FLOCCULATION/COAGULATION OF NATURAL ORGANIC MATTER FOR PRETREATMENT OF WATER ANDWASTE WATER

Characterization of water, waste water and natural organic matter are involved in this paper, and as well as the features of flocculation and coagulation for removing natural organic matter from water and waste water Novel flocculant and coagualant is strongly asked for improving removal efficiency and environment friendly. Enhanced coagulation is introduced to meet the experimental and practical requirement.

Comparison between sepsis-induced coagulopathy and sepsis-associated coagulopathy criteria in identifying sepsis-associated disseminated intravascular coagulation

BACKGROUND:Disseminated intravascular coagulation(DIC)is associated with increased mortality in sepsis patients.In this study,we aimed to assess the clinical ability of sepsis-induced coagulopathy(SIC)and sepsis-associated coagulopathy(SAC)criteria in identifying overt-DIC and preDIC status in sepsis patients.METHODS:Data from 419 sepsis patients were retrospectively collected from July 2018 to December 2022.The performances of the SIC and SAC were assessed to identify overt-DIC on days 1,3,7,or 14.The SIC status or SIC score on day 1,the SAC status or SAC score on day 1,and the sum of the SIC or SAC scores on days 1 and 3 were compared in terms of their ability to identify pre-DIC.The SIC or SAC status on day 1 was evaluated as a pre-DIC indicator for anticoagulant initiation.RESULTS:On day 1,the incidences of coagulopathy according to overt-DIC,SIC and SAC criteria were 11.7%,22.0%and 31.5%,respectively.The specificity of SIC for identifying overt-DIC was significantly higher than that of the SAC criteria from day 1 to day 14(P<0.05).On day 1,the SIC score with a cut-off value>3 had a significantly higher sensitivity(72.00%)and area under the curve(AUC)(0.69)in identifying pre-DIC than did the SIC or SAC status(sensitivity:SIC status 44.00%,SAC status 52.00%;AUC:SIC status 0.62,SAC status 0.61).The sum of the SIC scores on days 1 and 3 had a higher AUC value for identifying the pre-DIC state than that of SAC(0.79 vs.0.69,P<0.001).Favorable effects of anticoagulant therapy were observed in SIC(adjusted hazard ratio[HR]=0.216,95%confidence interval[95%CI]:0.060–0.783,P=0.018)and SAC(adjusted HR=0.146,95%CI:0.041–0.513,P=0.003).CONCLUSION:The SIC and SAC seem to be valuable for predicting overt-DIC.The sum of SIC scores on days 1 and 3 has the potential to help identify pre-DIC.

Effects of Coagulation and Ozonation Pretreatments on Biochemical Treatment of Fluid Catalytic Cracking Wastewater

Fluid catalytic cracking (FCC) salty wastewaters, containing quaternary ammonium compounds (QACs), are very difficult to treat by biochemical process. Anoxic/oxic (A/O) biochemical system, based on nitrification and denitrification reactions, was used to assess their possible biodegradation. Because of the negative effects of high salt concentration (3%), heavy metals and toxic organic matter on microorganisms’ activities, some techniques consisting of dilution, coagulation and flocculation, and ozonation pretreatments, were gradually tested to evaluate chemical oxygen demand (COD), ammonia-nitrogen (ammonia-N) and total nitrogen (TN) removal rates. In this process of FCC wastewater, starting with university-domesticated sludge, the ammonia-N and TN removal rates were worst. However, when using domesticated SBR’s sludge and operating with five-fold daily diluted influent (thus reducing salt concentration), the ammonia-N removal reached about 57% while the TN removal rate was less than 37% meaning an amelioration of the nitrification process. However, by reducing the dilution factors, these results were inflected after some days of operation, with ammonia-N removal decreasing and TN barely removed meaning a poor nitrification. Even by reducing heavy metals concentration with coagulation/flocculation process, the results never changed. Thereafter, by using ozonation pre-treatment to degrade the detected organic matter of di-tert-butylphenol and certain isoparaffins, COD, ammonia-N and TN removal rates reached 92%, 62% and 61%, respectively. These results showed that the activities of the microorganisms were increased, thus indicating a net denitrification and nitrification reactions improvement.

The effect of coupling coagulation and flocculation with membrane filtration in water treatment:A review

Water supply and sanitation demands are foreseen to face enormous challenges over the coming decades to meet the fast growing needs in a global perspective. Significant growth in the industry is predicted and membrane separation technologies have been identified as one of the possible solutions to meet future demands. Application and implementation of membrane technology is expected both in production of potable water as well as in treatment of wastewater. In potable water production membranes are substituting conventional separation technologies due to the superior performance, potential for less chemical use and sludge production, as well as the potential to fulfill hygienic barrier requirements. Membrane bio-reactor （MBR） technology is probably the membrane process which has had most success and has the best prospects for the future in wastewater treatment. Trends and developments indicate that this technology is becoming accepted and is rapidly becoming the best available technology for many wastewater treatment applications. A major drawback of MBR systems is membrane fouling. Studies have shown that fouling mitigation in MBR systems can potentially be done by coupling coagulation and flocculation to the process.

Features and mechanism for coagulation－flocculation processes of polyaluminum chloride

Ｆｅａｔｕｒｅｓａｎｄｍｅｃｈａｎｉｓｍｆｏｒｃｏａｇｕｌａｔｉｏｎ－ｆｌｏｃｃｕｌａｔｉｏｎｐｒｏｃｅｓｓｅｓｏｆｐｏｌｙａｌｕｍｉｎｕｍｃｈｌｏｒｉｄｅＴａｎｇＨｏｎｇｘｉａｏ；ＬｕａｎＺｈａｏｋｕｎ（ＳｔａｔｅＫｅｙＬａｂｏｒａｔｏｒｙｏｆＥｎ...

Coliforms and Helminth Eggs Removals by Coagulation-Flocculation Treatment Based on Natural Polymers

Wastewater from a municipal wastewater treatment plant (Mexico) was treated by a coagulation-flocculation using natural gums. The residual water was characterized in terms of organic load, and biological contaminants, i.e. total Coliforms (TC), fecal Coliforms (FC) and helminth eggs (HE). The sample has values of 2.8 × 107 MPN/100 ml, 8.48 × 106 MPN/100 ml and 470 HE/L is regarded to TC, FC and HH, respectively. The HE identified in the wastewaters were Diphyllobothrium latum, Ascaris lumbricoides, Hymenolepis nana and Toxocara canis. From several gums, Hydroxypropyl triammonium chloride guar gum (HPTAC-guar) was selected as the most adequate coagulant-flocculant for the class of municipal wastewater (MWW). A diminution of 82% for TC, 94% for FC and 99% for HE was obtained. Besides, the reduction of chemical oxygen demand (COD) and turbidity removals were 46% and 39% respectively. The natural gum mixed with Ca(OH)2, obtained removals of 52% for TC, 100% for HE, 47% for COD and 30% for turbidity.

Coagulation-flocculation process for combined sewage in Shanghai

The effects of the coagulation-flocculation process using polyaluminium chloride (PAC) and its aids on the removal of organics and nutrient in the combined sewage from Shanghai Zhuyuan First Municipal Wastewater Treatment Plant are studied. The coagulant aids include cationic polyacrylamide (PAM), polyvinyl alcohol (PVA), activated silica (AS) and a kind of polyelectrolyte called AN prepared by the authors. The coagulating solution was added to the glass jar holding 1 L wastewater and stirred to a uniform mixture which was stilled to let the supernatant turn out. The supernatant was analyzed to see the removal efficiencies of suspended solid (SS), chemical oxygen demand (COD), soluble chemical oxygen demand (S-COD), total phosphorus (TP) and orthophosphate (PO4 -P). It is found that PAC is efficient in reducing those five matters, PAM, PVA and 3? AN each faciliates the reduction of TP, SS, COD and S-COD and has little contribution to the removal of ammonia nitrigen and orthophosphate, and AS is noneffective at all. The coagulation-flocculation process with PAC has demonstrated applicable to the treatment of combined sewage in Shanghai, and it involves mainly the sweep coagulation mechanism and maybe some more complicated mechanism as well.

The Combination of Coagulation-Flocculation Method and the SCWO in the Waste Water Treatment Problems

The influence of the degree of wastewater coagulation-flocculation and supercritical water oxidation (SCWO) methodsisconsidered. The regularities of changes in the composition of the purity of the reagents used and the parameters of SCWO are established. Based on the results of chromatographic analysis of the effluent after washing the mass rape, it is found that the achievement of the required parameters is achieved by treatment with a combination of coagulation-flocculation method and supercritical water oxidation (SCWO). The necessity of combining techniques is insufficient oxidation in SCWO lignin conducted at T = 400oC and P = 25 MPa, T = 500oC and P = 30 MPa. Effluent treatment of process of styrene and propylene oxide“Nizhnekamskneftekhim”conducted by the SCWO, using an oxidant (H2O2), and without an oxidant showed the possibility of cleaning without the use of an oxidizing agent in the process parameters T = 500oC, P = 30 MPa.

Use of Prosopis laevigata Seed Gum and Opuntia ficus-indica Mucilage for the Treatment of Municipal Wastewaters by Coagulation-Flocculation

Prosopis laevigata and Opuntia ficus-indica grow in arid and semiarid regions of Mexico and other countries. Both produce biopolymers with interesting characteristics from the rheological point of view as well as because of their coagulating-flocculating capabilities. Prosopis produce galactomannans inside the endosperm, very similar to those found in guar, locust bean, and tara gums. Opuntia sp. produces mucilage that contains polygalacturonic acid and five neutral sugars. Prosopis seed gum has not been proposed to be used as coagulant-flocculant before. In the case of Opuntia mucilage, some authors have suggested its use in the treatment of waters, using either the mucilage or the whole cladode powder. The use of these products in the treatment of municipal or even industrial wastewaters could give rise to diverse benefits. From the environmental point of view, treated waters with neither Fe nor Al, nor synthetic polymers would be obtained (with less toxicity risk). Besides, the produced sludges would be smaller in amount, with better biodegradability, and lower metals content. From the economical point of view, the use of these biopolymers would give an added value to the Opuntia and Prosopis culture in Mexico, helping small communities to enhance their incomes by producing environmental-friendly products. This work shows that both Prosopis galactomannan and Opuntia mucilage can be used to treat municipal wastewaters with an initial organic charge of about 827 mg/L as COD by the coagulation-flocculation process, with COD removals for the mesquite seed gum of up to 90% (pH 10, dose of 75 mg/L) and of 60% (pH 7, doses of 50 and 150 mg/L). In the case of mucilage, 65% of the initial COD was removed at pH 10 (dose of 50 mg/L). These figures are very promising for the treatment of wastewaters, with environmental-friendly products.

Use of Natural Coagulants in Removing Organic Matter, Turbidity and Fecal Bacteria from Hospital Wastewater by Coagulation-Flocculation Process

Hospital wastewater represents an infectious and toxic risk to human health and the environment due to its contents. Most hospitals in developing countries, including Benin, do not have a wastewater treatment plant. In this study, the wastewater from two hospitals in northern Benin was characterized and then treated with Azadirachta indica leaves, Moringa oleifera and Luffa cylindrica seeds by coagulation/flocculation process. The wastewater characteristics showed that the collected samples are greatly polluted by organic matter and fecal bacteria such as Escherichia coli, Enterococcus fecal and Total coliforms. Jar-test results revealed that 95.74%, 78%, 49.19% of turbidity, 51.35%, 38.32%, 22.19% of COD, 93.16%, 85.26%, 83.30% against Escherichia coli, 92.11%, 90.93%, 94.60% against total Coliforms and 99.37%, 91%, 99%, 55.07% against Enterococcus were removed from hospital wastewater using Moringa oleifera, Luffa cylindrica seed and Azadirachta indica leaves respectively at dose of 100 mg/L. The results highlighted that the natural coagulants could be successfully used for the removal of turbidity and fecal bacteria from hospital wastewater.

Assessment of Endotoxin Removal from Reclaimed Wastewater Using Coagulation-Flocculation

Following biological treatment, wastewater continues to have endotoxic active materials. However, because there is a trend of potable reuse and because endotoxic active materials potentially have harmful effects on human health, their removal from water is crucial. Lipopolysaccharide endotoxin has hydrophobic groups, and their removal using a coagulation-flocculation alternative is believed to be efficient. Thus, their removal from reclaimed wastewater using the coagulation-flocculation process was assessed. Secondary effluent samples from a wastewater treatment plant located in Sapporo, Japan, were investigated. It was found that this process gave satisfactory results in removing endotoxins, with an optimum removal rate of up to 40.5%. The endotoxin removal was maximized by adjusting the pH at the low range 4 - 5.5, with an aluminum sulfate dose of 80 mg/L. Further increases of the coagulant dose did not improve the removal efficiency. DOC and turbidity removal were at their optimum at higher pH range 5.5 - 6.5. Thus coagulation and flocculation could be considered as the first barrier and should be followed by other treatments to safely reuse reclaimed wastewater.

Coagulation abnormalities and their relationship with bleeding manifestations in patients with dengue-A single center observational study

Objective:To evaluate coagulation abnormalities and their relationship with bleeding manifestations among patients with dengue.Methods:This observational study was conducted on 292 adult dengue patients who were admitted to a tertiary care hospital of Western India from July 2021 to June 2022.Coagulation tests including prothrombin time(PT),international normalized ratio(INR),activated partial thromboplastin time(aPTT),fibrinogen,and D-dimer were performed.Patients were monitored for bleeding manifestations.Results:Coagulation abnormalities were reported in 42.8%of the patients.Overall,prolonged aPTT was the most common coagulation abnormality(40.8%),followed by low fibrinogen(38.7%),raised D-dimer(31.2%),raised INR(26.0%)and prolonged PT(19.2%).Bleeding manifestations were present in 19.9%patients.PT,INR,aPTT and D-dimer levels were significantly higher(P<0.01)and fibrinogen level was significantly lower(P<0.001)in patients with bleeding compared to patients without bleeding.Patients with bleeding had a significantly higher rate of all coagulation abnormalities than patients without bleeding(P<0.01).Conclusions:Patients with bleeding showed a significantly higher frequency of coagulation abnormalities compared to patients without bleeding.Patients with dengue should be assessed for coagulation abnormalities.

Electrokinetic characteristic and coagulation behavior of flocculant polyaluminum silicate chloride (PASiC)

The electrokinetic characteristics and coagulation behaviors of polyaluminum silicate chloride (PASiC) and polyaluminum chloride (PAC) were studied and compared by streaming current (SC) measurement and jar test method. The experimental results showed that the interaction between polysilicic acid characterized negative charge and hydrolyzed aluminum species result in a decrease of the charge neutralizing ability of PASiC, compared to PAC. The decrease has a close relationship with the basicity ( B ) and Al/Si molar ratio in PASiC. The less the B value and the Al/Si molar ratio, the lower the charge neutralizing ability of PASiC is. In contrast, the preparation technique for PASiC affects the charge-neutralization of PASiC to a smaller extent. In addition, compared with PAC, PASiC may enhance aggregating efficiency and give better coagulating effects.

Investigating the Performance of the Coagulation Process When Using a Combination of Zinc Oxide Nanoparticles and Ferric Polysulfate

In this article, a new type of coagulant material has been investigated and the performance of the coagulation process using this type of coagulant was evaluated. This new type is a combination of zinc oxide nanoparticles and polyferric sulfate (ZnOPFS). The structure of zinc oxide nanoparticles was determined by spectroscopic, X-ray and electron microscopy methods, and based on this, it was determined that ZnOPFS is a complex and mixed compound that is mainly composed of zinc oxide nanoparticles and ferric sulfate. The effects of Zn/Fe (Zn/Fe) molar ratio and aging (time) on acidity and zeta potential were also evaluated using a specific method. The obtained results showed that in the simultaneous deposition process, zinc ions can prevent the formation of polyferric acid coagulation and subsequently improve the stability of ZnOPFS.

Synthesis and Flocculation of Polyacrylamide with Low Water Absorption for Non-dispersible Underwater Concrete

The polyacrylamide which is directly added into concrete shows strong water absorption property.Thus the construction of underwater constructure would demand high amount of water,resulting in poor workability of concrete and strength shrinkage after hardening.Herein,a kind of anionic polyacrylamide(APAM)grafted with water reducing functional group(-COOH)was synthesized at low temperatures by partial factor design and response surface design.The structure and morphology of APAM were characterized by UV,FTIR and SEM methods.The experimental results show that the molecular weight of the synthesized APAM could reach 11 million,under the condition that the temperature was 35℃,the pH value was 8,the monomer concentration was 27wt%,the initiator dosage was 0.6wt%,and the monomer ratio(n(AM):n(AA))was 3.When the APAM was applied into the underwater slurry,it presented good flocculation and low water demand.When the dosage was 1%of the mass of the cement,the water demand increased by 12%,which could meet the self-leveling and anti-dispersity of the underwater slurry at the same time.This technology provides technical guidance for the large-scale industrial production of polyacrylamide for underwater concrete construction while achieving environmental protection during production.

Virus Removal by Iron Coagulation Processes

Waterborne viruses account for 30% to 40% of infectious diarrhea, and some viruses could persevere for some months in nature and move up to 100 m in groundwater. Using filtration setups, coagulation could lessen virus charges as an efficient pre-treatment for reducing viruses. This work discusses the present-day studies on virus mitigation using coagulation in its three versions i.e., chemical coagulation (CC), enhanced coagulation, and electrocoagulation (EC), and debates the new results of virus demobilization. The complexity of viruses as bioparticles and the process of virus demobilization should be adopted, even if the contribution of permeability in virus sorption and aggregation needs to be clarified. The information about virion permeability has been evaluated by interpreting empirical electrophoretic mobility (EM). No practical measures of virion permeability exist, a clear link between permeability and virion composition and morphology has not been advanced, and the direct influence of inner virion structures on surface charge or sorption has yet to be conclusively demonstrated. CC setups utilizing zero-valent or ferrous iron could be killed by iron oxidation, possibly using EC and electrooxidation (EO) methods. The oxidants evolution in the iron oxidation method has depicted promising findings in demobilizing bacteriophage MS2, even if follow-up investigations employing an elution method are needed to secure that bacteriophage elimination is related to demobilization rather than sorption. As a perspective, we could be apt to anticipate virus conduct and determine new bacteriophage surrogates following subtle aspects such as protein structures or genome size and conformation. The present discussion’s advantages would extend far beyond an application in CC—from filtration setups to demobilization by nanoparticles to modeling virus fate and persistence in nature.

Perioperative coagulation activation after permanent pacemaker placement

BACKGROUND Bradyarrhythmias are typically treated with permanent pacemakers(PM). The elimination of bradyarrhythmia by PM implantation improves the patient’s quality of life and prognosis, but it can also result in a number of sequalae. It is still unclear how PM implantation affects the hemostasis system’s parameters and how such parameters relate to different consequences after PM placement.AIM To assess the blood coagulation factor activity in PM patients throughout the perioperative period.METHODS Patients treated in the Department of Surgical Therapy of Cardiac Arrhythmias and Pacing at the Ryazan State "Regional Clinical Cardiology Dispensary" from April 2020 to December 2021 were included in the study. Before surgery, 7 and 30 d after PM placement, peripheral venous blood samples were withdrawn to measure the level of blood coagulation factor Ⅰ(FⅠ) and the activity of blood coagulation factors Ⅱ(FⅡ), Ⅴ(FⅤ), Ⅶ(FⅦ), Ⅷ(FⅧ), ⅸ(Fⅸ), ⅹ(Fⅹ), Ⅺ(FⅪ), Ⅻ(FⅫ). We used an automatic coagulometer Sysmex CA 660(Sysmex Europe, Germany) and reagents from Siemens(Siemens Healthcare Diagnostics Products GmbH, Germany).RESULTS The study included 146 patients. The activity of factors FⅤ [147.7(102.1-247.55)% vs 103.85(60-161.6)% vs 81.8(67.15-130.65)%, P = 0.002], FⅧ [80.4(60.15-106.25)% vs 70.3(48.5-89.1)% vs 63.7(41.6-88.25)%, P = 0.039], Fⅸ [86.2(70.75-102.95)% vs 75.4(59.2-88.3)% vs 73.9(56.45-93.05)%, P = 0.014], Fⅹ [188.9(99.3-308.18)% vs 158.9(83.3-230)% vs 127.2(95.25-209.35)%, P = 0.022], FⅪ [82.6(63.9-103.6)% vs 69.75(53.8-97.6)% vs 67.3(54.25-98.05)%, P = 0.002], FⅫ [87.6(67.15-102.3)% vs 78.9(63.4-97.05)% vs 81.2(62.15-97.4)%, P < 0.001] decreased at 7 and 30 d after surgery;FⅡ activity [157.9(109.7-245.25)% vs 130(86.8-192.5)% vs 144.8(103.31-185.6)%, P = 0.021] decreased at 7 d and increased at 30 d postoperatively. There were no statistically significant changes in the FVII activity within 30 d after PM placement [182.2(85.1-344.8)% vs 157.2(99.1-259)% vs 108.9(74.9-219.8)%, P = 0.128]. Subgroup analysis revealed similar changes only in patients on anticoagulant therapy. FⅫ activity decreased in patients on antiplatelet therapy [82(65.8-101.9)% vs 79.9(63.3-97.1)% vs 89.7(75.7-102.5)%, P = 0.01] 7 d after surgery, returning to baseline values at 30 d postoperatively.CONCLUSION PM placement and anticoagulant therapy were associated with decreased activity of clotting factors FⅤ, FⅧ, Fⅸ, Fⅹ, FⅪ, FⅫ in the postoperative period. FⅧ activity did not decrease within 30 d after PM placement, which may indicate endothelial injury caused by lead placement.

Expression and Purification of Human Coagulation Factor X in Mammalian CHO-DG44 Cells

[Objectives]This study was conducted to obtain a Chinese hamster ovary cell line that stably expresses recombinant human coagulation factor X(rhFX),and to induce efficient expression of the target gene with different concentrations of methotrexate(MTX).[Methods]PCR was performed to obtain the rhFX gene,and a recombinant expression plasmid pOptiVEC-rhFX was constructed and subjected to double restriction endonuclease digestion and sequencing identification.CHO-DG44(DHFR-)cells were transfected by the liposome method,and the target protein was purified by affinity chromatography and detected by SDS-PAGE electrophoresis and Western blot.A cell line with efficient and stable expression of the target gene was obtained by increasing the concentration of MTX to select positive clones.[Results]PCR yielded a 1509 bp rhFX sequence,and the results of double digestion and sequencing showed that the constructed pOptiVEC-rhFX plasmid was correct.After transfection of cells,MTX significantly increased protein expression.When MTX reached 1.0μmol/L,the expression efficiency of the target protein was(9±0.27)μg/ml.The purity of the target protein purified by affinity chromatography was 93%,which could be used for subsequent experiments.The expression efficiency of rhFX in eukaryotic mammalian cells was improved by increasing MTX concentration,and an affinity chromatography purification process for the target protein was preliminarily established.[Conclusions]The results of this study provide data support for the expression and purification of rhFX,and will lay a solid foundation for the development of drugs related to rhFX.

Clinical association between coagulation indicators and bone metastasis in patients with gastric cancer

BACKGROUND Bones are one of the most common target organs for cancer metastasis.Early evaluation of bone metastasis(BM)status is clinically significant.Cancer patients often experience a hypercoagulable state.AIM To evaluate the correlation between coagulation indicators and the burden of BM in gastric cancer(GC).METHODS We conducted a single-center retrospective study and enrolled 454 patients.Clinical information including routine blood examination and coagulation markers were collected before any treatment.Patients were grouped according to the status of BM.Receiver operating characteristic curves were used to assess diagnostic performance and determine the optimal cutoff values of the above indicators.Cutoff values,sensitivity and specificity were based on the maximum Youden index.Univariate and multivariate logistic regression analyses were used to evaluate the relationships between biomarkers and BM.RESULTS Of the 454 enrolled patients,191 patients were diagnosed with BM.The receiver operating characteristic curve analysis suggested that prothrombin time(PT)Wang X et al.Coagulation indicators predict bone metastasis WJGO https://www.wjgnet.com 1254 July 15,2023 Volume 15 Issue 7[cutoff:13.25;sensitivity:0.651;specificity:0.709;area under receiver operating characteristic curve(AUC)=0.738],activated partial thromboplastin time(aPTT)(cutoff:35.15;sensitivity:0.640;specificity:0.640;AUC=0.678)and fibrin degradation products(FDP)(cutoff:2.75;sensitivity:0.668;specificity:0.801;AUC=0.768)act as novel predictors for BM.Based on multivariate logistic regression analysis,the results showed the independent correlation between PT[odds ratio(OR):3.16;95%confidence interval(CI):1.612-6.194;P=0.001],aPTT(OR:2.234;95%CI:1.157-4.313;P=0.017)and FDP(OR:3.17;95%CI:1.637-6.139;P=0.001)and BM in patients with GC.Moreover,age,carcinoembryonic antigen,erythrocyte and globulin were found to be significantly associated with BM.CONCLUSION Coagulation markers,namely PT,aPTT and FDP,might be potential predictors for screening BM in patients with GC.