Intractable functional constipation is a type of constipation which is difficult to cure,which is usually characterized by persistent constipation,dependence on laxative and/or ineffective treatment of laxative.In rec...Intractable functional constipation is a type of constipation which is difficult to cure,which is usually characterized by persistent constipation,dependence on laxative and/or ineffective treatment of laxative.In recent years,with the change of diet structure,accelerated pace of life and the influence of socio-psychological factors,the incidence rate has increased year by year,seriously affecting the quality of life of patients.Professor Yao Shukun has remarkable clinical effect and experience in the treatment of intractable functional constipation.Professor Yao believes that,combined with the changes of people's diet structure,life style and physique,the main TCM syndrome type of clinical stubborn functional constipation is dampness-heat and blood stasis,and the main treatment should be clearing heat and resolving dampness,regulating qi and removing blood stasis;and we should pay attention to the application of the idea of"Simultaneous Treatment of Medicine and Food"in the process of diagnosis and treatment,and educate patients to change their diet structure in order to fundamentally dispel the etiology.展开更多
Dear Editor,Combined vascular occlusions involving retinal arteries and veins have been reported in the past. Combined occlusion of the central retinal vein （CRVO） and artery （CRAO）is well described;. Cilioretinal...Dear Editor,Combined vascular occlusions involving retinal arteries and veins have been reported in the past. Combined occlusion of the central retinal vein （CRVO） and artery （CRAO）is well described;. Cilioretinal artery occlusion along with CRVO is frequently reported and is well characterized;.展开更多
Simultaneous nitrification and denitrification （SND） effect and phosphor removal were investigated in a one-staged aerobic submerged membrane bioreactor on pilot-scale with mixed liquor suspended solids （MLSS） 19-...Simultaneous nitrification and denitrification （SND） effect and phosphor removal were investigated in a one-staged aerobic submerged membrane bioreactor on pilot-scale with mixed liquor suspended solids （MLSS） 19--20 g/L. The effects of DO concentration, sludge floc size distribution on SND were studied. Test results suggested that SND was successfully performed in the membrane bioreactor （MBR） and about 70% total nitrogen removal efficiency was achieved when DO concentration was set to 0.2-- 0.3 mg/L. The main mechanisms governing SND were the suitable sludge floc size and the low DO concentration which was caused by low oxygen transfer rate with such a high MLSS concentration in the MBR. In the meantime, phosphor removal was also studied with polymer ferric sulfate （PFS） addition and 14 mg/L dosage of PFS was proper for the MBR to remove phosphor. PFS addition also benefited the MBR operation owing to its reduction of extracellular polymer substances （EPS） of mixed liquor.展开更多
Performance of a full-scale anoxic-oxic activated sludge treatment plant（4.0×10-5 m-3/day for the first-stage project） was followed during a year.The plant performed well for the removal of carbon,nitrogen and ...Performance of a full-scale anoxic-oxic activated sludge treatment plant（4.0×10-5 m-3/day for the first-stage project） was followed during a year.The plant performed well for the removal of carbon,nitrogen and phosphorus in the process of treating domestic wastewater within a temperature range of 10.8℃ to 30.5℃.Mass balance calculations indicated that COD utilization mainly occurred in the anoxic phase,accounting for 88.2% of total COD removal.Ammonia nitrogen removal occurred 13.71% in the anoxic zones and 78.77% in the aerobic zones.The contribution of anoxic zones to total nitrogen（TN） removal was 57.41%.Results indicated that nitrogen elimination in the oxic tanks was mainly contributed by simultaneous nitrification and denitrification（SND）.The reduction of phosphorus mainly took place in the oxic zones,51.45% of the total removal.Denitrifying phosphorus removal was achieved biologically by 11.29%.Practical experience proved that adaptability to gradually changing temperature of the microbial populations was important to maintain the plant overall stability.Sudden changes in temperature did not cause paralysis of the system just lower removal efficiency,which could be explained by functional redundancy of microorganisms that may compensate the adverse effects of temperature changes to a certain degree.Anoxic-oxic process without internal recycling has great potential to treat low strength wastewater（i.e.,TN 〈 35 mg/L） as well as reducing operation costs.展开更多
Microbial fuel cells（MFCs） have become a promising technology for wastewater treatment accompanying electricity generation. Carbon and nitrogen removal can be achieved by utilizing the electron transfer between the ...Microbial fuel cells（MFCs） have become a promising technology for wastewater treatment accompanying electricity generation. Carbon and nitrogen removal can be achieved by utilizing the electron transfer between the anode and cathode in an MFC. However,large-scale power production and high removal efficiency must be achieved at a low cost to make MFCs practical and economically competitive in the future. This article reviews the principles, feasibility and bottlenecks of MFCs for simultaneous carbon and nitrogen removal, the recent advances and prospective strategies for performance improvement, as well as the involved microbes and electron transfer mechanisms.展开更多
Simultaneous anammox and denitrification(SAD) is an efficient approach to treat wastewater having a low C/N ratio;however, few studies have investigated a combination of SAD and partial nitritation(PN). In this study,...Simultaneous anammox and denitrification(SAD) is an efficient approach to treat wastewater having a low C/N ratio;however, few studies have investigated a combination of SAD and partial nitritation(PN). In this study, a lab-scale up-flow blanket filter(UBF) and zeolite sequence batch reactor(ZSBR) were continuously operated to implement SAD and PN advantages, respectively. The UBF achieved a high total nitrogen(TN) removal efficiency of over 70% during the start-up stage(days 1–50), and reached a TN removal efficiency of 96%in the following 90 days(days 51–140) at COD/NH_(4)^(+)-N ratio of 2.5. The absolute abundance of anammox bateria increased to the highest value of 1.58 × 107copies/μL DNA;Comamonadaceae was predominant in the UBF at the optimal ratio. Meanwhile, ZSBR was initiated on day 115 as fast nitritation process to satisfy the influent requirement for the UBF. The combined process was started on day 140 and then lasted for 30 days, during the combined process, between the two reactors, the UBF was the main contributor for TN(66.5% ± 4.5%)and COD(71.8% ± 4.9%) removal. These results demonstrated that strong SAD occurred in the UBF when following a ZSBR with in-situ NOB elimination. This research presents insights into a novel biological nitrogen removal process for low C/N ratio wastewater treatment.展开更多
BACKGROUND Hepatocellular carcinoma(HCC)is a common cancer and a leading cause of tumor-related death.Patients with large HCC(≥8 cm)are at an advanced stage and have poor prognosis,and hepatic resection may not be su...BACKGROUND Hepatocellular carcinoma(HCC)is a common cancer and a leading cause of tumor-related death.Patients with large HCC(≥8 cm)are at an advanced stage and have poor prognosis,and hepatic resection may not be suitable,and the incidence of postoperative recurrence is high.AIM To evaluate recurrence and mid-term survival of patients with large HCC treated by transcatheter arterial chemoembolization(TACE)and radiofrequency ablation(RFA).METHODS This was a retrospective study.From 2010 to 2013,46 consecutive patients with large HCC were treated with simultaneous TACE and RFA.Thirty-five of 46 patients had a single tumor.Progression-free survival(PFS)and overall survival(OS)were analyzed at 2 years and 3 years,respectively.RESULTS Forty-six patients treated by simultaneous TACE and RFA had no significant complications and treatment was successful.After 3 years,median PFS and OS were 10.21±1.58 mo and 26.44±2.26 mo,retrospectively.The survival rate was 67.5%after 2 years and 55.67%after 3 years.CONCLUSION These preliminary data show that simultaneous TACE and RFA are safe and effective for large HCC.展开更多
Multiple primary carcinoma which is the same organ of the same patient or multiple organs, tissues has occurred two or more than two kinds of the primary malignant tumor. All cancer at the same time or 6 months from d...Multiple primary carcinoma which is the same organ of the same patient or multiple organs, tissues has occurred two or more than two kinds of the primary malignant tumor. All cancer at the same time or 6 months from diagnosis is called simultaneous multiple primary carcinoma. In this case the patient suffering from cancer including rectal cancer, colon cancer and appendix gastrointestinal stromal tumor(GIST) three primary carcinoma, is simultaneous multiple primary carcinoma and it's extremely rare on the clinical cases. This report address that the incidence of the patient with operation and pathological diagnosis.展开更多
A Florida wastewater treatment facility studied how Simultaneous Nitrification Denitrification (SND) coupled with traditional nitrogen removal would be used to meet the state’s current advanced wastewater treatment n...A Florida wastewater treatment facility studied how Simultaneous Nitrification Denitrification (SND) coupled with traditional nitrogen removal would be used to meet the state’s current advanced wastewater treatment nutrient criterion. This study examined the effect of these combined processes on the fate and transport of the nitrogen species during the treatment process. The effectiveness of nitrogen removal within the full scale sequential batch reactor system (SBR) and the extent of SND compared to nitrification and denitrification in the nitrogen removal process was also evaluated. Finally, the overall performance of the municipal wastewater treatment facility utilizing these combined processes was evaluated. Overall, this application reduced the total nitrogen to almost 6% of the permitted concentration of 3.0 mg/L. The combination of both processes also resulted in an actual ?concentration 93.7% lower than the acceptable theoretical ?concentration, which also resulted in effluent Total Inorganic Nitrogen nearly 80% lower than the permitted 3.0 mg/L effluent concentration. Further, the process produced a composite Total Nitrogen concentration that was 74% lower than the permitted concentration. This coupling of SND with traditional nitrogen removal resulted in a highly effective process to reduce nitrogen in the municipal wastewater effluent which is also attractive for potential implementation due to the low cost expenditure incurred in its utilization.展开更多
Simultaneous removals of dye and nitrate by photo dependent denitrifying sludge(PDDS) have been demonstrated in a continuous flow bench scale reactor. The best C/N for the degradation of azo dyes by PDDS was 1.5. T...Simultaneous removals of dye and nitrate by photo dependent denitrifying sludge(PDDS) have been demonstrated in a continuous flow bench scale reactor. The best C/N for the degradation of azo dyes by PDDS was 1.5. The specific removal rate of azo dye AB92 decreased with a decrease in hydraulic retention time and increased with a decrease in solids retention time. The degradation rate of TOC decreased with a decrease in hydraulic retention time. AB92, which has nitro and hydroxyl substitutions in non para positions, was uniquely degraded. During continuous flow treatment experiments using PDDS, complete degradation of azo dyes AB92 and AO20 at influent concentrations of 40 mg/L and 30 mg/L, respectively, was achieved with an HRT of 16.展开更多
基金Evaluation and promotion of appropriate technology for the prevention and treatment of common frequently occurring diseases at grassroots level(No.2014BA108B00)。
文摘Intractable functional constipation is a type of constipation which is difficult to cure,which is usually characterized by persistent constipation,dependence on laxative and/or ineffective treatment of laxative.In recent years,with the change of diet structure,accelerated pace of life and the influence of socio-psychological factors,the incidence rate has increased year by year,seriously affecting the quality of life of patients.Professor Yao Shukun has remarkable clinical effect and experience in the treatment of intractable functional constipation.Professor Yao believes that,combined with the changes of people's diet structure,life style and physique,the main TCM syndrome type of clinical stubborn functional constipation is dampness-heat and blood stasis,and the main treatment should be clearing heat and resolving dampness,regulating qi and removing blood stasis;and we should pay attention to the application of the idea of"Simultaneous Treatment of Medicine and Food"in the process of diagnosis and treatment,and educate patients to change their diet structure in order to fundamentally dispel the etiology.
文摘Dear Editor,Combined vascular occlusions involving retinal arteries and veins have been reported in the past. Combined occlusion of the central retinal vein （CRVO） and artery （CRAO）is well described;. Cilioretinal artery occlusion along with CRVO is frequently reported and is well characterized;.
基金The Hi-Tech Research and Development Program (863) of China (No. 2002AA601220)
文摘Simultaneous nitrification and denitrification （SND） effect and phosphor removal were investigated in a one-staged aerobic submerged membrane bioreactor on pilot-scale with mixed liquor suspended solids （MLSS） 19--20 g/L. The effects of DO concentration, sludge floc size distribution on SND were studied. Test results suggested that SND was successfully performed in the membrane bioreactor （MBR） and about 70% total nitrogen removal efficiency was achieved when DO concentration was set to 0.2-- 0.3 mg/L. The main mechanisms governing SND were the suitable sludge floc size and the low DO concentration which was caused by low oxygen transfer rate with such a high MLSS concentration in the MBR. In the meantime, phosphor removal was also studied with polymer ferric sulfate （PFS） addition and 14 mg/L dosage of PFS was proper for the MBR to remove phosphor. PFS addition also benefited the MBR operation owing to its reduction of extracellular polymer substances （EPS） of mixed liquor.
基金supported by the National High Technology Research and Development Program (863 Program) of China (No. 2012AA063302)the Jiangsu Water Protection Project (No. 2015005)
文摘Performance of a full-scale anoxic-oxic activated sludge treatment plant（4.0×10-5 m-3/day for the first-stage project） was followed during a year.The plant performed well for the removal of carbon,nitrogen and phosphorus in the process of treating domestic wastewater within a temperature range of 10.8℃ to 30.5℃.Mass balance calculations indicated that COD utilization mainly occurred in the anoxic phase,accounting for 88.2% of total COD removal.Ammonia nitrogen removal occurred 13.71% in the anoxic zones and 78.77% in the aerobic zones.The contribution of anoxic zones to total nitrogen（TN） removal was 57.41%.Results indicated that nitrogen elimination in the oxic tanks was mainly contributed by simultaneous nitrification and denitrification（SND）.The reduction of phosphorus mainly took place in the oxic zones,51.45% of the total removal.Denitrifying phosphorus removal was achieved biologically by 11.29%.Practical experience proved that adaptability to gradually changing temperature of the microbial populations was important to maintain the plant overall stability.Sudden changes in temperature did not cause paralysis of the system just lower removal efficiency,which could be explained by functional redundancy of microorganisms that may compensate the adverse effects of temperature changes to a certain degree.Anoxic-oxic process without internal recycling has great potential to treat low strength wastewater（i.e.,TN 〈 35 mg/L） as well as reducing operation costs.
基金supported by the "Knowledge Innovation" Program of the Chinese Academy of Sciences (Nos. KZZD-EW09-3 and KSCX2-EW-B-1-5)the National Water Pollution Control and Treatment Science and Technology Major Project (No. 2015ZX07206-006)the Key Technologies R&D Program of China (No. 2014BAD14B01)
文摘Microbial fuel cells（MFCs） have become a promising technology for wastewater treatment accompanying electricity generation. Carbon and nitrogen removal can be achieved by utilizing the electron transfer between the anode and cathode in an MFC. However,large-scale power production and high removal efficiency must be achieved at a low cost to make MFCs practical and economically competitive in the future. This article reviews the principles, feasibility and bottlenecks of MFCs for simultaneous carbon and nitrogen removal, the recent advances and prospective strategies for performance improvement, as well as the involved microbes and electron transfer mechanisms.
基金supported by the Open Research Fund of Engineering and Technical Center of Hunan Provincial Environmental Protection for River-Lake Dredging Pollution Control (No. EPD202002)Scientific Research Project of Education Department of Hunan Province (No. 20C0057)the Science and Technology Department of Hunan Province (Nos. 2021JJ10007, 2021NK2015)。
文摘Simultaneous anammox and denitrification(SAD) is an efficient approach to treat wastewater having a low C/N ratio;however, few studies have investigated a combination of SAD and partial nitritation(PN). In this study, a lab-scale up-flow blanket filter(UBF) and zeolite sequence batch reactor(ZSBR) were continuously operated to implement SAD and PN advantages, respectively. The UBF achieved a high total nitrogen(TN) removal efficiency of over 70% during the start-up stage(days 1–50), and reached a TN removal efficiency of 96%in the following 90 days(days 51–140) at COD/NH_(4)^(+)-N ratio of 2.5. The absolute abundance of anammox bateria increased to the highest value of 1.58 × 107copies/μL DNA;Comamonadaceae was predominant in the UBF at the optimal ratio. Meanwhile, ZSBR was initiated on day 115 as fast nitritation process to satisfy the influent requirement for the UBF. The combined process was started on day 140 and then lasted for 30 days, during the combined process, between the two reactors, the UBF was the main contributor for TN(66.5% ± 4.5%)and COD(71.8% ± 4.9%) removal. These results demonstrated that strong SAD occurred in the UBF when following a ZSBR with in-situ NOB elimination. This research presents insights into a novel biological nitrogen removal process for low C/N ratio wastewater treatment.
文摘BACKGROUND Hepatocellular carcinoma(HCC)is a common cancer and a leading cause of tumor-related death.Patients with large HCC(≥8 cm)are at an advanced stage and have poor prognosis,and hepatic resection may not be suitable,and the incidence of postoperative recurrence is high.AIM To evaluate recurrence and mid-term survival of patients with large HCC treated by transcatheter arterial chemoembolization(TACE)and radiofrequency ablation(RFA).METHODS This was a retrospective study.From 2010 to 2013,46 consecutive patients with large HCC were treated with simultaneous TACE and RFA.Thirty-five of 46 patients had a single tumor.Progression-free survival(PFS)and overall survival(OS)were analyzed at 2 years and 3 years,respectively.RESULTS Forty-six patients treated by simultaneous TACE and RFA had no significant complications and treatment was successful.After 3 years,median PFS and OS were 10.21±1.58 mo and 26.44±2.26 mo,retrospectively.The survival rate was 67.5%after 2 years and 55.67%after 3 years.CONCLUSION These preliminary data show that simultaneous TACE and RFA are safe and effective for large HCC.
文摘Multiple primary carcinoma which is the same organ of the same patient or multiple organs, tissues has occurred two or more than two kinds of the primary malignant tumor. All cancer at the same time or 6 months from diagnosis is called simultaneous multiple primary carcinoma. In this case the patient suffering from cancer including rectal cancer, colon cancer and appendix gastrointestinal stromal tumor(GIST) three primary carcinoma, is simultaneous multiple primary carcinoma and it's extremely rare on the clinical cases. This report address that the incidence of the patient with operation and pathological diagnosis.
文摘A Florida wastewater treatment facility studied how Simultaneous Nitrification Denitrification (SND) coupled with traditional nitrogen removal would be used to meet the state’s current advanced wastewater treatment nutrient criterion. This study examined the effect of these combined processes on the fate and transport of the nitrogen species during the treatment process. The effectiveness of nitrogen removal within the full scale sequential batch reactor system (SBR) and the extent of SND compared to nitrification and denitrification in the nitrogen removal process was also evaluated. Finally, the overall performance of the municipal wastewater treatment facility utilizing these combined processes was evaluated. Overall, this application reduced the total nitrogen to almost 6% of the permitted concentration of 3.0 mg/L. The combination of both processes also resulted in an actual ?concentration 93.7% lower than the acceptable theoretical ?concentration, which also resulted in effluent Total Inorganic Nitrogen nearly 80% lower than the permitted 3.0 mg/L effluent concentration. Further, the process produced a composite Total Nitrogen concentration that was 74% lower than the permitted concentration. This coupling of SND with traditional nitrogen removal resulted in a highly effective process to reduce nitrogen in the municipal wastewater effluent which is also attractive for potential implementation due to the low cost expenditure incurred in its utilization.
文摘Simultaneous removals of dye and nitrate by photo dependent denitrifying sludge(PDDS) have been demonstrated in a continuous flow bench scale reactor. The best C/N for the degradation of azo dyes by PDDS was 1.5. The specific removal rate of azo dye AB92 decreased with a decrease in hydraulic retention time and increased with a decrease in solids retention time. The degradation rate of TOC decreased with a decrease in hydraulic retention time. AB92, which has nitro and hydroxyl substitutions in non para positions, was uniquely degraded. During continuous flow treatment experiments using PDDS, complete degradation of azo dyes AB92 and AO20 at influent concentrations of 40 mg/L and 30 mg/L, respectively, was achieved with an HRT of 16.
