Biomedical subjects

P Krebs

Publications and source records attributed to P Krebs.

At least 19 recordsLinked to original sources

PubMed2006

One-photon photodetachment of I- in glycerol: spectra and yield of solvated electrons in the temperature range 329<or=T<or=536 K.

Solvated electrons in glycerol were generated via a resonant one-photon photodetachment of the charge-transfer-to-solvent (CTTS) band of I- in glycerol (Gl) after irradiation with a 248 nm excimer laser. Optical absorption spectra of solvated electrons (esolv-) in Gl were recorded as a function of temperature (381<or=T<or=505 K). The observed redshift of the absorption maximum, homegamax, yields a temperature coefficient d(homegamax)/dT=-(2.67+/-0.07)x10(-3) eV K-1. For solutions with a concentration c(I-) approximately 10(-3)M, the absorbance of esolv- at homegamax increases by a factor of about 65 when the temperature is raised from 329 to 536 K. This effect can be partially explained by a temperature-dependent redshift of the CTTS spectrum of I- in Gl with respect to the laser wavelength. The main contribution to the increasing yield of esolv- is determined by diffusion controlled escape dynamics of the electron in the contact pair (I:e-)solv which is formed very fast during the detachment process. At room temperature no absorption of esolv- (absorbance<1.0x10(-3)) could be observed which is probably a result of an extremely small self-diffusion coefficient of Gl (a factor of 1250 lower than that of water at 298 K). The results are compared with a previous study of I- in ethylene glycol.

Journal Article↗

PubMed2006

Statistical methods towards more efficient infiltration measurements.

A comprehensive knowledge about the infiltration situation in a catchment is required for operation and maintenance. Due to the high expenditures, an optimisation of necessary measurement campaigns is essential. Methods based on multivariate statistics were developed to improve the information yield of measurements by identifying appropriate gauge locations. The methods have a high degree of freedom against data needs. They were successfully tested on real and artificial data. For suitable catchments, it is estimated that the optimisation potential amounts up to 30% accuracy improvement compared to nonoptimised gauge distributions. Beside this, a correlation between independent reach parameters and dependent infiltration rates could be identified, which is not dominated by the groundwater head.

Analysis of Variance↗

PubMed2006

Quantification of sewer leakage: a review.

One of the goals of the APUSS project (assessing infiltration and exfiltration on the performance of urban sewer systems) is to assess sewer exfiltration, in order to support cities and operators to define problem-oriented rehabilitation strategies. In this paper, we review various methods currently used for the estimation of exfiltration and discuss data needs and applicability for rehabilitation planning. Although each approach has its individual advantages and drawbacks, we identified pressure tests and tracer methods to have the highest potential for decision support in rehabilitation planning. With regard to future challenges (e.g., micropollutants) such methods might play a key role in integrated sewer management.

Drainage, Sanitary↗

PubMed2005

Identification of overall degradation in sewer systems from long-term measurements and consequences for WWTP simulations.

In-sewer transformation processes affect significantly design and operation of large wastewater treatment plants. Especially for long-term simulations the degradation has to be considered in order to avoid over- and underestimation. In this paper a method is presented to derive the overall degradation from available operation data. The application of the results in a long-term simulation of a WWTP shows the relevance of the degradation for design and operation of an activated sludge plant.

Carbon↗

PubMed2005

Dynamics of rain-induced pollutographs of solubles in sewers.

When looking at acute receiving water impacts due to combined sewer overflows the characteristics of the background diurnal sewage flux variation may influence the peak loads from combined sewer overflows (CSO) and wastewater treatment plant (WWTP) effluent significantly. In this paper, effects on the dynamic compounds transported in the sewer, on CSO discharges and WWTP loading are evaluated by means of hydrodynamic simulations. The simulations are based on different scenarios for diurnal dry-weather flow variations induced by different infiltration rates.

Periodicity↗

PubMed2005

Integrated operation of sewer system and WWTP by simulation-based control of the WWTP inflow.

In recent years numerical modelling became a standard procedure to optimise urban wastewater systems design and operation by integration. For dynamic control of the wastewater teatment plant (WWTP) inflow, a model-based predictive concept is introduced aiming at improving the receiving water quality. An on-line simulator running parallel to the real WWTP operation reflects the actual state of operation and provides this model information to a prognosis tool which determines the best option for the WWTP inflow. The investigations showed that it is possible to reduce the NH4-N peak concentrations in the receiving water by dynamic WWTP inflow control based on predictive scenario analysis.

Ammonia↗

PubMed2005

Integrated modelling for the evaluation of infiltration effects.

The objective of the present study is the estimation of the potential benefits of sewer pipe rehabilitation for the performance of the drainage system and the wastewater treatment plant (WWTP) as well as for the receiving water quality. The relation of sewer system status and the infiltration rate is assessed based on statistical analysis of 470 km of CCTV (Closed Circuit Television) inspected sewers of the city of Dresden. The potential reduction of infiltration rates and the consequent performance improvements of the urban wastewater system are simulated as a function of rehabilitation activities in the network. The integrated model is applied to an artificial system with input from a real sewer network. In this paper, the general design of the integrated model and its data requirements are presented. For an exemplary study, the consequences of the simulations are discussed with respect to the prioritisation of rehabilitation activities in the network.

Cities↗

PubMed2005

Application of a leakage model to assess exfiltration from sewers.

The exfiltration of wastewater from sewer systems in urban areas causes a deterioration of soil and possibly groundwater quality. Beside the simulation of transport and degradation processes in the unsaturated zone and in the aquifer the analysis of the potential impact requires the estimation of quantity and temporal variation of wastewater exfiltration. Exfiltration can be assessed by the application of a leakage model. The hydrological approach was originally developed to simulate the interactions between the groundwater and surface water, it was adapted to allow for modelling of interactions between groundwater and sewer system. In order to approximate the exfiltration specific model parameters infiltration specific parameters were used as a basis. Scenario analysis of the exfiltration in the City of Dresden from 1997 to 1999 and during the flood event in August 2002 shows the variation and the extent of exfiltration rates.

Cities↗

PubMed2005

ArcEGMO-URBAN--hydrological model for point sources in river basins.

The new model ArcEGMO-URBAN aims at deterministic and spatiotemporal modelling of water, nitrogen and phosphorus fluxes from all urbanised areas of a river basin considering all potential sources. Pollution loads are calculated for discrete urban patches and balanced on the level of hydrological subbasins. Modelling results can be defined by the user of any level of spatial and/or temporal aggregation, e.g. matter balances for river basins or river sections and years or months, respectively. To process spatial data, a Geographic Information System is linked to the model. Information on urban land use and general characteristics of river basins is based on digital coverages, partly generated from remote-sensing data. Moreover, statistical data, e.g. on population, sewer systems, wastewater treatment plants etc. are included. Stormwater runoff from impervious surfaces is calculated as one input to the sewer network. Wastewater is considered with its main sewer system, pumping stations and treatment plants. Finally, the discharge is balanced for discrete river sections. Modelling results attest ArcEGMO-URBAN its ability to realistically quantify matter fluxes and major pollution sources as well as their seasonal variation. This makes the model an applicable tool for the analysis of scenarios with e.g. varying population distribution or climatic and technological conditions.

Geographic Information Systems↗

PubMed2005

Systems analysis of urban wastewater systems--two systematic approaches to analyse a complex system.

This work was aimed at performing an analysis of the integrated urban wastewater system (catchment area, sewer, WWTP, receiving water). It focused on analysing the substance fluxes going through the system to identify critical pathways of pollution, as well as assessing the effectiveness of energy consumption and operational/capital costs. Two different approaches were adopted in the study to analyse urban wastewater systems of diverse characteristics. In the first approach a wide ranged analysis of a system at river basin scale is applied. The Nete river basin in Belgium, a tributary of the Schelde, was analysed through the 29 sewer catchments constituting the basin. In the second approach a more detailed methodology was developed to separately analyse two urban wastewater systems situated within the Ruhr basin (Germany) on a river stretch scale. The paper mainly focuses on the description of the method applied. Only the most important results are presented. The main outcomes of these studies are: the identification of stressors on the receiving water bodies, an extensive benchmarking of wastewater systems, and the evidence of the scale dependency of results in such studies.

Belgium↗

PubMed2004

Phase I dose escalation study of carboplatin to a fixed dose of irinotecan as first-line treatment of small cell lung cancer.

BACKGROUND: Superiority of irinotecan (CPT-11) plus cisplatin over etoposide plus cisplatin in small cell lung cancer (SCLC) has recently been demonstrated. This study determines dose-limiting toxicity (DLT) and maximum tolerated dose (MTD) of escalating doses of carboplatin to a fixed dose of irinotecan in Caucasians with small cell lung cancer. PATIENTS AND METHODS: Patients with extensive small cell lung cancer received 50 mg/m(2) irinotecan on day 1, 8, and 15. Dose escalation of carboplatin on day 1 started in dose level 1 at an AUC of 5 mg x min/ml and was escalated to AUC 6 in level 2. Cycles were repeated on day 29. Dose escalation was evaluated after 3 consecutive patients. If no grade IV neutropenia lasting for > or =7 days or thrombopenia or non-hematologic toxicity > or = grade III occurred, treatment was continued in the next dose level. RESULTS: 16 patients were treated. DLT was reached in dose level 2 with 2 grade IV neutropenias and 1 grade IV thrombopenia and diarrhea. Toxicity was further investigated at dose level 1 in a total of 10 patients, which revealed 2 grade III neutropenias and 1 grade III diarrhea. Of 15 evaluable patients, 10 had a partial response, 3 had disease stabilization and 2 progressed. CONCLUSION: Dose level 1 was found to be MTD, this dose is currently compared to the combination of etoposide plus carboplatin within a randomised phase II/III trial.

Aged↗

PubMed2003

Integral and unified model for the sewer and wastewater treatment plant focusing on transformations.

The urban drainage cycle is a very complex system with many interacting processes. Models are a great help to test different scenarios and improve the understanding of this system. At present, good models exist for the hydrodynamics of the sewer systems, for the biological conversions in the wastewater treatment plant (ASM 1 to 3) and for the receiving water (RWOM1). However, the traditional transport and conversion models for the sewer system are incompatible with the ASM definitions, making it difficult to link the models to come an integral and unified urban drainage model. In this work, a new sewer system model that is based on ASM3 has been coupled to an advanced nutrient removal model for the wastewater treatment plant. As both models are based on ASM3, they are unified in their definitions of the state variables and processes. This new combination has been used to test different scenarios and to test the influence of the sewer system on the treatment plant.

Cities↗

PubMed2002

[Surgical angioplasty of the left main coronary artery. Evaluation and postoperative follow-up with intravascular ultrasound].

We report the case of a 45 year old man presenting to our emergency ward with acute onset of typical chest pain. The ECG showed ST-segment depression in the postero-lateral leads without elevation of any cardiac enzymes. The coronary angiogram showed a three-vessel disease with a subtotal, short stenosis of the right coronary artery and a severe ostial stenosis of the left main coronary artery. An operative revascularization with a venous graft to the right coronary artery and a angioplasty with an autologous vein patch of the left main coronary artery were performed. No peri- or postoperative complications occurred. Because of the importance of the left main coronary artery, the patient underwent an early post-operative coronary angiogram with intravascular ultrasound (IVUS) to confirm the patency of the patch angioplasty. We discuss the historical development, the indications and the main advantages of the patch angioplasty in comparison to conventional CABG procedures. The main issue of the presentation is the special value of IVUS in the pre- and postoperative assessment of the left main coronary artery. Within the last few years, IVUS has emerged from a pure research tool to the gold standard of coronary imaging. It is playing a more and more important role in the assessment of angiographically unclear lesions, mainly in the left main stem and its bifurcation. In addition, IVUS has a large influence in clinical decision making, e.g., reverral to CABG or PCI. It is also a powerful tool for optimizing the operative setting and provides the best possible postoperative control.

Cardiac Catheterization↗

PubMed2002

Deterministic modelling of integrated urban drainage systems.

Today, the main concepts required for describing the dynamics of drainage in an entire urban area are known and models are available that can reasonably simulate the behaviour of the urban water system. Still, such integrated modelling is a complex exercise not only due to the sheer size of the model, but also due to the different modelling approaches that reflect the history of the sub-models used and of the purpose they were built for. The paper reviews the state of the art in deterministic modelling, outlines experiences and discusses problems and future developments.

Cities↗

PubMed2002

Integrated modelling as an analytical and optimisation tool for urban watershed management.

In recent years numerical modelling has become a standard procedure to optimise urban wastewater systems design and operation. Since the models were developed for the subsystems independently, they did not support an integrated view to the operation of the sewer system, the wastewater treatment plant (WWTP) and the receiving water. After pointing out the benefits of an integrated approach and the possible synergy effects that may arise from analysing the interactions across the interfaces, three examples of modelling case studies carried out in Germany are introduced. With these examples we intend to demonstrate the potential of integrated models, though their development cannot be considered completed. They are set up with different combinations of self-developed and commercially available software. The aim is to analyse fluxes through the total wastewater system or to integrate pollution-based control in the upstream direction, that is e.g. managing the combined water retention tanks as a function of state variables in the WWTP or the receiving water. Furthermore the interface between the sewer and the WWTP can be optimised by predictive simulations such that the combined water flow can be maximised according to the time- and dynamics-dependent state of the treatment processes.

Cities↗

PubMed2001

Urban drainage redefined: from stormwater removal to integrated management.

Even though urban drainage has been practised for more than 5000 years, many challenges arising from growing demands on drainage still remain with respect to runoff quantity and quality; landscape aesthetics, ecology and beneficial uses; and operation of existing urban wastewater systems. Further advances can be achieved by adopting an integrated approach, optimal operation of the existing infrastructure, advanced pollution and runoff source controls, improved resilience of receiving waters, and adaptive water management. The specific research needs include new technologies and strategies for stormwater management, advanced treatment of urban wet-weather effluents, and tools for analysis and operation of drainage systems. High diversity of demands on, and region/site specific conditions of, urban drainage shapes the role of urban drainage experts--as mediators among the many stakeholders and fields involved.

Cities↗

PubMed2001

Numerical modelling of dynamic sludge blanket behaviour in secondary clarifiers.

New developments in numerical modelling of turbulent and density-affected flow in secondary clarifiers are reported. The sludge blanket is included in the computation domain which allows us to account for sedimentation and resuspension of sludge as well as the growth and diminution of the sludge blanket and at the same time respecting mass conservation. It is shown how strongly the prediction of the sludge-blanket height depends on the approaches to describe the settling behaviour of the sludge and the rheological properties within the sludge blanket. Further, an example of dynamic simulation is presented and discussed. This demonstrates how the sludge blanket behaves during load variation and that instabilities may occur at the interface of sludge blanket and supernatant, potentially resulting in sludge wash-off during transient phases, which is not only during load increase but also during load decrease.

Chemical Precipitation↗

PubMed2000

Pleomorphic lobular carcinoma: morphology, immunohistochemistry, and molecular analysis.

Infiltrating pleomorphic lobular carcinoma (PLC) is an aggressive variant of infiltrating lobular carcinoma. Recently, in situ changes identical to PLC (PLCIS) have been described. The role of prognostic markers and their correlation with therapeutics, clinical outcome, and genetic changes is not well established in PLC. The authors examined 38 cases of this entity to understand better this tumor's biology. Immunohistochemical (IHC) analysis was performed in 21 specimens for estrogen and progesterone steroid receptors, p53, Her 2 (p185), and GCDFP-15. Genomic deoxyribonucleic acid was obtained from microdissected tumor as well as normal control cells, and loss of heterozygosity was investigated at the ESR (16q24), p53 (TP53 17p), Her 2 (17q 11-12), and BRCA 1 (17q12-25) loci. In this series, the average patient age was 57.5 years (age range, 24-92 years). Twenty-seven women were postmenopausal. Tumor size ranged from 1.2 to 25 cm. Six patients were a pathologic stage I; 19, stage II; 12, stage III; and one, stage IV. Histologically, multifocal nodular aggregates of discohesive pleomorphic tumor cells were seen interspersed in dense and fibrotic breast parenchyma. Twenty-nine percent of the specimens demonstrated associated signet ring cells. The remainder had dishesive, globoid, plasmacytoid cells with high-grade nuclear features. PLCIS was identified in 17 of 38 patients (45%), and lobular carcinoma in situ (LCIS) was noted in 8 patients (21%). IHC analysis showed estrogen immunoreactivity in 81%, progesterone in 67%, GCDFP-15 in 71%, and Her 2 in 81% (2+ to 3+ membranous staining) of specimens. Antibodies to p53 stained the tumor cell nuclei in 48% of the tumors. Loss of heterozygosity was identified in 52% of the specimens at the p53 locus, 18% at the ESR locus, 19% to 24% at the Her 2 loci, and 27% to 32% at the BRCA 1 locus. Follow-up was available in 19 patients and ranged from 12 months to 15 years (mean, 73 months). Seven patients had no evidence of disease at last examination (range, 1-15 years), three patients were alive with disease (range, 2-14 years), and nine patients were dead of disease (range, 2 months-9 years). Six patients had subsequent diagnoses of tumor in the contralateral breast. Analysis shows that PLC tends to appear in older postmenopausal women who present with locally advanced disease. PLCIS was found to be associated with PLC 45% of the time. The aggressive clinical course of patients with PLC is supported by tumor immunoreactivity with unfavorable markers Her 2 and p53. Overexpression of Her 2 in PLC may be therapeutically relevant, enabling the use of novel chemotherapeutic drugs like Herceptin. Interestingly, tumors that were Her 2 immunoreactive also maintained estrogen hormone immunoreactivity.

Adult↗