Diagnostic endoscopy: 2020 vision.
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Publications and source records attributed to James Farrell.
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The objective of this research was to determine if Fe(II)-bearing iron oxides generate ferric hydroxides at sufficient rates for removing low levels of arsenic in packed-bed reactors, while at the same time avoiding excessive oxide production that contributes to bed clogging in oxygenated waters. Column experiments were performed to determine the effectiveness of three media for arsenic removal over a range in empty bed contact times, influent arsenic concentrations, dissolved oxygen (DO) levels, and solution pH values. Corrosion rates of the media as a function of the water composition were determined using batch and electrochemical methods. Rates of arsenic removal were first order in the As(V) concentration and were greater for media with higher corrosion rates. As(V) removal increased with increasing DO levels primarily due to faster oxidation of the Fe2+ released by media corrosion. To obtain measurable amounts of arsenic removal in 15 mM NaCl electrolyte solutions containing 50 microg/L As(V), the rate of Fe2+ released by the media needed to be at least 15 times greater than the As(V) feed rate into the column. In waters containing 30 mg/L of silica and 50 microg/L of As(V), measurable amounts of arsenic removal were obtained only for Fe2+ release rates that were at least 200 times greater than the As(V) feed rate. Although all columns showed losses in hydraulic conductivity overthe course of 90 days of operation, the conductivity values remained high, and the losses could be reversed by backwashing the media. The reaction products produced by the media in domestic tap water had average As-to-Fe ratios that were approximately 25% higher than those for a commercially available adsorbent.
Understanding adsorption of arsenic on ferric hydroxide surfaces is important for predicting the fate of arsenic in the environment and in designing treatment systems for removing arsenic from potable water. This research investigated the binding of arsenite to ferric hydroxide clusters using several density functional theory methods. Comparison of calculated and experimentally measured As-O and As-Fe bond distances indicated that As(III) forms both bidentate and monodentante corner-sharing complexes with Fe(III) octahedra. Edge-sharing As(III) complexes were less energetically favorable and had As-O and As-Fe distances that deviated more from experimentally measured values than corner-sharing complexes. The hydrated bidentate complex was the most energetically favorable in the vacuum phase, while the monodentate complex was most favored in the aqueous phase. Structures optimized using the Harris and Perdew-Wang local functionals were close to both experimental data and structures optimized using the nonlocal Becke-Lee-Yang-Parr (BLYP) functional. Binding energies calculated with the gradient-corrected BLYP functional were only weakly dependent on the method used for geometry optimization. The approach of using low-level structures coupled with higher level single-point energies was found to reduce computational time by 75% with no loss in accuracy of the computed binding energies.
This study investigated the reaction mechanisms of nitrate (NO3-) with zerovalent iron (ZVI) media under conditions relevantto groundwatertreatment using permeable reactive barriers (PRB). Reaction rates of NO3- with freely corroding and with cathodically or anodically polarized iron wires were measured in batch reactors. Tafel analysis and electrochemical impedance spectroscopy (EIS) were used to investigate the reactions occurring on the iron surfaces. Reduction of NO3- by corroding iron resulted in near stoichiometric production of NO2-, which did not measurably react in the absence of added Fe(II). Increasing NO3- concentrations resulted in increasing corrosion currents. However, EIS and Tafel analyses indicated that there was little direct reduction of NO3- at the ZVI surface, despite the presence of water reduction. This behavior can be attributed to formation of a microporous oxide on the iron surfaces that blocked reduction of NO3- and NO2- but did not block water reduction. This finding is consistent with previous observations that NO3- impedes reduction of organic compounds by ZVI. Nitrite concentrations greater than 4 mM resulted in anodic passivation of the iron, but passivation was not observed with NO3- concentrations as high as 96 mM. This indicates that the passivating oxide preventing NO3- reduction was permeable toward cation migration. Since reaction with Fe(0) can be excluded asthe mechanism for NO3- and NO2- reduction, reaction with Fe(II)-containing oxides coating the iron surface is the most likely reaction mechanism. This suggests that short-term batch tests requiring little turnover of reactive sites on the iron surface may overestimate long-term rates of NO3- removal because the effects of passivation are not apparent in batch tests conducted with high initial Fe(II) to NO3- ratios.
Chlorinated solvents in groundwater are known to undergo reductive dechlorination reactions with Fe(ll)-containing minerals and with corroding metals in permeable-barrier treatment systems. This research investigated the effect of the reaction energy on the reaction pathway for C-Cl bond cleavage in carbon tetrachloride (CCl4). Hartree-Fock, density functional theory, and modified complete basis set ab initio methods were used to study adiabatic electron transfer to aqueous-phase CCl4. The potential energies associated with fragmentation of the carbon tetrachloride anion radical (CCl4-) into a trichloromethyl radical (CCl3) and a chloride ion (Cl-) were explored as a function of the carbon-chlorine bond distance during cleavage. The effect of aqueous solvation was investigated using a continuum conductor-like screening model. Solvation significantly lowered the energies of the reaction products, suggesting that dissociative electron transfer was enhanced by solvation. The potential energy curves in an aqueous medium indicate that reductive cleavage undergoes a change from an inner-sphere to an outer-sphere mechanism as the overall energy change for the reaction is increased. The activation energy for the reaction was found to be a linear function of the overall energy change, and the Marcus-Hush model was used to relate experimentally measured activation energies for CCl4 reduction to overall reaction energies. Experimentally measured activation energies for CCl4 reduction by corroding iron correspond to reaction energies that are insufficiently exergonic for promoting the outer-sphere mechanism. This suggests that the different reaction pathways that have been observed for CCl4 reduction by corroding iron arise from different catalytic interactions with the surface, and not from differences in energy of the transferred electrons.
This research investigated an electrochemical method for inactivating contaminated stockpiles of the biocidal agent, triclosan. The goal of the electrolysis was to produce products that were amenable to treatment in conventional activated sludge treatment systems. Triclosan oxidation in electrochemical cells with boron doped diamond (BDD) film anodes was investigated in aqueous solutions at a pH value of 12. Chronoamperometry experiments showed that direct oxidation of triclosan occurred at potentials below those for H2O, Cl-, or OH- oxidation. Measurable rates of triclosan oxidation began at potentials above 0.4 V with respect to the standard hydrogen electrode (SHE), while potentials of 0.5, 1.3, and 1.8 V were required to obtain measurable oxidation rates of H2O, Cl-, and OH-, respectively. At anode potentials below 2 V, the dominant electrode reaction involved direct triclosan oxidation, while indirect oxidation was the dominant pathway at higher potentials. However, cyclic voltammetry experiments showed that direct oxidation of triclosan resulted in the formation of a passivating film on the electrode that could only be removed by oxidation at potentials above 3 V. Direct triclosan oxidation showed a very weak potential dependence, suggesting that its oxidation was limited by chemical dependent factors rather than by an outer-sphere electron transfer reaction. Organic triclosan oxidation products consisted primarily of chlorinated acetic acids and chlorinated phenolic compounds. Although the byproducts of triclosan oxidation became increasingly less reactive with increasing electrolysis time, triclosan could be completely oxidized to CO2 at current densities above 2 mA/cm2. Microtox testing indicated that residual triclosan accounted for nearly all the toxicity in the treated water, despite the fact that chlorinated byproduct concentrations were significantly higher than those of triclosan itself.
PURPOSE: To retrospectively determine imaging findings in patients with autoimmune pancreatitis. MATERIALS AND METHODS: Twenty-nine patients (25 male and four female; mean age, 56 years; range, 15-82 years) with histopathologic diagnosis of autoimmune pancreatitis were examined. Data were reviewed by two radiologists in consensus. Imaging findings for review included those from helical computed tomography (CT), 25 patients; magnetic resonance (MR) imaging with MR cholangiopancreatography (MRCP), four patients; endoscopic ultrasonography (US), 21 patients; endoscopic retrograde cholangiopancreatography (ERCP), 19 patients; and percutaneous transhepatic cholangiography, one patient. Images were analyzed for appearances of pancreas, biliary and pancreatic ducts, and other findings, such as peripancreatic inflammation, encasement of vessels, mass effect, pancreatic calcification, peripancreatic nodes, and peripancreatic fluid collection. Follow-up images were available in nine patients. Serologic markers such as serum immunoglobulin G (IgG) and antinuclear antibody levels were available in 12 patients. RESULTS: CT showed diffuse (n = 14) and focal (n = 7) enlargement of pancreas. Seven patients had minimal peripancreatic stranding, with lack of vascular encasement, calcification, or peripancreatic fluid collection. Nine patients had enlarged peripancreatic lymph nodes. MR imaging showed focal (n = 2) and diffuse (n = 2) enlargement with rimlike enhancement in one. MRCP revealed pancreatic duct strictures in two and sclerosing cholangitis-like appearance in one. Endoscopic US showed diffuse enlargement of pancreas with altered echotexture in 13 patients and focal mass in the head in six. ERCP showed stricture of distal common bile duct in 12 patients, irregular narrowing of intrahepatic ducts in six, diffuse irregular narrowing of pancreatic duct in nine, and focal stricture of proximal pancreatic duct in six. Serologic markers showed increased IgG and antinuclear antibody levels in seven of 12 patients. At follow-up, CT abnormalities and common bile duct strictures resolved after steroid therapy in three patients. CONCLUSION: Features that suggest autoimmune pancreatitis include focal or diffuse pancreatic enlargement, with minimal peripancreatic inflammation and absence of vascular encasement or calcification at CT and endoscopic US, and diffuse irregular narrowing of main pancreatic duct, with associated multiple biliary strictures at ERCP.
Nickel has been found to be an effective cathode material and catalyst for reductive destruction of chlorinated solvents in contaminated water. This study investigated reductive dechlorination of carbon tetrachloride (CT) at a nickel rotating disk electrode using chronoamperometry and electrochemical impedance spectroscopy. Chronoamperometry experiments were performed to determine rates of CT reduction as a function of the electrode potential, pH, CT concentration, and temperature. The reaction products of CT dechlorination were 95 +/- 4% methane and 4.1 +/- 2.5% chloroform. Only trace levels of methylene chloride and chloromethane were produced, indicating that sequential hydrogenolysis was not the predominant pathway for methane production. Electrochemical impedance spectroscopy showed that the rate-limiting step for methane production was the transfer of the first electron to a physically adsorbed CT molecule. The temperature independence of the electron transfer coefficient and the decreasing activation energy with decreasing electrode potential indicated that the rate-limiting step involved an outer-sphere electron transfer. At neutral pH values, oxides inactivated much of the electrode surface for both CT reduction and hydrogen evolution. At lower pH values, oxide dissolution served to increase the electroactive surface area of the disk electrode. Anson analysis and kinetic modeling showed that CT adsorption to electroactive sites was a nonlinear function of the CT concentration and was in equilibrium with the bulk solution. CT dechlorination rates on nickel electrodes were 16 times slower than those on iron electrodes under similar conditions. However, CT reactions at nickel surfaces produced predominantly methane as the first detectable product, while reduction at iron surfaces produced chloroform. These results suggest that, although nickel is not a catalyst for the rate-limiting step for CT dechlorination, it may serve a catalytic role in subsequent reaction steps.
OBJECTIVE: A randomized, parallel-group, open-label, multicenter 16-week clinical trial compared efficacy and safety of repaglinide monotherapy and nateglinide monotherapy in type 2 diabetic patients previously treated with diet and exercise. RESEARCH DESIGN AND METHODS: Enrolled patients (n = 150) had received treatment with diet and exercise in the previous 3 months with HbA(1c) >7 and < or =12%. Patients were randomized to receive monotherapy with repaglinide (n = 76) (0.5 mg/meal, maximum dose 4 mg/meal) or nateglinide (n = 74) (60 mg/meal, maximum dose 120 mg/meal) for 16 weeks. Primary and secondary efficacy end points were changes in HbA(1c) and fasting plasma glucose (FPG) values from baseline, respectively. Postprandial glucose, insulin, and glucagon were assessed after a liquid test meal (baseline, week 16). Safety was assessed by incidence of adverse events or hypoglycemia. RESULTS: Mean baseline HbA(1c) values were similar in both groups (8.9%). Final HbA(1c) values were lower for repaglinide monotherapy than nateglinide monotherapy (7.3 vs. 7.9%). Mean final reductions of HbA(1c) were significantly greater for repaglinide monotherapy than nateglinide monotherapy (-1.57 vs. -1.04%; P = 0.002). Mean changes in FPG also demonstrated significantly greater efficacy for repaglinide than nateglinide (-57 vs. -18 mg/dl; P < 0.001). HbA(1c) values <7% were achieved by 54% of repaglinide-treated patients versus 42% for nateglinide. Median final doses were 6.0 mg/day for repaglinide and 360 mg/day for nateglinide. There were 7% of subjects treated with repaglinide (five subjects with one episode each) who had minor hypoglycemic episodes (blood glucose <50 mg/dl) versus 0 patients for nateglinide. Mean weight gain at the end of the study was 1.8 kg in the repaglinide group as compared with 0.7 kg for the nateglinide group. CONCLUSIONS: In patients previously treated with diet and exercise, repaglinide and nateglinide had similar postprandial glycemic effects, but repaglinide monotherapy was significantly more effective than nateglinide monotherapy in reducing HbA(1c) and FPG values after 16 weeks of therapy.
Metallic iron filings are commonly employed as reducing agents in permeable barriers used for remediating groundwater contaminated by chlorinated solvents. Reactions of trichloroethylene (TCE) and tetrachloroethylene (PCE) with zerovalent iron were investigated to determine the role of atomic hydrogen in their reductive dechlorination. Experiments simultaneously measuring dechlorination and iron corrosion rates were performed to determine the fractions of the total current going toward dechlorination and hydrogen evolution. Corrosion rates were determined using Tafel analysis, and dechlorination rates were determined from rates of byproduct generation. Electrochemical impedance spectroscopy (EIS) was used to determine the number of reactions that controlled the observed rates of chlorocarbon disappearance, as well as the role of atomic hydrogen in TCE and PCE reduction. Comparison of iron corrosion rates with those for TCE reaction showed that TCE reduction occurred almost exclusively via atomic hydrogen at low pH values and via atomic hydrogen and direct electron transfer at neutral pH values. In contrast, reduction of PCE occurred primarily via direct electron transfer at both low and neutral pH values. At low pH values and micromolar concentrations, TCE reaction rates were faster than those for PCE due to more rapid reduction of TCE by atomic hydrogen. At neutral pH values and millimolar concentrations, PCE reaction rates were faster than those for TCE. This shift in relative reaction rates was attributed to a decreasing contribution of the atomic hydrogen reaction mechanism with increasing halocarbon concentrations and pH values. The EIS data showed that all the rate limitations for TCE and PCE dechlorination occurred during the transfer of the first two electrons. Results from this study show that differences in relative reaction rates of TCE and PCE with iron are dependent on the significance of the reduction pathway involving atomic hydrogen.
A molecular level understanding of the interactions between hydrophobic organic contaminants (HOCs) and sediments is needed in order to assess contaminant fate in the environment. Grand canonical Monte Carlo simulations were performed to investigate water and trichloroethylene (TCE) adsorption in slit micropores confined by charged and uncharged silica surfaces. Gas-phase single-sorbate simulations with water or TCE were performed as well as mixture simulations of bulk water containing TCE at 1% of its saturation concentration. Gas-phase isosteric heats for water adsorption in the uncharged pores ranged from -40 to -52 kJ/mol, and the densities of the adsorbed water phases were always less than that for bulk water. Gas-phase isosteric heats for water adsorption in the charged pores ranged from -79 to -170 kJ/mol, and the densities of the adsorbed water phases were close to that for bulk water. The isosteric heats and water densities indicated that the uncharged pores were mildly hydrophobic, and the charged pores were very hydrophilic. In mixture simulations of adsorption from solution, the presence of water promoted TCE adsorption in uncharged pores with widths between 14 and 20 A. The isosteric heats for TCE adsorption from solution ranged from -14 to -27 kJ/mol in the uncharged pores and from -9.3 to -50 kJ/mol in the charged pores. Strong attractions to the pore surfaces were significantly diminished after adsorption of the first two monolayers of either adsorbate. Aqueous-phase TCE at a concentration equal to 1% of its saturation concentration was able to completely displace adsorbed water in uncharged pores. Even in highly hydrophilic pores, TCE at this concentration was able to displace up to 50% of the adsorbed water. Apparent differential enthalpies of adsorption determined from the temperature dependence of TCE adsorption isotherms underestimated the magnitude of the true isosteric heats of adsorption by up to 30 kJ/mol. This shows that HOC adsorption enthalpies determined from the temperature dependence of their adsorption isotherms underestimate the true strength of HOC-adsorbent interactions.
The kinetics of chromate removal from contaminated water by zerovalent iron media are not well understood. This study investigated the reactions occurring on iron surfaces in chromate solutions in order to understand the removal kinetics and to assess the long-term ability of zerovalent iron for removing Cr(VI) from contaminated water. Tafel polarization analysis and electrochemical impedance spectroscopy were used to determine the corrosion rates and charge-transfer resistances associated with Cr(VI) removal by iron wires suspended in electrolyte solutions with initial Cr(VI) concentrations of 10,000 microg/L. The condition of the iron surfaces at the time of their exposure to chromate determined the effectiveness of the iron for chromate removal. Both iron coated with a water-formed oxide and initially oxide-free iron were effective for chromate removal. However, iron coated with an air-formed oxide was an order of magnitude less effective for removing soluble chromium. Although iron with the air-formed oxide was largely passivated with respect to chromate removal, its overall rate of corrosion was similar to that for iron with the other initial surface conditions. This indicates that water, but not chromate, was able to penetrate the air-formed oxide coating and access cathodic sites. For all initial surface conditions, addition of chromate decreased the corrosion rate by increasing the corrosion potential and the anodic charge transfer resistance. Although Cr(VI) is a strong oxidant rates of iron corrosion were not proportional to the aqueous Cr(VI) concentrations due to anodic control of iron corrosion. Under anodically controlled conditions, the rate of corrosion was limited by the rate at which Fe2+ could be released at anodic sites and not by the rate at which oxidants were able to accept electrons. This study shows that the zero order removal kinetics of Cr(VI) by iron media can be explained by anodic control of iron corrosion and the concomitant anodic control of Cr(VI) reduction.
Zerovalent iron filings have been proposed as a filter medium for removing As(III) and As(V) compounds from potable water. The removal mechanism involves complex formation of arsenite and arsenate with the iron surface and with iron oxides produced from iron corrosion. There is conflicting evidence in the literature on whether As(V) can be reduced to As(III) by iron filter media. This research uses electrochemical methods to investigate the redox reactions that occur on the surface of zerovalent iron in arsenic solutions. The effect of arsenic on the corrosion rate of zerovalent iron was investigated by analysis of Tafel diagrams for iron wire electrodes in anaerobic solutions with As(V) concentrations between 100 and 20,000 microg/L. As(V) reduction in the absence of surface oxides was investigated by analysis of chronoamperometry profiles for iron wire electrodes in solutions with As(V) concentrations ranging from 10000 to 106 microg/L. The effect of pH on As(V) reduction was investigated by analyses of chronopotentiometry profiles for iron wire electrodes at pH values of 2, 6.5, and 11. For freely corroding iron, the presence of As(III) and As(V) decreased the iron corrosion rate by a factor of 5 as compared to that in a 3 mM CaSO4 blank electrolyte solution. The decrease in corrosion rate was independent of the arsenic concentration and was due to the blocking of cathodic sites for water reduction by arsenic compounds chemisorbed to the iron surface. The chronoamperometry and chronopotentiometry experiments showed that elevated pH and increased As(III) to As(V) ratios near the iron surface decreased the thermodynamic favorability for As(V) reduction. Therefore, reduction of As(V) occurred only at potentials that were significantly below the apparent equilibrium potentials based on bulk solution pH values and As(III) to As(V) ratios. The potentials required to reduce more than 1% of the As(V) to As(III) were below those that are obtainable in freely corroding iron media. This indicates that there will be minimal or no reduction of As(V) in iron media filters under conditions relevant to potable water treatment.
Zerovalent iron filings have been proposed as a filter medium for removing arsenic compounds from potable water supplies. This research investigated the kinetics of arsenate removal from aqueous solutions by zerovalent iron media. Batch experiments were performed to determine the effect of the iron corrosion rate on the rate of As(V) removal. Tafel analyses were used to determine the effect of the As(V) concentration on the rate of iron corrosion in anaerobic solutions. As(V) removal in column reactors packed with iron filings was measured over a 1-year period of continuous operation. Comparison of As(V) removal by freely corroding and cathodically protected iron showed that rates of arsenate removal were dependent on the continuous generation of iron oxide adsorption sites. In addition to adsorption site availability, rates of arsenate removal were also limited by mass transfer associated with As(V) diffusion through iron corrosion products. Steady-state removal rates in the column reactor were up to 10 times faster between the inlet-end and the first sampling port than between the first sampling port and the effluent-end of the column. Faster removal near the influent-end of the column was due to a faster rate of iron oxidation in that region. The presence of 100 microg/L As(V) decreased the iron corrosion rate by up to a factor of 5 compared to a blank electrolyte solution. However, increasing the As(V) concentration from 100 to 20,000 microg/L resulted in no further decrease in the iron corrosion rate. The kinetics of arsenate removal ranged between zeroth- and first-order with respect to the aqueous As(V) concentration. The apparent reaction order was dependent on the availability of adsorption sites and on the aqueous As(V) concentration. X-ray absorption spectroscopy analyses showed the presence of iron metal, magnetite (Fe3O4), an Fe(III) oxide phase, and possibly an Fe(II,III) hydroxide phase in the reacted iron filings. These mixed valent oxide phases are not passivating and permit sustained iron corrosion and continuous generation of new sites for As(V) adsorption.
This research investigated activated adsorption of a hydrophobic organic contaminant(HOC) in mineral micropores using experimental and molecular modeling techniques. Adsorption of trichloroethylene (TCE) on a silica gel adsorbent was measured using a frontal analysis chromatography technique at atmospheric and elevated fluid pressures. Increasing the fluid pressure yielded increased TCE uptake that was not released upon lowering the pressure back to atmospheric conditions. This showed that the increase in pressure was able to rapidly induce the formation of a desorption-resistant fraction that previous investigations have shown requires months to develop at atmospheric pressure. Grand Canonical Monte Carlo (GCMC) modeling was then used to elucidate the nature of water and TCE behavior within silica micropores. The GCMC modeling showed that molecular scale packing restrictions resulted in pore fluid densities that ranged from 0.28 to 0.78 of those in the bulk solution. The modeling also showed that TCE was able to displace water from hydrophilic mineral pores due to molecular scale packing restrictions. Exothermic isosteric heats for TCE adsorption up to -27 kJ/mol were observed and were greatest in pores of 7 and 8 A. This indicated that TCE adsorption was energetically most favorable in pores that were minimally large enough to accommodate a TCE molecule. The pressure-induced uptake appeared to result primarily from an increase in the packing density in the smallest pores. Ab initio calculations showed that small distortions of a TCE molecule from its low energy conformation require high activation energies. Results from this study indicate that activated adsorption requiring bond angle distortions in the adsorbate may be responsible forthe slow attainment of adsorptive equilibrium of HOCs on microporous solids. Likewise, activated desorption from molecular-sized adsorption sites may contribute to the slow release of HOCs from aquifer sediments.