind" to whether they were dealing with case or control. Statistically significant differences were found for family background of allergic Rhinitis (cases, 43.2%; controls, 30.4%; p = 0.04), atopic eczema (cases, 36.3%; controls, 14.7%; p < 0.001) and bronchial asthma (cases, 59.8%; controls, 33.3%; p < 0.001). Statistically significant differences were also found for personal case histories of allergic Rhinitis (cases, 36.3%; controls, 2%; p < 0.001) and atopic eczema (cases, 23.5%; controls, 10.7%; p = 0.021); and in the presence of animals (dog and/or cat) in the home (cases, 13.7%; controls, 25.5%; p = 0.04). No statistically significant differences were found for background of breast-feeding, age of starting school, present passive smoking or the existence of older siblings. CONCLUSIONS: The results obtained show that the association of atopic illnesses, such as Rhinitis and Eczema, and the existence of family background of asthma and atopy are more common in the asthmatic patient.

Allergens↗

Efficacy of surfactant therapy in infants managed with CPAP.

Surfactant rescue therapy can be utilized effectively early in the course of respiratory distress syndrome (RDS) in infants weighing > 1,000 g and treated exclusively with continuous positive airway pressure (CPAP) therapy. Thirteen infants (BW, 1,774 +/- 580 g; GA, 31 +/- 3 weeks) comprising the CPAP/SURFACTANT group were compared with 12 infants (BW, 1,753 +/- 556 g; GA, 31 +/- 2 weeks) who comprised the intermittent mandatory ventilation (IMV)/surfactant group, and with 14 infants (BW, 1,776 +/- 332 g; GA, 32 +/- 2 weeks) treated with CPAP before surfactant was clinically available. A 5 mL/kg dose of Exosurf Neonatal (Burroughs-Wellcome) was administered to infants intratracheally when the FiO2 requirement reached 0.40 to maintain the PO2 above 50 torr. Infants in the CPAP/surfactant group were intubated solely for surfactant administration and extubated within 18 +/- 6 min of treatment. The CPAP/surfactant group was treated at a mean age of 12.3 +/- 9.3 h, and the IMV/surfactant group at 10.2 +/- 9.8 h. Alveolar-arterial oxygen gradient (AaDO2), oxygenation index (OI), and mean airway pressure (MAP) were determined immediately before and after surfactant therapy, and at comparable times for the CPAP-only group. A significant difference was found in pre-treatment AaDO2, OI and MAP between the CPAP/surfactant group and IMV/surfactant group, but not between the CPAP/surfactant group and the CPAP-only group. Similarly, a significant difference in AaDO2, OI and MAP continued post-treatment was noted. However, a significant difference was also found at this time between the CPAP/surfactant group and the CPAP-only group. In addition, a significant difference was noted in AaDO2 and OI pre- and post-treatment within each surfactant-treated group. Furthermore, in the CPAP-only group AaDO2 and OI actually worsened (212 +/- 70 vs. 239 +/- 68; 4.0 +/- 1 vs. 4.5 +/- 2, respectively). There was a significant reduction in the duration of oxygen therapy (3 +/- 2 vs. 5 +/- 2 vs. 4.5 +/- 2 days, respectively) as well as in the total days of hospitalization (30 +/- 10 vs. 42 +/- 15 vs. 43 +/- 12 days, respectively). We conclude that in this small group of infants surfactant administration was effective and safe. It appeared to improve the course of RDS and shorten the duration of oxygen exposure and days of hospitalization.

Combined Modality Therapy↗

Clinical and anatomopathological study of 2000 cryptorchid testes.

OBJECTIVE: To establish whether age at the time of surgery and location of the testes help to determine the anatomopathological lesions. PATIENTS AND METHODS: Between 1972 and 1992 surgery was performed on 2000 testes in 1342 children, 658 of whom had bilateral cryptorchidism. The clinical, surgical and anatomopathological records were reviewed. RESULTS: Parametric and non-parametric tests failed to reveal any relation between the tubular fertility index or tubular diameter and the time of surgery or testicular location. CONCLUSION: We cannot recommend a particular age at which surgery should be performed, in relation to the anatomopathological damage.

Adolescent↗

Effect of aerobic pretreatment with Aspergillus terreus on the anaerobic digestion of olive-mill wastewater.

A kinetic study was carried out on the anaerobic digestion of olive-mill wastewater (OMW) and OMW that was previously fermented with Aspergillus terreus. The bioreactors used were batch fed and contained saponite as support for the mediating bacteria. The anaerobic digestion process followed first-order kinetics, from which the kinetic constant A was calculated using a non-linear regression. This kinetic parameter was influenced by the pretreatment carried out, and was 3.7 times higher for pretreated OMW than for untreated OMW. The anaerobic processing of pretreated OMW seemingly involved no inhibition phenomena as the biotoxicity and the total phenolic compound content (analysed by HPLC) were reduced by 71.2% and 77.9% respectively as a result of the pretreatment. Finally, the yield coefficient of methane production was 0.345 litres of methane (at standard temperature and pressure)/g of chemical oxygen demand, that is, 23% higher than that provided by untreated wastewater.

Anaerobiosis↗

[The coordination of care for the spina bifida patient. 8 years of experience].

We have analyzed some factors which can show the special health care given to spina bifida patients in two periods, from 1971, when the set Hospital was set up, to 1985 and from 1985 to 1991. In 1985 the position of medical coordinator for spina bifida was created, and at the same time, a spina bifida consultancy was set up. This consultancy was created to improve this coordination and to analyze urological problems. In the first period, there were 54 affected in our Hospital. Now there are 68 patients. The most important goal achieved with this coordination is the improvement in the relationship between the patient, family and doctor, based on a personalized attention, even though this is a difficult subject to quantify. Since 1985 we have seen a lower number of visits to the consultancies in general, but mainly in neurosurgery, urology and orthopedics, a mean of 119 in first period and 45 in the second period. The number of consultancy visits has been the same since the consultancy was set up (46 per year). The number of patients admitted to in hospital was also decreasing. The spina bifida consultancy involves only an hours work a week, the urology ward has been integrated into this, and this avoids the handicapped having to attend other specialized wards so often. The consultancy structure lets us send urine analyses results by post or recover the test results on the same day they are done. Analysing the number of X-ray examinations performed on those patients, the coordinators value is evident: we got a lower number of X-ray examinations, especially invasive, e.g. cystographies and urographies, the latter because they have been replaced by echographies.

Adolescent↗

Malignant mesenchymoma of the brain. A case report.

A case of malignant mesenchymoma of the brain, containing rhabdomyosarcomatous, osteoid and cartilaginous components is presented. The patient received surgery and irradiation for his tumor, but died 10 months after the operation. Previous reports of malignant mesenchymoma of the brain are exceptional. The neurobiological behavior of this tumor is yet to be determined.

Brain Neoplasms↗

[Collagenous colitis associated with rheumatoid arthritis].

A patient diagnosed as having well-tolerated rheumatoid arthritis and diarrhea is described. The female patient in question was diagnosed as suffering from collagenous colitis by means of a colon biopsy. The association of this clinical state with immunological disease is discussed.

Adult↗

[Results of biofeedback on incontinence caused by anorectal atresia].

Eight patients with anorectal incontinence because of anorectal atresia, aged between seven and seventeen years, following surgical treatment with Romualdi-Soave procedure in seven cases and with PSARP in one case, have received biofeedback training to improve their continence. Clinical evaluation has been performed with a new numeric punctuation method that allows a quantitative and precise appraisal of incontinence (Incontinence Punctuation: IP). From a clinical point of view, biofeedback training has increased 4.16 points IP in patients in whom the method has been effective. It has prolonged the mean duration of voluntary contraction in 5.9 sec. and elevated in 13.6 mm. Hg. the maximal pressure contraction. In two patients, clinical evolution and manometry measurements indicated surgical treatment and PSARP was performed, improving IP in 5.5 points. We considered biofeedback training, when indicated, an adequate and innocuous technique to achieve an important clinical continence improvement in these patients.

Adolescent↗

Quantitative distribution of Ig-containing cells in the normal human intestinal mucosa.

The Ig-containing cell population of human intestinal mucosa (jejunum and ileum) has been quantitatively studied in 15 normal healthy adult men, by means of the peroxidase-antiperoxidase (PAP) method. The resolution obtained using the PAP method improves that obtained by fluorescence microscopy methods. The results obtained revealed that the number of Ig-containing cells progressively decreases from the basal portion of mucosa to the tip of the microvilli. Most Ig-containing cells were plasma cells; however, stained precursor cells (immunoblasts) were also observed in the human intestinal mucosa. The epithelial lining of the intestinal mucosa was also stained by anti IgA, anti IgG, anti IgM and anti IgE antibodies. Plasma cells were not seen to cross the epithelium. The absolute values, expressed as the number of Ig-containing cells per "mucosal tissue unit" (a 6-micron-thick and 500 micron wide block of tissue, including the mucosa at full height from the muscularis mucosa), and the relative percentages of the different Ig-containing cell population were the following: IgA: 86.71 +/- 15.58 cells (48.52%); IgG: 52.30 +/- 19.01 cells (29.6%); IgM: 21.44 +/- 8.23 cells (12.0%); IgE: 14.70 +/- 6.60 cells (8.22%), and IgD: 3.54 +/- 1.05 cells (1.9%). The number of lambda chains (76.29 +/- 24.38; 56.07%) were slightly more abundant than that of chi chains (59.77 +/- 11.93; 43.92%). The differences between the mean values of different Ig-classes were significant, and the differences between lambda and chi chains were also significant.

Cell Count↗