The aim of this study is to investigate the denitrification potential enhancement by addition of external carbon sources and to estimate the denitrification potential for the predenitrification system using nitrate ut...The aim of this study is to investigate the denitrification potential enhancement by addition of external carbon sources and to estimate the denitrification potential for the predenitrification system using nitrate utilization rate (NUR) batch tests. It is shown that the denitrification potential can be substantially increased with the addition of three external carbon sources, i.e. methanol, ethanol, and acetate, and the denitrification rates of ethanol, acetate, and methanol reached up to 9.6, 12, and 3.2 mgN/(g VSS.h), respectively, while that of starch wastewater was only 0.74 mgN/(g VSS,h). By comparison, ethanol was found to be the best external carbon source. NUR batch tests with starch wastewater and waste ethanol were carried out. The denitfification potential increased from 5.6 to 16.5 mg NO3-N/L owing to waste ethanol addition. By means of NUR tests, the wastewater characteristics and kinetic parameters can be estimated, which are used to determine the denitrification potential of wastewater, to calculate the denitrification potential of the plant and to predict the nitrate effluent quality, as well as provide information for developing carbon dosage control strategy.展开更多
External and internal rectal prolapse with their affiliated rectocele and enterocele, are associated with debilitating symptoms such as obstructed defecation, pelvic pain and faecal incontinence. Since perineal proced...External and internal rectal prolapse with their affiliated rectocele and enterocele, are associated with debilitating symptoms such as obstructed defecation, pelvic pain and faecal incontinence. Since perineal procedures are associated with a higher recurrence rate, an abdominal approach is commonly preferred. Despite the description of greater than three hundred different procedures, thus far no clear superiority of one surgical technique has been demonstrated. Ventral mesh rectopexy(VMR) is a relatively new and promising technique to correct rectal prolapse. In contrast to the abdominal procedures of past decades, VMR avoids posterolateral rectal mobilisation and thereby minimizes the risk of postoperative constipation. Because of a perceived acceptable recurrence rate, good functional results and low mesh-related morbidity in the short to medium term, VMR has been popularized in the past decade. Laparoscopic or robotic-assisted VMR is now being progressively performed internationally and several articles and guidelines propose the procedure as the treatment of choice for rectal prolapse. In this article, an outline of the current status of laparoscopic and robotic ventral mesh rectopexy for the treatment of internal and external rectal prolapse is presented.展开更多
The efficacy and applied value of endoscopic hematoma evacuation vs. external ventricular drainage (EVD) in the treatment of severe ventficular hemorrhage (IVH) were explored and compared.From Jan.2015 to Dec.2016,the...The efficacy and applied value of endoscopic hematoma evacuation vs. external ventricular drainage (EVD) in the treatment of severe ventficular hemorrhage (IVH) were explored and compared.From Jan.2015 to Dec.2016,the clinical data of 42 cases of IVH were retrospectively analyzed,including 18 patients undergoing endoscopic hematoma evacuation (group A),and 24patients receiving EVD (group B).The hematoma clearance rate was calculated by 3D Slicer software,and complications and outcomes were compared between the two groups.There were no significant differences in age,sex and Graeb score between groups A and B (P>0.05).The hematoma clearance rate was 70.81%±27.64% in group A and 48.72%±36.58% in group B with a statistically significant difference (P<0.05).The operative time in groups A and B was 72.45±25.26 min and 28.54±15.27min,respectively (P<0.05).The Glasgow Coma Scale (GCS) score increased from 9.28±2.72 at baseline to 11.83±2.91 at 1 week postoperatively in group A,and from 8.25±2.62 at baseline to 10.79±4.12 at 1 week postoperatively in group B (P<0.05).The length of hospital stay was 12.67±5.97 days in group A and 17.33±8.91 days in group B with a statistically significant difference (P<0.05).The GOS scores at 6 months after surgery were 3.83±1.12 in group A,and 2.75±1.23 in group B (P<0.05). These results suggested that endoscopic hematoma evacuation has an advantage of a higher hematoma clearance rate,fewer complications and better outcomes in the treatment of severe IVH,indicating it is a safe,effective and promising approach for severe IVH.展开更多
基金Project supported by the Key International Cooperative Project of the National Natural Science Foundation of China (No. 50521140075)the Beijing Science and Technology Committee Match Project of "863" Plan(No. Z0005186040421)the Dr. Special Teaching and Research Funds for University (No. 20060005002)
文摘The aim of this study is to investigate the denitrification potential enhancement by addition of external carbon sources and to estimate the denitrification potential for the predenitrification system using nitrate utilization rate (NUR) batch tests. It is shown that the denitrification potential can be substantially increased with the addition of three external carbon sources, i.e. methanol, ethanol, and acetate, and the denitrification rates of ethanol, acetate, and methanol reached up to 9.6, 12, and 3.2 mgN/(g VSS.h), respectively, while that of starch wastewater was only 0.74 mgN/(g VSS,h). By comparison, ethanol was found to be the best external carbon source. NUR batch tests with starch wastewater and waste ethanol were carried out. The denitfification potential increased from 5.6 to 16.5 mg NO3-N/L owing to waste ethanol addition. By means of NUR tests, the wastewater characteristics and kinetic parameters can be estimated, which are used to determine the denitrification potential of wastewater, to calculate the denitrification potential of the plant and to predict the nitrate effluent quality, as well as provide information for developing carbon dosage control strategy.
文摘External and internal rectal prolapse with their affiliated rectocele and enterocele, are associated with debilitating symptoms such as obstructed defecation, pelvic pain and faecal incontinence. Since perineal procedures are associated with a higher recurrence rate, an abdominal approach is commonly preferred. Despite the description of greater than three hundred different procedures, thus far no clear superiority of one surgical technique has been demonstrated. Ventral mesh rectopexy(VMR) is a relatively new and promising technique to correct rectal prolapse. In contrast to the abdominal procedures of past decades, VMR avoids posterolateral rectal mobilisation and thereby minimizes the risk of postoperative constipation. Because of a perceived acceptable recurrence rate, good functional results and low mesh-related morbidity in the short to medium term, VMR has been popularized in the past decade. Laparoscopic or robotic-assisted VMR is now being progressively performed internationally and several articles and guidelines propose the procedure as the treatment of choice for rectal prolapse. In this article, an outline of the current status of laparoscopic and robotic ventral mesh rectopexy for the treatment of internal and external rectal prolapse is presented.
基金This study was funded by the Science and Technology Commission of Wuhan City (No.WX16B02)and Natural Science Foundation of Hubei Province (No.2018CFB353).
文摘The efficacy and applied value of endoscopic hematoma evacuation vs. external ventricular drainage (EVD) in the treatment of severe ventficular hemorrhage (IVH) were explored and compared.From Jan.2015 to Dec.2016,the clinical data of 42 cases of IVH were retrospectively analyzed,including 18 patients undergoing endoscopic hematoma evacuation (group A),and 24patients receiving EVD (group B).The hematoma clearance rate was calculated by 3D Slicer software,and complications and outcomes were compared between the two groups.There were no significant differences in age,sex and Graeb score between groups A and B (P>0.05).The hematoma clearance rate was 70.81%±27.64% in group A and 48.72%±36.58% in group B with a statistically significant difference (P<0.05).The operative time in groups A and B was 72.45±25.26 min and 28.54±15.27min,respectively (P<0.05).The Glasgow Coma Scale (GCS) score increased from 9.28±2.72 at baseline to 11.83±2.91 at 1 week postoperatively in group A,and from 8.25±2.62 at baseline to 10.79±4.12 at 1 week postoperatively in group B (P<0.05).The length of hospital stay was 12.67±5.97 days in group A and 17.33±8.91 days in group B with a statistically significant difference (P<0.05).The GOS scores at 6 months after surgery were 3.83±1.12 in group A,and 2.75±1.23 in group B (P<0.05). These results suggested that endoscopic hematoma evacuation has an advantage of a higher hematoma clearance rate,fewer complications and better outcomes in the treatment of severe IVH,indicating it is a safe,effective and promising approach for severe IVH.