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N J Graham

Publications and source records attributed to N J Graham.

7 recordsLinked to original sources

The regeneration of field-spent granular-activated carbons.

The thermal regeneration of field-spent granular-activated carbons (GAC) is being increasingly adopted as a cost-effective alternative to disposal. The success of this practice requires the adjustment of process conditions to maximise the recovery of the original carbon characteristics while minimising carbon loss. This paper describes an investigation into the regeneration of several field-spent GAC representative of those typically generated by the drinking water treatment industry. The carbons were initially investigated for their ash contents and inorganic compositions in order to determine the accumulation of metallic species that affect the regeneration process. Regeneration was conducted in steam at 800 degrees C over reaction times between 0 and 60 min in order to achieve different degrees of carbon gasification. Weight losses were determined for each condition and the resulting carbons characterised for their apparent density, porosity, surface area and aqueous adsorption characteristics. Results showed that spent carbons recovered most of their adsorption characteristics when heated to 800 degrees C under inert conditions. Steam gasification in the range of 5-10 wt% burn-off had some positive effects on the characteristics of the spent carbons which were in most cases counteracted by a reduction in the carbon yield. Steam gasification in excess of 15 wt% burn-off caused a rapid increase in the carbon mesoporosity but a significant deterioration in the carbon microporosity, BET surface area and adsorption capacity for organic species of small molecular size.

Adsorption↗

Osteosarcoma in a 19-month-old girl.

Osteosarcoma develops only rarely in patients under 6 years of age. The authors describe a 19-month-old girl who presented with proximal humeral metaphyseal osteosarcoma. To the authors' knowledge, this report represents the youngest patient with this bone lesion.

Biopsy↗

Cascade of metastatic colorectal carcinoma from the liver to the anterior diaphragmatic lymph nodes.

RATIONALE AND OBJECTIVES: Metastases of colon carcinoma from the liver to porta hepatis and celiac axis lymph nodes constitute a contraindication to hepatic metastatic resection. Our objective was to determine the frequency of anterior diaphragmatic lymph node (ADLN) enlargement, another efferent pathway of hepatic lymphatic drainage, in patients with colon carcinoma. METHODS: Abdominal computed tomography scans from 50 patients with colon carcinoma in whom hepatic metastases were either present (n = 25) or absent (n = 25) were reviewed. ADLNs greater than or equal to 5 mm were considered enlarged. RESULTS: Thirteen of 25 patients with hepatic metastases had ADLNs greater than or equal to 5 mm; three of 25 patients without hepatic metastases had ADLNs greater than or equal to 5 mm. The difference was statistically significant (p = .002). CONCLUSION: Metastases of colon carcinoma from the liver to the ADLNs probably are not rare. ADLN involvement would obviate hepatic resection. The ADLNs should be assessed preoperatively in surgical candidates with hepatic metastases of colon carcinoma.

Adult↗

The diaphragm.

Intrinsic disorders of the diaphragm are uncommon. However, the diaphragm is a useful radiographic landmark for detecting adjacent pulmonary, pleural and abdominal abnormalities, which may lead to the elevation of one or both hemidiaphragms or to focal irregularities in the diaphragmatic contour. In this review the authors summarize the most common diaphragmatic abnormalities and suggest the optimal approach for each to allow a specific diagnosis.

Diaphragm↗

Intrathoracic complications following allogeneic bone marrow transplantation: CT findings.

The authors retrospectively reviewed computed tomographic (CT) scans of 18 patients who developed 21 episodes of intrathoracic complications after allogeneic bone marrow transplantation (BMT). Pathologic and/or microbiologic diagnoses were available for all patients. All patients were immunocompromised due to either graft-versus-host disease (GVHD), neutropenia, or recurrent malignancy after BMT. CT demonstrated diagnostically relevant findings that were not apparent at radiography in 12 of the 21 cases (57%). These included a ground-glass pattern in early pneumonia (n = 5); a peripheral distribution in GVHD, bronchiolitis obliterans organizing pneumonia, and eosinophilic drug reaction (n = 4); cavitating lesions in Pneumocystis carinii pneumonia (n = 1); hemorrhagic infarcts in aspergillosis (n = 1); and mediastinal adenopathy in recurrent Hodgkin disease (n = 1). The authors conclude that chest CT is superior to radiography in demonstrating the presence, distribution, and extent of intrathoracic complications developing in patients after allogeneic BMT. CT is useful in guiding procedures for tissue diagnosis.

Adult↗