Objective This study was conducted to optimize the operational parameters of anaerobic-anoxic-oxic （A^2/O） processes to reduce the toxicity of municipal wastewater and evaluate its ability to reduce toxicity. Method...Objective This study was conducted to optimize the operational parameters of anaerobic-anoxic-oxic （A^2/O） processes to reduce the toxicity of municipal wastewater and evaluate its ability to reduce toxicity. Methods A luminescent bacterium toxicity bioassay was employed to assess the toxicity of influent and effluent of each reactor in the A2/O system. Results The optimum operational parameters for toxicity reduction were as follows： anaerobic hydraulic retention time （HRT） = 2.8 h, anoxic HRT = 2.8 h, aerobic HRT = 6.9 h, sludge retention time （SRT） = 15 days and internal recycle ratio （IRR） = 100%. An important toxicity reduction （%） was observed in the optimized A2/O process, even when the toluene concentration of the influent was 120.7 mg·L^-1. Conclusions The toxicity of municipal wastewater was reduced significantly during the A^2/O process. A^2/O process can be used for toxicity reduction of municipal wastewater under toxic-shock loading.展开更多
Bone cement has the capacity to release antibiotic molecules if any antibiotic is included in it, and these elution properties are improved as cement porosity is increased. In vitro studies have shown high local antib...Bone cement has the capacity to release antibiotic molecules if any antibiotic is included in it, and these elution properties are improved as cement porosity is increased. In vitro studies have shown high local antibiotic concentration for many hours or few days after its use. Antibiotic loaded bone cement(ALBC) is helpful when treating an infection in total knee arthroplasty(TKA) revision surgery. The purpose of this paper was to review the evidence for the routine use of ALBC in TKA in the literature, its pros and cons. Many authors have recommended the use of ALBC also in primary TKA for infection prophylaxis, but the evidence based on data from National Registries, randomized clinical trials and meta-analysis suggest a protective effect of ALBC against infection when used in hips, but not(or only mild) in knees. A possible explanation to this finding is that the duration and quantity of locally elevated antibiotic levels after surgery are smaller in TKA, due to the smaller amount of cement used for fixation in TKA-only a layer in the bone surface. There are some concerns about the routine use of ALBC in primary TKA as prophylaxis against infection: Firstly, there is a risk of hypersensivity or toxicity even when the chance is highly improbable. Secondly, there is a reduction in the mechanical properties of the cement, but this can be probably neglected if the antibiotic is used in low doses, not more than 1 g per 40 g cement package. Another significant concern is the increased economic cost, which could be overlooked if there were enough savings in treating fewer prosthetic infections. Finally, there is also a risk of selection of antibiotic-resistant strains of bacteria and this could be the main concern. If used, the choice of the antibiotic mixed in ALBC should consider microbiological aspects(broad antimicrobial spectrum and low rate of resistant bacteria), physical and chemical aspects(thermal stability, high water solubility), pharmacological characteristics(low risk to allergic reactions or toxicity) and economic aspects(not too expensive). The most commonly used antibiotics in ALBC are gentamicin, tobramycin and vancomycin. In conclusion, there is a paucity of randomized clinical trials in the use of ALBC in primary TKAs and the actual evidence of the effect of ALBC in reducing the risk of infection is insufficient. This, in addition to concerns about patient safety, risks of increase in the antibiotic resistance of microorganisms and the increase in costs in the procedure, lead us to recommend a cautious use of ALBC, perhaps only in high-risk patients(immunocompromised, morbidly obese, diabetic and patients with previous history of fracture or infection around the knee) unless the benefits of ALBC use were fully proven. Meanwhile, the rigorous use of peri-operative prophylactic systemic antibiotics and adoption of efficient antiseptic procedures and improved surgical techniques must be considered the gold standard in infection prevention in TKA surgery.展开更多
To smooth the correlation process from bio-virus diffusion to emergency relief response,the Gaussian plume model is used to describe the diffusion of dangerous sources,where the bio-virus concentration at any given po...To smooth the correlation process from bio-virus diffusion to emergency relief response,the Gaussian plume model is used to describe the diffusion of dangerous sources,where the bio-virus concentration at any given point in affected areas can be calculated.And the toxic load rule is introduced to define the borderline of the dangerous area at different levels.Combined with this,different emergency levels of different demand points in dangerous areas are confirmed using fuzzy clustering,which allows demand points at the same emergency level to cluster in a group.Some effective emergency relief centers are chosen from the candidate hospitals which are located in different emergency level affected areas by set covering.Bioterrorism experiments which were conducted in Nanjing,Jiangsu province are simulated,and the results indicate that the novel method can be used efficiently by decision makers during an actual anti-bioterrorism relief.展开更多
基金supported by the National Science Foundation Project grants of China(No.50878165,No.21007010)the Program for New Century Excellent Talents in University(NCET-08-0403)+4 种基金the Research Fund for the Doctoral Program of Higher Education of China(No.20090075120007)the Shanghai Committee of Science and Technology,China(No.09230500200)the Fundamental Research Funds for the Central Universities of China(No.10D11308)the Key Special Program on the S&T for the Pollution Control and Treatment of Water Bodies(No. 2008ZX07316-003)the Shanghai Leading Academic Discipline Project (No.B604)
文摘Objective This study was conducted to optimize the operational parameters of anaerobic-anoxic-oxic （A^2/O） processes to reduce the toxicity of municipal wastewater and evaluate its ability to reduce toxicity. Methods A luminescent bacterium toxicity bioassay was employed to assess the toxicity of influent and effluent of each reactor in the A2/O system. Results The optimum operational parameters for toxicity reduction were as follows： anaerobic hydraulic retention time （HRT） = 2.8 h, anoxic HRT = 2.8 h, aerobic HRT = 6.9 h, sludge retention time （SRT） = 15 days and internal recycle ratio （IRR） = 100%. An important toxicity reduction （%） was observed in the optimized A2/O process, even when the toluene concentration of the influent was 120.7 mg·L^-1. Conclusions The toxicity of municipal wastewater was reduced significantly during the A^2/O process. A^2/O process can be used for toxicity reduction of municipal wastewater under toxic-shock loading.
文摘Bone cement has the capacity to release antibiotic molecules if any antibiotic is included in it, and these elution properties are improved as cement porosity is increased. In vitro studies have shown high local antibiotic concentration for many hours or few days after its use. Antibiotic loaded bone cement(ALBC) is helpful when treating an infection in total knee arthroplasty(TKA) revision surgery. The purpose of this paper was to review the evidence for the routine use of ALBC in TKA in the literature, its pros and cons. Many authors have recommended the use of ALBC also in primary TKA for infection prophylaxis, but the evidence based on data from National Registries, randomized clinical trials and meta-analysis suggest a protective effect of ALBC against infection when used in hips, but not(or only mild) in knees. A possible explanation to this finding is that the duration and quantity of locally elevated antibiotic levels after surgery are smaller in TKA, due to the smaller amount of cement used for fixation in TKA-only a layer in the bone surface. There are some concerns about the routine use of ALBC in primary TKA as prophylaxis against infection: Firstly, there is a risk of hypersensivity or toxicity even when the chance is highly improbable. Secondly, there is a reduction in the mechanical properties of the cement, but this can be probably neglected if the antibiotic is used in low doses, not more than 1 g per 40 g cement package. Another significant concern is the increased economic cost, which could be overlooked if there were enough savings in treating fewer prosthetic infections. Finally, there is also a risk of selection of antibiotic-resistant strains of bacteria and this could be the main concern. If used, the choice of the antibiotic mixed in ALBC should consider microbiological aspects(broad antimicrobial spectrum and low rate of resistant bacteria), physical and chemical aspects(thermal stability, high water solubility), pharmacological characteristics(low risk to allergic reactions or toxicity) and economic aspects(not too expensive). The most commonly used antibiotics in ALBC are gentamicin, tobramycin and vancomycin. In conclusion, there is a paucity of randomized clinical trials in the use of ALBC in primary TKAs and the actual evidence of the effect of ALBC in reducing the risk of infection is insufficient. This, in addition to concerns about patient safety, risks of increase in the antibiotic resistance of microorganisms and the increase in costs in the procedure, lead us to recommend a cautious use of ALBC, perhaps only in high-risk patients(immunocompromised, morbidly obese, diabetic and patients with previous history of fracture or infection around the knee) unless the benefits of ALBC use were fully proven. Meanwhile, the rigorous use of peri-operative prophylactic systemic antibiotics and adoption of efficient antiseptic procedures and improved surgical techniques must be considered the gold standard in infection prevention in TKA surgery.
基金The National Natural Science Foundation of China(No.70671021)the National Key Technology R&D Program of China during the 11th Five-Year Plan Period(No.2006BAH02A06)
文摘To smooth the correlation process from bio-virus diffusion to emergency relief response,the Gaussian plume model is used to describe the diffusion of dangerous sources,where the bio-virus concentration at any given point in affected areas can be calculated.And the toxic load rule is introduced to define the borderline of the dangerous area at different levels.Combined with this,different emergency levels of different demand points in dangerous areas are confirmed using fuzzy clustering,which allows demand points at the same emergency level to cluster in a group.Some effective emergency relief centers are chosen from the candidate hospitals which are located in different emergency level affected areas by set covering.Bioterrorism experiments which were conducted in Nanjing,Jiangsu province are simulated,and the results indicate that the novel method can be used efficiently by decision makers during an actual anti-bioterrorism relief.
